2024-11-08T08:48:25-06:00 2023-12-31 390758449 WIPFLI LLP 170 N RADNOR-CHESTER RD SUITE 200 RADNOR PA 19087 990 2023-01-01 870838415 MENTAL HEALTH EMERGENCY CENTER INC MENT 4149663030 1525 N 12TH STREET MILWAUKEE WI 53205 RACHEL HALVERSON SVP CONTROLLER 4149663030 2024-11-08 1 0 SOLOMON MARDAKHAEV P01806552 6105653930 2024-11-08 2023 2024-10-15 13:58:12Z ERIC CONLEY 1525 N 12TH STREET MILWAUKEE WI 53205 20542861 0 X WWW.MENTALHEALTHMKE.ORG X 2021 WI THE MENTAL HEALTH EMERGENCY CENTER (MHEC) IS A COUNTY-WIDE PSYCHIATRIC EMERGENCY DEPARTMENT OFFERING 24/7/365 CRISIS MENTAL HEALTH ASSESSMENT, STABILIZATION, TREATMENT, AND TRANSITION CARE MANAGEMENT FOR CHILDREN, ADOLESCENTS AND ADULTS. 8 8 0 0 0 0 12046000 12839916 848856 7598151 39496 104794 0 0 12934352 20542861 0 0 0 0 0 0 0 0 0 8972355 17346119 8972355 17346119 3961997 3196742 12697958 15631824 1505943 1243067 11192015 14388757 MHEC PROVIDES EMERGENCY CRISIS CARE THAT IS PATIENT-CENTERED, RECOVERY-ORIENTATED AND CULTURALLY INFORMED. 0 0 16807455 0 7598151 MENTAL HEALTH EMERGENCY CENTER INC. (MHEC) COMPLETED CONSTRUCTION AND BEGAN SERVING PATIENTS IN SEPTEMBER 2022. MHEC SERVES AS AN ANCHOR INSTITUTION IN ITS SURROUNDING NEIGHBORHOOD, PROVIDING INCREASED SAFETY, REVITALIZATION AND ECONOMIC BENEFITS. THROUGHOUT 2023, MHEC PROVIDED TIMELY EMERGENCY TREATMENT TO OVER 14,425 PATIENTS, WITH MANY OF THESE PATIENTS STABILIZED AT MHEC AND PROMPTLY TRANSFERRED TO THE NEXT LEVEL OF CARE. MHEC ALSO EMPLOYS ABOUT 95 FULL-TIME EQUIVALENT STAFF, WITH 69% OF THE HIRES FILLED BY PEOPLE OF COLOR, REPRESENTATIVE OF THE RACIAL AND ETHNIC BACKGROUNDS OF THE CLIENTS SERVED AT THE EMERGENCY CENTER. 16807455 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 WI X X ADVOCATE AURORA HEALTH INC 4142991576 750 W VIRGINIA STREET MILWAUKEE WI 532341880 X NANCY KOROM VICE CHAIR (THRU NOV 2023)/ CHAIR 0.00 X X 0 0 0 MATTHEW FORTMAN SEC (4/23)/TRE (11/23)/VICE CHAIR 0.00 X X 0 0 0 JONATHAN MATUSZEWSKI TREASURER 0.00 X X 0 0 0 SHAKITA LAGRANT SECRETARY 0.00 X X 0 0 0 ERIC CONLEY SECRETARY (THRU NOV 2023)/DIRECTOR 0.00 X 0 0 0 CARRIE KILLORAN DIRECTOR 0.00 X 0 0 0 MICHAEL LAPPEN CHAIR (THRU NOV 2023)/ DIRECTOR 0.00 X 0 0 0 REGINALD NEWSON DIRECTOR (THRU MAY 2023) 0.00 X 0 0 0 MARIA PEREZ DIRECTOR 0.00 X 0 0 0 JIM TARASOVITCH TREASURER (THRU MAR 2023)/ DIRECTOR 0.00 X 0 0 0 KEVIN KLUESNER HOSP. ADMINISTRATOR (THRU MAR 2023) 0.00 X 0 0 0 0 0 0 0 0 0 0 ADVOCATE AURORA HEALTH 750 W VIRGINIA ST MILWAUKEE WI 53204 MANAGEMENT SERVICES 14910148 MEDICAL COLLEGE OF WISCONSIN 8701 WATERTOWN PLANK RD MILWAUKEE WI 53226 PHYSICIAN SERVICES 296907 HUSCH BLACKWELL LLP PO BOX 790379 ST LOUIS MO 63179 LEGAL SERVICES 136726 SIMPLIFI 5020 NORTHSHORE DR STE 2 NORTH LITTLE ROCK AR 72118 HEALTHCARE STAFFING 109914 4 6265804 6574112 12839916 OUTPATIENT REVENUE 621400 6342614 6342614 ROOM