{"success":true,"data":{"_id":351128752,"filings":[{"Organization":{"Hours":[0],"Total Compensation":[0],"Direct compensation":[0],"Other compensation":[0]},"Basic":{"mission":"Madison center's mission is to provide optimally effective mental health and substance abuse services to citizens of st. Joseph county and surrounding counties. The center carries out its mission through the planning, development and management of human and financial resources within a unified system of mental health services, providing education, prevention and treatment services.","primary_activities":"Outpatient services - our care philosophy on the outpatient services is based on a concern for the overall emotional well-being of our patients and respect for their individual needs. Our primary goal focuses on alleviating acute psychological distress resulting from life crisis and mental disorders and on improving quality of life. We achieve this through the delivery of coordinated psychiatric services provided by a multi-disciplinary team of mental health professionals tailored to the patient's individual needs. A total of 141,366 individual and group counseling hours, 158,639 case management hours, 63,377 physician units and 3,918 evaluating and testing hours were delivered.\n\nInpatient services - the inpatient units at madison center are designed to address acute behavioral,psychiatric and medical needs. Inpatient services are comprised of group, individual, family and recreational therapy. The goal of inpatient care at madison center is to stabilize the patient and return them to family and/or school environments as soon as possible. A total of 20,271 days of inpatient treatment were delivered.\n\nResidential services - the residential program provides comprehensive and developmentally appropriate treatment. It provides a safe highly-structured and supportive environment designed to promote positive social/emotional development and improve behavioral functioning. A total of 23,541 days of residential services were delivered.\n\nPartial hospital/day treatment, consultation and education.","year":2009,"name":"MADISON CENTER INC","phone":"5742340061","website":"WWW.MADISON.ORG","type":"990","principal_officer":"MICHAEL R LANE RECEIVER","year_formation":1949,"state_legal_domicile":"IN","total_volunteers":0,"tax_period_begin":"2009-07-01T00:00:00","tax_period_end":"2010-06-30T00:00:00","address":"PO BOX 80, SOUTH BEND, IN, 46624, USA","city":"SOUTH BEND","state":"IN","country":"USA","zip_code":"46624"},"Governance":{"501c determination":true,"Number of voting members":16,"Number of independent voting members":16,"Number of employees total":1513,"Total Gross UBI":671558,"Net unrelated business taxable income":-114863,"Number of employees":1513,"Prohibited tax shelter transactions":false,"Taxable party notification":false,"Funds to pay premiums":false,"Premiums Paid":false,"Family or business relationship":false,"Delegation of management duties":true,"Conflict of interest policy":true,"Whistle blower policy":true,"Compensation process for CEO":true,"Compensation process for other employees":true,"Changes to organizing documents":false,"Material diversion or misuse":false,"Members or stockholders":false,"Election of board members":false,"Decisions subject to approval":false,"Minutes of governing body":true,"Local chapters":true,"Form 990 provided to governing body":false,"Document retention policy":true,"Investment in joint venture":false,"Independent audit financial statements":false,"Consolidated audit financial statements":true,"Accountant compile or review":false,"Financial statements audited by independent accountant":true,"Audit committee":true,"Federal grant audit required":true,"Federal grant audit performed":true,"Political activities":false,"Donor advised funds":false,"Conservation easements":false,"Collections of art":false,"School":false,"Hospital":true,"Foreign activities":false,"Foreign office":false,"Gaming":false,"Fundraising activities":false,"Professional fundraising":false,"Loan to officer or DQP":false,"Grant to related person":false,"Business relationship through family member":false,"Business relationship with organization":false,"Transfers to exempt non-charitable organization":false},"Revenues":{"value":54306315,"Contributions":{"value":3096661,"Other contributions":6219,"Grant revenue":3090442},"Program revenue":{"value":49595203,"Total revenue":{"value":49595203,"VARIOUS":49595203},"Unrelated business revenue":671558},"Investment income":{"value":109033,"Investment income total":32979,"Net investment gain":76054},"Other revenues":{"value":1505418,"Other total":993040,"Net rental income":512378}},"Expenses":{"value":57582228,"Grant expense":{"value":4000,"Grants to domestic individuals":4000},"Total professional fundraising expense":{"value":0},"Benefits paid to members":{"value":0},"Salaries":{"value":36011735,"Current officers":843183,"Other salaries and wages":27895509,"Other employee benefits":5215552,"Payroll taxes":2057491},"Other expenses":{"value":21566493,"Management services":3214826,"Legal":759050,"Lobbying services":6468,"Investment management fees":51601,"Other services":2464138,"Advertising":100772,"Office expenses":209411,"Information technology":381663,"Occupancy":5820024,"Travel":876741,"Conferences and meetings":57091,"Interest":2794384,"Depreciation and