Civic Intelligence

Smh Case Management Inc

990 • Fiscal year 2018 • EIN 27-2321384

Jan 01, 2018 to Dec 31, 2018 • Filed on Nov 13, 2019

29-01 216th StreetBayside, NY 11360

(718) 281-8777

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

93rd percentile

2.31x

Higher debt load relative to assets than 93% of similar nonprofits.

2018 filings • NTEE E • $1M-$5M nonprofits • Source year 2018

Liabilities / Revenue

85th percentile

0.90x

Higher debt load relative to revenue than 85% of similar nonprofits.

2018 filings • NTEE E • $1M-$5M nonprofits • Source year 2018

Net Margin

15th percentile

-26%

Higher net margin than 15% of similar nonprofits.

2018 filings • NTEE E • $1M-$5M nonprofits • Source year 2018

Top Officer Pay

89th percentile

$788,446

Higher top officer pay than 89% of similar nonprofits.

Top officer pay equals 36.3% of source-year revenue.

2018 filings • NTEE E • $1M-$5M nonprofits • Source year 2018

Asset Growth

92nd percentile

60%

Faster asset growth than 92% of similar nonprofits.

2018 filings • NTEE E • $1M-$5M nonprofits • Annualized from 2017 to 2018

Revenue Growth

65th percentile

12%

Faster revenue growth than 65% of similar nonprofits.

2018 filings • NTEE E • $1M-$5M nonprofits • Annualized from 2017 to 2018

Assets

Up

$852,583

Up $320,190 (+60%) from 2017

Net Assets

Down

-$1,113,053

Down $560,308 (-101%) from 2017

Liabilities

Up

$1,965,636

Up $880,498 (+81%) from 2017

Revenue

Up

$2,174,387

Up $229,951 (+12%) from 2017

Expenses

Up

$2,734,695

Up $340,765 (+14%) from 2017

Net Income

Down

-$560,308

Down $110,814 (-25%) from 2017

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$10M$5.0M$0-$5.0M-$10MAssets 2016: $570,801Liabilities 2016: $674,052Net Assets 2016: -$103,2512016Assets 2017: $532,393Liabilities 2017: $1,085,138Net Assets 2017: -$552,7452017Assets 2018: $852,583Liabilities 2018: $1,965,636Net Assets 2018: -$1,113,0532018Assets 2019: $1,334,567Liabilities 2019: $2,754,353Net Assets 2019: -$1,419,7862019Assets 2020: $1,586,116Liabilities 2020: $3,437,141Net Assets 2020: -$1,851,0252020Assets 2021: $1,883,343Liabilities 2021: $4,487,881Net Assets 2021: -$2,604,5382021Assets 2022: $2,137,370Liabilities 2022: $6,118,967Net Assets 2022: -$3,981,5972022Assets 2023: $1,692,110Liabilities 2023: $7,622,434Net Assets 2023: -$5,930,3242023Assets 2024: $2,016,838Liabilities 2024: $9,749,918Net Assets 2024: -$7,733,0802024

Highlighted filing

2018

Assets$852,583
Liabilities$1,965,636
Net Assets-$1,113,053

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$6.0M$4.0M$2.0M$0-$2.0MRevenue 2016: $1,600,749Expenses 2016: $1,704,000Net Income 2016: -$103,2512016Revenue 2017: $1,944,436Expenses 2017: $2,393,930Net Income 2017: -$449,4942017Revenue 2018: $2,174,387Expenses 2018: $2,734,695Net Income 2018: -$560,3082018Revenue 2019: $2,939,492Expenses 2019: $3,246,225Net Income 2019: -$306,7332019Revenue 2020: $3,522,882Expenses 2020: $3,954,121Net Income 2020: -$431,2392020Revenue 2021: $3,977,932Expenses 2021: $4,731,445Net Income 2021: -$753,5132021Revenue 2022: $3,909,860Expenses 2022: $5,286,919Net Income 2022: -$1,377,0592022Revenue 2023: $3,854,661Expenses 2023: $5,803,388Net Income 2023: -$1,948,7272023Revenue 2024: $3,770,317Expenses 2024: $5,573,073Net Income 2024: -$1,802,7562024

Highlighted filing

2018

Revenue$2,174,387
Expenses$2,734,695
Net Income-$560,308
Jump To
Filing Snapshot
Filing Period
Jan 1, 2018 to Dec 31, 2018
Signed
Nov 13, 2019
Return Version
2018v3.1
Gross Receipts
$2,174,387
Mission and Program Overview

Mission

SMH Case Management, Inc. helps patients and families navigate the challenges of caring for a loved one at home by assisting families in accessing a full range of resources and programs within the community. Skilled case managers coordinate an array of services including securing private duty nursing, attending school meetings, coordinating multiple therapies, working with regulatory agencies, working with contractors on environmental modifications to the home, and providing support to the patients family.