AND BOARD 623990 689002 689002 INPATIENT REVENUE 621300 566535 566535 7598151 104794 104794 20542861 7598151 0 104794 X 140579 140579 29000 29000 15686517 15354773 331744 75 75 80293 80293 186 186 542910 542910 58571 58571 BAD DEBT 445740 445740 MEDICAL SUPPLIES 163905 106329 57576 MINOR EQUIPMENT 80916 80570 346 DRUGS AND PHARMACEUTICA 23806 23522 284 93621 85561 8060 17346119 16807455 538664 0 2020895 3159580 267700 2331536 27993 30512 10829013 718817 10381370 10110196 12697958 15631824 1291739 1243067 214204 0 1505943 1243067 X 11192015 14388757 11192015 14388757 12697958 15631824 3196742 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1305428 1305428 8923418 640319 8283099 600167 78498 521669 10110196 20097121 -445740 -445740 20542861 0 20542861 16900379 0 16900379 445740 445740 17346119 PART XI, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT -445,740. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT 445,740. 1 1 X 1 X 250.000000000000 0 1 1 1 0 1 1 156511 156511 0.00900 10782451 4763459 6018992 0.34700 10938962 4763459 6175503 0.35600 14584 14584 0.00080 5946833 7152411 0 0.00000 5961417 7152411 14584 0.00080 16900379 11915870 6190087 0.35680 1 445739 309297 1 1 MENTAL HEALTH EMERGENCY CENTER INC 1525 N 12TH ST MILWAUKEE WI 53205 HTTPS://MENTALHEALTHMKE.ORG 52D2263769 X X 24 HR MENTAL HEALTH EMERGENCY CENTER MENTAL HEALTH EMERGENCY CENTER INC 1 1 1 1 X X X X X X X X X 22 1 1 1 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X 1 22 1 HTTPS://MENTALHEALTHMKE.ORG/WP-CONTENT/UPLOADS/2023/04/MHEC-CHIS-2023-2025 0 1 X 250.000000000000 X X X 1 1 X X X 1 X HTTPS://MENTALHEALTHMKE.ORG/FINANCIAL-ASSISTANCE/ X HTTPS://MENTALHEALTHMKE.ORG/FINANCIAL-ASSISTANCE/ X HTTPS://MENTALHEALTHMKE.ORG/FINANCIAL-ASSISTANCE/ X X X X X X 1 X 0 X X X X 1 X 0 0 MENTAL HEALTH EMERGENCY CENTER, INC PART V, SECTION B, LINE 2: CONSTRUCTION ON MHEC WAS COMPLETED IN 2022 AND MHEC BEGAN SERVING PATIENTS IN SEPTEMBER 2022. MENTAL HEALTH EMERGENCY CENTER, INC PART V, SECTION B, LINE 5: MHEC RECEIVED INPUT FROM VARIOUS SOURCES. A COMMUNITY HEALTH SURVEY WAS CONDUCTED ONLINE BETWEEN AUGUST AND OCTOBER 2021 BY MORE THAN 8,600 MILWAUKEE COUNTY RESIDENTS. THE SURVEY ASKED 50 QUESTIONS RELATED TO THE TOP HEALTH NEEDS IN THE COMMUNITY, INDIVIDUALS' PERCEPTIONS OF THEIR OVERALL HEALTH, ACCESS TO HEALTH SERVICES, AND SOCIAL DRIVERS OF HEALTH, INCLUDING RACISM AND HEALTH EQUITY. ADDITIONALLY, MHEC CONDUCTED STAKEHOLDER INTERVIEWS AND FOCUS GROUPS WITH 103 INDIVIDUALS REPRESENTING 93 ORGANIZATIONS TO IDENTIFY THE COMMUNITY'S MOST PRESSING HEALTH ISSUES AND EFFECTIVE HEALTH IMPROVEMENTS STRATEGIES. THE FOCUS GROUPS WERE SELECTED TO ASSURE INPUT FROM ORGANIZATIONS REPRESENTING VULNERABLE POPULATIONS AND THOSE WITH EXPERTISE IN PUBLIC HEALTH. THE GROUPS INCLUDED LEADERS AND REPRESENTATIVES FROM SAFETY NET