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1997-03-04 Info Packet(2)
CITY OF CORALVILLE CITY OF IOWA CITY - JOHNSON COUNTY UNITED WAY FY98 HUMAN SERVI.CE AGENCY FUNDING REQUESTS CONTENTS PAGE Agency Hearing Schedule ................................................ i Current Local AlLocations ............................................... ii Coralville Funding History ......... . ...................................... iii Iowa City Funding History ............................................... iv Johnson County Funding History .......................................... v United Way Funding History ............................................. vi United Way Designated Giving .......................................... vii Conflict of Interest Statement ............................................ viii Using the Budget and Program Information .................................. ix Budget and Program Information by Agency: American Red Cross (see Red Cross) .................................... 401 Arc of Johnson County (Association for Retarded Citizens) ....................... 1 Big Brothers/Big Sisters ............................................... 22 Community Coordinated Child Care (see 4 C's) ............................. 119 Community Mental Health Center (see Mental Health Center) ................... 346 Crisis Center ....................................................... 36 Dental Services for Indigent Children ...................................... 57 Domestic Violence Intervention Program (DVIP) .............................. 69 Elderly Services Agency ............................................... 86 Emergency Housing Project (EHP) ...................................... 105 4 C's ............................................................ 119 Free Medical Clinic .................................................. 147 Geriatric Mobile Dental (see Special Care Dental Program) ..................... 434 Goodwill Industries of Southeast Iowa .................................... 170 Greater Iowa City Housing Fellowship .................................... 193 HACAP - Hawkeye Area Community Action Program ......................... 211 Handicare ........................................................ 224 Hillcrest Family Services .............................................. 239 ICARE ........................................................... 252 Legal Services ..................................................... 267 Lutheran Social Service .............................................. 288 Mayor's Youth Employment Program ..................................... 308 MECCA o Mid-Eastern Council on Chemical Abuse ........................... 329 Mental Health Center ................................................ 346 Neighborhood Centers (Broadway/Pheasant Ridge/Clear Creek) of Johnson County... 365 Rape Victim Advocacy Program ......................................... 384 Red Cross ........................................................ 401 School Children's Aid ................................................ 417 Special Care Dental Program (Geriatric Mobile Dental) ........................ 434 United Action for Youth ............................................... 447 Visiting Nurse Association (VNA) ........................................ 462 Youth Homes ...................................................... 484 DATE HUMAN SERVICE AGENCY FUNDING HEARING SCHEDULE FOR FY98 All hearings to be held at Department of Human Services, 911 N. Governor Street REQUESTS CORAL- IOWA JOHNSON UNITED TIME AGENCY PAGE VILLE CITY COUNTY WAY Thurs. 11/14 Thurs. 11/21 Thurs. 12/5 7:00 Training Session 7:00 Orientation 7:15 Mental Health Center 346 X X 7:45 Visiting Nurse Association 462 X X 8:15 Legal Services 267 X 7:00 Big Brothers/Big Sisters 22 X X X X 7:30 Youth Homes 484 X X X X 8:00 United Action for Youth 447 X X X X 8:30 Mayor's Youth Employment 308 X X X X 9:00 HACAP 211 X X X X Thurs. 12/12 7:00 Free Medical Clinic 147 X X X X 7:30 Lutheran Social Service 288 X X 8:00 Rape Victim Advocacy 384 X X 8:30 Neighborhood Centers 365 X X X 9:00 ICARE 252 X X * X Thurs. ._.~12/19 7:00 Red Cross 401 X X X X 7:30 Crisis Center 36 X X X X 8:00 Domestic Violence Interv. 69 X X X X 8:30 Emergency Housing Project 105 X X X X Thurs. 1/2 7:00 Handicare 335 X X 7:30 MECCA 329 X X X X 8:00 Elderly Services Agency 86 X X X X 8:30 Arc of Johnson County 1 X X X 9:00 Wrap-up Gov't. Requests Thurs. 1/9 7:00 School Children's Aid 417 X 7:30 Hillcrest 239 X 8:00 Gr. I.C. Housing Fellowship 193 X 8:30 Goodwill 170 X Thurs. 1/16 7:00 Dental Services for Children 57 X 7:30 Special Care Dental Program 434 X 8:00 4C's 119 X 8:30 United Way Wrap-up Thurs. 1/23 Alternative date in case of inclement weather Thurs. 7:00 Planners' meeting 1/30 ~Thurs. 7:00 Allocators' meeting '6 *Funded through the Johnson County Department of Public Health. jccoghs~prstirnes, Aqencv Arc of Johnson County Big Brothers/Big Sisters Crisis Center Dental Services for Children Domestic Violence Intervention Elderly Services Agency Emergency Housing Project Evert Conner Rights & Resources Center for Independent Living (formerly Independent Living) 4C's Free Medical Clinic Goodwill Greater Iowa City Housing Fellowship HACAP Handicare Hillcrest ICA._.RE Legal Services Lutheran Social Service Mayor's Youth Employment MECCA Mental Health Center Neighborhood Centers Rape Victim Advocacy Red Cross School Children's Aid Special Care Dental Program United Action for Youth Visiting Nurse Association Youth Homes CURRENT LOCAL ALLOCATIONS Johnson Coralville County FY97 FY97 91,350 9284,296 93,300 : 915,998 $2,900 955,167 Iowa City FY97 933,075 933,000 United Way UWFY97 927,500 919,900 956,601 916,185 92,700 946,340 946,000 940,912 91,500 915,998 955,105 930,678 9500 98,000 87,500 915,175 93,214 984,246 822,360 816,068 82,100 92,000 91,000 8270,769 8823,778 833,652 812,300 85,517 877,234 8124,340 82,400 966,200 85,180 86,240 89,200 836,000 825,235 849,000 812,500 84,510 854,900 91,050 9600 98,000 867,700 844,650 95,000 813,520 917,175 86,550 810,300 821,800 913,750 98,000 923,300 913,400 952,400 816,125 813,250 87,016 910,000 927,675 859,500 816,675 TOTAL 820,500 81,967,477 8377,970 8652,737 jccoghs\agiundg\curr allc Preliminary Recommendations CITY OF CORALVILLE HUMAN SERVICE AGENCY FUNDING Funding Allocated % Increase Agency FY96 FY97 .. 96 to 97 Request Arc of Johnson County $ 1,350 8 1,350 0.0% 8 1,400 Big Brothers/Big Sisters (PALS) 3,300 3,300 0.0% 4,000 Crisis Center 2,700 2,900 7.7% 5,000 Domestic Violence Int. 2,700 2,700 0.0% 3,500 (Spouse Abuse) Elderly Services Agency 1,500 1,500 0.0% 6,000 Emergency Housing Project 500 500 0.0% 800 Free Medical Clinic 0 600 N/A 1,000 Handicare 2,400 0 -100.0% 5,000 Mayor's Youth Employment 2,100 2,100 O. % 3,000 Program MECCA 800 1,000 25.0 % 1,500 --Rape Victim Advocacy 2,400 2,400 0.0% 2,400 Red Cross 0 500 N/A 500 United Action for Youth 1,050 1,050 0.0% 7,500 Youth Homes 600 600 0.0% 3,000 TOTAL CONTINUATION $21,400 $20,500 -4.2% $44,600 FY98 Dollar Increase 8 5O 7OO 2,100 8OO 4,500 3OO 4OO 5,000 9OO 500 0 O 6,450 2,400 824,100 Percent Increase 3.7% 21.2% 72.4% 29.6% 300.0% 60.0% 66.7% N/A 42.9% 50.0% 0.0% 0.O% 614.3% 400.0% 117.6% New Requests -- Existin.el A(lencies HACAP ICARE TOTAL NEW REQUESTS TOTAL CONTINUATION PLUS NEW REQUESTS $21,400 $20,500 -4.2% 82,500 200 $2,700 $47,300 82,500 2OO ~2,700 $26,800 N/A N/A N/A 130.7% jccoghs/agfundg/funding.c3a Agency Big Brothers/Big Sisters Crisis Center Domestic Violence Int. Elderly Services Agency Emergency Housing Project Free Medical Clinic HACAP ICARE Mayor's Youth Employment MECCA Neighborhood Centers Rape Victim Advocacy Red Cross United Action for Youth TOTAL AGENCY CONTINUATION CONTINGENCY ', ~ (AL CONTINUATION CITY OF IOWA CITY HUMAN SERVICE AGENCY FUNDING Funding FY96 $33,075 $31,200 944,100 $53,50O $6,000 $5,000 96,240 98 925 $35 000 $24 500 947 250 $12 000 $4410 $53 500 $364,200 Allocated % Increase FY97 .- FY96 to FY97 FY98 Increase Request Dollar Percent 33,600 1.6% 9 35,000 9 1,400 4.2% 33,000 5.8% 37,500 4,500 13.6% 46,000 4.3% 47,984 1,984 4.3% 55,105 3.0% 60,000 4,895 8.9% 7,500 25.0% 8,750 1,250 16.7% 5,180 3.6% 5,439 259 5.0% 6,240 0.0% 6,425 185 3.0% 9,200 3.1% 9,765 565 6.1% 36,000 2.9% 40,000 4,000 11.1% 25,235 3.0% 26,500 1,265 5.0% 49,000 3.7% 68,290 19,290 39.4% 12,500 4.2% 12,500 0 0.0% 4,510 2.3% 4,740 230 5.1% 54,900 3.6% 58,000 3,100 5.6% 9377,970 3.8% 9420,893 942,923 11.4% 95,828 95,380 -7.7% 95,541 9161 3.0% 9370,028 9383,350 3.6% 9426,434 943,084 11.2% New Requests -- ExistinQ Aqencies Independent Living Youth Homes $10,000 910,000 N/A TOTAL NEW REQUESTS 910,000 910,000 N/A TOTAL CONTINUATION PLUS NEW REQUESTS 9370,028 9383,350 3.6% 9436,434 953,084 17.9% iccoghs\agfundg\f unding ,ic3 iv Preliminary Recommendations JOHNSON COUNTY HUMAN SERVICE AGENCY FUNDING FY98 : Increase Funding Allocated % Increase Agency FY96 FY97 96 to 97 Request Dollar Percent Arc of Johnson County~ 8284,296 8284,296 0.0% 8290,188 85,892 2.1% Big Brothers/Big Sisters 15,532 15,998 3.0% 17,500 1,502 9.4% Crisis Center 53,560 55,167 3.0% 62,000 6,833 12.4% Domestic Violence Int. 44,990 46,340 3.0% 47,732 1,392 3.0% Elderly Services Agency Emergency Housing Project Free Medical Clinic HACAP 15,532 15,998 3.0% 26,000 10,002 62.5% 4,285 8,000 86.7% 9,200 1,200 15.0% 78,006 84,246 8.0% 84,370 124 0.1% 22,145 22,360 1.0% 23,030 670 3.0% Independent Living~ Lutheran Social Service Mayor's Youth Employment MECCA 3,214 3,214 3.0% -- -- -- 16,068 16,068 0.0% 16,800 732 4.6% 2,000 2,000 0.0% 3,000 1,000 50.0% 262,444 270,769 3.2% 278,425 7,656 2.8% Mental Health CenteP 823,778 823,778 0.0% 864,968 41,190 5.0% '"" ]hborhood Centers 32,672 33,652 3.0% 58,500 24,848 73.8 % ¼ape Victim Advocacy 12,000 12,300 0.0% 12,300 0 0.0% Red Cross 5,356 5,517 3.0% 5,800 283 5.1% United Action for Youth Visiting Nurse Assn. Youth Homes~ 74,984 77,234 3.0% 89,000 11,766 15.2% 124,340 124,340 0.0% 128,070 3,730 3.0% 64,272 66,200 0.0% 100,000 33,800 51.0% TOTAL $1,939,474 $1,967,477 1.4% t~2,116,883 $152,620 7.7% ~These agencies come under the Managed Care Plan for People with Disabilities (mental health, mental retardation and developmental disabilities) and are under a capped budget. V iccoghs\ag f undg\funding.jc3 UNITED WAY HUMAN SERVICE AGENCY FUNDING Agency Arc of Johnson County Big Brothers/Big Sisters Crisis Center Dental Services/Children Domestic Violence Int. Elderly Services Agency Emergency Housing Prj. 4C's Free Medical Clinic Goodwill Gr. IC Housing Fellowship HACAP/Headstart Handicare Hillcrest ICARE Legal Services Lutheran Social Service M.~zor's Youth Employ. k SA Mental Health Center Neighborhood Centers Rape Victim Advocacy Red Cross School Children's Aid Special Care Dental United Action for Youth Visiting Nurse Assn. Youth Homes TOTAL iccoghs\agfundg\funding.uw2 Funding Allocated % Increase UWFY96 UWFY97 96 to 97 827,500 $27,500 0.0% 819,250 819,900 3.4% 855,951 856,601 1.2% 811,500 86,185 -46.0% 840,912 840,912 0.0% 830,000 830,678 2.2% 814,800 915,175 2.5% 88,000 88,000 0.0% 867,050 967,700 1.0% 944,000 944,650 1.4% 85,000 85,000 0.0% 913,520 813,520 0.0% 916,800 917,175 2.2% 86,550 96,550 0.0% 910,300 910,300 0.0% $21,800 921,800 0.0% 913,750 913,750 0.0% 98,000 88,000 0.0% 923,300 823,300 0.0% 812,750 813,400 5.0% 851,750 852,400 1.2% 915,750 816,125 2.3% 813,250 813,250 0.0% 96,641 87,016 5.6% 810,O00 910,000 0.0% 827,300 927,675 1.4% 859,500 859,500 0.0% 816,300 916,675 2.3% $651,224 9652.,737 0.2% Request UWFY98 Increase Dollar Percent 927,933 9433 1.6% 925,000 85,100 25.6% 964,800 88,199 14.5% 90 -86,185 -100.0% 942,958 82,046 5.0% 835,000 84,322 14.1% 917,500 82,325 15.3% 916,000 88,000 100.0% 974,472 96,772 10.0% 965,000 820,350 45.6% 911,000 86,000 120.0% 913,925 ~405 3.0% 830,336 813,161 77.0% 87,500 9950 14.5% 813,000 82,700 26.2% 927,800 96,000 27.5% ~22,200 98,450 61.5% 910,000 $2,000 25.0% 935,000 811,700 50.2% 820,000 86,600 49.3% 865,600 913,200 25.2% 816,125 .~0 0.0% 913,920 8670 5.1% 87,016 90 0.0% 914,000 94,000 40.0% 839,000 911,325 40.9% 961,285 91,785 3.0% 930,000 813,325 80.0% ~806,370 t~153,633 23.5% vi UNITED WAY DESIGNATED GIVING _ '-~ .(lenc¥ Designated Designated Designated Designated UWFY94 UWFY95 UWFY96 UWFY97 Alliance for the Mentally III Arc of Johnson County Big Brothers/Big Sisters Boy Scouts Compassionate Friends Crisis Center Dental Services for Children Domestic Violence Intervention Elderly Services Agency Emergency Housing Project 4C's Free Lunch Program Free Medical Clinic Girl Scouts Goodwill Greater Iowa City Housing Fellowship HACAP/Headstart Handicare Hillcrest Hospice ICARE h~ ~endent Living (Conner Center) Iowa C & F Services Legal Services Lekotek Life Skills Lutheran Social Service Mayor's Youth Employment MECCA Mental Health Center Neighborhood Centers Rape Victim Advocacy Program Red Cross Salvation Army School Children's Aid Special Care Dental Program United Action for Youth United Way Visiting Nurse Association Youth Homes Non-United Way Agencies 93,101 93,111 91,992 92,428 91,865 91,651 91,750 91,589 95,006 94,671 $1,926 92,884 98,921 99,535 96,795 97,497 9973 91,206 9855 91,018 96,091' 95,016 93,908 95,839 91,020 9827 91,109 9278 99,347 98,498 97,006 96,859 93,459 93,463 93,923 92,353 94,299 93,095 91,539 91,802 91,262 91,292 9972 91,030 94,840 94,298 91917 92,157 93,814 94,197 94,925 94,974 91,599 92,449 91,595 91,894 91,383 91,829 91,961 91,152 9925 9611 9428 950 92,355 91,988 91,539 91,090 94,326 93,333 93,422 92,420 9493 9450 9747 968 910,779 913,388 97,135 95,694 92,772 93,742 93,308 93,336 9619 9697 9241 9104 92,065 91,481 9195 952 9542 9515 9493 9716 9488 9837 9165 973 9867 91,352 9275 9190 92,971 92,174 92,846 91,280 91,093 9395 9639 9595 97,017 92,020 91,608 9523 9714 92,000 91,170 9907 91,421 92,527 91,166 9786 91,951 91,907 91,687 9843 95,720* 98,383 95,960 94,216 94,811' 99,211 94,842 94,504 92,870 92,915 91,994 92,682 9614 9495 9474 9301 91,694 92,470 91,005 91,065 92,567 911,748 95,000 9150 95,921 94,833 93,668 93,112 91,491 92,348 92,321 93,583 913,001 928,586 925,271 97,744 TOTAL $137,067 9165,544 $119,772 989,688 *~-"esefiguresdo notinclude 934,029.50in"flooddesignated"fundsdispensedin 1993: Crisis Center- .,814.75, Red Cross-95,814.75, Salvation Army-93,000, and othernon-UnitedWay agencies- 919,400. \jccoghs\agfundg\desgniv2,uw vii UNITED WAY OF JOHNSON COUNTY 20 EAST MARKET STREET IOWA CITY, IA 52245 (319) 338-7823 May 1992 CONFLICT OF INTEREST STATEMENT PROTOCOL FOR PLANNERS AND ALLOCATORS WHEN VOTING ON OR DISCUSSING AGENCIES. ONE OF THE PRINCIPLES OF THE EVALUATION AND FUND DISTRIBUTION SYSTEM IS THAT FUNDS BE AWARDED WITH FAIRNESS. IN ORDER TO ASSIST VOLUNTEERS MAKING THIS DECISION, A COMMITTEE OF BOARD MEMBERS, PLANNERS, AND