GRAND LAKE MENTAL HEALTH CENTER INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- GRAND LAKE MENTAL HEALTH CENTER INC (EIN 73-1039733)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-05-15
- IRS object ID
- 202311359349313781
- Schema version
- 2021v4.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-05-15T15:21:32-05:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 450250958 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Eide Bailly LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 810 S Cincinnati Ave Ste 600 | AddressLine1Txt |
| City | Tulsa | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 741191623 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 731039733 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Grand Lake Mental Health Center Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GRAN | BusinessNameControlTxt |
| Phone | 9182731841 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 114 West Delaware | AddressLine1Txt |
| City | Nowata | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 74048 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Larry Smith | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 9182731841 | PhoneNum |
| Signature | 2023-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Larry | PersonFirstNm |
| Person Last | Smith | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Chandra Venable CPA | PreparerPersonNm |
| PTIN | P00104736 | PTIN |
| Phone | 9187485000 | PhoneNum |
| Preparation | 2023-05-15 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | See Schedule O | BusinessNameLine1Txt |
| Business Name Line2 | Grand Lake Medical Health Center and Grand Lake Mental Health Center | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Larry Smith | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 114 West Delaware | AddressLine1Txt |
| City | Nowata | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 74048 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $137,158,141 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.grandmh.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1977 | FormationYr |
| Legal Domicile State | OK | LegalDomicileStateCd |
| Activity Or Mission | Provide mental health services to individuals regardless of the individual's ability to pay. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 1503 | TotalEmployeeCnt |
| Total Volunteers | 12 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $19,418,980 | PYContributionsGrantsAmt |
| CY Contributions Grants | $23,148,879 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $86,975,185 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $113,550,865 | CYProgramServiceRevenueAmt |
| PY Investment Income | $30,338 | PYInvestmentIncomeAmt |
| CY Investment Income | -$115,842 | CYInvestmentIncomeAmt |
| PY Other Revenue | $33,300 | PYOtherRevenueAmt |
| CY Other Revenue | $37,188 | CYOtherRevenueAmt |
| PY Total Revenue | $106,457,803 | PYTotalRevenueAmt |
| CY Total Revenue | $136,621,090 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $74,917,066 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $101,138,586 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $25,211,951 | PYOtherExpensesAmt |
| CY Other Expenses | $28,124,161 | CYOtherExpensesAmt |
| PY Total Expenses | $100,129,017 | PYTotalExpensesAmt |
| CY Total Expenses | $129,262,747 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $6,328,786 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $7,358,343 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $56,905,678 | TotalAssetsBOYAmt |
| Total Assets EOY | $66,931,853 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $14,809,210 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $17,477,042 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $42,096,468 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $49,454,811 | NetAssetsOrFundBalancesEOYAmt |
| Mission | To create a welcoming, supportive and positive environment, in which an array of effective and efficient trauma-informed, integrated services will promote an improved quality of life for consumers, communities and each other in Northeastern and Northcentral Oklahoma. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $103,076,407 | ExpenseAmt |
| Revenue | $113,550,865 | RevenueAmt |
| Desc | The outpatient program is designed to provide a combination of services that include, but are not limited to individual, group and family counseling and crisis intervention to persons birth through lifespan. Services provided are based on client need in order to optimize their ability to live and be successful in their community, home and work environments. | Desc |
| Total Program Service Expenses | $103,076,407 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 196 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1503 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | 0 | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | OK | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Donna Aultz | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9182731841 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 114 West Delaware | AddressLine1Txt |
| City | Nowata | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 74048 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| Jim Tanner | |||||||||
| President | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Charles Hamit | |||||||||
| Vice President | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Elaine Clugston | |||||||||
