OAKLAWN PSYCHIATRIC CENTER INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
OAKLAWN PSYCHIATRIC CENTER INC (EIN 35-1070041)
Tax period
2014-07-01 to 2015-06-30
Filed
2015-12-09
IRS object ID
201533439349300138
Schema version
2014v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2015-12-09T14:56:47-06:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN351178661PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BLUE & CO LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1ONE AMERICAN SQUARE 2200AddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46282ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN351070041EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1OAKLAWN PSYCHIATRIC CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlOAKLBusinessNameControlTxt
Phone5745331234PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1330 LAKEVIEW DRAddressLine1Txt
CityGOSHENCityNm
State AbbreviationINStateAbbreviationCd
ZIP46527ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLAURIE N NAFZIGERPersonNm
Person TitlePRESIDENT AND CEOPersonTitleTxt
Phone5745331234PhoneNum
Signature2015-12-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonANGELA N CRAWFORDPreparerPersonNm
PTINP00573197PTIN
Phone3176334705PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-04-25 22:37:26ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLAURIE N NAFZIGERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1330 LAKEVIEW DRAddressLine1Txt
CityGOSHENCityNm
State AbbreviationINStateAbbreviationCd
ZIP46527ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$53,209,634GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.OAKLAWN.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1959FormationYr
Legal Domicile StateINLegalDomicileStateCd
Activity Or MissionTREATING THE WHOLE PERSON - MIND, BODY AND SPIRIT - IN ELKHART AND ST. JOSEPH COUNTIES, INDIANA.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee1138TotalEmployeeCnt
Total Volunteers72TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$10,573,841PYContributionsGrantsAmt
CY Contributions Grants$11,433,699CYContributionsGrantsAmt
PY Program Service Revenue$37,995,001PYProgramServiceRevenueAmt
CY Program Service Revenue$41,083,110CYProgramServiceRevenueAmt
PY Investment Income$258,727PYInvestmentIncomeAmt
CY Investment Income$154,674CYInvestmentIncomeAmt
PY Other Revenue$719,178PYOtherRevenueAmt
CY Other Revenue$538,151CYOtherRevenueAmt
PY Total Revenue$49,546,747PYTotalRevenueAmt
CY Total Revenue$53,209,634CYTotalRevenueAmt
PY Grants And Similar Paid$89,052PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$97,993CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$35,112,624PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$38,911,578CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$86,134CYTotalFundraisingExpenseAmt
PY Other Expenses$11,533,309PYOtherExpensesAmt
CY Other Expenses$10,166,457CYOtherExpensesAmt
PY Total Expenses$46,734,985PYTotalExpensesAmt
CY Total Expenses$49,176,028CYTotalExpensesAmt
PY Revenues Less Expenses$2,811,762PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$4,033,606CYRevenuesLessExpensesAmt
Total Assets BOY$30,805,302TotalAssetsBOYAmt
Total Assets EOY$36,504,677TotalAssetsEOYAmt
Total Liabilities BOY$16,435,014TotalLiabilitiesBOYAmt
Total Liabilities EOY$18,157,765TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$14,370,288NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$18,346,912NetAssetsOrFundBalancesEOYAmt
MissionWITH UNCOMMON EXPERTISE IN MENTAL HEALTH AND ADDICTIONS SERVICES, OAKLAWN JOINS WITH INDIVIDUALS, FAMILIES, AND OUR COMMUNITY ON THE JOURNEY TOWARD HEALTH AND WHOLENESS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$25,944,801ExpenseAmt
Grant$0GrantAmt
Revenue$26,325,414RevenueAmt
DescOUTPATIENT SERVICES - PROVIDED OVER 109,725 CLIENT SERVICE ENCOUNTERS OF GROUP THERAPY, MEDICATION MANAGEMENT, AND INDIVIDUAL THERAPY; PROVIDED 80,010 CLIENT SERVICE ENCOUNTERS OF CARE COORDINATION; PROVIDED 73,710 CLIENT SERVICE ENCOUNTERS OF SKILLS BUILDING IN PERSONAL CARE AND COMMUNITY LIVING; AND PROVIDED AN ADDITIONAL 34,125 ENCOUNTERS OF OTHER COMMUNITY-BASED SERVICES. IN SUMMARY, A TOTAL OF 16,050 CONSUMERS WERE SERVED IN THE FISCAL YEAR.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$12,564,250ExpenseAmt
