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        <InvestmentEarningsOrLossesAmt>65025</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>802567</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>756915</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>-19373</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>737542</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>758943</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>-2028</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>756915</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>657311</BeginningYearBalanceAmt>
        <ContributionsAmt>275</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>101357</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>758943</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <BoardDesignatedBalanceEOYPct>0.00000</BoardDesignatedBalanceEOYPct>
      <PrmnntEndowmentBalanceEOYPct>1.00000</PrmnntEndowmentBalanceEOYPct>
      <TermEndowmentBalanceEOYPct>0.00000</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>1</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>1196255</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1196255</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>22376172</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>11376959</DepreciationAmt>
        <BookValueAmt>10999213</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>9232213</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>8114502</DepreciationAmt>
        <BookValueAmt>1117711</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>25845</OtherCostOrOtherBasisAmt>
        <BookValueAmt>25845</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>13339024</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>OTHER CURRENT ASSETS</Desc>
        <BookValueAmt>349970</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OTHER RECEIVABLES</Desc>
        <BookValueAmt>5185929</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OTHER ASSETS</Desc>
        <BookValueAmt>1157242</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>6693141</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>ESTIMATED THIRD-PARTY SETTLEMENT</Desc>
        <Amt>3263899</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>3263899</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>82149047</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>198275</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>198275</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>81950772</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>81950772</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>79016813</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>79016813</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>79016813</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV, LINE 2B:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CENTER IS THE REPRESENTATIVE PAYEE FOR SSI FUNDS PAID TO OUR PATIENTS. THE CENTER ALSO HAS AN OBLIGATION RELATED TO THE SUPPLEMENTAL EMPLOYEE RETIREMENT PROGRAM (SERP). THE SERP IS FUNDED EACH YEAR, BUT THE CENTER RETAINS OWNERSHIP OF THESE FUNDS (WHICH ARE REPORTED AS CENTER ASSETS). THE ORGANIZATION RECORDS THE ACCRUED SERP LIABILITY AS OF THE END OF THE FISCAL YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>MERIDIAN HEALTH SERVICES CORP. ESTABLISHED AGENCY FUNDS WITH THE COMMUNITY FOUNDATIONS LOCATED IN DELAWARE COUNTY, HENRY COUNTY, AND JAY COUNTY. INCOME IS AVAILABLE TO FURTHER THE EXEMPT PURPOSES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>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, 2018 AND 2017, 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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <FundraisingEventInformationGrp>
        <Event1Nm>RIALZO 9</Event1Nm>
        <GrossReceiptsEvent1Amt>477071</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>40463</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>436608</GrossRevenueEvent1Amt>
        <NonCashPrizesEvent1Amt>19213</NonCashPrizesEvent1Amt>
        <RentFacilityCostsEvent1Amt>91068</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>51227</FoodAndBeverageEvent1Amt>
        <EntertainmentEvent1Amt>85125</EntertainmentEvent1Amt>
        <OtherDirectExpensesEvent1Amt>85200</OtherDirectExpensesEvent1Amt>
        <Event2Nm>HOLIDAYS AT GRESHAM</Event2Nm>
        <GrossReceiptsEvent2Amt>30660</GrossReceiptsEvent2Amt>
        <CharitableContriEvent2Amt>10043</CharitableContriEvent2Amt>
        <GrossRevenueEvent2Amt>20617</GrossRevenueEvent2Amt>
        <CashPrizesEvent2Amt>1250</CashPrizesEvent2Amt>
        <NonCashPrizesEvent2Amt>0</NonCashPrizesEvent2Amt>
        <RentFacilityCostsEvent2Amt>77077</RentFacilityCostsEvent2Amt>
        <OtherDirectExpensesEvent2Amt>11518</OtherDirectExpensesEvent2Amt>
        <OtherEventsTotalCnt>2</OtherEventsTotalCnt>
        <GrossReceiptsOtherEventsAmt>35480</GrossReceiptsOtherEventsAmt>
        <CharitableContriOtherEventsAmt>3625</CharitableContriOtherEventsAmt>
        <GrossRevenueOtherEventsAmt>31855</GrossRevenueOtherEventsAmt>
        <RentFcltyCostsOtherEventsAmt>2329</RentFcltyCostsOtherEventsAmt>
        <FoodAndBeverageOtherEventsAmt>3808</FoodAndBeverageOtherEventsAmt>
        <EntertainmentOtherEventsAmt>1676</EntertainmentOtherEventsAmt>
        <OthDirectExpnssOtherEventsAmt>16689</OthDirectExpnssOtherEventsAmt>
        <GrossReceiptsTotalAmt>543211</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>54131</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>489080</GrossRevenueTotalEventsAmt>
        <CashPrizesTotalEventsAmt>1250</CashPrizesTotalEventsAmt>
        <NonCashPrizesTotalEventsAmt>19213</NonCashPrizesTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>170474</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>55035</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>86801</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>113407</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>446180</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>42900</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>SHELTER PLUS CARE PROGRAM: HOUSING ASSISTANCE</GrantTypeTxt>
        <RecipientCnt>200</RecipientCnt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>433836</NonCashAssistanceAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>RESIDENTIAL AND FOOD: FOOD AND SUPPLIES</GrantTypeTxt>
        <RecipientCnt>200</RecipientCnt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>296888</NonCashAssistanceAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>CLIENT ACTIVITIES: RECREATIONAL ACTIVITIES</GrantTypeTxt>
        <RecipientCnt>500</RecipientCnt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>32667</NonCashAssistanceAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>CLIENT TRANSPORTATION</GrantTypeTxt>
        <RecipientCnt>500</RecipientCnt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>7724</NonCashAssistanceAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>CLIENT ASSISTANCE: PERSONAL ITEMS</GrantTypeTxt>
