2014-05-14T06:42:44-05:00 2013-06-30 351178661 BLUE & CO LLC ONE AMERICAN SQUARE 2200 INDIANAPOLIS IN 46282 990 2012-07-01 351302836 MERIDIAN HEALTH SERVICES CORP MERI 7652881928 240 NORTH TILLOTSON AVENUE MUNCIE IN 473043988 KIRK W SHAFER CPA 7652881928 2014-05-14 1 AMBER KOCHER CPA P01286298 3176334705 2012 2015-11-30 17:44:51Z HANK A MILIUS 240 NORTH TILLOTSON AVENUE MUNCIE IN 473043988 45615313 0 X WWW.MERIDIANHS.ORG X 1971 IN MERIDIAN HEALTH SERVICES IS A PROGRESSIVE HEALTHCARE ORGANIZATION SPECIALIZING IN "WHOLE PERSON" HEALTH, INTEGRATING PHYSICAL, MENTAL AND SOCIAL WELL-BEING. 10 10 858 260 0 0 6670518 7716087 31495590 30919296 10747 202717 43273 5595300 38220128 44433400 560689 651539 0 0 26143981 31498331 0 0 0 9931351 9450981 36636021 41600851 1584107 2832549 29493067 33338715 7658947 8662328 21834120 24676387 X TO PROMOTE AND IMPROVE MENTAL HEALTH AND QUALITY OF LIFE OF INDIVIDUALS IN THE COMMUNITIES WE SERVE. 0 0 7789221 651539 11084022 OUTPATIENT BEHAVIORAL HEALTH COUNSELING PROGRAMS TO ADULTS: MERIDIAN HEALTH SERVICES PROVIDES MENTAL HEALTH AND ADDICTIONS SERVICES TO RESIDENTS OF THE COMMUNITIES WE SERVE (PRIMARILY THOSE IN DELAWARE, HENRY, JAY, MARION, RANDOLPH, RUSH, AND WAYNE COUNTIES). SERVICES INCLUDE OUTPATIENT, PARTIAL HOSPITALIZATION, CHEMICAL DEPENDENCY, CASE MANAGEMENT, AND CONSULTATION AND EDUCATION. 12167031 0 12461019 BEHAVIORAL HEALTH INPATIENT AND MEDICAL SERVICES: MERIDIAN HEALTH SERVICES OPERATES A 20-BED INPATIENT UNIT AND PROVIDES BEHAVIORAL MEDICAL SERVICES TO RESIDENTS OF THE COMMUNITIES WE SERVE (PRIMARILY THOSE IN DELAWARE, HENRY, JAY, MARION, RANDOLPH, RUSH, AND WAYNE COUNTIES). 5570803 0 8466172 OUTPATIENT BEHAVIORAL HEALTH COUNSELING PROGRAMS FOR CHILDREN: MERIDIAN HEALTH SERVICES PROVIDES MENTAL HEALTH AND ADDICTIONS SERVICE TO RESIDENTS OF THE COMMUNITIES WE SERVE (PRIMARILY THOSE IN DELAWARE, HENRY, JAY, MARION, RANDOLPH, RUSH, AND WAYNE COUNTIES). SERVICES INCLUDE OUTPATIENT, FAMILY-CENTERED SERVICES, PARTIAL HOSPITALIZATION, CHEMICAL DEPENDENCY, CASE MANAGEMENT, AND CONSULTATION AND EDUCATION. 8668843 0 4427732 OUTPATIENT BEHAVIORAL HEALTH COUNSELING PROGRAMS: MERIDIAN HEALTH SERVICES PROVIDES ADDITIONAL SERVICES TO RESIDENTS OF THE COMMUNITIES WE SERVE (PRIMARILY THOSE IN DELAWARE, HENRY, JAY, MARION, RANDOLPH, RUSH, AND WAYNE COUNTIES). SERVICES INCLUDE EMERGENCY ACCESS, RESIDENTIAL, VOCATIONAL REHABILITATION, AND SERVICES TO CLIENTS DUALLY DIAGNOSED WITH INTELLECTUAL DISABILITIES AND MENTAL ILLNESS. 