Merakey

What it reported doing in 2024

Merakey Pennsylvania continued to focus on maintaining the health and safety of the individuals served while delivering services in fy25. Community and clinic-based programs connected individuals with increasing needs to community and other resources. Guiding merakey are the following: our purpose: putting our heart and soul into exceptional care.our vision: to be a nationally recognized provider of the highest quality health and human services.our core values: compassion, diversity, integrity, safety, trust, and qualitymerakey remains committed to the prevention of abuse through rigorous policies, screening, hiring, training, supervision, monitoring, and consumer participation. Supported by our praesidium accreditation, we maintain a zero tolerance environment for abuse of any kind.operational progress and system enhancementsstrengthening quality, safety, and care coordinationresidential programs for individuals with idd and behavioral health needs continued to prioritize safety and stability. Harrisburg personal care homes significantly reduced licensing citations under new administrative leadership and close collaboration with qco.north central pa advanced whole person care through individual care coordination meetings at schuylkill and pocono mountain centers. Schuylkill crr also secured onetime funding for renovations, safety upgrades, and security enhancements.technology and documentation improvementsmerakey's operations, qco, and it teams continued work with eleos health to transition home and community hab/companion services from paper to mobile electronic documentation. This shift will improve efficiency, compliance, and competitiveness in the market.ddtt teams advanced avatar optimization, completing a second round of forms review to reduce redundancies and improve reporting accuracy. Updated clinical trainings now mirror avatar language, and a new training coordinator is implementing structured onboarding processes.program achievements across pennsylvaniaact/fact- successful carf survey resulting in another 3-year accreditation- pocono act moved from provisional to full license- expansion planning underway, including primary care integration in baton rouge act programsadult behavioral health- outpatient programs in schuylkill, anthra plaza, and drug & alcohol services ended the year ahead of budget- residential treatment facility for adults beat budget and earned its first carf accreditation- blended case management fully staffed with a positive yearend bottom linepeer supports exceeded budget - rise forensic ltsr, russelton ltsr, and beaver ltsr maintained strong census and staffing- mcrt presented at statewide conferences and continues to expand mobile crisis competency across countiesidd services- successful hiring of medical coordinators across regions- advisory groups in susquehanna strengthened community engagement and charitable partnerships- continued challenges with staffing, referrals, and medical access addressed through targeted recruitment, training, and collaboration with state partnerschildren and family servicesfamily based services- lehigh and pocono mountain center family based programs ended the year with strong positive bottom lines- both programs maintained excellent performance in value based purchasing initiativesnew york programs- preventive services maintained performance despite staffing shortages and received an impact grant to support families- center for hope celebrated multiple youth graduations, expanded community outings, and continued to grow its garden, soapmaking, and enrichment programsfoster care- york/adams completed four adoptions, including three children and one adult with special needs- increased referrals across hpc and ffb foster care programsfunding, advocacy, and rate successes- needs exception allowances fully approved for four long underfunded programs in southwest pa- multiple programs received rate increases for the new fiscal year- ddtt expansion discussions underwa

Financial Efficiency

• Mission deployment rate: 83.6%; rating input score 84
• Program expense ratio: 89%; rating input score 89
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 92.3%; rating input score 92; 12th 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: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 16.7%; rating input score 17; 9th 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: 6.1%; rating input score 61; 61st percentile among comparable filings
• Total-asset coverage ratio: 0.44; rating input score 16; 16th percentile among comparable filings
• Liabilities to assets ratio: 0.28; rating input score 58; 58th percentile among comparable filings
• Officer compensation ratio: 0.8%; rating input score 77; 77th percentile among comparable filings

Growth

• Program expense growth: 2.4% per year; rating input score 100; 17th percentile among comparable filings
• Revenue growth: 1.9% per year; rating input score 100; 13th percentile among comparable filings
• Asset growth: 5.5% per year; rating input score 100; 40th percentile among comparable filings