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MERIDIAN HEALTH SERVICES CORP: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
MERIDIAN HEALTH SERVICES CORP (EIN 35-1302836)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-16
IRS object ID
201111379349300001
Schema version
2009v1.2
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)
Timestamp2011-05-16T23:35:22-07:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

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 Signed2011-01-04DateSigned
FieldValueIRS element (for citing)
Tax Year2009TaxYear
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 Receipts30124259GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitemeridiansc.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1976YearFormation
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 Members8NbrIndependentVotingMembers
Total Nbr Employees577TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year12497835ContributionsGrantsPriorYear
Contributions Grants Current Year12294220ContributionsGrantsCurrentYear
Program Service Revenue Prior Year16392371ProgramServiceRevenuePriorYear
Program Service Revenue CY17298863ProgramServiceRevenueCY
Investment Income Prior Year-19028InvestmentIncomePriorYear
Investment Income Current Year80820InvestmentIncomeCurrentYear
Other Revenue Prior Year251006OtherRevenuePriorYear
Other Revenue Current Year450356OtherRevenueCurrentYear
Total Revenue Prior Year29122184TotalRevenuePriorYear
Total Revenue Current Year30124259TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year399378GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY453874GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year17913060SalariesEtcPriorYear
Salaries Etc Current Year20179116SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year7770521OtherExpensePriorYear
Other Expenses Current Year8162632OtherExpensesCurrentYear
Total Expenses Prior Year26082959TotalExpensesPriorYear
Total Expenses Current Year28795622TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3039225RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1328637RevenuesLessExpensesCY
Total Assets BOY22787651TotalAssetsBOY
Total Assets EOY24235744TotalAssetsEOY
Total Liabilities BOY5472441TotalLiabilitiesBOY
Total Liabilities EOY5591900TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY17315210NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY18643844NetAssetsOrFundBalancesEOY
Mission DescriptionTo promote and improve the mental health and quality of life of individuals in the communities we serveMissionDescription
Significant New Program Services1SignificantNewProgramServices
Significant Change0SignificantChange
Expense7619254Expense
Revenue6006010Revenue
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, Randolph, Wayne and Jay Counties).Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense7130798Expense
Revenue9109731Revenue
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, Randolph, Wayne and Jay Counties). Services include outpaitent, partial hospitalization, chemical dependency, case management, and consultation and education.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense3376789Expense
Revenue3515955Revenue
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, Randolph, Wayne and Jay Counties). Services include outpatient, family-centered services, partial hospitalization, chemical dependency, case managment, and consultation and education.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense5825379Expense
Revenue6367778Revenue
DescriptionOutpatient behavioral helath counseling programs: Meridian Services Corp provides additional services to residents of the communities that we serve (primarily those in Delaware, Henry, Randolph, Wayne and Jay Counties). Services include emergency access, reesidential, vocational rehabilitiation, and services to clients dually diagnosed with intellectual disabilities and mental illness.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp5825379TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev6367778TotalOfOtherProgramServiceRev
Total Program Service Expense23952220TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
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
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 Organization1BsnssRltnshpWithOrganization
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
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109639NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees577NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
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 CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Ms Terri Matchett
Chairman0X000
Mr Mike Lunsford
Vice-Chairman0X000
Mr Brent Webster
Secretary0X000
Mr Brian Ring
Board Member0X000
Ms Vicki Tague
Board Member0X000
Mr Al Rent
Board Member0X000
Mr Micah Maxwell
Board Member0X000
Mr Doug Loy
Board Member0X000
Dr David Gobble
Board Member0X000
Hank A Milius
President/CEO504207710126939X
Kirk W Shafer
V.P. Finance50183913019706X
Hai Cheng Tsao
Medical Director50238462028237X
Sarfraz Khan MD
Staff Psychiatrist40211168024144X
Izzet Cagri Yazgan
Staff Psychiatrist40183925019486X
Robert Coles
V.P. Business Development40126804022293X
Brian Donley
V.P. Clinical Services40124087018433X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1489130TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation259238TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
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
1717 W 8th StreetSuite 600IndianapolisIN46260Physician recruitment agency373288
The Gale Tschuor Co Inc
PO Box 278YorktownIN46266Building Remodel226058
Staff Care
PO Box 281923AtlantaGA30384Physician recruitment agency194883
Blue & Co
PO Box 66568IndianapolisIN46266Accounting Firm165791
Havel Bros
PO Box 1287Ft WayneIN46801Heating & Air Maitenance125624Div of Shambauch & Son
FieldValueIRS element (for citing)
Number Of Contractors GT100 K23NumberOfContractorsGT100K
Federated Campaigns0FederatedCampaigns
Membership Dues0MembershipDues
Fundraising Events0FundraisingEvents
Related Organizations0RelatedOrganizations
Government Grants12200611GovernmentGrants
All Other Contributions93609AllOtherContributions
Noncash Contributions0NoncashContributions
Total Contributions12294220TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
Medicare/Medicaid62410013934584139345840$0
Self Pay and 3rd party net service624100116001011600100$0
BMH Reimbursements624100220426922042690$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 Revenue17298863TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column80820TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$80,820ExclusionAmount