8668843 4427732 34195898 1 1 0 0 0 0 0 0 1 1 1 0 0 1 1 1 1 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 36 0 1 858 1 0 0 0 0 0 1 1 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IN X KIRK W SHAFER CPA 7652881928 240 N TILOTSON AVENUE MUNCIE IN 473043988 BRENT WEBSTER 1.00 0.00 X X 0 0 0 DR DAVID GOBBLE 1.00 0.00 X X 0 0 0 AL RENT 1.00 0.00 X X 0 0 0 TERRY WHITT BAILEY 1.00 0.00 X 0 0 0 JOHN BOWLES 1.00 0.00 X 0 0 0 DOUG LOY 1.00 0.00 X 0 0 0 SUE ANN PFLUM 1.00 0.00 X 0 0 0 BRIAN RING 1.00 0.00 X 0 0 0 WAYNE SHAFFER 1.00 0.00 X 0 0 0 STEVE SMITH 1.00 0.00 X 0 0 0 VICKI TAGUE 1.00 0.00 X 0 0 0 MICAH MAXWELL 1.00 0.00 X 0 0 0 HANK A MILIUS 50.00 0.00 X 442911 0 133850 KIRK W SHAFER 50.00 0.00 X 172165 0 30671 SARFRAZ KHAN 40.00 0.00 X 275161 0 33996 IZZET YAZGAN 40.00 0.00 X 197679 0 20007 SNIEGUOLE RADZEVICIENE 40.00 0.00 X 206489 0 20258 NITIN KHALDIKAR 40.00 0.00 X 222848 0 24947 ARMAN SIDDIQUI 40.00 0.00 X 280672 0 24510 1797925 0 288239 7 0 1 0 INTERIM HEALTHCARE STAFFING INC 8803 N MERIDIAN ST STE 325 INDIANAPOLIS IN 46260 PHYSICIAN RECRUITMENT AGENT 494838 CDW GOVERNMENT INC 200 N MILWAUKEE AVE VERNON HILLS IL 60061 TECHNOLOGY SOLUTION SERVICES 351158 PRIDEMARK CONSTRUCTION INC 419 S WALNUT ST MUNCIE IN 47308 CONSTRUCTION PROJECT 320863 MATRIX INTEGRATION LLC 417 MAIN STREET JASPER IN 47546 TECHNOLOGY SOLUTION SERVICES 181151 DENNIS WENGER & ABRELL PC 324 JACKSON ST MUNCIE IN 47305 LEGAL SERVICES 167742 10 9975 6921939 784173 7716087 NET PATIENT REVENUE 624100 30919296 30919296 30919296 108022 108022 438730 389006 49724 49724 49724 673383 500 578847 341 94536 159 94695 94695 289370 9975 213719 75651 75651 MEDICAID FUNDS RECOVERY 624100 2692049 2692049 BMH REIMBURSEMENTS 624100 2265548 2265548 512328 512328 5469925 44433400 36438945 0 278368 651539 651539 714311 714311 24772031 21417484 3354547 1083595 812696 270899 3076051 2447802 628249 1852343 1581264 271079 271515 216193 55322 80449 4710 75739 2737442 2293868 443574 209672 135710 73962 1230029 957070 272959 31479 31479 1253120 934813 318307 991295 947086 44209 434166 237565 196601 1400253 1133922 266331 233114 221905 11209 DUES & SUB. 225124 87602 137522 RECRUITMENT EXPENSE 97543 78035 19508 HAF EXPENSE 89822 0 89822 165958 36634 129324 41600851 34195898 7404953 0 21754 22353 10293689 11392646 313109 1215513 2621862 4171725 339100 376444 24750919 12858873 11826175 11892046 4077378 4267988 29493067 33338715 4528253 4873029 73180 48649 1048630 1232928 2008884 2507722 7658947 8662328 X 20734283 23322302 619787 874035 480050 480050 21834120 24676387 29493067 33338715 2832549 9718 0 X X 0 1 X 1 1 1 X 12497835 12294220 10622799 6623268 7716087 49754209 12497835 12294220 10622799 6623268 7716087 49754209 49754209 -19028 80820 250685 10795 212276 535548 50289757 123341733 0.98940 0.98960 