        <RecipientCnt>500</RecipientCnt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>24712</NonCashAssistanceAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>CLINICAL SUPPLIES AND SERVICES</GrantTypeTxt>
        <RecipientCnt>500</RecipientCnt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>2127538</NonCashAssistanceAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <ClubDuesOrFeesInd>X</ClubDuesOrFeesInd>
      <WrittenPolicyRefTAndEExpnssInd>1</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>1</SubstantiationRequiredInd>
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>1</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>1</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>HANK A MILIUS</PersonNm>
        <TitleTxt>PRESIDENT/CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>494194</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>99000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1772703</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>112358</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>34041</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>2512296</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>1263168</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KIRK W SHAFER</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>253899</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>51300</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>19546</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>32150</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>23822</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>380717</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RAHILA QAZI</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>244335</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>431</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>106204</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5400</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>12833</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>369203</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SARFRAZ KHAN MD</PersonNm>
        <TitleTxt>V.P. MEDICAL SERVICES</TitleTxt>
        <BaseCompensationFilingOrgAmt>265135</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>40000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>71895</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>12150</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>29806</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>418986</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PU CHENG</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>299975</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>10425</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>12840</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>12150</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>12193</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>347583</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DENISE REEVES</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>289431</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1140</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>12150</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>12737</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>315458</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MALEEHA KHALID</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>284035</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1140</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>12150</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>8133</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>305458</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>HANK MILIUS, PRESIDENT/CEO IS REIMBURSED FOR SOCIAL CLUB DUES, WHICH IS NOT REPORTED AS TAXABLE COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION FOR OFFICERS IS BASED ON A REVIEW OF INDUSTRY RELATED 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>MERIDIAN HEALTH SERVICES CORP PROVIDES SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN DESCRIBED UNDER SECTION 457(F) FOR ITS PRESIDENT/CEO AND CFO. THE PLAN IS FUNDED ANNUALLY AND VESTING OCCURS IF THE PARTICIPANT MEETS CONTRACTUAL REQUIREMENTS. THE PLAN PAID THE VESTED BENEFIT OF $1,699,953 TO THE PRESIDENT/CEO DURING CALENDAR YEAR 2017. NO PLAN BENEFIT PAYMENTS WERE MADE TO THE CFO DURING THE CALENDAR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>PERFORMANCE BONUS IS BASED ON ANNUAL MEASURABLE GOALS ESTABLISHED BY BOARD OF DIRECTORS AND SUBSEQUENTLY QUANTIFIED/APPROVED BY THE EXECUTIVE COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE IS AUTHORIZED TO ACT IN EMERGENCY OR UNFORESEEN SITUATIONS AND BETWEEN MEETINGS OF THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE PERFORMS THE ANNUAL EVALUATION OF THE PRESIDENT/CEO, INCLUDING COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS OF REVIEWING THE FORM 990 INCLUDES A DETAILED REVIEW OF THE FORM AND REQUIRED SCHEDULES BY THE ORGANIZATION'S CFO AND CEO. 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>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 MERIDIAN 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 MERIDIAN.THE CONFLICT IS DOCUMENTED IN THE MINUTES OF THE MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION FOR OFFICERS: MERIDIAN HEALTH SERVICES BOARD HAS A PROCESS IN PLACE TO DETERMINE TOTAL COMPENSATION FOR ITS' PRESIDENT/CEO AND KEY EXECUTIVE STAFF. COMPENSATION IS DETERMINED BY THE EXECUTIVE COMMITTEE PER BOARD BYLAWS WITH BOARD APPROVED EXECUTIVE COMPENSATION GUIDELINES. THE GUIDELINES FOR TOTAL COMPENSATION INCLUDES BASE SALARY, BENEFITS AND SEVERANCE. THE PROCESS INCLUDES THE USE OF A WRITTEN EMPLOYMENT CONTRACT AND AN INDEPENDENT COMPENSATION CONSULTANT PROVIDING A REVIEW OF PEER HEALTH CARE ORGANIZATIONS FOR TOTAL COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 9,838,108. MANAGEMENT AND GENERAL EXPENSES 1,547,469. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,385,577.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>OVERSIGHT OF AUDIT</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LTC INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>240 N TILLOTSON AVE</AddressLine1Txt>
          <CityNm>MUNCIE</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>47304</ZIPCd>
        </USAddress>
        <EIN>311190460</EIN>
        <PrimaryActivitiesTxt>HOUSING FOR DISABLED CLIENTS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 11</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LTC-II INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>240 N TILLOTSON AVE</AddressLine1Txt>
          <CityNm>MUNCIE</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>47304</ZIPCd>
        </USAddress>
        <EIN>351862757</EIN>
        <PrimaryActivitiesTxt>HOUSING FOR DISABLED CLIENTS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 11</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>