| Secretary | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Shelli Webb | |||||||||
| Board Member | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Tad Jones | |||||||||
| Board Member | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Nancy Barton | |||||||||
| Board Member | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Rick Littlefield | |||||||||
| Board Member | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Bill Stutsman | |||||||||
| Board Member | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| David Foster | |||||||||
| Board Member | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Charlene Lingo | |||||||||
| Board Member | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Pat Darlington | |||||||||
| Board Member | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Lowell Barto | |||||||||
| Board Member | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| Larry Smith | |||||||||
| Chief Executive Officer | 45.00 | Yes (X) | $844,357 | $0 | $10,623 | ||||
| Josh Cantwell | |||||||||
| Chief Operating Officer | 45.00 | Yes (X) | $627,345 | $0 | $656 | ||||
| Donna Aultz | |||||||||
| Chief Financial Officer | 45.00 | Yes (X) | $316,286 | $0 | $10,625 | ||||
| Dr Weldon J Mallgren | |||||||||
| Medical Director | 45.00 | $465,508 | $0 | $19,826 | Yes (X) | ||||
| Lissa James | |||||||||
| Chief Clinical Compliance | 45.00 | $321,802 | $0 | $10,355 | Yes (X) | ||||
| Jeffrey Harlin | |||||||||
| Chief Clinical Officer | 45.00 | $318,422 | $0 | $534 | Yes (X) | ||||
| Amy Garrison | |||||||||
| Chief Administrative Officer | 45.00 | $193,697 | $0 | $28,526 | Yes (X) | ||||
| Erin Howell | |||||||||
| Chief Information Officer | 45.00 | $251,253 | $0 | $15,673 | Yes (X) | ||||
| Emily Shearer | |||||||||
| Integrated Health Services | 45.00 | $161,424 | $0 | $403 | Yes (X) | ||||
| Trica Walters | |||||||||
| Human Resources Director | 45.00 | $178,045 | $0 | $19,464 | Yes (X) | ||||
| Kimberly Hill-Crowell | |||||||||
| Clinical Director - Region 2 | 45.00 | $160,899 | $0 | $28,532 | Yes (X) | ||||
| Nicholas Allgood | |||||||||
| Crisis Services Director | 45.00 | $157,046 | $0 | $28,649 | Yes (X) | ||||
| Dr David McElwain | |||||||||
| Physician | 45.00 | $322,623 | $0 | $19,674 | Yes (X) | ||||
| Ruth Herlan | |||||||||
| Data Migration Analyst | 45.00 | $269,318 | $0 | $10,355 | Yes (X) | ||||
| Don Curry | |||||||||
| Physician Assistant | 45.00 | $211,183 | $0 | $393 | Yes (X) | ||||
| Brent Brewer | |||||||||
| Physician Assistant | 45.00 | $190,453 | $0 | $28,538 | Yes (X) | ||||
| Melissa Pitts Johnson | |||||||||
| Clinical Director | 45.00 | $162,941 | $0 | $385 | Yes (X) | ||||
| Jason Cagle | |||||||||
| FORMER Chief Information Officer | 45.00 | $198,777 | $0 | $9,925 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,351,379 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $243,136 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 56 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MyCare Integrated Software Solutions LL | |||||
| 10120 N Broadway Ste 120 | Oklahoma City | OK | 73114 | Software Licensing | $3,628,070 |
| Hunters Precision RX LLC | |||||
| 10120 N Broadway Ste 120 | Oklahoma City | OK | 73114 | Pharmacy Services | $2,059,619 |
| Kyler Construction Group | |||||
| 601 S 3rd Street | Ponca City | OK | 74601 | Construction Services | $1,246,408 |
| VIP Tech Solutions Group LLC | |||||
| PO Box 1120 | Coweta | OK | 74429 | IT Services | $313,050 |
| Ronald Tebbs | |||||
| PO Box 493 | Vinita | OK | 74301 | Construction Services | $202,036 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 16 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Government Grants | $23,087,189 | GovernmentGrantsAmt |
| All Other Contributions | $61,690 | AllOtherContributionsAmt |
| Total Contributions | $23,148,879 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Professional Service Fees | 624100 | $103,316,897 | $103,316,897 |
| Government Fees for Service | 624100 | $6,885,229 | $6,885,229 |
| Management Fee | 624100 | $2,182,412 | $2,182,412 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,166,327 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,166,327 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $113,550,865 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $27,490 | TotalRevenueColumnAmt |
| Exclusion | $27,490 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $37,188 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $37,188 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $37,188 | TotalRevenueColumnAmt |
| Exclusion | $37,188 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $393,719 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $537,051 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$143,332 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$143,332 | TotalRevenueColumnAmt |
| Exclusion | -$143,332 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $136,621,090 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $113,550,865 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$78,654 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,399,290 | TotalAmt |
| Program Services | $2,114,474 | ProgramServicesAmt |
| Management And General | $2,284,816 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,923,448 | TotalAmt |
| Program Services | $64,621,299 | ProgramServicesAmt |
| Management And General | $15,302,149 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,997,926 | TotalAmt |
| Program Services | $2,422,374 | ProgramServicesAmt |