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 586451 70860 657311 593114 -6663 586451 492027 101087 593114 266388 200000 25639 492027 320262 250 -54124 266388 1.00000 1 0 1215638 1215638 14616947 6580592 8036355 8774897 6278281 2496616 143437 143437 11892046 OTHER CURRENT ASSETS 246403 OTHER RECEIVABLES 2365091 OTHER ASSETS 1656494 4267988 MRO MATCH LIABILITY AND RESERVE 2507722 2507722 X 44832124 9718 9718 44822406 -389006 -389006 44433400 41989857 389006 389006 41600851 0 41600851 PART IV, LINE 2B: THE CENTER IS THE REPRESENTATIVE PAYEE FOR SSI FUNDS PAID TO OUR PATIENTS. THE CENTER ALSO HAS AN OBLIGATION RELATED TO THE SUPLLEMENTAL EMPLOYEE RETIREMENT PROGRAM (SERP). THE SERP IS FUNDED EACH YEAR, BUT THE CENTER RETAINS OWNERSHIP OF THESE FUNDS (WHICH ARE REPORTED AS CENTER ASSETS). THUS WE RECORD THE ACCRUES SERP LIABILITY AS OF THE END OF THE FISCAL YEAR. DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: MERIDIAN HEALTH SERVICES ESTABLISHED WITH THE COMMUNITY FOUNDATIONS LOCATED IN DELAWARE, HENRY, AND JAY COUNTIES. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE CORPORATION AND RECOGNIZE A TAX LIABILITY IF THE CORPORATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE CORPORATION, AND HAS CONCLUDED THAT AS OF JUNE 30, 2013 AND 2012, 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 CORPORATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES - DEPRECIATION, UTILITIES, REPAIRS AND MAINTENANCE -389,006. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES - DEPRECIATION, UTILITIES, REPAIRS AND MAINTENANCE 389,006. GALA 299345 9975 289370 213719 299345 9975 289370 213719 213719 75651 1 SHELTER PLUS CARE PROGRAM 43 237334 RESIDENTIAL AND FOOD 70 165485 CLIENT ACTIVITIES 500 62927 CLIENT TRANSPORTATION 500 12719 CLIENT ASSISTANCE 15 55380 HIV CLIENT CARE ASSISTANCE 97 2583 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: MERIDIAN HEALTH SERVICES USES SPECIFIC FORMS FOR EACH GRANT SELECTION CRITERIA. THIS ALLOWS MERIDIAN HEALTH SERVICES TO MAINTAIN FINANCIAL RECORDS FOR THE GRANT EXPENSES VIA SPECIFIC GENERAL LEDGER ACCONTS. X 1 1 X X X X X X 0 1 0 0 0 0 0 1 0 HANK A MILIUS 320740 0 49374 0 72797 0 100208 0 40788 0 583907 0 0 0 KIRK W SHAFER 144540 0 27000 0 625 0 0 0 33096 0 205261 0 0 0 SARFRAZ KHAN 219500 0 27000 0 28661 0 36450 0 311611 0 623222 0 0 0 IZZET YAZGAN 193943 0 0 0 3736 0 20692 0 218371 0 436742 0 0 0 SNIEGUOLE RADZEVICIENE 174663 0 29364 0 2462 0 0 0 20943 0 227432 0 0 0 NITIN KHALDIKAR 181181 0 27413 0 14254 0 0 0 20943 0 243791 0 0 0 ARMAN SIDDIQUI 179869 0 37866 0 62937 0 0 0 26381 0 307053 0 0 0 PART I, LINE 1A HANK MILIUS, PRESIDENT/CEO IS REIMBURSED FOR SOCIAL CLUB