2013-08-12T13:00:21-05:00 2012-12-31 CROWE HORWATH LLP 70 West Madison Street Suite 700 Chicago IL 606024903 990 2012-01-01 383197374 SUPPORTIVE CARE SERVICES OF MICHIGAN INC SUPP 3135785000 400 Mack Avenue Detroit MI 48201 LEE ANN MYERS 2013-08-12 true Nicole Bencik P00756195 3128997000 2012 2016-02-24 21:20:13Z HOME SUPPORT DOROTHY DEREMO 400 Mack Avenue Detroit MI 48201 1387960 false X WWW.HOM.ORG X 1994 MI SUPPORTIVE CARE SERVICES OF MICHIGAN, INC. D/B/A @HOME SUPPORT 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 57 4 0 0 0 0 547208 1387960 0 0 704 0 547912 1387960 0 0 0 0 882038 1775987 0 0 0 199949 544704 1081987 2320691 -534075 -932731 112609 597589 2451982 3869693 -2339373 -3272104 X SUPPORTIVE CARE SERVICES OF MICHIGAN, INC. D/B/A @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 2089221 0 1387960 WITH A CULTURALLY SENSITIVE INTERDISCIPLINARY TEAM OF PROFESSIONALS, THE @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, @HOME SUPPORT UTILIZES HOME BASED CONDITION MANAGEMENT TO PROVIDE CLINICAL EDUCATION, CONSUMER ADVOCACY, AND ASSISTANCE WITH HEALTH CARE SYSTEM NAVIGATION. (CONTINUED IN SCHEDULE O) 2089221 true 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 false true 0 0 57 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 false false false X Lee Ann Myers 3135785000 400 Mack Avenue Detroit MI 48201 DOROTHY E DEREMO 1.00 41.00 X X 0 569511 40036 JANE MCNAMARA 1.00 1.00 X X 0 0 0 JOHN R MAURER MD 1.00 1.00 X X 0 0 0 LEE ANN MYERS 1.00 41.00 X X 0 208678 17259 MARK DRUMHELLER 1.00 1.00 X X 0 0 0 ROBERT CAHILL 1.00 41.00 X X 0 312111 24853 SANFORD J LINDEN 1.00 1.00 X X 0 0 0 LLOYD HANSEN 1.00 1.00 X 0 0 0 0 1090300 82148 0 false true false HOSPICE OF MICHIGAN 400 MACK AVENUE DETROIT MI 48201 ADMINISTRATIVE SUPPORT SERVICES 231470 1 0 NET PATIENT SERVICE REVENUE 621610 1387960 1387960 0 0 0 0 0 0 0 0 1387960 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1387960 1387960 0 0 0 0 0 0 0 0 1305703 1305703 54883 54883 237849 237849 177552 177552 0 0 0 0 0 0 292976 61506 231470 0 0 44405 44405 0 0 33854 33854 144305 144305 0 3687 3687 0 0 0 541 541 BAD DEBT 17276 17276 7660 7660 0 0 2320691 2089221 231470 0 0 112609 597589 0 0 0 0 0 0 0 0 0 0 0 0 112609 597589 42448 133255 0 2409534 3736438 2451982 3869693 X -2339373 -3272104 -2339373 -3272104 112609 597589 -932731 0 X false true true false X 95555 95555 351592 383225 459090 547208 1387960 3129075 4916 704 0 5620 0 0 447147 383225 464006 547912 1387960 3230250 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3230250 0 0 0 0 0 0 0 0 0 0 0 207 0 0 207 447147 383225 464213 547912 1387960 3230457 0.99990 0.99990 0.00000 0.00000 X OTHER INCOME, SCHEDULE A, PART III, LINE 12, DESCRIPTION - MISCELLANEOUS, COLUMN A - 0, COLUMN B - 0, COLUMN C - 207, COLUMN D - 0, COLUMN E - 0, COLUMN F - 207;, 0 0 0 0 0 0 0 DUE TO AFFILIATE - HOSPICE OF MICHIGAN 3736438 3736438 X 1387960 0 0 1387960 0 0 1387960 2320691 0 0 2320691 0 0 2320691 false false false false false false false DOROTHY E DEREMO 0 437046 0 86063 0 46402 0 26101 0 13935 0 609547 0 0 ROBERT CAHILL 0 244296 0 44250 0 23565 0 17475 0 7378 0 336964 0 0 LEE ANN MYERS 0 162593 0 30188 0 15897 0 11869 0 5390 0 225937 0 0 Arrangement used to establish the top management official's compensation Schedule J, Part I, Line 3 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 PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART III, LINE 4A (CONTINUED FROM PART