GRAND Mental Health

Legal name: Grand Lake Mental Health Center Inc

Nonprofit profile at a glance

EIN
731039733
IRS 990 coverage
2010–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024
Location
Tulsa, OK, USA
Phone
1-800-722-3611
Rating
79
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Mental Health Treatment F31 Psychiatric, Mental Health Hospital

Official website

Reported finances

Revenue
$225,379,895
Expenses
$220,745,220
Assets
$104,864,638
Liabilities
$46,485,015

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

30 people listed

Executive titles in this filing

  • LOWELL BARTO (VICE PRESIDENT)
  • PAT DARLINGTON (PRESIDENT)
  • JOSH CANTWELL (CHIEF EXECUTIVE OFFICER)
  • LARRY SMITH (CHIEF EXECUTIVE OFFICER)

Highest reported compensation

  • LARRY SMITH (CHIEF EXECUTIVE OFFICER): $2,008,402 total reported compensation
  • JOSH CANTWELL (CHIEF EXECUTIVE OFFICER): $1,661,437 total reported compensation
  • WELDON MALLGREN (MEDICAL DIRECTOR): $476,693 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Improve life. As we look ahead, FY26 promises to be a landmark chapter for GRAND. We’re setting our sights high, building on our commitment to transform mental healthcare and continue leading with innovation and compassion. Reflecting back on our “To Improve Life” mission, we remain steadfast in our goal of making a meaningful difference in every community we serve. Grand_Mental_Health_Logo_Reversed 1 _icon-fb _. GRAND Mental Health provides services for adults, children, adolescents, and families struggling with behavioral health issues, substance use issues, and integrated/medical needs in northeastern and north central Oklahoma. In business since 1979, GRAND Mental Health is a Certified Community Behavioral Health Clinic (CCBHC) providing evidence- based mental health and substance use services integrated with primary health care. Becoming a CCBHC has allowed GRAND Mental Health...

What it reported doing in 2024

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.

Operating model

Revenue model
Other-operating. 87% of the money available for current operations came from other operating revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Some filing-based governance responses are negative or unanswered and expenses are high relative to revenue.

Rating breakdown

  • Financial Efficiency: 75
  • Transparency & Controls: 80
  • Accountability: 91
  • Sustainability: 33
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 83.7%; rating input score 84
  • Program expense ratio: 85.4%; rating input score 85
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 92.3%; rating input score 92; 12th percentile among comparable filings
  • Pay-setting controls: 4 of 6 controls in place; rating input score 67
    • Compensation committee: Pass
    • Independent consultant: Missing
    • Other Form 990s reviewed: Pass
    • Written employment contract: Missing
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 100%; rating input score 100; 77th percentile among comparable filings
  • Governance controls: 7 of 9 controls in place; rating input score 78
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Fail
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Fail
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 2.1%; rating input score 43; 43rd percentile among comparable filings
  • Total-asset coverage ratio: 0.48; rating input score 17; 17th percentile among comparable filings
  • Liabilities to assets ratio: 0.44; rating input score 41; 41st percentile among comparable filings
  • Officer compensation ratio: 4.1%; rating input score 25; 25th percentile among comparable filings

Growth

  • Program expense growth: 22.4% per year; rating input score 100; 94th percentile among comparable filings
  • Revenue growth: 19.6% per year; rating input score 100; 93rd percentile among comparable filings
  • Asset growth: 15.8% per year; rating input score 100; 87th percentile among comparable filings

Details

  • What they do: 1 programs and campaigns described on the official site · 1 operating location identified
  • Where the money goes: 83.7% of revenue deployed · 85.4% of spending went to programs
  • Governance: 10 of 10 board members independent · 7 of 9 filing controls reported
  • Programs: 2 filed program accomplishments · $188.5M in reported program spending
  • Leadership: top reported pay $2M · 30 people listed · 4 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $20.8M reported
  • Consistency: 31 of 32 current checks pass · 1 finding to review
  • Schedules: 6 filed schedules · includes major donors and executive pay
  • Filing history: 15 filing years from 2010 to 2024
  • Contacts: How to reach this organization
  • Money network: 20 filed money-flow records
  • Related organizations: 1 filed related-organization link
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.
  • Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • Review — Accountability: Governance controls: 2 of 9 not reported.
  • Moderate — Sustainability: Operating margin scored 43/100.
  • High — Sustainability: Total-asset coverage ratio scored 17/100.
  • Moderate — Transparency & Controls: Schedule A contributions reconciliation did not reconcile in the filed values.
  • High — Sustainability: Officer compensation ratio scored 25/100.
  • Moderate — Sustainability: Liabilities to assets ratio scored 41/100.