2014-05-02T12:51:33-05:00 2013-10-31 450250958 EIDE BAILLY LLP 3999 PENNSYLVANIA AVE SUITE 100 DUBUQUE IA 52002 990 2012-11-01 420680411 Hillcrest Family Services HILL 5635837357 2005 Asbury Road Dubuque IA 52001 Gary Gansemer 5635837357 2014-04-21 1 Carmen Krantz P00031958 5635561790 2014-04-10 2012 2015-11-30 17:44:51Z Gary Gansemer 2005 Asbury Road Dubuque IA 52001 22994499 0 X www.hillcrest-fs.org X 1924 IA Enhances the lives of children, families and adults in need 20 19 636 211 0 0 2580575 2354923 15849428 19416435 44993 96009 -117087 -106395 18357909 21760972 250 0 0 0 13825350 16475804 0 0 410861 4024155 4497395 17849755 20973199 508154 787773 16167300 16853858 6844554 6704967 9322746 10148891 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. 0 0 18179882 19416435 Adolescent Pregnancy Prevention Program (Y Club)43 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 Education189 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 Program216 students, grades 1 through 12, are attending school at the Dubuque in 2013, 48 students in Maquoketa, 12 in Thomson and 11 in Monticello. Adoption Services40 pregnant women were seen in 2013 for adoption counseling. 10 babies were placed into adoptive homes. Adoption staff worked with 11 families seeking to adopt a baby in the future.Adult Residential TreatmentThree homes, two in Dubuque and one in Iowa City, function to assist psychiatrically disabled adults. 7 individuals lived for various amounts of time at the Iowa City house and 16 in the Dubuque houses.Anti-Tobacco Program7,818 participants were serviced in tobacco diversion, a program for youth cited with underage tobacco use.Big Brothers Big Sisters of Eastern Iowa210 school and community based matches between adult "Bigs" and children "Littles" occurred. BBBS focuses on providing service activities for Bigs and Littles to participate in together.Emergency Shelter Care111 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 Services705 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 Clinic1,723 women and men were seen in the clinic. 15-30 referrals were made to crisis counseling services.Hillcrest Highland Place83 adults were served at this residential rehabilitation facility for psychiatrically disabled adults. 18 moved to another level of care; one was re-admitted to the facility.Hillcrest RCF and PMI116 adults were served at this residential rehabilitation facility for psychiatrically disabled adults. 30 moved to another level of care; one was re-admitted to the facility.Hillcrest Mental Health CentersDubuque center and Asbury location seen a total of 3,812 clients receiving psychiatry and mental health counseling in Dubuque in 2013. 873 individuals received services at our Jackson County mental health program in Maquoketa, and 598 at our Washington County office.Hillcrest-Mercy Maternal Health ProgramThe Maternal Health program served 915 women in Dubuque, Delaware, Jones, Clinton, Cedar, and Jackson counties in 2013.Hillcrest Supported LivingThe Supported Living program worked with 264 individuals in 2013. Homeless Outreach358 individuals with mental health issues received services through the Homeless Outreach program. Supervised Apartment Living9 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 FamiliesFive families are living in the apartments; The five participating families consist of seven adults and eight children.Wellness Center627 individuals received peer-driven, support-based services in recovery from mental illness, addictions, physical injury/illness and other life challenges. 556 individuals were served by our Crisis Services. WIC ProgramThe WIC locations, Clinton and Dubuque, served 6,045 individuals in 2013. In 2013: Services were provided to individuals in 49 Iowa counties, 25 states (including the District of Columbia) for a total of 25,244 people served. 