Grant$97,993GrantAmt
Revenue$12,748,569RevenueAmt
DescRESIDENTIAL SERVICES - IN ADDITION TO THE BEHAVIORAL HEALTH SERVICES FOR THIS POPULATION, THE ORGANIZATION PROVIDED 33,980 DAYS OF CHILD & ADOLESCENT RESIDENTIAL CARE AND 6,431 DAYS OF THERAPEUTIC FOSTER CARE. ADDITIONALLY, ADULTS LIVING IN SUPERVISED GROUP LIVING ARRANGEMENTS ARE PROVIDED RESIDENTIAL SUPPORT SERVICES ALONG WITH THE NECESSARY PSYCHIATRIC AND SUBSTANCE ABUSE SERVICES. A TOTAL OF 31,715 DAYS WERE PROVIDED TO THIS SEGMENT OF THE ADULT POPULATION.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$3,326,484ExpenseAmt
Grant$0GrantAmt
Revenue$2,545,490RevenueAmt
DescINPATIENT SERVICES - PROVIDED 5,120 INPATIENT DAYS OF PSYCHIATRIC AND SUBSTANCE ABUSE STABILIZATION.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$41,835,535TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document42IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1138EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldINStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JOSEPH BARKMANBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5745331234PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1330 LAKEVIEW DRAddressLine1Txt
CityGOSHENCityNm
State AbbreviationINStateAbbreviationCd
ZIP46528ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
CAROL EBERSOLE
BOARD CHAIR0.500.00Yes (X)Yes (X)$0$0$0
RANDALL CAMMENGA MD
BOARD VICE CHAIR0.300.00Yes (X)Yes (X)$0$0$0
KAY EVANS BALL
BOARD SECRETARY0.300.00Yes (X)Yes (X)$0$0$0
AUDRA MARK
BOARD TREASURER0.300.00Yes (X)Yes (X)$0$0$0
ROD DILLER
BOARD ASST. SECRETARY0.300.00Yes (X)Yes (X)$0$0$0
REBECCA BALL-MILLER
BOARD MEMBER0.300.00Yes (X)$0$0$0
TERRI BURKS
BOARD MEMBER0.300.00Yes (X)$0$0$0
JANILYN DAUB
BOARD MEMBER0.300.00Yes (X)$0$0$0
JIM DUBOIS
BOARD MEMBER0.300.00Yes (X)$0$0$0
MARION FULCE
BOARD MEMBER0.300.00Yes (X)$0$0$0
DARRYL RIEGSECKER
BOARD MEMBER0.300.00Yes (X)$0$0$0
BRADLEY RODGERS
BOARD MEMBER0.300.00Yes (X)$0$0$0
ROBERT SHREINER
BOARD MEMBER0.300.00Yes (X)$0$0$0
VERNITA TODD
BOARD MEMBER0.300.00Yes (X)$0$0$0
PHIL WIENS
BOARD MEMBER0.300.00Yes (X)$0$0$0
LAURIE NAFZIGER
PRESIDENT/CEO40.001.00Yes (X)$198,266$0$36,527
JOSEPH BARKMAN
CFO40.001.00Yes (X)$100,935$0$22,296
GREGG NUSSBAUM
VICE PRESIDENT40.000.00Yes (X)$84,573$0$21,120
DANIEL KINSEY MD
MEDICAL DIRECTOR40.000.00$245,548$0$45,837Yes (X)
GURPREET SANDHU MD
PSYCHIATRIST40.000.00$223,702$0$47,101Yes (X)
JOSH MATHEW MD
PSYCHIATRIST40.000.00$221,250$0$48,950Yes (X)
MICHAEL PLATT MD
PSYCHIATRIST40.000.00$218,761$0$43,328Yes (X)
TIMOTHY MCFADDEN MD
PSYCHIATRIST40.000.00$211,724$0$43,800Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,504,759TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$308,959TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K24IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
GOLDEN TECHNOLOGIES
2402 BEECH STREETVALPRARAISOIN46383IT EQUIP/SUPPORT$749,380
QUALIFACTS SYSTEMS INC
200 2ND AVE SOUTHNASHVILLETN37201EHR SERVICES$436,672
AMERICAN BERGEN DRUG CORP
25199 NETWORK PLACECHICAGOIL60673HEALTHCARE CONSULTING$284,736
LOCUM TENENS
PO BOX 405547ATLANTAGA30384PHYSICIAN SERVICES$261,044
OJS BUILDING SERVICES
PO BOX 418SOUTH BENDIN46624HVAC SERVICES$155,461
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K24CntrctRcvdGreaterThan100KCnt
Related Organizations$318,162RelatedOrganizationsAmt
Government Grants$10,342,471GovernmentGrantsAmt
All Other Contributions$773,066AllOtherContributionsAmt
Noncash Contributions$672,348NoncashContributionsAmt
Total Contributions$11,433,699TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE900099$37,327,579$37,327,579
GOVERNMENT FUNDING900099$3,419,125$3,419,125
OUTPATIENT CLINIC SERVICES900099$336,406$336,406
FieldValueIRS element (for citing)
Total Program Service Revenue$41,083,110TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$149,664TotalRevenueColumnAmt
