2018-05-15T14:23:38-05:00 2017-06-30 HEFFLER RADETICH & SAITTA LLP 1515 MARKET STREET SUITE 1700 PHILADELPHIA PA 19102 990 2016-07-01 231894907 MONTGOMERY COUNTY EMERGENCY SERVICE INC % WILLIAM MYERS CEO MONT 6102796100 50 BEECH DRIVE NORRISTOWN PA 194035421 WILLIAM MYERS C.E.O. 4847542444 2017-08-17 true RUSSELL H STROEMEL P00707131 2156658870 2016 2022-09-23 18:48:47Z WILLIAM MYERS 50 BEECH DRIVE NORRISTOWN PA 194035421 13938918 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. 12 12 325 10 0 136113 413153 15435393 13014406 111790 70228 517031 441131 16200327 13938918 0 0 0 0 12968575 11511540 0 0 0 4244340 3423587 17212915 14935127 -1012588 -996209 7583308 6952568 2851668 3086389 4731640 3866179 X MCES PROVIDES ROUND-THE-CLOCK INTENSIVE AND COMPREHENSIVE BEHAVIORAL HEALTH SERVICES, INCLUDING AN ADULT INPATIENT HOSPITAL AND OUTPATIENT SERVICES, TO ALL IN NEED IN THE COMMUNITY WHILE MAINTAINING AND ADVOCATING FOR THEIR RIGHTS, INDIVIDUAL DIGNITY AND RECOVERY. 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 THOROUGH OUR PROGRAMS. false false 10372591 10520772 Inpatient Psychiatric Care: MCES provides acute inpatient psychiatric care to indviduals 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, and have access to Certified Peer Specialists and their Recovery Coach, case manager, and other providers. Patients engage with outpatient providers before discharge wherever possible. The inpatient program is state-licensed and accredited by The Joint Commission. MCES is a provider of initial involuntary psychiatric hospitalizations in Montgomery County. The MCES inpatient program is nationally recognized for its ability to address any behavioral health emergency including those involving forensic issues. MCES incorporates the principles of the recovery model and trauma-informed care in its inpatient care. It offers a "comfort room" to provide a calming setting for patients at risk of becoming upset and agitated. MCES also broadened its services to individuals with co-occurring psychiatric and addictive disorders. - Highlight: MCES had over 1800 admissions of individuals with exacerbations of psychiatric disorders requiring inpatient treatment and stabilization. - Highlight: A Certified Peer Specialist is a member of the Allied Therapy Department. - Highlight: MCES inpatients enjoyed several vocal and instrumental performances by a musicians and artists representing various styles various styles 968658 969003 Crisis Intervention: See attachment 922682 784047 Crisis Residential Program (CRP): See attachment 889497 1795844 13153428 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 true false false false false false false false false false false true 9 0 true 325 true false false false false false false X 12 12 true 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 BRAD BARRY PRESIDENT & DIRECTOR 20.0 0.0 X X 124830 0 0 NEAL F BASILE TREASURER & DIRECTOR 1.0 0.0 X X 0 0 0 CAROLINE ELLISON PHD VICE PRESIDENT & DIRECTOR 1.0 0.0 X 0 0 0 TERRY GLAUSER DIRECTOR 1.0 0.0 X 0 0 0 CLIFFORD ROGERS PHD DIRECTOR 1.0 0.0 X 0 0 0 HUDSON B SCATTERGOOD VICE PRESIDENT & DIRECTOR 1.0 0.0 X X 0 0 0 RANDALL S FLOYD DIRECTOR 1.0 0.0 X 0 0 0 MICHAEL KENNEDY SECRETARY & DIRECTOR 1.0 0.0 X X 0 0 0 FAITH MILLEN DIRECTOR 1.0 0.0 X 0 0 0 BARBARA WATSON RAWLS DIRECTOR 1.0 0.0 X 0 0 0 DOUGLAS W HAGER DIRECTOR 1.0 0.0 X 0 0 0 CATHLEEN KELLY REBAR DIRECTOR 1.0 0.0 X 0 0 0 WILLIAM MYERS CEO 40.0 0.0 X 248174 0 25238 DEEPRAJ SINGH MEDICAL DIRECTOR 40.0 0.0 X 255674 0 14525 CONSOLACION ALCANTARA PRES. MED STAFF/ASST MED DIR 40.0 0.0 X 146805 0 0 RUSSELL YATES STAFF PHYSICIAN 40.0 0.0 X 187653 0 16025 JORDAN SANTINA STAFF PSYCHIATRIST 40.0 0.0 X 194356 0 9290 ODEZZA BAUTISTA STAFF PSYCHIATRIST 40.0 0.0 X 103894 0 0 TARITA COLLINS STAFF PSYCHIATRIST 40.0 0.0 X 113098 0 0 ROCIO NELL-BADRA STAFF PSYCHIATRIST 40.0 0.0 X 243699 0 0 1618183 0 65078 9 true true false INDEPENDENCE BLUE CROSS PO BOX 8500 PHILADELPHIA PA 191783092 INSURANCE 1383058 LIFETREE PHARMACY 5 BLUE HERON DRIVE COLLEGEVILLE PA 19426 PHARMACY SUPPLIES 588940 LINTON'S FOOD MGMT SERVICES 4 SENTRY PARK EAST SUITE 100 BLUE BELL PA 19422 FOOD SERVICE 338807 ICW GROUPS PO BOX 85563 SAN DIEGO CA 921865563 INSURANCE 207746 NETSMART 3500 SUNRISE HIGHWAY STE D-122 GREAT RIVER NY 11739 IT CONSULTING 149949 5 413153 413153 PATIENT SERVICES (NET OF CONTRACTUAL ALLOWANCES) 13014406 13014406 13014406 63128 63128 0 0 0 0 0 7100 7100 7100 0 0 0 0 0 0 0 0 0 MISCELLANEOUS 83905 83905 TOBACCO SETTLEMENT 304861 304861 BENEFITS COORD 52365 52365 441131 13938918 13455537 63128 0 0 0 0 638678 638678 0 8638417 8366238 272179 0 1488877 1454439 34438 745568 676238 69330 0 1901 1901 75500 