A Multi-disciplinary Team
AACM Team members have expertise in many areas. They have had work/educational experience in gerontology, home care, facility administration, nursing, home health, hospice, financial counseling and accounting, social work, government programs, mediation and education. Although we work as a team, we provide a single point of contact for the care providers, client, and family.

Our Care Managers are highly trained, skilled, and committed specialists with comprehensive knowledge of geriatric professionals and resources in the community. The company strives to keep all employees as well-trained and well-informed on new skills, methods, policies, and procedures by offering each employee continual employee development classes and forums for the roles they do at Accountable Aging.


Mary Koffend, President
Mary brings to her leadership of the company many years of management experience, problem solving, and dealing with situations where there seems no simple solution. Mary also brings her life experiences as a daughter of a mom with Alzheimer's and an aunt with schizophrenia. She has great empathy for what these diseases do to family dynamics. Mary was responsible for Houston's largest and most complex SSA client service operation before managing the Medicaid provider services programs for the State of Texas. Having served elder and disabled clients for many years with the Social Security Administration throughout Texas, Mary is in a unique position to now help AACM clients deal with two of the biggest challenges related to aging: understanding healthcare options and dealing with the many bureaucracies and systems. Mary is trained at family facilitation and mediation. She loves thinking outside of the box to explore creative options. She enjoys sharing her knowledge about government programs and aging in presentations. She is a good listener and is often the first person that you reach when inquiring about how Accountable Aging can assist your family.

Mary served on the Board of Directors of Adult Protective Services (APS) and on the Board of Directors of AGE of Central Texas. She serves on a leadership position at her church and is a regular volunteer at her church's food pantry. She is a member of a great book club and loves reading, especially mysteries. Her favorite pastime is being with her daughters and six grandchildren.




Mick Koffend, MBA, CPA*, RFG, Director of Services
Mick joined the Navy in 1970 after graduating with a BS in Chemistry from the Illinois Institute of Technology. As a Naval Flight Officer, he earned his daily bread for about five years by being shot off an aircraft carrier. After the Navy, he went to Harvard Business School, got an MBA and started a career in Big Oil, mostly in the petrochemical divisions of large, integrated oil companies since, as a chemistry major, he knew how to spell "ethylene." In 1985, he started a system integration business that set the template for the better part of the next 15 years of his career. Mick has followed a path where he has been a Controller or Chief Financial Officer of several small companies, many of them start-ups and all of them in the technology sector. One of the startups for which Mick was a co-founder was a Houston-based software company that went public in 1999 (Mission Critical Software). In the early 1990s, Mick became a CPA* as part of his mid-life crisis.

Mick is committed to a world without multiple sclerosis (MS) and to this end, he has been trained as a MS Ambassador, is a member of the cycling Team No MaS whose members raise funds for services, programs and research for those living with MS, and serves on several committees of the National MS Society. He serves on the Board for the Estate Planning Council of North Texas and is a member of the Financial Planning Association and the Society of Financial Service Professionals. Mick also completed the American Institute of Financial Gerontology's (AIFG) Registered Financial Gerontologist™ program. Lastly, Mick is a Sunday School class leader and volunteers for his church's food pantry.

*Accountable Aging Care Management is not a CPA firm.




Hillary Alaniz, BSN, RN, CDE, Care Manager
Hillary has a Bachelors of Science in Nursing from Texas Tech University, and a Bachelors of Science in Nutrition from Texas Woman's University. Most recently she became a Certified Diabetes Educator. Hillary brings her clinical background to AACM, which includes helping diabetic patients achieve their healthiest life possible. She also enjoys teaching nutrition classes to families enrolled in the local Woman Infant Children's program. Hillary's devotion is to help her clients make the best choices. She is blessed to still have four grandparents whom she loves and adores.

When Hillary isn't chasing one of her three beautiful daughters around, she enjoys exercising, trying new recipes, scrapbooking and traveling with her husband. She also enjoys devoting her time to various children programs at her church.




Spencer Brown, MSG, LNFA, CMC, Care Manager
Spencer has devoted his entire career to the field of aging, directly as a result of helping his family work through the declining health and death of his grandfather during his college years. He holds a Master of Science in Gerontology and a Bachelor of Arts in Sociology from Baylor University. Spencer has held executive positions in a variety of settings - nursing facilities, assisted living facilities, independent living communities, and non-medical in-home provider services. He has managed all facets of operations, including customer service, employee supervision, and fiscal responsibility. A large part of his duties included solving problems and guiding seniors and their families through the complex aging process.

As a licensed nursing facility administrator (LNFA), Spencer is uniquely qualified to help clients and families determine the best senior-living options and to ensure that service providers are fulfilling their obligations. He is an active volunteer for the Alzheimer's Association's as part of their Speaker's Bureau, helping educate the San Antonio community about dementia. Spencer furthers his professional commitment as a member of the South Central Committee's Board of Directors of the Aging Life Care Association™. As member of the Aging Life Care Association™, Spencer is an Advanced Aging Life Care Manager™. He is also a musician, playing the piano from an early age and later studying the pipe organ. Additionally, he serves as a deacon at his local church. Spencer and his wife, Stephanie who is a Baylor Law School graduate, have three children.