Exclusion$149,664ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$288,399RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$288,399RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$288,399TotalRevenueColumnAmt
Related Or Exempt Func Income$288,399RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$5,010OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$5,010OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,010TotalRevenueColumnAmt
Exclusion$5,010ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
MEANINGFUL USE REVENUE900099$179,000$179,000
OTHER REVENUE900099$70,752$68,964$1,788
FieldValueIRS element (for citing)
Other Revenue Total$249,752OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$53,209,634TotalRevenueColumnAmt
Related Or Exempt Func Income$41,619,473RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$156,462ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$97,993TotalAmt
Program Services$97,993ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$463,717TotalAmt
Program Services$106,165ProgramServicesAmt
Management And General$357,552ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$31,139,307TotalAmt
Program Services$28,192,033ProgramServicesAmt
Management And General$2,917,584ManagementAndGeneralAmt
Fundraising$29,690FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$310,336TotalAmt
Program Services$278,119ProgramServicesAmt
Management And General$31,854ManagementAndGeneralAmt
Fundraising$363FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$4,784,501TotalAmt
Program Services$4,287,807ProgramServicesAmt
Management And General$491,092ManagementAndGeneralAmt
Fundraising$5,602FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,213,717TotalAmt
Program Services$1,983,904ProgramServicesAmt
Management And General$227,221ManagementAndGeneralAmt
Fundraising$2,592FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,739,742TotalAmt
Program Services$1,677,581ProgramServicesAmt
Management And General$1,014,274ManagementAndGeneralAmt
Fundraising$47,887FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$60,022TotalAmt
Program Services$40,830ProgramServicesAmt
Management And General$19,192ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$979,279TotalAmt
Program Services$666,155ProgramServicesAmt
Management And General$313,124ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,892,302TotalAmt
Program Services$1,287,240ProgramServicesAmt
Management And General$605,062ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$688,614TotalAmt
Program Services$468,430ProgramServicesAmt
Management And General$220,184ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$304,411TotalAmt
Program Services$207,076ProgramServicesAmt
Management And General$97,335ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$269,510TotalAmt
Management And General$269,510ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$981,388TotalAmt
Program Services$873,435ProgramServicesAmt
Management And General$107,953ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$530,789TotalAmt
Program Services$361,070ProgramServicesAmt
Management And General$169,719ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
FOOD SUPPLIES$662,142$450,423$211,719
HOSPITAL ASSESSMENT FEE$429,690$429,690
MEDICATION SUPPLIES$288,761$196,430$92,331
PATIENT CARE SUPPLIES$151,404$102,993$48,411

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$188,403TotalAmt
Program Services$128,161ProgramServicesAmt
Management And General$60,242ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$49,176,028TotalAmt
Program Services$41,835,535ProgramServicesAmt
Management And General$7,254,359ManagementAndGeneralAmt
Fundraising$86,134FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$6,771BOYAmt
EOY$5,870EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$9,372,907BOYAmt
EOY$9,965,893EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,046,932BOYAmt
EOY$3,946,714EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,947,260BOYAmt
EOY$3,013,637EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$327,898BOYAmt
EOY$352,680EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$30,350,344LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$18,814,351LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$8,798,463BOYAmt