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)
Real450356Real
Personal0Personal

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real450356Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column450356TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$450,356ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities0Securities
Other0Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities
Other0Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events0GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events0CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses0FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming0GrossIncomeGaming
Gaming Direct Expenses0GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory0GrossSalesOfInventory
Cost Of Goods Sold0CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column30124259TotalRevenueColumn
Related Or Exempt Function Income17298863RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$531,176ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total453874Total
Program Services453874ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total604684Total
Program Services0ProgramServices
Management And General604684ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

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

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total15241053Total
Program Services13636007ProgramServices
Management And General1605046ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total663261Total
Program Services379031ProgramServices
Management And General284230ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2492333Total
Program Services2077157ProgramServices
Management And General415176ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1177785Total
Program Services999180ProgramServices
Management And General178605ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

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

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total136294Total
Program Services250ProgramServices
Management And General136044ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total166726Total
Program Services0ProgramServices
Management And General166726ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

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

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total
Fundraising0Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

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

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1766640Total
Program Services1532773ProgramServices
Management And General233867ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total519318Total
Program Services145504ProgramServices
Management And General373814ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total131264Total
Program Services36882ProgramServices
Management And General94382ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total634395Total
Program Services534117ProgramServices
Management And General100278ManagementAndGeneral
Fundraising0Fundraising

Royalties Royalties

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

Occupancy Occupancy

FieldValueIRS element (for citing)
Total847553Total
Program Services670246ProgramServices
Management And General177307ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total461605Total
Program Services385864ProgramServices
Management And General75741ManagementAndGeneral
Fundraising0Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

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

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total317967Total
Program Services174313ProgramServices
Management And General143654ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total19496Total
Program Services19496ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

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

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1034378Total
Program Services986207ProgramServices
Management And General48171ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total201519Total
Program Services74999ProgramServices
Management And General126520ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Bad Debt1276023127602300
BMH Pass Through50260750260700
Other Operating Expense14672167690790310
Loss from Sale of Asset12601260

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total28795622Total
Program Services23952220ProgramServices
Management And General4843402ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY19301BOY
EOY20157EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4272874BOY
EOY7777287EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1597754BOY
EOY357086EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5425879BOY
EOY2961939EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY285193BOY
EOY277492EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis19633884LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec9115450LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY9631706BOY
EOY10518434EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1554944BOY
EOY2323349EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY22787651BOY
EOY24235744EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4269512BOY
EOY4426529EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY47241BOY
EOY51631EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY298762BOY
EOY235864EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY419116BOY
EOY419116EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY437810BOY
EOY458760EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY5472441BOY
EOY5591900EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY17035160BOY
EOY17853794EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY280050BOY
EOY790050EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY17315210BOY
EOY18643844EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY22787651BOY
EOY24235744EOY
FieldValueIRS element (for citing)
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 Years7824138CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9143248CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12069257CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12497835CurrentTaxYearMinus1Year
Current Tax Year12294220CurrentTaxYear
Total53828698Total

