2016-04-22T12:35:32-05:00 2015-06-30 HEFFLER RADETICH & SAITTA LLP 1515 MARKET STREET SUITE 1700 PHILADELPHIA PA 19102 990 2014-07-01 231894907 MONTGOMERY COUNTY EMERGENCY SERVICE INC % WILLIAM MYERS COO MONT 6102796100 50 BEECH DRIVE NORRISTOWN PA 194035421 WILLIAM MYERS CHIEF OPERATING OFFICER 4847542444 2016-02-15 true RUSSELL H STROEMEL P00707131 2156658870 2014 2016-08-17 19:52:53Z 16069038 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. 14 14 332 16 0 142213 164436 16782494 15187468 101284 142213 84927 574921 17110918 16069038 0 0 0 0 14270682 13807315 0 0 0 3993623 3658599 18264305 17465914 -1153387 -1396876 8707778 8378729 1341091 2476568 7366687 5902161 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 12185519 12361035 Inpatient Psychiatric Care MCES provides acute inpatient psychiatric care to individuals determined to need a short stay of intensive 24-hour clinical care to attain stability and safety because of a severe mental health crisis or potentially life-threatening psychiatric emergency. Services are patient-centered and recovery-oriented and delivered by a multidisciplinary team that involves the patient and their family or support system as optimally as possible. Patients participate in daily psychoeducational and recreational groups, 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. 729599 756351 Crisis 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. 254325 428319 Psychiatric 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. 1967510 2455684 15136953 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 11 0 true 332 true false false false false false false X 14 14 false false false false false false false true true false false true true true true true true true true false PA X X WILLIAM MYERS COO 6102796100 50 BEECH DRIVE NORRISTOWN PA 194035421 MARGARET A BAILEY SECRETARY & DIRECTOR 1.0 0.0 X X 0 0 0 BRAD BARRY DIRECTOR 1.0 0.0 X 0 0 0 NEAL F BASILE TREASURER & DIRECTOR 1.0 0.0 X X 0 0 0 DOUGLAS W HAGER DIRECTOR 1.0 0.0 X 0 0 0 CAROLINE ELLISON PHD DIRECTOR 1.0 0.0 X 0 0 0 LINDA FARESTAD DIRECTOR 1.0 0.0 X 0 0 0 JOAN JOHNSTON-STERN VICE PRESIDENT & DIRECTOR 1.0 0.0 X 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 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 DIRECTOR 1.0 0.0 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 ROCIO NELL-BADRA CEO/MEDICAL DIRECTOR 40.0 0.0 X 306944 0 7818 WILLIAM MYERS COO/CFO 40.0 0.0 X 193393 0 27921 CONSOLACION ALCANTARA PRES. MED STAFF/ASST MED DIR 40.0 0.0 X 235426 0 12537 VIRGINIA GRAVES DIRECTOR OF NURSING 40.0 0.0 X 97144 0 4834 AMIRALI SAYADIPOUR STAFF PHYSICIAN 40.0 0.0 X 145965 0 0 RUSSELL YATES STAFF PHYSICIAN 40.0 0.0 X 224703 0 12848 JORDAN SANTINA STAFF PSYCHIATRIST 40.0 0.0 X 189104 0 11743 ODEZZA BAUTISTA STAFF PSYCHIATRIST 40.0 0.0 X 214533 0 12516 SAIQA MUSHTAQ STAFF PSYCHIATRIST 40.0 0.0 X 195504 0 0 1802716 0 90217 8 false true false UNITED HEALTHCARE 22703 NETWORK PLACE CHICAGO IL 606731227 INSURANCE 918661 INDEPENDENCE BLUE CROSS PO BOX 8500 PHILADELPHIA PA 191783092 INSURANCE 845550 LIFETREE PHARMACY 3801 GERMANTOWN PIKE COLLEGEVILLE PA 19426 PHARMACY SUPPLIES 604407 LINTON'S FOOD MGMT SERVICES 2947 FELTON ROAD EAST NORRITON PA 194011345 FOOD SERVICE 419183 ICW GROUPS 22427 NETWORK PLACE CHICAGO IL 606731224 INSURANCE 224581 5 164436 164436 PATIENT SERVICES (NET OF CONTRACTUAL ALLOWANCES) 15187468 15187468 15187468 127882 127882 0 0 0 0 0 14331 14331 14331 0 0 0 MISCELLANEOUS 67118 67118 TOBACCO SETTLEMENT 507803 507803 574921 16069038 