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MERIDIAN HEALTH SERVICES CORP: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
MERIDIAN HEALTH SERVICES CORP (EIN 35-1302836)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-15
IRS object ID
201211369349306796
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-05-15T13:42:12-07:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN351302836EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MERIDIAN SERVICES CORPBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMERINameControl
Phone7652881928Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1240 North Tillotson AvenueAddressLine1
CityMuncieCity
StateINState
ZIP Code473043988ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKirk W Shafer CPAName
TitleV.P. FinanceTitle
Phone7652881928Phone
Date Signed2011-10-24DateSigned
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonHank A Milius - President CEONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1240 North Tillotson AvenueAddressLine1
CityMuncieCity
StateINState
ZIP Code473043988ZIPCode
FieldValueIRS element (for citing)
Gross Receipts31075129GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.meridiansc.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1971YearFormation
State Legal DomicileINStateLegalDomicile
Activity Or Mission DescriptionTo promote and improve the mental health and quality of life of individuals in the communities we serve.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees562TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year12294220ContributionsGrantsPriorYear
Contributions Grants Current Year9458215ContributionsGrantsCurrentYear
Program Service Revenue Prior Year17298863ProgramServiceRevenuePriorYear
Program Service Revenue CY20931791ProgramServiceRevenueCY
Investment Income Prior Year80820InvestmentIncomePriorYear
Investment Income Current Year250686InvestmentIncomeCurrentYear
Other Revenue Prior Year450356OtherRevenuePriorYear
Other Revenue Current Year434437OtherRevenueCurrentYear
Total Revenue Prior Year30124259TotalRevenuePriorYear
Total Revenue Current Year31075129TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year453874GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY373523GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year20179116SalariesEtcPriorYear
Salaries Etc Current Year21310955SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year65230TotalFundrsngExpCurrentYear
Other Expense Prior Year8162632OtherExpensePriorYear
Other Expenses Current Year8037804OtherExpensesCurrentYear
Total Expenses Prior Year28795622TotalExpensesPriorYear
Total Expenses Current Year29722282TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1328637RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1352847RevenuesLessExpensesCY
Total Assets BOY24235744TotalAssetsBOY
Total Assets EOY26644520TotalAssetsEOY
Total Liabilities BOY5591900TotalLiabilitiesBOY
Total Liabilities EOY6647829TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY18643844NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY19996691NetAssetsOrFundBalancesEOY
Mission DescriptionTo promote and improve the mental health and quality of life of individuals in the communities we serve.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense6498153Expense
Grants0Grants
Revenue6908927Revenue
DescriptionOutpatient behavioral health counseling programs to adults: Meridian Services Corp provides mental health and addictions services to residents of the communities that we serve (primarily those in Delaware, Henry, Jay, Randolph, and Wayne Counties). Services include outpatient, partial hospitalization, chemical dependency, case management, and consultation and education.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense8729910Expense
Grants0Grants
Revenue7664729Revenue
DescriptionBehavioral health inpatient and medical services: Meridian Services Corp operates a 20-bed inpatient unit and provides behavioral medical services to residents of the communities that we serve (primarily those in Delaware, Henry, Jay, Randolph, and Wayne Counties).Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense3640633Expense
Grants0Grants
Revenue4429857Revenue
DescriptionOutpatient behavioral health counseling programs for children: Meridian Services Corp provides mental health and addictions services to residents of the communities that we serve (primarily those in Delaware, Henry, Jay, Randolph, and Wayne Counties). Services include outpatient, family-centered services, partial hospitalization, chemical dependency, case management, and consultation and education.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense5529874Expense
Grants0Grants
Revenue6536670Revenue
DescriptionOutpatient behavioral health counseling programs: Meridian Services Corp provides additional services to residents of the communities that we serve (primarily those in Delaware, Henry, Jay, Randolph, and Wayne Counties). Services include emergency access, residential, vocational rehabilitation, and services to clients dually diagnosed with intellectual disabilities and mental illness.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp5529874TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev6536670TotalOfOtherProgramServiceRev
Total Program Service Expense24398570TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109640NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees562NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledINStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonKirk W Shafer CPANamePerson
Telephone Number7652881928TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1240 N Tillotson AveAddressLine1
CityMuncieCity
StateINState
ZIP Code473043988ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
Ms Terri Matchett
Chairman0X000
Mr Mike Lunsford
Vice-Chairman0X000
Mr Brent Webster
Secretary0X000
Mr Wayne Shaffer
Board Member0X000
Ms Vicki Tague
Board Member0X000
Mr John Bowles
Board Member0X000
Mr Micah Maxwell
Board Member0X000
Mr Doug Loy
Board Member0X000
Dr David Gobble
Board Member0X000
Hank A Milius
President/CEO503890000130543X
Kirk W Shafer
V.P. Finance50170856018851X
Sarfraz Khan MD
