2012-06-06T13:20:08-05:00 2011-10-31 EIDE BAILLY LLP 3999 PENNSYLVANIA AVE SUITE 100 DUBUQUE IA 52002 990 2010-11-01 420680411 HILLCREST FAMILY SERVICES HILL 5635837357 2005 ASBURY ROAD DUBUQUE IA 52001 GARY GANSEMER 5635837357 2012-05-30 1 CARMEN KRANTZ 5635561790 2012-05-30 2010 2016-02-24 21:20:13Z GARY GANSEMER 2005 ASBURY ROAD DUBUQUE IA 52001 19787685 0 X WWW.HILLCREST-FS.ORG X 1924 IA ENHANCES THE LIVES OF CHILDREN, FAMILIES AND ADULTS IN NEED 13 13 576 123 0 0 2550558 2840849 15437338 15731286 89582 136882 -93723 -108435 17983755 18600582 0 0 0 0 12956866 13225637 14275 0 500938 4404884 4294094 17376025 17519731 607730 1080851 11588159 11803794 3205224 2483366 8382935 9320428 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 0 14942396 15728326 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.ADOLESCENT RESIDENTIAL EDUCATION142 YOUTH PARTICIPATED IN HILLCREST'S RESIDENTIAL EDUCATION PROGRAM. KIDS WERE ACTIVELY INVOLVED IN COMMUNITY SERVICE. CHAPLAIN MARIA EXPANDED THE VESPERS PROGRAM AND THE KIDS CONTINUED THE FARMERS MARKET/GARDENING PROJECT.ADOPTION SERVICES36 PREGNANT WOMEN WERE SEEN IN 2011 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. IN 2011, 15 INDIVIDUALS LIVED FOR VARIOUS AMOUNTS OF TIME AT THE IOWA CITY HOUSE AND 8 IN THE DUBUQUE HOUSES.ANTI-TOBACCO PROGRAM26 STUDENTS WERE TRAINED IN TEENS AGAINST TOBACCO USE (TATU), 29 TEENS WERE ACTIVE IN JEL (JUST ELIMINATE LIES). THESE TWO GROUPS REACHED OUT TO 4,306 STUDENTS BY GIVING 47 PRESENTATIONS.26 YOUTH PARTICIPATED IN TOBACCO DIVERSION, A PROGRAM FOR YOUTH CITED WITH UNDERAGE TOBACCO USE.BIG BROTHERS BIG SISTERS OF EASTERN IOWA149 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 CARE81 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 SERVICES402 CLIENTS WERE SEEN IN THE FOLLOWING PROGRAMS: SUPERVISED APARTMENT LIVING, COMMUNITY BASEDREMEDIAL SERVICES, DRUG TESTING, TRUANCY, FAMILY EMPOWERMENT, FAMILY SUPPORT, EARLY INTERVENTION (SCHOOL & JUVENILE COURT).HEALTH AND FAMILY PLANNING CLINIC2,250 WOMEN AND MEN WERE SEEN IN THE CLINIC. 20-30 REFERRALS WERE MADE TO CRISIS COUNSELING SERVICES.HILLCREST HIGHLAND PLACE71 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 CENTERSOVER 100 CLIENTS ARE SEEN AT THE DUBUQUE CENTER EACH DAY, FOR A TOTAL OF 3,749 CLIENTS RECEIVING PSYCHIATRY AND MENTAL HEALTH COUNSELING IN DUBUQUE IN 2011. 811 INDIVIDUALS RECEIVED SERVICES AT OUR JACKSON COUNTY MENTAL HEALTH PROGRAM IN MAQUOKETA, AND 624 AT OUR WASHINGTON COUNTY OFFICE.HILLCREST-MERCY MATERNAL HEALTH PROGRAMTHE MATERNAL HEALTH PROGRAM SERVED OVER 891 WOMEN IN DUBUQUE, DELAWARE, JONES, CLINTON, CEDAR, AND JACKSON COUNTIES IN 2011.HILLCREST SUPPORTED LIVINGTHE SUPPORTED LIVING PROGRAM WORKED WITH 188 INDIVIDUALS IN 2011. HOMELESS OUTREACH542 INDIVIDUALS WITH MENTAL HEALTH ISSUES RECEIVED SERVICES THROUGH THE HOMELESS OUTREACH PROGRAM. THE COORDINATOR REACHED OUT TO AN ADDITIONAL 150 INDIVIDUALS WITH NO ENROLLMENT IN THE 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.K-12 SPECIAL EDUCATION PROGRAMCURRENTLY 201 STUDENTS, GRADES 1 THROUGH 12, ARE ATTENDING SCHOOL AT THE DUBUQUE LOCATION. A TOTAL OF 220 STUDENTS ATTENDED CLASS IN DUBUQUE IN 2011, 46 STUDENTS IN MAQUOKETA, 5 IN THOMSON AND 12 IN MONTICELLO. SUPERVISED APARTMENT LIVINGSEVEN YOUTH (16 TO 20 YEARS OLD) PARTICIPATED IN THE SUPERVISED APARTMENT LIVING PROGRAM IN 2011, LEARNING JOB SKILLS, BUDGETING, DAILY LIVING SKILLS AND RECEIVING CHECK-UP FROM STAFF.TRANSITIONAL HOUSING FOR HOMELESS FAMILIESCURRENTLY, FIVE FAMILIES ARE LIVING IN THE APARTMENTS; THE FIVE PARTICIPATING FAMILIES CONSIST OF SEVEN ADULTS AND EIGHT CHILDREN.WELLNESS CENTER373 INDIVIDUALS RECEIVED PEER-DRIVEN, SUPPORT-BASED SERVICES IN RECOVERY FROM MENTAL ILLNESS, ADDICTIONS, PHYSICAL INJURY/ILLNESS AND OTHER LIFE CHALLENGES.WIC PROGRAMTHE WIC LOCATIONS, CLINTON AND DUBUQUE, SERVED 6,817 INDIVIDUALS IN 2011. THAT NUMBER CAN BE BROKEN INTO THE FOLLOWING CATEGORIES: 3,072 CHILDREN, 2,196 INFANTS AND 2,085 WOMEN. OF THE 2,085 WOMEN SEEN AT WIC CLINICS, 1,247 WERE PREGNANT, 259 WERE BREAST-FEEDING AND 579 WERE POST-PARTUM.IN 2011: SERVICES WERE PROVIDED TO INDIVIDUALS IN 79 IOWA COUNTIES, 26 STATES (INCLUDING THE DISTRICT OF COLUMBIA) FOR A TOTAL OF 21,958 PEOPLE SERVED. 