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Nonprofiteer
← GRANT-BLACKFORD MENTAL HEALTH INC

Form 990 for tax year 2022

Filed by GRANT-BLACKFORD MENTAL HEALTH INC.

Totals

Total revenue
$17,315,917
Total expenses
$19,198,893
Contributions and grants received
$8,075,645
Grants paid
$0
Program services expenses (Part IX)
$14,192,925
Management and general expenses
$5,005,968
Fundraising expenses
$0
Program service expenses (Part III)
$14,192,925

Program services were 73.9% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • RUTH ANN MASIONGALE

    CHAIR

    Total calculated
    $0
    Hours/week
    2

  • TYLER HUNT

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    2

  • DARREN REESE

    TREASURER

    Total calculated
    $0
    Hours/week
    2

  • ANNE DUNCAN

    SECRETARY

    Total calculated
    $0
    Hours/week
    2

  • BARBARA IHRKE

    MEMBER

    Total calculated
    $0
    Hours/week
    2

  • KEENAN DAVIS

    MEMBER

    Total calculated
    $0
    Hours/week
    2

  • STEPHANIE HILTON-SIEBERT

    MEMBER

    Total calculated
    $0
    Hours/week
    2

  • RUTH HOOK

    MEMBER

    Total calculated
    $0
    Hours/week
    2

  • KYLIE JACKSON

    MEMBER

    Total calculated
    $0
    Hours/week
    2

  • REGINALD LIPSCOMB

    MEMBER

    Total calculated
    $0
    Hours/week
    2

  • MICHAEL MOFFITT

    MEMBER

    Total calculated
    $0
    Hours/week
    2

  • TAMMY PEARSON

    MEMBER

    Total calculated
    $0
    Hours/week
    2

  • STEVE QUADERER

    MEMBER

    Total calculated
    $0
    Hours/week
    2

  • CHAD YENCER

    MEMBER

    Total calculated
    $0
    Hours/week
    2

  • CINDY FORTNEY

    TREASURER TERM ENDED

    Total calculated
    $0
    Hours/week
    2

  • LISA DOMINISSE

    CEO

    Total calculated
    $174,981
    From this org
    $174,981
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $167,701
    Bonus
    $250
    Other
    $7,030
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $174,981

  • JONDA MANWELL

    CFO

    Total calculated
    $133,148
    From this org
    $108,524
    From related orgs
    $0
    Other
    $24,624
    Hours/week
    40

  • SUSAN MILLER

    CAO

    Total calculated
    $70,446
    From this org
    $69,895
    From related orgs
    $0
    Other
    $551
    Hours/week
    40

  • STACEY LOHSE

    COO

    Total calculated
    $147,637
    From this org
    $114,875
    From related orgs
    $0
    Other
    $32,762
    Hours/week
    40

  • DAVID WIGGINS

    CHIEF INFORMATION OFFICER

    Total calculated
    $95,440
    From this org
    $88,295
    From related orgs
    $0
    Other
    $7,145
    Hours/week
    40

  • MICHAEL CONN

    CHIEF MEDICAL OFFICER

    Total calculated
    $268,806
    From this org
    $230,728
    From related orgs
    $0
    Other
    $38,078
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $230,495
    Bonus
    $100
    Other
    $133
    Deferred
    $12,123
    Nontaxable benefits
    $25,955
    Filer's total
    $268,806

  • THOMASINA WRANGHAM

    APRN

    Total calculated
    $182,493
    From this org
    $151,680
    From related orgs
    $0
    Other
    $30,813
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $151,630
    Bonus
    $50
    Other
    $0
    Deferred
    $7,760
    Nontaxable benefits
    $23,053
    Filer's total
    $182,493

  • AVELINA VITUG

    PSYCHIATRIST

    Total calculated
    $180,467
    From this org
    $171,168
    From related orgs
    $0
    Other
    $9,299
    Hours/week
    24

    Schedule J breakdown matched by us

    Base
    $171,168
    Bonus
    $0
    Other
    $0
    Deferred
    $9,299
    Nontaxable benefits
    $0
    Filer's total
    $180,467

  • PATRICK MUTUGU

    APRN

    Total calculated
    $183,492
    From this org
    $155,729
    From related orgs
    $0
    Other
    $27,763
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $155,729
    Bonus
    $0
    Other
    $0
    Deferred
    $7,758
    Nontaxable benefits
    $20,005
    Filer's total
    $183,492

  • KELLY BARSHA

    APRN

    Total calculated
    $164,554
    From this org
    $155,543
    From related orgs
    $0
    Other
    $9,011
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $155,522
    Bonus
    $0
    Other
    $21
    Deferred
    $7,636
    Nontaxable benefits
    $1,375
    Filer's total
    $164,554

  • DANIEL BREWER

    APRN

    Total calculated
    $145,856
    From this org
    $143,775
    From related orgs
    $0
    Other
    $2,081
    Hours/week
    40

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 2 · Substantiation required before reimbursing expenses
  • 3 · Compensation committee
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 7
THE BOARD OF DIRECTORS CAN GRANT A DISCRETIONARY BONUS TO THE CEO BASED ON PERFORMANCE CRITERIA OF THE ORGANIZATION.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Provenance

Return type
form_990
Tax year
2022
Filed
26 March 2024
IRS schema version
2022v5.0
Source object
202410869349300211

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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