ALLOCATORS HAVE ESTABLISHED SOME GUIDING PRINCIPLES. WE ARE REQUESTING THAT VOLUNTEERS DECLARE THEIR CONFLICTS AND ABSTAIN FROM VOTING IN INSTANCES WHERE CONFLICTS EXIST. INSTANCES WHERE CONFLICT OF INTEREST MAY EXIST WOULD BE: A) DIRECT RELATIONSHIPS (SPOUSE, SIBLINGS, CHILDREN, ETC.); B) PROFESSIONAL RELATIONSHIP (THIS INCLUDES MEMBERSHIP ON AN AGENCY' S BOARD OF DIRECTORS); C) PERSONAL RELATIONSHIPS: D) A PERSON WHO CAN INFLUENCE OR BE INFLUENCED BY AN AGENCY. PERSONS WITH A CONFLICT OR INTEREST SHOULD NOT ACTIVELY LOBBY ON BEHALF OF AN AGENCY BUT CAN CLARIFY A DISCUSSION IF THEIR INFORMATION IS KNOWLEDGE BASED BUT NOT OPINION BASED. AT THE BEGINNING OF EACH MEETING THE CHAIR OF THE PLANNING COMMITTEE WILL MAKE THE FOLLOWING DISCLOSURE STATEMENT: "ANY MEMBER WHO HAS A POTENTIAL CONFLICT OF INTEREST DUE TO DIRECT, PROFESSIONAL, OR PERSONAL RELATIONSHIPS, OR A PERSON WHO CAN INFLUENCE OR BE INFLUENCED BY AN AGENCY IS HEREBY REQUESTED TO DECLARE THAT HE/SHE HAS A CONFLICT OF INTEREST REGARDING SUCH AGENCY AND ABSTAIN FROM VOTING IN INSTANCES WHERE CONFLICTS EXIST." jccoghs/agfundg/conflict,uw viii USING THE BUDGET AND ACCOUNTABILITY QUESTIONNAIRE Budget page 1 includes a summary of agency programs as well as budgetary information. There is a listing of local funding for last year and the current year, as well as the agency's request for next year. The local funding figures are based on the funders' calendars (7/1 to 6/30 for governmental funders and 4/1 to 3/31 for United Way). Page 1 is the only page in the entire budnet and program packet that is not based on the individual agencv's budget year. The agency's budget year is noted in the upper left corner of Budget page 1. Budget pages 2-8 provide figures based on the agency's own budgetary year (calendar, fiscal, federal, etc.). Budget pages 2-6 include figures for a three-year period: the past, present and proposed budget years. Budget page 2 presents an overview of the agency's finances. Line 1 shows total funds available; it includes carryover and income. Line 2 is the total of expenditures; line 3 is the difference between lines 1 and 2. In-kind support and non-cash assets are also summarized on this page. Budqet page 3 provides a detailed account of the agency's income. Remember that this page is based on the agency's own budget year, not the funders'. This page includes only cash income, not in-kind. The total income is on the last line. Because this section involves a breakdown of proposed income for next year by program, it may be two pages for those agencies that have more than two programs. Budget pa.qe 4 or 5 details cash expenditures with total expenses appearing on the last line. Because this section involves a breakdown of proposed expenses for next year by program, it may be two pages for those agencies that have more than two programs. The next section has three sections: Restricted Funds: Lists monies earmarked for a particular use and indicates who imposed the restrictions. Matching Grants: Shows matching grants and' includes grantor and source of match. In-Kind Support Detail: Itemizes and totals non-cash income. The salaried positions page(s) provide information on staff positions, benefits, salaries, and percent changes. The A.qencv Accountability Questionnaire includes information on the agency's mission statement, history, purpose, program(s), management, board of directors, financing, and VVV involvement. The Goals and Obiectives section explores the overall purpose of each agency program. It details measurable objectives for the coming year with the tasks and resources necessary to accomplish them. jccoghs\agfundg\usingbdg.inf ix ~'JMAN SERVICE AGENCY BUDGET FORM City of Coralville Johnson County City o! Iowa City United ~/.ay. of. Johnson County CHECK YOUR AGENCY'S BUDGET YEAR 1/1/97 - 12/31/97 4/1/97- 3/31/98 7/I~7- 6/30/98 Director: Geoffrey Lauer Agency Name: The Arc of Johnson County . Address: 1700 First Avenue S., Suite 16 Phone: (319) 351-5017 Completed by: Geoffrey Lauer ApProved by Chair Board: Barb Nidey COVER PAGE Program Summary: (Please_ n.umber program~ to correspond to Income & Expense Detail, i.e., Program 1, 2, 3, etc.) I. FAMILY IN-HOME SLIPPORT SERVICES - to provide a service network which enables children and adults with mental retardation and other developmental disabilities to oonlinue to live at home with their families. These services include long-term and short-term respite care, as well as other intensive in-home services. --~ 2. ADVOCACY/AWARENESS - to act on behalf of persons with developmental disabilities by: seeking support services and monitoring existing programs, informing citizens with developmental disabilities and their families ofpwgrams:and opportunities available, informing the community of the causes of mental retardation and the possfbilities for prevention, and monitoring governmental actions that impact this population. 31--COMMUNITY PROGRAMS - to semire for children and young adults with-mental retardation and other developmental &sabfl/ties community services which enhance their skills and development-while-they _ . ilve_at_home_..with. their familia. _ .Includes both daycare and summer pr0gr~_'_...: ............. 4. VOCATIOIqAI;'YADVOCA-CY: 'to increase employment opportunities for-~rs/Jns with developmental disabilities in o~ community by provi 'drag-job placement, training and follow-along. Local Funding Summary: United Way of Johnson County - - Does Not Include Designated GvR~, City of Iowa City Johnson County --'City of Coralville 4/1/95 - 4/1/96 - 4/1/97 - % of Tolal 3/31196 .... 313i/97 3/31198 Budget $27,500 $27,500 $27,933 FY96 FY97 FY98 284296 284296 290188 36.4% 1350 1350 1400 0.2% -1- AGENCY: The Arc of Johnson County BUDGET SUMMARY Enter Your Agency's Budget Year ==> 1. TOTAL OPEP, A_TINO BUDOET (total a+b) a. Car~y~ver lJ~-~c~ (Cash from line 3, previous column) b. Income (Cash) 2. TOTAL F~END1TURES (Total a+b) a. Administralion b. Program Total (List Progs. Below) - Family In-HomeSupporl ' Advocacy / Awareness Community Programs 2 3 4 5 6 Vocational Advocacy 3. ENDING OPERATING BAI~N~2E (§u'btract 2 - I ) 4. RESTRICTED FUND BALANCE (Total from Pa~e 7) 5. IN-KIND SUPPORT (Total fi6m P"ag~ 7) 6. NON-CASH ASSETS Notes and Comments: ACTUAL THIS YEAR LAST YEAR PROJECTED 1995 1996 715,161 754,850 171,682 210,970 543,479 543,880 504,191 510,818 25,210 27,538 478,981 483,280 105,880 107,763 20,168 18,492 292,431 296,074 60,503 60,951 BUDGETED NEXT YEAR 1997 796,786 244,032 552,754 538,237 29,016 509,221 113,547 19,484 311,966 64,223 210,970 244 032 { 258,548 79,533 144,000 146,393 44,750 46,520 48,361 106,022 122,620 135,020 1995 beginning carryover balance adjusted upward by $2,314 per year end Accountant's Report. 1995 ending balance includes restricted occupancy funds of $79,553. Ending operating balances vary considerably from prior year estimates. Signifianct adjustments to the agency's restricted funds are also shown. These items will be discussed in the presentation. Normal fltoitity expenses and insurance are now included wi ' th the Arc s programs budgets. -2- -2- iNCOME DETAIL AGENCY The Arc of Johnson County 29,016 THIS YEAR BUDGETED PROJECTED NEXT YEAR 1. ru,din .Sources- 310,102 313,142 a. John.~6n County 281,502 284,292 b. City of Iowa City 0 0 c. United Way of Johnson Counly 27,250 27,500 d. City of Coralville 1,350 1,350 e. r 2. Grants - State, Federal, Foundations 136,550 127,099. a. Johnson Co. Community Service 136,550 127,099 Appropriations C. d. f. 45,539 11,632 24,706 0 ........ 86,4~9'1 42,626 10,525 33,328 3. Net Sales Oi ~e~'i~es (sources) 81,877 a. Vocational b. Summer Program ... c. Medicaid Waiver 4. Net Sales of Materials (sources) b. C. 5, Contributions/Donations a. United Way Designated Giving b. Olher Contributions 6. Special Events 1,055 a. Iowa City Road Races 975 b. Arc T-shirts 80 c. Fundraiser 0 r,75o 598 t 318,080 288,921 0 27,759 1,400 NON- PROGRAM DIRECTED 1 FUNDING J 17,306 64,470 14,446 47,672 PROGRAM 2 6,487 117,096 117,096 .98,093 54,500 !0,462 33,131 0 2,776 16,378 5,829 84 420 658 11,710 11,710 6,5331 30,9241 3,630 697 2,207 30,924 0 0 1,595I -1,600 224[ 1,41o 8o0 480 1,061 .~ ..... 3,0,.4J1.. ] 1,170 [ 781 1,000 330 30 40 40 250 2,000 800 528J 368 16o o} ~. inte';est ~nc;'me' 'i' ' ii'jlj ....................... 8~.671 ..... 10,924I ..11,760 8. Other- List Below ................. 2,876 ......... 2,!70 ] ............2.,28fi.' a. Membership Dues 2,400 2,170 2,284 b. Miscellaneous 476 0 - 0 [3,958 2,106 I ......... 0 01 552,754 29,671 109,738 TOTAL INCOME (same as p. 2, line lb) 543,479 543,880 Notes and Comments: . 1,168 1,008 160 1,870 670 1,200 3,686] 2,284I 2,284 15,496 The 1997 budgeted total income has an increase of 1.6% over the 1995 actual total income. Johnson County's "managed care" Iransifion (anticipated by 7/1/97) will be an important change in funding of agency services. At this lime the full impact cannot be determined. The Board feels the needs of Johnson County for services provided by the ARC is increasing. One of the goals of the ARC isto continue to identify the changing needs and methods best appropriate in satisfying these needs. -3- -3- INCOME DETAIL (coat) PROGRAM 3 AGENCY The Arc of Johnson County PROGRAM PROGRAM PROGRAM 4 5 6 1. Local Funding Sources- 229,817 a. Johnson County 226,803 b. City of Iowa City c, United Way of Johnson County 2,776 d. City o[ Coralville ' ' 238 e. [. 2. Grants - State, Federal, Foundations 105,386 a. Johnson Co. Community Service 105,386 Appropriations C. d. ~:. [. 3. Net Sales Of Services (sources) 9,765 a. Vocational b. Summer Program ' 9,765 c. Medicaid Waiver 4. Net Sales o[ Malerials (sources) 0 5. ~0_ntri _b u!_i?n .s../?._o...na. tjon s a. United Way Designated Oiving b. Other Contributions 6. Special Events a. Iowa City Road Races b. C, 7. Interest in¢;r'm'e .......... 8. Other - List Below &. b. 0 0 0 50,870 50,870 Co PROGRAM 7 ol ol ol o ol ol 0 0 0 0 0 0 O[ 0 7061 0 1,304 1 I 0 0 0 0 TOTAL INCOME (same as p. 2, linelb) 345,674 52,174 0 Notes and Comments: PROGRA~-I 8 ol -4- PROGRAM EXPENDITURE DETAIL 1. Salaries 2. Employee Benefits & Taxes 3. Staff Development 4. Professional Consultation '5. Publications & Subscriptions 6. Dues and Memberships 7. Mortgage, Rent and Property Tsx 8. Building Maintenance 9. Equipment Purch&se/Rental/Maint. 11. Telephone ...... 12. Office Supplies & Postage 13. Printing and Publicity 14. Local Transportation 15. Insurance 16. Audit 17. Interest .... 18. Other (Specify): /' ~urchase o! Service 20. Meeting, Awards & ..Gg, 0.dtimers 21. Miscellaneuos 22. Fundraising 23. Consumer Self-Advocacy ;24 25 TOTAL VaCVENSES i" ,iii;ni Notes-and Comments: ACTUAL LAST YEAR 128,994 25,000 870 3,548 328 6,196 3,237 1,057 307 915 952 2,508 1,433 5,166 4,542 2,360 AGENCY The Arc of Johnson County 2% THIS YEAR BUDGETED ADMINiSTRA- PROGRAM PROGRAM PROJECTED NEXT YEAR TION I 2 121,493 126,234 16,410 39,133 3,787 22,865 28,973 3,767 8,982 869 4,501 6,000 120 3,600 480 13,662 7,889 1,736 3,945 552 140 280 78 20 7,068 '6,800 6,800 2,711 3,000 60 930 90 2,259 1,468 161 250 250 16,598 12,400 992 2,480 3,720 1,152 1,114 89 256 89 1,593 1,664 83 799 183 4,237 3,844 269 1,269 653 2,793 2,400 288 960 504 3,805 4,640 93 464 139 4,824 4,930 148 1,627 148 2,945 3,500 3,500 315,434 295,610 320,000 _. 78 1,052 800 1,266 510 600 0 0 700 0 1,000 1,000 600 7OO 48,640 136 504,191 510,818. 538,237 29,016 113,547 Items of note include an increased Board commitment to staff development and equipment. Salaries dropped in 1996 projected due to outsourcing the bookkeeping/financial duties and various positions not fully occupied during 1996. 1997 budgeted salaries are at full levels and the bookkeeping/financial duties may continue to be outsourced. 1997 budgeted employee benefit increase is due to higher potential health premiums_:. Professional consultation includes outsourcing for bookkeeping/financial duties. 200 1,000 19,484 PROGRAM EXPENDITURE DETAIL (continued) PROGRAM 1. Salaries 23,984 2. Employee Benefits & Taxes 5,505 3. Staff Development. 600 4. Professional Consultation 1,183 5. Publications & Subscriptions 67 6. Dues and Memberships 0 7. Mortgage, Rent and Property Tax 600 8. Building Maintenance 484 9. Equipment Purchase/Rental/ivlaint. 3,720 10.Utilities 167 11. Telephone 133 12. Office Supplies & Postage 961 13. Printing and Publicily 408 14. Local Transportation 603 15. Insurance 1,726 16. Audit 17. Interest ! 8. Other (Specify): 19. Purchase of Service 271,360 20. Meeting, Awards & Goodtimers 464 · 21. Miscellaneuos 22. Fundraising 23. Consumer Serf-Advocacy 24 25 TOTAL EXPENSES (p. 2, line 2) Notes and Comments: AGENCY The Arc of Johnson County PROGRAM PROGRAM PROGRAM 5 6 42,920 9,851 1,200 473 115 0 1,320 323 1,488 513 466 692 24O 3,341 1,282 PROGRAM 7 PROGRAM 8 311,966 64,223 0 0 0 0 -6- AGENCY The Ate o/3'ohnson Colmt~ RE STRICTED FUND ACTUAL THI~ YEAR BUD GETED LAST YEAR PROSE CTED NEXT YEAR . Rest6ctedby: Restfctecltot: B oa~cl of Dkecters ~ac~ '/9,533 144,000 146,393 TOTAl. alsosho~n a e2 l~e4) ?9,§33 RE STRICTED !rd. ND ~ .... 1~.9~ .1~ 144,000 146,3~ ~AT~N G GRANTS 6rrantor,"Matched b~ .~N'KIND SUPPORT DETAIL $ ervices~Volunteers (at :~?i§O/h'du'¢ averag.e)' . Mate~al Goods Space, Ubl(ties, etc. 44,250 46,020 4'7,861 500 500 500 Other: (Please s~ecifp) .............. ITOTAL IN-KIND SUPPORT (also sh?~ o~9, 2 ~e 4) Notes ~nd Comments: 48,361 RESTRICTED FUNDS: As of October 1996 the Board of Directors has adjusted the agency Occupancy fund to an amount consistent with the 1992 o 'nginal occupancy fund's purchasing power. Upon prior reoommendation from fumiing bodies and subsequent to a review of financial statements the Board moved to maintain this fund at a reasonable level to allow The Are to acquire a different facility if needed at some future date. The figure 144,000 represents the original fund bahnee of 121,000 and a conservative additional amount to replace loss of purchasing power due to inflation. SALARIED ]'osmoNs AGENCY The Arc of Johnson Counly FIE* This Year 1.00- 1.00 1.00 0.25 1.00 0.2.5 1.00 0.00 0.00' o.75 . o.oo 0.75~ 0.00 0.00 0.00 Nexl Aclu~l Year. ~ YeAr 1.00 34,139 1.00 21,648 1.00 18,8~9 0 0 20,611 18,245 1,646 13,807 This B~dse~ec~ % 35,500 3?,8o0 ~....~_.% o -B- TOTAL F!'E's and SALARIES 5.74 5.00 5:00 128,995'.. 121,493' 126,235' 4% * Full-time. ~muivslent: 1.0~uH-tim¢l 0.5~-hal[-time: ere. The current authorized positions at the ARC are five, During 1996, the positions were reviewed and some positions were changed and/or redesigned. Benefits include health, dental, life, disability, and retirement programs. -8- The Am of.lotmson County AGENCY: ACCOUNTABILITY QUESTIONNAIRE Agency's Mission Statement or Pdmary Purpose: 1. To provide services, support, and advocacy for Johnson County individ]ml.