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 Years7824138CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9143248CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12069257CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12497835CurrentTaxYearMinus1Year
Current Tax Year12294220CurrentTaxYear
Total53828698Total
FieldValueIRS element (for citing)
Public Support Total17053828698PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years200477CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years208064CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years73077CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year-19028CurrentTaxYearMinus1Year
Current Tax Year80820CurrentTaxYear
Total543410Total
FieldValueIRS element (for citing)
Total Support54372108TotalSupport
Public Support Pertcentage1700.99001PublicSupportPertcentage170
Public Support Pertcent Prior Year0.98791PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule D IRS990ScheduleD

Current Year CurrentYear

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 Minus1 Year CurrentYearMinus1Year

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 Basis437757InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Book Value437757BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis13203617InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation4561026Depreciation
Book Value8642591BookValue

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 Basis5574157InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation4554424Depreciation
Book Value1019733BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis418353InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value418353BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings10518434TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
Endowment Funds492027
Indiana Funds Recovery688671
Agency Funds Held149494
Funds Held in Trust Under Trust Indenture, Less Current Portion492565
Other Current Assets500592
FieldValueIRS element (for citing)
Total Book Value Other Assets2323349TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionOther Long Term LiabilitiesDescription
Amount$458,760Amount
FieldValueIRS element (for citing)
Total Of Amounts458760TotalOfAmounts
Total Revenue30124259TotalRevenue
Total Expenses28795622TotalExpenses
Excess Or Deficit For Year1328637ExcessOrDeficitForYear
Net Unrealized GL On Investments0NetUnrealizedGLOnInvestments
Donated Services And Facilities0DonatedServicesAndFacilities
Investment Expenses0InvestmentExpenses
Prior Period Adjustments0PriorPeriodAdjustments
Other$0OtherAmount
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS1328637ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt30124132TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments0NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities0DonatedSrvcAndUseOfFacilities
Recoveries Of Prior Year Grants0RecoveriesOfPriorYearGrants
Other Revenues-127OtherRevenues
Revenue Not Rptd F990-127RevenueNotRptdF990
Revenue Subtotal30124259RevenueSubtotal
Investment Expenses Not Included0InvestmentExpensesNotIncluded
Other Revenues Not Included0OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99030124259TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt28795495TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities0DonatedServicesUseOfFacilities
Prior Year Adjustments0PriorYearAdjustments
Losses Reported0LossesReported
Other Expenses Included-127OtherExpensesIncluded
Expenses Not Rptd F990-127ExpensesNotRptdF990
Expenses Subtotal28795622ExpensesSubtotal
Investment Expenses Not Included20InvestmentExpensesNotIncluded2
Other Expenses Not Included0OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99028795622TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 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_L00Schedule D, Part XAccrued liability for earned portion of the supplemental employee retirement program.
SchD_P12_S00_L02dSchedule D, Part XII, Line 2dLoss on sale of assets
SchD_P13_S00_L02dSchedule D, Part XIII, Line 2dLoss on sale of assets

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 Percentage0.5FreeOtherPercentage
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 Expense3336200TotalCommunityBenefitExpense
Net Community Benefit Expense3336200NetCommunityBenefitExpense
Percent Of Total Expense0.1212PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense20626241TotalCommunityBenefitExpense
Direct Offsetting Revenue14219447DirectOffsettingRevenue
Net Community Benefit Expense6406794NetCommunityBenefitExpense
Percent Of Total Expense0.2328PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense23962441TotalCommunityBenefitExpense
Direct Offsetting Revenue14219447DirectOffsettingRevenue
Net Community Benefit Expense9742994NetCommunityBenefitExpense
Percent Of Total Expense0.3540PercentOfTotalExpense