depletion":2778065,"Insurance":871573,"Itemized Expenses":{"value":1150136,"VARIOUS":1150136},"All other expenses":30550}},"Assets":{"value":78924578,"Non-interest bearing cash":3350,"Savings and temp cash investments":13893078,"Accounts receivable":5652780,"Other net note and loans":141676,"Prepaid expenses deferred charges":819678,"Land, building, equipment":57156067,"Investments publicly traded":4868,"Intangible assets":1253081},"Liabilities":{"value":64750997,"Accounts payable, accrued":7719293,"Deferred, revenue":3029,"Tax exempt bond liabilities":52702940,"Unsecured notes loans payable":4029636,"Other liabilities":296099},"Fund balance":{"value":14173581},"Form990Details":{"program_service_accomplishments":[{"description":"OUTPATIENT SERVICES - OUR CARE PHILOSOPHY ON THE OUTPATIENT SERVICES IS BASED ON A CONCERN FOR THE OVERALL EMOTIONAL WELL-BEING OF OUR PATIENTS AND RESPECT FOR THEIR INDIVIDUAL NEEDS. OUR PRIMARY GOAL FOCUSES ON ALLEVIATING ACUTE PSYCHOLOGICAL DISTRESS RESULTING FROM LIFE CRISIS AND MENTAL DISORDERS AND ON IMPROVING QUALITY OF LIFE. WE ACHIEVE THIS THROUGH THE DELIVERY OF COORDINATED PSYCHIATRIC SERVICES PROVIDED BY A MULTI-DISCIPLINARY TEAM OF MENTAL HEALTH PROFESSIONALS TAILORED TO THE PATIENT'S INDIVIDUAL NEEDS. A TOTAL OF 141,366 INDIVIDUAL AND GROUP COUNSELING HOURS, 158,639 CASE MANAGEMENT HOURS, 63,377 PHYSICIAN UNITS AND 3,918 EVALUATING AND TESTING HOURS WERE DELIVERED.","expense":20643168,"revenue":22324423},{"description":"INPATIENT SERVICES - THE INPATIENT UNITS AT MADISON CENTER ARE DESIGNED TO ADDRESS ACUTE BEHAVIORAL,PSYCHIATRIC AND MEDICAL NEEDS. INPATIENT SERVICES ARE COMPRISED OF GROUP, INDIVIDUAL, FAMILY AND RECREATIONAL THERAPY. THE GOAL OF INPATIENT CARE AT MADISON CENTER IS TO STABILIZE THE PATIENT AND RETURN THEM TO FAMILY AND/OR SCHOOL ENVIRONMENTS AS SOON AS POSSIBLE. A TOTAL OF 20,271 DAYS OF INPATIENT TREATMENT WERE DELIVERED.","expense":10214262,"revenue":11715213},{"description":"RESIDENTIAL SERVICES - THE RESIDENTIAL PROGRAM PROVIDES COMPREHENSIVE AND DEVELOPMENTALLY APPROPRIATE TREATMENT. IT PROVIDES A SAFE HIGHLY-STRUCTURED AND SUPPORTIVE ENVIRONMENT DESIGNED TO PROMOTE POSITIVE SOCIAL/EMOTIONAL DEVELOPMENT AND IMPROVE BEHAVIORAL FUNCTIONING. A TOTAL OF 23,541 DAYS OF RESIDENTIAL SERVICES WERE DELIVERED.","expense":5940226,"revenue":2260520},{"description":"PARTIAL HOSPITAL/DAY TREATMENT, CONSULTATION AND EDUCATION.","expense":6698805,"revenue":12669721}],"program_service_revenue_detail":[{"business_code":"621300","description":"MEDICARE/MEDICAID REVE","total_revenue":39218915},{"business_code":"621300","description":"OTHER NET PATIENT REVE","total_revenue":7002190},{"business_code":"621300","description":"PROVIDENCE HOUSE","total_revenue":2441028},{"business_code":"624410","description":"EAST BANK DAY CARE","total_revenue":625326},{"business_code":"541900","description":"MANAGEMENT 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DIRECTOR","average_hours_per_week":35.0,"reportable_comp_from_org":382437,"reportable_comp_from_related_orgs":0,"other_compensation":10782,"key_employee":true},{"title":"PSYCHIATRIST","average_hours_per_week":35.0,"reportable_comp_from_org":299132,"reportable_comp_from_related_orgs":0,"other_compensation":7363,"highest_compensated_employee":true},{"title":"PSYCHIATRIST","average_hours_per_week":35.0,"reportable_comp_from_org":173943,"reportable_comp_from_related_orgs":0,"other_compensation":4594,"highest_compensated_employee":true},{"title":"PSYCHIATRIST","average_hours_per_week":35.0,"reportable_comp_from_org":279589,"reportable_comp_from_related_orgs":0,"other_compensation":10782,"highest_compensated_employee":true},{"title":"PSYCHIATRIST","average_hours_per_week":35.0,"reportable_comp_from_org":245487,"reportable_comp_from_related_orgs":0,"other_compensation":3431,"highest_compensated_employee":true},{"title":"ASSOC MEDICAL 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Activities:","explanation":"NONE PART II-B Line 1f DONE BY PAID STAFF OR MANAGEMENT. GRANT TO VAN SCOYOC ASSOCIATES INC FOR LOBBYING."}]},"ScheduleD":{"land_buildings_equipment":{"land":{"other_cost_or_other_basis":10699042,"book_value":10699042},"buildings":{"other_cost_or_other_basis":59850932,"book_value":43122666,"depreciation":16728266},"leasehold_improvements":{"other_cost_or_other_basis":1516266,"book_value":297188,"depreciation":1219078},"equipment":{"other_cost_or_other_basis":10974914,"book_value":2990474,"depreciation":7984440},"other_land_buildings":{"other_cost_or_other_basis":1081014,"book_value":46697,"depreciation":1034317},"total_book_value":57156067},"other_liabilities":{"liabilities":[{"description":"DUE TO AFFILIATED COMPANIES","amount":296099}],"total_liability":296099},"supplemental_information":[{"explanation":"INCOME TAXES: MADISON CENTER, INC., MADISON FOUNDATION, INC., RIVERSIDE HOSPITAL CORPORATION, MADISON RESIDENTIAL SERVICES, INC., RIVERSIDE CORPORATION, AND SIMADON CORPORATION ARE EXEMPT FROM INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(A) AS ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3). THE ORGANIZATION ADOPTED THE PROVISIONS OF THE \"ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES\" SECTION OF THE INCOME TAXES TOPIC OF THE FASB ACCOUNTING STANDARDS CODIFICATION ON JULY 1, 2008. FOR THE YEAR ENDED JUNE 30, 2010, MANAGEMENT HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN INCOME TAX POSITIONS."