2016-02-22T14:31:38-06:00 2015-06-30 450250958 EIDE BAILLY LLP 1545 ASSOCIATES DR STE 101 DUBUQUE IA 52002 990 2014-07-01 420680411 Hillcrest Family Services HILL 5635837357 2005 Asbury Road Dubuque IA 52001 Gary Gansemer President/CEO 5635837357 2016-02-17 1 Carmen Krantz P00031958 5635561790 2016-02-17 2014 2016-08-17 19:52:53Z Gary Gansemer 2005 Asbury Road Dubuque IA 52001 22411609 0 X www.hillcrest-fs.org X 1924 IA Enhances the lives of children, families and adults in need 22 22 739 200 0 0 1601668 1927107 13702669 20393153 69084 64273 -101706 -99377 15271715 22285156 0 0 0 0 11819761 17685281 0 0 423023 3433483 5038765 15253244 22724046 18471 -438890 16690275 16735729 6510785 7082596 10179490 9653133 X Tomorrow is about changing our lives so that we can change the lives of children and families in need. We have made the Five Promises model our own, and added a sixth Promise: Caring adults, safe places, healthy starts, effective education, opportunities to serve, and opportunities for a spiritual connection. 1 1 19604068 20393153 Adolescent Pregnancy Prevention Program (Y Club)8,727 youth, age 12 to 18, participated in this after school pregnancy prevention program. Along with nightly activities, the youth also spent time at a local nursing home once a month throughout the year.Anna B. Lawther AcademyAdolescent Residential Education146 youth participated in Hillcrest's residential education program. Kids were actively involved in community service. Kids continued the Farmers Market/gardening project. K-12 Special Education Program170 students, grades 1 through 12, are attending school at the Dubuque in 2013, 44 students in Maquoketa. Adoption Services38 pregnant women were seen in 2015 for adoption counseling. 9 babies were placed into adoptive homes. Adoption staff worked with 11 families seeking to adopt a baby in the future.Adult Residential TreatmentFive homes, four in Dubuque and one in Iowa City, function to assist psychiatrically disabled adults. 8 individuals lived for various amounts of time at the Iowa City house and 32 in the Dubuque houses.Anti-Tobacco Program10,501 participants were serviced in tobacco diversion, a program for youth cited with underage tobacco use.Mentor-Dubuque139 school and community based matches between adult and children occurred. Mentor Dubuque focuses on providing service activities for the matches to participate in together.Emergency Shelter Care88 youth in crisis family situations, in danger of bodily harm, at risk of physical and sexual abuse or neglect or runaways received support at the Emergency Shelter.Family Centered Services65 clients were seen in the following programs: Supervised Apartment Living, Community based Remedial Services, Drug testing, Truancy, Family Support, Early Intervention (school & juvenile court).Health and Professional Health Clinic1,174 women and men were seen in the clinic. 15-30 referrals were made to crisis counseling services.Hillcrest RCF and PMI192 adults were served at this residential rehabilitation facility for psychiatrically disabled adults. 50 moved to another level of care; one was re-admitted to the facility.Hillcrest Mental Health CentersDubuque Co. center and Asbury location seen a total of 5,216 clients receiving psychiatry and mental health counseling in Dubuque in 2015. 1,156 individuals received services at our Jackson County mental health program in Maquoketa, 944 at our Washington County and SE Iowa office 228 at our Henry Co. and 216 in our Louisa Co.Hillcrest-Mercy Maternal Health ProgramThe Maternal Health program served 771 women in Dubuque, Delaware, Jones, Clinton, Cedar, and Jackson counties in 2015.Hillcrest Supported LivingThe Supported Living program worked with 8 individuals in 2015. Hillcrest Intergraded Health HomeThe IHH program worked with 874 individuals. Crisis StabilizationCrisis Stabilization program worked with 8 individuals in 2015.Mobile Crisis OutreachMobile Crisis Outreach program worked with 18 individuals in 2015.Homeless Outreach197 individuals with mental health issues received services through the Homeless Outreach program. Supervised Apartment Living6 youth (16 to 20 years old) participated in the supervised apartment living program in 2013, learning job skills, budgeting, daily living skills and receiving check-up from staff.Transitional Housing for Homeless Families25 families are living in the apartments; Wellness Center618 individuals received peer-driven, support-based services in recovery from mental illness, addictions, physical injury/illness and other life challenges. 285 individuals were served by our Crisis Services. WIC ProgramThe WIC locations, Clinton and Dubuque, served 5,785 individuals in 2015. In 2015: Services were provided to individuals in 56 Iowa counties, 17 states (including the District of Columbia) for a total of 38,438 people served. 