2024-05-13T15:13:15-05:00 2023-06-30 HEFFLER RADETICH & SAITTA LLP 1515 MARKET STREET SUITE 1700 PHILADELPHIA PA 19102 990 2022-07-01 231894907 MONTGOMERY COUNTY EMERGENCY SERVICE INC % WILLIAM MYERS CEO MONT 6102796100 50 BEECH DRIVE NORRISTOWN PA 194035421 WILLIAM MYERS C.E.O. 4847542444 2023-05-10 true WILLIAM MYERS 999009999 DAVID J WHITE P00707101 2156658870 2 2022 2023-04-26 12:10:37Z WILLIAM MYERS 50 BEECH DRIVE NORRISTOWN PA 194035421 18893263 false X WWW.MCES.ORG X 1974 PA MCES PROVIDES COMPREHENSIVE BEHAVIORAL HEALTH SERVICES TO ALL IN NEED IN THE COMMUNITY WHILE MAINTAINING AND ADVOCATING FOR THEIR RIGHTS, INDIVIDUAL DIGNITY AND RECOVERY. 9 9 306 0 8824368 2279607 12420162 16046910 78606 132064 493996 434682 21817132 18893263 0 0 0 0 13764283 14299645 0 0 2052 3556102 4199503 17320385 18499148 4496747 394115 11182205 11221221 1767057 1374379 9415148 9846842 X MCES PROVIDES ROUND-THE-CLOCK INTENSIVE AND COMPREHENSIVE BEHAVIORAL HEALTH SERVICES, INCLUDING AN ADULT INPATIENT HOSPITAL, TO ALL IN NEED IN THE COMMUNITY. MISSION: MCES PROVIDES AN ARRAY OF CLINICALLY NECESSARY EMERGENCY PSYCHIATRIC AND CRISIS INTERVENTION SERVICES TO PERSONS WITH A PRIMARY OR EMERGENT NEED FOR SUCH SERVICES AND WHO ARE APPROPRIATE FOR CARE THROUGH OUR PROGRAMS. false false 12711645 13564287 Inpatient Psychiatric Care: MCES provides acute inpatient psychiatric care to individuals determined to need a short stay of intensive 24-hour clinical care to attain stability and safety because of a severe mental health crisis or potentially life-threatening psychiatric emergency. Services are patient-centered and recovery-oriented and delivered by a multidisciplinary team that involves the patient and their family or support system as optimally as possible. Patients participate in daily psychoeducational and recreational groups. Patients engage with outpatient providers before discharge wherever possible. The inpatient program is state-licensed and accredited by The Joint Commission. MCES provides involuntary psychiatric hospitalizations to residents of Berks, Bucks, and Montgomery Counties and accepts voluntary admissions from all counties in South East Pennsylvania. The MCES inpatient program is recognized for its ability to address any behavioral health emergency including those involving forensic issues. MCES incorporates the recovery model and trauma-informed care in its care. - Highlight: MCES had over 1300 admissions of individuals with exacerbations of psychiatric disorders requiring inpatient treatment and stabilization. - Highlight: MCES provides internships for Occupational Therapy Assistants and practicums for Physician Assistants giving students the opportunity to work with persons with serious mental illness and learn about possible careers in that field. - Highlight: MCES also broadened its services to individuals with co-occurring psychiatric and addictive disorders by initiating the Ongoing Abstinence Recovery Schedule (O.A.R.S.) to help patients structure their first weeks home after discharge to deter return to substance use. - Highlight: A Certified Peer Specialist is a member of the Carol's Place Residential Program Staff. - Highlight: Continued extensive safety improvements to patient care areas by installing ligature resistant door handle and bath/shower fixtures to all areas accessed by patients. 842026 843226 Crisis Intervention: State licensed 24/7 crisis intervention services offering referral, short-term counseling and psychiatric evaluations to individuals experiencing a behavioral health crisis or potentially life threatening psychiatric emergency. 