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 Expense646742TotalCommunityBenefitExpense
Direct Offsetting Revenue401536DirectOffsettingRevenue
Net Community Benefit Expense245206NetCommunityBenefitExpense
Percent Of Total Expense0.0089PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense686742TotalCommunityBenefitExpense
Direct Offsetting Revenue401536DirectOffsettingRevenue
Net Community Benefit Expense285206NetCommunityBenefitExpense
Percent Of Total Expense0.0103PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense24649183TotalCommunityBenefitExpense
Direct Offsetting Revenue14620983DirectOffsettingRevenue
Net Community Benefit Expense10028200NetCommunityBenefitExpense
Percent Of Total Expense0.3643PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$763,004BadDebtExpenseAmount
Amount Attributable To682548AmountAttributableTo
Amount Reimbursed By Medicare1723745AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare2295430CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-571685MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Form990 Schedule H Part V Form990ScheduleHPartV (15 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeOtherOtherLicensed HospitalLicensedHospital
Meridian Services Corp
240 N TillotsonMuncieIN47304Outpatient/admin
Annex
130 N TillotsonMuncieIN47304Outpatient
Gresham Center
3620 White River BlvdMuncieIN47304Outpatient
Henry County
930 N 14th StNew CastleIN47362Outpatient
Jay County
931 W Water StPortlandIN47371Outpatient
Randolph County
2 Omco SquareWinchesterIN47394Outpatient
Wayne County
18 SW 5th StRichmondIN47374Outpatient
Inpatient
2401 W University AveMuncieIN47304X
Eber House
1101 N Wheeling AveMuncieIN47303Residential
Ellison House
1944 W 8th StMuncieIN47302Sub-Acute
Ford House
325 S Bittersweet LaneMuncieIN47304Residential
Lewis House
407 W AdamsMuncieIN47305Residential
Teaboldt House
536 S 14th StNew CastleIN47362Residential
Logan House
1422 N TillotsonMuncieIN47304Residential
Meridian MD
110 N TillotsonMuncieIN47304Primary Care

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Costing Method UsedCharity care (based on gross revenues) is determined in accordance with established Charity Care Policies that provide discounted or free services to financially eligible consumers. The total amount of recorded charity care was multiplied by the "patient care cost to charge ratio" (in accordance with IRS instructions and worksheets) to determine the "cost" of charity care. Unreimbursed Medicaid was determined by applying the cost to charge ratio against total Medicaid revenues and then subtracting the Medicaid payments.CostingMethodUsed
Subsidized Health Services ExplnSubsidized health services includes the net unreimbursed costs of providing psychiatric services (by psychiatrists and nurse practitioners), adjusted for "community benefit" amounts reported on lines 7a and 7b.SubsidizedHealthServicesExpln
Percent Of Total Expense Expln$1,276,023 of Bad Debt Expense (based on net recorded revenues) was removed when computing the %'s in Col (f)PercentOfTotalExpenseExpln
Bad Debt FootnoteNet Patient Service Revenues and Patient Accounts - Receivable 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, 2010 and 2009, the allowances totaled $4,664,225 and $3,938,951, respectively. Of the total allowance amounts, $2,940,902 and $2,414,981 as of June 30, 2010 and 2009, respectively, related to uncollectible bad debts on self-pay accounts. Included in net patient service revenue are reimbursements from Medicare, Medicaid, Commercial payors and self-pay patients. Charity Care - The Center provides care to clients who meet certain criteria under its charity care policy without charge or at amounts less than its established rates. Because the Center does not pursue collection of amounts determined to qualify as charity care, those amounts are not reported as net client service revenue. Estimated charity care provided in 2010 and 2009 was $5,579,352 and $4,809,409, respectively. "Cost" of Bad Debt was computed by multiplying the Center's Bad Debt expense (recorded based on net patient revenues) by the "patient care cost to charge ratio" computed per IRS instructions and the accompanying worksheet. 89% of the center's self-pay revenues are subject to a charity care discount. We used this 89% times the "cost of bad debt" to determine the additional community benefit provided to our consumers.BadDebtFootnote
Shortfall As Community BenefitThe Center accepts assignment from Medicare for the reimbursement of services provided to our clients and thus is unable to bill the consumer other than for deductibles and co-pays. To the extent that Medicare's reimbursement and consumer deductibles and co-pays are insuffuicient to cover our costs, this represents a "community benefit." The amounts reported on lines 5 and 6 are from the Medicare Cost Report for inpatient services. These amounts do not include outpatient services.ShortfallAsCommunityBenefit
Debt Collection PolicyUpon admission for services, consumers are requested to provide documentation of income. Based on information provided, consumers are assigned a discount percentage for subsequent services. The discount percentage is applied against the "gross charge" for services and consumers are expected to pay the remaining balance. Should consumers experience difficulties in paying the discounted fees, we provide additional "payment plan options" as well as further discounts up to and including the full write-off of the balance as warranted by individual facts and circumstances.DebtCollectionPolicy
Needs AssessmentThe Center conducts external needs assessments as part of their 5 year strategic planning process.NeedsAssessment
Patient Education AssistanceThe Center has a stardardized admission process for all consumers. As part of the admission process, consumers are requested to provide income documentation in order to qualify for discounted fees. Consumers are informed of the standard fees for services, discount fee scheule, charity care policy, and are provide a copy of their financial agreement that summarizes these items. Copies of our fee schedule, discount schedule, and charity care policy are placed in all admission departments. Consumers with third party payor sources are matched with eligible providers to ensure reimbursement of services. For consumers that do not have third party payor sources and that meet Medicaid criterial (financial and clinical), we provide extensive assistance to facilitate their enrollment in Medicaid.PatientEducationAssistance
Community InformationMeridian provides services to approximately 20 counties in Central and East Central Indiana. We have outpatient offices in the following Counties: Delaware, Henry, Jay, Randolph, and Wayne. Each office is located in a MUA. Our inpatient facility is located in Delaware County.CommunityInformation
Affiliated Health Care SystemN/AAffiliatedHealthCareSystem
Reports Filed With StatesINReportsFiledWithStates

