2017-08-16T16:01:50-05:00 2016-12-31 350921680 CROWE HORWATH LLP 225 West Wacker Drive Suite 2600 Chicago IL 606061224 990 2016-01-01 383197374 Supportive Care Services of Michigan Inc SUPP 3135785000 2366 OAK VALLEY DRIVE Ann Arbor MI 48103 Lee Ann Myers CFO 2017-08-14 true Jennifer Burke P01342224 3128997000 2016 2021-01-29 14:40:06Z X At Home Support Robert Cahill 2366 OAK VALLEY DRIVE Ann Arbor MI 48103 278227 false X WWW.HOM.ORG X 1994 MI The organization provides support to patients who may or may not meet hospice criteria, do not wish to receive hospice care, or choose to continue with life extending treatment. 7 4 35 5 0 0 138321 320 2911773 277907 -4500 0 102 0 3045696 278227 0 0 2423787 505170 0 0 874464 98397 3298251 603567 -252555 -325340 1420466 68936 5160292 4134102 -3739826 -4065166 Supportive Care Services of Michigan, Inc. D/B/A At Home Support was established to provide support to patients who may or may not meet hospice criteria, do not wish to receive hospice care, but choose to continue with life extending treatment. false true 559353 277907 With a culturally sensitive interdisciplinary team of professionals, the At Home Support program provided individualized care to chronically ill patients and their family caregivers. In an effort to reduce health care expenses and enhance the quality of life of both patients and family caregivers, At Home Support utilized home based condition management to provide clinical education, consumer advocacy, and assistance with health care system navigation. At Home Support services consisted of home visits and individualized treatment plans by a nurse and counselor with the aide of patient family assistants and volunteers. At Home Support worked closely with primary care physicians to relieve symptoms of pain, coordinate care, assist with treatment decisions, and provide a support system to caregivers. Available 24 hours a day, 7 days a week, the At Home Support team included a doctor that specializes in recommending medications or treatments to relieve pain and symptoms caused by illness, nurses with advanced training in chronic illness and home based care, a counselor that assists in addressing interpersonal issues and lifestyle changes and assists with coordinating community resources, and patient family assistants that assist with personal care and providing support to caregivers. By developing partnerships with health care partners, At Home Support strived to create a service model that is outcome driven and that can flex to meet individual contracts. At Home Support also focused on the development of new services for the future needs of patients and families with advanced chronic illnesses. For the year ending December 31, 2016, At Home Support provided $6,120 in charity care. Effective March 31, 2016, At Home Support discontinued its operations. The entity merged with Hospice of Michigan, the controlling organization of At Home Support. 559353 true false false false false false false false false false false false false false true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 0 0 35 true false false false false false false false false false false X 7 4 false false false false false false false true true false false true true true true true true true false false MI X Lee Ann Myers 3135785000 2366 Oak Valley Drive Ann Arbor MI 48103 LEE ANN MYERS CHIEF FINANCIAL OFFICER 1.0 49.0 X X 0 323696 20071 ROBERT CAHILL PRESIDENT & CHIEF EXECUTIVE OFFICER 1.0 46.6 X X 0 633654 35487 MARK DRUMHELLER CHAIR 1.0 1.0 X X 0 0 0 SANFORD LINDEN VICE CHAIR 1.0 1.0 X X 0 0 0 JANE MCNAMARA SECRETARY/TREASURER 1.0 1.0 X X 0 0 0 MARK KINSLER TRUSTEE 1.0 1.0 X 0 0 0 PATRICK MILLER TRUSTEE 1.0 1.0 X 0 383917 33437 0 1341267 88995 0 false true false 0 320 320 NET PATIENT SERVICE REVENUE 621610 277907 277907 0 0 0 0 277907 0 0 0 0 0 0 0 0 0 278227 277907 0 0 371349 371349 9312 9312 98289 98289 26220 26220 2529 2529 41905 220 41685 0 11697 11697 16759 16759 15551 15551 150 150 BAD DEBT 9544 9544 Other Expense 262 262 0 0 0 0 603567 559353 44214 0 1420466 68936 0 0 0 0 0 0 0 0 0 0 0 1420466 68936 132669 2431 5027623 4131671 5160292 4134102 X -3739826 -4065166 -3739826 -4065166 1420466 68936 -325340 0 X false true X true false X 0 47628 31410 138321 320 217679 1387960 2942305 4270363 2911773 277907 11790308 0 0 0 1387960 2989933 