Medical Director50221859029897X
Izzet Yazgan MD
Staff Psychiatrist40187101027583X
Snieguole Radzeviciene MD
Staff Psychiatrist40193611024440X
Bob Coles
VP Business Development40122226020733X
Brian Donley
VP Clinical Services40118989022804X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1403642TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation274851TotalOtherCompensation
Number Individuals GT100 K11NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1Address Line2AddressOfContractor/AddressUS/AddressLine2CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensationBusiness Name Line2NameOfContractor/NameBusiness/BusinessNameLine2
Interim Healthcare of Indianapolis
8803 North Meridian StreetSuite 325IndianapolisIN46260Physician recruitment agency254153
Staff Care Inc
PO Box 281923AtlantaGA30384Physician recruitment agency250206
Dennis Wenger & Abrell PC
324 West Jackson StreetMuncieIN47305Legal Services170841Attorneys At Law
Pridemark Construction
419 South Walnut StreetMuncieIN47308Contract Work on Construction Project168681
Havel Bros
PO Box 1287Ft WayneIN46801Heating & Air Maintenance148720Div of Shambauch & Son
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Federated Campaigns0FederatedCampaigns
Membership Dues0MembershipDues
Fundraising Events0FundraisingEvents
Related Organizations0RelatedOrganizations
Government Grants9194260GovernmentGrants
All Other Contributions263955AllOtherContributions
Noncash Contributions0NoncashContributions
Total Contributions9458215TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
Medicare/Medicaid62410016239020162390200$0
Self Pay and 3rd Party Net Service624100245438024543800$0
BMH Reimbursements624100223839122383910$0

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue20931791TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column250686TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$250,686ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real434437Real
Personal0Personal

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real434437Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column434437TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$434,437ExclusionAmount

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities
Other0Other
FieldValueIRS element (for citing)
Cntrbtns Rprtd Fundraising Events0CntrbtnsRprtdFundraisingEvents
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column31075129TotalRevenueColumn
Related Or Exempt Function Income20931791RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$685,123ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total373523Total
Program Services373523ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total551967Total
Management And General551967ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total16441565Total
Program Services13949736ProgramServices
Management And General2448052ManagementAndGeneral
Fundraising43777Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total705755Total
Program Services386790ProgramServices
Management And General318548ManagementAndGeneral
Fundraising417Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2314668Total
Program Services1900076ProgramServices
Management And General408198ManagementAndGeneral
Fundraising6394Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1297000Total
Program Services1064688ProgramServices
Management And General228963ManagementAndGeneral
Fundraising3349Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total221099Total
Program Services152165ProgramServices
Management And General68934ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total94954Total
Management And General94954ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1029461Total
Program Services877820ProgramServices
Management And General151641ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total514053Total
Program Services305942ProgramServices
Management And General208111ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total387804Total
Program Services189424ProgramServices
Management And General197588ManagementAndGeneral
Fundraising792Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total648119Total
Program Services532031ProgramServices
Management And General108697ManagementAndGeneral
Fundraising7391Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1055514Total
Program Services866456ProgramServices
Management And General189058ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total440012Total
Program Services361199ProgramServices
Management And General78813ManagementAndGeneral
Fundraising0Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total217959Total
Program Services178919ProgramServices
Management And General36554ManagementAndGeneral
Fundraising2486Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total10350Total
Program Services8496ProgramServices
Management And General1854ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1012535Total
Program Services855154ProgramServices
Management And General157381ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total83210Total
Program Services83210ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Bad Debt1574787157478700
BMH Pass Through69327469327400

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total54673Total
Program Services44880ProgramServices
Management And General9169ManagementAndGeneral
Fundraising624Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total29722282Total
Program Services24398570ProgramServices
Management And General5258482ManagementAndGeneral
Fundraising65230Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY20157BOY
EOY20221EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY7777287BOY
EOY9118306EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY357086BOY
EOY681068EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2961939BOY
EOY2573006EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY277492BOY
EOY302095EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis20517928LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec10079317LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY10518434BOY
EOY10438611EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2323349BOY