24/7 assistance to police, physicians, family members and others seeking emergency psychiatric assessment and care for individuals who are at risk to themselves or others. Trained crisis intervention specialists and board-certified psychiatrist on site at all times. MCES's Crisis Department was cited in a state-wide review of crisis centers as an example of a centralized, fully-integrated crisis center with a wide range of essential crisis intervention services. MCES trains all staff with patient-contact in the newest techniques for proactively averting adverse situations. - Highlight: The MCES Crisis Hotline had over 6000 service contacts with individuals and families experiencing a behavioral health crisis. - Highlight: The MCES Crisis Department is part of the National Suicide Prevention Lifeline Network and responds to calls from southeast Pennsylvania area codes 24/7. 1283241 733037 Crisis Residential Program (CRP): The CRP, known as Carol's Place, is an 8-bed, short-term care facility available 24/7, which provides brief residential treatment for adults who are at risk of an acute psychiatric crisis. It reduces the risk of hospitalization by assisting individuals in crisis in developing a plan and a support network to avoid crises in the future. The CRP serves individuals at risk of unnecessary psychiatric hospitalization; those in need of separation from a stressful environment to achieve psychiatric stability; and those who need assistance to establish and/or maintain community supports. All admissions are voluntary and those served must be capable of self-care and be in good health. The CRP is state-licensed and accredited by The Joint Commission. The MCES CRP program strives to provide the most home-like setting possible and practical for its services. An example is a vegetable garden that is tended by residents and provides both recreation and fresh produce over the summer months. - Highlight: The MCES Crisis Residential Program had over 300 admissions of individuals who could avert a serious crisis or hospitalization with a brief stay. - Highlight: The MCES CRP includes a Certified Peer Support Specialist on its staff to offer peer counseling to clients during their stay. - Highlight: The MCES CRP also enables individuals transitioning from inpatient psychiatric care to the community by providing a care setting to promote recovery and self-care. 1332918 3752713 16169830 true true false false false false false false false false true false false false true false true false false false false false false false false false true true false false true false false false false false false false false false false false false false false false false false true 22 0 true 306 true false false false false false false false false X 9 9 false false false false false false false true true false false true true true true true true true true false PA X X X WILLIAM MYERS CEO 6102796100 50 BEECH DRIVE NORRISTOWN PA 194035421 X WILLIAM MYERS CEO 40.0 0.0 X 382183 0 45816 PRIYANKAR SARKAR STAFF PSYCIATRIST 40.0 0.0 X 413789 0 0 JORDAN SANTINA STAFF PSYCHIATRIST 40.0 0.0 X 277284 0 24213 BYANKA MEACHAM COO 40.0 0.0 X 269446 0 21986 TANA ANDRE STAFF PSYCHIATRIST 40.0 0.0 X 225349 0 40887 RUSSELL YATES STAFF PSYCHIATRIST 40.0 0.0 X 207305 0 21082 JEFFREY BARROSO STAFF PSYCHIATRIST 40.0 0.0 X 187874 0 0 MARINA COONEY CMO 40.0 0.0 X 149789 0 28487 CAROLINE ELLISON PHD VICE PRESIDENT & DIRECTOR 1.0 0.0 X X 0 0 0 CLIFFORD ROGERS EDD SECRETARY & DIRECTOR 1.0 0.0 X X 0 0 0 RANDALL S FLOYD DIRECTOR 1.0 0.0 X 0 0 0 MICHAEL KENNEDY PRESIDENT & DIRECTOR 1.0 0.0 X X 0 0 0 FAITH PARSHALL DIRECTOR 1.0 0.0 X 0 0 0 