2024-05-15T16:36:48-05:00 2023-06-30 450250958 Eide Bailly LLP 810 S Cincinnati Ave Ste 600 Tulsa OK 741191623 990 2022-07-01 731039733 Grand Lake Mental Health Center Inc GRAN 9182731841 114 West Delaware Nowata OK 74048 Larry Smith CEO 9182731841 2024-05-15 1 Larry Smith 999009999 1 Chandra Venable CPA P00104736 9187485000 2024-05-09 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z See Schedule O Grand Lake Medical Health Center and Grand Lake Mental Health Center Larry Smith 114 West Delaware Nowata OK 74048 190885764 0 X www.grandmh.com X 1977 OK Provide mental health services to individuals regardless of the individual's ability to pay. 12 12 2035 0 0 0 23148879 26533303 113550865 163861776 -115842 311514 37188 152177 136621090 190858770 0 0 0 0 101138586 137265059 0 0 0 28124161 49249803 129262747 186514862 7358343 4343908 66931853 86800034 17477042 25197076 49454811 61602958 X 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 and Northcentral Oklahoma. 1 0 126426854 145973622 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 birth through 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. 19529198 17888154 The inpatient program provides addiction treatment for adults in Oklahoma who are suffering from mental health and substance use disorders. The inpatient program offers adults suffering from brain disease of addiction or co-occurring mental health disorders recovery tools to support their ability to achieve individualized recoveries. 145956052 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 1 317 0 1 2035 1 0 0 0 0 0 0 0 0 0 0 1 0 X 12 12 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 1 1 1 0 OK X Dashun Monk 9182731841 114 West Delaware Nowata OK 74048 Jim Tanner President 3.00 X X 0 0 0 Charles Hamit Vice President 3.00 X X 0 0 0 Elaine Clugston Secretary 3.00 X X 0 0 0 Bill Stutsman Board Member 2.00 X 0 0 0 Charlene Lingo Board Member 2.00 X 0 0 0 Tad Jones Board Member 2.00 X 0 0 0 Joe Griffin Board Member 2.00 X 0 0 0 Lowell Barto Board Member 2.00 X 0 0 0 Nancy Barton Board Member 2.00 X 0 0 0 Pat Darlington Board Member 2.00 X 0 0 0 Rick Littlefield Board Member 2.00 X 0 0 0 Wally Bryce Board Member 2.00 X 0 0 0 Larry Smith Chief Executive Officer 45.00 X 1390376 0 16312 Josh Cantwell Chief Operating Officer 45.00 X 1253891 0 1049 Donna Aultz Chief Financial Officer 45.00 X 329505 0 14134 Dr Weldon J Mallgren Medical Director 45.00 X 456996 0 29990 David McElwain Psychiatrist 45.00 X 358504 0 32207 Lissa James Chief Clinical Officer 45.00 X 335039 0 16129 Jeffrey Harlin Chief Administrative Offic 45.00 X 318805 0 27436 Amy Garrison Chief Administrative Offic 45.00 X 322624 0 30846 Kimberly Hill-Crowell Chief Clinical Officer 45.00 X 322995 0 30583 Trica Walters Chief Human Resources Officer 45.00 X 322483 0 18716 Ruth Herlan Director of Clinical Informatics 45.00 X 151118 0 9698 Nicholas Allgood Chief Clinical Officer of Crisis Services 45.00 X 321209 0 27104 Don Curry Physician Assistant 45.00 X 218397 0 1163 Brent Brewer Physician Assistant 45.00 X 197448 0 26970 Emily Shearer Integrated Health Services Director 45.00 X 172766 0 487 Traci Sisney Regional Clinical Officer 45.00 X 168466 0 7211 Nicolette Winterscheidt Physician Assistant 45.00 X 153598 0 18716 Julie Finney Physician Assistant 45.00 X 152187 0 20680 Lowell Robertson Physician - ARC 45.00 X 323447 0 23861 Lee Simpson Physician 45.00 X 148356 0 36662 Matthew Moore Physician 45.00 X 142690 0 39363 Angela Rhoten Nurse Practitioner 45.00 X 150955 0 25522 Laura Smith Regional Administrative Officer 45.00 X 175821 0 25593 Erin Howell Former Principal Data Architect 45.00 X 114724 0 10196 8002400 0 490628 73 1 1 0 MyCare Integrated Software Solutions LL 10120 N Broadway Ste 120 Oklahoma City OK 73114 Software Licensing 13878228 Hunters Precision RX LLC 10120 N Broadway Ste 120 Oklahoma City OK 73114 Pharmacy Services 1995422 Forest for the Trees PLLC 2651 S Boston Pl Tulsa OK 74114 Architect Services 664211 GLMHC Pharmacy LLP 10120 N Broadway Ste 120 Oklahoma City OK 73114 Pharmacy Services 382226 Coordinated Care Health Solutions 10120 N Broadway Ste 120 Oklahoma City OK 73114 Pharmacy Services 326444 12 26134839 398464 26533303 Professional Service Fees 624100 141676272 141676272 Government Fees for Service 624100 20552373 20552373 1633131 1633131 163861776 290224 290224 152177 0 152177 152177 152177 17200 31084 0 26994 17200 4090 21290 21290 190858770 163861776 0 463691 7147087 