CLINICS, LOCAL PUBLIC HEALTH DEPARTMENTS, YOUTH SERVING ORGANIZATIONS, AND ORGANIZATIONS SERVING LOW-INCOME POPULATIONS. FINALLY, MHEC CONSIDERED HEALTH INDICATORS FROM HEALTH COMPASS MILWAUKEE (HEALTHCOMPASSMILWAUKEE.COM), WHICH IS A DYNAMIC WEBSITE PROVIDING MORE THAN 300 OF THE MOST CURRENT HEALTH INDICATORS FOR MILWAUKEE COUNTY AT THE COUNTY, MUNICIPAL, ZIP CODE, AND CENSUS TRACT LEVELS (WHERE AVAILABLE). HEALTH COMPASS MILWAUKEE ALSO PROVIDES RELATED DEMOGRAPHIC DATA SUCH AS RACE/ETHNICITY, EDUCATION, INCOME AND HOUSING. MENTAL HEALTH EMERGENCY CENTER, INC PART V, SECTION B, LINE 6A: MHEC IS CONNECTED TO THE MILWAUKEE HEALTH CARE PARTNERSHIP (MHCP) HTTP://MKEHCP.ORG/, COMPRISED OF MILWAUKEE'S FOUR HEALTH SYSTEMS, AURORA HEALTH CARE (FIVE HOSPITALS); ASCENSION; CHILDREN'S HOSPITAL & HEALTH SYSTEM, INC.; AND FROEDTERT HEALTH. MENTAL HEALTH EMERGENCY CENTER, INC PART V, SECTION B, LINE 6B: MHCP ALSO INCLUDES THE CITY OF MILWAUKEE HD, ALONG WITH THE OTHER 11 MUNICIPAL HDS IN MILWAUKEE CO., WHICH ALIGNED RESOURCES TO COMPLETE A SHARED CHNA IN THE COUNTIES IN WHICH THEY OPERATE HOSPITALS.MENTAL HEALTH EMERGENCY CENTER, INC:PART V, SECTION B, LINE 7A: HTTPS://MENTALHEALTHMKE.ORG/WP-CONTENT/UPLOADS/2022/12/MHEC-CHNA-2022_FINAL.PDFMENTAL HEALTH EMERGENCY CENTER, INC: PART V, SECTION B, LINE 7B: HTTPS://HEALTHCOMPASSMILWAUKEE.ORG/TOPICS/WIHR2?TOPIC=MENTAL-HEALTH-EMERGENCY-DEPARTMENT-VISIT-RATE MENTAL HEALTH EMERGENCY CENTER, INC PART V, SECTION B, LINE 11: THE MEMBERS OF THE MILWAUKEE HEALTH CARE PARTNERSHIP UTILIZED CONDUENT HCI'S DATA SCORING TOOL TO IDENTIFY AND RANK PERTINENT FINDINGS. THIS IDENTIFIED MENTAL HEALTH, VIOLENCE, DRUG USE AND OVERDOSE, ALCOHOL MISUSE AND ABUSE, AND ACCESS TO HEALTH CARE SERVICES AS TOP HEALTH ISSUES. BASED ON ITS SCOPE AND SERVICES, MENTAL HEALTH EMERGENCY CENTER HAS PRIORITIZED MENTAL HEALTH AND ACCESS AS SIGNIFICANT NEEDS TO ADDRESS IN THE 2023-2025 IMPLEMENTATION STRATEGY. OTHER NEEDS WERE NOT ADDRESSED FOR A VARIETY OF REASONS INCLUDING BUT NOT LIMITED TO: (1) OTHER ORGANIZATIONS IN THE COMMUNITY ARE ADDRESSING THE NEED WITH STRONG PROGRAMMING AND MHEC CREATING A NEW PROGRAM OR SERVICE WOULD DUPLICATE SERVICES WITH LITTLE ADDITIONAL BENEFIT TO THE COMMUNITY, (2) THE NEEDS ARE BEING ADDRESSED AS PART OF OTHER ORGANIZATION'S CONTINUUM OF CASE, SUCH AS CHRONIC DISEASE, AND WE BELIEVE THE NEED WILL BE ADDRESSED THROUGH THEIR HEAVY FOCUS ON ADDRESSING ACCESS BARRIERS, (3) RESOURCE CONSTRAINTS, AND (4) A LACK OF IDENTIFIED EFFECTIVE INTERVENTIONS ARE AVAILABLE TO ADDRESS THE NEED IN AN IMPACTFUL WAY. MENTAL HEALTH EMERGENCY CENTER, INC PART V, SECTION B, LINE 13H: APPLY FOR FINANCIAL ASSISTANCE WITHIN 240 DAYS OF THE PATIENT'S FIRST BILLING STATEMENT. PART I, LINE 7: COST-TO-CHARGE RATIO. PART III, LINE 2: BAD DEBT IS ESTIMATED AS THE AMOUNT OF GROSS CHARGES