DUES, WHICH IS NOT REPORTED AS TAXABLE COMPENSATION. PART I, LINE 3 COMPENSATION FOR OFFICER 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 NCCBHS. PART I, LINE 4B MERIDIAN HEALTH SERVICES PROVIDES SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN DESCRIBED UNDER SECTION 457(F) FOR ITS PRESIDENT-CEO. THE PLAN IS FUNDED ANNUALLY AND VESTING OCCURS IF THE PARTICIPANT IS STILL EMPLOYED ON JANUARY 15, 2017. NO PLAN BENEFIT PAYMENTS WERE MADE TO THE PARTICIPANT DURING 2012. PART I, LINE 7 PERFORMANCE BONUS IS BASED ON ANNUAL MEASURABLE GOALS ESTABLISHED BY BOARD OF DIRECTORS AND SUBSEQUENTLY QUANTIFIED/APPROVED BY THE EXECUTIVE COMMITTEE. FORM 990, PART VI, SECTION B, LINE 11 THE PROCESS OF REVIEWING THE FORM 990 INCLUDES A DETAILED REVIEW OF THE FORM AND REQUIRED SCHEDULES BY THE ORGANIZATION'S CFO, CEO, AND FINANCE COMMITTEE. EACH VOTING MEMBER OF THE GOVERNING BODY RECEIVES FOR REVIEW THE FORM 990 INCLUDING REQUIRED SCHEDULES, AS ULTIMATELY FILED WITH THE IRS, PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY EACH MEMBER OF THE BOARD OF DIRECTORS, THE OFFICERS, AND KEY EMPLOYEES ARE REQUIRED TO SIGN A CONFLICT OF INTEREST STATEMENT. THE BOARD OF DIRECTOR'S WRITTEN CONFLICT OF INTEREST POLICY IS REGULARLY AND CONSISTENTLY MONITORED AND COMPLIANCE ENFORCED BY THE CHAIRMAN AND SECRETARY OF THE CORPORATION. THE SCOPE OF THIS POLICY INCLUDES ALL BOARD OF DIRECTORS. THE POLICY IS IN PLACE TO PREVENT ANY DETRIMENT TO MHS WHICH COULD ARISE OUT OF A DUALITY OF INTEREST OR POTENTIAL CONFLICT OF INTEREST AND PROVIDE DEFINITIONS AND PROCEDURES TO BE TAKEN IN SUCH EVENT. THE COVERED PERSONS ARE TO PROVIDE FULL DISCLOSURE OF ANY SUCH POTENTIAL CONFLICT TO THE SECRETARY OF THE CORPORATION THROUGH AN ANNUAL REPORTING PROCEDURE AND ALSO BY FULL DISCLOSURE OF THE CONFLICT AT THE TIME THE INTEREST BECOMES A MATTER OF BOARD ACTION. ANY BOARD MEMBER HAVING A DUALITY OF INTEREST SHALL NOT VOTE OR USE HIS/HER PERSONAL INFLUENCE ON ANY MATTER WHICH MAY INVOLVE A CONFLICT BETWEEN HIS/HER INTEREST AND THOSE OF MHS.THE CONFLICT IS DOCUMENTED IN THE MINUTES OF THE MEETING. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION 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. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. OVERSIGHT OF AUDIT THE AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT; AND NO PROCESSES HAVE CHANGED FROM PRIOR YEAR. LTC INC 240 N TILLOTSON AVE MUNCIE IN 47304 311190460 HOUSING FOR DISABLED CLIENTS IN 501(C)(3) LINE 9 N/A 0 LTC-II INC 240 N TILLOTSON AVE MUNCIE IN 47304 351862757 HOUSING FOR DISABLED CLIENTS IN 501(C)(3) LINE 9 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0