SMH Case Management, Inc. helps patients and families navigate the challenges of caring for a loved one at home by assisting families in accessing a full range of resources and programs within the community.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$321,324$553,835▲ $232,511
Cash and Non-Interest-Bearing Accounts$204,479$260,878▲ $56,399
Prepaid Expenses and Deferred Charges$278$0▼ $278
Savings and Temporary Cash Investments-$0-
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Land, Buildings, and Equipment, Net-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Total Assets$532,393$852,583▲ $320,190
Other Assets Total$6,312$37,870▲ $31,558
Liabilities
Other Liabilities$855,413$1,653,101▲ $797,688
Accounts Payable and Accrued Expenses$229,725$312,535▲ $82,810
Total Liabilities$1,085,138$1,965,636▲ $880,498
Net Assets / Fund Balance
Temporarily Rstr Net Assets$1,427$26,650▲ $25,223
Unrestricted Net Assets$-554,172$-1,139,703▼ $585,531
Total Net Assets Fund Balance$-552,745$-1,113,053▼ $560,308
Total Liabilities and Net Assets / Fund Balance$532,393$852,583▲ $320,190
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Nancy SpellerProg. DirectorFT$123,360$7,616$130,976
Steven Polinsky Frm 0718CIO--$107,620$107,620

Board Members and Trustees

NameTitle
Cindy JohnsonChairperson
Kenneth M KupetskyThr 0718CIO
William L MeadCOO/CFO
Adam WaxerGeneral Counsel
Edwin F Simpser MDPres, CEO & CMO
Samuel R KaretskySecy/Treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$35,650
Program Service Revenue
$2,135,437
Investment Income
$0
Other Revenue
$3,300
Change in Net Assets
$-560,308
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$2,344,749
Other Expenses$389,946
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$1,477,487$175,810-$1,653,297
Other Employee Benefits$455,128$41,214-$496,342
Occupancy$209,267$17,562-$226,829
Payroll Taxes$113,813$11,127-$124,940
Office Expenses$67,807$36,868-$104,675
Pension Plan Contributions$61,215$8,955-$70,170
Travel$37,082$690-$37,772
Fees for Services Accounting-$6,720-$6,720
Information Technology-$4,275-$4,275
Fees for Services Other-$3,114-$3,114
Fees for Services Lobbying$2,806--$2,806
Advertising-$2,373-$2,373
Fees for Services Legal-$1,382-$1,382
Total Functional Expenses$2,424,605$310,090$0$2,734,695
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
DUE TO ST. MARY'S ADMINISTRATIVE SERVICE$860,413
DUE TO ST. MARY'S HOSPITAL FOR CHILDREN$792,618
Due to St. Marys Ccp Professionals, Inc.$70
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder

SMH Case Management, Inc's sole member is St. Marys Healthcare System for Children, Inc. (SMHSC).

Form 990, Part VI, Line 7A: How Members or Shareholders Elect Governing Body

SMH Case Manaement Inc's bylaws specifically reserve the power to appoint and remove its Board Members to the SMHSC.

Form 990, Part VI, Line 7B: Describe Decisions of Governing Body Approval by Members or Shareholders

SMH Case Management Inc's bylaws specifically reserve the following powers to SMHSC: *MERGERS, *SALES OR DISSOLUTIONS, *AMENDMENTS TO THE CERTIFICATE OF INCORPORATION AND OR BYLAWS, *OPERATING AND CAPITAL BUDGETS, *UNBUDGETED BORROWINGS IN EXCESS OF $1,000,000, *UNBUDGETED CAPITAL EXPENDITURES IN EXCESS OF $500,000, *A STRATEGIC PLAN AND HIRING AND FIRING OF THE CEO.

