HILLCREST FAMILY SERVICES: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
HILLCREST FAMILY SERVICES (EIN 42-0680411)
Tax period
2009-11-01 to 2010-10-31
Filed
2011-05-04
IRS object ID
201121249349300917
Schema version
2009v1.7
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-05-04T12:06:39-05:00Timestamp
Tax Period End Date2010-10-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1EIDE BAILLY LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line13999 PENNSYLVANIA AVE SUITE 100AddressLine1
CityDUBUQUECity
StateIAState
ZIP Code52002ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-11-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN420680411EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Hillcrest Family ServicesBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHILLNameControl
Phone5635837357Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12005 Asbury RoadAddressLine1
CityDubuqueCity
StateIAState
ZIP Code52001ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameGary GansemerName
TitlePresident/CEOTitle
Phone5635837357Phone
Date Signed2011-04-26DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCarmen KrantzName
Phone5635561790Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonGary GansemerNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12005 Asbury RoadAddressLine1
CityDubuqueCity
StateIAState
ZIP Code52001ZIPCode
FieldValueIRS element (for citing)
Gross Receipts18657926GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.hillcrest-fs.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1914YearFormation
State Legal DomicileIAStateLegalDomicile
Activity Or Mission DescriptionEnhances the lives of children, families and adults in needActivityOrMissionDescription
Nbr Voting Members Governing Body21NbrVotingMembersGoverningBody
Nbr Independent Voting Members21NbrIndependentVotingMembers
Total Nbr Employees571TotalNbrEmployees
Total Nbr Volunteers121TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2433860ContributionsGrantsPriorYear
Contributions Grants Current Year2550558ContributionsGrantsCurrentYear
Program Service Revenue Prior Year15421675ProgramServiceRevenuePriorYear
Program Service Revenue CY15437338ProgramServiceRevenueCY
Investment Income Prior Year-191723InvestmentIncomePriorYear
Investment Income Current Year89582InvestmentIncomeCurrentYear
Other Revenue Prior Year-96161OtherRevenuePriorYear
Other Revenue Current Year-93723OtherRevenueCurrentYear
Total Revenue Prior Year17567651TotalRevenuePriorYear
Total Revenue Current Year17983755TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year12720359SalariesEtcPriorYear
Salaries Etc Current Year12956866SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY14275TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year444633TotalFundrsngExpCurrentYear
Other Expense Prior Year4497979OtherExpensePriorYear
Other Expenses Current Year4404884OtherExpensesCurrentYear
Total Expenses Prior Year17218338TotalExpensesPriorYear
Total Expenses Current Year17376025TotalExpensesCurrentYear
Revenues Less Expenses Prior Year349313RevenuesLessExpensesPriorYear
Revenues Less Expenses CY607730RevenuesLessExpensesCY
Total Assets BOY11533513TotalAssetsBOY
Total Assets EOY11588159TotalAssetsEOY
Total Liabilities BOY3804259TotalLiabilitiesBOY
Total Liabilities EOY3205224TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY7729254NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY8382935NetAssetsOrFundBalancesEOY
Mission DescriptionTomorrow 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.MissionDescription
Significant New Program Services1SignificantNewProgramServices
Significant Change1SignificantChange
Expense14832334Expense
Revenue15437338Revenue
DescriptionAdolescent Pregnancy Prevention Program (Y Club)49 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 Education120 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 Services24 pregnant women were seen in 2010 for adoption counseling. 12 babies were placed into adoptive homes. Adoption staff worked with 46 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 2010, 19 individuals lived for various amounts of time at the Iowa City house and 7 in the Dubuque houses.Anti-Tobacco Program25 students were trained in Teens Against Tobacco Use (TATU), 29 teens were active in JEL (Just Eliminate Lies). These two groups reached out to 4,304 students by giving 46 presentations. 25 youth participated in tobacco diversion, a program for youth cited with underage tobacco use.Big Brothers Big Sisters of Eastern Iowa131 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 Services421 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 Clinic2,360 women and men were seen in the clinic. 20-30 referrals were made to crisis counseling services.Hillcrest Highland Place77 adults were served at this residential rehabilitation facility for psychiatrically disabled adults. 16 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 3,670 clients receiving psychiatry and mental health counseling in Dubuque in 2010. 709 individuals received services at our Jackson County mental health program in Maquoketa, 128 clients in our Cedar Rapids office and 648 at our Washington County office.Hillcrest-Mercy Maternal Health ProgramThe Maternal Health program served over 877 women in Dubuque, Delaware, Jones, Clinton, Cedar, and Jackson counties in 2010.Hillcrest Supported LivingThe Supported Living program worked with 194 individuals in 2010. Homeless Outreach263 individuals with mental health issues received services through the Homeless Outreach program. The coordinator reached out to an additional 120 individuals with no enrollment in the program.Intensive Psychiatric RehabilitationThis program is individualized as to what "success" means. 71 individuals set and worked toward living, learning or working goals for their lives.K-12 Special Education ProgramCurrently 125 students, grades 2 through 12, are attending school at the Dubuque location. A total of 234 students attended class in Dubuque in 2010, 34 students in Maquoketa, 4 in Thomson and 10 in Monticello. Supervised Apartment LivingSix youth (16 to 20 years old) participated in the supervised apartment living program in 2010, 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.Vocational ServicesOf the 14 people served, only three switched jobs in the year, which means all of the others were employed throughout 2010. Hillcrest employs six vocational services clients. All discharges were successful, meaning all became employed without any support, and held their positions for over one year - many for several years.Wellness Center332 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 7,353 individuals in 2010. 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 2010: Services were provided to individuals in 73 Iowa counties, 26 states(including the District of Columbia) for a total of 22,236 people served.Description