| Management And General | $575,552 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,899,290 | TotalAmt |
| Program Services | $6,265,320 | ProgramServicesAmt |
| Management And General | $1,633,970 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,918,632 | TotalAmt |
| Program Services | $4,688,132 | ProgramServicesAmt |
| Management And General | $1,230,500 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $140,818 | TotalAmt |
| Management And General | $140,818 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,055 | TotalAmt |
| Management And General | $49,055 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,734,846 | TotalAmt |
| Program Services | $2,607,878 | ProgramServicesAmt |
| Management And General | $126,968 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $174,395 | TotalAmt |
| Program Services | $97,898 | ProgramServicesAmt |
| Management And General | $76,497 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,785,400 | TotalAmt |
| Program Services | $1,573,887 | ProgramServicesAmt |
| Management And General | $211,513 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $702,690 | TotalAmt |
| Program Services | $394,460 | ProgramServicesAmt |
| Management And General | $308,230 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $973,326 | TotalAmt |
| Program Services | $935,406 | ProgramServicesAmt |
| Management And General | $37,920 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,499,755 | TotalAmt |
| Program Services | $1,127,215 | ProgramServicesAmt |
| Management And General | $372,540 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $293,779 | TotalAmt |
| Program Services | $164,915 | ProgramServicesAmt |
| Management And General | $128,864 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,212 | TotalAmt |
| Program Services | $41,212 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,194,471 | TotalAmt |
| Program Services | $1,453,120 | ProgramServicesAmt |
| Management And General | $741,351 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $430,561 | TotalAmt |
| Program Services | $386,161 | ProgramServicesAmt |
| Management And General | $44,400 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Maintenance | $10,568,702 | $9,463,975 | $1,104,727 |
| Pharmacy | $1,481,628 | $1,451,808 | $29,820 |
| Meals | $691,879 | $691,879 | |
| Bad Debt | $288,513 | $288,513 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,073,131 | TotalAmt |
| Program Services | $2,286,481 | ProgramServicesAmt |
| Management And General | $1,786,650 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $129,262,747 | TotalAmt |
| Program Services | $103,076,407 | ProgramServicesAmt |
| Management And General | $26,186,340 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,250,464 | BOYAmt |
| EOY | $16,019,889 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,602,328 | BOYAmt |
| EOY | $3,604,232 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,460,350 | BOYAmt |
| EOY | $23,756,504 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $376,055 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $520,253 | BOYAmt |
| EOY | $546,525 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $36,817,491 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $14,376,843 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,072,283 | BOYAmt |
| EOY | $22,440,648 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $188,000 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,905,678 | BOYAmt |
| EOY | $66,931,853 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,859,602 | BOYAmt |
| EOY | $11,186,947 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,949,608 | BOYAmt |
| EOY | $6,290,095 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,809,210 | BOYAmt |
| EOY | $17,477,042 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,096,468 | BOYAmt |
| EOY | $49,454,811 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,096,468 | BOYAmt |
| EOY | $49,454,811 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,905,678 | BOYAmt |
| EOY | $66,931,853 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $7,358,343 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 0 | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,458,178 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,493,377 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,124,899 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,124,899 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $23,148,879 | CurrentTaxYearAmt |
| Total | $73,350,232 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,458,178 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,493,377 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,124,899 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,124,899 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $23,148,879 | CurrentTaxYearAmt |
| Total | $73,350,232 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $73,350,232 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $17,967 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $136,700 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $144,865 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $20,996 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $64,678 | CurrentTaxYearAmt |
| Total | $385,206 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $63,600 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $181,073 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $175,000 | CurrentTaxYearMinus2YearsAmt |