THAT ARE UNLIKELY TO BE PAID BY PATIENTS BASED ON PATIENTS' INSURANCE COVERAGE AND HISTORICAL PAYMENT HISTORY. PART VI, LINE 2: AS A UNIQUE JOINT VENTURE BETWEEN MILWAUKEE COUNTY AND THE HEALTH SYSTEM MEMBERS OF THE MILWAUKEE HEALTH CARE PARTNERSHIP (ADVOCATE AURORA HEALTH, ASCENSION WISCONSIN, CHILDREN'S WISCONSIN, AND FROEDTERT HEALTH), THE MENTAL HEALTH EMERGENCY CENTER (MHEC) LEVERAGES EXPERTISE FROM HEALTHCARE AND COMMUNITY LEADERS TO CONTINUOUSLY ASSESS THE HEALTH CARE NEEDS OF THE RESIDENTS OF MILWAUKEE COUNTY. PART VI, LINE 3: THE ORGANIZATION'S PATIENT FINANCIAL ADVOCATES ADDRESS EVERY PATIENT OR PATIENT'S FAMILY WHO PRESENTS FOR SERVICES AND HAS NO INSURANCE, WITH THE PURPOSE OF SHARING OPTIONS FOR COVERAGE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS, AS WELL AS MHEC'S INTERNAL PATIENT FINANCIAL ASSISTANCE PROGRAM. THE PATIENT FINANCIAL ADVOCATE WILL ASSIST THE PATIENT AND/OR PATIENT'S FAMILY IN PREPARING THE PAPERWORK TO APPLY FOR ANY GOVERNMENT COVERAGE AND/OR MHEC'S INTERNAL FINANCIAL ASSISTANCE. NOTICES REGARDING ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS, OR UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAM ARE ALSO POSTED WITHIN THE FACILITY. PART VI, LINE 4: A DETAILED DESCRIPTION OF THE COMMUNITY SERVED BY MHEC CAN BE FOUND IN THE COMMUNITY HEALTH NEEDS ASSESSMENT (HTTPS://MENTALHEALTHMKE.ORG/WP-CONTENT/UPLOADS/2022/12/MHEC-CHNA-2022_FINAL.PDF) BEGINNING ON PAGE 4. THIS DOCUMENT CONTAINS A DEFINITION OF THE COMMUNITY SERVED (RESIDENTS OF MILWAUKEE COUNTY) INCLUDING THE COUNTY'S POPULATION, AN ANALYSIS OF THE SOCIAL DETERMINANTS OF HEALTH, DEMOGRAPHICS OF THE COUNTY'S POPULATION (INCLUDING AGE, GENDER, RACE, ETHNICITY, AND FAMILY STRUCTURE), ECONOMIC PICTURE, AND EDUCATION LEVELS. PART VI, LINE 5: MHEC PROVIDES IMPORTANT STABLIZATION SERVICES TO INDIVIDUALS IN MENTAL HEALTH CRISES AT THE EXPENSE OF ITS MEMBERS. THE ORGANIZATION IS EXPECTED TO DELIVER CARE WITH AN OPERATING LOSS OF $13 MILLION ANNUALLY IN 2023. OPERATING SHORTFALLS ARE SPLIT 50/50 BETWEEN MILWAUKEE COUNTY AND MHEC'S HEALTH SYSTEM MEMBERS. EFFORTS ARE UNDERWAY WITH THE STATE OF WISCONSIN TO ENHANCE CRISIS REIMBURSEMENT TO ENSURE LONG-TERM VIABILITY AND TO SECURE PHILANTHROPIC FUNDING FOR UNCOVERED SERVICES. PART VI, LINE 6: N/A PART VI, LINE 7, REPORTS FILED WITH STATES WI FORM 990, PART VI, SECTION A, LINE 6 MEMBERSHIP INTERESTS ARE HELD BY TWO CLASSES OF MEMBERS: THE HEALTH SYSTEM CLASS AND THE MILWAUKEE COUNTY CLASS. MEMBERSHIP IN THE HEALTH SYSTEM CLASS IS DIVIDED EQUALLY AMONG THE HEALTH SYSTEM PARTNERS, WITH EACH HEALTH SYSTEM PARTNER HOLDING TWENTY-FIVE PERCENT (25%) OF THE HEALTH SYSTEM CLASS, OR TWELVE AND ONE-HALF PERCENT (12.5%) OF THE MEMBERSHIP VOTE IN THE CORPORATION. MEMBERSHIP IN THE MILWAUKEE COUNTY CLASS IS HELD ENTIRELY BY THE COUNTY, MEANING THE COUNTY