2015-05-15T14:23:00-05:00 2014-06-30 730604026 SARTAIN FISCHBEIN & CO 3010 S HARVARD AVE STE 400 TULSA OK 741146193 990 2013-07-01 731039733 GRAND LAKE MENTAL HEALTH CENTER INC GRAN 9182731841 114 WEST DELAWARE NOWATA OK 74048 LARRY SMITH COO 9182731841 2015-05-04 1 MIKE THORNBERRY P00104728 9187496601 2013 2016-04-25 22:37:26Z SEE SCHEDULE O GRAND LAKE MEDICAL HEALTH CENTER AND GRAND LAKE MENTAL HEALTH CENTER LARRY SMITH 114 WEST DELAWARE NOWATA OK 74048 17850233 0 X WWW.GLMHC.NET X 1977 OK THE CENTER PROVIDES MENTAL HEALTH SERVICES TO INDIVIDUALS REQUIRING SUCH SERVICES REGARDLESS OF THE INDIVIDUAL'S ABILITY TO PAY. 10 10 282 5 0 0 1100 36160 16510627 17698464 39697 31743 37004 81394 16588428 17847761 0 0 0 0 11352814 11986217 0 0 0 5013163 5560068 16365977 17546285 222451 301476 13917023 14010899 5656859 5449259 8260164 8561640 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 13622718 17011601 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. 776000 800000 INPATIENT BEDS. 14398718 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 90 0 1 282 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 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 BILL DAUGHERTY BOARD MEMBER 2.00 X 0 0 0 ELAINE CLUGSTON VICE PRESIDENT 2.00 X X 0 0 0 NANCY BARTON BOARD MEMBER 2.00 X 0 0 0 JIM TANNER PRESIDENT 2.00 X X 0 0 0 CHARLES HAMIT SECRETARY 2.00 X X 0 0 0 CHARLENE LINGO BOARD MEMBER 2.00 X 0 0 0 BILL STUTSMAN BOARD MEMBER 2.00 X 0 0 0 RICK LITTLEFIELD BOARD MEMBER 2.00 X 0 0 0 TAD JONES BOARD MEMBER 2.00 X 0 0 0 DAVID FOSTER BOARD MEMBER 2.00 X 0 0 0 CHARLES DANLEY CHIEF EXECUTIVE OFFICER 40.00 X 236383 0 12545 LARRY SMITH CHIEF OPERATING OFFICER 40.00 X 228164 0 11915 LISSA JAMES CLINICAL DIRECTOR 40.00 X 135369 0 7114 DR JOHN MALLGREN MEDICAL DIRECTOR 40.00 X 267861 0 15672 DR PETERYN MILLER STAFF PHYSICIAN 7.00 X 150711 0 2872 DONNA AULTZ HR/FINANCE DIRECTOR 40.00 X 127372 0 6834 STEVE LAFLEUR IT DIRECTOR 40.00 X 108424 0 6144 1254284 0 63096 7 0 1 0 HUNTER'S PRECISION RX LLC 9432 NORTH MAY AVENUE OKLAHOMA CITY OK 73120 MEDICATIONS 1000000 WAGONER COMMUNITY HOSPITAL 513 3RD ST SW WAGNER OK 57380 INPATIENT BEDS 776000 2 36160 36160 MEDICARE/MEDICAID 624100 8857928 8857928 GOVERNMENT AGENCY FEES 624100 8637346 8637346 CLIENT FEES 624100 203190 203190 17698464 26090 26090 8125 2472 5653 5653 5653 MISCELLANEOUS INCOME 900099 81394 81394 81394 17847761 17811601 0 0 489547 489547 9299465 7849451 1450014 412900 331089 81811 1080057 866058 213999 704248 564711 139537 40062 40062 34142 34142 453833 253193 200640 342213 280872 61341 209047 187782 21265 285768 214319 71449 33345 33345 705476 593193 112283 240674 202960 37714 PHARMACY 1032128 1032128 OTHER OPERATING EXPENSE 1002208 808445 193763 INPATIENT EXPENSE 776000 776000 FOOD SERVICES 405172 405172 17546285 14398718 3147567 0 690634 2202622 2250000 1000000 3862688 3552144 96989 144542 12710420 5884164 6852723 6826256 163989 285335 13917023 14010899 1259330 1378280 4397529 4070979 5656859 5449259 X 8260164 8561640 8260164 8561640 13917023 14010899 301476 0 X 0 1 X 0 1 1 X 64745 86245 2292 1100 36160 190542 12477019 14703886 15665223 16510626 17698464 77055218 12541764 14790131 15667515 16511726 17734624 77245760 0 0 0 77245760 90649 39315 21880 39698 31743 223285 90649 39315 21880 39698 31743 223285 2636 157693 63241 37004 81393 341967 12635049 14987139 15752636 16588428 17847760 77811012 0.99270 0.99210 0.00290 0.00420 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 305050 305050 9327211 3384609 5942602 3078159 2499555 578604 6826256 X 17847761 0 17847761 0 17847761 17546285 0 17546285 0 17546285 PART X, LINE 2: FASB ACCOUNTING STANDARDS CODIFICATION ("ASC") TOPIC 740, INCOME TAXES, RELATING TO UNRECOGNIZED TAX BENEFITS REQUIRES AN ENTITY TO RECOGNIZE A LIABILITY FOR TAX POSITIONS WHEN THERE IS A 50% OR GREATER LIKELIHOOD THAT THE POSITION WILL NOT BE SUSTAINED UPON EXAMINATION. THE CENTER IS LIABLE FOR TAXES TO THE EXTENT OF ANY UNRELATED BUSINESS INCOME AS DEFINED BY IRS REGULATIONS. THE CENTER BELIEVES THAT IT HAS NOT ENGAGED IN ANY UNRELATED BUSINESS INCOME AS DEFINED BY IRS REGULATIONS AND THAT IT IS MORE LIKELY THAN NOT THAT THIS POSITION WOULD BE SUSTAINED UPON EXAMINATION. AS SUCH, THERE WERE NO LIABILITIES RECORDED FOR UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2014 AND 2013. X X X 0 0 0 0 0 0 0 0 0 CHARLES DANLEY CHIEF EXECUTIVE OFFICER 196383 0 40000 0 0 0 12545 0 0 0 248928 0 0 0 LARRY SMITH CHIEF OPERATING OFFICER 188164 0 40000 0 0 0 11915 0 0 0 240079 0 0 0 DR JOHN MALLGREN MEDICAL DIRECTOR 261001 0 6860 0 0 0 15672 0 0 0 283533 0 0 0 DR PETERYN MILLER STAFF PHYSICIAN 150711 0 0 0 0 0 2872 0 0 0 153583 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE PERSONNEL COMMITTEE MEETS ANNUALLY TO REVIEW FORM 990, WHICH WILL BE HELD AFTER THE FILING OF THE 2013 FORM 990. THE FORM 990 IS REVIEWED IN DETAIL BY THE FINANCE ADMINISTRATOR BEFORE THE FORM IS FILED. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY AT BOARD MEETING. 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.