EOY$11,535,993EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$4,440,037BOYAmt
EOY$6,739,466EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$865,034BOYAmt
EOY$944,424EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$30,805,302BOYAmt
EOY$36,504,677EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$4,017,672BOYAmt
EOY$4,093,751EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$11,075BOYAmt
EOY$20,563EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$271,795BOYAmt
EOY$261,539EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,580,000BOYAmt
EOY$10,122,500EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$444,090BOYAmt
EOY$2,518,638EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,110,382BOYAmt
EOY$1,140,774EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$16,435,014BOYAmt
EOY$18,157,765EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$14,370,288BOYAmt
EOY$18,346,912EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$14,370,288BOYAmt
EOY$18,346,912EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$30,805,302BOYAmt
EOY$36,504,677EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$4,033,606ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$111,055NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$54,073OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE A, PART I, LINE 3FormAndLineReferenceDesc
ExplanationOAKLAWN PSYCHIATRIC CENTER, INC. (THE "CENTER") HAS BEEN DETERMINED BY THE IRS TO BE A PUBLIC CHARITY UNDER IRS CODE SECTION 170(B)(1)(A)(III). PER SCHEDULE H INSTRUCTIONS, ONLY ORGANIZATIONS THAT OPERATE AT LEAST ONE FACILITY THAT IS, OR IS REQUIRED TO BE, LICENSED, REGISTERED, OR SIMILARLY RECOGNIZED BY THE STATE AS A HOSPITAL IS REQUIRED TO COMPLETE SCHEDULE H. THE CENTER PROVIDES MENTAL HEALTH SERVICES FOR CHILDREN, ADULTS, AND SENIORS; IS ACCREDITED BY THE JOINT COMMISSION AS A BEHAVIORAL HEALTH CARE CENTER; AND IS CERTIFIED BY THE INDIANA FAMILY AND SOCIAL SERVICES ADMINISTRATION THROUGH THE DIVISION OF MENTAL HEALTH AND ADDICTION (DMHA). THE CENTER IS NOT LICENSED AS A HOSPITAL IN THE STATE OF INDIANA, BUT IS LICENSED AS A FREE-STANDING PSYCHIATRIC INPATIENT TREATMENT FACILITY UNDER INDIANA ADMINISTRATIVE CODE 440 ARTICLE 1.5 THROUGH THE DMHA.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$3,066OtherActivitiesAmt
Total Lobbying Expenditures$3,066TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationA PORTION OF MEMBERSHIP DUES PAID TO INDIANA COUNCIL OF COMMUNITY MENTAL HEALTH CENTERS (ICCMHC) AND INDIANA ASSOCIATION OF RESIDENTIAL CHILD CARE AGENCIES (IARCCA) WERE ATTRIBUTED TO LOBBYING EXPENSES.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$855,638OtherCostOrOtherBasisAmt
Book Value$855,638BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$144,902InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$17,827,505OtherCostOrOtherBasisAmt
Depreciation$9,325,595DepreciationAmt
Book Value$8,646,812BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,522,299OtherCostOrOtherBasisAmt
Depreciation$9,488,756DepreciationAmt
Book Value$2,033,543BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$11,535,993TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescFIXED INCOME BONDSDesc
Book Value$6,739,466BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$6,739,466TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
CLIENT HELD FUNDS$31,903
EST. THIRD-PARTY PAYOR SETTLEM$851,290
OTHER CURRENT LIABILITIES$7,709
BOND INTEREST SWAP$249,872
FieldValueIRS element (for citing)
Total Liability$1,140,774TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationFOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 SUPERSEDED BY FASB CODIFICATION ASC 740: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE CENTER AND RECOGNIZE A TAX LIABILITY IF THE CENTER HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE CENTER, AND HAS CONCLUDED THAT AS OF JUNE 30, 2015, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE CENTER IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeASSISTANCE TO INDIVIDUALS AND FAMILIES FOR VARIOUS NEEDS THROUGH RESIDENTGrantTypeTxt