EOY3511213EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY24235744BOY
EOY26644520EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4426529BOY
EOY5805741EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY51631BOY
EOY24269EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY235864BOY
EOY110082EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY419116BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY458760BOY
EOY707737EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY5591900BOY
EOY6647829EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY17853794BOY
EOY19996691EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY790050BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY18643844BOY
EOY19996691EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY24235744BOY
EOY26644520EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses1352847ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9143248CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12069257CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12497835CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12294220CurrentTaxYearMinus1Year
Current Tax Year10622799CurrentTaxYear
Total56627359Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9143248CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12069257CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12497835CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12294220CurrentTaxYearMinus1Year
Current Tax Year10622799CurrentTaxYear
Total56627359Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total0AmountsSubstContributorsTotal
Public Support Total17056627359PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years208064CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years73077CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years-19028CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year80820CurrentTaxYearMinus1Year
Current Tax Year250685CurrentTaxYear
Total593618Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total
FieldValueIRS element (for citing)
Total Support57220977TotalSupport
Gross Receipts From Admissions Etc0GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.98963PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99001PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance492027BeginningOfYearBalance
Contributions0Contributions
Investment Earnings Or Losses101087InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures0OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance593114EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance266388BeginningOfYearBalance
Contributions200000Contributions
Investment Earnings Or Losses25639InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures0OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance492027EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance320262BeginningOfYearBalance
Contributions250Contributions
Investment Earnings Or Losses-54124InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures0OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance266388EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0BoardDesignatedEOYBalance
Permanent Endowment EOY Balance1PermanentEndowmentEOYBalance
Term Endowment EOY Balance0TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs1EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis1099749InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Book Value1099749BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis13054485InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation5204930Depreciation
Book Value7849555BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis6141083InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation4874387Depreciation
Book Value1266696BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis222611InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value222611BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings10438611TotalOfBookValueLandBuildings

Other Assets OtherAssets (6 entries)

DescriptionDescriptionBook ValueBookValue
Endowment Funds593114
Indiana Funds Recovery751097
Agency Funds Held179951
Funds Held in Trust Under Trust Indenture, Less Current Portion707737
BMH Reimbursement490534
Other receivables/assets788780
FieldValueIRS element (for citing)
Total Book Value Other Assets3511213TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionOther Long Term LiabilitiesDescription
Amount$707,737Amount
FieldValueIRS element (for citing)
Total Of Amounts707737TotalOfAmounts
Total Revenue31075129TotalRevenue
Total Expenses29722282TotalExpenses
Excess Or Deficit For Year1352847ExcessOrDeficitForYear
Net Unrealized GL On Investments0NetUnrealizedGLOnInvestments
Donated Services And Facilities0DonatedServicesAndFacilities
Investment Expenses0InvestmentExpenses
Prior Period Adjustments0PriorPeriodAdjustments
Other$0OtherAmount
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS1352847ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt31075129TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments0NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities0DonatedSrvcAndUseOfFacilities
Recoveries Of Prior Year Grants0RecoveriesOfPriorYearGrants
Other Revenues0OtherRevenues
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal31075129RevenueSubtotal
Investment Expenses Not Included0InvestmentExpensesNotIncluded
Other Revenues Not Included0OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99031075129TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt29722282TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities0DonatedServicesUseOfFacilities
Prior Year Adjustments0PriorYearAdjustments
Losses Reported0LossesReported
Other Expenses Included0OtherExpensesIncluded
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal29722282ExpensesSubtotal
Investment Expenses Not Included20InvestmentExpensesNotIncluded2
Other Expenses Not Included0OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99029722282TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SchD_P05_S00_L04Schedule D, Part V, Line 4Meridian Services Corp established Agency Funds with the Community Foundations located in Delaware County, Henry County and Jay County.