Form 990, Part VI, Line 11B: Form 990 Review Process

SMH Case Management, Inc's Form 990 is reviewed by an external accounting firm prior to submission to the full Audit & Compliance committee for review. Once the changes from both the accounting firm and Audit & Compliance committees review are implemented, a final draft of the 990 is posted to the Board of Directors website for access by all board members prior to the electronic submission of the 990 to the IRS.

Form 990, Part VI, Line 12C: Explanation of Monitoring and Enforcement of Conflicts

Once a year, each board member, officer or key employee of the organization completes a conflict of interest questionnaire, statement and acknowledgement which confirm that each individual has disclosed any potential conflict of interest; has received a copy of the conflict of interest policy; has read, understands, and agrees to comply with the conflict of interest policy. During the course of the year, each board member, officer, and key employee is required to promptly advise the chief executive officer or his /her designee, of any changes to the information provided in that individual's last completed conflict of interest questionnaire.The chief executive officer, or his/her designee, reviews all completed questionnaires and all subsequent advice of changes, taking such action as is deemed appropriate to address and eliminate potential conflicts of interest, including such steps as reassignment of responsibilities.All disclosures of interests in completed questionnaires or subsequent advice, unless clearly irrelevant or immaterial, shall be compiled and reported by management to the audit and compliance committee of the board, together, in each case, with the response or recommendation of management. The audit and compliance committee shall determine whether the reported resolution of issues raised by the disclosures is satisfactory and, if not shall take such further action as it deems appropriate. Each board member, and any officer or key employee representing a proposed transaction or other matter to the board shall disclose promptly and in good faith to the board such individual's interest in a proposed transaction or other matter to be considered by the board. The individual may not participate in any way in the board's deliberations concerning matters in which he/she has disclosed an interest.Following any such disclosure, and after such due diligence and such development and consideration of other alternatives, if any, as the board shall deem appropriate, the board may, in its discretion, authorize or approve the proposed transaction or actions as at least as fair and reasonable to the organization as would otherwise be obtainable by the organization. Such actions shall be by a vote sufficient for such purpose without counting the vote or votes of such interested person or persons and such person or persons may not participate in, determining the presence of a quorum at the meeting.Any disclosure, non-participation, and board action taken in accordance with this policy shall be clearly recorded in the minutes of the meeting at which the matter is addressed and resolved.Upon reasonable belief that a board member, officer or key employee failed to comply with the policies and directives set forth in its disclosure policy, the board or the audit and compliance committee shall inform the individual of the basis of the belief and provide an opportunity to explain the noncompliance. If after hearing the individual's response and making further appropriate investigations, the board or audit compliance committee determines that the individual has, in fact, failed to comply with such policies and directives, it shall take or recommend appropriate corrective action.

Form 990, Part VI, Line 15A: Compensation Review & Approval Process - CEO, Top Management

Salaries for the Executive team are paid by SMH Administrative Services. The policies for determining compensation are as follows: St. Mary's Healthcare System for Children, the sole member of the organization, reviews market pay practices for senior executives in organizations of comparable size and type. This market analysis is then reviewed by the executive review/compensation committee and used as a factor in determining salary adjustments relative to market competitiveness and job performance.

Form 990, Part VI, Line 15B: Compensation Review and Approval Process for Officers and Key Employees

Compensation for other executives is managed in a similar manner, with the Human Resources department in consultation with the CEO, using periodic surveys of the local market to ensure that St. Mary's compensation is competitive.

Form 990, Part VI, Line 19: Other Organization Documents Publicly Available

SMH Case Management, Inc. makes its organizing documents, conflict of interest policy and financial statements available to the public upon request and at managements discretion.

Filing and Contact Details

Filer

Filer Name
Smh Case Management Inc
EIN
27-2321384
Phone
7182818777
Address
29-01 216th Street, BAYSIDE, NY 11360

Signing Officer

Name
Edwin F Simpser Md
Title
President,CEO & CMO
Signed
2019-11-13

Organization Details

Principal Officer
Edwin F Simpser Md
Formed
2010
Legal Domicile
Ny
Voting Board Members
3
Independent Board Members
2
Employees
40
Volunteers
2
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 3: Ceased Conducting or Significant Changes To Services

In 2018, the New York State Office for People with Development Disabilities ("OPWDD") changed the Medicaid Service Coordination ("MSC") model. MSC services operating under CMC were transitioned to a designated Care Coordination Organization/Health Home. As a result, CMC is no longer providing MSC services.