III) @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. @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 @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, @HOME SUPPORT STRIVES TO CREATE A SERVICE MODEL THAT IS OUTCOME DRIVEN AND THAT CAN FLEX TO MEET INDIVIDUAL CONTRACTS. @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 ENDED DECEMBER 31, 2012, @HOME SUPPORT PROVIDED $28,400 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 2012, HOSPICE OF MICHIGAN (HOM) AND THE DETROIT MEDICAL CENTER (DMC) ANNOUNCED THE FIRST-OF-ITS-KIND PARTNERSHIP BETWEEN A HOSPICE PROVIDER AND A HEALTHCARE SYSTEM. THE DETROIT MEDICAL SYSTEM, THROUGH ITS MICHIGAN PIONEER ACO, ENTERED INTO AN AGREEMENT WITH @HOME SUPPORT, A SUBSIDIARY OF HOSPICE OF MICHIGAN, TO PROVIDE COMPREHENSIVE CARE TO CHRONICALLY ILL PATIENTS OF THE MICHIGAN PIONEER ACO. BY COLLABORATING WITH @HOME SUPPORT, THE 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." THE AGREEMENT REPRESENTED ONE OF THE REWARDS OF A 10-YEAR INVESTMENT IN RESEARCH, INNOVATION, AND THE DEVELOPMENT OF THE @HOME SUPPORT PROGRAM FOR PATIENTS WITH CHRONIC ILLNESSES. WHEN THE DMC WAS LOOKING FOR A PARTNER, THE @HOME SUPPORT PROGRAM OFFERED A TURN-KEY OPERATION THAT WAS ALREADY RESEARCHED, TESTED, STAFFED, AND READY TO MEET THE CHALLENGE OF THE AFFORDABLE CARE ACT. THROUGH THIS PARTNERSHIP, WE SAW THE @HOME CENSUS GROW FROM 70 TO 300 IN 2012 AND TO CONTINUE TO GROW INTO 2013 DUE TO ADDITIONAL PHYSICIANS JOINING THE ACO AS OF JANUARY 1, 2013. OTHER PARTNERS ARE CURRENTLY IN DISCUSSIONS TO CONTRACT WITH @HOME SUPPORT FOR THIS SERVICE. THESE POTENTIAL PARTNERS INCLUDE OTHER ACO'S AND COMMERCIAL PAYORS. Review of form 990 by governing body Form 990, Part VI, Section B, Line 11b 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. Conflict of interest policy Form 990, Part VI, Section B, Line 12c 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 @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) @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) @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 @HOME SUPPORT WHICH MAY RESULT IN A PERSONAL BENEFIT TO THE EMPLOYEE AT THE EXPENSE OF @HOME SUPPORT OR MAY INFLUENCE THE EMPLOYEE'S DECISIONS ON MATTERS INVOLVING @HOME SUPPORT AND A VENDOR OR SUPPLIER BUSINESS. PROCESS USED TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL FORM 990, PART VI, LINE 15A 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 2012 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. PROCESS USED TO ESTABLISH COMPENSATION OF OTHER OFFICERS/KEY EMPLOYEES FORM 990, PART VI, LINE 15B 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 2012 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. Governing documents, conflict of interest policy and financial statements available to the public Form 990, Part VI, Section C, Line 19 CONSOLIDATED FINANCIAL STATEMENTS ARE PROVIDED ANNUALLY IN THE ORGANIZATION'S CONSOLIDATED ANNUAL REPORT THAT IS LOCATED ON THE HOSPICE OF MICHIGAN, INC. (A RELATED TAX EXEMPT ORGANIZATION) EXTERNAL WEBSITE (WWW.HOM.ORG). OTHER SPECIFIC DOCUMENTS CAN BE AVAILABLE UPON REQUEST. HOSPICE OF MICHIGAN INC 400 MACK AVENUE DETROIT MI 48201 HOSPICE CARE MI 501(C)(3) 9 NA false HOSPICE OF MICHIGAN FOUNDATION 400 MACK AVENUE DETROIT MI 48201 FUNDRAISING MI 501(C)(3) 11 - Type I HOSPICE OF MICHIGAN false false false false false false false false false false false false true true true true false true true