Recipient290RecipientCnt
Cash Grant$97,993CashGrantAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
LAURIE NAFZIGER
PRESIDENT/CEO$198,266$0$0$0$0$0$5,878$0$30,649$0$234,793$0$0$0
DANIEL KINSEY MD
MEDICAL DIRECTOR$208,306$0$33,314$0$3,928$0$6,359$0$39,478$0$291,385$0$0$0
GURPREET SANDHU MD
PSYCHIATRIST$186,862$0$36,540$0$300$0$5,728$0$41,373$0$270,803$0$0$0
JOSH MATHEW MD
PSYCHIATRIST$173,912$0$42,988$0$4,350$0$5,523$0$43,427$0$270,200$0$0$0
MICHAEL PLATT MD
PSYCHIATRIST$185,540$0$32,813$0$408$0$5,728$0$37,600$0$262,089$0$0$0
TIMOTHY MCFADDEN MD
PSYCHIATRIST$185,851$0$21,823$0$4,050$0$5,696$0$38,104$0$255,524$0$0$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1HOSPITAL AUTHORITY OF ELKHART COUNTY INDIANABusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN351657690BondIssuerEIN
Bond Issued2013-12-04BondIssuedDt
Issue Price$10,805,000IssuePriceAmt
PurposeSEE PART VIPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$10,805,000TotalProceedsAmt
Other Spent Proceeds$10,805,000OtherSpentProceedsAmt
Substantial Completion2013SubstantialCompletionYr
Current RefundingYes (1)CurrentRefundingInd
Advance Refunding0AdvanceRefundingInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease ArrangementsYes (1)AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropYes (1)MgmtContractBondFincdPropInd
Engage Bond Counsel ContractsYes (1)EngageBondCounselContractsInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd0ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due YetYes (1)RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate IssueYes (1)VariableRateIssueInd
Hedge Identified In Bks And RecYes (1)HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

FieldValueIRS element (for citing)
Business Name Line1FIFTH THIRD BANKBusinessNameLine1Txt
FieldValueIRS element (for citing)
Term Of Hedge5.000000000000TermOfHedgePct
Superintegrated Hedge0SuperintegratedHedgeInd
Hedge Terminated0HedgeTerminatedInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, BOND ISSUE, ROW A, COLUMN FFormAndLineReferenceDesc
ExplanationDESCRIPTION OF PURPOSE: THE ISSUE WAS TO REFINANCE PREVIOUSLY ISSUED "ADJUSTABLE RATE DEMAND REVENUE REFUNDING AND IMPROVEMENT BONDS, SERIES 2006".ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
EVERENCE
SEE PART V BELOWSEE PART V0
TROYER FOODS INC
SEE PART V BELOWSEE PART V0
ROBERT SCHREINER
SEE PART V BELOWSEE PART V0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:FormAndLineReferenceDesc
Explanation(A) NAME OF INTERESTED PERSON: EVERENCE(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: THE SENIOR VICE PRESIDENT OF EVERENCE, RODNEY DILLER, IS A CURRENT BOARD MEMBER FOR OAKLAWN PSYCHIATRIC CENTER, INC.(C) AMOUNT OF TRANSACTION: $5,980,517(D) DESCRIPTION OF TRANSACTION: EVERENCE ADMINISTERS THE EMPLOYEE HEALTH INSURANCE PLAN FOR OAKLAWN PSYCHIATRIC CENTER, INC. AND IS THE INVESTMENT ADVISOR FOR ITS 403B RETIREMENT PLAN. TRANSACTION AMOUNT IS FOR INSURANCE PREMIUMS PAID.(A) NAME OF INTERESTED PERSON: TOYER FOODS, INC.(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: THE PRESIDENT OF TROYER FOODS, INC., REBECCA BALL-MILLER, IS A CURRENT BOARD MEMBER FOR OAKLAWN PSYCHIATRIC CENTER, INC.(C) AMOUNT OF TRANSACTION: $14,299(D) DESCRIPTION OF TRANSACTION: TROYER FOODS IS A FOOD SUPPLY VENDOR TO OAKLAWN PSYCHIATRIC CENTER, INC.(A) NAME OF INTERESTED PERSON: ROBERT SHREINER(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: MR. SHREINER, IS AN EMPLOYEE OF OAKLAWN PSYCHIATRIC CENTER, INC. AND A FAMILY MEMBER TO ONE OF ITS CURRENT BOARD MEMBERS, ROBERT SHREINER.(C) AMOUNT OF TRANSACTION: $35,290(D) DESCRIPTION OF TRANSACTION: EMPLOYMENT ARRANGEMENT.ExplanationTxt

Schedule M IRS990ScheduleM

Real Estate Commercial RealEstateCommercialGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$672,348NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 6, VOLUNTEERS:IN ADDITION TO AN ALL VOLUNTEER BOARD OF DIRECTORS, THE ORGANIZATION IS SUPPORTED BY MORE THAN 54 ACTIVE VOLUNTEERS WHO SERVE IN A VARIETY OF SUPPORT SERVICES. DURING THE FISCAL YEAR OVER 2,500 HOURS OF SERVICE WERE GIVEN BY THESE VOLUNTEERS.