Total Program Service Expense14832334TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling1CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109660NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees571NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Nbr Voting Governing Body Members21NbrVotingGoverningBodyMembers
Number Independent Voting Members21NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs1ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Michael LuedtkeBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5635837357TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12005 Asbury RoadAddressLine1
CityDubuqueCity
StateIAState
ZIP Code52001ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
Michael Donohue
Chairman0.30XX000
Mel Miller
Vice Chairman0.30XX000
Chad Leitch
2nd Vice Chairman0.30XX000
Barb Kehl
Treasurer0.30XX000
Stephanie Savage
Secretary0.30XX000
Julie Johnson
Member0.30X000
Keith Cook
Member0.30X000
Russell Knight
Member0.30X000
Eldon Herrig
Member0.30X000
Rev Dan Schenck
Member0.30X000
Len Hadley
Member0.30X000
Arnie Van Etten
Member0.30X000
John Adams
Member0.30X000
Dana Bullock
Member0.30X000
TJ Faley
Member0.30X000
Steve Scott
Member0.30X000
Sandra Lynn
Member0.30X000
Teri Goodman
Member0.30X000
Wesley Huisinga
Member0.30X000
Ernestine Moss
Member0.30X000
Joyce Patton
Member0.30X000
Gary L Gansemer
President/CEO40.00X121764020335
Michael Luedtke
Vice President of Finance40.00X61863015752
FieldValueIRS element (for citing)
Total Reportable Comp From Org183627TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation36087TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Medical Associates
1500 Associates DriveDubuqueIA52002Psychiatric services330597
Dr Marcus Pressler
1105 Maplewood DriveCoralvilleIA52241Psychiatric services149925
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Federated Campaigns127797FederatedCampaigns
Fundraising Events158676FundraisingEvents
Government Grants1469184GovernmentGrants
All Other Contributions794901AllOtherContributions
Noncash Contributions231507NoncashContributions
Total Contributions2550558TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Residential treatment62399060558386055838
Mental health centers62410040822774082277
Schools61160038414823841482
Family services62410013974421397442
Other supporting reven9000996029960299
FieldValueIRS element (for citing)
Total Program Service Revenue15437338TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column44542TotalRevenueColumn
Exclusion$44,542ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real8942Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real8942Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column8942TotalRevenueColumn
Exclusion$8,942ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities607091Securities
Other6955Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities549501Securities
Other19505Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities57590Securities
Other-12550Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column45040TotalRevenueColumn
Exclusion$45,040ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events2500GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events158676CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses105165FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-102665TotalRevenueColumn
Exclusion-$102,665ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column17983755TotalRevenueColumn
Related Or Exempt Function Income15437338RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$4,141ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total225471Total
Management And General152848ManagementAndGeneral
Fundraising72623Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total10042966Total
Program Services8845580ProgramServices
Management And General1016787ManagementAndGeneral
Fundraising180599Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total587485Total
Program Services486294ProgramServices
Management And General90309ManagementAndGeneral
Fundraising10882Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1355625Total
Program Services1189242ProgramServices
Management And General146185ManagementAndGeneral
Fundraising20198Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total745319Total
Program Services640825ProgramServices
Management And General87048ManagementAndGeneral
Fundraising17446Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total22468Total
Program Services22074ProgramServices
Management And General394ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total45348Total
Program Services18766ProgramServices
Management And General26158ManagementAndGeneral
Fundraising424Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total14275Total
Fundraising14275Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1148935Total
Program Services1079824ProgramServices
Management And General37987ManagementAndGeneral
Fundraising31124Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total63754Total
Program Services23229ProgramServices
Management And General666ManagementAndGeneral
Fundraising39859Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1206506Total
Program Services1024864ProgramServices
Management And General158506ManagementAndGeneral
Fundraising23136Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total203471Total
Program Services128399ProgramServices
Management And General62994ManagementAndGeneral
Fundraising12078Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total720478Total
Program Services665798ProgramServices
Management And General54650ManagementAndGeneral
Fundraising30Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total165859Total
Program Services141864ProgramServices
Management And General15567ManagementAndGeneral
Fundraising8428Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total59179Total
Program Services44568ProgramServices
Management And General9868ManagementAndGeneral
Fundraising4743Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total20229Total
Program Services8225ProgramServices
Management And General11251ManagementAndGeneral
Fundraising753Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total457575Total
Program Services276280ProgramServices
Management And General176499ManagementAndGeneral
Fundraising4796Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total206083Total
Program Services158439ProgramServices
Management And General46504ManagementAndGeneral
Fundraising1140Fundraising

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Bad debt expense4586145861
Miscellaneous expense391383220248372099

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total17376025Total
Program Services14832334ProgramServices
Management And General2099058ManagementAndGeneral