Financial Statement Notes

Part X : FIN48 Footnote

SMH Case Management follows guidance that clarifies the accounting for uncertainty in tax positions taken or expected to be taken in a tax return, including issues relating to financial statement recognition and measurement. This guidance provides that the tax effects from an uncertain tax position can only be recognized in the financial statements if the position is more-likely-than-not to be sustained if the position were to be challenged by a taxing authority. The assessment of the tax position is based solely on the technical merits of the position, without regard to the likelihood that the tax position may be challenged.SMH Case Management is exempt from federal income tax under IRC section 501(c)(3), though it is subject to tax on income unrelated to its exempt purpose, unless that income is otherwise excluded by the Code. SMH Case Management has processes presently in place to ensure the maintenance of its tax-exempt status; to identify and report unrelated income; to determine its filing and tax obligations in jurisdictions for which there was nexus; and to identify and evaluate other matters that may be considered tax positions. SMH Case Management has determined that there are no material uncertain tax positions that require recognition or disclosure in the financial statements.

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IRS990/MissionDesc0SMH Case Management, Inc. helps patients and families navigate the challenges of caring for a loved one at home by assisting families in accessing a full range of resources and programs within the community. Skilled case managers coordinate an array of services including securing private duty nursing, attending school meetings, coordinating multiple therapies, working with regulatory agencies, working with contractors on environmental modifications to the home, and providing support to the patients family.
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IRS990/OfficeExpensesGrp/TotalAmt0104675
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IRS990/OnBehalfOfIssuerInd0false
IRS990/OperateHospitalInd0false
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IRS990/PayrollTaxesGrp/TotalAmt0124940
IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt08955
IRS990/PensionPlanContributionsGrp/ProgramServicesAmt061215
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IRS990/PrincipalOfficerNm0EDWIN F SIMPSER MD
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IRS990/RelatedOrganizationsAmt035650
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IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt0188000
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IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt05474547
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IRS990ScheduleA/OtherIncome509Grp/TotalAmt011541
IRS990ScheduleA/Post1975UBTIGrp/TotalAmt00
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IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt05719572
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IRS990ScheduleC/SupplementalInformationDetail/ExplanationTxt0St. Marys Case Management does not undertake any direct lobbying itself. St. Marys Administrative Services, Inc. engages law firms to lobby on its behalf regarding Medicaid rate setting and other regulatory and legislative issues. The amount reported on Case Managements Form 990 represents Case Managements allocable share of the costs incurred by SMH Administrative Services, Inc.
IRS990ScheduleC/SupplementalInformationDetail/FormAndLineReferenceDesc0Part II-B, Line 1i - Other Activities Description
IRS990ScheduleC/TotalLobbyingExpendituresAmt02806
IRS990ScheduleC/VolunteersInd0false
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt0860413
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt1792618
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt270
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0DUE TO ST. MARY'S ADMINISTRATIVE SERVICE
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc1DUE TO ST. MARY'S HOSPITAL FOR CHILDREN
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc2DUE TO ST. MARYS CCP PROFESSIONALS, INC.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0SMH Case Management follows guidance that clarifies the accounting for uncertainty in tax positions taken or expected to be taken in a tax return, including issues relating to financial statement recognition and measurement. This guidance provides that the tax effects from an uncertain tax position can only be recognized in the financial statements if the position is more-likely-than-not to be sustained if the position were to be challenged by a taxing authority. The assessment of the tax position is based solely on the technical merits of the position, without regard to the likelihood that the tax position may be challenged.SMH Case Management is exempt from federal income tax under IRC section 501(c)(3), though it is subject to tax on income unrelated to its exempt purpose, unless that income is otherwise excluded by the Code. SMH Case Management has processes presently in place to ensure the maintenance of its tax-exempt status; to identify and report unrelated income; to determine its filing and tax obligations in jurisdictions for which there was nexus; and to identify and evaluate other matters that may be considered tax positions. SMH Case Management has determined that there are no material uncertain tax positions that require recognition or disclosure in the financial statements.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0Part X : FIN48 Footnote
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt325142
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0Adam Waxer
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1Edwin F Simpser MD
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm2Kenneth M KupetskyThr 0718
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm3William L Mead
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0GENERAL COUNSEL
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1PRES, CEO & CMO
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt2CIO

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