BARBARA WATSON RAWLS TREASURER & DIRECTOR 1.0 0.0 X X 0 0 0 DOUGLAS W HAGER DIRECTOR 1.0 0.0 X 0 0 0 MARY TURNER DIRECTOR 1.0 0.0 X 0 0 0 LOGAN WILSON DIRECTOR 1.0 0.0 X 0 0 0 2113019 0 182471 8 false true false LIFETREE PHARMACY 5 BLUE HERON DRIVE COLLEGEVILLE PA 19426 PHARMACY SUPPLIES 477466 JACKSON COKER 3000 OLD ALABAMA RD SUITE 119-608 ALPHARETTA GA 30022 STAFFING AGENCY 248571 VERIS BENEFIT CONSURTIUM UNIVEST BA PO BOX 874928 KANSAS CITY MO 641874928 EB SOLUTIONS 1327061 ONESTAFF MEDICAL PO BOX 3544 OMAHA NE 681030544 STAFFING AGENCY 253404 QUALITY CARE OPTIONS PO BOX 428 WILLOW GROVE PA 19090 STAFFING AGENCY 439242 5 1180212 1099395 2279607 PATIENT SERVICES (NET OF CONTRACTUAL ALLOWANCES) 16046910 16046910 16046910 132064 132064 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 MISCELLANEOUS 81127 81127 TOBACCO SETTLEMENT 285633 285633 BENEFITS COORD 67922 67922 434682 18893263 16481592 132064 0 0 0 0 897707 897707 0 10935471 9631299 1304172 0 1587743 1510367 77376 878724 786919 91805 0 37555 37555 72000 72000 0 0 0 1731413 1378303 353110 4834 4834 220131 167206 52925 0 0 0 82644 26744 55900 0 0 5398 5398 0 223880 223880 233490 67012 166478 BAD DEBTS 279161 279161 MEDICAL SUPPLIES AND DRUGS 540755 540755 MAINTENANCE 57470 57470 UTILITIES 115079 115079 595693 487928 105713 2052 18499148 16169830 2327266 2052 X 5886739 4707427 0 0 969192 1015815 909677 1360089 0 0 0 0 368864 285633 0 0 292289 280704 8393363 7055217 977449 1338146 1777545 1815115 0 0 0 0 0 0 450 418292 11182205 11221221 1722043 1330815 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45014 43564 1767057 1374379 X 9415148 9846842 0 0 9415148 9846842 11182205 11221221 394115 37579 X false true true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5336855 4218860 1117995 3056508 2836357 220151 1338146 0 LEASE PAYABLE 1182 NOTE PAYABLE 42382 43564 18651681 37579 37579 18614102 279161 279161 18893263 18219987 18219987 279161 279161 18499148 Reconciling difference Patient service revenue is shown net of $279,161 bad debt expense for financial statements purposes. true true true X true X 500. true true true false false 295407 295407 0.01600 9841808 6009993 3831815 0.20700 1161262 327269 833993 0.04500 11298477 6337262 4961215 0.26800 124299 67922 56377 0.00300 62875 62875 0.00340 187174 67922 119252 0.00640 11485651 6405184 5080467 0.27440 21550 21550 0.00120 22836 22836 0.00120 15380 15380 0.00080 59766 59766 0.00320 false 149980 538 915582 1201157 -285575 true true NA 1 1 MONTGOMERY COUNTY EMERGENCY SERVICE 50 BEECH DRIVE NORRISTOWN PA 19403 www.mces.org X 1 MONTGOMERY COUNTY EMERGENCY SERVICE 1 false false true X X X X X X X X X 21 true true true true X www.mces.org X X true 21 true HTTP://WWW.MCES.ORG false true X 200. 500. X X X true true X X X X true X HTTP://WWW.MCES.ORG X HTTPS://WWW.COMPASS.STATE.PA.US X HTTP://WWW.MCES.ORG X X X X X true X false true X false false FORM 990 SCHEDULE H PART V LINE 5 PLEASE SEE ATTACHED CHNA REPORT FOR 2021 FORM 990 SCHEDULE H PART V LINE 6a, 6b, and 7 MONTGOMERY COUNTY COMMITMENT OFFICE PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE SURVIVORS OF SUICIDE, INC. PA DEPARTMENT OF HEALTH DIVISION OF HEALTH INFORMATICS NAMI-MONTGOMERY COUNTY NAMI-MAIN LINE MONTGOMERY CO. DEPT. OF HEALTH AND HUMAN SERVICES ROCKY MOUNTAIN MIRECC/VETERANS ADMINISTRATION PREVENT SUICIDE PA DELAWARE/CHESTER COUNTY MEDICAL SOCIETIES AUDUBON MANAGEMENT CONSULTANTS PA HEALTH CARE COST CONTAINMENT COUNCIL EISTEIN HEALTH CARE NETWORK ACCESS SERVICES FORM 990 SCHEDULE H PART V LINE 7d COPIES DISTRIBUTED TO ALL PARTICIPATING ORGANIZATIONS (ABOVE) AND ALL ORGANIZATIONS AND INDIVIDUALS