19604068 1 1 0 0 0 0 0 0 1 1 1 0 0 1 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 71 0 1 739 1 0 0 0 0 0 0 0 0 0 0 X 22 22 1 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 0 0 IL X Michael Luedtke 5635837357 2005 Asbury Road Dubuque IA 52001 Dean Beresford Chair 0.30 0.00 X X 0 0 0 Jim Kennedy Vice Chair 0.30 0.00 X X 0 0 0 Crenna Brumwell Sahm 2nd Vice Chair 0.30 0.00 X X 0 0 0 Len Hadley Treasurer 0.30 0.00 X X 0 0 0 Gabe Finnin Secretary 0.30 0.00 X X 0 0 0 John Adams Member 0.30 0.00 X 0 0 0 Keith Cook Member 0.30 0.00 X 0 0 0 Becky Peters Member 0.30 0.00 X 0 0 0 Donnelle Fuerste Member 0.30 0.00 X 0 0 0 Carrie Bleile Member 0.30 0.00 X 0 0 0 Rob McDonald Member 0.30 0.00 X 0 0 0 Wesley Huisinga Member 0.30 0.20 X 0 0 0 Randy Decker Member 0.30 0.00 X 0 0 0 Mark LaRue Member 0.30 0.00 X 0 0 0 Tim Conlon Member 0.30 0.00 X 0 0 0 Brian Fox Member 0.30 0.00 X 0 0 0 Julie Johnson Member 0.30 0.00 X 0 0 0 Tim Runde Member 0.30 0.00 X 0 0 0 Roger Stutsman Member 0.30 0.20 X 0 0 0 Steve Bonnet Member 0.30 0.00 X 0 0 0 Dana Bullock Member 0.30 0.00 X 0 0 0 Chad Wolbers Member 0.30 0.00 X 0 0 0 Gary L Gansemer President/CEO 40.00 0.20 X 192296 0 23698 Michael Luedtke Vice President of Finance 40.00 0.20 X 71304 0 17895 Dr David F Widitz MD Psychiatry 40.00 0.00 X 214993 0 25699 Julie Heiderscheit Chief Operating Officer 40.00 0.00 X 105698 0 20428 584291 0 87720 3 0 1 0 Dr Peter Szeibel 1015 Valentine Dr Dubuque IA 52003 Psychiatric services 129981 1 77016 268181 1311557 270353 1927107 Mental health centers & supported 624100 10017822 10017822 Residential treatment & group hom 623990 5238541 5238541 Schools 611600 4143997 4143997 Family services 624100 969214 969214 Supporting revenue 900099 23579 23579 20393153 19514 19514 16585 16585 8437 14007 -5570 -5570 -5570 45313 0 554 45313 -554 44759 44759 1500 268181 111892 -110392 -110392 22285156 20393153 0 -35104 265886 165227 100659 13489897 12084848 1304319 100730 488192 408041 73215 6936 2442444 2178349 250428 13667 998862 881695 105155 12012 15049 15049 25795 25795 730998 512547 200626 17825 99828 60338 1594 37896 968691 799289 153914 15488 288612 206566 77505 4541 792303 714898 57568 19837 236084 210603 21126 4355 78782 60984 13612 4186 160003 152617 2941 4445 761786 531015 154127 76644 154698 85385 65666 3647 Food 449485 449485 Bad debt expense 177206 177206 Medical supplies 67919 67919 Dues and subscriptions 15634 15634 15892 6649 9088 155 22724046 19604068 2696955 423023 68040 511891 642124 580978 3043929 1951035 175978 179111 17228457 7601489 9336064 9626968 1510630 1528803 14002 13747 28472 1871036 2343196 16690275 16735729 1826121 2022707 130849 157442 49476 16175 4128497 4445743 375842 440529 6510785 7082596 X 9620316 9242553 328174 179580 231000 231000 10179490 9653133 16690275 16735729 X -438890 -56665 -30802 X 0 1 X 1 1 1 X 2840849 2580575 2354923 1601668 1927107 11305122 2840849 2580575 2354923 1601668 1927107 11305122 536425 10768697 58945 47117 30313 12718 44536 193629 11498751 85117675 0.93650 0.92050 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 1510630 16431 8100 6358 1528803 1348371 90245 80313 8299 1510630 1108700 118716 171776 50821 1348371 1176320 6707 109546 183873 1108700 1053975 128894 2819 9368 1176320 0.45430 0.15110 0.39460 0 0 1050 204363 205413 237304 12488122 4640510 8084916 190807 103846 86961 3810875 2726799 1084076 295936 130334 165602 9626968 Estimated third-party payor settlements 2093211 Estimated insurance recoveries receivable 249985 2343196 Estimated health claims payable 159997 Estimated insurance claims liability 249985 Interest rate swap 30547 440529 X 22411354 -255 -255 22411609 -126453 -126453 22285156 22849945 125899 125899 22724046 0 22724046 Part IV, Line 2b: Custodial funds Part V, Line 4: The endowments are used for several different purposes some of which are restricted for education, Family Life Campus building project and future operating expenses of the Family Life Campus building project. The Community Foundation also holds funds contributed by individual donors for the benefit of Hillcrest Family Services, Inc. It should be noted, however, that the Community Foundation has variance power, which allows them to modify the stipulations of the donors under certain circumstances as they monitor the changing needs of the community. These funds will not be recorded as an asset on the financial statements of the Organization. The funds are held by the Community Foundation as permanently endowed for the support of Hillcrest Family Services, Inc. Part X, Line 2: The Organization is organized as an Iowa nonprofit corporation and has been recognized by the Internal Revenue Service (IRS) as exempt from federal income taxes under Section 501(a) of the Internal Revenue Code as organizations described in Section 501(c)(3), qualify for the charitable contribution deduction under Section 170(b)(1)(A)(vi) and (viii), and has been determined not to be a private foundations under Sections 509(a)(1) and (3), respectively. The Organization is annually required to file a Return of Organization Exempt from