Mary Cooper, RN, BSN, Care Manager
Mary has clinical experience in a variety of settings, including acute and intensive care as well as hospice and home health. Mary received a Bachelor's of Science in Nursing from Pennsylvania State University and is licensed by the Texas Board of Nurse Examiners. She was employed as an RN in the intensive care unit of the only state certified burn treatment facility in New Jersey and one of the largest in North America. She then worked as a nurse in an oncology unit, pediatrics, home health care and in-home hospice. Mary's experience provides her with an understanding of the need for independence in the elderly and disabled as well as an understanding of their families' concerns. This experience, combined with her passion for serving the elderly and disabled, provides an opportunity to use her nursing skills to assist clients in making healthy and safe choices for the future. Mary has lived in Austin, Texas for the past 20 years and enjoys spending time with her family.




Lessa Ennis, BA, Office Manager/Bookkeeper
Lessa performs a variety of tasks at AACM and is often the caring voice on the other end of the line when a senior or a family member contacts us. She also handles bookkeeping duties and supports the activities of all team members. As a volunteer with Meals on Wheels twice a week for 3 years, she has developed a new insight into the challenges and concerns seniors encounter. Lessa holds a BA from Indiana University and has over 15 years of administrative support experience. She is excited to use her skills and experience for a company that provides such a valuable service.

In her spare time, Lessa also volunteers with Donate Life, where she educates the public regarding organ donation. Acknowledging that transportation is an issue for all seniors but the very wealthiest who can afford a chauffeur, Lessa volunteers for Drive a Senior.




Shannon Gray, BS, Finance Coordinator
Shannon handles billing, Visa Buxx pre-paid debit cards and financial reporting for Accounting Aging Care Management. She supports the Care Managers in their efforts to protect clients financially by managing the Buxx program and ensuring their assets are protected. Additionally she works closely with Mick and Mary to prepare the AACM monthly billing for each market and produce comprehensive financial reports. Though all of Shannon's work is done behind the scenes to support the team, her heart is ultimately focused on the end result of what is best for the clients of AACM. With a Bachelor of Science from the University of North Texas and a background in project management, contingent staffing and training/development, Shannon brings diverse experiences to the team. When she isn't working or volunteering, she's spending time with her hubby, three young children and extended family.

Shannon actively participates in ministries of her church which include Women of Grace and Grace Kids as well as volunteers at her children's schools.




Katie McGary, LMSW, Client Co-Ordinator
Katie received both her Bachelor's and Master's in Social Work from Florida State University. Since moving to Texas she became a licensed master social worker (LMSW.) Prior to joining Accountable Aging Care Management (AACM) her experiences includes assisting older adults/elders in various settings including those with Alzheimer's and dementia; those with disabilities; and people experiencing homelessness. All of these she has enjoyed but her greatest pleasure has always been with elders. This passion has been inspired by having never really knowing her grandparents and having aging parents and seeing them struggle with medical issues/aging process. Katie enjoys the challenge of using problem solving and critical thinking of how to best serve difficult client situations. In her free time she enjoys going to shows/concerts with her boyfriend, travelling together and making plans for their next destination.




Lettie Morse, RN, MSN, CNS, Care Manager
Lettie has over 34 years of healthcare experience working primarily in San Antonio, Texas. She received a Master of Science Degree in Nursing and a Clinical Nurse Specialist certification in Adult Medical -Surgical Nursing from the University of The Incarnate Word. Working with aging adults has been a large part of her practice whether in a community health setting, teaching at a local university or in acute care hospital settings. In her early years as a nurse, she assisted in the openings of 4 specialty hospitals and several hospice companies. Lettie was born and raised in San Antonio and has a large, beautiful family who live close by and whom she visits often. She also enjoys riding her bicycle, listening to jazz music, early morning meditations and cooking. Lettie is a practicing vegetarian and believes good, healthy food is essential to living a happy and healthy life.




Samantha Nutter, BSW, Care Manager
Samantha is a native of Buffalo, New York and received her Bachelor's of Social Work degree from Niagara University. Sam has previous experience working in subsidized housing facilities for the elderly, assisted living facilities focused on memory care and those with dementia, as well as emergency room social work. Sam has a passion for being an advocate and a listening ear for families as they go through the complexities that life throws their way.

In her free time, Sam enjoys finding new places to explore, reading through her extensive book collection and spending time with her husband Zach and their dog Teddy. She enjoys fostering dogs as well as volunteering on Sunday's to care for the babies at her church.