4301773 3050094 278227 12007987 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12007987 0 0 0 0 0 0 0 0 0 0 1292 26 102 0 1420 1387960 2991225 4301799 3050196 278227 12009407 0.9999 0.9999 0 0.0 X Schedule A, Part III, Line 12 Other Income DESCRIPTION - MISCELLANEOUS, COLUMN A - 0.0, COLUMN B - 1292.0, COLUMN C - 26.0, COLUMN D - 102.0, COLUMN E - 0.0, COLUMN F - 1420.0; Due to affiliate - Hospice of Michigan 4131671 4131671 X 278227 0 0 278227 0 0 278227 603567 0 0 603567 0 0 603567 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote The organization is exempt from income taxes on income from related activities under Section 501(c)(3) of the U.S. Internal Revenue Code and corresponding state tax law. Accordingly, no provision has been made for federal or state income taxes. U.S. GAAP requires that a tax position is recognized as a benefit only if it is "more likely than not" that the tax position would be sustained in a tax examination, with a tax examination being presumed to occur. The amount recognized is the largest amount of tax benefit that is greater than 50% likely of being realized on examination. For tax positions not meeting the "more likely than not" test, no tax benefit is recorded. Due to its tax-exempt status, the organization is not generally subject to U.S. federal income tax or state income tax. The organization's Form 990 has not been subject to examination by the Internal Revenue Service or the state of Michigan for the last three years. The organization does not expect the total amount of unrecognized tax benefits to significantly change in the next 12 months. The organization recognizes interest and/or penalties related to income tax matters in income tax expense. The organization did not have any amounts accrued for interest and penalties at December 31, 2016 and 2015. false false false false false false false false false LEE ANN MYERS CHIEF FINANCIAL OFFICER 0 246893 0 60000 0 16803 0 11106 0 8965 0 343767 0 0 ROBERT CAHILL PRESIDENT & CHIEF EXECUTIVE OFFICER 0 447176 0 125870 0 60608 0 18367 0 17120 0 669141 0 0 PATRICK MILLER TRUSTEE 0 276015 0 67700 0 40202 0 14464 0 18973 0 417354 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation The organization's President & CEO is paid by Hospice of Michigan, Inc. (HOM), a related tax-exempt organization. HOM utilizes the following methods in determining the President & CEO's compensation: -compensation committee -independent compensation consultant -Form 990 of other organizations -compensation survey or study -approval by the board or compensation committee Form 990, Part VI, Line 15b PROCESS USED TO ESTABLISH COMPENSATION OF OTHER OFFICERS/KEY EMPLOYEES THE ORGANIZATION'S OTHER OFFICERS ARE PAID BY HOSPICE OF MICHIGAN, INC (HOM), A RELATED TAX-EXEMPT ORGANIZATION. HOM'S EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES MEETS ANNUALLY IN MARCH TO REVIEW AND APPROVE AS APPROPRIATE, FUNDS TO BE ALLOCATED FOR TOTAL COMPENSATION FOR THE ORGANIZATION'S CHIEF FINANCIAL OFFICER, CHIEF OPERATING OFFICER, CHIEF MEDICAL OFFICER, CHIEF MARKETING OFFICER AND CHIEF FUNDRAISING OFFICER, INCLUDING BASE SALARY, BONUS, CAR ALLOWANCE, AND OTHER BENEFITS. MINUTES ARE TAKEN UP UNTIL THE POINT WHERE DISCUSSION OF COMPENSATION TAKES PLACE AND VOTE/DECISION IS MADE IN REGARDS TO COMPENSATION. THE CEO AND EXECUTIVE ASSISTANT ARE EXCUSED FROM THE MEETING AT THIS POINT WHILE DISCUSSION AND DECISION IS MADE. IN ADDITION, IN 2016 THE ANNUAL EXTERNAL COMPENSATION STUDY WAS PERFORMED TO ASSESS EXECUTIVE COMPENSATION. THE COMPENSATION STUDY AIMS TO PRICE POSITIONS AT MARKET BY USING LOCAL, NATIONAL, AND INDUSTRY SPECIFIC SURVEY DATA. AN OUTSIDE CONSULTANT IS ENGAGED THROUGH AN AFFILIATION WITH AMERICAN SOCIETY OF EMPLOYERS (ASE). MARKET DATA WAS GATHERED THROUGH CRAINS TOP NON-PROFIT SURVEY, ASE NATIONAL EXECUTIVE COMPENSATION SURVEY, NATIONALLY COMPARED 990'S OF THE 37 LARGEST HOSPICE'S, AS WELL AS THE TOP 32 HOSPITALS WITH REVENUE $150 MILLION OR LESS. TWO OPTIONS ARE PRESENTED BY THE PRESIDENT/CEO TO THE EXECUTIVE COMMITTEE BASED ON THE MARKET DATA THAT WAS GATHERED. Form 990, Part VI, Line 11b Review of form 990 by governing body A FINAL DRAFT OF THE FULL FORM 990 IS REVIEWED WITH OUR TAX ADVISORS AND APPROVED BY EACH VOTING MEMBER OF THE BOARD PRIOR TO FILING WITH THE IRS. Form 990, Part VI, Line 12c