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MONTGOMERY COUNTY MH-MR EMERGENCY SERVICE: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
MONTGOMERY COUNTY MH-MR EMERGENCY SERVICE (EIN 23-1894907)
Tax period
2014-07-01 to 2015-06-30
Filed
2016-04-22
IRS object ID
201601139349300020
Schema version
2014v6.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-04-22T12:35:32-05:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1HEFFLER RADETICH & SAITTA LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11515 MARKET STREET SUITE 1700AddressLine1Txt
CityPHILADELPHIACityNm
State AbbreviationPAStateAbbreviationCd
ZIP19102ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN231894907EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MONTGOMERY COUNTY EMERGENCY SERVICE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% WILLIAM MYERS COOInCareOfNm
Business Name ControlMONTBusinessNameControlTxt
Phone6102796100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line150 BEECH DRIVEAddressLine1Txt
CityNORRISTOWNCityNm
State AbbreviationPAStateAbbreviationCd
ZIP194035421ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonWILLIAM MYERSPersonNm
Person TitleCHIEF OPERATING OFFICERPersonTitleTxt
Phone4847542444PhoneNum
Signature2016-02-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRUSSELL H STROEMELPreparerPersonNm
PTINP00707131PTIN
Phone2156658870PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-08-17 19:52:53ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts$16,069,038GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MCES.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1974FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionMCES PROVIDES COMPREHENSIVE BEHAVIORAL HEALTH SERVICES TO ALL IN NEED IN THE COMMUNITY WHILE MAINTAINING AND ADVOCATING FOR THEIR RIGHTS, INDIVIDUAL DIGNITY AND RECOVERY.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee332TotalEmployeeCnt
Total Volunteers16TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$142,213PYContributionsGrantsAmt
CY Contributions Grants$164,436CYContributionsGrantsAmt
PY Program Service Revenue$16,782,494PYProgramServiceRevenueAmt
CY Program Service Revenue$15,187,468CYProgramServiceRevenueAmt
PY Investment Income$101,284PYInvestmentIncomeAmt
CY Investment Income$142,213CYInvestmentIncomeAmt
PY Other Revenue$84,927PYOtherRevenueAmt
CY Other Revenue$574,921CYOtherRevenueAmt
PY Total Revenue$17,110,918PYTotalRevenueAmt
CY Total Revenue$16,069,038CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$14,270,682PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$13,807,315CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,993,623PYOtherExpensesAmt
CY Other Expenses$3,658,599CYOtherExpensesAmt
PY Total Expenses$18,264,305PYTotalExpensesAmt
CY Total Expenses$17,465,914CYTotalExpensesAmt
PY Revenues Less Expenses-$1,153,387PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,396,876CYRevenuesLessExpensesAmt
Total Assets BOY$8,707,778TotalAssetsBOYAmt
Total Assets EOY$8,378,729TotalAssetsEOYAmt
Total Liabilities BOY$1,341,091TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,476,568TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$7,366,687NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,902,161NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionMCES 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.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$12,185,519ExpenseAmt
Revenue$12,361,035RevenueAmt
DescInpatient 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, 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 the exclusive 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.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$729,599ExpenseAmt
Revenue$756,351RevenueAmt
DescCrisis Residential Program (CRP) The Crisis Residential Program (CRP) is an 8-bed, short-term care facility available 24 hours per day, 7 days per week, which provides temporary residential treatment for adults who are at risk of an acute psychiatric crisis. It is an alternative to hospitalization with the overall goal of averting a crisis and assisting the individual in developing a plan and a support network to avoid crises in the future. The CRP serves individuals falling into one or more of these categories: (i) those at risk of psychiatric hospitalization (i.e., experiencing psychiatric decompensation); (ii) those in need of separation from a stressful environment to achieve psychiatric stability; and (iii) 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. It was the first such program in SE PA. 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 330 admissions of individuals who could avert a serious crisis or hospitalization with a brief stay.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$254,325ExpenseAmt
Revenue$428,319RevenueAmt