WHO ARE MEMBERS OF THE MONTGOMERY COUNTY SUICIDE PREVENTION TASK FORCE. PART I, LINE 7: CALCULATIONS WERE BASED ON AMOUNTS REPORTED IN THE MEDICAID COST REPORT AND REPORTS PREPARED AND SUBMITTED TO THE PENNSYLVANIA HEALTH CARE COST CONTAINMENT COUNCIL. PART I, LINE 7, COLUMN F: PERCENT OF TOTAL EXPENSE IS THE NET COMMUNITY BENEFIT EXPENSE DIVIDED BY THE TOTAL EXPENSE, INCLUDING BAD DEBT EXPENSE. PART II, Community Building Activities MCES engages is a wide range of community behavioral health promotion activities. These include: - A free 3-day crisis intervention training for local police and other criminal justice personnel. - Participating in a county-wide suicide prevention coalition involving representatives of behavioral health and criminal justice agencies to address inter-system issues. - Issuing fact sheets outlining suicide risk in veterans, the elderly, teens, individuals with mental illness, and substance abusers. - Presentations on mental illness, crisis intervention, and suicide prevention to schools, community groups, and human service agencies. - Operating a dedicated psychiatric ambulance to respond to mental health emergencies and free local Emergency Medical Services and police for other emergency needs. - Offering a relapse prevention self-help program to inpatients (OARS: Ongoing Abstinence Recovery Schedule) to reduce the need for rehospitalization, and helping patients with co-occurring mental illness and opiate addiction disorders develop a personal daily/weekly recovery schedule to sustain a sober lifestyle. - Offering an inpatient suicide prevention awareness group. - Adopting the recovery, co-occurring disorder, and trauma-informed care models to enhance the effectiveness of inpatient care. - Providing practicums and internships for graduate medical, nursing, psychology, social work, occupational therapy assistants, and physician assistant students. - Utilizing Certified Peer Specialists (individuals who have used the services of MCES or other providers) in our inpatient, Justice Related Services, and Crisis Residential program (CRP). - Collaborating with public service agencies such as the Southeastern Pennsylvania Transportation Authority (SEPTA) and the PA Department of Transportation to post hot line phone numbers at all commuter rail stations in SE PA and on two local bridges that have been the site of many suicides. - After hours coverage of the Montgomery County Elder Abuse Hot Line and assisting adults and older adults who may be experiencing some form of abuse or neglect. - Serving as a part of the National Suicide & Crisis Lifeline responding to calls to 988 from Montgomery and Delaware Counties. PART III, SECTION A, BAD DEBT EXPENSE: FOOTNOTE: ACCOUNTS RECEIVABLE ARE STATED AT THE AMOUNT MANAGMENT EXPECTS TO COLLECT FROM OUTSTANDING BALANCES. MANAGEMENT PROVIDES FOR PROBABLE UNCOLLECTIBLE AMOUNTS THROUGH A PROVISION FOR BAD DEBT EXPENSE AND AN ADJUSTMENT TO A VALUATION ALLOWANCE BASED ON ITS ASSESSMENT OF THE CURRENT STATUS OF INDIVIDUAL ACCOUNTS. BALANCES THAT ARE STILL OUTSTANDING AFTER MANAGEMENT HAS USED REASONABLE COLLECTION EFFORTS ARE WRITTEN OFF THROUGH A CHARGE TO THE VALUATION ALLOWANCE AND A CREDIT TO ACCOUNTS RECEIVABLE. LINE (2) ORGANIZATION'S BAD DEBT EXPENSE (AT COST) IS TOTAL BAD DEBT MULTIPLIED BY THE RATIO OF PATIENT CARE COST TO CHARGES. LINE (3) THE AMOUNT ON LINE 3 WAS DETERMINED BY RECORD REVIEW. PART III, SECTION B, MEDICARE: LINE 8: THE AMOUNTS USED FOR MEDICARE ALLOWABLE COSTS WERE TAKEN DIRECTLY FROM THE MEDICARE COST REPORT. PART III, SECTION C, COLLECTION PRACTICES: MCES PROVIDES ALL OF ITS BEHAVIORAL HEALTH