GRAND LAKE MENTAL HEALTH CENTER INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: GRAND LAKE MENTAL HEALTH CENTER INC (EIN 73-1039733)
Tax period: 2010-07-01 to 2011-06-30
Filed: 2012-08-13
IRS object ID: 201242269349302534
Schema version: 2010v3.4
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule J
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-08-13T16:42:20-05:00	Timestamp
Tax Period End Date	2011-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SARTAIN FISCHBEIN & CO	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	3010 S HARVARD AVE STE 400	AddressLine1
City	TULSA	City
State	OK	State
ZIP Code	741146193	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	731039733	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	GRAND LAKE MENTAL HEALTH CENTER INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	GRAN	NameControl
Phone	9182731841	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	114 WEST DELAWARE	AddressLine1
City	NOWATA	City
State	OK	State
ZIP Code	74048	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	LARRY SMITH	Name
Title	COO	Title
Phone	9182731841	Phone
Date Signed	2012-08-07	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	LESLIE JONES	Name
Phone	9187496601	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	LARRY SMITH	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	114 WEST DELAWARE	AddressLine1
City	NOWATA	City
State	OK	State
ZIP Code	74048	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	15019730	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.GLMHC.NET	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1977	YearFormation
State Legal Domicile	OK	StateLegalDomicile
Activity Or Mission Description	THE CENTER PROVIDES MENTAL HEALTH SERVICES TO INDIVIDUALS REQUIRING SUCH SERVICES REGARDLESS OF THE INDIVIDUAL'S ABILITY TO PAY.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	9	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	9	NbrIndependentVotingMembers
Total Nbr Employees	234	TotalNbrEmployees
Total Nbr Volunteers	4	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	64745	ContributionsGrantsPriorYear
Contributions Grants Current Year	86245	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	12477019	ProgramServiceRevenuePriorYear
Program Service Revenue CY	14703886	ProgramServiceRevenueCY
Investment Income Prior Year	90649	InvestmentIncomePriorYear
Investment Income Current Year	39315	InvestmentIncomeCurrentYear
Other Revenue Prior Year	2636	OtherRevenuePriorYear
Other Revenue Current Year	157693	OtherRevenueCurrentYear
Total Revenue Prior Year	12635049	TotalRevenuePriorYear
Total Revenue Current Year	14987139	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	7998955	SalariesEtcPriorYear
Salaries Etc Current Year	8578263	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	4630585	OtherExpensePriorYear
Other Expenses Current Year	4491541	OtherExpensesCurrentYear
Total Expenses Prior Year	12629540	TotalExpensesPriorYear
Total Expenses Current Year	13069804	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	5509	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	1917335	RevenuesLessExpensesCY
Total Assets BOY	9841121	TotalAssetsBOY
Total Assets EOY	11526813	TotalAssetsEOY
Total Liabilities BOY	4297333	TotalLiabilitiesBOY
Total Liabilities EOY	4065691	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	5543788	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	7461122	NetAssetsOrFundBalancesEOY
Mission Description	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.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	9997992	Expense
Revenue	14100894	Revenue
Description	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 EIGHTEEN (18) YEARS OF AGE AND OLDER. 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

