2011-05-04T12:06:39-05:00 2010-10-31 EIDE BAILLY LLP 3999 PENNSYLVANIA AVE SUITE 100 DUBUQUE IA 52002 990 2009-11-01 420680411 Hillcrest Family Services HILL 5635837357 2005 Asbury Road Dubuque IA 52001 Gary Gansemer 5635837357 2011-04-26 1 Carmen Krantz 5635561790 2009 2016-02-24 21:20:13Z Gary Gansemer 2005 Asbury Road Dubuque IA 52001 18657926 0 X www.hillcrest-fs.org X 1914 IA Enhances the lives of children, families and adults in need 21 21 571 121 0 0 2433860 2550558 15421675 15437338 -191723 89582 -96161 -93723 17567651 17983755 0 0 12720359 12956866 14275 444633 4497979 4404884 17218338 17376025 349313 607730 11533513 11588159 3804259 3205224 7729254 8382935 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 14832334 15437338 Adolescent 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. 14832334 1 1 0 0 0 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 1 60 0 1 571 1 0 0 0 0 0 0 0 0 0 21 21 1 0 1 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X Michael Luedtke 5635837357 2005 Asbury Road Dubuque IA 52001 Michael Donohue 0.30 X X 0 0 0 Mel Miller 0.30 X X 0 0 0 Chad Leitch 0.30 X X 0 0 0 Barb Kehl 0.30 X X 0 0 0 Stephanie Savage 0.30 X X 0 0 0 Julie Johnson 0.30 X 0 0 0 Keith Cook 0.30 X 0 0 0 Russell Knight 0.30 X 0 0 0 Eldon Herrig 0.30 X 0 0 0 Rev Dan Schenck 0.30 X 0 0 0 Len Hadley 0.30 X 0 0 0 Arnie Van Etten 0.30 X 0 0 0 John Adams 0.30 X 0 0 0 Dana Bullock 0.30 X 0 0 0 TJ Faley 0.30 X 0 0 0 Steve Scott 0.30 X 0 0 0 Sandra Lynn 0.30 X 0 0 0 Teri Goodman 0.30 X 0 0 0 Wesley Huisinga 0.30 X 0 0 0 Ernestine Moss 0.30 X 0 0 0 Joyce Patton 0.30 X 0 0 0 Gary L Gansemer 40.00 X 121764 0 20335 Michael Luedtke 40.00 X 61863 0 15752 183627 0 36087 1 0 0 0 Medical Associates 1500 Associates Drive Dubuque IA 52002 Psychiatric services 330597 Dr Marcus Pressler 1105 Maplewood Drive Coralville IA 52241 Psychiatric services 149925 2 127797 158676 1469184 794901 231507 2550558 Residential treatment 623990 6055838 6055838 Mental health centers 624100 4082277 4082277 Schools 611600 3841482 3841482 Family services 624100 1397442 1397442 Other supporting reven 900099 60299 60299 15437338 44542 44542 8942 8942 8942 8942 607091 6955 549501 19505 57590 -12550 45040 45040 2500 158676 105165 -102665 -102665 17983755 15437338 0 -4141 225471 152848 72623 10042966 8845580 1016787 180599 587485 486294 90309 10882 1355625 1189242 146185 20198 745319 640825 87048 17446 22468 22074 394 45348 18766 26158 424 14275 14275 1148935 1079824 37987 31124 63754 23229 666 39859 1206506 1024864 158506 23136 203471 128399 62994 12078 720478 665798 54650 30 165859 141864 15567 8428 59179 44568 9868 4743 20229 8225 11251 753 457575 276280 176499 4796 206083 158439 46504 1140 Bad debt expense 45861 45861 Miscellaneous expense 39138 32202 4837 2099 17376025 14832334 2099058 444633 2217994 521867 681449 1718759 2061905 2338410 29243 151576 195017 8978769 4900171 4174328 4078598 1213671 1530937 1003347 1204571 11533513 11588159 1182735 1218203 298096 1077254 54045 43656 205452 552505 2063931 313606 3804259 3205224 X 6831152 7154845 532580 840672 365522 387418 7729254 8382935 11533513 11588159 X 0 1 1 X 1 1 X 2040702 2050106 2403742 2433860 2550558 11478968 2040702 2050106 2403742 2433860 2550558 11478968 459816 11019152 85497 96285 156861 108031 53484 500158 11979126 70903058 0.91990 0.93850 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 1017251 46500 141961 12082 1193630 2383326 59248 85316 1510639 1017251 0.55840 0.32460 0.11700 0 0 1050 40000 41050 6452194 3348592 3103602 85835 39666 46169 2176488 1452938 723550 223202 58975 164227 4078598 Estimated third-party payor settlements 1192826 Beneficial interest in net assets of community foundation 11745 1204571 Medicaid reimbursement losses related to mental health services 40751 Estimated health claims payable 132000 Pension liability 140855 313606 17983755 17376025 607730 45951 45951 653681 18101470 0 18101470 -117715 -117715 17983755 17481190 105165 105165 17376025 0 17376025 Part IV, Line 2b: Custodial funds Part V, Line 4: Description of Intended Use of Endowment Funds: 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. Part X: Description of Uncertain Tax Positions Under FIN 48: 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. 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. Lights 141476 141476 99029 Bowl for Kids Sake 19700 17200 2500 1000 332 2 161176 158676 2500 1000 99361 100361 -97861 X 1 231507 Selling price 0 1 0 Form 990, Part III, line 2 New Program Services Opened new school in Thompson, IL in July 2010 Form 990, Part III, line 3 Changes in Program Services Closed school in Clinton, IA in July 2010 Form 990, Part VI, Section A, line 2 T.J. Faley and Stephanie Savage have a business relationship. Form 990, Part VI, Section A, line 4 The 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 6 The 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 7a The 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 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 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 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 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. Birch House Corporation 745 Pepper Drive Iowa City IA 52240 421443023 Housing facility for handicapped adults IA 501(c)(3) 9 N/A 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 0 Birch House Corporation