18179882 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 1 0 0 0 0 0 1 1 0 0 0 1 68 0 1 636 1 0 0 0 0 0 0 0 0 0 0 X 20 19 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 0.30 0.00 X X 0 0 0 Jim Kennedy 0.30 0.00 X X 0 0 0 Crenna Brumwell Sahm 0.30 0.00 X X 0 0 0 Barb Kehl 0.30 0.00 X X 0 0 0 Gabe Finnin 0.30 0.00 X X 0 0 0 John Adams 0.30 0.00 X X 0 0 0 Keith Cook 0.30 0.00 X 0 0 0 Becky Peters 0.30 0.00 X 0 0 0 Michael Donohue 0.30 0.00 X 0 0 0 Len Hadley 0.30 0.00 X 0 0 0 Ernestine Moss 0.30 0.00 X 0 0 0 Joyce Patton 0.30 0.20 X 0 0 0 Donnelle Fuerste 0.30 0.00 X 0 0 0 Carrie Bleile 0.30 0.00 X 0 0 0 Rob McDonald 0.30 0.00 X 0 0 0 Sam Yamoah 0.30 0.00 X 0 0 0 Wesley Huisinga 0.30 0.20 X 0 0 0 Randy Decker 0.30 0.00 X 0 0 0 Mark LaRue 0.30 0.00 X 0 0 0 Tim Conlon 0.30 0.00 X 0 0 0 Brian Fox 0.30 0.00 X 0 0 0 Julie Johnson 0.30 0.00 X 0 0 0 Tim Runde 0.30 0.00 X 0 0 0 Roger Stutsman 0.30 0.00 X 0 0 0 Steve Bonnet 0.30 0.00 X 0 0 0 Gary L Gansemer 40.00 0.20 X 170735 0 17846 Michael Luedtke 40.00 0.20 X 70570 0 20486 241305 0 38332 1 0 1 0 Eric Construction 3749 Killian Ln Kieler WI 53812 Construction company 2043410 Conlon Construction PO Box 3400 Dubuque IA 520043400 Construction company 818708 Anasazi Software Inc 1121 W Warner Rd Suite 101 Tempe AZ 85284 Software user license 351530 Medical Associates 1500 Associates Drive Dubuque IA 52002 Psychiatric services 224563 Dr Peter Szeibel 1015 Valentine Dr Dubuque IA 52003 Psychiatric services 160413 5 121036 228088 1421776 584023 2354923 Residential treatment & group hom 623990 8538880 8538880 Mental health centers & supported 624100 5131331 5131331 Schools 611600 4406357 4406357 Family services 624100 1281418 1281418 Other supporting revenue 900099 58449 58449 19416435 30313 30313 1189006 1123310 65696 65696 65696 3822 228088 110217 -106395 -106395 21760972 19416435 0 -10386 281794 186248 95546 12731586 11450512 1189260 91814 483961 410437 68352 5172 2037901 1846289 185657 5955 940562 830417 98707 11438 16201 14625 580 996 24395 24395 696957 527175 117803 51979 65706 27747 388 37571 1216837 1015366 183987 17484 263574 169817 86900 6857 888225 855112 18433 14680 185581 158188 22971 4422 65670 40438 22213 3019 163438 145973 8273 9192 603714 415155 139806 48753 155461 122631 26863 5967 Medical supplies 119233 119233 Bad debt expense 19715 19715 12688 11052 1620 16 20973199 18179882 2382456 410861 883762 403967 864434 739355 2090293 2427573 299006 227862 15925797 6303469 9230717 9622328 1148156 1348371 11258 13102 1639674 2071300 16167300 16853858 1557588 1702964 259002 195662 77119 63072 4635026 4386835 315819 356434 6844554 6704967 X 8464631 9614687 627115 303204 231000 231000 9322746 10148891 16167300 16853858 787773 38372 0 X 0 1 X 1 1 1 X 2433860 2550558 2840849 2580575 2354923 12760765 2433860 2550558 2840849 2580575 2354923 12760765 976831 11783934 108031 53484 58945 47117 30313 297890 13058655 81885637 0.90240 0.86830 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 736000 1165556 247799 146458 50821 9226 1942850 1531320 156707 109546 1061573 736000 1548630 128894 -136836 9368 1531320 1312251 46500 141961 12082 1193630 2552079 59248 85316 1510639 1017251 1 0 1050 69909 70959 11960234 4043387 7916847 186958 75330 111628 2943080 2088762 854318 764566 95990 668576 9622328 Estimated third-party payor settlements 1890360 Deferred financing costs 29506 Estimated insurance recoveries receivable 151434 2071300 Estimated health claims payable 205000 Estimated insurance claims liability 151434 356434 X 21871189 0 21871189 -110217 -110217 21760972 21083416 110217 110217 20973199 0 20973199 Part IV, Line 2b: Custodial funds Description of Intended Use of Endowment 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. Description of Uncertain Tax Positions Under FIN 48: 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. Part XI, Line 4b - Other Adjustments: Fundraising expenses included in revenue for Form 990 -110,217. Part XII, Line 2d - Other Adjustments: Fundraising expenses included in revenue for Form 990 110,217. Lights 209388 209388 99638 Bowl for Kids Sake 15948 12126 3822 3822 1 6574 6574 6757 231910 228088 3822 3822 106395 110217 -106395 X X X 0 0 0 0 0 0 0 0 0 Gary L Gansemer 167838 0 0 0 2897 0 7510 0 11357 0 189602 0 0 0 Conlon Construction Owner is also Board member of organization 161436 Payment for construction services 0 Form 990, Part VI, Section A, line 2 Michael Donohue and Dean Beresford 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 2013. 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 2013. 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. 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