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII (5 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrant
Residential and Food70170954
Shelter Care Plus Program35187540
Client Activities50077027
Client Transportation50012753
HIV Client Care Assistance105600

Form990 Schedule I Part IV Form990ScheduleIPartIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SchI_P01_S00_L02Schedule I, Part I, Line 2Meridian Services Corp uses specific forms for each grant that they have. This allows Meridian to post to specific general ledger accounts.
SchI_P03_S00_L00Schedule I, Part IIIMeridian uses specific forms to monitor compliance with each grant. This allows Meridian Services Corp to post to the correct general ledger accounts and to accurately report/monitor financial transactions and to meet program expectations.

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
30403004425007249101002080377480558727000
Kirk W Shafer
149927016500017487000214040205318000
Hai Cheng Tsao
21919801820001064000299350268397000
Sarfraz Khan MD
1803350298750957000258420237009000
Izzet Cagri Yazgan
181074019180933000211840205109000
Robert Coles
1097310165000573000239910150795000
Brian Donley
1070380165000548000201310144217000

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 2009.
SchJ_P01_S00_L07Schedule J, Part I, Line 7Bonus is 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 minimum reporting thresholdRelationship
Amount Of Transaction0AmountOfTransaction
Description Of TransactionNo transactions exceeding minimum reporting thresholdDescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
F990_P03_S00_L02Form 990, Part III, Line 2In April 2010, Meridian Services Corp opened Meridian MD a primary care medical office that focuses on the integration of physical health and mental health services.
F990_P04_S00_L38Form 990, Part IV, Line 38Yes
F990_P06_S0B_L11Form 990, Part VI, Section B, Line 11The Executive Committee reviewed the completed Form 990 and related attachments and reported the results of the review to the full Board of Directors. In addition, the 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 is 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_P11_S00_L02aForm 990, Part XI, Line 2aThe Audit Committee selects the Independent Auditor and annually meets with the auditor to review the results of the financial statements and findings. The audit is completed in compliance with the Government Auditing Standards.

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