2020-06-12T09:18:30-05:00 2019-06-30 450250958 EIDE BAILLY LLP 810 S CINCINNATI AVE STE 600 TULSA OK 741191623 990 2018-07-01 731039733 GRAND LAKE MENTAL HEALTH CENTER INC GRAN 9182731841 114 WEST DELAWARE NOWATA OK 74048 LARRY SMITH CEO 9182731841 2020-06-11 1 CHANDRA FOSTER P00104736 9187485000 2020-06-11 216.147.181.50 2020-06-11 14:52:13 CD P 57FC004A128DED0FC70D261FA8CB5BDD6F0EB788 0831FA90BCA8AD1791C6C0EA96F6E0164279AE07 2018 2020-09-23 17:36:50Z SEE SCHEDULE O GRAND LAKE MEDICAL HEALTH CENTER AND GRAND LAKE MENTAL HEALTH CENTER LARRY SMITH 114 WEST DELAWARE NOWATA OK 74048 64025556 0 X WWW.GLMHC.NET X 1977 OK PROVIDE MENTAL HEALTH SERVICES TO INDIVIDUALS REGARDLESS OF THE INDIVIDUAL'S ABILITY TO PAY. 12 12 915 0 0 0 9458178 10493377 38209087 53168337 15904 160815 63600 181073 47746769 64003602 0 0 0 0 31832649 42485285 0 0 0 13337104 13559330 45169753 56044615 2577016 7958987 31055771 38784165 12442556 12211963 18613215 26572202 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 OKLAHOMA. 0 0 45650005 53510225 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 THRU 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. 3441 INPATIENT BEDS. 45653446 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 146 0 1 915 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 1 0 0 0 0 1 0 0 0 0 1 1 1 1 1 1 1 0 OK X GRAND LAKE MENTAL HEALTH CENTER IN 9182731841 114 WEST DELAWARE NOWATA OK 74048 TAD JONES PRESIDENT 3.00 X X 0 0 0 ELAINE CLUGSTON VICE PRESIDENT 3.00 X X 0 0 0 SHELLI WEBB SECRETARY 3.00 X X 0 0 0 CHARLES HAMIT BOARD MEMBER 2.00 X 0 0 0 JIM TANNER BOARD MEMBER 2.00 X 0 0 0 BILL STUTSMAN BOARD MEMBER 2.00 X 0 0 0 CHARLENE LINGO BOARD MEMBER 2.00 X 0 0 0 DAVID FOSTER BOARD MEMBER 2.00 X 0 0 0 RICK LITTLEFIELD BOARD MEMBER 2.00 X 0 0 0 NANCY BARTON BOARD MEMBER 2.00 X 0 0 0 PAT DARLINGTON BOARD MEMBER 2.00 X 0 0 0 SANDY HADLEY BOARD MEMBER 2.00 X 0 0 0 CHARLES DANLEY CHIEF EXECUTIVE OFFICER 45.00 X 483192 0 29260 LARRY SMITH CHIEF OPERATING OFFICER 45.00 X 469656 0 29027 DONNA AULTZ CFO 45.00 X 195890 0 20891 JEFF HARLIN CHIEF CLINICAL OFFICER OF CHILDREN'S SERVICES 45.00 X 183802 0 11681 DR WELDON J MALLGREN MEDICAL DIRECTOR 45.00 X 354842 0 37206 AMY HOGAN CHIEF CLINICAL OFFICER OF ADULT SERV 45.00 X 186972 0 21236 RUTH HERLAN CHIEF OFFICER OF BUSS SERV 45.00 X 188121 0 19407 LISSA JAMES CHIEF COMPLIANCE OFFICER 45.00 X 204842 0 20912 JOSH CANTWELL CHIEF CLINICAL OFFICER OF SPEC PROG 45.00 X 178226 0 12668 JASON CAGLE CHIEF INFORMATION OFFICER 45.00 X 128002 0 15733 DAVID MCELWAIN PSYCHIATRIST 45.00 X 294905 0 8060 BRENT BREWER PHYSICIAN'S ASSISTANT 50.00 X 190129 0 15012 DON CURRY PHYSICIAN'S ASSISTANT 50.00 X 174989 0 8124 EMILY SHEARER INTEGRATED HEALTH SERV DIRECTOR 45.00 X 129916 0 500 3363484 0 249717 15 0 1 0 HUNTER'S PRECISION RX LLC 9432 NORTH MAY AVENUE OKLAHOMA CITY OK 73120 CONSULTANT 3622971 MYCARE INTEGRATED SOFTWARE SOLUTIONS LL 5401 N PORTLAND AVE OKLAHOMA CITY OK 73112 CONSULTANT 507913 CSTAR MANAGEMENT LLC 304 S DUCK STREET STILLWATER OK 74074 GENERAL CONTRACTOR 391480 COORDINATED CARE HEALTH SOLUTIONS 5401 N PORTLAND AVE STE 260 OKLAHOMA CITY OK 73112 CONSULTANT 279106 CSTAR CONSTRUCTION SERVICES LLC 411 WEST 3RD AVENUE STILLWATER OK 74074 GENERAL CONTRACTOR 194237 8 10479421 13956 10493377 PROFESSIONAL SERVICE FEES 624100 53055476 53055476 112861 112861 53168337 136700 136700 46069 21954 24115 24115 24115 MISCELLANEOUS INCOME 900099 181073 181073 181073 64003602 53510225 