}]},"ScheduleH":{"policies":{"financial_assistance_policy":true,"written_policy":true,"fpg_reference_free_care":true,"free_care_other":true,"free_care_other_percentage":104.0,"fpg_reference_discounted_care":true,"discounted_care_other":true,"discounted_care_other_percentage":325.0,"free_or_discounted_care_medically_indigent":true,"financial_assistance_budget":true,"expenses_exceed_budget":false,"annual_community_benefit_report":false},"bad_debt_medicare_collections":{"bad_debt_expense_reported":true,"bad_debt_expense":492559,"reimbursed_by_medicare":8522387,"cost_of_care_reimbursed_by_medicare":7585573,"medicare_surplus_or_shortfall":936814,"cost_to_charge_ratio":true,"written_debt_collection_policy":true,"financial_assistance_provision":true},"community_benefit":{"financial_assistance_at_cost":{"total_community_benefit_expense":3662390,"net_community_benefit_expense":3662390,"total_expense_percentage":0.0636},"unreimbursed_medicaid":{"total_community_benefit_expense":5165926,"direct_offsetting_revenue":3837651,"net_community_benefit_expense":1328275,"total_expense_percentage":0.0231},"total_financial_assistance":{"total_community_benefit_expense":8828316,"direct_offsetting_revenue":3837651,"net_community_benefit_expense":4990665,"total_expense_percentage":0.0867},"total_community_benefits":{"total_community_benefit_expense":8828316,"direct_offsetting_revenue":3837651,"net_community_benefit_expense":4990665,"total_expense_percentage":0.0867}},"hospital_facilities":[{"business_name_line1":"MADISON CENTER INC","address_line1":"403 EAST MADISON STREET","city":"SOUTH BEND","state":"IN","zip":"46617","licensed_hospital":true,"name":"MADISON CENTER INC","address":"403 EAST MADISON STREET, SOUTH BEND, IN, 46617"}],"part_vi_explanations":{"affiliated_health_care_system":"Part VI, Line 7: MADISON CENTER INC IS THE PARENT ORGANIZATION TO: RIVERSIDE HOSPITAL CORPORATION, AN ORGANIZATION THAT WAS FORMED FOR THE PURPOSE OF OPERATING A SMALL NONPROFIT HOSPITAL SPECIALIZING IN TREATING MENTAL ILLNESS AND BEHAVIORAL HEALTH PROBLEMS; MADISON FOUNDATION INC, THE FUNDRAISING ARM OF MADISON CENTER INC TO HELP SUPPORT PROGRAMS; MADISON RESIDENTIAL SERVICES, INC, SIMADON CORPORATION AND RIVERSIDE CORPORATION, THESE ENTITIES OPERATE A GROUP HOME OR APARTMENT BUILDING TO PROVIDE ALL LOW-INCOME AND DISABLED MEMBERS OF THE COMMUNITY WITH AFFORDABLE HOUSING.","bad_debt_footnote":"Part III, Line 4: BAD DEBT EXPENSE REPORTED ON FORM 990, IS $667,585. THE COST OF BAD DEDT AS REFLECTED IN PART III, LINE 2 WAS CALCULATED USING THE COST TO CHARGE RATIO. ANY PAYMENTS MADE OR DISCOUNTS GIVEN ARE FIRST APPLIED TO THE PATIENT'S ACCOUNT PRIOR TO ANY BAD DEBT WRITE-OFF.NOTE DISCLOSURE AS FOLLOWS:NET PATIENT SERVICE REVENUE: THE ORGANIZATION HAS AGREEMENTS WITH THIRD-PARTY PAYORS THAT PROVIDE FOR PAYMENTS TO THE ORGANIZATION AT AMOUNTS DIFFERENT FROM ITS ESTABLISHED RATES. PAYMENT ARRANGEMENTS INCLUDE PROSPECTIVELY DETERMINED RATES PER DISCHARGE, REIMBURSED COST, DISCOUNTED CHARGES, AND PER DIEM PAYMENTS. NET PATIENT REVENUE IS REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS, AND OTHERS FOR SERVICES RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYORS. RETROACTIVE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS, AS FINAL SETTLEMENTS ARE DETERMINED. NO ACCRUAL IS MADE FOR THOSE RETROACTIVE ADJUSTMENTS THAT ARE NOT REASONABLY ESTIMABLE. MANAGEMENT ESTIMATES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS RECEIVABLE BASED ON AN EVALUATION OF HISTORICAL LOSSES, CURRENT ECONOMIC CONDITIONS, AND OTHER FACTORS UNIQUE TO ITS PAYOR BASE.","community_information":"Part VI, Line 4: MADISON CENTER INC PROVIDES BEHAVIORAL HEALTHCARE SERVICES TO THE NORTHERN INDIANA REGION, OFFERING A FULL RANGE OF COMMUNITY-BASED PROGRAMMING FOR PERSONS OF ALL AGES.","debt_collection_policy":"Part III, Line 9b: PATIENTS OR THEIR RESPONSIBLE PARTY ARE ROUTINELY PROVIDED WITH OPPORTUNITIES TO REQUEST A DISCOUNT FOR THE SELF-PAY PORTION OF THEIR BILL. IT IS OUR POLICY NOT TO PURSUE COLLECTION PRACTICES AGAINST PATIENTS KNOWN TO QUALIFY FOR CHARITY CARE OR OTHER FINANCIAL ASSISTANCE.","income_based_criteria":"Part I, Line 3c: IT IS THE POLICY OF MADISON CENTER INC TO PROVIDE QUALITY MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES TO THE GENERAL PUBLIC REGARDLESS OF THE PATIENT'S ABILITY TO PAY. UNDER THE POLICY, MADISON CENTER INC WILL PROVIDE FREE CARE TO INDIVIDUALS WITHOUT INSURANCE WITH INCOMES UP TO 104% OF THE FEDERAL POVERTY LEVEL AND DISCOUNTED CARE ON A SLIDING SCALE UP TO 325% OF THE FEDERAL POVERTY LEVEL. THE POLICY PROVIDES A MEDICAL INDIGENCE PROVISION. MADISON CENTER INC ACCEPTS A WRITTEN DECLARATION OF INDIGENCE WHICH PROVIDES FOR ASSISTANCE REGARDLESS OF INCOME LEVEL.","needs_assessment":"Part VI, Line 2: MADISON CENTER ENSURES THAT IT PROVIDES SERVICES THAT MEET COMMUNITY NEEDS IN THE FOLLOWING WAYS: 1. MADISON CENTER IS THE SOLE INPATIENT PSYCHIATRIC FACILITY AVAILABLE WITHIN ST. JOSEPH COUNTY, IN. THE ORGANIZATION PROVIDES INPATIENT PSYCHIATRIC CARE TO ALL INDIVIDUALS WHO REQUIRE THESE SERVICES, REGARDLESS OF THEIR ABILITY TO PAY.2. MEMBERS OF THE MADISON CENTER MANAGEMENT TEAM MEET PERIODICALLY WITH THE LEADERSHIP OF THE ST. JOSEPH COUNTY CHAPTER OF THE NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI), TO IDENTIFY WAYS THE ORGANIZATION CAN SUPPORT THE NEEDS OF THE MENTALLY ILL WITHIN MADISON