Merakey Delaware County

What it reported doing in 2024

Merakey Delaware county offers a broad continuum of services for individuals with behavioral health needs. Several of the behavioral health programs provide integrated and coordinated services. Outpatient services are readily available through intake appointments which provide 40-50 individuals per month with an assessment that is the gateway to mental health treatment. Individuals are offered individual, group, and family therapy, psychiatric consultation, and medication management services. Merakey provides extensive community-based services such as case management and wellness recovery teams. These services work with individuals in the community to link them to resources, provide therapeutic interventions, and ensure individuals behavioral health and physical health needs are met through referrals to community providers or receiving direct interventions from merakey. The residential programs within merakey Delaware county's adult behavioral health division serve as a vital pillar in the continuum of care for adults living with severe and persistent mental illnesses. These programs include 6 community residential rehabilitation (crr) sites providing comprehensive, person-centered support tailored to meet each resident's needs.through a collaborative referral process managed in partnership with omh, individuals gain seamless access to essential services designed to promote stability, recovery, and personal growth. With a strong emphasis on fostering a structured yet supportive living environment, these programs empower residents to build life skills, enhance self-sufficiency, and progress toward greater independence within the community.merakey Delaware county's residential services for individuals with intellectual and developmental disabilities provided continuing support for 12 residents in 4 homes across the county. One person transitioned from living in an institutional setting to their new community-based home in october 2024. Two people transitioned from an institutional setting a newly renovated community-based home in marh 2025 with the opening of a 5th home. All 14 residents continue to thrive participating in activities within their home and out in the community including pilot music therapy and fitness programs with immaculata university.merakey Delaware county supports 2 people and their families through community-based services including in home and community supports, companion care and respite services. These services allow supports to work with the families' loved ones within their home and out in the community developing various skillsets and providing opportunities for community engagement.

Financial Efficiency

• Mission deployment rate: 92.7%; rating input score 93
• Program expense ratio: 89.7%; rating input score 90
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
• Pay-setting controls: 0 of 6 controls in place; rating input score 0
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Missing
  • Board or committee approval: Missing
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Limited
• Related-party transparency: Limited

Accountability

• Independent voting board: 16.7%; rating input score 17; 6th percentile among comparable filings
• Governance controls: 7 of 9 controls in place; rating input score 78
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Fail
  • Other executive compensation review process: Fail
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: -3.3%; rating input score 20; 20th percentile among comparable filings
• Total-asset coverage ratio: 0.28; rating input score 7; 7th percentile among comparable filings
• Liabilities to assets ratio: 2.81; rating input score 1; 1st percentile among comparable filings
• Officer compensation ratio: 5.4%; rating input score 47; 47th percentile among comparable filings

Growth

• Program expense growth: -1.7% per year; rating input score 0; 7th percentile among comparable filings
• Revenue growth: -0.7% per year; rating input score 0; 6th percentile among comparable filings
• Asset growth: -2.4% per year; rating input score 0; 5th percentile among comparable filings