DescPsychiatric Ambulance Service MCES operates a unique dedicated psychiatric emergency medical service (EMS). It is staffed by emergency medical technicians (EMTs) cross-trained as Psychiatric Technicians who can stabilize both medical and psychiatric emergencies. This service relieves local police and community ambulance services from the need to transport seriously mentally ill individuals to our facility and frees them for non-mental health emergencies in their communities. The MCES ambulance also transports individuals who are to receive a court-ordered involuntary psychiatric evaluation at MCES. Our psychiatric EMS utilizes two basic life support ambulances for crisis response and a large SUV for non-crisis patient transports. MCES EMTs assist in the delivery of inpatient care when not responding to off-site emergencies. -The MCES Psychiatric Emergency Medical Service provided over 2000 transports of at-risk individuals to MCES from homes and other settings.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$1,967,510TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$2,455,684TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$15,136,953TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document11IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee332EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonWILLIAM MYERS COOPersonNm
Phone6102796100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line150 BEECH DRIVEAddressLine1Txt
CityNORRISTOWNCityNm
State AbbreviationPAStateAbbreviationCd
ZIP194035421ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
MARGARET A BAILEY
SECRETARY & DIRECTOR1.00.0Yes (X)Yes (X)$0$0$0
BRAD BARRY
DIRECTOR1.00.0Yes (X)$0$0$0
NEAL F BASILE
TREASURER & DIRECTOR1.00.0Yes (X)Yes (X)$0$0$0
DOUGLAS W HAGER
DIRECTOR1.00.0Yes (X)$0$0$0
CAROLINE ELLISON PHD
DIRECTOR1.00.0Yes (X)$0$0$0
LINDA FARESTAD
DIRECTOR1.00.0Yes (X)$0$0$0
JOAN JOHNSTON-STERN
VICE PRESIDENT & DIRECTOR1.00.0Yes (X)Yes (X)$0$0$0
TERRY GLAUSER
DIRECTOR1.00.0Yes (X)$0$0$0
CLIFFORD ROGERS PHD
DIRECTOR1.00.0Yes (X)$0$0$0
HUDSON B SCATTERGOOD
PRESIDENT & DIRECTOR1.00.0Yes (X)Yes (X)$0$0$0
RANDALL S FLOYD
DIRECTOR1.00.0Yes (X)$0$0$0
MICHAEL KENNEDY
DIRECTOR1.00.0Yes (X)$0$0$0
FAITH MILLEN
DIRECTOR1.00.0Yes (X)$0$0$0
BARBARA WATSON RAWLS
DIRECTOR1.00.0Yes (X)$0$0$0
ROCIO NELL-BADRA
CEO/MEDICAL DIRECTOR40.00.0Yes (X)$306,944$0$7,818
WILLIAM MYERS
COO/CFO40.00.0Yes (X)$193,393$0$27,921
CONSOLACION ALCANTARA
PRES. MED STAFF/ASST MED DIR40.00.0$235,426$0$12,537Yes (X)
VIRGINIA GRAVES
DIRECTOR OF NURSING40.00.0$97,144$0$4,834Yes (X)
AMIRALI SAYADIPOUR
STAFF PHYSICIAN40.00.0$145,965$0$0Yes (X)
RUSSELL YATES
STAFF PHYSICIAN40.00.0$224,703$0$12,848Yes (X)
JORDAN SANTINA
STAFF PSYCHIATRIST40.00.0$189,104$0$11,743Yes (X)
ODEZZA BAUTISTA
STAFF PSYCHIATRIST40.00.0$214,533$0$12,516Yes (X)
SAIQA MUSHTAQ
STAFF PSYCHIATRIST40.00.0$195,504$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,802,716TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$90,217TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K8IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
UNITED HEALTHCARE
22703 NETWORK PLACECHICAGOIL606731227INSURANCE$918,661
INDEPENDENCE BLUE CROSS
PO BOX 8500PHILADELPHIAPA191783092INSURANCE$845,550
LIFETREE PHARMACY
3801 GERMANTOWN PIKECOLLEGEVILLEPA19426PHARMACY SUPPLIES$604,407
LINTON'S FOOD MGMT SERVICES
2947 FELTON ROADEAST NORRITONPA194011345FOOD SERVICE$419,183
ICW GROUPS
22427 NETWORK PLACECHICAGOIL606731224INSURANCE$224,581
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
All Other Contributions$164,436AllOtherContributionsAmt
Total Contributions$164,436TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SERVICES (NET OF CONTRACTUAL ALLOWANCES)Desc
Total Revenue Column$15,187,468TotalRevenueColumnAmt
Related Or Exempt Func Income$15,187,468RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$15,187,468TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$127,882TotalRevenueColumnAmt
Exclusion$127,882ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$14,331OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$14,331OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,331TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MISCELLANEOUS$67,118$67,118
TOBACCO SETTLEMENT$507,803$507,803
FieldValueIRS element (for citing)
Other Revenue Total$574,921OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,069,038TotalRevenueColumnAmt
Related Or Exempt Func Income$15,762,389RelatedOrExemptFuncIncomeAmt
Exclusion$127,882ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$832,907TotalAmt
Management And General$832,907ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$10,130,383TotalAmt
Program Services$9,582,640ProgramServicesAmt
Management And General$547,743ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,978,970TotalAmt
Program Services$1,893,655ProgramServicesAmt
Management And General$85,315ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$865,055TotalAmt
Program Services$760,902ProgramServicesAmt
Management And General$104,153ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$20,366TotalAmt
Management And General$20,366ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$64,500TotalAmt
Management And General$64,500ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$208,510TotalAmt