SchD_P10_S00_L02Schedule D, Part X, Line 2The Center is organized as a not-for-profit corporation under Section 501 (c) (3) of the United States Internal Revenue Code. Accounting principles generally accepted in the United States of America require management to evaluate tax positions taken by the Center and recognize a tax liability if the Center has taken an uncertain position that more likely than not would be sustained upon examination by various federal and state taxing authorities. Management has analyzed the tax positions taken by the Center, and has concluded that as of June 30, 2011, there are no uncertain positions taken or expected to be taken that would require recognition of a liability or disclosure in the accompanying financial statements. The Center is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress. As such, the Center is generally exempt from income taxes. However, the Center is required to file Federal Form 990 Return of Organization Exempt from Income Tax which is an informational return only.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage.50FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense2171398TotalCommunityBenefitExpense
Net Community Benefit Expense2171398NetCommunityBenefitExpense
Percent Of Total Expense0.0771PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense20230167TotalCommunityBenefitExpense
Direct Offsetting Revenue12223910DirectOffsettingRevenue
Net Community Benefit Expense7996257NetCommunityBenefitExpense
Percent Of Total Expense0.2841PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense22401565TotalCommunityBenefitExpense
Direct Offsetting Revenue12223910DirectOffsettingRevenue
Net Community Benefit Expense10167655NetCommunityBenefitExpense
Percent Of Total Expense0.3612PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense15000TotalCommunityBenefitExpense
Net Community Benefit Expense15000NetCommunityBenefitExpense
Percent Of Total Expense0.0005PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense25000TotalCommunityBenefitExpense
Net Community Benefit Expense25000NetCommunityBenefitExpense
Percent Of Total Expense0.0009PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense2540398TotalCommunityBenefitExpense
Direct Offsetting Revenue1474822DirectOffsettingRevenue
Net Community Benefit Expense1065576NetCommunityBenefitExpense
Percent Of Total Expense0.0379PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense2580398TotalCommunityBenefitExpense
Direct Offsetting Revenue1474822DirectOffsettingRevenue
Net Community Benefit Expense1105576NetCommunityBenefitExpense
Percent Of Total Expense0.0393PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense24981963TotalCommunityBenefitExpense
Direct Offsetting Revenue13698732DirectOffsettingRevenue
Net Community Benefit Expense11273231NetCommunityBenefitExpense
Percent Of Total Expense0.4005PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Total Community Building Expense205152TotalCommunityBuildingExpense
Direct Offsetting Revenue196336DirectOffsettingRevenue
Net Community Building Expense8816NetCommunityBuildingExpense
Percent Of Total Expense0.0003PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense217452TotalCommunityBuildingExpense
Direct Offsetting Revenue154231DirectOffsettingRevenue
Net Community Building Expense63221NetCommunityBuildingExpense
Percent Of Total Expense0.0022PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense125721TotalCommunityBuildingExpense
Direct Offsetting Revenue80511DirectOffsettingRevenue
Net Community Building Expense45210NetCommunityBuildingExpense
Percent Of Total Expense0.0016PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense10000TotalCommunityBuildingExpense
Net Community Building Expense10000NetCommunityBuildingExpense
Percent Of Total Expense0.0004PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense75000TotalCommunityBuildingExpense
Net Community Building Expense75000NetCommunityBuildingExpense
Percent Of Total Expense0.0027PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Building Expense633325TotalCommunityBuildingExpense
Direct Offsetting Revenue431078DirectOffsettingRevenue
Net Community Building Expense202247NetCommunityBuildingExpense
Percent Of Total Expense0.0072PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$1,060,311BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare1371981AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare2362428CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-990447MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1Meridian Gero-Psych HospitalBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line12401 West University AvenueAddressLine1
CityMuncieCity
StateINState
ZIP Code47304ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Meridian Gero-Psych HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA Conducted0CHNAConducted
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent50FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent200FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Medicaid MedicareXMedicaidMedicare
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Permit Report To Credit AgencyXPermitReportToCreditAgency
Collection Activities1CollectionActivities
Report To Credit AgencyXReportToCreditAgency
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges1GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities14NumberOfOtherFacilities

Other Facilities OtherFacilities (14 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
Meridian Services Corp
240 North Tillotson AvenueMuncieIN47304Outpatient/admin
Annex
130 North Tillotson AvenueMuncieIN47304Outpatient
Gresham Center
3620 White River BoulevardMuncieIN47304Outpatient
Henry County
930 North 14th StreetNew CastleIN47362Outpatient
Jay County
931 West Water StreetPortlandIN47371Outpatient
Randolph County
2 Omco SquareWinchesterIN47394Outpatient
Wayne County
18 SouthWest 5th StreetRichmondIN47374Outpatient
Meridian MD
110 North Tillotson AvenueMuncieIN47304Primary Care
Eber House
1101 North Wheeling AvenueMuncieIN47303Residential
Ford House
325 South Bittersweet LaneMuncieIN47304Residential
Lewis House
407 West AdamsMuncieIN47305Residential
Logan House
1422 North Tillotson AvenueMuncieIN47304Residential
Teaboldt House
536 South 14th StreetNew CastleIN47362Residential
Ellison House
1944 West 8th StreetMuncieIN47302Sub-Acute

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SchH_P01_S00_L06aSchedule H, Part I, Line 6aIt is a free standing report that is not included in any other organization's report.
