2013-05-10T14:31:17-05:00 2012-10-31 450250958 EIDE BAILLY LLP 3999 PENNSYLVANIA AVE SUITE 100 DUBUQUE IA 52002 990 2011-11-01 420680411 HILLCREST FAMILY SERVICES HILL 5635837357 2005 ASBURY ROAD DUBUQUE IA 52001 GARY GANSEMER 5635837357 2013-04-25 1 CARMEN KRANTZ P00031958 5635561790 2013-04-24 2011 2016-02-24 21:20:13Z GARY GANSEMER 2005 ASBURY ROAD DUBUQUE IA 52001 19330739 0 X WWW.HILLCREST-FS.ORG X 1924 IA ENHANCES THE LIVES OF CHILDREN, FAMILIES AND ADULTS IN NEED 18 18 548 125 0 0 2840849 2580575 15731286 15849428 136882 44993 -108435 -117087 18600582 18357909 0 250 0 0 13225637 13825350 0 0 567600 4294094 4024155 17519731 17849755 1080851 508154 11803794 16167300 2483366 6844554 9320428 9322746 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 15204989 15849428 ADOLESCENT PREGNANCY PREVENTION PROGRAM (Y CLUB)54 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 EDUCATION132 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 PROGRAM202 STUDENTS, GRADES 1 THROUGH 12, ARE ATTENDING SCHOOL AT THE DUBUQUE IN 2012, 40 STUDENTS IN MAQUOKETA, 10 IN THOMSON AND 8 IN MONTICELLO. ADOPTION SERVICES36 PREGNANT WOMEN WERE SEEN IN 2012 FOR ADOPTION COUNSELING. 5 BABIES WERE PLACED INTO ADOPTIVE HOMES. ADOPTION STAFF WORKED WITH 12 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. 15 INDIVIDUALS LIVED FOR VARIOUS AMOUNTS OF TIME AT THE IOWA CITY HOUSE AND 8 IN THE DUBUQUE HOUSES.ANTI-TOBACCO PROGRAM6,429 PARTICIPANTS WERE SERVICED IN TOBACCO DIVERSION, A PROGRAM FOR YOUTH CITED WITH UNDERAGE TOBACCO USE.BIG BROTHERS BIG SISTERS OF EASTERN IOWA184 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 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 SERVICES525 CLIENTS WERE SEEN IN THE FOLLOWING PROGRAMS: SUPERVISED APARTMENT LIVING, COMMUNITY BASED REMEDIAL SERVICES, DRUG TESTING, TRUANCY, FAMILY EMPOWERMENT, FAMILY SUPPORT, EARLY INTERVENTION (SCHOOL & JUVENILE COURT).HEALTH AND FAMILY PLANNING CLINIC2,110 WOMEN AND MEN WERE SEEN IN THE CLINIC. 20-30 REFERRALS WERE MADE TO CRISIS COUNSELING SERVICES.HILLCREST HIGHLAND PLACE80 ADULTS WERE SERVED AT THIS RESIDENTIAL REHABILITATION FACILITY FOR PSYCHIATRICALLY DISABLED ADULTS. 14 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 3,620 CLIENTS RECEIVING PSYCHIATRY AND MENTAL HEALTH COUNSELING IN DUBUQUE IN 2012. 849 INDIVIDUALS RECEIVED SERVICES AT OUR JACKSON COUNTY MENTAL HEALTH PROGRAM IN MAQUOKETA, AND 616 AT OUR WASHINGTON COUNTY OFFICE.HILLCREST-MERCY MATERNAL HEALTH PROGRAMTHE MATERNAL HEALTH PROGRAM SERVED 942 WOMEN IN DUBUQUE, DELAWARE, JONES, CLINTON, CEDAR, AND JACKSON COUNTIES IN 2012.HILLCREST SUPPORTED LIVINGTHE SUPPORTED LIVING PROGRAM WORKED WITH 180 INDIVIDUALS IN 2012. HOMELESS OUTREACH465 INDIVIDUALS WITH MENTAL HEALTH ISSUES RECEIVED SERVICES THROUGH THE HOMELESS OUTREACH PROGRAM. INTENSIVE PSYCHIATRIC REHABILITATIONTHIS PROGRAM IS INDIVIDUALIZED AS TO WHAT "SUCCESS" MEANS. 