~ with developmental disabilities and their families. 2. To eliminate inappropriate institutionalization. '~ 3. To reduce the incidence ofrnental retardation and developmental disabilities. B. Board of Directors: Go 1. Please attach a list of your agency's Board of Directors 2. Frequency of meetings: monthly 3. Briefly descdbe board orientation and ongoing training opportunities: New Board members'receive a Board manual w'nic'n con'rains " ...... [o agency reinlea operations such as by-laws, ardcles of incorporation, and persormel policies. Each member meets with the Executive E~rector for agency histow and an overview of operations. In addition each member is ass'~ned a mentor who has been serving on the Board. Training opportunities have been, and continue to be through a workshops sponsored by the United Way of East Central Iowa. Finances: 1. If your agency charges a fee for services, describe your £e¢ structure. The agency fee structme for respite services the non-special needs portion of care. Curre with the Johnson County manned care p~ services is anticipated before year end. 2. Does your agency have an intemal audit, external audit or a(financial revie--'~. (c~rc~e one) Frequency. yearly Has yo~ agency filed the Annual Report with the Secretary of State? Yes No 4. Has your agency filed Form 990 with the IRS? Yes x No 5. Please' discuss your agency's fundraising efforts, if applicable. (e.g. events, direct mail campaign, planned giving, etc.) The agency has instituted a number of fundraisin8 activities over the years. At this time the agency utilizes the Iowa City Hospice Koad Kace as a fundraisin~ vehicle and generally holds an additional event durin~ the year. In 1995 this event was selling barbecue sandwiches in No~uh Liberty on a Summer Saturday. The event raised a modest amount of funds. Do Management: Does'each professional staff have a written job description? Yes X No Is the agency Director's performance evaluated at least yearly'~ Yes X No By Whom? Board of Directors 9 -9- AGENCY: E. The Are of Johnson Count3' Program/Services: Please define your agency's units of service (service definition, length of time, cost per unit of service, number of units provided, direct or indirect.) Please see page 10A Please supply,information about clients served by your~ agency during last two complete budget years. Refer to form instructions for definition of duplicated and unduplicated. o How many .Johnson County residents (including Iowa City and Coral- ville) did your agency serve? How many Iowa City residents did your agency serve? How many Coralville residents did your agency serve? How many units of service did your age- ncy provide? Enter Years -.--, 1994 1995 la. Duplicated Count 8263 8301 lb. Unduplicated Count 3654 3665 2a. Duplicated Count 5206 5212 2b. Unduplicated Count ~'~.~46 2250 3a. Duplicated Count 856 86O 3b. Unduplicated Count 356 361 4a. Total 27134 27869 4b. To Johnson 27134 27500 County Residents 5. Other Areas Served: Do you provide services to areas outside of Johnson County? Area(s) served: No Services provided: Funding Sources: 10 The Ar~ of Johnson County AGENCY: E. Pr09ram/S.e..rvices: Please define your agency's units of service (service definition, length of time, cost per unit of'service, number of units provided. direct or. indirect.) 1. Family In-home Support Services (Respite) Occasional break for a primary caretaker of a person with mental retardation or developmental disability C-enerai Respite Unit of Service/Cost: I hour - $3.50 - $5.50 or 24 hour period $35.00 per 24 hours. Calendar year 1995 - 3642 hour units of respite provided. Direct Service Medicaid Home and Community Based Waiver Respite Unit of Service/Cost: I hour - $11.98 Calendar year 1995 - 2258 hour units provided. Direct Service 2. Advocacy/Awaxeness Support persons with mental retardation or developmental disab'fiities in advocating (self-advocacy support) for themselves or represent people with mental retardation or developmental disabilities/Pubhc information and education. Unit of Service/Cost: Not defined Calendar year 1995: Advocacy estimated at 900 contacts/calls, Awareness estimated at 6500 contacts. Advocacy/s a direct service. Awareness is an indirect sexyice. 3. Daycare support Assist in coordination and provide financial support for special needs portion ofdaycare expenses for persons w~th mental retardation or developmental disabilities. Unit of Service/Cost: Hourly. 1/2 day/cost variable with daycare provider: range - hourly - $4.00 - $6.65; 1/2 day. $20.00 o $29.93. Calendar year 1995:2720 hourly units, 8500 1/2 day units. Direct serwce. 4. Vocational Advocacy training and follow-up units Supports persons with mental retardation or developmental disabilities in acquiring and maintaining employment in the community. Unit of Service/Cost: half hour unit - $20.70 Calendar year 1995:2260 units. Vocational advocacy training and follow-up are direct service. Job development is an indirect service. 5. $tmuner Program Days and Transportation Provides for children with mental retardation or developmental disabilities age appropriate social development; pre-vocational or vocational training; and an extended opportunity to develop and/or maintain academic goals. Unit of service/Cost: Hourly rates: $6.95 and $8.45i Daily Rates: $44.04, $55.16, $70.50 Calendar year 1995:324 Hours; 765 Days. Direct Service AGENCY: 6. The Arc of Johnson County Client Profile (for last complete year, if available): Age Gender Ethnicity 0 - 5 M Afdcan American 6 - 17 F Native American 18 - 29 Asian 30 - 61 Hispanic 62 - 75 White 75 + Multi-racial Not Available 7. Evaluation and Review: A. Please discuss how your agency measures the success of its programs. Progrma ~vulul~ons are utilized to assess the consumer's satisfaction with services. Our Respit~ Program's parents arid care providers complete ev~lumions ofeach respite. this gives us ongoing feedbozk about the services being delivered. Empioyer~ tim work with our Voc~ion~ Advocacy Pro,rein complete evaluations of their snfidacfion with the pincements end pro~ress is monitored throu~joinI st~_m~. The Arc's staff also communicme with client~ and families rel~ulerly to assess their sutidaction with services. Satisfaction with services trimslutes into successful services. Ultimutely we determine the success of our pro,g-ams with assessin~ the number of out of home placements. out ofcouut~ pl~ements, end placements to more restrictive ssttin~. B. Does your agency have performance objectives? [Give several examples] yes, for some programs. Example 1: To develop a comprehensive lrainm~ program in which 25% of the respite care providers who are enrolled in the HCBS Waiver Kespite Care Program will participate. Example 2: To have prosram usage by families in the HCBS Waiver respite Care Program increase by 30% C. What plans does your agency have to increase efficiency and effectiveness? The agency ~ continued to participate in a monthly community based service providers meeting in order to share information regarding the needs of persons with mental retardation or developmental disabilities and eooperatively address these. ha addition the agency plans to partner with community daycare agencies to provide training to both daycare and respite providers. Finally the agency plans to upgrade its data processing equipment providing more access to agency staff in order to reduce the need for duplication of effort with regards to written documents that are subsequently typed. 8. In what ways will the needs of your service population change in the next five years: ~ For many people with mental retardation or developmental disabilities the optimal hving situation is to remain at home with their families; this is also the least costly option for the community. To accomplish this families need an array of high quality dependable community based support services. In the next five years it is anticipated that growth in funding for community based services will continue to be constrained. As a restfit services that families and persons with disabilities have been able to rely on, such as transportation and vocational support, will continue to be reduced or eliminated. It is incumbent upon the community to develop alternative services that will meet some of these needs. -21.2- 11 The Arc of Johnson County AGENCY: ..... 9."-' Pie'as~'discuss any other problems or factors relevant to your agency's programs, funding or service delivery: The need for community-based services has risen consistently. WI~ this results in a decrease in institutionalization of individuals with special needs, it. places a severe burden on local agencies. The Arc/~lC's goal is to deliver high quality services in the least restrictive environment and in the most cost effective way, Because of the severe funding constraints .faced by both the County and United Way, and therefore by the agencies, it is difficult to meet this increasing demand for service. The Arc/JC will continue to work cooperatively with other agencies to find creative solutions to meet the needs of our community. 10. List complaints about your services of which you are aware: The A~c/JC's Respite C~e l~o~'am ~ a slzong need for expanded or additional services such as emeq~ency cam a~d before/after school ca~e. The~e is also a need for more respite l~ovid~s, especially ~ breaks. Families have also expressed concerns about a~ordable dayca~e options fo~ thei~ children w~th disabilities. There a~e only a few centers that will accept clOVen with disabilities, and very few private dayca~e home providers. The Am is developin~ u-aJni~ so providers will have the skills to work with these 11. Do you have a waiting list or have you had to turn people away for lack of ability to serve them? What measures do you feel can be taken to resolve this problem: Not m ~ Qme, 12. How 'many people are currently on your waiting list? In what way(s) are' your agency's services publicized: 0 (1) Newsletter. (2) Send home information via schools. (3) Media. (4) Human Services Directories. (5) Public SpeakLug. (6) Broohures, (7) Word of mouth. 13. United Way involvement by your agency: (Check if agency participates) a. Agency Directors Meetings x b. Agencies Representative to Funding Hearings __ Business Blitz ~ Day of Caring. x Executive Development Seminars Kick Off x Victory Reception x Volunteer Action Center Other United Way Golf Tournament 12 -13- AGENCY: The Arc of Jolmson County AGENCY HISTORY (Using this page ONLY, please summarize the histow of your agency, emphasizing Johnson County, telling of your purpose and goals, past and current activities and furze plans. Please up-date annually.) Throughout its 39 year history, The Arc of Johns County (The Arc/JC) has acted as an advocate for the rights of citizens with mental retardation and developmental disabilities. When the notice appeared in the Io~a City Press Citizen over 39 years ago asking persons interested in the welfare of individuals with mental retardation to come to a meeQng, Johnson county had no educational, recreational, vocational or residential programs for individuals with mental retardation and developmental disabilities. Johns County in 199,5 has programs, some models in all in four areas. The Arc/JC has been inslxumental in creating these programs, and in advocating for programs which provide individuals with mental retardation and other developmental disabilities with services non-disabled people take for granted. Many services which The Arc/JC developed now exist as separate entities. The Special Education program and Goodwill Industries of Southeast Iowa were nurtured by the Arc/JC. In 1970, members of The Arc/JC began discussing possible alternatives to institutonalization. In June 1971, Systems Unlimited Inc. was founded by seven members of The Arc/JC who had been charged with the responsibility for making residential services available on the community level. Special Populations Involvement (SPI) came about because of cooperative platming, begun in 1959, between the Iowa City Recreation Department and The Arc/JCgor the recreational needs of individuals with mental retardation and developmental disabilities. Current programs include Family In-Home Support Senrices, Advocacy/Awareness, Community Programs, and Vocational Advocacy. Descriptions of these programs can be found on the cover page of this application. Support semces are imperative ffindividnais with mental retardation and developmental disabilities are to live m the least restrictive environment. Our Family In-Home Support Services program offers levels of help varying from short-term respite care through intensive family and child training. This range of services allows each family/person to be as independent as possible. Since December 1989, The Arc/JC has helped families access appropriate daycare settings for their children with special needs. The funding was transtkrred from the Johnson county Depanment of Human Services to The Arc/JC so daycare could be secured as pan of an integrated family plan. Since July 1991, Johnson County has directly funded us to continue this important service. The Aro/JC coordinates summer program opportunities for children and young adults, a service that is vital to many families. With the right mix of support services, a family can keep its child living at home; this is a success for the whole community. Our Vocational Advocacy Program provides vocational oppommities for individuals with mental retardation and developmental disabilities by securing job placements in the community. We provide job development, training, and follow-along services. Without this program, our clients would have remained in a sheltered workshop or adult activity center. We are continually seeking creative answers to the high unemployment problem that affects individuals with mental retardation and developmental disabilities. -14- In 1992 we changed our agency name from "The Association for Retarded Citizens of Johnson County" to "The Arc of Johnson County". The Are has changed its name on the national and state levels as well. This change recognizes the need for person-first language, "people with mental retardation" versus "mentally retarded people". This exciting change has overwhelming support from individuals with mental retardation and developmental disabilities, their parents and family members, and advocates. Our mission has not changed and is reflected in the tag line we are using along with our name: The Arc of Johnson County - Providing services to persons with mental retardation and developmental disabilities. The Are continues to work towards addressing the need for summer/before/after school programming for youngsters 12 and over with developmental disabilities. The agency also continues to explore creative ways to serve more children with specaal needs daycare requests. The agency has facilitated an increase in the amount parents contribute towards their children's daycare and continues to support a variety of daycare sites with information and education regarding special needs daycare. As a result we have been able to reduce the cost associated with daycare. Finally the agency has made a commitment to supporting self-advocacy of its membership in areas of service needs and policy making. The Arc of Johnson Counl~ AGENCY PROGRAM GOALS AND OBJECTIVES FAMILY IN-HOME SUPPORT SERVICES Goal: To provide a service network which enables children and adults with developmental disabilities to continue to live at home with their families. These services include short-term and long-term respite care,-as well as other intensive in-home services. Objective A: Provide financial assistance, based upon a sliding fee scale, to famih'es using the respite care program. Tasks: 1) Continue public awareness activities through schools and media to increase usage. 