2012-08-13T16:42:20-05:00 2011-06-30 SARTAIN FISCHBEIN & CO 3010 S HARVARD AVE STE 400 TULSA OK 741146193 990 2010-07-01 731039733 GRAND LAKE MENTAL HEALTH CENTER INC GRAN 9182731841 114 WEST DELAWARE NOWATA OK 74048 LARRY SMITH 9182731841 2012-08-07 1 LESLIE JONES 9187496601 2010 2016-02-24 21:20:13Z LARRY SMITH 114 WEST DELAWARE NOWATA OK 74048 15019730 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. 9 9 234 4 0 0 64745 86245 12477019 14703886 90649 39315 2636 157693 12635049 14987139 0 0 0 0 7998955 8578263 0 0 0 4630585 4491541 12629540 13069804 5509 1917335 9841121 11526813 4297333 4065691 5543788 7461122 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 9997992 14100894 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. 776000 800000 INPATIENT BEDS. 10773992 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 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 0 1 64 0 1 234 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 OK X X GRAND LAKE MENTAL HEALTH CENTER IN 9182731841 114 WEST DELAWARE NOWATA OK 74048 BILL DAUGHERTY 2.00 X 0 0 0 ELAINE CLUGSTON 2.00 X 0 0 0 NANCY BARTON 2.00 X 0 0 0 JIM TANNER 2.00 X 0 0 0 CHARLES HAMIT 2.00 X X 0 0 0 CHARLENE LINGO 2.00 X X 0 0 0 BILL STUTSMAN 2.00 X X 0 0 0 RICK LITTLEFIELD 2.00 X 0 0 0 TAD JONES 2.00 X 0 0 0 CHARLES DANLEY 40.00 X 167352 0 10274 LARRY SMITH 40.00 X 152586 0 9694 LISSA JAMES 40.00 X 104057 0 6250 DR JOHN MALLGREN 40.00 X 238064 0 15528 DR PETERYN MILLER 40.00 X 144808 0 3000 806867 0 44746 5 0 1 0 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 3 86245 86245 GOVERNMENT AGENCY FEES 624100 8126735 8126735 MEDICARE/MEDICAID 624100 6505454 6505454 CLIENT FEES 624100 71697 71697 14703886 26571 26571 45335 32591 12744 12744 12744 MISCELLANEOUS INCOME 900099 157693 157693 157693 14987139 14900894 0 0 354347 354347 6644609 5513225 1131384 281180 237899 43281 794686 627782 166904 503441 397706 105735 8534 8534 28034 28034 260855 168482 92373 255031 195835 59196 162327 148824 13503 185789 133506 52283 49726 49726 553250 477260 75990 176095 147160 28935 PHARMACY 1019296 1019296 INPATIENT EXPENSE 776000 776000 OTHER OPERATING EXPENSE 756499 622004 134495 FOOD SERVICES 260105 259287 818 13069804 10773992 2295812 0 786957 2304847 500000 1250000 3208191 2474235 80697 85862 9678726 4453400 5243016 5225326 22260 186543 9841121 11526813 1236784 1116076 3060549 2949615 4297333 4065691 X 5543788 7461122 5543788 7461122 9841121 11526813 X 1917335 -1 X 0 1 0 X 1 1 X 50100 12310 3364 64745 86245 216764 11961792 12733829 12182119 12477019 14703886 64058645 12011892 12746139 12185483 12541764 14790131 64275409 0 0 0 64275409 18724 27929 115160 90649 39315 291777 18724 27929 115160 90649 39315 291777 4159 9025 3029 2636 157693 176542 12034775 12783093 12303672 12635049 14987139 64743728 0.99280 0.99520 0.00450 0.00430 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 301250 301250 6629048 2512487 4116561 2748428 1940913 807515 5225326 14987139 13069804 1917335 -1 -1 1917334 14987138 0 14987138 1 1 14987139 13069804 0 13069804 0 13069804 PART XI, LINE 8 - OTHER ADJUSTMENTS: ROUNDING -1. PART XII, LINE 4B - OTHER ADJUSTMENTS: ROUNDING 1. X X 0 0 0 0 0 0 0 0 0 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 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. 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: ROUNDING -1. TOTAL TO FORM 990, PART XI, LINE 5: -1. 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.