90 INDIVIDUALS SET AND WORKED TOWARD LIVING, LEARNING OR WORKING GOALS FOR THEIR LIVES.SUPERVISED APARTMENT LIVING18 YOUTH (16 TO 20 YEARS OLD) PARTICIPATED IN THE SUPERVISED APARTMENT LIVING PROGRAM IN 2012, 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 CENTER454 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 6,360 INDIVIDUALS IN 2012. IN 2012: SERVICES WERE PROVIDED TO INDIVIDUALS IN 54 IOWA COUNTIES, 26 STATES (INCLUDING THE DISTRICT OF COLUMBIA) FOR A TOTAL OF 24,128 PEOPLE SERVED. 15204989 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 62 0 1 548 1 0 0 0 0 0 0 0 0 0 0 X 18 18 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 X MEL MILLER 0.30 X X 0 0 0 DEAN BERESFORD 0.30 X X 0 0 0 CRENNA BRUMWELL SAHM 0.30 X X 0 0 0 BARB KEHL 0.30 X X 0 0 0 JIM KENNEDY 0.30 X X 0 0 0 JOHN ADAMS 0.30 X X 0 0 0 KEITH COOK 0.30 X 0 0 0 BECKY PETERS 0.30 X 0 0 0 MICHAEL DONOHUE 0.30 X 0 0 0 LEN HADLEY 0.30 X 0 0 0 ERNESTINE MOSS 0.30 X 0 0 0 JOYCE PATTON 0.30 X 0 0 0 DONNELLE FUERSTE 0.30 X 0 0 0 GABE FINNIN 0.30 X 0 0 0 ROB MCDONALD 0.30 X 0 0 0 SAM YAMOAH 0.30 X 0 0 0 WESLEY HUISINGA 0.30 X 0 0 0 RANDY DECKER 0.30 X 0 0 0 MARK LARUE 0.30 X 0 0 0 GARY L GANSEMER 40.00 X 153551 0 17318 MICHAEL LUEDTKE 40.00 X 66849 0 20253 220400 0 37571 1 0 1 0 MEDICAL ASSOCIATES 1500 ASSOCIATES DRIVE DUBUQUE IA 52002 PSYCHIATRIC SERVICES 353244 NORTHEAST IOWA BEHAVIORAL 905 MONTGOMERY STREET DECORAH IA 52101 PSYCHIATRIC SERVICES 236450 DR MARCUS PRESSLER 1105 MAPLEWOOD DRIVE CORALVILLE IA 52241 PSYCHIATRIC SERVICES 112125 3 126611 215188 1321252 917524 2580575 RESIDENTIAL TREATMENT 623990 6176328 6176328 MENTAL HEALTH CENTERS 624100 4658915 4658915 SCHOOLS 611600 3813577 3813577 FAMILY SERVICES 624100 1171304 1171304 OTHER SUPPORTING REVEN 900099 29304 29304 15849428 47117 47117 852359 854483 -2124 -2124 -2124 1260 215188 118347 -117087 -117087 18357909 15849428 0 -72094 250 250 276919 276919 10737707 9461402 1012418 263887 487284 413573 59331 14380 1522900 1342316 154820 25764 800540 688261 94418 17861 16719 9592 1860 5267 23115 23115 969870 812898 72218 84754 85365 24705 1579 59081 1030179 821813 170426 37940 203690 143642 52410 7638 737891 717142 6179 14570 166617 133333 24960 8324 74733 52564 16090 6079 34071 21859 12172 40 438918 294989 137699 6230 125727 101044 21905 2778 MEDICAL SUPPLIES 148484 148484 BAD DEBT EXPENSE 8944 8944 RECOVERY OF BAD DEBT -61581 -61581 21413 8178 228 13007 17849755 15204989 2077166 567600 623985 883762 932132 864434 2589283 2090293 221 97242 299006 14938658 5707941 4286153 9230717 1886494 1148156 11490 11258 1376794 1639674 11803794 16167300 1350634 1557588 419952 259002 61548 77119 514318 4635026 136914 315819 2483366 6844554 X 7810091 8464631 1066304 627115 444033 231000 9320428 9322746 11803794 16167300 X 508154 -505836 X 0 1 1 X 1 1 X 2403742 2433860 2550558 2840849 