2) Monitor procedures to ensure quick payment. 3) Monitor use of subsidies by each family. Objective B: Maintain an up-to-date list of screened care providers. Tasks: 1) Recruit providers in Johnson County. 2) Have care providers complete an application which includes availability, services they could provide, past experiences, and special skills. : 3) Interview each care provider. 4) Check at least two references for each provider, Have parents complete an evaluation form for each of the care providers they have used. 6) Conduct in.services for the care providers. Objective C: Match parents and care providers on an on-going basis, Tasks:~.. 1)Interview parents to assess theix needs. 2) Match parents' needs to available care providers. 3) Keep records of the services provided, 4) Keep scheduling records. Objective D: Provide respite care through the Home and Community Based Waiver Program. Tasks: 1) Maintain certificafion status. 2) Enroll families according to Waiver rules, 3) Enroll care providers according to Waiver rules. 4) Maintain needed documentation. 5) Prepare billings, -14- -is- The ~rc of Johnson CounW AGENCY PROGRAM GOALS AND OBJECTIVES FAMILY IN-HOME SUPPORT SERVICES CONTINUED: Objective E: Continue to investigate additional care needs of parents and way that the Family In- Home Support Services program could be 'gnproved to better meet the needs of users and potential users. Tasks: 1) Investigate drop-in respite care programs. 2) Investigate respite programs for before/alter school and school holidays. Objective F: To provide finan~fi assistance to families using intensive in-home services. Tasks: 1) Secure funding for this program. 2) Screen new families. 3) Maintain cooperation with other agencies. 4) Continue parent payment portion based upon a sliding schedule. Resources Needed to Accomplish Program Tasks: 1) Financial resources to cover the costs of salaries, in-home services, and other program expenses. 2) Respite Coordinator to reernit eare providers, sign up families and coordinate the program. 3) Admires' irarive staff time to oversee the entire program. 4) Bookkeeper staff time to prepare payment of vouchers and bills.. 5) Volunteer t~easurer to sign the checks and oversee the payment of vouchers and other bills. 6) Brochures to ruerease publie awareness. 7) Telephone to make matches, provide information and answer questions about the program. 8) Computer eqmpment and time to manage all information. Cost of program: $109,738 ADVOCACY/AWA_tLENESS Goal: To act on bchalfofpersons with developmental disabilities by: seeking support services and monitoring existing programs, informing citizens with developmental disabilities and their families of programs and opportunities available, informing the community of the causes of mental retardation and the possibilities for prevention, and monitoring governmental actions that impact this population. Objective A: Through the Special Education Advisory Comnfittee, monitor the programs and services available in the Special Education Classrooms. -3_6- -15- The Are of Johnson Cottory AGENCY PROGRAM GOALS AND OBJECTIVES ADVOCACY/AWARENESS CONTINUED: Tasks: 1) Attend meetings which study the following topics: support services, · '--. communication with parents, summer programs, integration, and Special Olympics. .~ 2) Investigate any other concerns brought to the Special Education Advisory Committee. Objective B: Handle, on a case by case basis, requests for services from individuals or groups within the county. Objective C: Inform and educate the mernbership on a regular basis o£ Legislative Action Alerts sent by the state and rmtional Arcs and how to lobby governmental officials. Tasks: 1) Maintain Governmental Affairs Committee. 2) Provide information and letter writing materials at meetings when necess~'y. 3) Print Governmental Affairs articles in N~wsletter. 4) Support the State and National Arc. Objective D: Continue prevention activities. Tasks: 1) Disseminate information to the public. .... 2) Train Speakers' Bureau to present programs. Identify and gain support o£1ocal doctors ~ho would make prevention materi~s available for their patients. Objective E: Utilize local medi~ to publici~ m~mbership mee~ugs, prograrns, and special events. Tasks: l) Notify the media o£The Arc's events. 2) Par~dcipate in marketing campaigns of State and National Arc. Objective F: Publish newsletter at least six 0roes during the calendar year. Tasks: 1) CoIlect information for newsletters organize it, and edit. 2) Prepare newsletter for mailing. 3) Take sorted newsletter to post office for mailing. Objective G: To provide information and referral to an estimated 1000 people who will call The Arc/JC Tasks: 1) Maintain consistent office hours. 2) Maintain up-to-date information on services available within the community. The Arc of Johnson County AGENCY PROGRAM GOALS AND OBJECTIVES ADVOCACY/AWARENESS CONTINUED: Obje¢fiveA: 3) Continue use of phone answering machine to record messages. Resources Needed to Accomplish Program Tasks: 1) Staff time to coordinate activities of volunteers and cany out directives. 2) Volunteer representatives to serve on the Special Education Advisory Committee, Governmental Affairs Comm/ttee, the Speakers' Bureau and for Prevention work. 3) Acquisitions for The Arc/JC library to provide parents with sources of information. 4) Copier for the newsletter. :5) State and National Publications. 6) JOHNSON COUNTY SEKVICBS INDEX. 7) Telephone and necessary office supplies to carry out program. 8) Computer equipment and time to manage all information. 9) Fax machine to receive updates ~om Arc State and National Offices. Cost of program: $15,496 COMMUNITY PROGRAMS Goal: To secure for children and young adults with mental retardation and other developmental disabilities community services which mhance their skills and development while they live at home with their families. Includes both daycare and summer progrmurning. Daycare Tasks: 1) Screen new famih'es in conjunction with the daycare provider. 2) Secure funding for this program. 3) Explore and facilitate the development ofdaycare services for adolescents age 12 to adulthood. 4) Provide information on daycare programs to parents of children with special needs. 5) Coordinate families' daycare with other services. 6) Establish, on a case by case basis, parental fees for daycare services. 7) Monitor parental fees, which are made directly to the daycare provider. 8) Process and pay the monthly daycare bills. -17- The Arc of Johnson ¢oun~ AGENCY PROGRAM GOALS AND OBJECTIVES COMMUNITY PROGRAMS CON'ITNUED: Objective B: Summer Program Tasks: 1) Work with provider agencies in developing resources to meet the needs of the program. 2) Work with Iowa City community School District and Grant Wood Area Education Agency in development of resources to improve summer pro~ramming. 3) Provide information on program to parents of school-aged children. ....... 4) Coordinate transportation for community children. 5) Collect fees from parents and forward, together with county funding, to summer program and transportation providers to cover the costs of participation for community children. Objective C: MothersVParents' Group Tasks: 1) Develop a community awareness campaign to ensure that parents who .......... would like to participate are aware of the program. ........ 2) Work with the Group's Coordinator in development of program topics. 3) Provide general support for the program. Objective D: Lekotek Task: Provide coordination for Johnson County families. Ob~jective E: Goodtimers Task: Provide donation. Resources Needed to Accomplish Program Tasks: 1) Staff time to work with cooperating agencies m the development of programs. 2) Volunteers to serve as Chairpersons of Mothers'/Parents' Group, and on other committees. 3) Staff time to work on the coordination of Daycare and Summer Program. 4) Administrative staff time to oversee Daycare and Summer Program. 5) Financial resources to cover cost of salaries, Daycare participation, Summer Program participation including transportation, and other program expenses. 6) Bookkeeper time to manage fiscal components of programs. 7). Computer eqmpment and time to manage all information. -18- The Arc of Johnson County AGENCY PROGRAM GOALS AND OBJEC1TVES COS[ of~ograrn: $345,674 VOCATIONAL ADVOCACY Goal: To increase employment opportunities for individu~ils with mental retardation and other developmental disabilities in Johnson County, to do job placement, training, and follow-along services. Tasks: 1) Increase the employment opportunities for individuals with mental retarda6on and other developmental disabilities in our county by job site development. 2) Facilitate the placement of developmentally disabled individuals in these jobs. 3) provide training services to employee and employer. 4) Provide follow-along services to increase the likelihood that the individuals placed in these positions will retain them. 5) Prepare and pro~ess monthly Purchase of Service billings. Prepare and process Vocation Kehabilitation billings. Resources Needed'to Accomplish Program Tasks: - -- 1) 'Vocational Specialist and Job Coaches to do job development, :tr-'aming and fonow-along. 2) Administrative s~fftime to oversee the entire pro,-am. ' B) Financial_r~.s_0urces to oover cost of salaries and other program expenses ~) B-~d~ke~eri$ pro0ess Purchase of Servioe and other billings. 5) Necessary office supphes to carrye_ Ut.program. 6) Computer ~(/{iipment and time to manage all information. Cost of program: $ 52,174 -20- -19- The The Arc of Johnson County 1700 First Avenue S. Suite 16 · Iowa City, IA 52240 · 351-5017 Providing services to persons with mental retardation and developmental disabilities. ·-'THE .ARC OF JOHXSON COl..'NTY BOARD OF DIRECTORS (1996-1997) President: Barb Nidey Vice Pres: O~ille Townsend Treasurer: Terr3' Johnson Secretan': Doug Thompson Board: Judi Bana Dr..Xhchael Martinez Melanie Alberts William Kurth .Mfini Haithcox ....... Sondra Kaska Judy Warth · Deb Noel"- -20- -23.- HUMAN SERVICE AGENCY BUDGET FORM City of Coralville Johnson County City of Iowa City United Way of Johnson County CHECK YOUR AGENCY'SBUDGETYEAR 1/1/97- --12/31/97 4/1/97~..3/_31/98 7/1/97- 6/30/98 Approved by Chair Board: Barbara C~ 10/1/97 - 9/30/98 Director: Barbara Curtin Agency Name: Big Brothers Big Sisters of Jo. Co. Address: 4265 Oak Crest Hill Rd. SE low[,/'""'.' Phone: 337-2145 Completed by: j 1. Big Brothers Big Sisters Match Program The focus of this program is on developing positive mentoring relationships between youth from single-parent households and adult volunteers. Professional casework staff screen, train and supervise all matches. Recent research demonstrates that this progra_m improves school, peer and family relationships for the youth involved. 2. Big Brothers Bi'~'SistersGroup Programs ' ' GAP ( Group Activity program) and YES ( Youth and Elderly tn Service) offer service to youth on the Big Brothers Big Sisters waiting list and youth in area Mobile Ho.m. _e._P._ar_k~,~ In each 9f these_prp.grams, youth are matched with a Univers~[y_ of Iowa student for a semester. YES is a collaborative effort with the Retired Seni6'[' V-o-iis~i{~r'i~r-~]:~r/i and the University of Iowa. GAP provides supervised small group activities-for youth during the after school hours and-during the summer. Local Ft~nding Summar~: United Way of Johnson County - - Does NOt Include Designgted Gvg. ' City of Iowa City Johnson County City of Coralville 4/1/95 - 4/1/96 - 4/1/97 - 3/31/96 3/31/97 3/31/98 19,250 19,900 FY96 FY97 33,075 33,600 15,532 15,998 3,300 3,300 % of Total Operating Budget $25,000 9.9 FY98 35,000 13.9 17,500 6.9 4,000 1.6 -22- ,.~,UDGET SUMMARY AGENCY: Et~ter Your Agency's Budget Year ==> 1. TOTAL OPERATING BUDGET (total a+b) a. Carryover Balance (Cash from line 3, previous column) b. Income (Cash) 2. TOT'AL EXPEiC, IDITURES (Total a+b) a. Administration b. Program Total (List Progs. Below) 1 i-Match Program 2. Group Programs GAP & YES 3 3. ENDING OPERATING BALANCE.(Subtract 1 - 2 ) 4. RESTRICTED FUND BALANCE (Total from page 7) 5. IN-Ird3iD SUPPORT (Total from Page 7) 6. NON-CASH ASSETS Big Brothers Big Sisters of Johnson County ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR FY'96 FY'97 FY'98 244,838 246,733 252,114 30,780 33,451 47,414 214,058 213,282 204,700 211,387 199,319 197,834 71,872 67,768 77,307 139,515 131,551 120,527 87,878 100,562 99,424 51,637 ** 30,989 21,103 51,637 578,597 47,414 II 54,280 44,309 18,000 590,169 601,972 Notes and Comments: * The ending balance is necessary to prevent cashflow problems and provide program continuity. ** The decrease in the Group Program budget is due to uncertainty in both DECAT and Juvenile Justice funding and the lack of funding from Iowa State University. Every effort is being made to secure additional funding for GAP. 2 -23 - AGENCY Big Brothers Big Sisters of Johnson County INCOME DETAIL 1. Local Funding Sources- a. Johnson County b. City of Iowa City c. United Way of Johnson County d. City of Coralville e, f. 2. Grants - State, Federal, Foundations ] a. Iowa State University grant b. State Crime Prevention Grant/ Johnson Co,DECAT match c. DECAT Grant d. State of IA Juvenile Justice Grant e. f. 3. Net Sales Of Services (sources) a. b. C. 4. Net Sales of Materials (sources) .[ a. b. C. 5. Contributions/Donations a. United Way Designated Giving b. Other Contributions 6. Special Events a. Iowa City Road Races b. Bowl For Kids' Sake C. 7. Interest Income 8. Other - List Below a. garage sale & quilt raffle b. C. TOTAL INCOME (same as p. 2, line Notes and Comments: ACTUAL LAST YEAR ! 