Conflict of interest policy Procedure: Employees, both paid and unpaid (from here forward referred to as "employee"), and Board members, have a fundamental obligation to act in the best interest of patient care and Supportive Care Services of Michigan D/B/A At Home Support. Every Board member and employee is responsible for acting consistent with this obligation when engaging in activities, and should not let other personal and financial interests interfere with this obligation. General Practice Guidelines: (1) At Home Support requires that all members of its Board and employees disclose interests that could result in a conflict. Annually, all board members sign off on a Conflict of Interest policy and disclose any situation which may represent a conflict. The Corporate Compliance Officer (CCO) also has access to the Board at least annually. The organization also utilizes C-TRAC (Crowe Tax Risk Assessment and Control), a tool provided by our tax advisors, to send conflict of interest surveys to all voting board members, executives, and the highest paid staff. (2) All Board members and employees are required to submit a disclosure statement, if there is a conflict of interest that meets the stated definition, at the beginning of employment or term. (3) If a matter arises in which a member of the Board or employee has a conflict of interest, the individual shall promptly disclose it to the CEO, or the case of the CEO, the Board Chairperson. 4) An individual with a potential conflict of interest shall not proceed to make any decision or take any action on behalf of the organization without approval of the Board. (5) At Home Support employees are precluded from engaging in activities with any "Vendor or Supplier Business" (as that term is defined in the policy) that does or seeks business with At Home Support which may result in a personal benefit to the employee at the expense of At Home Support or may influence the employee's decisions on matters involving At Home Support and a Vendor or Supplier Business. Form 990, Part VI, Line 15a Process to establish compensation of top management official THE ORGANIZATION'S PRESIDENT/CEO IS PAID BY HOSPICE OF MICHIGAN, INC. (HOM), A RELATED TAX-EXEMPT ORGANIZATION. HOM'S EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES MEETS ANNUALLY IN MARCH TO REVIEW AND APPROVE AS APPROPRIATE, FUNDS TO BE ALLOCATED FOR TOTAL COMPENSATION FOR THE ORGANIZATION'S PRESIDENT/CEO, INCLUDING BASE SALARY, BONUS, CAR ALLOWANCE, AND OTHER BENEFITS. THE EXECUTIVE COMMITTEE ALSO DETERMINES IF THE PRESIDENT/CEO'S CONTRACT NEEDS TO BE UPDATED OR RENEWED AT THIS TIME. MINUTES ARE TAKEN UP UNTIL THE POINT WHERE DISCUSSION OF COMPENSATION TAKES PLACE AND VOTE/DECISION IS MADE IN REGARDS TO COMPENSATION. THE CEO AND EXECUTIVE ASSISTANT ARE EXCUSED FROM THE MEETING AT THIS POINT WHILE DISCUSSION AND DECISION IS MADE. IN ADDITION, IN 2016 THE ANNUAL EXTERNAL COMPENSATION STUDY WAS PERFORMED TO ASSESS EXECUTIVE COMPENSATION. THE COMPENSATION STUDY AIMS TO PRICE POSITIONS AT MARKET BY USING LOCAL, NATIONAL, AND INDUSTRY SPECIFIC SURVEY DATA. AN OUTSIDE CONSULTANT IS ENGAGED THROUGH AN AFFILIATION WITH AMERICAN SOCIETY OF EMPLOYERS (ASE). MARKET DATA WAS GATHERED THROUGH CRAINS TOP NON-PROFIT SURVEY, ASE NATIONAL EXECUTIVE COMPENSATION SURVEY, NATIONALLY COMPARED 990'S OF THE 37 LARGEST HOSPICE'S, AS WELL AS THE TOP 32 HOSPITALS WITH REVENUE $150 MILLION OR LESS. TWO OPTIONS ARE PRESENTED TO THE EXECUTIVE COMMITTEE BASED ON THE MARKET DATA THAT WAS GATHERED. Form 990, Part VI, Line 19 Required documents available to the public The organization's governing documents, conflict of interest policy, and audited financial statements can be available upon request. HOSPICE OF MICHIGAN INC 2366 OAK VALLEY DRIVE Ann Arbor MI 48103 382255529 HOSPICE CARE MI 501(c)(3 10 NA false HOSPICE OF MICHIGAN FOUNDATION 2366 OAK VALLEY DRIVE Ann Arbor MI 48103 383074337 FUNDRAISING MI 501(c)(3 Type I HOSPICE OF MICHIGAN false ARBOR HOSPICE INC 2366 OAK VALLEY DRIVE Ann Arbor MI 48103 382532215 HOSPICE CARE MI 501(c)(3 7 HOSPICE OF MICHIGAN false THE ARBOR HOSPICE FOUNDATION 2366 OAK VALLEY DRIVE ANN ARBOR MI 48103 320045893 TO SUPPORT ARBOR HOSPICE, INC. MI 501(c)(3 7 NA false false false false false false false false false false false false true true true true true true true true