Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
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Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 615,580 | 393,917 | 207,639 | 195,398 | 281,609 | 1,694,143 |
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | 7,265,990 | 9,443,242 | 13,799,788 | 14,282,626 | 12,810,987 | 57,602,633 |
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | 27,628 | 11,124 | 14,255 | 12,482 | 8,088 | 73,577 |
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | 7,909,198 | 9,848,283 | 14,021,682 | 14,490,506 | 13,100,684 | 59,370,353 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | 59,370,353 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 7,909,198 | 9,848,283 | 14,021,682 | 14,490,506 | 13,100,684 | 59,370,353 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 20,332 | 20,726 | 16,398 | 20,050 | 48,170 | 125,676 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 20,332 | 20,726 | 16,398 | 20,050 | 48,170 | 125,676 |
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | 16,390 | 12,572 | 1,332 | 3,054 | 34,160 | 67,508 |
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 7,945,920 | 9,881,581 | 14,039,412 | 14,513,610 | 13,183,014 | 59,563,537 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2018 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2018 |
(iii) Distributable Amount for 2018 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2018 from Section C, line 6 |
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|
2
Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2018: | ||||
| a From 2013....... | ||||
| b From 2014....... | ||||
| c From 2015....... | ||||
| d From 2016....... | ||||
| e From 2017....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2018 distributable amount | ||||
|
i
Carryover from 2013 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2018 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2018 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
7 Excess distributions carryover to 2019. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2014...... | ||||
| b Excess from 2015..... | ||||
| c Excess from 2016..... | ||||
| d Excess from 2017..... | ||||
| e Excess from 2018..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PAGE 1, PART I, LINE 6 | VOLUNTEERS INCLUDE NON-COMPENSATED BOARD MEMBERS AND CLINICAL INTERNS. |
| FORM 990, PAGE 2, PART III, LINE 4A | SIGNIFICANT ACCOMPLISHMENTS AND PROGRAMS: 1. A LOCAL MANAGED CARE ORGANIZATION DESIGNATED MERIDIAN AS ONE OF FIVE "COMPREHENSIVE CARE CENTERS" IN A 23 COUNTY REGION. THE CENTERS PROVIDE A "CORE SERVICES BUNDLE" THAT INCLUDES READY ACCESS TO ASSESSMENT SERVICES (WALK-IN CENTERS), BASIC BENEFIT SERVICES (INDIVIDUAL AND EVIDENCE-BASED GROUP TREATMENT), PSYCHIATRIC/MEDICATION EVALUATION AND CRISIS SERVICES. IN ADDITION, THE CENTERS PROVIDE AN ARRAY OF MEDICAID-FUNDED, ENHANCED SERVICES (ASSERTIVE COMMUNITY TREATMENT TEAM, INTENSIVE IN-HOME AND OTHERS). 2. MERIDIAN CONTINUES TO BE ONE OF THE LEADING PROPONENTS OF THE "RECOVERY" INITIATIVE FOR ADULTS. IN NORTH CAROLINA, REQUESTS FOR TRAINING AND CONSULTATIONS CONTINUE. TRAINING PROGRAMS IN RECOVERY AND RECONNECT FOR RESILIENCE, PEER EMPLOYMENT FOR INDIVIDUALS IN AND OUTSIDE THE ORGANIZATION ARE PROVIDED. 3. THERE ARE NOW WALK-IN FACILITIES IN MACON, JACKSON, HAYWOOD, AND TRANSYLVANIA COUNTIES. THESE FACILITIES PROVIDE OUTPATIENT AND MEDICATION MANAGEMENT SERVICES FOR ADULTS AND CHILDREN AND FAMILIES. 