SERVICES BASED ON NEED IRRESPECTIVE OF INSURANCE COVERAGE. WE DEVELOP INDIVIDUALIZED PAYMENT ARRANGEMENTS WHERE APPROPRIATE WITH PATIENTS WHO MAY HAVE LIMITED MEANS. WE WORK WITH PATIENTS TO IDENTIFY ANY AVAILABLE SOURCE OF COVERAGE FOR OUR SERVICES OR ONGOING CARE AFTER DISCHARGE AND HELP THEM APPLY FOR SUCH BENEFITS. WE ACCEPT ALL INSURANCE PLANS THAT ACCEPT US AS AN ELIGIBLE PROVIDER. PART V, LINE 22D, FACILITY INFORMATION: PATIENTS WERE BILLED ON A SLIDING FEE SCALE. Needs Assessment MCES determines the need for its services by closely working with the Montgomery County Office of Behavioral Health and other mental health providers, community hospital psychiatry units and emergency departments, police in all municipalities in our service area, mental health advocacy groups, and mental health consumer organizations. MCES also uses information from its crisis hot line and services. MCES monitors trend data on utilization of similar services from the state and federal governments and state and national psychiatric hospital associations. MCES also contributes to surveys and public hearings by county and state agencies that are held to identify service needs or gaps affecting persons with serious mental illness in our service area. MCES has a current needs assessment study posted on its website. Copies are also available on site and on request. Availability of MCES needs assessment studies is posted on social media. MCES has continued to call attention to the problem of suicide in Montgomery County. Annually, there are an average of 93 suicides reported by the Coroner's Office. There are 6 suicides for every homicide in the county. PA Department of Health data indicate that suicides have increased among women in the 50-59 age range and many involved deliberate prescription drug overdoses. Females comprised a larger share of suicides in service areas than in past years. Patient Education of Eligibility for Assistance MCES CHARITY CARE POLICY IS STATED IN INFORMATIONAL LITERATURE AVAILABLE TO ALL PROSPECTIVE PATIENTS AND VISITORS AS THEY ENTER OUR FACILITY. OUR CHARITY CARE POLICY IS POSTED ON OUR WEBSITE AND IS ALSO INCLUDED IN OUR PATIENT AND FAMILY HANDBOOK TO ALL NEWLY ADMITTED PATIENTS AND THEIR FAMILIES. PATIENT ELIGIBILITY GUIDELINES ARE GIVEN IN ALL SERVICE AND PROGRAM BROCHURES. DURING THEIR INPATIENT STAY, MCES SOCIAL SERVICE STAFF AND PATIENT RESOURCE PERSONNEL INFORM AND ASSIST PATIENTS IN IDENTIFYING AND QUALIFYING FOR AVAILABLE GOVERNMENTAL ENTITLEMENTS AND OTHER PROGRAMS, SUCH AS PHARMACEUTICAL COMPANY PATIENT ASSISTANCE FOR UNCOVERED PRESCRIPTION NEEDS. MCES ALSO MAKES OPTIMAL USE OF SOURCES SUCH AS COUNTY FUNDING FOR INDIGENT OR UNINSURED INDIVIDUALS. Community Information MCES's primary service area is Montgomery County, PA, which occupies just under 500 square miles in the Philadelphia-Camden-Wilmington Metropolitan Area. The US Census estimated the total county population to be 830,915. The county remains the third most populous in Pennsylvania (after Philadelphia and Allegheny counties). It is made up of 62 municipalities. Individuals under age 18 made up 23% of the county population. Persons over age 65 accounted for over 15% of all county residents. Those in the 65-74 age range made up 8.6% of the elderly and those aged 75 and over (the "old elderly") comprised 7.8%. The upper end of the "Baby Boomer" (55-64) age group in the county is growing very fast; median age is 41.2 years. Based on US Census data, between 2000 and 2010, almost all of Montgomery County's population growth was among non-white groups. Notably the number of individuals of Hispanic origin