2015-08-14T08:00:10-05:00 2014-12-31 350921680 CROWE HORWATH LLP 225 West Wacker Drive Suite 2600 Chicago IL 606061224 990 2014-01-01 383197374 Supportive Care Services of Michigan Inc SUPP 3135785000 400 Mack Avenue Detroit MI 48201 Lee Ann Myers CFO 2015-07-30 true Nicole Bencik P00756195 3128997000 2014 2016-04-25 22:37:26Z At Home Support Robert Cahill 400 Mack Avenue Detroit MI 48201 4301799 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 5 97 42 0 0 47628 31410 2942305 4270363 0 0 1292 26 2991225 4301799 0 0 0 0 2814471 2845770 0 0 0 791417 1056533 3605888 3902303 -614663 399496 1227331 2596116 5114098 6083387 -3886767 -3487271 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 false 3274038 0 4270389 With a culturally sensitive interdisciplinary team of professionals, the At Home Support program provides 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 utilizes home based condition management to provide clinical education, consumer advocacy, and assistance with health care system navigation. At Home Support services consist of home visits and individualized treatment plans by a nurse and counselor with the aide of patient family assistants and volunteers. At Home Support works 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 includes 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 strives to create a service model that is outcome driven and that can flex to meet individual contracts. At Home Support also focuses on the development of new services for the future needs of patients and families with advanced chronic illnesses. For the year ending December 31, 2014, At Home Support provided $23,421 in Charity care. The passage of the Affordable Care Act brought new opportunities for health care providers to use innovation to enhance the quality of care while reducing the cost. In 2014, Hospice of Michigan (HOM) and the Detroit Medical Center (DMC) continued its partnership through its Michigan Pioneer ACO, serving close to 350 patients per day. In addition to the DMC partnership, At Home Support was able to add expand enrollments between the three commercial payer partners bringing the patients being served to 812 by the end of 2014. By the continued collaboration with At Home Support, the Michigan Pioneer ACO met one of the first goals of the Centers for Medicare Medicaid Innovation (CMMI) for these programs - "to rapidly demonstrate what can be achieved when highly coordinated care is provided to Medicare fee-for-service beneficiaries." Partnered with first outstate partner in Ohio and started orienting and training their staff in order to roll out and go live in the first quarter of 2014. At Home Support provides daytime triaging of calls and any after hours calls while the partner organization provides the field visits. At Home Support also provides all the data analytics and outcome reporting as well. 3274038 true false false false false false false false false true 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 97 true false false false false false false false false false false X 7 5 false false false false false false false true true false false true true true true true true false false false X Lee Ann Myers 3135785000 400 Mack Avenue Detroit MI 48201 Jane McNamara Chair 1.00 1.00 X X 0 0 0 Mark Drumheller Vice Chair 1.00 1.00 X X 0 0 0 Mark Kinsler Secretary/Treasurer 1.00 1.00 X X 0 0 0 Robert Cahill PRESIDENT & CHIEF EXECUTIVE OFFICER 1.00 41.00 X X 0 536389 66633 Lee Ann Myers Chief Financial Officer 1.00 41.00 X X 0 284045 41481 Sanford Linden Immediate Past Chair 1.00 1.00 X 0 0 0 John Mauer MD Trustee 1.00 1.00 X 0 0 0 Cynthia Tomlinson Program Director 40.00 X 102602 0 6671 102602 820434 114785 0 false true false HOSPICE OF MICHIGAN Inc 400 MACK AVENUE DETROIT MI 48201 ADMINISTRATIVE SUPPORT SERVICES 622269 1 31410 31410 NET PATIENT SERVICE REVENUE 621610 4270363 4270363 0 0 0 0 4270363 0 0 0 0 miscellaneous 900099 26 26 0 0 0 0 26 4301799 4270389 0 0 X 2288435 2288435 90814 90814 314653 314653 151868 151868 527 527 5996 5996 627902 5633 622269 0 88 88 58956 58956 29880 29880 245889 245889 223 223 9000 9000 BAD DEBT 6612 6612 MAINTENANCE AGREEMENTS 54338 54338 17122 17122 0 0 3902303 3274038 628265 0 1204831 2582616 0 0 27000 13500 22500 13500 0 0 0 0 1227331 2596116 173447 161010 0 4940651 5922377 5114098 6083387 X -3886767 -3487271 -3886767 -3487271 1227331 2596116 399496 0 X false true X true false X 47628 31410 79038 459090 547208 1387960 2942305 4270363 9606926 4916 704 0 0 5620 464006 547912 1387960 2989933 4301773 9691584 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9691584 0 0 0 0 0 0 207 0 0 1292 26 1525 464213 547912 1387960 2991225 4301799 9693109 0.9998 0.9997 0 0.0000 X Schedule A, Part III, Line 12 Other Income DESCRIPTION - MISCELLANEOUS, COLUMN A - 207.0, COLUMN B - 0.0, COLUMN C - 0.0, COLUMN D - 1292.0, COLUMN E - 26.0, COLUMN F - 1525.0; 27000 13500 13500 13500 Due to affiliate - Hospice of Michigan 5922377 5922377 X 4301799 0 0 4301799 0 0 4301799 3902303 0 0 3902303 0 0 3902303 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, 2014 and 2013. false false false false false false false false false Robert Cahill PRESIDENT & CHIEF EXECUTIVE OFFICER 0 409206 0 75000 0 52183 0 51550 0 15083 0 603022 0 0 Lee Ann Myers Chief Financial Officer 0 217642 0 50000 0 16403 0 32898 0 8583 0 325526 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 OFFICERS, 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 2014 AN EXTERNAL COMPENSATION STUDY WAS PERFORMED TO ASSESS EXECUTIVE COMPENSATION; THIS EXTERNAL COMPENSATION STUDY IS PLANNED TO BE PERFORMED ANNUALLY. 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 15a PROCESS USED 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 2014 AN EXTERNAL COMPENSATION STUDY WAS PERFORMED TO ASSESS EXECUTIVE COMPENSATION; THIS EXTERNAL COMPENSATION STUDY IS PLANNED TO BE PERFORMED ANNUALLY. 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 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 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. Form 990, Part IX, Line 11g Other Fees Administrative Support Services - Total Expense: 622269, Program Service Expense: , Management and General Expenses: 622269, Fundraising Expenses: ; Contracted Staff - Total Expense: 2328, Program Service Expense: 2328, Management and General Expenses: , Fundraising Expenses: ; Other Purchased Services - Total Expense: 2895, Program Service Expense: 2895, Management and General Expenses: , Fundraising Expenses: ; Consulting - Total Expense: 410, Program Service Expense: 410, Management and General Expenses: , Fundraising Expenses: ; HOSPICE OF MICHIGAN INC 400 MACK AVENUE DETROIT MI 48201 382255529 HOSPICE CARE MI 501(c)(3 9 NA false HOSPICE OF MICHIGAN FOUNDATION 400 MACK AVENUE DETROIT MI 48201 383074337 FUNDRAISING MI 501(c)(3 Type I HOSPICE OF MICHIGAN false false false false false false false false false false false false true true true true true true true true