SchH_P01_S00_L07Schedule H, Part I, Line 7Used the cost to charge ratios as outlined in the worksheets located in the instructions.
SchH_P01_S00_L072fSchedule H, Part I, Line 7, Column fBad debt was not included in calculating the percentage in Schedule H, Part I, Line 7, column (f).
SchH_P01_S00_L07gSchedule H, Part I, Line 7gThe entire amounts reported on line 7g related to the operation of a psychiatric outpatient office and medical office.
SchH_P02_S00_L00Schedule H, Part IIMeridian Services Corp is a progressive healthcare organization specializing in "whole person" health, integrating physical, mental and social well-being. The focus on a broader spectrum of health including primary medical care, behavioral health and human services offers a well-rounded approach for happier, healthier patients.
SchH_P03_S0A_L04Schedule H, Part III, Section A, Line 4Part III, 2: Cost to change ratio per worksheet 2 instructions. Part III, 3: Every attempt is made to gather sufficient information from patients for accurate determination of their eligibility for charity care and/or financial assistance. Part III, 4: Patient service revenue and patient accounts receivable are recorded at the net realizable amounts based on established charges when the patient service is rendered. The Center has agreements with third-party payers that provide for payments to the Center at amounts different from its established rates. Payment arrangements include prospectively determined rates per discharge, discounted charges and per diem payments. Charges for services to patients are primarily based on the patients' ability to pay. The allowances offset against patient accounts receivable represents management's estimate of the expected losses to be realized, and is based on historical experience, current economic conditions, and other relevant factors. Interest is not charged on outstanding accounts receivable. As of June 30, 2011 and 2010, the allowances totaled $4,232,437 and $4,664,225, respectively. Of the total allowance amounts, $1,879,748 and $2,940,902 as of June 30, 2011 and 2010, respectively, related to uncollectible bad debts on self-pay accounts.
SchH_P03_S0B_L08Schedule H, Part III, Section B, Line 8Part III, 6: Medicare allowable cost is from the Medicare cost report. Part III, 8, Medicare reimbursement is inadequate to cover the costs of providing services.
SchH_P03_S0C_L09bSchedule H, Part III, Section C, Line 9bPart III, 9b: Patients are encouraged to make extended payment arrangements when experiencing any difficulties in paying the net fees assessed after taking into account their financial status, available assets, and medical liabilities.
SchH_P05_S0B_L19Schedule H, Part V, Section B, Line 19100% of charge for those patients with income greater than 200 % of federal poverty guidelines in accordance with HRSA and HHS regulations.
SchH_P05_S0B_L21Schedule H, Part V, Section B, Line 21100% of charge for those patients with income greater than 200 % of federal poverty guidelines in accordance with HRSA and HHS regulations.
SchH_P06_S00_L02Schedule H, Part VI, Line 2Meridian Services Corp focus' on a broader spectrum of health including primary medical care, behavioral health and human services offers a well-rounded approach for happier, healthier patients. Meridian Health Services has been serving the community for over 35 years and is accredited by the Joint Commission and certified by the Indiana Division of Mental Health and Addictions.