Program Services$73,607ProgramServicesAmt
Management And General$134,903ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$22,467TotalAmt
Management And General$22,467ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$257,338TotalAmt
Program Services$184,527ProgramServicesAmt
Management And General$72,811ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$50,001TotalAmt
Program Services$31,262ProgramServicesAmt
Management And General$18,739ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$5,766TotalAmt
Program Services$214ProgramServicesAmt
Management And General$5,552ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$268,140TotalAmt
Program Services$268,140ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$280,690TotalAmt
Program Services$94,428ProgramServicesAmt
Management And General$186,262ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BAD DEBTS$821,238$821,238
MEDICAL SUPPLIES AND DRUGS$698,510$698,510
FOOD$419,082$419,082
MAINTENANCE$171,838$71,865$99,973

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$370,153TotalAmt
Program Services$236,883ProgramServicesAmt
Management And General$133,270ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$17,465,914TotalAmt
Program Services$15,136,953ProgramServicesAmt
Management And General$2,328,961ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$213,946BOYAmt
EOY$120,037EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$62,780BOYAmt
EOY$22,885EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$989,446BOYAmt
EOY$1,080,179EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,200,225BOYAmt
EOY$1,620,491EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$211,169BOYAmt
EOY$708,502EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$222,808BOYAmt
EOY$201,532EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$6,972,914LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$5,713,086LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,356,594BOYAmt
EOY$1,259,828EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$3,445,360BOYAmt
EOY$3,364,725EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$5,450BOYAmt
EOY$550EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$8,707,778BOYAmt
EOY$8,378,729EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,283,631BOYAmt
EOY$2,460,272EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$57,460BOYAmt
EOY$16,296EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,341,091BOYAmt
EOY$2,476,568EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,348,687BOYAmt
EOY$5,902,161EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$18,000BOYAmt
EOY$0EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,366,687BOYAmt
EOY$5,902,161EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,707,778BOYAmt
EOY$8,378,729EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$1,396,876ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$67,650NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp
LandLandGrp

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,107,613OtherCostOrOtherBasisAmt
Depreciation$3,497,144DepreciationAmt
Book Value$610,469BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,697,961OtherCostOrOtherBasisAmt
Depreciation$2,215,942DepreciationAmt
Book Value$482,019BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$167,340OtherCostOrOtherBasisAmt
Book Value$167,340BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,259,828TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescLEASE PAYABLEDesc
Amt$16,296Amt
FieldValueIRS element (for citing)
Total Liability$16,296TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$15,180,150TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$67,650NetUnrealizedGainsInvstAmt
Revenue Not Reported-$67,650RevenueNotReportedAmt
Revenue Subtotal$15,247,800RevenueSubtotalAmt
Other Revenues Not Included$821,238OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$821,238RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$16,069,038TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$16,644,676TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$16,644,676ExpensesSubtotalAmt
Other Expenses Not Included$821,238OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$821,238ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$17,465,914TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceReconciling differenceFormAndLineReferenceDesc
ExplanationPatient service revenue is shown net of $821,238 bad debt expense for financial statement purposesExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other500.DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$519,748TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$519,748NetCommunityBenefitExpnsAmt
Total Expense0.03000TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,765,311TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,161,525DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,603,786NetCommunityBenefitExpnsAmt