SHALL HOLD ONE HUNDRED PERCENT (100%) OF THE MILWAUKEE COUNTY CLASS, OR FIFTY PERCENT (50%) OF THE MEMBERSHIP VOTE IN THE CORPORATION. THE HEALTH SYSTEM PARTNERS CONSIST OF THE FOLLOWING: (1) AURORA HEALTH CARE, INC., (2) COLUMBIA ST. MARY'S, INC. (D/B/A ASCENSION WISCONSIN) OR ONE OF ITS AFFILIATES, (3) CHILDREN'S HOSPITAL AND HEALTH SYSTEMS, INC. OR ONE OF ITS AFFILIATES, AND (4) FROEDTERT HEALTH, INC. OR ONE OF ITS AFFILIATES. THE COUNTY IS MILWAUKEE COUNTY, A WISCONSIN MUNICIPAL CORPORATION, AS REPRESENTED BY ITS MENTAL HEALTH BOARD, DEPARTMENT OF HEALTH AND HUMAN SERVICES AND DHHS-BEHAVIORAL HEALTH DIVISION. FORM 990, PART VI, SECTION A, LINE 7A ONE HALF OF THE DIRECTORS ARE APPOINTED BY THE MILWAUKEE COUNTY CLASS. THE OTHER HALF OF THE DIRECTORS ARE APPOINTED BY THE HEALTH SYSTEM CLASS, WITH EACH HEALTH SYSTEM PARTNER HAVING THE RIGHT TO APPOINT ONE (1) SUCH HEALTH SYSTEM CLASS DIRECTOR. FORM 990, PART VI, SECTION A, LINE 7B CERTAIN KEY DECISIONS REGARDING THE STRATEGIC DIRECTION OF MHEC ARE RESERVED FOR THE MEMBERS OF MHEC, INCLUDING BUT NOT LIMITED TO ALTERING THE PHILOSOPHY, MISSION, LONG-RANGE GOALS, STRATEGIC PLANS AND OVERALL PURPOSES OF THE ORGANIZATION, APPROVING AMENDMENTS TO THE ORGANIZATION'S GOVERNING DOCUMENTS, APPROVING BORROWING OR LENDING OF MONEY, ETC. A FULL LIST OF DECISIONS THAT REQUIRE APPROVAL FROM THE MEMBERS OF MHEC ARE INCLUDED WITHIN THE BYLAWS OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF FORM 990 IS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT ON AN ANNUAL BASIS. IN THEIR CAPACITY AS THE MANAGER OF THE CENTER, AURORA HEALTH CARE LEADERSHIP REVIEWS THESE STATEMENTS FOR COMPLIANCE WITH THE ESTABLISHED POLICY. WHEN A CONFLICT IS DISCOVERED, THE GOVERNING BODY DETERMINES IF SUCH CONFLICT WARRANTS A RESTRICTION ON THE CAPACITY OF THE BOARD MEMBER OR KEY EMPLOYEE INVOLVED (E.G. RECUSAL FROM DECISION-MAKING OR UTILIZING ANOTHER METHOD OF NON-PARTICIPATION IN AN ACTIVITY. FORM 990, PART VI, SECTION C, LINE 19 THE ARTICLES OF INCORPORATION FOR MENTAL HEALTH EMERGENCY CENTER INC. ARE ON FILE WITH THE STATE OF WISCONSIN, DEPARTMENT OF FINANCIAL INSTITUTIONS. THE FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G SPECIALIST FEES - PHYSICIAN : PROGRAM SERVICE EXPENSES 238,108. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 238,108. LEASED EMPLOYEES: PROGRAM SERVICE EXPENSES 6,341,152. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,341,152. OTHER SERVICES: PROGRAM SERVICE EXPENSES 3,099,993. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,099,993. MANAGEMENT SERVICES: PROGRAM SERVICE EXPENSES 5,667,261. MANAGEMENT AND GENERAL EXPENSES 331,744. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,999,005. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 8,259. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,259.