Michael Rodus, Benefits Specialist
Michael has a BA in English from the University at Albany in NY and spent the early part of his career working in different industries, including a stint at ABC News, and as a content editor for an Austin startup. While working as a Disability Specialist for the State of Texas, Michael learned the ins and outs of the Social Security disability program, and realized he had a knack for understanding the complex policy that is a part of all government programs. As AACM's resident Benefits Specialist, Michael helps clients solve problems and find answers by maneuvering through the tangled web of government bureaucracy. He has extensive knowledge of Supplemental Security Income (SSI) and Social Security Disability Insurance (SSDI), is continually learning about Medicare and Medicaid, and can assist in helping clients find and receive other benefits that may be available to them.

Although Michael is new to eldercare and care management, he has experienced the difficulty that goes along with having family members who suffer from Alzheimer's disease, mental illness, and cancer. He is glad to be part of a team that helps families and their loved ones, and feels excited that he is doing his part in this endeavor.

With three young daughters at home, Michael doesn't have a lot of spare time, but he does consider himself a hobbyist musician. He also hopes to one day write his dream novel, though he wonders at what age one must stop considering oneself an aspiring writer.




Chava Rousch-Carlisle, LMSW, Care Manager
Chava has an MSW from University of Texas at Arlington and received her license in the State of Texas upon graduation. She has a background in non-profit management and education where she always had her door open to her students and families. More recently, she has worked as a hospice social worker where she served families and supported them through grief, loss and change. Chava has a passion to work with clients and their families to improve their overall quality of life by assisting them in their individual needs.

Chava has two children, a couple of dogs, and a large extended family that keep her busy. Additionally, she enjoys spending time with friends and cooking (and eating) foods from various cultures.




Nancy Schoeberl, MS, Care Manager
Nancy started her career as a Medical Technologist. After working several years in the lab, she decided to return to school to pursue her bachelor's degree in Nursing in order to become more directly involved in patient care with the opportunity to improve the lives of others. Nancy received her BSN from Grand View College in Des Moines, Iowa and has spent the past 23 years as a registered nurse in Iowa and Texas working with the senior population. Nancy's nursing career has spanned working in a variety of community based settings, including home health care, public health nursing and working with non-profits committed to providing medical care to the most vulnerable and under-served in the community. Nancy's passion is in geriatrics and assisting aging clients and their loved ones to ensure their physical, emotional and family support needs are met.

Nancy and her husband Mark have 2 adult children in college. She is active in her church and volunteers at the Bella House, a home for young mothers. Nancy enjoys spending time with her family, watching college football, reading, and traveling back to Iowa to see family and friends.




Heidi Shanklin-Spock, LMSW, C-ASWCM, Care Manager
Heidi works with clients and field professionals to determine and coordinate the resources that will best match the clients' needs and ensure that clients can maintain the highest quality of life possible for as long as possible. Heidi has a background in social work, case management and elder care. After receiving her master's degree from the University of Texas in 2004, she worked as a social worker and bereavement coordinator at a local hospice, providing psychosocial services, coordinating community resources, providing grief support services and referrals and advocating for specific needs. Heidi has a passion for working with home-bound seniors and assisting clients with Multiple Sclerosis. In 2009, Heidi obtained her certification as an Advanced Social Work Case Manager through the National Association of Social Workers and then obtained her certification as a Advance Professional through the Aging Life Care Association™, of which she is an active member.

In her spare time, Heidi is enjoying her darling toddler granddaughter and is expecting darling grandson in early October 2016. She also enjoys playing bridge, bird-watching and film noir.




Mary Pat Smith, MSN, RN, GCNS, CMC, Care Manager
Mary Pat brings a clinical nursing perspective and extensive healthcare knowledge to the AACM team. As an RN for more than forty years, Mary Pat is very familiar with acute, outpatient and long-term care, having provided nursing care and functioned in management and educational roles. As an Advanced Practice Nurse: Clunical Nurse Specialist in Gerontology, she assessed the well-being of residents in assisted living, memory care and skilled nursing facilities, utilizing prescriptive authority as part of resident care plans.

Mary Pat has considerable knowledge about dementia, having taught classes and cared for persons with dementia, incorporating Naomi Feil's "Validation Therapy". Using these experiences, she evaluates the needs of AACM clients and their families in a holistic, compassionate and expert manner while taking into consideration the unique perspective of the care recipient and caregiver(s). She earned her MS in Nursing from the University of Texas at Austin, is licensed by the Texas Board of Nurse Examiners as a Registered Nurse (RN): Advanced Practice Nurse: Clinical Nurse Specialist in Gerontology (APRN: CNS-Gero) and is Board Certified by the American Nurses Credentialing Center. Mary Pat gained her BS in Nursing from D'Youville College in Buffalo, NY. She is one of the AACM representatives for the ALCA: Aging Life Care Association™.

Additionally, Mary Pat serves in various community organizations to improve the lives of older adults Texans: is a member of the Texas Silver-Haired Legislature as a representative for the ten County Capital Area; Is a founding and current Board member of Drive a Senior-SW;and served for 14 years as an Advisory Council member of Coming of Age/RSVP of Austin-Travis County. Finally, Mary Pat has knowledge and personal experience with Blindness and Low Vision. She travels around Travis County with her beloved black lab Guide Dog, Clara.