Total Expense0.14900TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,397,926TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$883,337DirectOffsettingRevenueAmt
Net Community Benefit Expns$514,589NetCommunityBenefitExpnsAmt
Total Expense0.02900TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,682,985TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,044,862DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,638,123NetCommunityBenefitExpnsAmt
Total Expense0.20800TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$160,077TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$48,601DirectOffsettingRevenueAmt
Net Community Benefit Expns$111,476NetCommunityBenefitExpnsAmt
Total Expense0.00600TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$119,130TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$119,130NetCommunityBenefitExpnsAmt
Total Expense0.00700TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$279,207TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$48,601DirectOffsettingRevenueAmt
Net Community Benefit Expns$230,606NetCommunityBenefitExpnsAmt
Total Expense0.01300TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,962,192TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,093,463DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,868,729NetCommunityBenefitExpnsAmt
Total Expense0.22100TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$31,150TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$31,150NetCommunityBenefitExpnsAmt
Total Expense0.00180TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$37,774TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$37,774NetCommunityBenefitExpnsAmt
Total Expense0.00220TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$31,006TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$31,006NetCommunityBenefitExpnsAmt
Total Expense0.00170TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$99,930TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$99,930NetCommunityBenefitExpnsAmt
Total Expense0.00570TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$437,464BadDebtExpenseAmt
Bad Debt Expense Attributable$17,600BadDebtExpenseAttributableAmt
Reimbursed By Medicare$2,537,673ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$2,382,030CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$155,643MedicareSurplusOrShortfallAmt
Costing Methodology UsedCostingMethodologyUsedGrp
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MONTGOMERY COUNTY EMERGENCY SERVICEBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line150 BEECH DRIVEAddressLine1Txt
CityNORRISTOWNCityNm
State AbbreviationPAStateAbbreviationCd
ZIP19403ZIPCd
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1MONTGOMERY COUNTY EMERGENCY SERVICEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted14CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptfalseImplementationStrategyAdoptInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care500.FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnfalseAppFinancialAsstExplnInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URL0FAPAvailableOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Collection ActivitiesfalseCollectionActivitiesInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesYes (true)GrossChargesInd

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 ActivitiesMCES 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 Forensic 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, 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 AssessmentMCES 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 continued to call attention to the problem of suicide in Montgomery County. In 2012, there were a total of 88 suicides reported by the Coroner's Office. There were 6 suicides for every homicide in the county in 2011. 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 AssistanceMCES 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 also included in our Patient and Family Handbook to all newly admitted patients and their families. Patient eligibility guidelines are givens 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 InformationMCES'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 2014 to be 816,857. The county remains the third most populous in Pennsylvania (after Philadelphia and Allegheny counties). It is made up of 62 municipalities. Individuals under aged 18 made up 22% of the county population. Persons over aged 65 accounted for over 16% of all county residents. Those in the 65-74 age range made up 5.3% of the elderly and those aged 75 and over (the "old elderly") comprised more than 11%. The upper end of the "Baby Boomer" (55-64) age group in the county is growing very fast. Based on US Census data, between 2000 and 2010, almost all of Montgomery County's population growth was among non-white groups, and this was unchanged in 2015. 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 US. 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. -Initiating the MCES Concert Series giving MCES patients and clients the opportunity to enjoy a wide range of musical performance during their stay.