71,320 15,532 33,075 19,413 3,300 THIS YEAR BUDGETED NON- PROGRAM PROJECTED NEXT YEAR DIRECTED 1 FUNDING 74,073] 81,5001 46,500I 35,0001 15,998 17,500 17,500 33,600 35,000 35,000 21,17! 25,000 25,000 3,300 4,000 4,000 51,637l 44,309] 18,0001 0 7,017 0 0 19,481 15,000 11,508 3,000 13,320 ol ol ol ol ol 19,000 25,620 ol ol ol 01 ol 8,823 [ 7,500 I 9,5001 9,500 I 6,896 6,000 8,000 8,000 80,646[ 86,000I 94,000[ 94,0001 2,975 4,000 4,000 4,000 77,671 82,000 90,000 90,000 PROGRAM 2 2951 4001 5001 500{ 1,3371 1,0001 1,2001 1,200 1,337 1,000 1,200 1,200 18,000 15,000 3,000 ol 0 214,058 213,282 204,700 151,700 35,000 18,000 -24- PROGRAM EXPENDITURE DETAIL AGENCY Big Brothers Big Sisters of Johnson County ACTUAL LAST YEAR 3alaries -" 2. Employee Benefits & Taxes 3. Staff Development 65 l 4. Professional Consultation 5. Publications & Subscriptions 6. Dues and Memberships 5,781 7. Mortgage, Rent and Property Tax 8. Building Maintenance 9. Equipment Purchase/Rental/Maint. 10. Utilities 11. Telephone 385 12. Office Supplies & Postage 2,127 13. Printing and Publicity 75 14. Local Transportation 1,610 15. Insurance 7,251 Audit 17. Interest 18. Other (Specify): 19. Sunshine Van Insurance 1,238 20. GAP Program 6,510 21. Bowl For Kids' Sake 11,113 22. Contributions & Gifts 175 23. Miscellaneous fund raising 96 24. Match Program Activities -' 3,405 25 TOTAL EXPENSES ( p. 2, line 2 Notes and Comments: 143;109 27,861 THIS YEAR BUDGETED ADMINISTRA- PROGRAM PROGRAM PROJECTED NEXT YEAR TION 1 2 129,542 127,411 40,326 74,560 12,525 26,527 26,973 18,631 5,914 2,428 2,000 2,000 500 1,000 500 5,500 6,000 1,500 4,000 500 500 600 100 400 100 2,500 3,000 1,500 1,000 500 250 350 300 50 1,600 2,000 250 1,250 500 7,500 7,800 1,000 6,800 1,200 1,200 5,950 3,000 12,250 13,000 250 250 250 250 3,500 4,000 13,000 250 250 200 4,000 1,000 3,000 211,387 199,319 197,834 77,307 99,424 21,103 -25- AGENCY Big Brothers Big Sisters of Johnson County RESTRICTED FUNDS: Restricted by: State of Iowa Juvenile Justice Iowa State University Johnson Co. DECAT Project - State of Iowa Juvenile Justice Restricted for: GAP Program GAP Program GAP Program Matching Junior High Girls TOTAL RESTRICTED-~uND (also shown page 2, line 4) ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR 19,000 7,017 25,620 19,481 15,000 11,508 13,320 3,000 51,637 44,3091 18,000 MATCHING GRANTS Grantor/Matched by State Crime' P{ev~tion Grant/Matched by Johnson Co. DECAT Match Funds 7,570 Match Funds 7,076 TOTAL MATCHING GRANTS IN-KIND SUPPORT DETAIL Services/Volunteers Material Goods Space, Utilities, etc. Other: (Please specify) ITOTAL IN-KIND SUPPORT (also shown on page 2, line 4) Notes and Comments: 532 volunteers @ $10hr/56,284hrs phone system/office machines office space Johnson Co. Extension office supplies 7,57~i "7,076 01 562,840 574,097 585,579 7,623 7,775 7,931 6,134 6,257 6,382 2,000 2,040 2,080 578,597 590,169[ 601,972 -26- SALARIED POSITIONS "X" those that apply Position ~ ~ ~ ~. Last *** Year Executive Director 31 X X 18% 1.00 CaseworkS upervisor 19 X X 21% 0.80 Caseworker 25 X X 21% 1.00 Caseworker* 13 X X 23% 1.00 GAPCoordinator** 19 X X 25% 1.00 GAP Program Assistant 1.00 Program Specialist AGENCY Big Brothers Big Sisters of Johnson County FTE* Salary This Next Actual This Budgeted % Year Year Last Year Year Next Year Change 1.00 1.00 38,527 40,068 41,270 3% 0.80 0.80 25,281 26,292 27,081 3% 1.00 1.00 25,275 26,286 27,075 3% 0.56 0.50 21,254 12,464 9,785 3%**** 0.91 0.75 18,768 17,432 .13,000 -25% 14,004 0.38 0.50 7,000 9,200 31% * In order to make the most efficient use of our staff, this position was reduced to half time and a Program Specialist position was created which allows one s~aff person to concentrate on routine follow-up. The Program Specialist is paid on an hourly basis. In FY'98 the position is increased to two people each working 10 hours a week ** Position is FT for 12 months FY'97 and FT 9 months for FY'98. -- *** % of benefits is based on projected FY'98 salaries ( IPERS, FICA, Insurance) Paid leave includes vacation & holidays. **** Personnel change from full-time to half time. % of change is increase in the half time salary from FY'97 to FY'98. TOTAL FTE's and SALARIES * Full-time equivalent: 1.0=full-time; 0.5=half-time; etc. 5.80 4.65 4.55 143,109 129,542 127,411, -2% -27- AGENCY Big Brothers Big Sisters of Johnson County ACCOUNTABILITY OUESTIONNAIRE Agency's Mission Statement The mission of Big Brothers Big Sisters of Johnsor~ County, a 4H and Youth program of Johnson County Extension Service, is to provide quality volunteer and professional services for youth, primarily those in a single - parent family, to assist them in achieving their highest potential as they grow to become responsible men and women. Board of Directors: 1. Please attach a list of your agency's Board of Directors: attached 2. Frequency of meetings: monthly 3. Briefly describe board orientation and ongoing training opportunities: Caseworkers and GAP staff attend the November Board meeting and share information about their positions and explain the program structure. A match is also invited to attend the meeting to allow Board members the opportunity to talk directly with someone in the program. A Board training session is conducted annually by the Big Brother Big Sister of America Field · representative. Finances: 1. If your agency charges a fee, describe your fee structure. There is no fee for our service. Does your agency have: internal audit Frequency annually external audit X financial review X Has your agency filed the Annual Report with the Secretary of State? NA because of our relationship with Extension Yes No X 4. Has your agency filed Form 990 with the IRS No X NA Extension relationship 5. Please discuss your agency's fundraising efforts, if applicable. Our major fund-raiser is Bowl For Kids' Sake which is held the last Saturday in February. Individuals form teams, gather pledges and bowl a free game on Community Day. Area bowling houses donate the use of the space and area businesses contribute prizes and contribute $100 or $200 to be Lane Sponsors. This has become a recognized community event and raises about 45% of our budget. We also participate in the Road Race but have not been able to generate a sizable amount from this event because it is the same'premise as Bowl For Kids' Sake and'people are reluctant to contribute in the same way twice. Management: 1. Does each professional staff have a written job description? Yes 2. Is the agency Director's performance evaluated at least yearly? Yes By Whom? Board president, Extension Director with input from staff and Board members -9.8- AGENCY Big Brothers Big Sisters of Johnson County Program/Services: Please define your agency's units of service :( Because there has been a change in our definition of a unit of service I have recalculated 1995 units to correspond to the current definition. We believe this definition better describes what our service is - the match between volunteer and child or the small group activity. ) Match Program A unit of service is a one hour Dne -to-one in person contact between a Big Brother Big Sister volunteer and their Little Brother or Little Sister. 24,752 units of direct service provided in FY'96 - cost per unit = $3.55 GrouI~ Programs A unit of service is a one hour in person contact between a GAP volunteer or a GAP staff person and a child in a small group setting. 33,840 units of direct service provided in FY'96 - cost per unit = $1.52 1. How many Johnson County residents (including Iowa City and Coralville) did your agency serve 2. How many Iowa City residents did your agency serve? 3. How many Coralville residents did your agency serve? 4. How many units of service did your agency provide? Enter Years- 1995 1996 la. Duplicated count 777 770 lb. Unduplicated count 642 532 2a. Duplicated count 443 439 2b. Unduplicated count 366 '303 3a. Duplicated count 148 146 3b. Unduplicated count 122 101 4a. Total 59,128 58,592 4b. To Johnson County 59,128 58,592 Residents 5. Other areas served: Do you provide services outside of Johnson County? NO -29- Agency: Big Brothers Big Sisters of Johnson County e _Age 0-5 6- 17 18 r29 30 - 61 62 - 75 75+ Client Profile 619 calendar year 1995 ,Gender M 275 F 344 '~ Ethnicity African American 53 Native American 5 Asian 43 Hispanic 8 White 481 Multi-racial 29 7. Evaluation and Review: A. Please discuss how your agency measures the success of its programs. 1o Evaluation forms are used at all parent and volunteer training sessions. 2. An annual in person evaluation is conducted by the caseworker with the parent, child and volunteer to assess progress toward match goals. 3. Program committe of the Board conducts an annual review of caseworker's files and caseworkers conduct quarterly peer review of files. 4. Every five years Big Brothers Big Sisters of America conducts a two day on site evaluation of the program. B. Does your agency have performance objectives? (provide examples) 1. Provide prevention activities in group and one-to-one settings to youth in critical need rural trailer parks. Expected outcome: 100 youth participating with ~ '80% report'ing increases in self esteem and school attendance. 2. Increase positive ratio of new matches to closures to 5%. Expected outcome: 92 new matches generated from 263 volunteer inquiries. C.What plans does your agency have to increase efficiency and effectiveness? 1. Creation of Specialist positions on a part-time basis to allow caseworkers to concentrate on making matches and facilitating problems. 2. Utilize volunteers for routine office tasks. 3. Continue collaborating with other agencies to provide joint programming · ' sharing of resources'and joint :grant proposals. 8. In what ways will the needs of your service population change in the next five years: Our service population will increase in size over the next five years because the number of single parent families continues to rise rapidly. Big Brothers Big Sisters of Johnson County has a 20 year history of successful mentoting programs for youth from single parent families. We will continue to expand our programming to meet the new demands. -30- Agency: Bi~ Brothers Big Sisters of Johnson County 9. Please discuss any other problems or factors relevant to your agency's programs, funding or service delivery. Reduction in DECAT funds, the lack of funding from Iowa State University and the pos~il~ility of less or no Juvenile Justice money have put the GAP program at risk. -Tr.he. responses to the GAP program.h?ve ,alw, lays been very positive and we will-do:everything that we can to secure funds to C'ontinue it. i0, ,List complaints about your services of which you-are aware: The area of the complaints has not changed ove~ the years.' It is that there is a W~6_t. ing list and that boys wait 6 months to a year.to be matched. While GAP has ~e_,qreas.ed.this complaint considerably it has not ~liminated'it entirely. 11'; Do you have a waiting list or have you had to turn people away for lack of ab_i!it?_ tO serve them? What measures do,you feel can be taken to resolve this problem. YdS~'~'e h~/ve a waiting list of children for the:{~a~C'~i'program. We do not have a waiting list for the Group programs. Childr~'6h. the Waitinglist aide eligible for 'G.~..~,'ia~fid YES and are referred to other appropriate short term programs while t'h~X ,xealt to be matched. Changes in our staffiff~'V¢'ill allow caseworkers time to assis'f'mi~in-recruitingvolunteers. Board members arealso going to reorganize a Sp~"~t(ers bureau to hell? with volunteer recruitment. ,~::i How-many people are currently 0~ y~ur waiting-list? 62 12;-In what way(s) are your agency's serwci~s p~lfhclzed? 1, Newsletter ......... z · 2. New~xeleases to all media ' '~ -- 3. Speaking engagements to churches, service clubs, schools etc. 4. Posters, booths at local fairs, participation in United Way Speakers Bureau. 5. Participation in radio and TV local talk shows 13. United Way involvement by your agency: ( Check if agency participates) a. Agency Directors Meeting X b. Agency Representative to Funding Hearings X c. BusinessBlitz X d. Day of Caring X e. Executive Development Seminars f. Kick Off X g. Victory Reception X h. Volunteer Action Center X I. Other United Way Guidelines Committee, United Way Speakers Bureau for United Way Campaign 10 -31- AGENCY HISTORY AGENCY Big Brothers Big Sisters of Johnson County Big Brothers Big Sisters of Johnson County has been offering service to single-parent families for twenty years. Our program benefits from a rich history of successful programming from Big Brothers Big Sisters of America and from 4H. In 1975, Johnson County Extension made two important decisions regarding youth programming: 1) to include Big Brothers Big Sisters as a Youth program of Johnson County Extension providing office space, equipment and supplies for the program and 2) to begin the process to affiliate with the Big Brothers Big Sisters of America. Both of these decisions have influenced the growth of the program in positive ways. The in-kind support provided by Johnson County Extension allows us to use our resources to serve more children and Big brothers Big Sisters of America provides us with a wealth of research data, new programming ideas, fund-raising possibilities, a uniform set of standards and procedures and training opportunities. Providing one-to- one matches remains the core of our program and professional caseworkers screen, train and supervise adult volunteers who work directly with the youth. In order to maximize our resources we have created a new position, Program Specialist, which allows one person to do the routine follow-up with matches and the caseworkers to concentrate on making new matches and facilitating problems. This position is more cost effective than hiring-a FT caseworker and still allows for program growth. We re~ilized that some prospective volunteers could not make the time commitment for a match, particularly University students, but still had much to offer the youth at risk. In 1988 we organized the current GAP ( Group Activity Program) on a semester basis and targeted University of Iowa students as volunteers. The progmrrf has grown from 35 youth served to 470 youth served. Collaboration with other agencies has allowed us to access grants from the State of Iowa, Johnson County DECAT and Iowa State University to expand the program. The focus of the expansion has been rural Mobile Home Parks where there is little other supervised programming. The response to GAP has been very positive from parents, volunteers and youth. GAP is a unique program because of the combination of small groups, one~to~one matches and accessibility. The Crime Prevention Grant is in its third year and' funding remains uncertain for FY'98, All of the agencies involved with the grant are working together to find additional sources of funding. Our quarterly grant reports demonstrate the positive impact the programs are having on this community and we are committed to continuing them. Unfortunately, Johnson County DECAT funds are also shrinking and our need for new funding is acute. We will continue to work with Johnson County Extension Service to maintain our mutually beneficial relationship and continue to collaborate with other youth agencies to better serve our clients. While it is true that funding problems exist and require considerable attention, we remain excited and energized about the ....... positiye, hanges that our program makes in the lives of ~hildren. Our volunteers make a BIG difference in the lives of children. 