FORM 990, PART IV, LINE 20A, HOSPITAL FACILITY:OAKLAWN PSYCHIATRIC CENTER, INC. (THE "CENTER") PROVIDES MENTAL HEALTH SERVICES FOR CHILDREN, ADULTS, AND SENIORS; AND, IS A FREE-STANDING PSYCHIATRIC INPATIENT TREATMENT FACILITY UNDER INDIANA ADMINISTRATIVE CODE 440 ARTICLE 1.5. THE CENTER IS LICENSED THROUGH THE INDIANA FAMILY AND SOCIAL SERVICES ADMINISTRATION THROUGH THE DIVISION OF MENTAL HEALTH AND ADDICTION (DMHA). THE IRS GRANTED THE CENTER PUBLIC CHARITY STATUS UNDER IRS CODE SECTION 170(B)(1)(A)(III). PER SCHEDULE H INSTRUCTIONS, ONLY ORGANIZATIONS THAT OPERATE AT LEAST ONE FACILITY THAT IS, OR IS REQUIRED TO BE, LICENSED, REGISTERED, OR SIMILARLY RECOGNIZED BY THE STATE AS A HOSPITAL IS REQUIRED TO COMPLETE SCHEDULE H. THE CENTER IS NOT LICENSED AS A HOSPITAL IN THE STATE OF INDIANA, THEREFORE, THE CENTER IS NOT REQUIRED TO COMPLETE SCHEDULE H.
FORM 990, PART VI, SECTION A, LINE 1DELEGATED AUTHORITY: PER THE BYLAWS, THE EXECUTIVE COMMITTEE OF THE BOARD IS AUTHORIZED TO ACT ON THE FULL BOARD'S BEHALF. THE FULL BOARD MEETS QUARTERLY AND THE EXECUTIVE COMMITTEE GENERALLY MEETS AN ADDITIONAL FOUR TIMES ON ALTERNATE MONTHS.
FORM 990, PART VI, SECTION A, LINE 7AELECTION OF MEMBERS: VOTING MEMBERS ARE SELECTED BY THE SPONSORING ORGANIZATION, MENNONITE HEALTH SERVICES ALLIANCE, AS PROVIDED IN THE BY-LAWS AND ARTICLES OF INCORPORATION OF OAKLAWN PSYCHIATRIC CENTER, INC. BOARD MEMBERS APPOINTED BY MENNONITE HEALTH SERVICES ALLIANCE ARE THE SOLE MEMBERS OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11FORM 990 REVIEW PROCESS: THE PROCESS OF REVIEWING THE FORM 990 INCLUDES A DETAILED REVIEW BY THE ORGANIZATION'S SENIOR MANAGEMENT AND CHIEF EXECUTIVE OFFICER. THE GOVERNING BODY RECEIVES A COPY OF THE FORM 990 INCLUDING REQUESTED SCHEDULES, AS ULTIMATELY FILED WITH THE IRS, FOR REVIEW AND APPROVAL PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CCONFLICT OF INTEREST COMPLIANCE: THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. OAKLAWN STAFF, BOARD MEMBERS, VOLUNTEERS AND AGENTS SHALL EXERCISE THE UTMOST GOOD FAITH IN ALL TRANSACTIONS TOUCHING UPON THEIR DUTY TO OAKLAWN AND ITS PROPERTY, AND SHALL FULLY DISCLOSE ANY CONFLICT OF INTEREST. ANNUALLY, BOARD MEMBERS SIGN THAT THEY WILL ABIDE BY THE POLICY AND DECLARE ANY CONFLICT OF INTEREST THEY MAY HAVE WITH THE ORGANIZATION OR ITS RELATED ORGANIZATIONS, AND ABSTAIN FROM ANY VOTING WHERE A CONFLICT COULD EXIST.