Fundraising444633Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2217994BOY
EOY521867EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY681449BOY
EOY1718759EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2061905BOY
EOY2338410EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY29243BOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY151576BOY
EOY195017EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis8978769LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4900171LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4174328BOY
EOY4078598EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1213671BOY
EOY1530937EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1003347BOY
EOY1204571EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY11533513BOY
EOY11588159EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1182735BOY
EOY1218203EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY298096BOY
EOY1077254EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY54045BOY
EOY43656EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY205452BOY
EOY552505EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2063931BOY
EOY313606EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3804259BOY
EOY3205224EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY6831152BOY
EOY7154845EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY532580BOY
EOY840672EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY365522BOY
EOY387418EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7729254BOY
EOY8382935EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11533513BOY
EOY11588159EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2040702CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2050106CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2403742CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2433860CurrentTaxYearMinus1Year
Current Tax Year2550558CurrentTaxYear
Total11478968Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2040702CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2050106CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2403742CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2433860CurrentTaxYearMinus1Year
Current Tax Year2550558CurrentTaxYear
Total11478968Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total459816AmountsSubstContributorsTotal
Public Support Total17011019152PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years85497CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years96285CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years156861CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year108031CurrentTaxYearMinus1Year
Current Tax Year53484CurrentTaxYear
Total500158Total
FieldValueIRS element (for citing)
Total Support11979126TotalSupport
Gross Receipts From Admissions Etc70903058GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.91990PublicSupportPertcentage170
Public Support Pertcent Prior Year0.93850PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtc
Included On FS1IncludedOnFS

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance1017251BeginningOfYearBalance
Contributions46500Contributions
Investment Earnings Or Losses141961InvestmentEarningsOrLosses
Other Expenditures12082OtherExpenditures
End Of Year Balance1193630EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance2383326BeginningOfYearBalance
Contributions59248Contributions
Investment Earnings Or Losses85316InvestmentEarningsOrLosses
Other Expenditures1510639OtherExpenditures
End Of Year Balance1017251EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.55840BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.32460PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.11700TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis1050InvestmentCostOrOtherBasis
Other Cost Or Other Basis40000OtherCostOrOtherBasis
Book Value41050BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis6452194OtherCostOrOtherBasis
Depreciation3348592Depreciation
Book Value3103602BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis85835OtherCostOrOtherBasis
Depreciation39666Depreciation
Book Value46169BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2176488OtherCostOrOtherBasis
Depreciation1452938Depreciation
Book Value723550BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis223202OtherCostOrOtherBasis
Depreciation58975Depreciation
Book Value164227BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings4078598TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
Estimated third-party payor settlements1192826
Beneficial interest in net assets of community foundation11745
FieldValueIRS element (for citing)
Total Book Value Other Assets1204571TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
Medicaid reimbursement losses related to mental health services$40,751
Estimated health claims payable$132,000
Pension liability$140,855
FieldValueIRS element (for citing)
Total Of Amounts313606TotalOfAmounts
Total Revenue17983755TotalRevenue
Total Expenses17376025TotalExpenses
Excess Or Deficit For Year607730ExcessOrDeficitForYear
Net Unrealized GL On Investments45951NetUnrealizedGLOnInvestments
Total Adjustments45951TotalAdjustments
Excess Or Deficit Per FS653681ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt18101470TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal18101470RevenueSubtotal
Other Revenues Not Included-117715OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-117715RevenueNotRptdOnFinStmt
Total Revenue Per Form99017983755TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt17481190TotExpensesEtcAuditedFinclStmt
Other Expenses Included105165OtherExpensesIncluded
Expenses Not Rptd F990105165ExpensesNotRptdF990
Expenses Subtotal17376025ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99017376025TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
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.Description of Intended Use of Endowment Funds:
Part X:The Organization has adopted the provisions of FASB Accounting Standards Codification Topic ASC 740-10 (previously Financial Interpretation No. 48, Accounting for Uncertainty in Income Taxes), on November 1, 2009. The implementation of this standard had no impact on the financial statements. As of both the date of adoption, and as of October 31, 2010, the unrecognized tax benefit accrual was zero. The Organization will recognize future accrued interest and penalties related to unrecognized tax benefits in income tax expense if incurred. The Organization is no longer subject to Federal tax examinations by tax authorities for years before 2006.Description of Uncertain Tax Positions Under FIN 48:
Part XII, Line 4b - Other Adjustments:Loss on disposal of assets included in revenue on Form 990: -12550. Fundraising expenses included in revenue on form 990: -105165.