Charity Care PolicyMCES 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.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ROCIO NELL-BADRA
CEO/MEDICAL DIRECTOR$306,944$0$0$0$0$0$0$0$7,818$0$314,762$0$305,393$0
WILLIAM MYERS
COO/CFO$193,393$0$0$0$0$0$0$0$27,921$0$221,314$0$186,963$0
RUSSELL YATES
STAFF PHYSICIAN$224,703$0$0$0$0$0$0$0$12,848$0$237,551$0$242,690$0
CONSOLACION ALCANTARA
PRES. MED STAFF/ASST MED DIR$235,426$0$0$0$0$0$0$0$12,537$0$247,963$0$215,560$0
JORDAN SANTINA
STAFF PSYCHIATRIST$189,104$0$0$0$0$0$0$0$11,743$0$200,847$0$183,016$0
ODEZZA BAUTISTA
STAFF PSYCHIATRIST$214,533$0$0$0$0$0$0$0$12,516$0$227,049$0$219,330$0
SAIQA MUSHTAQ
STAFF PSYCHIATRIST$195,504$0$0$0$0$0$0$0$0$0$195,504$0$130,248$0

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonDR MICHEL BADRAPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionFAMILY MEMBER OF CEORelationshipDescriptionTxt
Transaction$16,900TransactionAmt
TransactionPART TIME INTERNISTTransactionDesc

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III - PROGRAM SERVICES, LINE 4DMCES ALSO PROVIDES THE FOLLOWING ADDITIONAL PROGRAM SERVICES: Emergency Psychiatric Evaluations MCES has provided on-site evaluations by Board-certified psychiatrists on a 24/7/365 basis since 1974. MCES was founded to assure the availability of this service to all in need irrespective of insurance coverage. The evaluations are part of MCES's centralized crisis intervention service including a crisis/suicide hot line, a walk-in crisis center, and a mobile crisis intervention service. Psychiatric evaluations are available on request by individuals experiencing acute psychiatric symptoms or a crisis affecting their mental health wellness. The assessment addresses all pertinent psychiatric, psychosocial, medical, and environmental factors that may be precipitating the individual's distress. It considers individual strengths, self-help skills, and supports. It includes brief psychiatric counseling and review of any current medications. The evaluation concludes with treatment recommendations. Evaluations are also provided on an involuntary basis to individuals who are a danger to themselves or others and unable to seek or accept care. -Highlight: MCES provided over 1400 voluntary emergency psychiatric evaluations and over 1500 involuntary emergency psychiatric evaluations. MENTAL HEALTH OUTPATIENT SERVICES: THE MCES OUTREACH TEAM PROVIDES COMMUNITY-BASED SERVICES TO INDIVIDUALS AT RISK OF HOSPITALIZATION BECAUSE OF CRISIS SITUATIONS. OUTREACH TEAM STAFF CAN DELIVER CRISIS INTERVENTION IN ANY SETTING AND WORK WITH THE CLIENT, FAMILY MEMBERS AND OTHERS ON THE SCENE TO RESOLVE ANY CONFLICT. THE OUTREACH TEAM INCLUDES A MOBILE MEDICAL SERVICE WITH A PSYCHIATRIC NURSE TO GIVE MEDICAL SUPPORT AS NEEDED UNDER THE DIRECTION OF AN MCES PHYSICIAN. OUTREACH TEAM STAFF ASSESS SERVICE NEEDS TO DETERMINE APPROPRIATE ONGOING SERVICES. FOLLOW-UP CONTACTS ARE MADE TO MONITOR THE CLIENT'S STATUS AND TO INTERVENE AS NECESSARY IF THE CRISIS RE-EMERGES. INTERIM CASE MANAGEMENT IS OFFERED AS NEEDED UNTIL CLIENTS CAN