2017-05-10T15:05:30-05:00 2016-06-30 450250958 EIDE BAILLY LLP 810 S CINCINNATI AVE STE 600 TULSA OK 741191623 990 2015-07-01 731039733 GRAND LAKE MENTAL HEALTH CENTER INC GRAN 9182731841 114 WEST DELAWARE NOWATA OK 74048 LARRY SMITH COO 9182731841 2017-05-09 1 MIKE THORNBERRY P00104728 9187485000 2017-05-09 2015 2021-01-29 14:40:06Z SEE SCHEDULE O GRAND LAKE MEDICAL HEALTH CENTER AND GRAND LAKE MENTAL HEALTH CENTER LARRY SMITH 114 WEST DELAWARE NOWATA OK 74048 23357499 0 X WWW.GLMHC.NET X 1977 OK PROVIDE MENTAL HEALTH SERVICES TO INDIVIDUALS REGARDLESS OF THE INDIVIDUAL'S ABILITY TO PAY. 10 10 342 5 0 0 7864538 6852336 11121973 16403221 17743 -27419 263205 100316 19267459 23328454 0 0 0 0 11913144 14943307 0 0 0 5454499 6144092 17367643 21087399 1899816 2241055 17938418 20299977 7476962 7597466 10461456 12702511 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 16174093 16476118 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 AGES 3 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. 800000 0 INPATIENT BEDS. 16974093 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 1 111 0 1 342 1 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 1 0 0 0 OK X GRAND LAKE MENTAL HEALTH CENTER IN 9182731841 114 WEST DELAWARE NOWATA OK 74048 CHARLES HAMIT PRESIDENT 3.50 X X 0 0 0 TAD JONES VICE PRESIDENT 3.50 X X 0 0 0 JIM TANNER SECRETARY 3.50 X X 0 0 0 ELAINE CLUGSTON BOARD MEMBER 3.00 X 0 0 0 NANCY BARTON BOARD MEMBER 3.00 X 0 0 0 CHARLENE LINGO BOARD MEMBER 3.00 X 0 0 0 BILL STUTSMAN BOARD MEMBER 3.00 X 0 0 0 RICK LITTLEFIELD BOARD MEMBER 3.00 X 0 0 0 DAVID FOSTER BOARD MEMBER 3.00 X 0 0 0 SHELLI WEBB BOARD MEMBER 3.00 X 0 0 0 CHARLES DANLEY CHIEF EXECUTIVE OFFICER 40.00 X 277235 0 16929 LARRY SMITH CHIEF OPERATING OFFICER 40.00 X 266001 0 16309 LISSA JAMES CLINICAL DIRECTOR 40.00 X 139205 0 7329 DR JOHN MALLGREN MEDICAL DIRECTOR 40.00 X 279020 0 17826 DONNA AULTZ CFO 40.00 X 130840 0 6970 JEFFREY HARLIN CHILDREN DIRECTOR 40.00 X 114278 0 6667 AMY HOGAN ADULT DIRECTOR 40.00 X 119221 0 6794 1325800 0 78824 7 0 1 0 HUNTER'S PRECISION RX LLC 9432 NORTH MAY AVENUE OKLAHOMA CITY OK 73120 PHARMACY & IT SERVICES 1000000 WAGONER COMMUNITY HOSPITAL 513 3RD ST SW WAGNER OK 57380 INPATIENT BEDS 800000 2 6711484 140852 6852336 MEDICARE/MEDICAID 624100 14712846 14712846 GOVERNMENT AGENCY FEES 624100 1248983 1248983 CLIENT FEES 624100 418004 418004 23388 23388 16403221 921 921 705 29045 -28340 -28340 -28340 MISCELLANEOUS INCOME 900099 100316 100316 100316 23328454 16476118 0 0 435556 435556 12118173 9752628 2365545 460463 357720 102743 1034493 803668 230825 894622 695006 199616 38972 38972 37660 37660 519430 341643 177787 406969 330345 76624 237210 212629 24581 457521 381681 75840 55032 55032 752810 642702 110108 238091 201097 36994 OTHER OPERATING EXPENSE 1268018 1067563 200455 PHARMACY 1017089 1017089 INPATIENT EXPENSE 800000 800000 FOOD SERVICES 315290 315290 21087399 16974093 4113306 0 3682438 5043895 2300000 2300040 2810265 3558280 113344 119643 16273366 7252610 7909854 9020756 1122517 257363 17938418 20299977 1732802 1853307 5744160 5744159 7476962 7597466 X 10461456 12602269 100242 10461456 12702511 17938418 20299977 2241055 0 X 0 1 X 0 1 1 X 5642235 6509288 7531536 7864538 6852336 34399933 5642235 6509288 7531536 7864538 6852336 34399933 34399933 21880 39698 31743 11043 921 105285 63241 37004 81393 263205 100314 545157 35050375 57732612 0.98140 0.97830 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 395590 395590 12194219 4219290 7974929 3683557 3033320 650237 9020756 X 23328454 0 23328454 0 23328454 21087399 0 21087399 0 21087399 PART X, LINE 2: THE CENTER IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, AND SIMILAR PROVISIONS OF STATE LAW. ACCORDINGLY, THESE FINANCIAL STATEMENTS CONTAIN NO PROVISION FOR INCOME TAXES. THE CENTER HAS BEEN CLASSIFIED AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION UNDER SECTION 509(A) OF THE INTERNAL REVENUE CODE. THE CENTER BELIEVES THAT IT HAS NOT ENGAGED IN ANY UNRELATED BUSINESS ACTIVITIES AS DEFINED BY IRS REGULATIONS. ACCORDINGLY, THERE WERE NO LIABILITIES RECORDED IN FISCAL YEARS 2016 AND 2015. X X X 0 0 0 0 0 0 0 0 0 CHARLES DANLEY CHIEF EXECUTIVE OFFICER 277235 0 0 0 0 0 16929 0 0 0 294164 0 0 0 LARRY SMITH CHIEF OPERATING OFFICER 266001 0 0 0 0 0 16309 0 0 0 282310 0 0 0 DR JOHN MALLGREN MEDICAL DIRECTOR 277020 0 2000 0 0 0 17826 0 0 0 296846 0 0 0 FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED IN DETAIL BY THE CFO BEFORE THE FORM IS FILED. THE PERSONNEL COMMITTEE MEETS ANNUALLY TO REVIEW FORM 990 AFTER THE FORM 990 IS 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 THE PERSONNEL COMMITEE MEETS ON AN ANNUAL BASIS TO REVIEW FORM 990 COMPLIANCE OF CEO AND COO COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 UPON WRITTEN REQUEST.