Part XIII, Line 2d - Other Adjustments:Fundraising expenses included in revenue on Form 990: 105165.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1LightsNameOfEvent1
Gross Receipts Event1141476GrossReceiptsEvent1
Charitable Contributions Event1141476CharitableContributionsEvent1
Other Direct Expenses Event199029OtherDirectExpensesEvent1
Name Of Event2Bowl for Kids SakeNameOfEvent2
Gross Receipts Event219700GrossReceiptsEvent2
Charitable Contributions Event217200CharitableContributionsEvent2
Gross Revenue Event22500GrossRevenueEvent2
Rent Facility Costs Event21000RentFacilityCostsEvent2
Other Direct Expenses Event2332OtherDirectExpensesEvent2
Total Number Of Other Events2TotalNumberOfOtherEvents
Gross Receipts Total161176GrossReceiptsTotal
Charitable Contributions Total158676CharitableContributionsTotal
Gross Revenue Total Events2500GrossRevenueTotalEvents
Rent Facility Costs Total Events1000RentFacilityCostsTotalEvents
Other Direct Expenses Total Events99361OtherDirectExpensesTotalEvents
Direct Expense Summary Events100361DirectExpenseSummaryEvents
Net Income Summary-97861NetIncomeSummary

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F990231507NoncashContribsRptdF990
Method Of Determining RevenuesSelling priceMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts1ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part III, line 2New Program ServicesOpened new school in Thompson, IL in July 2010
Form 990, Part III, line 3Changes in Program ServicesClosed school in Clinton, IA in July 2010
Form 990, Part VI, Section A, line 2T.J. Faley and Stephanie Savage have a business relationship.
Form 990, Part VI, Section A, line 4The Board of Trustees shall be no less than 12 members. If a Trustee fails to attend two Board meetings in any year, the Executive Committee shall contact the Trustee. If the Trustee fails to participate in three Board meetings in a year without good cause as determined by the Executive Committee, the Board may vote to disfranchise the Trustee by a majority vote of the members of the Board. The Board shall direct that the Executive Committee submit the names of candidates to serve as replacement members of the Board of Trustees as follows: A. Annually, prior to Board Meeting; B. in all cases when the numerical requirements in Section 1 are not satisfied; C. or at the Board's option when the desire is to increase the number of Board members.
Form 990, Part VI, Section A, line 6The Board of Trustees shall be no less than 12 members, consisting of three (3) classes elected for a period of three (3) years. However, no person shall serve more than six consecutive years as a Trustee.
Form 990, Part VI, Section A, line 7aThe Board shall direct that the Executive Committee submit the names of candidates to serve as replacement members of the Board of Trustees.
Form 990, Part VI, Section B, line 11The 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 12cHillcrest 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 15aThe 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 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.
Form 990, Part VI, Section C, line 19The 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 Julie Heiderscheit .30 hours per week Gary Gansemer .30 hours per week Michael Luedtke .30 hours per week
Form 990, Part VI, Section A, Line 1a:The Executive Committee is required to meet on at least two occasions each year. The composition of the Executive Committee consists of the elected officers and the chair of each standing committee. The Executive Committee may act on specific matters of the board or on an urgent matter when it has not been specifically authorized to act on behalf of the board.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1Birch House CorporationBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1745 Pepper DriveAddressLine1
CityIowa CityCity
StateIAState
ZIP Code52240ZIPCode
FieldValueIRS element (for citing)
EIN421443023EIN
Primary ActivitiesHousing facility for handicapped adultsPrimaryActivities
Legal Domicile StateIALegalDomicileState
Exempt Code Section501(c)(3)ExemptCodeSection
Public Charity Status9PublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1Birch House CorporationBusinessNameLine1

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