CENTER'S SERVICE AREA. IN THE PAST THIS HAS TAKEN THE FORM OF LINKING INDIVIDUALS TO PROVIDERS, IDENTIFYING OPPORTUNITIES FOR IMPROVING EXISTING PROGRAMS AND EXPANDING THE SERVICES OFFERED BY THE ORGANIZATION.3. MADISON CENTER'S MANAGEMENT TEAM CONDUCTS PERIODIC MEETINGS WITH THIRD PARTY PAYERS TO ASSESS WAYS THE ORGANIZATION CAN MEET THE BEHAVIORAL HEALTH NEEDS OF THESE ORGANIZATIONS' MEMBERS. IN THE RECENT PAST THIS HAS RESULTED IN AN IDENTIFICATION OF CLINICAL PROVIDER NEEDS AS WELL AS HELPED THE ORGANIZATION SET PROGRAM DEVELOPMENT PRIORITIES.4. MADISON CENTER'S CHIEF MEDICAL OFFICER, SOCIAL WORK DIRECTOR, AND ADMISSIONS DIRECTOR MEET REGULARLY WITH LOCAL HOSPITAL EMERGENCY AND SOCIAL WORK DEPARTMENTS TO DISCUSS WAYS TO BETTER MEET THE BEHAVIORAL HEALTH NEEDS OF INDIVIDUALS BEING CARED FOR AT THE LOCAL HOSPITALS.5. MADISON CENTER PARTNERS WITH TWO LOCAL SECONDARY EDUCATION INSTITUTIONS TO ENSURE THAT THE BEHAVIORAL HEALTH NEEDS OF THE COMMUNITY ARE BEING MET FROM A CLINICAL EDUCATION PERSPECTIVE. FOR EXAMPLE, MADISON CENTER PROVIDES A CLINICAL ROTATION FOR INDIANA UNIVERSITY SCHOOL OF MEDICINE AT SOUTH BEND STUDENTS, THE GOAL OF WHICH IS TO PROVIDE EDUCATIONAL OPPORTUNITIES FOR MEDICAL STUDENTS INTERESTED IN A POSSIBLE CAREER IN THE FIELD OF PSYCHIATRY. THIS PARTNERSHIP HAS THE POTENTIAL TO SERVE AS A MECHANISM TO RECRUIT GRADUATING PSYCHIATRISTS TO THE COMMUNITIES SERVED BY MADISON CENTER. 6. MADISON CENTER RECENTLY ENGAGED THE SERVICES OF AN OUTSIDE CONSULTANT TO ASSESS THE NEED FOR CHILD AND ADOLESCENT INPATIENT AND OUTPATIENT PSYCHIATRIC SERVICES WITHIN THE REGION SERVED BY MADISON CENTER. THIS ASSESSMENT INCLUDED RECOMMENDATIONS FOR ENHANCEMENTS TO CURRENT PROGRAMS THAT WOULD BETTER SERVE INDIVIDUALS IN NEED OF THESE SERVICES.7. MADISON CENTER'S MANAGEMENT TEAM AND CUSTOMER SERVICE REPRESENTATIVES REGULARLY SEEK FEEDBACK FROM REFERRAL SOURCES (FOR EXAMPLE, COMMUNITY PHYSICIANS, LOCAL SCHOOL ADMINISTRATORS, NURSING HOMES) ON HOW THE ORGANIZATION CAN BEST MEET THE NEEDS OF INDIVIDUALS THEY SERVE FROM A MENTAL HEALTH TREATMENT PERSPECTIVE.","other_information":"Part VI, Line 6: MADISON CENTER INC SERVES A BROAD INDEFINITE CHARITABLE CLASS. THE ORGANIZATION IN 2010 WAS CONTROLLED BY INDEPENDENT COMMUNITY LEADERS SERVING AS A KEY INDICATOR THAT THE ORGANIZATION SERVES THE COMMUNITY. THEY DIRECTED AND GUIDED MANAGEMENT IN CARRYING OUT THE MISSION OF MADISON CENTER INC. TRUSTEES WERE SELECTED ON THE BASIS OF THEIR EXPERTISE AND EXPERIENCE IN A VARIETY OF AREAS BENEFICIAL TO THE SERVICES BEING PROVIDED AND WERE NOT COMPENSATED FOR THEIR SERVICES.","patient_education_assistance":"Part VI, Line 3: INFORMING THE PUBLIC ABOUT THE AVAILABILITY OF CHARITY CARE IS AN IMPORTANT PART OF OUR CHARITY CARE PROGRAM. OUR CHARITY CARE POLICY IS MADE AVAILABLE TO ALL PATIENTS AS PART OF OUR REGISTRATION PROCESS. REFERRAL SOURCES SUCH AS LOCAL HOSPITALS, LAW ENFORCEMENT, ADULT PROTECTIVE SERVICES AND OTHER COMMUNITY MEMBERS ARE AWARE OF OUR CHARITY POLICY.","shortfall_as_community_benefit":"Part III, Line 8: MEDICARE ALLOWABLE COSTS ARE BASED ON THE MEDICARE 2010 COST REPORT."}},"ScheduleI":{"reported_domestic_individual_grants":4000,"reported_domestic_individual_grants_program_services":4000,"total_domestic_grants":4000,"total_domestic_program_services":4000,"grant_monitoring":{"claims_monitoring_procedures":false,"requires_financial_reports":false,"requires_narrative_reports":false,"conducts_site_visits":false,"conducts_field_audits":false,"requires_grant_agreements":false,"may_suspend_future_funding":false,"may_require_repayment":false}},"ScheduleJ":{"compensation_process":{"compensation_committee":true,"board_or_committee_approval":true},"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":true,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":true,"supplemental_nonqualified_retirement_plan":false,"equity_based_compensation_arrangement":false},"compensation":[{"business_name_line1":"WENDY 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NET SERVICE REVENUES ARE DEFINED AS GROSS BILLINGS IN EACH PAYOR CATEGORY MULTIPLIED BY THE AVERAGE COLLECTION PERCENTAGE PER PAYOR CATEGOFY. PAYOR CATEGORIES ARE THE ENTITIES THAT FINANCE OR REIMBURSE THE COST OF THE SERVICES (I.E. INSURANCE CARRIERS, GOVERNMENT AGENCIES AND OTHER THIRD-PARTY PAYORS)."},{"form_and_line_reference":"Part III","explanation":"ALL EMPLOYEES ARE PAID BY MADISON CENTER INC. RIVERSIDE HOSPITAL CORPORATION REIMBURSES MADISON CENTER INC FOR EMPLOYEES WHO WORK AT RIVERSIDE HOSPITAL CORPORATION."}]},"ScheduleK":{"bond_issues":[{"issuer_ein":356311914,"business_name_line1":"HOSPITAL AUTHORITY OF ST JOSEPH COUNTY SERIES 2005","cusip_number":"790609AP6","date_issued":"2005-06-23T00:00:00","issue_price":31826770,"purpose":"NEW CONSTRUCTION/REFINANCE DEBT","defeased":false,"on_behalf_of_issuer":false,"name":"HOSPITAL AUTHORITY OF ST JOSEPH COUNTY SERIES 2005"}],"bond_proceeds":[{"total_proceeds":32313416,"gross_proceeds_in_reserve_funds":2166856,"issuance_costs_from_proceeds":636535,"capital_expenditures":29510025,"substantial_completion_year":2007,"current_refunding":false,"advance_refunding":false,"final_allocation_made":true,"adequate_books_and_records_maintained":true}],"private_business_use":[{"private_business_use_by_others_percentage":0.02,"total_private_business_use_percentage":0.02,"post_issuance_compliance_procedures":true,"management_contract":false,"bond_counsel_routinely_engaged":false,"research_agreements":false,"lease_arrangements":true,"partnership_or_llc_owning_property":false}],"arbitrage":[{"gross_proceeds_invested":false,"gross_proceeds_invested_in_gic":false,"hedge_identified_in_books_and_records":false,"variable_rate_issue":false,"exception_to_rebate":false,"form_8038t_filed":false}]},"ScheduleR":{"tax_exempt_organizations":[{"ein":311168959,"business_name_line1":"MADISON