Field	Value	IRS element (for citing)
Expense	776000	Expense
Revenue	800000	Revenue
Description	INPATIENT BEDS.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	10773992	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	0	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	0	Hospital
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	0	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	64	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	234	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Excess Business Holdings	0	ExcessBusinessHoldings
Taxable Distributions	0	TaxableDistributions
Distribution To Donor	0	DistributionToDonor
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	9	NbrVotingGoverningBodyMembers
Number Independent Voting Members	9	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	0	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	OK	StatesWhereCopyOfReturnIsFiled
Other Website	X	OtherWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	GRAND LAKE MENTAL HEALTH CENTER IN	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	9182731841	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	114 WEST DELAWARE	AddressLine1
City	NOWATA	City
State	OK	State
ZIP Code	74048	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Highest Compensated EmployeeHighestCompensatedEmployee
BILL DAUGHERTY
BOARD MEMBER	2.00	X	0	0	0
ELAINE CLUGSTON
BOARD MEMBER	2.00	X	0	0	0
NANCY BARTON
BOARD MEMBER	2.00	X	0	0	0
JIM TANNER
BOARD MEMBER	2.00	X	0	0	0
CHARLES HAMIT
PRESIDENT	2.00	X	0	0	0	X
CHARLENE LINGO
SECRETARY	2.00	X	0	0	0	X
BILL STUTSMAN
VICE PRESIDENT	2.00	X	0	0	0	X
RICK LITTLEFIELD
BOARD MEMBER	2.00	X	0	0	0
TAD JONES
BOARD MEMBER	2.00	X	0	0	0
CHARLES DANLEY
CHIEF EXECUTIVE OFFICER	40.00		167352	0	10274	X
LARRY SMITH
CHIEF OPERATING OFFICER	40.00		152586	0	9694	X
LISSA JAMES
CLINICAL DIRECTOR	40.00		104057	0	6250		X
DR JOHN MALLGREN
MEDICAL DIRECTOR	40.00		238064	0	15528		X
DR PETERYN MILLER
STAFF PHYSICIAN	40.00		144808	0	3000		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	806867	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	44746	TotalOtherCompensation
Number Individuals GT100 K	5	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
WAGONER COMMUNITY HOSPITAL
513 3RD ST SW	WAGNER	OK	57380	INPATIENT BEDS	776000
COMMUNICARE RX EXPRESS LLC
115 N PINE ST	NOWATA	OK	74048	MEDICATIONS	738340
HUNTER'S PRECISION RX LLC
9432 NORTH MAY AVENUE	OKLAHOMA CITY	OK	73120	MEDICATIONS	333333

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	3	NumberOfContractorsGT100K
All Other Contributions	86245	AllOtherContributions
Total Contributions	86245	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
GOVERNMENT AGENCY FEES	624100	8126735	8126735
MEDICARE/MEDICAID	624100	6505454	6505454
CLIENT FEES	624100	71697	71697

Field	Value	IRS element (for citing)
Total Program Service Revenue	14703886	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	26571	TotalRevenueColumn
Related Or Exempt Function Income	26571	RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	45335	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	32591	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	12744	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	12744	TotalRevenueColumn
Related Or Exempt Function Income	12744	RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	MISCELLANEOUS INCOME	Description
Business Code	900099	BusinessCode
Total Revenue Column	157693	TotalRevenueColumn
Related Or Exempt Function Income	157693	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	157693	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	14987139	TotalRevenueColumn
Related Or Exempt Function Income	14900894	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	354347	Total
Management And General	354347	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	6644609	Total
Program Services	5513225	ProgramServices
Management And General	1131384	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	281180	Total
Program Services	237899	ProgramServices
Management And General	43281	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	794686	Total
Program Services	627782	ProgramServices
Management And General	166904	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	503441	Total
Program Services	397706	ProgramServices
Management And General	105735	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	8534	Total
Management And General	8534	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	28034	Total
Management And General	28034	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	260855	Total
Program Services	168482	ProgramServices
Management And General	92373	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	255031	Total
Program Services	195835	ProgramServices
Management And General	59196	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	162327	Total
Program Services	148824	ProgramServices
Management And General	13503	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	185789	Total
Program Services	133506	ProgramServices
Management And General	52283	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	49726	Total
Program Services	49726	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	553250	Total
Program Services	477260	ProgramServices
Management And General	75990	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	176095	Total
Program Services	147160	ProgramServices
Management And General	28935	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
PHARMACY	1019296	1019296
INPATIENT EXPENSE	776000	776000
OTHER OPERATING EXPENSE	756499	622004	134495
FOOD SERVICES	260105	259287	818

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	13069804	Total
Program Services	10773992	ProgramServices
Management And General	2295812	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	786957	BOY
EOY	2304847	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	500000	BOY
EOY	1250000	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	3208191	BOY
EOY	2474235	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	80697	BOY
EOY	85862	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	9678726	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	4453400	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	5243016	BOY
EOY	5225326	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	22260	BOY
EOY	186543	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	9841121	BOY
EOY	11526813	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	1236784	BOY
EOY	1116076	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	3060549	BOY
EOY	2949615	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	4297333	BOY
EOY	4065691	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	5543788	BOY
EOY	7461122	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	5543788	BOY
EOY	7461122	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	9841121	BOY
EOY	11526813	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	1917335	ReconcilationRevenueExpenses
Reconcilation Other Changes	-1	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	0	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	50100	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	12310	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3364	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	64745	CurrentTaxYearMinus1Year
Current Tax Year	86245	CurrentTaxYear
Total	216764	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	11961792	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	12733829	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	12182119	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	12477019	CurrentTaxYearMinus1Year
Current Tax Year	14703886	CurrentTaxYear
Total	64058645	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	12011892	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	12746139	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	12185483	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	12541764	CurrentTaxYearMinus1Year
Current Tax Year	14790131	CurrentTaxYear
Total	64275409	Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Amts From Subst Contributors AmtsFromSubstContributors