Income Tax (Form 990) with the IRS. In addition, the Organization is subject to income tax on net income that is derived from business activities that are unrelated to its exempt purpose. The Organization has determined it is not subject to unrelated business income tax and has not filed an Exempt Organization Business Income Tax Return (Form 990-T) with the IRS. The Organization believes that it has appropriate purpose for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The Organization would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. The entities' Form 990, 990-T and other income tax filings required by state, local, or non-U.S. tax authorities are no longer subject to tax examination for the years before 2012. Part XI, Line 2d - Other Adjustments: Change in value of Comm Fdtn assets incl in revenue for financial statements -255. Part XI, Line 4b - Other Adjustments: Fundraising expenses included in revenue for Form 990 -111,892. Rental expenses included in revenue for Form 990 -14,007. Loss on disposal of assets included in revenue for Form 990 -554. Part XII, Line 2d - Other Adjustments: Fundraising expenses included in revenue for Form 990 111,892. Rental expenses included in revenue for Form 990 14,007. Lights 238382 238382 107465 Bowl for Kids Sake 31299 29799 1500 1500 2927 269681 268181 1500 1500 110392 111892 -110392 X X X 0 0 0 0 0 0 0 0 0 Gary L Gansemer President/CEO 168767 0 15243 0 8286 0 8282 0 16746 0 217324 0 0 0 Dr David F Widitz MD Psychiatry 214993 0 0 0 0 0 11171 0 14529 0 240693 0 0 0 Form 990, Part III, line 2 We provided two Adult Residential treatment centers in Dubuque, IA in FY2015. Also provided new services such as an Integrated Health Home in SE Iowa, MCH Henry Co. and Louisa Co., Crisis Stabilization, Mobile Crisis Outreach, and IPRS in Ottumwa, Iowa. Form 990, Part III, line 3 Hillcrest Highland Place, an adult mental health residential care facility near Ottumwa, Iowa ceased operations on October 31, 2014. Form 990, Part VI, Section A, line 1 The Executive Committee is composed of the elected officers. A simple majority of the members of the Executive Committee shall constitute a quorum. The Executive Committee shall be empowered to take such action as specifically authorized by the Board of Trustees and perform urgent business that cannot be delayed until the next regular Board meeting. Additionally, the Executive Committee shall be responsible for reviewing and approving the duties of the President/CEO, conducting the annual evaluation of the President/CEO and recommending any modifications to the employment contract. Form 990, Part VI, Section A, line 2 Dean Beresford and Chad Wolbers have a business relationship. Form 990, Part VI, Section A, line 6 The Board of Trustees consists of no less than 12 members, consisting of three (3) classes elected for a period of three (3) years. However, no person is allowed to serve more than six consecutive years as a Trustee. Form 990, Part VI, Section A, line 7a The Board directs the Executive Committee to submit the names of candidates to serve as replacement members of the Board of Trustees. Form 990, Part VI, Section B, line 11 The Vice President of Finance and the Finance Committee review the Form 990. After review, the Form 990 is reviewed by the entire board before it is filed. Form 990, Part VI, Section B, line 12c Hillcrest Family Services has a conflict of interest policy in place. Officers and board members are required to sign the policy annually. Any potential conflict of interest is required to be disclosed to the other members of the governing body and made a matter of record when the interest becomes a matter of board action. If a potential conflict arises the Chairman of the board follows up. The board member with a conflict is not allowed to vote on the matter. Form 990, Part VI, Section B, line 15a The governing board determines the compensation for the President/CEO and is based on an annual evaluation using wage scales and comparability data. There is contemporaneous substantiation of the deliberation and decision. The process was last completed in fiscal year 2015. The President/CEO determines the compensation for the Vice President of Finance. The process is completed and documented with an annual evaluation using wage scales and comparability data. The organization does not have key employees. The process was last completed in fiscal year 2015. Form 990, Part VI, Section C, line 19 The Organization's governing documents, conflict of interest policy, and financial statements are available to the public upon written request. Form 990, Part XI, line 9: Change in value of beneficial interest in assets of Community Foundation -255. Change in value of interest rate swap -30,547. Birch House Corporation 745 Pepper Drive Iowa City IA 52240 421443023 Housing facility for handicapped adults IA 501(c)(3) Line 9 Hillcrest Family Services 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 0