4. MERIDIAN CONTINUES TO BE RECOGNIZED FOR THE WORK IT DOES WITH ITS ASSERTIVE COMMUNITY TREATMENT TEAM SERVICES FOR ADULTS. THE TEAMS IN HAYWOOD, CHEROKEE, AND JACKSON COUNTIES HAVE EXPANDED TO BE MID-SIZE TEAMS WHICH INDICATE THAT EACH TEAM CAN NOW SERVE 75 CONSUMERS. 5. MERIDIAN RECENTLY EXPANDED ITS OFFENDER SERVICES PROGRAM TO INCLUDE A DOMESTIC VIOLENCE INTERVENTION PROGRAM. 6. MERIDIAN CONTINUES TO ASSIST EMPLOYEES WHO WISH TO ATTAIN DUAL CREDENTIALS IN SUBSTANCE ABUSE AND MENTAL HEALTH. EMPLOYEES IN ALL SERVICE PROGRAMS ARE ELIGIBLE TO PARTICIPATE IN THIS INITIATIVE. IT IS MERIDIAN'S PLAN TO HAVE DUALLY-CREDENTIALED, DUALLY-COMPETENT CLINICIANS IN ALL SERVICES AND PROGRAMS. 7. MERIDIAN CONTINUES TO USE PEER SUPPORT SPECIALISTS IN THE RECOVERY EDUCATION CENTERS, AS WELL AS, OUTPATIENT SERVICES. INTERVENTIONS BY PEER SUPPORT SPECIALISTS SERVE TO ENHANCE THE DEVELOPMENT OF NATURAL SUPPORTS, AS WELL AS COPING AND SELF-MANAGEMENT SKILLS, AND MAY ALSO PROVIDE SUPPORTIVE SERVICES TO ASSIST AN INDIVIDUAL IN COMMUNITY RE-ENTRY FOLLOWING HOSPITALIZATION. SPECIFIC INTERVENTIONS INCLUDE: SELF-HELP, SYSTEM ADVOCACY, INDIVIDUAL ADVOCACY, PRE-CRISIS AND POST-CRISIS SUPPORT, HOUSING, EDUCATION/EMPLOYMENT, MEALS AND SOCIAL ACTIVITIES. 8. MERIDIAN CONTINUES TO PROVIDE SUPPORTED EMPLOYMENT PROGRAMS WHICH IS AN EVIDENCE BASED PRACTICE. SUPPORTED EMPLOYMENT HAS SHOWN TO BE EFFECTIVE IN ASSISTING INDIVIDUALS TO ACQUIRE AND MAINTAIN COMPETITIVE PAID EMPLOYMENT, PARTICULARLY THOSE FOR WHOM EMPLOYMENT HAS NOT BEEN ACHIEVED AND/OR HAS BEEN INTERRUPTED OR INTERMITTENT. SERVICES ARE DRIVEN BY THE PROGRAM PARTICIPANTS PREFERENCES AND CHOICES. ONE OF THE HALLMARKS OF THIS SERVICE IS THAT NO ONE IS EXCLUDED ("ZERO-EXCLUSION" FROM PARTICIPATION IN THE PROGRAM ON THE BASIS OF READINESS, DIAGNOSIS, SYMPTOMS, SUBSTANCE ABUSE HISTORY, PSYCHIATRIC HOSPITALIZATION, LEVEL OF DISABILITY OR LEGAL SYSTEM INVOLVEMENT. THE SERVICE CLEARLY AFFIRMS THAT EMPLOYMENT IS A PATH TO RECOVERY. 9. MERIDIAN SUPPORTS CHILDREN AND FAMILIES THROUGH INDIVIDUAL COUNSELING IN OFFICES AND SCHOOLS, DAY TREATMENT SERVICES, INTENSIVE IN-HOME SERVICES, AND MEDICATION MANAGEMENT. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTANT WITH ASSISTANCE AND OVERSIGHT BY MANAGEMENT. UPON COMPLETION AND REVIEW, THE RETURN WAS PROVIDED TO EACH VOTING BOARD MEMBER PRIOR TO SUBMISSION TO THE IRS. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE ORGANIZATION IS REQUIRED TO MAINTAIN A CONFLICT OF INTEREST POLICY PER SEVERAL OF ITS PROVIDER AGREEMENTS. THE POLICY PROHIBITS THE ORGANIZATION FROM DIRECTLY ENGAGING IN BUSINESS TRANSACTIONS WITH BOARD MEMBERS, AND THE MEMBERS ARE REQUIRED AFFIRM ADHERANCE TO THE POLICY EACH YEAR IN WRITING. |
| FORM 990, PAGE 6, PART VI, LINE 15A | COMPENSATION FOR THE CEO IS DETERMINED BY THE BOARD OF DIRECTORS USING GOVERNMENT COMPARABILITY DATA FOR OTHER HEALTH CARE PROVIDER ORGANIZATIONS OF SIMILAR SIZE WITHIN THE REGION. MARKET VALUE FOR SIMILAR SERVICES FOR SIMILARLY SIZED ORGANIZATIONS IS THE TARGET. AS OF THE FILING OF THIS RETURN, COMPENSATION WAS LAST REVIEWED FOR THE CEO/EXECUTIVE DIRECTOR IN THE FALL OF 2018. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. |
| FORM 990, PART XI, LINE 9 | IMPAIRMENT LOSS -139,983 |
| Software ID: | |
| Software Version: |