| Total | $419,673 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $74,155,111 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $360,991,559 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.98910 | PublicSupportCY170Pct |
| Public Support PY170 | 0.98560 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,773,670 | OtherCostOrOtherBasisAmt |
| Book Value | $2,773,670 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $23,715,205 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,381,086 | DepreciationAmt |
| Book Value | $15,334,119 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $615,864 | OtherCostOrOtherBasisAmt |
| Depreciation | $497,519 | DepreciationAmt |
| Book Value | $118,345 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,078,289 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,498,238 | DepreciationAmt |
| Book Value | $2,580,051 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,634,463 | OtherCostOrOtherBasisAmt |
| Book Value | $1,634,463 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $22,440,648 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $136,621,090 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $136,621,090 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $136,621,090 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $129,262,747 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $129,262,747 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $129,262,747 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | Management believes that the Center has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The Center would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Larry Smith | ||||||||||||||
| Chief Executive Officer | $814,595 | $0 | $512 | $0 | $29,250 | $0 | $0 | $0 | $10,623 | $0 | $854,980 | $0 | $0 | $0 |
| Josh Cantwell | ||||||||||||||
| Chief Operating Officer | $609,941 | $0 | $512 | $0 | $16,892 | $0 | $0 | $0 | $656 | $0 | $628,001 | $0 | $0 | $0 |
| Dr Weldon J Mallgren | ||||||||||||||
| Medical Director | $458,518 | $0 | $512 | $0 | $6,478 | $0 | $0 | $0 | $19,826 | $0 | $485,334 | $0 | $0 | $0 |
| Dr David McElwain | ||||||||||||||
| Physician | $322,111 | $0 | $512 | $0 | $0 | $0 | $0 | $0 | $19,674 | $0 | $342,297 | $0 | $0 | $0 |
| Lissa James | ||||||||||||||
| Chief Clinical Compliance | $321,290 | $0 | $512 | $0 | $0 | $0 | $0 | $0 | $10,355 | $0 | $332,157 | $0 | $0 | $0 |
| Donna Aultz | ||||||||||||||
| Chief Financial Officer | $315,774 | $0 | $512 | $0 | $0 | $0 | $0 | $0 | $10,625 | $0 | $326,911 | $0 | $0 | $0 |
| Jeffrey Harlin | ||||||||||||||
| Chief Clinical Officer | $317,910 | $0 | $512 | $0 | $0 | $0 | $0 | $0 | $534 | $0 | $318,956 | $0 | $0 | $0 |
| Ruth Herlan | ||||||||||||||
| Data Migration Analyst | $268,806 | $0 | $512 | $0 | $0 | $0 | $0 | $0 | $10,355 | $0 | $279,673 | $0 | $0 | $0 |
| Erin Howell | ||||||||||||||
| Chief Information Officer | $250,741 | $0 | $512 | $0 | $0 | $0 | $0 | $0 | $15,673 | $0 | $266,926 | $0 | $0 | $0 |
| Amy Garrison | ||||||||||||||
| Chief Administrative Officer | $193,190 | $0 | $507 | $0 | $0 | $0 | $0 | $0 | $28,526 | $0 | $222,223 | $0 | $0 | $0 |
| Brent Brewer | ||||||||||||||
| Physician Assistant | $189,946 | $0 | $507 | $0 | $0 | $0 | $0 | $0 | $28,538 | $0 | $218,991 | $0 | $0 | $0 |
| Don Curry | ||||||||||||||
| Physician Assistant | $210,671 | $0 | $512 | $0 | $0 | $0 | $0 | $0 | $393 | $0 | $211,576 | $0 | $0 | $0 |
| Jason Cagle | ||||||||||||||
| FORMER Chief Information Officer | $198,777 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $9,925 | $0 | $208,702 | $0 | $0 | $0 |
| Trica Walters | ||||||||||||||
| Human Resources Director | $177,538 | $0 | $507 | $0 | $0 | $0 | $0 | $0 | $19,464 | $0 | $197,509 | $0 | $0 | $0 |
| Kimberly Hill-Crowell | ||||||||||||||
| Clinical Director - Region 2 | $160,392 | $0 | $507 | $0 | $0 | $0 | $0 | $0 | $28,532 | $0 | $189,431 | $0 | $0 | $0 |
| Nicholas Allgood | ||||||||||||||
| Crisis Services Director | $156,539 | $0 | $507 | $0 | $0 | $0 | $0 | $0 | $28,649 | $0 | $185,695 | $0 | $0 | $0 |
| Melissa Pitts Johnson | ||||||||||||||
| Clinical Director | $162,434 | $0 | $507 | $0 | $0 | $0 | $0 | $0 | $385 | $0 | $163,326 | $0 | $0 | $0 |
| Emily Shearer | ||||||||||||||
| Integrated Health Services | $160,917 | $0 | $507 | $0 | $0 | $0 | $0 | $0 | $403 | $0 | $161,827 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 8b | No committees are able to act on behalf of the board |
| Form 990, Part VI, Section B, line 11b | The 990 will be reviewed by the Board at the next meeting after it is prepared and filed. |
| Form 990, Part VI, Section B, line 12c | Any activity in the course of agency business, marketing, and/or service delivery that would create a conflict of interest between an employee and client, resulting in actual, apparent, or perceived use of the employee's position for private gain or complete loss of impartiality, is prohibited. The conflict of interest policy if reviewed annually at board meeting. No conflicts of interest have been discovered since the inception of the conflict of interest policy. |
| Form 990, Part VI, Section B, line 15 | Annual review of compensation in compliance with the IRS rebuttable presumption rule. |
| Form 990, Part VI, Section C, line 19 | Upon written request. |
| FORM 990, PART VIII, LINE 2C | ON 7/1/22, THE NONPROFIT ORGANIZATION 12&12 MERGED IN WITH GRAND LAKE MENTAL HEALTH CENTER, INC. DURING FISCAL YEAR 6/30/2022 GLMHC CHARGED A MANAGEMENT FEE FOR 12&12'S USE OF GLMHC'S CEO, COO, AND CERTAIN STAFF TO ASSIST WITH 12&12 OPERATIONS PRIOR TO THE MERGER. |