FOUNDATION INC","primary_activities":"FUNDRAISING","exempt_code_section":"501(c)(3)","public_charity_status":"Line 11a, I","legal_domicile_state":"IN","address_line1":"403 E MADISON ST","city":"SOUTH BEND","state":"IN","zip":"44617","name":"MADISON FOUNDATION INC","address":"403 E MADISON ST, SOUTH BEND, IN, 44617"},{"ein":352091909,"business_name_line1":"RIVERSIDE HOSPITAL CORPORATION","primary_activities":"HOSPITAL","exempt_code_section":"501(c)(3)","public_charity_status":"Line 3","legal_domicile_state":"IN","direct_controlling_business_name_line1":"MADISON CENTER INC","address_line1":"403 E MADISON ST","city":"SOUTH BEND","state":"IN","zip":"44617","name":"RIVERSIDE HOSPITAL CORPORATION","address":"403 E MADISON ST, SOUTH BEND, IN, 44617"},{"ein":311135587,"business_name_line1":"MADISON RESIDENTIAL SERVICES","primary_activities":"HOUSING","exempt_code_section":"501(c)(3)","public_charity_status":"Line 9","legal_domicile_state":"IN","address_line1":"403 E MADISON ST","city":"SOUTH BEND","state":"IN","zip":"44617","name":"MADISON RESIDENTIAL SERVICES","address":"403 E MADISON ST, SOUTH BEND, IN, 44617"},{"ein":351875879,"business_name_line1":"RIVERSIDE CORPORATION","primary_activities":"HOUSING","exempt_code_section":"501(c)(3)","public_charity_status":"Line 9","legal_domicile_state":"IN","address_line1":"403 E MADISON ST","city":"SOUTH BEND","state":"IN","zip":"44617","name":"RIVERSIDE CORPORATION","address":"403 E MADISON ST, SOUTH BEND, IN, 44617"},{"ein":208473080,"business_name_line1":"SIMADON CORPORATION","primary_activities":"HOUSING","exempt_code_section":"501(c)(3)","public_charity_status":"Line 9","legal_domicile_state":"IN","address_line1":"403 E MADISON ST","city":"SOUTH BEND","state":"IN","zip":"44617","name":"SIMADON CORPORATION","address":"403 E MADISON ST, SOUTH BEND, IN, 44617"}],"transaction_flags":{"gift_grant_or_capital_contribution_from_other_org":true,"gift_grant_or_capital_contribution_to_other_org":false,"loans_or_guarantees_from_other_org":false,"loans_or_guarantees_to_other_org":false,"performance_of_services_by_other_orgs":true,"performance_of_services_for_other_orgs":false,"sharing_of_facilities":false,"sharing_of_paid_employees":true,"reimbursement_paid_by_other_org":true,"reimbursement_paid_to_other_org":false,"rental_of_facilities_from_other_orgs":false,"rental_of_facilities_to_other_orgs":true,"purchase_of_assets_from_other_org":false,"sale_of_assets_to_other_org":false,"exchange_of_assets":false,"receipt_of_interest_annuities_rents_royalties":true,"other_transfer_from_other_org":false,"other_transfer_to_other_org":false},"transactions":[{"business_name_line1":"RIVERSIDE HOSPITAL CORPORATION","amount_involved":240000,"transaction_type":"I","name":"RIVERSIDE HOSPITAL CORPORATION"},{"business_name_line1":"MADISON FOUNDATION INC","amount_involved":90835,"transaction_type":"N","name":"MADISON FOUNDATION INC"},{"business_name_line1":"RIVERSIDE HOSPITAL CORPORATION","amount_involved":655380,"transaction_type":"N","name":"RIVERSIDE HOSPITAL CORPORATION"},{"business_name_line1":"RIVERSIDE HOSPITAL CORPORATION","amount_involved":264000,"transaction_type":"P","name":"RIVERSIDE HOSPITAL CORPORATION"}]},"source_xml":"201101189349300130_public.xml"}],"Latest":{"Organization":{"Hours":[0],"Total Compensation":[0],"Direct compensation":[0],"Other compensation":[0]},"Basic":{"mission":"Madison center's mission is to provide optimally effective mental health and substance abuse services to citizens of st. Joseph county and surrounding counties. The center carries out its mission through the planning, development and management of human and financial resources within a unified system of mental health services, providing education, prevention and treatment services.","primary_activities":"Outpatient services - our care philosophy on the outpatient services is based on a concern for the overall emotional well-being of our patients and respect for their individual needs. Our primary goal focuses on alleviating acute psychological distress resulting from life crisis and mental disorders and on improving quality of life. We achieve this through the delivery of coordinated psychiatric services provided by a multi-disciplinary team of mental health professionals tailored to the patient's individual needs. A total of 141,366 individual and group counseling hours, 158,639 case management hours, 63,377 physician units and 3,918 evaluating and testing hours were delivered.\n\nInpatient services - the inpatient units at madison center are designed to address acute behavioral,psychiatric and medical needs. Inpatient services are comprised of group, individual, family and recreational therapy. The goal of inpatient care at madison center is to stabilize the patient and return them to family and/or school environments as soon as possible. A total of 20,271 days of inpatient treatment were delivered.