11 -32- AGENCY Big Brothers Big Sisters of Johnson County Goals and Objectives FY'98 To help youth from single-parent families in Johnson County who are at least 6 years of age increase their self esteem and develop positive responses to life's challenges. Match Program Objective A: Tasks: Provide volunteer mentors for 236 youth from single-parent families in Johnson County. 1. Generate at least 263 new volunteer inquiries during the year through speaking engagements, publicity in local media and focused recruiting at businesses. This will allow us to increase our active matches to 165 with a projected closure rate of 30%. 2. Offer volunteer training sessions monthly at the agency and quarterly at selected sites throughout the community 3. Match 92 new volunteers during FY'98 4. Offer Parent Child orientation sessions on a quarterly basis to 18 parents and children 5. Work with the school based Family Service centers and school counselors to recruit.20 girls to be matched Objective B. ProVide supervision for 165 active matches Tasks: 1. Increase Program Specialist hours to 20 hours ( two 10 hour positions) 2. Maintain a casework staff of 2.3 FTE 3. Provide at least two training opportunities for staff during FY'98 4. Initiatea system of peer review of case files on a quarterly basis 5. Provide weekly' s(aff meetings to facilitate problems and review volunteers and youth in process Resources needed for the Match Program: I. 2.3 FTE Caseworkers, 2 Program Specialists @ 20hrs week, plus 10% of the Director's time 2. Desks, Chairs, file cabinets and shelves (4 of each), one' computer 3. telephone, fax, voice mail, copier 4. Office supplies Cost of-the Match Program: $100, 562 in FY'97 $99,424 in FY'98 12 Agency Bi'g Brothers Big Sisters of Johnson County Group Programs Goal 2: To provide positive opportunities for learning for youth ages 6 -12 who live in single-parent families in Johnson County Objective A: To offer after school supervised educaiional and recreational GAP ( Group Activity Programs) for 75 youth each semester during the school year. Tasks.: 1~ Rec-r~i'i, screen, train and match with one to two youth at least 50 GAP volunteers each semester 2. Identify at least 6 GAP sites in the community for "Kids Workshops" 3. Design "Kids Workshops" for each week 4. Publicize the GAP program in all local media 5. Explore all grant possibilities for future funding for GAP _ 6. Identify appropriate youth for GAP Objective B: Provide a Leader In Training opportunity for two youth each semester. · - Tasks: 1. Work with Mayor's Youth Employment Program to fund the Leaders In Training component 2. Recruit and screen applicants for Leader In Training Positions -'3. Coordinate-with other programs providing youth leadership experiences Objective C: Continue to work with the University of Iowa and the Retired Senior Volunteer ........... Prisgram in the YES Program ( Youth and Elderly in Service) Tasks: 1. Encourage volunteer participation in YES through class speaking engagements and flyers ....... 2.-Match'at-least.:10 Big Brother Big Sister you'~.h-witha senior and a student 3, Participate in screening all volunteers ~ 4. Identify youth appropriate for the program Resources for Grouo ProRrams: 1. One FT Coordinator for nine months f6r school year programming 2. desk, chair, file cabinet, shelves 3. reference materials and supplies for "Kid's Workshops 4. computer ,, 5. telephone, copier, fax, voice mail 6. office supplies Cost of Grouo Pro~rams $30,989 for FY'97 $21,103 for FY'98 -36- 13 Big Brother First Name Peg Ross Gary Bob Glen Dan Vickie Diann Jean John ....... Sandra ............ Edgardo - .......... = ~.~.~avid .. ..... John .... Sheri ..... Dick ' - - Jenny Melodie Updated 9/96 Big Sister Last Name Carsten,sen DeValois Fabian Freeman Goodfellow Gullikson Hat'bit Jackson Jehle Knepper Koza Lawrence Ring Rust Schneider Swartzendrubcr Tobias VanDerWeide Warth Board of Directors Employer Mid America Securities Greenwood & Calm UI Community Credii Union ' .C. soodfellow Printing ACT Procter & Gamble First National Bank UICCU Iowa State B _ank Horace 'Mann School ACT Tanager Place NCS UI H0gpitalS'i~. Clinics Hawkeye Food Systems Youth Homes UI Hospitals & Clinics 14 HUMAN SERVICE AGENCY BUDGET FORM City of Coralville Johnson County City of Iowa City United Way of Johnson County CHECK YOUR AGENCY'S BUDGET YEAR 10/1/9 7 - Director: Ellen McCabe -- Agency Name: Crisis Center Address: 321 E. First Street Phone: 351-2726 Completed by: Ellen McCabe Approved by Board Chair~/~/ on August 21, 1996 9130/9 8 (date) COVER PAGE Program Summary: (Please number programs to correspond to Income & Expense Detail, i.e. Program 1, 2, 3, etc.) 1: Crisis [nterve~tio~ Crisis Counseling Suicide-Prevention, Intervention and Postvention Information and Referral C~,tLunity Education and Outreach 2: Food Bank - ~nergency and supplemental food assistance - for Johnson County residents ......... a.. Services for Transients · b o Clothing Assistance c. Information and Referral ..... dl Trinity.Fund, Food Chain Assistance, etc. . _e,_. Help-At, Hand/Case Management f o Miscellaneous/Special Services Local Funding Summary: United Way of Johnson County -- Does Not Include Designated Gvg. City of Iowa City Johnson County City of Coralville 4/1/95 - 411/96 - 3/31/96 3/31197 55,951 $ 56,601 FY96 FY97 31,200 $ 33,000 53,560 $ 55,167 2,700 $ 2,900 4/1/97 - 3/31/98 64,800 FY98 $ 37,500 9. 62,000 $ 5,000 % of Total Budget 16.4% 9.5% 15.7% 1.3% -36- ol- AGENCY Crisis Center BUDGET SUMMARY ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR Enter Your Agenc¥'s Budget Year 1. TOTAL OPERATING' BUDGET (Total a + b) FY96 FY97 FY98 373,017 374,860 394,008 a.' Carryover Balance {Cash from line 3, previous column) b. Income (Cash) 72,472 88,042(2) 76,584 300,545(1) 286,818 317,424 TOTAL EXPENDITURES (Total a + b) a, Non-directed funding b, Program total (List Programs below) 1. Crisis Intervention 2. Food Bank 3. E~ergency A~sistance 4. o 284,975 298,276 317,896 48,446 50,707 54,311 236,529 247,569 263,585 82,643 86,500 92,271 108,290 113,345 121,016 45,596 47,724 50,298 3. ENDING OPERATING BALANCE (Subtract 2 - 1) 4. RESTRICTED FUND BALANCE (Total from page 7) 5. IN-KIND SUPPORT (Total from page 7) 6. NON-CASH ASSETS 75,508 76,775 78,730 733,000 753,000 773,000 144,287 158,716 174,588 Notes and Comments: 1. Includes 25thAnniversary services provided in FY95 2. Includes 25th Anniversary FY96 Ending Balance: 545.00 .............. 2,186.00 1,500.00 3,336.00 11,089.00 24,951.00 44,435.00 gifts and $8,798 reimburs~aent for Flood Aftermath gifts Memorials On Call/All Night~ Line Self'Insurance Health Fund Food Bank/Transient Transportation/Special Services Friends of the Crisis Center-Building and Equi~ent fund Operations Future Building Fund 88,042.00 -2- -37- -38- AGENCY Crisis Center INCOME DETAIL ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR 1. Local Funding Sources a, Johnson County b. City of Iowa City .... c.United Wa{t d.' 'City of Coraiville , e. Area .~u.~ches, f. UT Student Senate 2, Grants · State. Federal. Foundations c. T~get d. '~'."of H~ - Fi~ 3. Net S~les ~ ~e~vic,~ c. 4. Net Sales of ~atefia~ C. 5. Contri~tions;Donati6ns a. United Wa~ DeSigna~ Giv/n~ b, . Other Contributions - 6.., Special Event~; a. Iowa City Road ~ces c. ~d 7. Interest Income 8. Other - kjst Belpw Including Miscellaneous b. Memorials c. TOTAL INCDME Isbown also on pai;e 2, line tb) Notes and Comments: I~",~ I~o,~ I~,~oo 53,560 55,16.7 62,000 31,200 33,000 37,500 56,113 58,651 66,000 2,700 2,900 5,000 15,700 17,550(1) 16,000 5,559 3,400 6,000(2) 28,782 I 19,900 119,000 J 14,000 14,000 15,000 4,484 4,400 4 ~ 000 1,500 1,500 -0-(3) 8,79~4~. 0 0 ol ol ol NON- DIRECTED FUNDING 125,070 6,200 3,750 13,020 5OO 1,600 PROGRAM 1 63,775 21,700 13,125 18,000 1,750 3,200 6,000 J.15,000 15,000 PROGRAM-k- 2 67,675 21,700 13,125 23,100 1,750 8,000 3,600. 3,600 I o I o I °l ° I ol olol 147,'339 147,000 I 49,124 I 8,'512 4,874(5) 4,000 4,000 42,465 43,000 45,124 8,512 154,273 144,750 151,800 116,050 1,626 i,800 1,800 1,800 26,939 21,975(6) 25,000 6,750 I a,~2I 2,~00 I 2,s00I 2,s00 I 2,197 I 2,000 I 2,500 I 2,000 1,982 1,800 2,000 2,000 215 200 500 I 6,025 I 29,074 1,000 2,000 5,025 27 ,.074 · .I 7,750 I 19,500 3,250 4,500. I .. 25ol 10,000 9,500 25O 250 250 I300'545 I 286,818 1317,424 154,132 I 92,800 1120,0~ INCOME DETAIL PROGRAM (continued) 3 1. Local Fundino Sources I 35,980 a. Johnson County ,12,400 b. City of Iowa City 7,500 c.'United Way '11,880 d. ' City of Coralville 'l, 000 e. Area' '~hur~hes 3,200 i'. .....UI Student Senate 2. Grants. State, Federa, Foundat OhS a. Mental Health Center '1~. Ff~A 400 c. Target " d: ' De~c..-' of Health - Flood 3. '-Net Sales of Services I 0 a, b. C, 4. 'Net Saies of Materials I 0 a. c. 5. Contributions/Donations a. United Wav Desillnated GivincI 1,000 b. ' Other Contributions 4,513 6. Special Events - List Below I 8,500 a. Iowa City Road Races b. Mail Campaign 5,000 c. Fund Raising 3,500 7. Interest Income 8. Other · List Be ow IncludinQ Miscellaneous a. Re~ & 1~ ~ b. Memorials C. TOTAL INCOME (shown also on parle 2, line lb) Notes and Comments: AGENCY Crisis Center PROGRAM PROGRAM PROGRAM PROGRAM PROGRAM 4 5 6 7 8 o I o I o I o I o o I ° I o I o I o I o' I o I o I o I o I o I o -4- I o I o I o I o J o J o I o I o I o I o I o I o -39- AGENCY Crisis Center PROGRAM EXPENDITURE DETAIL 2. 3. 4. 5. 6. 7. 6. 6. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. Salaries Employee Benefits and Taxes Staff Development/Vole Reco~iti~ 'Professional Consultation " Publications and Subscriptions B~em~M~ Vol. Training Mortgage, Rent, and Property Tax Building and Maintenance Equipment Purchase/Rental Maintenance Utilities Telephone ~c~ceS/~am_~r~ng Office Supplies and Postage Printing and Publicity Local Transportation Insurance Audit .- ~ Fund Raising Call/All Night Other {Specify): On ' Line Food Transient Transportation Special Services' MLscellaneous/Contingency TOTAL EXPENSES (shown also on page 2, line 2j Notes and Comments: ACTUAL THIS YEAR BUDGETED NON. PROGRAM PROGRAI~~ LAST YEAR PROJECTED NEXT YEAR DIRECTED 1 2 FY96 FY97 FY98 FUNDING CT FB 120,398 126,249 138,423 33,407 47~594 38,422 26,972 34,979(1) 32,442 8,111 11,030 9,084 6,067 6,300 7,050 275 3,388 2,032 1,381 1,300 2,722 2,600 3,630 3,800 4,340 4,000 8,425 5,000 5,253 5,400 11,271 11,550 4,525 4,500 11,795(2) 8,600 1,400 1,400 6,477 7,025 2,445 2,550 5,914(2) 5,200 5,695 6,323 42,616 45,000 9,098 9,500 4,551 5,000 0 2,'000 1,300 130 910 195 2,900 1,885 725 4,300 3,225 5,000 500 1,500 2,000 5,500 1,375 2,750 5,600 560 1,680 2,800 12,700 635 6,350 3,810 4,550 455 1,820 1,820 9,350 468 4,208 4,208 1,600 160 480 880~, 7,550 1,510 3,020 2~26L 2,700 2,700 5,400 5,400 6,531 6,531 48,000 45,600 9,700 ''5,300 2,000 500 1,200 284,975 298,276 317,896 54,311 92,271 121,016 1. Increase includes addition of retirement k~nefit 2o Includes expenses related to 25th Anniversary for permanent staff -40- -5- Crisis Center AGENCY PROGRAM EXPENDITURE DETAIL PROGRAM (continued) 3 ~ 1. Salaries 19,000 2. Employee Benefits and Taxes 4,217 3. Staff Development/Vol. R=m:3niticn 1,355 4. Professional Consultation 5. Publications and Subscriptions 65 6. Dues. m~/Ismber~d~ps Vol. Trainin9 290 7. Mortgage, Rent and Property Tax 1,075 8. Building Maintenance 1,000 9. Equipment Purchase/Rental Maintenance 1,375 10. Utilities 560 11. Telephone, lnq ~-rvlce 2am-8am 1,905 12. Office Supplies and Postage 455 13. Printing and Publicity 466 14. Local Transportation 80 ,5. Insurance 755 16. Audit 17. '~,,,~e~ee~ Fund Raising 18. Other (Specify): Niqht Line 19. Food 2,400 20. Transient Transportation 9,700 21. Special Services ..... 5,300 22. Miscellaneous 300 24. 25. TOTAL EXPENSES (Show also on page 2, line 2b) Notes and Comments: 50,298 PROGRAM 4 PROGRAM 5 PROGRAM 6 PROGRAM 7 PROGRAM 8 -41- AGENCY Crisis Center RESTRICTED FUNDS: ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR Restricted by: FEMA Comm. Mental Health Ctr. Crisis Center Board Crisis Center Board Restricted for: Emergency Food Emergency Services Health Insurance Building Maint. and Equipment Crisis Center Board Future Building Fund ]ITOTA~'i~ES;R.i"C~E;iFUND (also shown page 2, line 4) FY96 FY97 FY98 4,484 4,400 4,000 14,000 14,000 15,000 1,500 1,500 1,500 1 !,089 11,089 11,089 44,435 45,786 47,141 75,5081 76,775 I 78,730[ MATCHING GRANTS Grantor/Matched by NA .... :-.:-~ ITOTAL MATCHING GRANTS (also shown pg. 3, line 2) IN-KIND SUPPORT DETAIL ' Services/Volunteers - 55,000 volunteer hours @ $10.00/hour Material Goods - food, clothing, diapers, bus tickets, etc. Space, Utilities, etc. - donated training and storage space Other - supplies, equipment, fund raising support, etc. ITOTAL IN-KIND SUPPORT (also shown on page 2, line 4) Notes and Comments: 550,000 175,000 3,000 5,000 733,000[ 560,000 185,000 3,000 5,000 · 753,0001 570,000 195,000 3,000 5,000 773,000 -42- -7- AG£NC¥ Crisis Center .LARIED POSITIONS Paid Position Lye Director 42 Coordinator 42 CI Supervisor 42 FB/EA Supervisor 42 Office Manager 42 ~saistant Supervisor* 0 ACTUAL THIS YEAR BUDGETED % LAST PROJECT. NEXT CHANGE "X" all that apply FTE' YEAR ED YEAR Health Retire % Last This Next Ins Plan Benefits Year Year Year FY96 FY97 FY98 X ~ 18% 1 i 1 36,389 38,751 40,301 4% X X 19% 1 1 1 28,227 29,484 30,663 4% X X 23% 1 1 1 20,167 20,974 21,813 4% X X 24% 1 1 1 18,107 18,832 19,585 4% X X 24% 1 1 1 17,508 18,208 18,937 4% 8% 0 0 1 0 0 7,124 100% Total Salaries & F-rE 5 5 6 .120,398 126,249 138,423 +9.64%* -~°Full-time equivalent: 1.0 - full.time; 0.5 - half.time; etc. * Assistant Supervisor position will b=- filled by four part-time Work Study students. Crisis Center will pay $3.43/hour of the proposed $7.00/hour salary. The Center has not added a permanent staff position in more than 10 years. ** Existing staff will receive a 4% increase. -8- -43- AGENCY: Crisis Center ACCOUNTABILITY QUESTIONNAIRE A. Agency's Mission Statement or Pdmary Purpose: Mission Statement: The Crisis Center exists to provide basic emotional and material support through trained volunteers and staff in an accessible, non- judgmental0 and caring environment. B. Board of Directors: 1. Please attach a list of your agency's Board of Directors 2. Frequency of meetings: Nonthl¥ 3. Briefly describe board orientation and ongoing training opportunities: The comprehensive board orientation program includes activities such as on-site observations of services and matching new members with a mentor. The Crisis Center's Board is cc~mitted to ongoing develoFment. The group includes develop- ment activities in monthly meetings (videos, performance evaluation. s for board CC~l~ittees, .