2871595 4275492 106748247 86621471 20126776 3807966 3093607 714359 11272887 8879920 2392967 8288872 6520922 1767950 48107 48107 40797 40797 5597574 4857367 740207 174395 83929 90466 2828164 2539403 288761 702690 338174 364516 1350967 1320389 30578 2315119 1808212 506907 293779 141383 152396 36501 36501 2503026 1757080 745946 686717 611434 75283 Maintenance 15203217 12178147 3025070 Meals 3220500 3220500 Pharmacy 2335759 2256197 79562 Bad Debt 2095190 2095190 9817301 4724631 5092670 186514862 145956052 40558810 0 16019889 16436435 3604232 1333667 0 189134 23756504 27203587 376055 319397 546525 1058542 56922293 16856248 22440648 40066045 193227 188000 0 66931853 86800034 11186947 19457694 6290095 5739382 17477042 25197076 X 49454811 61602958 49454811 61602958 66931853 86800034 X 4343908 7804239 X 0 1 X 0 1 1 X 10493377 15124899 15124899 23148879 26533303 90425357 10493377 15124899 15124899 23148879 26533303 90425357 90425357 136700 144865 20996 64678 442401 809640 181073 175000 356073 91591070 486688350 0.98730 0.98910 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3438670 3438670 37685601 9650723 28034878 615864 506231 109633 9401585 6699294 2702291 5780573 5780573 40066045 X 198663009 7804239 7804239 190858770 0 190858770 186514862 0 186514862 0 186514862 Part X, Line 2: Management believes that the Center has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The Center would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. Part XI, Line 2d - Other Adjustments: Bargain purchase gain on aquisition of not-for-profit 7,804,239. X X X X 0 0 0 0 0 0 0 0 0 Larry Smith Chief Executive Officer 1340100 0 0 0 50276 0 0 0 16312 0 1406688 0 0 0 Josh Cantwell Chief Operating Officer 1204143 0 0 0 49748 0 0 0 1049 0 1254940 0 0 0 Dr Weldon J Mallgren Medical Director 456484 0 512 0 0 0 0 0 29990 0 486986 0 0 0 David McElwain Psychiatrist 357952 0 552 0 0 0 0 0 32207 0 390711 0 0 0 Kimberly Hill-Crowell Chief Clinical Officer 322483 0 512 0 0 0 0 0 30583 0 353578 0 0 0 Amy Garrison Chief Administrative Offic 322112 0 512 0 0 0 0 0 30846 0 353470 0 0 0 Lissa James Chief Clinical Officer 334527 0 512 0 0 0 0 0 16129 0 351168 0 0 0 Nicholas Allgood Chief Clinical Officer of Crisis Ser 320694 0 515 0 0 0 0 0 27104 0 348313 0 0 0 Lowell Robertson Physician - ARC 322935 0 512 0 0 0 0 0 23861 0 347308 0 0 0 Jeffrey Harlin Chief Administrative Offic 318288 0 517 0 0 0 0 0 27436 0 346241 0 0 0 Donna Aultz Chief Financial Officer 328988 0 517 0 0 0 0 0 14134 0 343639 0 0 0 Trica Walters Chief Human Resources Officer 321971 0 512 0 0 0 0 0 18716 0 341199 0 0 0 Brent Brewer Physician Assistant 196941 0 507 0 0 0 0 0 26970 0 224418 0 0 0 Don Curry Physician Assistant 217884 0 513 0 0 0 0 0 1163 0 219560 0 0 0 Laura Smith Regional Administrative Officer 175314 0 507 0 0 0 0 0 25593 0 201414 0 0 0 Lee Simpson Physician 147811 0 545 0 0 0 0 0 36662 0 185018 0 0 0 Matthew Moore Physician 142149 0 541 0 0 0 0 0 39363 0 182053 0 0 0 Angela Rhoten Nurse Practitioner 150365 0 590 0 0 0 0 0 25522 0 176477 0 0 0 Traci Sisney Regional Clinical Officer 167956 0 510 0 0 0 0 0 7211 0 175677 0 0 0 Emily Shearer Integrated Health Services Director 172259 0 507 0 0 0 0 0 487 0 173253 0 0 0 Julie Finney Physician Assistant 151641 0 546 0 0 0 0 0 20680 0 172867 0 0 0 Nicolette Winterscheidt Physician Assistant 153008 0 590 0 0 0 0 0 18716 0 172314 0 0 0 Ruth Herlan Director of Clinical Informatics 150570 0 548 0 0 0 0 0 9698 0 160816 0 0 0 Erin Howell Former Principal Data Architect 114724 0 0 0 0 0 0 0 10196 0 124920 0 0 0 Form 990, Part III, line 2 Effective July 1, 2022, the Center acquired 12 & 12, Inc. (an Oklahoma nonprofit). 12 & 12, Inc. was a residential treatment center in Northeastern Oklahoma, offering medically supervised detoxification, residential and dual diagnosis residential treatment, inpatient and outpatient treatment, transitional living, independent living, and continuing care services. Form 990, Part VI, Section A, line 8b No committees are able to act on behalf of the board Form 990, Part VI, Section B, line 11b The 990 will be reviewed by the Board at the next meeting after it is prepared and 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 Annual review of compensation in compliance with the IRS rebuttable presumption rule. Form 990, Part VI, Section C, line 19 Upon written request. Form 990, Part XI, line 9: Beginning Net Assets from acquisition of not-for-profit 12 & 12 Inc 7,804,239.