Field	Value	IRS element (for citing)
Total	0	Total

Support From DQ Ps Etc SupportFromDQPsEtc

Field	Value	IRS element (for citing)
Total	0	Total

Field	Value	IRS element (for citing)
Public Support Total509	64275409	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	18724	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	27929	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	115160	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	90649	CurrentTaxYearMinus1Year
Current Tax Year	39315	CurrentTaxYear
Total	291777	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	18724	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	27929	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	115160	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	90649	CurrentTaxYearMinus1Year
Current Tax Year	39315	CurrentTaxYear
Total	291777	Total

Other Income509 OtherIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	4159	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	9025	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3029	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2636	CurrentTaxYearMinus1Year
Current Tax Year	157693	CurrentTaxYear
Total	176542	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	12034775	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	12783093	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	12303672	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	12635049	CurrentTaxYearMinus1Year
Current Tax Year	14987139	CurrentTaxYear
Total	64743728	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.99280	PublicSupportPercentage509
Prior Year Support Percentage	0.99520	PriorYearSupportPercentage
Investment Income Percentage	0.00450	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.00430	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	301250	OtherCostOrOtherBasis
Book Value	301250	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	6629048	OtherCostOrOtherBasis
Depreciation	2512487	Depreciation
Book Value	4116561	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2748428	OtherCostOrOtherBasis
Depreciation	1940913	Depreciation
Book Value	807515	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	5225326	TotalOfBookValueLandBuildings
Total Revenue	14987139	TotalRevenue
Total Expenses	13069804	TotalExpenses
Excess Or Deficit For Year	1917335	ExcessOrDeficitForYear
Other	-$1	OtherAmount
Total Adjustments	-1	TotalAdjustments
Excess Or Deficit Per FS	1917334	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	14987138	TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F990	0	RevenueNotRptdF990
Revenue Subtotal	14987138	RevenueSubtotal
Other Revenues Not Included	1	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	1	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	14987139	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	13069804	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	13069804	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	13069804	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	ExplanationExplanation
PART XI, LINE 8 - OTHER ADJUSTMENTS:	ROUNDING -1.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	ROUNDING 1.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Compensation Survey	X	CompensationSurvey
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	0	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
CHARLES DANLEY
167352	0	0	0	0	0	10274	0	0	0	177626	0	0	0
LARRY SMITH
152586	0	0	0	0	0	9694	0	0	0	162280	0	0	0
DR JOHN MALLGREN
238064	0	0	0	0	0	15528	0	0	0	253592	0	0	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
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 2010 FORM 990. THE FORM 990 IS REVIEWED IN DETAIL BY THE FINANCE ADMINISTRATOR BEFORE THE FORM IS FILED.
	ANNUALLY AT BOARD MEETING.	FORM 990, PART VI, SECTION B, LINE 12C
	THE PERSONNEL COMMITEE MEETS ON AN ANNUAL BASIS TO REVIEW FORM 990 COMPLIANCE OF CEO AND COO COMPENSATION.	FORM 990, PART VI, SECTION B, LINE 15
	UPON WRITTEN REQUEST.	FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:	ROUNDING -1. TOTAL TO FORM 990, PART XI, LINE 5: -1.	FORM 990, PART XI, LINE 5:
LATE FILING:	FORM 990 WAS PAPER-FILED TIMELY BY MAY 15, 2012. GRAND LAKE MENTAL HEALTH CENTER'S TAX PREPARER PROCESSED THE FORM 990 FOR PAPER FILE RATHER THAN ELECTRONIC FILE IN ERROR. THIS IS THE FIRST YEAR THAT GRAND LAKE MANTAL HEALTH CENTER WAS REQUIRED TO ELECTRONIC FILE AS IN PRIOR YEARS TOTAL ASSETS HAVE BEEN LESS THE $10 MILLION. THE FORM 990 WILL BE TIMELY FILED ELECTRONICALLY IN THE FUTURE. PLEASE WAIVE ANY PENALTIES DUE TO FILING ELECTRONIC FORM 990 LATE.