75500 0 0 0 221556 99877 121679 13357 13357 199423 139678 59745 0 0 0 50596 13873 36723 0 0 8721 15 8706 0 291410 291410 0 262743 101016 161727 BAD DEBTS 701253 701253 0 MEDICAL SUPPLIES AND DRUGS 651509 651509 0 FOOD 361956 361956 0 MAINTENANCE 223193 86974 136219 360469 208952 151517 14935127 13153428 1781699 0 136036 1291899 22833 0 714861 524332 1507023 1361920 0 0 0 0 619197 316214 0 0 233466 217623 6934929 6007384 1066712 927545 3282730 2312585 0 0 0 0 0 0 450 450 7583308 6952568 2795512 3044293 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56156 42096 2851668 3086389 X 4731640 3866179 0 0 0 0 4731640 3866179 7583308 6952568 -996209 130748 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4184497 3695338 489159 2750432 2312046 438386 0 0 927545 0 LEASE PAYABLE 42096 42096 13368413 130748 130748 13237665 701253 701253 13938918 14233874 14233874 701253 701253 14935127 Reconciling difference Patient service revenue is shown net of $701,253 bad debt expense for financial statement purposes true true true X true X 500. true true true false true true 273808 273808 0.01800 6193351 4082902 2110449 0.14100 779614 497133 282481 0.01900 7246773 4580035 2666738 0.17800 151313 52365 99148 0.00660 102530 102530 0.00700 253843 52365 201678 0.01360 7500616 4632400 2868416 0.19160 27886 27886 0.00190 37773 37773 0.00250 21534 21534 0.00140 87193 87193 0.00580 false 341762 1228 2233612 2297342 -63730 X true true NA 1 1 MONTGOMERY COUNTY EMERGENCY SERVICE 50 BEECH DRIVE NORRISTOWN PA 19403 www.mces.org X MONTGOMERY COUNTY EMERGENCY SERVICE 1 false false true X X X X X X 15 true false false true X www.mces.org X false false true X 200. 500. X X X true false true X 0 X X true false true X false false FORM 990 SCHEDULE H PART V LINE 5 PLEASE SEE ATTACHED CHNA REPORT FOR 2015 PART I, LINE 6A: N/A 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 for other emergency needs. - Offering a relapse prevention self-help program to inpatients (MAP: My Action Plan) to reduce the need for rehospitalization, and offering instruction by a Certified Peer Specialist on developing a "Wellness Recovery Action Plan" (WRAP) to increase self-help and coping skills. - 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 al 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 elders who may be experiencing some form of abuse or neglect. 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 AVAILIABLE 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, outreach program, 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 reserve. MCES has continued to call attention to the problem of suicide in Montgomery County. In 2016, there were a total of 115 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. 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 in 2016 to be 821,725. 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% of the county population. Afro-Americans now make up 9.4% of county residents. About 12% of people in the county reported that they speak a language other than English at home. These percentages remained the same in 2011 estimates. The county has ranked among the most affluent in the United States. The median income for a household is $79,183. On the other hand, about 6% of county residents have incomes below the poverty level. 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. 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. - Chairing the Montgomery County Emergency Responder Suicide Prevention Initiative in response to the suicides of area police officers and EMTs. - Creating the "MontcoCares" web site offering a wide range of suicide prevention informational and educational resources. - 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. - Staff participation in community groups (e.g., the Norristown Interagency Council), coalitions (e.g., the Montgomery County Association for Excellence in Service, AKA "MAX"), and provider boards (e.g., Circle Lodge) 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 and LinkedIn) and a monthly e-newsletter to keep stakeholders and the community apprised of 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 ROCIO NELL-BADRA STAFF PSYCHIATRIST 243699 0 0 243699 WILLIAM MYERS CEO 248174 0 25238 273412 RUSSELL YATES STAFF PHYSICIAN 187653 0 16025 203678 CONSOLACION ALCANTARA PRES. MED STAFF/ASST MED DIR 146805 0 146805 JORDAN SANTINA STAFF PSYCHIATRIST 194356 0 9290 203646 DEEPRAJ SINGH MEDICAL DIRECTOR 255674 0 14525 270199 DR MICHEL BADRA FAMILY MEMBER OF FORMER CEO 6040 PART TIME INTERNIST false See schedules electronically attached FORM 990, PART VI: GOVERNANCE, MANAGEMENT AND DISCLOSURE FORM 990, PART VI: SECTION B POLICIES, LINE 12