\n\nResidential services - the residential program provides comprehensive and developmentally appropriate treatment. It provides a safe highly-structured and supportive environment designed to promote positive social/emotional development and improve behavioral functioning. A total of 23,541 days of residential services were delivered.\n\nPartial hospital/day treatment, consultation and education.","year":2009,"name":"MADISON CENTER INC","phone":"5742340061","website":"WWW.MADISON.ORG","type":"990","principal_officer":"MICHAEL R LANE RECEIVER","year_formation":1949,"state_legal_domicile":"IN","total_volunteers":0,"tax_period_begin":"2009-07-01T00:00:00","tax_period_end":"2010-06-30T00:00:00","address":"PO BOX 80, SOUTH BEND, IN, 46624, USA","city":"SOUTH BEND","state":"IN","country":"USA","zip_code":"46624"},"Governance":{"501c determination":true,"Number of voting members":16,"Number of independent voting members":16,"Number of employees total":1513,"Total Gross UBI":671558,"Net unrelated business taxable income":-114863,"Number of employees":1513,"Prohibited tax shelter transactions":false,"Taxable party notification":false,"Funds to pay premiums":false,"Premiums Paid":false,"Family or business relationship":false,"Delegation of management duties":true,"Conflict of interest policy":true,"Whistle blower policy":true,"Compensation process for CEO":true,"Compensation process for other employees":true,"Changes to organizing documents":false,"Material diversion or misuse":false,"Members or stockholders":false,"Election of board members":false,"Decisions subject to approval":false,"Minutes of governing body":true,"Local chapters":true,"Form 990 provided to governing body":false,"Document retention policy":true,"Investment in joint venture":false,"Independent audit financial statements":false,"Consolidated audit financial statements":true,"Accountant compile or review":false,"Financial statements audited by independent accountant":true,"Audit committee":true,"Federal grant audit required":true,"Federal grant audit performed":true,"Political activities":false,"Donor advised funds":false,"Conservation easements":false,"Collections of art":false,"School":false,"Hospital":true,"Foreign activities":false,"Foreign office":false,"Gaming":false,"Fundraising activities":false,"Professional fundraising":false,"Loan to officer or DQP":false,"Grant to related person":false,"Business relationship through family member":false,"Business relationship with organization":false,"Transfers to exempt non-charitable organization":false},"Revenues":{"value":54306315,"Contributions":{"value":3096661,"Other contributions":6219,"Grant revenue":3090442},"Program revenue":{"value":49595203,"Total revenue":{"value":49595203,"VARIOUS":49595203},"Unrelated business revenue":671558},"Investment income":{"value":109033,"Investment income total":32979,"Net investment gain":76054},"Other revenues":{"value":1505418,"Other total":993040,"Net rental income":512378}},"Expenses":{"value":57582228,"Grant expense":{"value":4000,"Grants to domestic individuals":4000},"Total professional fundraising expense":{"value":0},"Benefits paid to members":{"value":0},"Salaries":{"value":36011735,"Current officers":843183,"Other salaries and wages":27895509,"Other employee benefits":5215552,"Payroll taxes":2057491},"Other expenses":{"value":21566493,"Management services":3214826,"Legal":759050,"Lobbying services":6468,"Investment management fees":51601,"Other services":2464138,"Advertising":100772,"Office expenses":209411,"Information technology":381663,"Occupancy":5820024,"Travel":876741,"Conferences and meetings":57091,"Interest":2794384,"Depreciation and depletion":2778065,"Insurance":871573,"Itemized Expenses":{"value":1150136,"VARIOUS":1150136},"All other expenses":30550}},"Assets":{"value":78924578,"Non-interest bearing cash":3350,"Savings and temp cash investments":13893078,"Accounts receivable":5652780,"Other net note and loans":141676,"Prepaid expenses deferred charges":819678,"Land, building, equipment":57156067,"Investments publicly traded":4868,"Intangible assets":1253081},"Liabilities":{"value":64750997,"Accounts payable, accrued":7719293,"Deferred, revenue":3029,"Tax exempt bond liabilities":52702940,"Unsecured notes loans payable":4029636,"Other liabilities":296099},"Fund balance":{"value":14173581},"Form990Details":{"program_service_accomplishments":[{"description":"OUTPATIENT SERVICES - OUR CARE PHILOSOPHY ON THE OUTPATIENT SERVICES IS BASED ON A CONCERN FOR THE OVERALL EMOTIONAL WELL-BEING OF OUR PATIENTS AND RESPECT FOR THEIR INDIVIDUAL NEEDS. OUR PRIMARY GOAL FOCUSES ON ALLEVIATING ACUTE PSYCHOLOGICAL DISTRESS RESULTING FROM LIFE CRISIS AND MENTAL DISORDERS AND ON IMPROVING QUALITY OF LIFE. WE ACHIEVE THIS THROUGH THE DELIVERY OF COORDINATED PSYCHIATRIC SERVICES PROVIDED BY A MULTI-DISCIPLINARY TEAM OF MENTAL HEALTH PROFESSIONALS TAILORED TO THE PATIENT'S INDIVIDUAL NEEDS. A TOTAL OF 141,366 INDIVIDUAL AND GROUP COUNSELING HOURS, 158,639 CASE MANAGEMENT HOURS, 63,377 PHYSICIAN UNITS AND 3,918 EVALUATING AND TESTING HOURS WERE DELIVERED.","expense":20643168,"revenue":22324423},{"description":"INPATIENT SERVICES - THE INPATIENT UNITS AT MADISON CENTER ARE DESIGNED TO ADDRESS ACUTE BEHAVIORAL,PSYCHIATRIC AND MEDICAL NEEDS. INPATIENT SERVICES ARE COMPRISED OF GROUP, INDIVIDUAL, FAMILY AND RECREATIONAL THERAPY. THE GOAL OF INPATIENT CARE AT MADISON CENTER IS TO STABILIZE THE PATIENT AND RETURN THEM TO FAMILY AND/OR SCHOOL ENVIRONMENTS AS SOON AS POSSIBLE. 