CONNECT WITH OTHER PROVIDERS. THE OUTREACH TEAM RESPONDS TO REQUESTS FROM THE MCES CRISIS CENTER, THE POLICE, CONSUMERS AND FAMILIES, OUTPATIENT PROVIDERS, AND OTHERS. IT WORKS TO HELP CONSUMERS MAINTAIN COMMUNITY INTEGRATION, WELLNESS AND RECOVERY. -Highlight: The MCES OUTREACH TEAM responded to over 400 referrals and diverted 97% of these cases from psychiatric hospitalization. CRISIS CENTER/CRISIS-SUICIDE HOTLINE: 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 IS TRAINING ALL STAFF WITH PATIENT-CONTACT IN THE NEWEST TECHNIQUES FOR PROACTIVELY AVERTING ADVERSE SITUATIONS. -Highlight: The MCES Crisis Department had over 4500 service contacts with individuals and families experiencing a behavioral health crisis. OUTREACH TEAM: STATE LICENSED 24/7 CRISIS INTERVENTION AND STABILIZATION TEAM AVAILABLE TO RESOLVE CRISIS SITUATIONS IN HOMES AND OTHER SETTINGS TO REDUCE THE NEED FOR PSYCHIATRIC HOSPITALIZATION. TEAM INCLUDES PSYCHIATRIC NURSE. THE OUTREACH TEAM RESPONDS TO REFERRALS FROM THE MCES CRISIS CENTER, POLICE AND OTHER BEHAVIORAL HEALTH PROVIDERS, AND FAMILY MEMBERS. IT ALSO OFFERS SHORT-TERM INTENSIVE CASE MANAGEMENT TO INDIVIDUALS AT HIGH RISK OF REHOSPITALIZATION. THE MCES OUTREACH TEAM WAS AMONG THE FIRST IN PENNSYLVANIA. IT HAS A STRONG AND LONG-STANDING WORKING RELATIONSHIP WITH THE COUNTY COURT SYSTEM AND FREQUENTLY RESPONDS TO REQUESTS FOR ON-SITE INTERVENTIONS FROM DISTRICT JUSTICES IN SITUATIONS INVOLVING INDIDUALS WITH SERIOUS MENTAL ILLNESS IN CRISIS DURING JUDICIAL PROCEEDINGS. TRANSITIONAL SPECIALISTS: HIGHLY EXPERIENCED CASE MANAGERS WHO WORK CLOSELY WITH INDIVIDUALS RECENTLY DISCHARGED FROM INPATIENT PSYCHIATRIC CARE AND INDIVIDUALS WITH SERIOUS MENTAL ILLNESS RELEASED FROM COUNTY PRISON. SERVICES ARE DESIGNED TO PREVENT REHOSPITALIZATION AND REINCARCERATION BY PROVIDING SHORT-TERM COUNSELING, MEDICATIONS MANAGEMENT, HOUSING AND OTHER NEEDED SERVICES TO INDIVIDUALS WAITING ENGAGEMENT WITH OUTPATIENT BEHAVIORAL HEALTH PROVIDERS. MEDICATIONS MANAGEMENT, HOUSING AND OTHER NEEDED SERVICES TO INDIVIDUALS WAITING ENGAGEMENT WITH OUTPATIENT BEHAVIORAL HEALTH PROVIDERS. MCES Partnering: MCES partnered with Art-Reach, a Philadelphia non-profit that seeks to increase access to the arts for underserved populations. Art-Reach has a program that makes high-caliber performers available to inpatient facilities. This year, dancer Angela Sadio Watson, electric violinist Caryn Lin, flutist Marian Concus, and nationally-known percussionist Leonard "Doc" Gibbs all performed at MCES for patients and staff, enhancing recovery and adding to the therapeutic milieu. MCES plans to engage one artist a month to perform. Community Building Activities: The Allied Therapy Department complied an extensive discharge packet, replete with resources and information that can assist patients after they leave the hospital. The discharge packet is meant to reinforce skills, strategies and information disseminated in Allied Therapy educational and recreational groups. This packet is given to all patients upon their discharge from inpatient treatment.