2580575 12809584 2403742 2433860 2550558 2840849 2580575 12809584 1318395 11491189 156861 108031 53484 58945 47117 424438 13234022 77344587 0.86830 0.89360 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 1531320 156707 109546 1061573 736000 1548630 128894 -136836 9368 1531320 1312251 46500 141961 12082 1193630 2552079 59248 85316 1510639 1017251 1.00000 1 0 1050 43818 44868 9059227 3732001 5327226 172845 58243 114602 2581444 1837787 743657 3080274 79910 3000364 9230717 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 1609283 DEFERRED FINANCING COSTS 30391 1639674 ESTIMATED HEALTH CLAIMS PAYABLE 150000 CONSTRUCTION ACCOUNTS PAYABLE 165819 315819 18357909 17849755 508154 72046 -577882 -505836 2318 18476256 0 18476256 -118347 -118347 18357909 17968102 118347 118347 17849755 0 17849755 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. THEY TOTAL $505,000 AND $355,000 AT OCTOBER 31, 2012 AND 2011, RESPECTIVELY, AND 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: 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 XII, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES INCLUDED IN REVENUE FOR FORM 990 -118,347. RENTAL EXPENSES INCLUDED IN REVENUE FOR FORM 990 PART XIII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES INCLUDED IN REVENUE FOR FORM 990 118,347. RENTAL EXPENSES INLCUDED IN REVENUE FOR FORM 990 LIGHTS 184745 184745 109980 BOWL FOR KIDS SAKE 24893 23633 1260 1260 1 6810 6810 6885 216448 215188 1260 118125 118125 -116865 X X X 0 0 0 0 0 0 0 0 0 GARY L GANSEMER 150462 0 0 0 3089 0 6982 0 11313 0 171846 0 0 0 FORM 990, PART VI, SECTION A, LINE 1 THERE IS AN EXECUTIVE COMMITTEE COMPOSED OF THE ELECTED OFFICERS. THE EXECUTIVE COMMITTEE MAY, AT ANY TIME, APPOINT, SUBJECT TO BOARD APPROVAL, NON-BOARD MEMBERS ON STANDING COMMITTEES WHERE APPROPRIATE. A SIMPLE MAJORITY OF THE MEMBERS OF THE EXECUTIVE COMMITTEE CONSTITUTE A QUORUM. THE EXECUTIVE COMMITTEE IS 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 IS 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 MICHAEL DONOHUE AND DEAN BERESFORD HAVE A BUSINESS RELATIONSHIP. MEL MILLER AND ROB MCDONALD 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 2012. 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 2012. 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 VII, SECTION A: THE FOLLOWING INDIVIDUALS DEVOTED TIME PROVIDING SERVICES TO BIRCH HOUSE CORPORATION, A RELATED ORGANIZATION. THESE INDIVIDUALS WERE NOT COMPENSATED FOR THEIR SERVICES AS BOARD MEMBERS. WESLEY HUISINGA LESS THAN 1 HOUR PER WEEK JOYCE PATTON LESS THAN 1 HOUR PER WEEK GARY GANSEMER LESS THAN 1 HOUR PER WEEK MICHAEL LUEDTKE LESS THAN 1 HOUR PER WEEK CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 72,046. PRIOR PERIOD ADJUSTMENTS: -577,882. TOTAL TO FORM 990, PART XI, LINE 5: -505,836. 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 1 0 0 1 0 1 0 0