~eviewing code of ethics, etc. ) C. Finances: · 1. If your agency charges a fee for services, describe your fee structure. Not applicable Does your agency have an intemal audit, ext~'~"~audit or a financial review? '"'l'* '~ : . (circle one) --Frequency Annually '' Has your agency filed the Annual Report with the Secretary of State? Yes x No Has your agency filed Form 990 with the IRS?"Yes x No 5.. Please' discuss your agency's fundraising efforts, if applicable. . (e.g. events, direct mail campaign, planned giving, etc.) The Crisis Center staff, Board, and volunteers condu~ an annual mail campaign and Crisis Center Week. We encourage donations to help pay for Project Holiday food expenses. We apply for grants and cultivate relationships with potential and previous donors, and publicize the need for food, clothing, and financial contributions. D. Management: 1. Does each professional staff have a wdtten job description? Yes x No 2. Is the agxency Director's performance evaluated at least yearly? Yes No By VVhom? 9oa~d of Directors -44- 9 AGENCY Crisis Center · .Program/Services: Please define your agency's units of service (service definition, length of time, cost per unit of service, number of units provide, direct or indirect.) 1 unit = 1 person receiving assistance (e.g. 4 people in household receiving food = 4 units of service) Length of time ranges from a brief phone contact to several hours of intense problem solving. Cost per unit of service: Crisis Intervention - $7.11 per unit (plus donated 24 hour volunteer coverage) .. Food Bank/Emergency Assistance - $2.88 per unit (plus donated 24 hour volunteer coverage, food, clothing, diapers) Please supply information about clients served by your agency during the last two complete budget years. 1. How many Johnson County residents (including Iowa City and Coralville) did your agency serve? Enter Years- FY95 FY96 la. Duplicated count - 60,799 54,769(a) lb. Unduplicated count 16,466 17,892 2. How many Iowa City residents did your 2at. Duplicated count (b) (b) agency serve? ' ' : 2b. Unduplicated count (b) (b,c) 3. How many Coralville residents did your a$~ency serve? 3a. Duplicated count. "(b) ' (b) 3b. Unduplicated count (b) (b,d) 4. How many units of service did your agency pr0yide? 4a. Total 73,298 65,032(a) 4b. To Johnson 72,775 63,898(a) County Residents (a) Decrease reflects the end of the Flood Aftermath Services Program. (b) Due to the nature of telephone contact, it is impossible to know which area of the county clients are from. In addition, specific Johnson County resident data is not recorded after initial walk-in contact. (c) We served 1,022 Unduplicated Iowa City households in Food Bank/Emergency Assistance. (d) We served 313 Unduplicated Coralville households in Food Bank/Emergency Assistance. 5. Other Areas served: Do you provide services to areas outside of Johnson County? No* Area(s) served: Services Provided: *We provide services for Transients that are stranded in Johnson County. information and referral, transportation assisiance. ready-to-eat food. diapers. etc. Funding Sources: 10 AGENCY Crisis Center 6. Client Profile (for last complete year, if available): Age I[ Gender 0 - 5 692 Female 60% 6- 17~ 1,284 Male 40% 18 - 63 10,874 63+ 193 Ethnicity Caucasian/N0n:Hispanic 83% (a) Non-Caucasian 17% (a) a. Food Bank and Emergency Assistance clients 0nly. Evaluation and Review: Please discuss how your agency measures the success of its programs. We survey clients, funders, volunteers, and other human service agencies. We evaluate our progress on goals and objectives. We receive calls and letters from people who have been served. We monitor the level of support that we receive from the community (volunteers, in-kind donations, and financial contributions). B. Does your agency have performance objectives? (give several examples.) The Crisis Center has annual and five year goals and objectives. Annual performance objectives are on pages 14-20. __What plans does your agency have to increase efficiency and effectiveness? The Crisis Center Board, staff, and volunteers completed a five year plan in September, 1996. The group identified 76 critical issues that could affect the Center during the next five years. The groups selected 40 goals and developed 58 objectives to be addressed to improve the ability of the agency to meet the growing need in Johnson County. The plan will be formally reviewed and updated by the Board and staff every six months. · We will continue to pay close attention to the feedback from formal surveys of clients, volunteers,. and other service providers in the community,.and implement necessary changes and improvements. Our current facility is not adequate to meet the growing needs in the community and we have begun to take steps to secure a larger facility. o In what ways will the needs of your service population change in the next five years: We predict that we will experience a 100% increase in services in the next five years. Welfare reform and managed mental health care will magnify the Crisis Center's role as the safety net in Johnson County. We believe that the needs of the people that come to us for help will increase in number and in complexity. We believe that feelings of desperation will become more common among those we serve. 11 o AGENCY Crisis Center Please discuss any other problems or factors relevant to your agency's programs, funding or service delivery: We need more trained volun'teers to work with the Help-At-Hand program to provide intensive services for people straggling with poverty. The amount of food that we provide is limited by donations and financial support. We are very concerned about the physical safety of the volunteers and staff and have taken steps to decrease the risk of physical harm. Our current location is not large enough to provide the highest quality services possible. 10. .. List complaints about your services of whioh you are aware: -People would like more food, fresh milk, moref~esh ·meat, etc. -Transients often request cash and/or assistance further than the next largest city. -,...-..Local residents would like to receive gasoline, help with rent/utilities/deposits. -Callers can receive busy signals if we have more phone lines than volunteers on the Crisis Lines - there are three lines but we do not always have three volunteers. 11. 12. 13. Do you have a waiting list or have you had to turn people away for lack of ability to service them? What measures do you feel can be taken to resolve this problem: No, we do not have a waiting list. However, the amount of material assistance that we provide is dependent upon the level of financial support and donated goods that we receive. We work hard-to generate donations and financial support so that we can help meet the needs in our community. If we do not provide .-~'servic~ that is.requested, we brainstorm aitematives, provide information and refe. rml~.p.ave.the way by contacting other agencies, etc. How many people are currently on your waiting list? ' ;'.. .v.t::~ ' --..In what way(s) are your agency's services publicized? Answering Machines Law Enforcement,Officials; Brochures Newsletters Church bulletins Other agencies ~fisis Genter Week Press Releases - Radio, TV, Di~play~.(businesses, etc.) Newspapers, etc. F 'ood Drives (Scouts, Posters Postal Workers, etc.) Project Holiday Human Services Directories Public Service Announcements Information Booths Speaking engagements United way involvement by your agency: ("X" if agency 0 United Way Membership UI Counseling Service Vol. Action Network White Pages Word of Mouth Yellow Pages Internet Inter-agency meetings participates) g. h. i. Agency Directors Meetings Agencies Representative to Funding Hearings Business Blitz Day of Caring · Executive Development Seminars Kick Off X Victory Reception X Volunteer Action Center X Other Alternate Agency Representative to X UW Board, agency tours and presentations during campaign X (92-95) X X X 12 -47- AGENCY Crisis Center AGENCY HISTORY (Using one page ONLY, please summarize the history of your agency, emphasizing Johnson County, telling of your purpose and goals, past and current activities and future plans. Please update annually.) The Crisis Center responds to challenges - immediately, effectively, and compassionately - as it has since its establishment in 1970. Broad community support, financial and other, has made this possible in the past; continued support will make it possible in the future. The Crisis Center's entire history, and we are observing our 27th anniversary this year, has been a record of responding to community needs. Telephone ~'hotline" counseling and suicide prevention began for a few evening hours in 1970, and this service remains the foundation of the Crisis Intervention Program. Walk-in Counseling was added in 1972, and the Center was first able to offer 24-hour counseling in 1976. In addition to other Intervention Program services, the Crisis Center and its Volunteers serve as the after hours contact for the Community Mental Health Center, as well as for the University of Iowa Counseling Service. The Food Bank began with a food pantry in 1978, three years after the Center initiated transient services for stranded families and individuals. The Food Bank/Emergency Assistance Program was expanded in 1983 to include a free clothing program with the cooperation of Goodwill Industries. In 1991, in response to community requests, the Center began distributing emergency diapers. To assist people straggling with poverty to work towards self-sufficiency, the Help-At-Hand Program was developed in 1992. The Program encourages Food Bank clients to establish goals and enhance skills in such areas as budgeting, job hunting, and interviewing. ~'he Flood Aftermath Services Program was established in ,!993.to offer a variety of support services, material and emotional, to those directly affected. The Flood Aftermath Services Program ended in 1995 after assisting hundreds of area families. The Crisis Center depends upon approximately 150 volunteers to provide direct services to clients; replacing them with paid employees would require more than 14 additional full-time staff members. Three .intensive training courses for new volunteers are conducted each year. A full-time professional staff of five coordinate the work of volunteers. A 501 (c) (3) non-profit agency, the Crisis Center is governed by a corporation made up of all volunteers; the Board of Directors is made up of eight community members and seven active volunteers. The Board actively engages in long-range planning and has established a building fund to prepare to meet future demands. The Board has increased fund-raising efforts in recent years and has been successful in increasing contributions. In September I996,~V01unteers, Board members, and professional staff members completed work on a long-range plan, estimating demands for services over the next five years and outlining plans to meet those demands. Areas such as funding, facilities, personnel, and services were considered; the plan will be reviewed and updated on a regular basis. -68- 13 AGENCY Crisis Center AGENCY PROGRAM GOALS AND OBJECTIVES (several pages are provided, please add any additional pages you may need with your agency name as a header) CRISIS INTERVENTION SERVICES GOAL: Provide free, immediate, anonymous, and confidential crisis and suicide intervention, and information and referral, to anyone in Johnson County. Objective A: In FY98, provide crisis intervention counseling to 7,000 people through 24-hour telephone service and walk-in service from 11 a.m. to 11 p.m. every day. Tasks: 1. 2. 3. 4. 5. 6. 7. 8. 11. 12. 13. 14. 15. Objective Tasks: 1. Maintain 24--hour telephone service every day. Offer walk-in service from 11 a.m. to 11 p.m. every day. Recruit, screen, and train new volunteers at least three times a year. Increase volunteer pool to maintain 150 Crisis Intervention volunteers. Recruit trainers to assist with training sessions, Schedule volunteers for all shifts. Provide supervision and feedback to volunteers. Develop a monthly agency newsletter to promote interagency communication and volunteer retention. Provide monthly in-service training sessions for volunteers and staff, Maintain emergency On-Call team available 24 hours every day to handle emergencies and to provide support for volunteers. Provide case management services for regular clients. Record client contacts and compile statistical information into reports. Maintain liaison with Mid-Eastern Iowa Community Mental Health-Center and other agencies that provide mental health services. Maintain liaison with answering service to insure calls are transferred correctly from 11 p.m. to 8 a.m. '. · - Advertise available counseling services. B: In FY98, provide information and referral to 4,000 people on the crisis lines. Find information from the local, regional, and national level to update the computerized referral resource program.. Maintain information on a wide-variety of subjects, services, agencies, etc. Train volunteers and staff to use and update the computer system. Sponsor an annual Agency Fair to increase volunteer understanding of the services available for clients in the community. · Objective C: In FY98, provide suicide intervention to 300 people through 24-hour phone service and walk-in services from 11 a.m. to 11 p.m. every day. Tasks: 1. Maintain 24-hour phone service and walk-in service from 11 a.m. to 11 p.m. every day. ~"~ '~ Provide specialized suicide training to all Crisis Intervention volunteers, staff, and Call team. (continued) 14 -49- AGENCY Crisis Center Objective Provide suicide intervention and information to suicidal clients and concerned others. Advertise available intervention services. Maintain relationships with Community Mental Health, Poison Control, emergency rooms, law enforcement agencies, and other organizations that provide services to clients who are at high risk of suicide. D: In FY98, provide suicide postvention services for 70 people. Tasks: 1. 