FORM 990, PART VI, SECTION B, LINE 15PROCESS OF DETERMINING COMPENSATION: TOP OFFICIAL: THE BOARD OF DIRECTORS REVIEWS AND APPROVES THE COMPENSATION PACKAGE PROVIDED TO THE PRESIDENT & CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION. THE COMPENSATION REVIEW INCLUDES A MARKET ANALYSIS STUDY AND A PERFORMANCE REVIEW. THIS PROCESS IS DOCUMENTED IN THE BOARD MINUTES. OTHER OFFICERS: THE ORGANIZATION ANNUALLY PARTICIPATES IN SEVERAL MARKET SURVEYS. MANAGEMENT COMPARES COMPENSATION LEVELS OF LIKE POSITIONS AND STRIVES TO ADJUST THE ORGANIZATION'S COMPENSATION PACKAGES FOR LIKE POSITIONS TO FALL WITHIN THE RANGE OF THE MARKET WITH A GOAL TO BE COMPETITIVELY PLACED BETWEEN THE 50TH AND 75TH PERCENTILE OF THE MARKET RANGE. THIS PROCESS IS DOCUMENTED IN THE BOARD MINUTES.
FORM 990, PART VI, SECTION C, LINE 19DOCUMENTS AVAILABLE TO THE PUBLIC: COPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE PROVIDED FOR REVIEW UPON REQUEST. IN ADDITION, THE ORGANIZATION IS ACCREDITED BY THE JOINT COMMISSION; MEETING THE REQUIREMENTS FOR THE BEHAVIORAL HEALTH CARE ACCREDITATION PROCESS. ALSO, THE ORGANIZATION IS CERTIFIED BY THE STATE OF INDIANA FAMILY AND SOCIAL SERVICES ADMINISTRATION, DIVISION OF MENTAL HEALTH AND ADDICTIONS, AS AN INDIANA COMMUNITY MENTAL HEALTH CENTER (CMHC). ACCORDINGLY, GOVERNING DOCUMENTS ARE REVIEWED AND REGULARLY PROVIDED TO THESE AND OTHER PUBLIC BODIES.
FORM 990, PART XI, LINE 9:CHANGE IN DERIVATIVE 54,073.
FORM 990, PART XII, LINE 2C, OVERSIGHT OF AUDIT:THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND NO PROCESSES HAVE CHANGED FROM PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
MENNONITE HEALTH SERVICES
1112 N MAIN STREETGOSHENIN46528231421919HEALTH AND HUMAN SERVICE MINISTRIESIN501(C)(3)LINE 9N/A0
OAKLAWN FOUNDATION FOR MENTAL HEALTH
PO BOX 809GOSHENIN46527356060037FUNDRAISING/MENTAL HEALTH PROMOTIONIN501(C)(3)LINE 7Yes (1)OPC
OAKLAWN CMHC
330 LAKEVIEW DR PO BOX 809GOSHENIN46527237317957HEALTHCAREIN501(C)(3)LINE 7Yes (1)OPC
SIMADON CORPORATION
PO BOX 809GOSHENIN46527208473080HUD HOUSINGIN501(C)(3)LINE 7Yes (1)OPC
MADISON RESIDENTIAL SERVICES INC
PO BOX 809GOSHENIN46527311135587HUD HOUSINGIN501(C)(3)LINE 7Yes (1)OPC
RIVERSIDE CORPORATION
PO BOX 809GOSHENIN46527351875879HUD HOUSINGIN501(C)(3)LINE 7Yes (1)OPC
OAKLAWN ESTATES APARTMENTS INC
PO BOX 809GOSHENIN46527383646840HUD HOUSINGIN501(C)(3)LINE 7Yes (1)OPC
OAKLAWN APARTMENTS INC
PO BOX 809GOSHENIN46527311009857HUD HOUSINGIN501(C)(3)LINE 7Yes (1)OPC
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1OAKLAWN FOUNDATION FOR MENTAL HEALTHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeCTransactionTypeTxt
Involved$318,162InvolvedAmt
Method Of Amount DeterminationFAIR MARKET VALUEMethodOfAmountDeterminationTxt

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.