14942396 1 1 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 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 60 0 1 576 1 0 0 0 0 0 0 0 0 0 0 X 13 13 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 JOHN ADAMS 0.30 X X 0 0 0 KEITH COOK 0.30 X 0 0 0 ELDON HERRIG 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 JIM KENNEDY 0.30 X 0 0 0 SANDRA LYNN 0.30 X 0 0 0 ROB MCDONALD 0.30 X 0 0 0 ARNIE VAN ETTEN 0.30 X 0 0 0 WESLEY HUISINGA 0.30 X 0 0 0 TERI GOODMAN 0.30 X 0 0 0 DANA BULLOCK 0.30 X 0 0 0 RUSSELL KNIGHT 0.30 X 0 0 0 GARY L GANSEMER 40.00 X 127726 0 20191 MICHAEL LUEDTKE 40.00 X 62739 0 19401 190465 0 39592 1 0 0 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 129596 174952 1381020 1155281 76689 2840849 RESIDENTIAL TREATMENT 623990 5913511 5913511 MENTAL HEALTH CENTERS 624100 4780985 4780985 SCHOOLS 611600 3744377 3744377 FAMILY SERVICES 624100 1262950 1262950 OTHER SUPPORTING REVEN 900099 29463 29463 15731286 58945 58945 13850 16810 -2960 -2960 -2960 1140742 1061940 865 78802 -865 77937 77937 2013 174952 107488 -105475 -105475 18600582 15728326 0 31407 253375 170128 83247 10546103 9237907 1112068 196128 471693 392618 66237 12838 1179196 1048622 114201 16373 775270 668079 88472 18719 20467 20079 388 21700 21700 1121239 1034377 34694 52168 72078 21351 892 49835 1146550 972105 151437 23008 207661 133894 63183 10584 684862 660244 8616 16002 165039 135216 20261 9562 97878 67407 23900 6571 26036 6751 19056 229 426308 276288 145856 4164 197019 161499 34344 1176 BAD DEBT EXPENSE 83854 83854 23403 22105 964 334 17519731 14942396 2076397 500938 521867 623985 1718759 932132 2338410 2589283 221 195017 97242 9607876 5321723 4078598 4286153 1530937 1886494 11745 11490 1192826 1376794 11588159 11803794 1218203 1350634 1077254 419952 43656 61548 552505 514318 313606 136914 3205224 2483366 X 7154845 7810091 840672 1066304 387418 444033 8382935 9320428 11588159 11803794 X 1080851 -143358 X 0 0 1 1 1 X 2050106 2403742 2433860 2550558 2840849 12279115 2050106 2403742 2433860 2550558 2840849 12279115 883829 11395286 96285 156861 108031 53484 58945 473606 12752721 74358666 0.89360 0.91990 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 1548630 128894 -136836 9368 1531320 1312251 46500 141961 12082 1193630 2552079 59248 85316 1510639 1017251 0.29000 0.71000 1 0 1050 40000 41050 6588223 3551763 3036460 85835 46575 39260 2274862 1656410 618452 617906 66975 550931 4286153 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 1376794 1376794 MEDICAID REIMBURSEMENT LOSSES RELATED TO MENTAL HEALTH SERVICES 3178 ESTIMATED HEALTH CLAIMS PAYABLE 50000 CONSTRUCTION ACCOUNTS PAYABLE 83736 136914 18600582 17519731 1080851 -143358 -143358 937493 18725745 0 18725745 -125163 -125163 18600582 17644029 124298 124298 17519731 0 17519731 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 $355,000 AND $295,000 AT OCTOBER 31, 2011 AND 2010, 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 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: LOSS ON DISPOSAL OF ASSETS INCLUDED IN REVENUE FOR FORM 990 -865. FUNDRAISING EXPENSES INCLUDED IN REVENUE FOR FORM 990 -107,488. RENTAL EXPENSES INCLUDED IN REVENUE FOR FORM 990 -16,810. PART XIII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES INCLUDED IN REVENUE FOR FORM 990 107,488. RENTAL EXPENSES INLCUDED IN REVENUE FOR FORM 990 16,810. LIGHTS 150578 150578 105475 BOWL FOR KIDS SAKE 26387 24374 2013 2013 176965 174952 2013 107488 107488 -105475 X 1 76689 SELLING PRICE 0 1 0 NEW PROGRAM SERVICES FORM 990, PART III, LINE 2 CRISIS INTERVENTION BEGAN IN NOVEMBER 2011. 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 2011. 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 2011. 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 .30 HOURS PER WEEK JOYCE PATTON .30 HOURS PER WEEK GARY GANSEMER .30 HOURS PER WEEK MICHAEL LUEDTKE .30 HOURS PER WEEK CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -143,358. 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 BIRCH HOUSE CORPORATION