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A TOTAL OF 23,541 DAYS OF RESIDENTIAL SERVICES WERE DELIVERED.","expense":5940226,"revenue":2260520},{"description":"PARTIAL HOSPITAL/DAY TREATMENT, CONSULTATION AND EDUCATION.","expense":6698805,"revenue":12669721}],"program_service_revenue_detail":[{"business_code":"621300","description":"MEDICARE/MEDICAID REVE","total_revenue":39218915},{"business_code":"621300","description":"OTHER NET PATIENT REVE","total_revenue":7002190},{"business_code":"621300","description":"PROVIDENCE HOUSE","total_revenue":2441028},{"business_code":"624410","description":"EAST BANK DAY CARE","total_revenue":625326},{"business_code":"541900","description":"MANAGEMENT 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GRANT TO VAN SCOYOC ASSOCIATES INC FOR LOBBYING."}]},"ScheduleD":{"land_buildings_equipment":{"land":{"other_cost_or_other_basis":10699042,"book_value":10699042},"buildings":{"other_cost_or_other_basis":59850932,"book_value":43122666,"depreciation":16728266},"leasehold_improvements":{"other_cost_or_other_basis":1516266,"book_value":297188,"depreciation":1219078},"equipment":{"other_cost_or_other_basis":10974914,"book_value":2990474,"depreciation":7984440},"other_land_buildings":{"other_cost_or_other_basis":1081014,"book_value":46697,"depreciation":1034317},"total_book_value":57156067},"other_liabilities":{"liabilities":[{"description":"DUE TO AFFILIATED COMPANIES","amount":296099}],"total_liability":296099},"supplemental_information":[{"explanation":"INCOME TAXES: MADISON CENTER, INC., MADISON FOUNDATION, INC., RIVERSIDE HOSPITAL CORPORATION, MADISON RESIDENTIAL SERVICES, INC., RIVERSIDE CORPORATION, AND SIMADON CORPORATION ARE EXEMPT FROM INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(A) AS ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3). THE ORGANIZATION ADOPTED THE PROVISIONS OF THE \"ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES\" SECTION OF THE INCOME TAXES TOPIC OF THE FASB ACCOUNTING STANDARDS CODIFICATION ON JULY 1, 2008. FOR THE YEAR ENDED JUNE 30, 2010, MANAGEMENT HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN INCOME TAX POSITIONS."}]},"ScheduleH":{"policies":{"financial_assistance_policy":true,"written_policy":true,"fpg_reference_free_care":true,"free_care_other":true,"free_care_other_percentage":104.0,"fpg_reference_discounted_care":true,"discounted_care_other":true,"discounted_care_other_percentage":325.0,"free_or_discounted_care_medically_indigent":true,"financial_assistance_budget":true,"expenses_exceed_budget":false,"annual_community_benefit_report":false},"bad_debt_medicare_collections":{"bad_debt_expense_reported":true,"bad_debt_expense":492559,"reimbursed_by_medicare":8522387,"cost_of_care_reimbursed_by_medicare":7585573,"medicare_surplus_or_shortfall":936814,"cost_to_charge_ratio":true,"written_debt_collection_policy":true,"financial_assistance_provision":true},"community_benefit":{"financial_assistance_at_cost":{"total_community_benefit_expense":3662390,"net_community_benefit_expense":3662390,"total_expense_percentage":0.0636},"unreimbursed_medicaid":{"total_community_benefit_expense":5165926,"direct_offsetting_revenue":3837651,"net_community_benefit_expense":1328275,"total_expense_percentage":0.0231},"total_financial_assistance":{"total_community_benefit_expense":8828316,"direct_offsetting_revenue":3837651,"net_community_benefit_expense":4990665,"total_expense_percentage":0.0867},"total_community_benefits":{"total_community_benefit_expense":8828316,"direct_offsetting_revenue":3837651,"net_community_benefit_expense":4990665,"total_expense_percentage":0.0867}},"hospital_facilities":[{"business_name_line1":"MADISON CENTER INC","address_line1":"403 EAST MADISON STREET","city":"SOUTH BEND","state":"IN","zip":"46617","licensed_hospital":true,"name":"MADISON CENTER INC","address":"403 EAST MADISON STREET, SOUTH BEND, IN, 46617"}],"part_vi_explanations":{"affiliated_health_care_system":"Part VI, Line 7: MADISON CENTER INC IS THE PARENT ORGANIZATION TO: RIVERSIDE HOSPITAL CORPORATION, AN ORGANIZATION THAT WAS FORMED FOR THE PURPOSE OF OPERATING A SMALL NONPROFIT HOSPITAL SPECIALIZING IN TREATING MENTAL ILLNESS AND BEHAVIORAL HEALTH PROBLEMS; MADISON FOUNDATION INC, THE FUNDRAISING ARM OF MADISON CENTER INC TO HELP SUPPORT PROGRAMS; MADISON RESIDENTIAL SERVICES, INC, SIMADON CORPORATION AND RIVERSIDE CORPORATION, THESE ENTITIES OPERATE A GROUP HOME OR APARTMENT BUILDING TO PROVIDE ALL LOW-INCOME AND DISABLED MEMBERS OF THE COMMUNITY WITH AFFORDABLE HOUSING.","bad_debt_footnote":"Part III, Line 4: BAD DEBT EXPENSE REPORTED ON FORM 990, IS $667,585. THE COST OF BAD DEDT AS REFLECTED IN PART III, LINE 2 WAS CALCULATED USING THE COST TO CHARGE RATIO. ANY PAYMENTS MADE OR DISCOUNTS GIVEN ARE FIRST APPLIED TO THE PATIENT'S ACCOUNT PRIOR TO ANY BAD DEBT WRITE-OFF.NOTE DISCLOSURE AS FOLLOWS:NET PATIENT SERVICE REVENUE: THE ORGANIZATION HAS AGREEMENTS WITH THIRD-PARTY PAYORS THAT PROVIDE FOR PAYMENTS TO THE ORGANIZATION AT AMOUNTS DIFFERENT FROM ITS ESTABLISHED RATES. PAYMENT ARRANGEMENTS INCLUDE PROSPECTIVELY DETERMINED RATES PER DISCHARGE, REIMBURSED COST, DISCOUNTED CHARGES, AND PER DIEM PAYMENTS. NET PATIENT REVENUE IS REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS, AND OTHERS FOR SERVICES RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYORS. RETROACTIVE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS, AS FINAL SETTLEMENTS ARE DETERMINED. NO ACCRUAL IS MADE FOR THOSE RETROACTIVE ADJUSTMENTS THAT ARE NOT REASONABLY ESTIMABLE. MANAGEMENT ESTIMATES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS RECEIVABLE BASED ON AN EVALUATION OF HISTORICAL LOSSES, CURRENT ECONOMIC CONDITIONS, AND OTHER FACTORS UNIQUE TO ITS PAYOR BASE.","community_information":"Part VI, Line 4: MADISON CENTER INC PROVIDES BEHAVIORAL HEALTHCARE SERVICES TO THE NORTHERN INDIANA REGION, OFFERING A FULL RANGE OF COMMUNITY-BASED PROGRAMMING FOR PERSONS OF ALL AGES.","debt_collection_policy":"Part III, Line 9b: PATIENTS OR THEIR RESPONSIBLE PARTY ARE ROUTINELY PROVIDED WITH OPPORTUNITIES TO REQUEST A DISCOUNT FOR THE SELF-PAY PORTION OF THEIR BILL. IT IS OUR POLICY NOT TO PURSUE COLLECTION PRACTICES AGAINST PATIENTS KNOWN TO QUALIFY FOR CHARITY CARE OR OTHER FINANCIAL ASSISTANCE.","income_based_criteria":"Part I, Line 3c: IT IS THE POLICY OF MADISON CENTER INC TO PROVIDE QUALITY MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES TO THE GENERAL PUBLIC REGARDLESS OF THE PATIENT'S ABILITY TO PAY. UNDER THE POLICY, MADISON CENTER INC WILL PROVIDE FREE CARE TO INDIVIDUALS WITHOUT INSURANCE WITH INCOMES UP TO 104% OF THE FEDERAL POVERTY LEVEL AND DISCOUNTED CARE ON A SLIDING SCALE UP TO 325% OF THE FEDERAL POVERTY LEVEL. THE POLICY PROVIDES A MEDICAL INDIGENCE PROVISION. MADISON CENTER INC ACCEPTS A WRITTEN DECLARATION OF INDIGENCE WHICH PROVIDES FOR ASSISTANCE REGARDLESS OF INCOME LEVEL.","needs_assessment":"Part VI, Line 2: MADISON CENTER ENSURES THAT IT PROVIDES SERVICES THAT MEET COMMUNITY NEEDS IN THE FOLLOWING WAYS: 1. MADISON CENTER IS THE SOLE INPATIENT PSYCHIATRIC FACILITY AVAILABLE WITHIN ST. JOSEPH COUNTY, IN. THE ORGANIZATION PROVIDES INPATIENT PSYCHIATRIC CARE TO ALL INDIVIDUALS WHO REQUIRE THESE SERVICES, REGARDLESS OF THEIR ABILITY TO PAY.2. MEMBERS OF THE MADISON CENTER MANAGEMENT TEAM MEET PERIODICALLY WITH THE LEADERSHIP OF THE ST. JOSEPH COUNTY CHAPTER OF THE NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI), TO IDENTIFY WAYS THE ORGANIZATION CAN SUPPORT THE NEEDS OF THE MENTALLY ILL WITHIN MADISON CENTER'S SERVICE AREA. IN THE PAST THIS HAS TAKEN THE FORM OF LINKING INDIVIDUALS TO PROVIDERS, IDENTIFYING OPPORTUNITIES FOR IMPROVING EXISTING PROGRAMS AND EXPANDING THE SERVICES OFFERED BY THE ORGANIZATION.3. MADISON CENTER'S MANAGEMENT TEAM CONDUCTS PERIODIC MEETINGS WITH THIRD PARTY PAYERS TO ASSESS WAYS THE ORGANIZATION CAN MEET THE BEHAVIORAL HEALTH NEEDS OF THESE ORGANIZATIONS' MEMBERS. IN THE RECENT PAST THIS HAS RESULTED IN AN IDENTIFICATION OF CLINICAL PROVIDER NEEDS AS WELL AS HELPED THE ORGANIZATION SET PROGRAM DEVELOPMENT PRIORITIES.4. MADISON CENTER'S CHIEF MEDICAL OFFICER, SOCIAL WORK DIRECTOR, AND ADMISSIONS DIRECTOR MEET REGULARLY WITH LOCAL HOSPITAL EMERGENCY AND SOCIAL WORK DEPARTMENTS TO DISCUSS WAYS TO BETTER MEET THE BEHAVIORAL HEALTH NEEDS OF INDIVIDUALS BEING CARED FOR AT THE LOCAL HOSPITALS.5. MADISON CENTER PARTNERS WITH TWO LOCAL SECONDARY EDUCATION INSTITUTIONS TO ENSURE THAT THE BEHAVIORAL HEALTH NEEDS OF THE COMMUNITY ARE BEING MET FROM A CLINICAL EDUCATION PERSPECTIVE. FOR EXAMPLE, MADISON CENTER PROVIDES A CLINICAL ROTATION FOR INDIANA UNIVERSITY SCHOOL OF MEDICINE AT SOUTH BEND STUDENTS, THE GOAL OF WHICH IS TO PROVIDE EDUCATIONAL OPPORTUNITIES FOR MEDICAL STUDENTS INTERESTED IN A POSSIBLE CAREER IN THE FIELD OF PSYCHIATRY. THIS PARTNERSHIP HAS THE POTENTIAL TO SERVE AS A MECHANISM TO RECRUIT GRADUATING PSYCHIATRISTS TO THE COMMUNITIES SERVED BY MADISON CENTER. 6. MADISON CENTER RECENTLY ENGAGED THE SERVICES OF AN OUTSIDE CONSULTANT TO ASSESS THE NEED FOR CHILD AND ADOLESCENT INPATIENT AND OUTPATIENT PSYCHIATRIC SERVICES WITHIN THE REGION SERVED BY MADISON CENTER. THIS ASSESSMENT INCLUDED RECOMMENDATIONS FOR ENHANCEMENTS TO CURRENT PROGRAMS THAT WOULD BETTER SERVE INDIVIDUALS IN NEED OF THESE SERVICES.7. MADISON CENTER'S MANAGEMENT TEAM AND CUSTOMER SERVICE REPRESENTATIVES REGULARLY SEEK FEEDBACK FROM REFERRAL SOURCES (FOR EXAMPLE, COMMUNITY PHYSICIANS, LOCAL SCHOOL ADMINISTRATORS, NURSING HOMES) ON HOW THE ORGANIZATION CAN BEST MEET THE NEEDS OF INDIVIDUALS THEY SERVE FROM A MENTAL HEALTH TREATMENT PERSPECTIVE.","other_information":"Part VI, Line 6: MADISON CENTER INC SERVES A BROAD INDEFINITE CHARITABLE CLASS. THE ORGANIZATION IN 2010 WAS CONTROLLED BY INDEPENDENT COMMUNITY LEADERS SERVING AS A KEY INDICATOR THAT THE ORGANIZATION SERVES THE COMMUNITY. THEY DIRECTED AND GUIDED MANAGEMENT IN CARRYING OUT THE MISSION OF MADISON CENTER INC. TRUSTEES WERE SELECTED ON THE BASIS OF THEIR EXPERTISE AND EXPERIENCE IN A VARIETY OF AREAS BENEFICIAL TO THE SERVICES BEING PROVIDED AND WERE NOT COMPENSATED FOR THEIR SERVICES.","patient_education_assistance":"Part VI, Line 3: INFORMING THE PUBLIC ABOUT THE AVAILABILITY OF CHARITY CARE IS AN IMPORTANT PART OF OUR CHARITY CARE PROGRAM. OUR CHARITY CARE POLICY IS MADE AVAILABLE TO ALL PATIENTS AS PART OF OUR REGISTRATION PROCESS. REFERRAL SOURCES SUCH AS LOCAL HOSPITALS, LAW ENFORCEMENT, ADULT PROTECTIVE SERVICES AND OTHER COMMUNITY MEMBERS ARE AWARE OF OUR CHARITY POLICY.","shortfall_as_community_benefit":"Part III, Line 8: MEDICARE ALLOWABLE COSTS ARE BASED ON THE MEDICARE 2010 COST 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