FORM 990 PART VI: GOVERNANCE, MANAGEMENT AND DISCLOSURETHE 990 IS REVIEWED AT FINANCE COMMITTEE MEETINGS. THE COMMITTEE ASSISTS IN ENSURING ITS COMPLETENESS AND ACCURACY. COPIES OF THE 990 ARE GIVEN TO ALL BOARD MEMBERS AND REVIEWED DURING A REGULARLY SCHEDULED MEETING.
FORM 990 PART VI: GOVERNANCE, MANAGEMENT, AND DISCLOSURECOMPLIANCE WITH THE CONFLICT OF INTEREST POLICY: PRIOR TO SERVING ON THE BOARD, ALL DIRECTORS MUST DISCLOSE ANY CONFLICT OF INTEREST AND AGREE TO NOTIFY THE BOARD AND MANAGEMENT OF MCES OF ANY CHANGES DURING THEIR TENURE AS A DIRECTOR. BOARD DIRECTORS UPDATE THEIR DISCLOSURES YEARLY. DURING MEETINGS, BOARD MEMBERS ARE TO DISCLOSE ANY CONFLICTS WITH ANY AGENDA ITEM AND ABSTAIN FROM DISCUSSION AND VOTING ON ANY ISSUE WHERE THERE MAY BE A POTENTIAL CONFLICT OF INTEREST.
FORM 990, PART VI: GOVERNANCE, MANAGEMENT, AND DISCLOSURECOMPENSATION TO THE CEO IS DETERMINED, REVIEWED AND APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. THE CEO IS UNDER WRITTEN CONTRACT FOR A PERIOD OF TWO YEARS. COMPENSATION HAS BEEN COMPARED TO SIMILAR POSITIONS VIA LITERATURE AND INTERNET ANALYSIS AS TO COMPARABLE AGENCIES. FOR KEY EMPLOYEES, COMPENSATION SURVEYS, INTERNET SEARCHES, CONSULATION WITH OTHER LOCAL AGENCIES AND INTERNAL SALARY SCALES ARE ALL USED TO DETERMINE COMPENSATION.
FORM 990, PART VI: GOVERNANCE, MANAGEMENT, AND DISCLOSUREFORM 990, COMPLIANCE POLICIES AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST.
FORM 990 PART VI: GOVERNANCE, MANAGEMENT AND DISCLOSURETHE ORGANIZATION DOES PROVIDE A COPY OF FORM 990 TO ALL MEMBERS OF ITS GOVERNING BODY BEFORE FILING.
FORM 990, PART VI: SECTION B POLICIES, LINE 12COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY: PRIOR TO SERVING ON THE BOARD, ALL DIRECTORS MUST DISCLOSE ANY CONFLICT OF INTEREST AND AGREE TO NOTIFY THE BOARD AND MANAGEMENT OF MCES OF ANY CHANGES DURING THEIR TENURE AS A DIRECTOR. BOARD DIRECTORS UPDATE THEIR DISCLOSURES YEARLY. DURING MEETINGS, BOARD MEMBERS ARE TO DISCLOSE ANY CONFLICTS WITH ANY AGENDA ITEM AND ABSTAIN FROM DISCUSSION AND VOTING ON ANY ISSUE WHERE THERE MAY BE A POTENTIAL CONFLICT OF INTEREST.