SchH_P06_S00_L03Schedule H, Part VI, Line 3Many healthcare insurance plans pay for all or part of the services provided by Meridian Services Corp. Medicaid and Medicare are also accepted. The fee for each service that Meridian Health Services provides is based solely on the cost of the service. We recognize that families vary greatly in their ability to pay. If needed, payment arrangements can be made with our business office. Billing statements are sent out monthly. Statements list the services rendered and payments received through the previous month. Out-of-pocket payments are due at the time services are provided and are held as credit until payment is received from insurance providers. Our business office is available 8 a.m. - 5 p.m., Monday through Friday, to answer billing questions by calling 765-741-0306.
SchH_P06_S00_L04Schedule H, Part VI, Line 4Meridian Services Corp provides services in over 20 counties throughout Indiana, primarily those in Delaware, Henry, Jay, Randolph, and Wayne Counties. It has outpatient locations in 9 counties with a main campus location at 240 N. Tillotson Avenue in Muncie, which includes 3 different specialty facilities, Suzanne Gresham Center, Meridian MD and Gero-Psychiatric Hospital.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII (6 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrant
Shelter Plus Care Program31164052
Residential and Food70141398
Client Activities50032885
Client Assistance50020812
Client Transportation50010401
HIV Client Care Assistance103976

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierSchI_P01_S00_L02Identifier
Return ReferenceSchedule I, Part I, Line 2ReturnReference
ExplanationMeridian Services Corp uses specific forms for each grant that they have. This allows Meridian to post to specific general ledger accounts.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Hank A Milius
2994000460200435800100208040999053020705587270
Kirk W Shafer
14705301200001180300021299019215502053180
Sarfraz Khan MD
1957910002606800031876025373502370090
Izzet Yazgan MD
183526000357500029371021647202051090
Snieguole Radzeviciene MD
1895070004104000254780219089000
Bob Coles
111742010000048400022776014500201507950
Brian Donley
108485010000050400025251014424001442170

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SchJ_P01_S00_L01aSchedule J, Part I, Line 1aHank Milius, President/CEO is reimbursed for social club dues; which is not reported as taxable compensation.
SchJ_P01_S00_L03Schedule J, Part I, Line 3Compensation for officers is based on a review of salary surveys, 990 searches, and research completed by an independent contractor. The research is reviewed by the Executive Committee and used to determine annual compensation, which is documented in the personnel file. Salary surveys are obtained from the Indiana Council of Community Mental Health Centers, MHCA, MGMA, and NCCBHC.
SchJ_P01_S00_L04Schedule J, Part I, Line 4Meridian Services Corp provides a supplemental non-qualified retirement plan described under section 457 (f) for its President-CEO. The plan is funded annually and vesting only occurs if the participant is still employed on January 15, 2017. No plan benefit payments were made to the participant during 2010.
SchJ_P01_S00_L07Schedule J, Part I, Line 7Performance bonus is based on annual measurable goals established by Board of Directors and subsequently quantified/approved by the Executive Committee.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonNo transactions exceeding minimumNamePerson
FieldValueIRS element (for citing)
RelationshipNo transactions exceeding minimumRelationship
Amount Of Transaction0AmountOfTransaction
Description Of TransactionNo transactions exceeding minimumDescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
F990_P06_S0B_L11bForm 990, Part VI, Section B, Line 11bThe form 990 and related attachments were made available to the full Board of Directors for their review.
F990_P06_S0B_L12cForm 990, Part VI, Section B, Line 12cThe Center has a conflict of interest policy. Annually each member of the Board of Directors, the Officers, and Key Employees are required to sign a Conflict of Interest Statement.
F990_P06_S0B_L15Form 990, Part VI, Section B, Line 15Compensation for officers is based on a review of salary surveys, 990 searches, and research completed by an independent contractor. The research is reviewed by the Executive Committee and used to determine annual compensation, which is documented in the personnel file. Salary surveys are obtained from the Indiana Council of Community Mental Health Centers, MHCA, MGMA, and NCCBHC.
F990_P06_S0C_L19Form 990, Part VI, Section C, Line 19The organization makes its governing documents, conflict of interest policy, and financial statements available to the public per request.
F990_P10_S00_L29Form 990, Part X, Line 29There was an error last year in classifying Board restricted net assets as permanently restricted net assets; however, they are truely unrestricted net assets.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNA
LTC Inc
240 N Tillotson AveMuncieIN47304311190460Housing for disabled clientsIN501(c)(3)9N/A
LTC-II Inc
240 N Tillotson AveMuncieIN47304351862757Housing for disabled clientsIN501(c)(3)9N/A
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg