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GRAND LAKE MENTAL HEALTH CENTER INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
GRAND LAKE MENTAL HEALTH CENTER INC (EIN 73-1039733)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-09
IRS object ID
201341299349302319
Schema version
2011v1.5
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)
Timestamp2013-05-09T15:07:37-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN730604026EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1SARTAIN FISCHBEIN & COBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line13010 S HARVARD AVE STE 400AddressLine1
CityTULSACity
StateOKState
ZIP Code741146193ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN731039733EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1GRAND LAKE MENTAL HEALTH CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlGRANNameControl
Phone9182731841Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1114 WEST DELAWAREAddressLine1
CityNOWATACity
StateOKState
ZIP Code74048ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLARRY SMITHName
TitleCOOTitle
Phone9182731841Phone
Date Signed2013-05-06DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMIKE THORNBERRYName
PTINP00104728PTIN
Phone9187496601Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1SEE SCHEDULE OBusinessNameLine1
Business Name Line2GRAND LAKE MEDICAL HEALTH CENTER AND GRAND LAKE MENTAL HEALTH CENTERBusinessNameLine2
FieldValueIRS element (for citing)
Name Of Principal Officer PersonLARRY SMITHNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1114 WEST DELAWAREAddressLine1
CityNOWATACity
StateOKState
ZIP Code74048ZIPCode
FieldValueIRS element (for citing)
Gross Receipts15762705GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.GLMHC.NETWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1977YearFormation
State Legal DomicileOKStateLegalDomicile
Activity Or Mission DescriptionTHE CENTER PROVIDES MENTAL HEALTH SERVICES TO INDIVIDUALS REQUIRING SUCH SERVICES REGARDLESS OF THE INDIVIDUAL'S ABILITY TO PAY.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees227TotalNbrEmployees
Total Nbr Volunteers4TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year86245ContributionsGrantsPriorYear
Contributions Grants Current Year2292ContributionsGrantsCurrentYear
Program Service Revenue Prior Year14703886ProgramServiceRevenuePriorYear
Program Service Revenue CY15665222ProgramServiceRevenueCY
Investment Income Prior Year39315InvestmentIncomePriorYear
Investment Income Current Year21880InvestmentIncomeCurrentYear
Other Revenue Prior Year157693OtherRevenuePriorYear
Other Revenue Current Year63241OtherRevenueCurrentYear
Total Revenue Prior Year14987139TotalRevenuePriorYear
Total Revenue Current Year15752635TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year8578263SalariesEtcPriorYear
Salaries Etc Current Year10404483SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4491541OtherExpensePriorYear
Other Expenses Current Year4771561OtherExpensesCurrentYear
Total Expenses Prior Year13069804TotalExpensesPriorYear
Total Expenses Current Year15176044TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1917335RevenuesLessExpensesPriorYear
Revenues Less Expenses CY576591RevenuesLessExpensesCY
Total Assets BOY11526813TotalAssetsBOY
Total Assets EOY13780571TotalAssetsEOY
Total Liabilities BOY4065691TotalLiabilitiesBOY
Total Liabilities EOY5742858TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY7461122NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY8037713NetAssetsOrFundBalancesEOY
Mission DescriptionTO 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense11815256Expense
Revenue15039080Revenue
DescriptionTHE 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.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense796000Expense
Revenue711263Revenue
DescriptionINPATIENT BEDS.Description
FieldValueIRS element (for citing)
Total Program Service Expense12611256TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109680NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees227NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Excess Business Holdings0ExcessBusinessHoldings
Taxable Distributions0TaxableDistributions
Distribution To Donor0DistributionToDonor
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs1ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledOKStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1GRAND LAKE MENTAL HEALTH CENTER INBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9182731841TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1114 WEST DELAWAREAddressLine1
CityNOWATACity
StateOKState
ZIP Code74048ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
BILL DAUGHERTY
BOARD MEMBER2.00X000
ELAINE CLUGSTON
VICE PRESIDENT2.00X000X
NANCY BARTON
BOARD MEMBER2.00X000
JIM TANNER
PRESIDENT2.00X000X
CHARLES HAMIT
SECRETARY2.00X000X
CHARLENE LINGO
BOARD MEMBER2.00X000
BILL STUTSMAN
BOARD MEMBER2.00X000
RICK LITTLEFIELD
BOARD MEMBER2.00X000
TAD JONES
BOARD MEMBER2.00X000
CHARLES DANLEY
CHIEF EXECUTIVE OFFICER40.00183231010080X
LARRY SMITH
CHIEF OPERATING OFFICER40.0017482909595X
LISSA JAMES
CLINICAL DIRECTOR40.0011452806445X
DR JOHN MALLGREN
MEDICAL DIRECTOR40.00240571014700X
DR PETERYN MILLER
STAFF PHYSICIAN40.0018266809033X
FieldValueIRS element (for citing)
Total Reportable Comp From Org895827TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation49853TotalOtherCompensation
Number Individuals GT100 K5NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
HUNTER'S PRECISION RX LLC
9432 NORTH MAY AVENUEOKLAHOMA CITYOK73120MEDICATIONS1000000
WAGONER COMMUNITY HOSPITAL
513 3RD ST SWWAGNEROK57380INPATIENT BEDS796000
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
All Other Contributions2292AllOtherContributions
Total Contributions2292TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICARE/MEDICAID62410080629778062977
GOVERNMENT AGENCY FEES62410075168487516848
CLIENT FEES6241008539785397
FieldValueIRS element (for citing)
Total Program Service Revenue15665222TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column28765TotalRevenueColumn
Related Or Exempt Function Income28765RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other3185Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other10070Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-6885Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-6885TotalRevenueColumn
Related Or Exempt Function Income-6885RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUS INCOMEDescription
Business Code900099BusinessCode
Total Revenue Column63241TotalRevenueColumn
Related Or Exempt Function Income63241RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue63241TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column15752635TotalRevenueColumn
Related Or Exempt Function Income15750343RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total429218Total
Management And General429218ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total8086540Total
Program Services6902136ProgramServices
Management And General1184404ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total335014Total
Program Services288146ProgramServices
Management And General46868ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total940454Total
Program Services764016ProgramServices