15762389 127882 0 0 0 0 832907 832907 0 10130383 9582640 547743 0 1978970 1893655 85315 865055 760902 104153 0 20366 20366 64500 64500 0 0 0 208510 73607 134903 22467 22467 257338 184527 72811 0 0 0 50001 31262 18739 0 0 5766 214 5552 0 268140 268140 280690 94428 186262 BAD DEBTS 821238 821238 MEDICAL SUPPLIES AND DRUGS 698510 698510 FOOD 419082 419082 MAINTENANCE 171838 71865 99973 370153 236883 133270 17465914 15136953 2328961 0 213946 120037 62780 22885 989446 1080179 2200225 1620491 0 0 0 0 211169 708502 0 0 222808 201532 6972914 5713086 1356594 1259828 3445360 3364725 0 0 0 0 0 0 5450 550 8707778 8378729 1283631 2460272 0 0 0 0 0 0 0 0 0 0 0 0 0 0 57460 16296 1341091 2476568 X 7348687 5902161 18000 0 0 0 7366687 5902161 8707778 8378729 X -1396876 -67650 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4107613 3497144 610469 2697961 2215942 482019 167340 167340 1259828 0 LEASE PAYABLE 16296 16296 15180150 -67650 -67650 15247800 821238 821238 16069038 16644676 16644676 821238 821238 17465914 Reconciling difference Patient service revenue is shown net of $821,238 bad debt expense for financial statement purposes true true true X true X 500. true true true false true true 519748 519748 0.03000 7765311 5161525 2603786 0.14900 1397926 883337 514589 0.02900 9682985 6044862 3638123 0.20800 160077 48601 111476 0.00600 119130 119130 0.00700 279207 48601 230606 0.01300 9962192 6093463 3868729 0.22100 31150 31150 0.00180 37774 37774 0.00220 31006 31006 0.00170 99930 99930 0.00570 false 437464 17600 2537673 2382030 155643 true true NA 1 1 MONTGOMERY COUNTY EMERGENCY SERVICE 50 BEECH DRIVE NORRISTOWN PA 19403 X MONTGOMERY COUNTY EMERGENCY SERVICE 1 false false true X X X X X X 14 true false false true X X X false false true X 200. 500. X X X X true false X true X 0 X X true false true X false true 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 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 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 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 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 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 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 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 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 CEO/MEDICAL DIRECTOR 306944 0 0 0 0 0 0 0 7818 0 314762 0 305393 0 WILLIAM MYERS COO/CFO 193393 0 0 0 0 0 0 0 27921 0 221314 0 186963 0 RUSSELL YATES STAFF PHYSICIAN 224703 0 0 0 0 0 0 0 12848 0 237551 0 242690 0 CONSOLACION ALCANTARA PRES. MED STAFF/ASST MED DIR 235426 0 0 0 0 0 0 0 12537 0 247963 0 215560 0 JORDAN SANTINA STAFF PSYCHIATRIST 189104 0 0 0 0 0 0 0 11743 0 200847 0 183016 0 ODEZZA BAUTISTA STAFF PSYCHIATRIST 214533 0 0 0 0 0 0 0 12516 0 227049 0 219330 0 SAIQA MUSHTAQ STAFF PSYCHIATRIST 195504 0 0 0 0 0 0 0 0 0 195504 0 130248 0 DR MICHEL BADRA FAMILY MEMBER OF CEO 16900 PART TIME INTERNIST FORM 990, PART III - PROGRAM SERVICES, LINE 4D MCES 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 DISCLOSURE THE 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 DISCLOSURE COMPLIANCE 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 DISCLOSURE COMPENSATION 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 DISCLOSURE FORM 990, COMPLIANCE POLICIES AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990 PART VI: GOVERNANCE, MANAGEMENT AND DISCLOSURE THE 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 12 COMPLIANCE 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.