0 0 2597099 2597099 31204225 26727176 4477049 1133118 995571 137547 5175505 4107099 1068406 2375338 1884985 490353 29215 29215 33350 33350 2439936 2254772 185164 1291255 1019656 271599 513436 487095 26341 937263 858197 79066 67197 67197 993508 889133 104375 202707 183089 19618 MAINTENANCE 2256517 2207510 49007 PHARMACY 1469339 1469339 VEHICLES 601460 483625 117835 FOOD SERVICES 586608 586608 2137539 1432394 705145 56044615 45653446 10391169 0 3850877 10509659 3495907 3560686 10573395 10007348 464258 404814 23788521 9486863 12671334 14301658 31055771 38784165 3957190 4159914 8485366 8052049 12442556 12211963 X 18613215 26572202 18613215 26572202 31055771 38784165 7958987 0 X 0 1 X 0 1 1 X 7864538 6852336 8015951 9458178 10493377 42684380 7864538 6852336 8015951 9458178 10493377 42684380 42684380 11043 921 5749 17967 136700 172380 263205 100314 102585 63600 181073 710777 43567537 141138811 0.97970 0.98320 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 483582 483582 21952281 8207645 13744636 1352658 1279218 73440 14301658 X 64003602 0 64003602 0 64003602 56044615 0 56044615 0 56044615 PART X, LINE 2: THE CENTER IS ORGANIZED AS AN OKLAHOMA NONPROFIT CORPORATION AND HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, QUALIFY FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTIONS 170(B)(1)(A)(VI) AND (VIII), AND HAVE BEEN DETERMINED NOT TO BE PRIVATE FOUNDATIONS UNDER SECTIONS 509(A)(1) AND (3), RESPECTIVELY. THE CENTER IS ANNUALLY REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. IN ADDITION, THE CENTER IS SUBJECT TO INCOME TAX ON NET INCOME THAT IS DERIVED FROM BUSINESS ACTIVITIES THAT IS UNRELATED TO ITS EXEMPT PURPOSES. MANAGEMENT HAS DETERMINED THAT THE CENTER IS NOT SUBJECT TO UNRELATED BUSINESS INCOME TAX AND HAS NOT FILED AN EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN (FORM 990-T) WITH THE IRS. THE CENTER BELIEVES THAT IT HAS NOT ENGAGED IN ANY UNRELATED BUSINESS ACTIVITIES AS DEFINED BY THE IRS REGULATIONS. ACCORDINGLY, THERE WERE NO INCOME TAX LIABILITIES RECORDED IN FISCAL YEARS 2019 AND 2018. 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 FINANICAL STATEMENTS. X X X X 0 0 0 0 0 0 0 0 0 CHARLES DANLEY CHIEF EXECUTIVE OFFICER 483192 0 0 0 0 0 18500 0 10760 0 512452 0 0 0 LARRY SMITH CHIEF OPERATING OFFICER 469656 0 0 0 0 0 18500 0 10527 0 498683 0 0 0 DONNA AULTZ CFO 195890 0 0 0 0 0 11348 0 9543 0 216781 0 0 0 JEFF HARLIN CHIEF CLINICAL OFFICER OF CHILDREN'S 183802 0 0 0 0 0 10598 0 1083 0 195483 0 0 0 DR WELDON J MALLGREN MEDICAL DIRECTOR 354842 0 0 0 0 0 18500 0 18706 0 392048 0 0 0 AMY HOGAN CHIEF CLINICAL OFFICER OF ADULT SERV 186972 0 0 0 0 0 10901 0 10335 0 208208 0 0 0 RUTH HERLAN CHIEF OFFICER OF BUSS SERV 188121 0 0 0 0 0 10864 0 8543 0 207528 0 0 0 LISSA JAMES CHIEF COMPLIANCE OFFICER 204842 0 0 0 0 0 11849 0 9063 0 225754 0 0 0 JOSH CANTWELL CHIEF CLINICAL OFFICER OF SPEC PROG 178226 0 0 0 0 0 10376 0 2292 0 190894 0 0 0 DAVID MCELWAIN PSYCHIATRIST 294905 0 0 0 0 0 0 0 8060 0 302965 0 0 0 BRENT BREWER PHYSICIAN'S ASSISTANT 190129 0 0 0 0 0 0 0 15012 0 205141 0 0 0 DON CURRY PHYSICIAN'S ASSISTANT 174989 0 0 0 0 0 7624 0 500 0 183113 0 0 0 FORM 990, PART VI, SECTION A, LINE 4 PER THE REVISIONS IN THE ARTICLES OF INCORPORATION "THE BOARD SHALL CONSIST OF UP TO FIFTEEN DIRECTORS, FOURTEEN OF WHOM MUST RESIDE IN OUR SERVICE AREA." ALSO NO LONGER AT LEAST TWO DIRECTORS HAVE TO BE ELECTED ANNUALLY. 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.