Management And General176438ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total613257Total
Program Services498204ProgramServices
Management And General115053ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total12881Total
Management And General12881ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total31045Total
Management And General31045ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total271747Total
Program Services136366ProgramServices
Management And General135381ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total322328Total
Program Services261321ProgramServices
Management And General61007ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total170699Total
Program Services155821ProgramServices
Management And General14878ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total187352Total
Program Services120917ProgramServices
Management And General66435ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total45926Total
Program Services45926ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total656154Total
Program Services554318ProgramServices
Management And General101836ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total188840Total
Program Services159750ProgramServices
Management And General29090ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PHARMACY10172281017228
INPATIENT EXPENSE796000796000
OTHER OPERATING EXPENSE771298611204160094
FOOD SERVICES300063299903160

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total15176044Total
Program Services12611256ProgramServices
Management And General2564788ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2304847BOY
EOY2922283EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1250000BOY
EOY1500000EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2474235BOY
EOY3220709EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY85862BOY
EOY98257EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis10060197LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4805650LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY5225326BOY
EOY5254547EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY186543BOY
EOY784775EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY11526813BOY
EOY13780571EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1116076BOY
EOY1117476EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2949615BOY
EOY4625382EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4065691BOY
EOY5742858EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY7461122BOY
EOY8037713EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7461122BOY
EOY8037713EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11526813BOY
EOY13780571EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses576591ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee0AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12310CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3364CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years64745CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year86245CurrentTaxYearMinus1Year
Current Tax Year2292CurrentTaxYear
Total168956Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12733829CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12182119CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12477019CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14703886CurrentTaxYearMinus1Year
Current Tax Year15665223CurrentTaxYear
Total67762076Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12746139CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12185483CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12541764CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14790131CurrentTaxYearMinus1Year
Current Tax Year15667515CurrentTaxYear
Total67931032Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50967931032PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years27929CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years115160CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years90649CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year39315CurrentTaxYearMinus1Year
Current Tax Year21880CurrentTaxYear
Total294933Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years27929CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years115160CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years90649CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year39315CurrentTaxYearMinus1Year
Current Tax Year21880CurrentTaxYear
Total294933Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9025CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3029CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2636CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year157693CurrentTaxYearMinus1Year
Current Tax Year63241CurrentTaxYear
Total235624Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12783093CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12303672CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12635049CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14987139CurrentTaxYearMinus1Year
Current Tax Year15752636CurrentTaxYear
Total68461589Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99230PublicSupportPercentage509
Prior Year Support Percentage0.99280PriorYearSupportPercentage
Investment Income Percentage0.00430InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00450PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis301250OtherCostOrOtherBasis
Book Value301250BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis6718747OtherCostOrOtherBasis
Depreciation2775581Depreciation
Book Value3943166BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3040200OtherCostOrOtherBasis
Depreciation2030069Depreciation
Book Value1010131BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings5254547TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionCONSTRUCTION IN PROGRESSDescription
Book Value784775BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets784775TotalBookValueOtherAssets
Total Revenue15752635TotalRevenue
Total Expenses15176044TotalExpenses
Excess Or Deficit For Year576591ExcessOrDeficitForYear
Excess Or Deficit Per FS576591ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt15752635TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal15752635RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99015752635TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt15176044TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal15176044ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99015176044TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
CHARLES DANLEY
16323102000000010080000193311000
LARRY SMITH
1548290200000009595000184424000
DR JOHN MALLGREN
2373910318000014700000255271000
DR PETERYN MILLER
181129015390009033000191701000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 4THE ORGANIZATION CHANGED ITS D/B/A TO "GRAND LAKE MEDICAL HEALTH CENTER"
FORM 990, PART VI, SECTION B, LINE 11THE PERSONNEL COMMITTEE MEETS ANNUALLY TO REVIEW FORM 990, WHICH WILL BE HELD AFTER THE FILING OF THE 2011 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 12CANNUALLY AT BOARD MEETING.
FORM 990, PART VI, SECTION B, LINE 15THE PERSONNEL COMMITEE MEETS ON AN ANNUAL BASIS TO REVIEW FORM 990 COMPLIANCE OF CEO AND COO COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19UPON WRITTEN REQUEST.