now represents 5.4% of the county population. Afro-Americans now make up 10% of county residents. Asian Americans represent 8.1% of county residents. About 12% of people in the county reported that they speak a language other than English at home. 94.2% of residents have high school degrees or higher; while 48.7% have a bachelor's degree or higher. The county has ranked among the most affluent in the United States. The median income for a household is $88,166. On the other hand, about 6% of county residents have incomes below the poverty level. Per capita income in the county is $46,776. According to the PA Department of Health, 9% of the county population was eligible for Medicaid. The US Bureau of Labor statistics reported the county's unemployment rate to be 3.7%. Almost 95,000 county residents are classified as disabled. Just over 50,000 are veterans. 97% of the county population lived in urban/suburban areas and 3% in rural areas. In addition to serving Montgomery County, Pennsylvania, MCES also accepts patients from Berks, Bucks, Chester, Delaware, and Philadelphia Counties to its patient psychiatric care program when beds are available. Promoting Health of the Community - Collaborating with consumer and mental health advocacy groups such as the National Alliance for Mental Illness (NAMI), the Montgomery County Consumer Satisfaction Team (CST), and the Consumer Support Program (CSP) to improve appropriate use of services. - Providing information and interviews on behavioral health topics to county and regional media to increase community awareness of mental health needs and services. - Promoting emergency responder suicide prevention in response to the suicides of area police officers and EMTs. - Developing suicide prevention kits for emergency responders, families of persons with serious mental illness, and high school teachers offering basic information about suicide and how to aid an individual who may be at risk of suicide. These kits are also provided to patients at discharge from inpatient care. - Staff participation in community groups (e.g., the Norristown Interagency Council), coalitions (e.g., the Montgomery County Association for Excellence in Service, AKA "MAX") to provide input on emergency mental health needs. - Participating in mental health awareness events (e.g., the Annual NAMI Walk) to provide information on services and to increase public understanding of mental illness. - Using social media (Twitter, Facebook and LinkedIn) and updates on our website to keep stakeholders and the community apprised of MCES and behavioral health developments. Charity Care Policy MCES PROVIDES ALL OF ITS BEHAVIORAL HEALTH SERVICES BASED ON NEED IRRESPECTIVE OF INSURANCE COVERAGE. WE DEVELOP INDIVIDUALIZED PAYMENT ARRANGEMENTS WHERE APPROPRIATE WITH PATIENTS WHO MAY HAVE LIMITED MEANS. WE WORK WITH PATIENTS TO IDENTIFY ANY AVAILABLE SOURCE OF COVERAGE FOR OUR SERVICES OR ONGOING CARE AFTER DISCHARGE AND HELP THEM APPLY FOR SUCH BENEFITS. WE ACCEPT ALL INSURANCE PLANS THAT ACCEPT US AS AN ELIGIBLE PROVIDER. X X false false false false false false false false false WILLIAM MYERS CEO 382183 45816 427999 RUSSELL YATES STAFF PSYCHIATRIST 207305 21082 228387 MARINA COONEY CMO 149789 28487 178276 TANA ANDRE STAFF PSYCHIATRIST 225349 40887 266236 PRIYANKAR SARKAR STAFF PSYCIATRIST 413789 413789 BYANKA MEACHAM COO 269446 21986 291432 JEFFREY BARROSO STAFF PSYCHIATRIST 187874 187874 JORDAN SANTINA STAFF PSYCHIATRIST 277284 24213 301497 See schedules electronically attached FORM 990, PART VI: GOVERNANCE, MANAGEMENT AND DISCLOSURE FORM 990, PART VI: SECTION B POLICIES, LINE 12