2. 3. 4. 5. 6. Provide suicide support groups for people who have lost someone to suicide. Provide support for those concerned about a suicidal person. Provide support for people who have attempted suicide. Recruit and wain Crisis Intervention volunteers to provide postvention services. Advertise available postvention services. Maintain liaison with funeral homes, hospitals, and other groups who come in contact with people who would benefit from postvention services. Objective E: In FY98, provide suicide prevention services to 20 area school groups, other agencies, etc. ' Tasks: 1. 2. 3. 4. Recruit and train volunteers to assist with presentations. Provide suicide education to students, staff, and administrators in the schools. Provide other agencies with suicide education. Maintain a library of current information on suicide. '~. Objective F: In FY98, provide community education and outreach through training sessions, presentatitfis; and other special events to more than 5,000 people. Tasks: 1. 2. Recruit and Wain volunteers to assist with outreach. Publicize availability of training sessions and presentations through mailings, media reports, word of mouth, etc. Resources needed to accomplish Crisis Intervention Services tasks: 1. 150 trained volunteers and three student intems/practicum students. 2. Staff salaries and benefits. 3. Answering service from 11 p.m. to 8 a.m. 4. Five telephone lines, four incoming and one outgoing. 5. Publicity to recruit volunteers - bulk mailings, posters, brochures, advertising for radios, newspapers and TV. 6. Volunteer Waining manuals. 7. Brochures describing services. 8. Training supplies such as binders, markers, newsprint, handouts, name tags, etc. 9. Office supplies such as envelopes, paper, tape, pens, etc. 10. Educational materials/library. 11. Postage. 12. Space to screen and train volunteers. 13. Pagers and rechargeable batteries for emergency On-Call volunteers. 14. Space for volunteer and in-service training. 15. Professional liability insurance. 16. General liability insurance. (continued) 15 -50- AGENCY Crisis Center 17. Volunteer recognition such as an annual dinner, certificates, greeting cards, etc. 18. Coffee and bottled water for volunteers. 19. Furnished phone counseling room. 20. Furnished walk-in counseling room. . 21. Furnished room for support groups. 22. Utilities - electricity, water, refuse collection, snow removal, etc. 23. Funds to reimburse All-Night Line and emergency On-Call volunteers. 24. Copy machine and paper. 25. Fax machine, paper, and phone line. 26. Daily. newspapers.: .. 27. Cleaning supplies and equipment such as light bulbs, paper towels, toilet paper, etc. 28. Computer and adding machine for statistical records and reports. 29. Paper shredder to dispose of confidential client contact forms. 30. Computer for referral resource system. 31. Security alarm system .... .. Cost of Program:. (Does not include administrative costs) $ 86,500 in FY97 '$ 92,27~ inFY98' FOOD GOAL: BANK .'SERVICES Provide emergency and supplemental food assistance to Johnson County residents. Objective: In FY98, provide households and individuals with food assistance during approximately 18,200 client contacts (350 households a week). Tasks: 1. Recruit, screen, train, schedule, supervise, and evaluate volunteers. 2. Increase Food Bank volunteer pool to 65 volunteers (currently 50 volunteers). 3. Provide monthly in-service training for staff and Volunteers. 4. Screen and interview clients prior to receiving food. 5. Maintain/cultivate relationships with local businesses, individuals, groups, and churches that donate food. 6. Conduct Project Holiday Food Distribution - provide food to make a holiday meal for 1,500 households. 7. Keep accurate computer records of clien~ served for internal and external reports. 8. Maintain relationships with area food distributors (IE. HACAP, Riverbend Food Bank, etc.) to obtain food at $ 0.14 per pound (or less). 9. Maintain referral list of food banks for out-of-county residents. 10. Publicize services and the need for donations... 11. Maintain relationships with agencies that pick food up for clients (IE. SEATS, Visiting Nurse Association, etc.) 12. Maintain the case management program to assist people in budgeting, securing mining and employment, enrolling in public assistance programs, etc. 13. Purchase and prepare food for distribution. 14. Establish and maintain relationships with groups that pick up food donations. (continued) 16 AGENCY Crisis Center Resources needed to accomplish Food Bank Services tasks: 1. 65 trained volunteers. 2. Staff salaries and benefits. 3. Volunteer training manuals and handbooks. 4. Agency brochures to advertise services. ' 5. Office supplies such as pens, paper, maps, tape, etc. 6. Printing for recruiting volunteers, communicating with volunteers, recording client contacts, etc. 7. Publicity to recruit volunteers - mailings, recruiting brochures, posters, advertisements in newspapers, radio, TV etc. 8..Three telephone lines - two incoming and one outgoing. 9. Postage. 10o Answering machine to direct calls to 24-hour Crisis Line after 4:30 p.m. and on weekends. 11. Pager for reaching emergency On-Call team, and rechargeable batteries. 12. Space to screen and train prospective volunteers° 13. Space for monthly in-service training programs. 14. Furnished waiting room. 15. Furnished interview rooms. 16. General liability insunmce. 17. 'Rented warehouse for storage. 18. Plastic pallets to keep food off the floor. 19. Two-wheel carts, four-wheel carts, step stools, ladders, freezers, refrigerators, etc. 20. Grocery sacks, baggies, etc. 21. Cleaning supplies and equipment. .: . 22. Utilities - electricity, water, refuse collection, snow removal, etc. 23. Annual volunteer recognition dinner, certificates, greeting cards, etc. 24.' 'Coffee and bottled water for volunteers. 25. Daily newspapers. 26. Paper shredder to dispose of confidential client contact forms and sign in slips. 27. Donated food and day-old bread, coupons, etc. 28. Rented vehicles to pick up large donations and purchases. 29. Maintenance of equipment - light fixtures, shelves, etc. 30. Security alarm system. Cost of Program: (Does not include administrative costs) $ 113,345 in FY97 $ 121,016 in FY98 EMERGENCY ASSISTANCE SERVICES GOAL: To proQide Johnson County residents with a variety of emergency assistance that is not available elsewhere. To provide emergency assistance to anyone stranded in Johnson County. Objective A: In FY98, provide non-financial support to promote independence from assistance programs whenever appropriate through Help-At-Hand/Case Management services. Evaluate the needs and concerns of approximately 2,000 households and to provide on-going support through regularly scheduled follow-up contacts. (continued) 17 AGENCY Crisis Center Tasks: 1. 2. 3. 4. Objective Provide specialized training for Food Bank volunteers. Provide regular in-service training for staff and volunteers. Keep accurate records of clients needs, goals, and progress made. Maintain up-to-date lists of referrals for addifonal assistance that is available. B: In FY98, provide 950 Johnson County residents with clothing assistance. Tasks: I. 2. 3. 4. 5. 6. 7. 8. 9. Maintain relationship with Goodwill Industries. Solicit clothing donations for Goodwill Industries. Train Food Bank volunteers to provide clothing vouchers. Screen and interview clients who request clothing assistance. Provide vouchers to clients so that they can receive clothing at no cost. Establish monthly budget based on annual resources donated by Goodwill Industries. Keep accurate records of clothing voucher expenses to remain within budget. Compile service records into useful reports. Refer clients to appropriate agencies if voucher program will not meet needs. Obje~:tive C: In FY98, provide 1,000 households with emergency assistance in obtaining diapers, baby food, and infant formula. Tasks: 1. Maintain relationships with churches, and various groups and individuals that assist in funding the diaper program. 2. Interview and screen clients. 3. Maintain records on services provided. " · 4. 'Obtain a varlety'0fdiapers (sizes, types, etc.). 5. Provide appropriate referrals for needs not met by the program. Objective D: In FY98, provide local bus tickets to 825 individuals. Tasks: 1. 2. 3. 4. Maintain relafonship with the City of Iowa City which provides the bus tickets. Train volunteers to provide bus tickets. Maintain records of services provided and submit reports in a timely manner. Utilize donated bus tickets. Objective E: In FY98, provide financial assistance via various funds 24 hours every day (ie. Trinity Fund, Food Chain, St. Anthony's Bread, etc.) Tasks: 1. 2. 3. Maintain relationships with the funding resource. Maintain trained On-Call volunteer team. Follow procedures developed by the funding resource and agreed to by the Crisis Center when issuing vouchers. Maintain accurate records of vouchers issued. (continued) 18 -53- AGENCY Crisis Center Objective'F: In FY98, provide 9,000 information and referral contacts. Tasks: 1. 2. 3. 4. Maintain updated file system of important referrals. Assist people searching for housing and/or employment. Interview clients to determine specific needs and resources. Make referrals, check appropriateness of referral by contacting service providers when necessary. Maintain accurate records of referrals made. Conduct an Annual Agency Fair to keep volunteers familiar with services available in the community. Objective G: In FY98, provide miscellaneous services to 200 households (including mail service, utilizing telephone, copying documents, etc.). Tasks: Record. accurately services provided. Objective H: Provide skills training to 450 households. Training topics will include - budgeting, self-advocacy, smart shopping, application assistance, job hunting and interviewing, etc. Tasks: 1. 2. 3. Provide specialized training for volunteers. Schedule, advertise and conduct training sessions. Maintain records of clients served. Objective I: In FY98, provide 800 stranded transient households with emergency food, clothing and/or transportation assistance (bus ticket, gasoline, minor car repair, etc.). Provide specialized training for Food Bank and emergency On-Call volunteers. Maintain relationships with Union Bus Depot, Gasby's, and various auto part dealers and service stations. 3. Utilize Red Cross discounts for bus tickets. 4. Screen clients requesting assistance. 5. Provide. vouchers to clients for transportation assistance. 6. Make referrals to emergency shelters when needed. ' 7. Maintain supply of"ready to eat" emergency food. 8. Provide referrals to clients who need to travel beyond the next largest city. 9. Maintain accurate records of services provided. Resources 'needed to accomplish Emergency Assistance tasks: 1. Sixty mined volunteers. 2. Staff salaries and benefits. 3. Volunteer mining manuals. 4. Agency brochures to publicize services. 5. Office supplies - pens, paper, maps, vouchers, etc. 6. Printing for recruiting volunteers, communicating with volunteers, recording client contacts, etc. 7. Publicity to recruit volunteers - mailings, recruiting brochures, posters, advertisements in the local papers, radio, TV. 19 (continued) -54- AGENCY Crisis Center 8~ 'Three telephone lines - two incoming and one outgoing. 9. Postage. 10. Answering machine to direct calls to Crisis Line after hours and on weekends. 11. Space to screen and train volunteers. 12. Space for monthly in-service training. : 13. Furnished waiting room. 14. Furnished interview rooms. 15. Utilities and building maintenance. 16,. Coffee and bottled water for volunteers. 17.' Annual volunteer recognition dinner, certificates, greeting cards, etd. 18:-Calculators for budget training programs. 19. Printing for handouts utilized in client skill building sessions. 20. Food for hungry transients. ...... 21.. Money to pay for transportation expenses for stranded transients. 22. Donated diapers, clothing, bus tickets, baby food, formula, etc. 23. Money to purchase diapers. . - .. . 24. Security alarm system. Cost of Program: (Does not include administrative expenses) $ 47,724 in FY97 $ 50,298 in FY98 .~ 20 -55- CRISIS CENTER BOARD OF DIRECTORS 1996-1997 Karen Thielman, Chair (5/99) 518 S. Clinton Iowa City, IA 52240 338-6077 (H), 338-9960 (O) Kathleen Farrell (3/97) 1422 Franklin St. Iowa City, IA 52240 337-5300 (H), 353-2253 (O) Ann Donahue, Vice-Chair 1725 Windsor Ct. Iowa City, IA 52245 338-3430 (H), 351-0515 (O) (9/98) Lois Kelly (5/99) 3670 Whitetail Ln. NE Iowa City, IA 52240 626-2251 (H), 338-5491 (O) Julie Teachout, Treasurer % Hills Bank 1401 S. Gilbert Street Iowa City, IA 52240 337-9848 (H), 338-1277 (O) Aaron (Monk) Leonard (7/99) 502 5th St. Apt. 12 Coralville,_..IA . 52241 -338-1585 (H), 356-5153(O) Adrienne Leeds (3/97) 125 Merelet Ct. Iowa City, IA 52245 ':558-~942 '(H) Bill Eginton '(3/98) 209 Richards St. Iowa City, IA 52246 337-3980 (H) Bruce Nestor (10/96) 303 Iowa St. Bank Bldg. Iowa City, IA 52240 354-7919 (H), 339-7576 (O) (3/98) Mike Saeugling (7/98) 406 Magowan Ave. Iowa City, IA 52246 354-4337 (H), 351-2223(O) Ottilie Young (6/98) 914 E. Bloomington St. Iowa City, IA 52245 351-0461 (.H) Rex Spicer (1/98) 1198 Ivanhoe Rd. Mt. Vernon, IA 52314 848-8179 (H), 351-4880 (O) Sheila Johnston (8/98) 728 E. Washington St. Iowa City, IA 52240 338-0163 .... (H) Tom Suter (7/98) 2235. Russell Dr. Iowa City, IA 52240 337-4292 (H), 354-1242 (O) John Lundell (2/99) Injury Prevention Research Center 158 AMRF, University of Iowa Iowa City, IA 52242 351-1125(H), 335-4458 (O) -56- 21 HUMAN SERVICE AGENCy BUDGET FORM City of Coralville Johnson County City of Iowa City United Way of Johnson County CHECK YOUR AGENCY'S BUDGET YEAR 1/1/97 - 12/31/97 4/1/97 - 3/3 t-/98 - 7/!/97- 6/30/98 Director: Jerry D. Walker Dental Services for Indigent Agency Name: Children of Johnson County Address: S201, DSB, U of Iowa Phone: 319-335~7483 Completed by: Anita M. Forbes Approved by Chair Board:~(~_ 5Y,~,-ff4~J 10/1/97- 9/30/98 10/20/96 -- ~ ~ (date) X COVER PAGE Program Summary: (Please number programs to correspond to Income & Expense Detail, i.e., Program 1, 2, 3, etc.) PROGRAM h. DENTAL SERVICES FOR INDIGENT CHILDREN OF JOHNSON COUNTY The purpose of our agency is to provide dental services for indigent children of Johnson County who do not qualify for Title XIX or other third-party coverage. The services will be provided by predoctoral dental students under the direct supervision of faculty in the Department of Pediatric Dentistry. All faculty members are licensed dentists in the State of Iowa and have been trained in the area of pediatric dentistry. Direct services are provided on a one-to-one basis with a supervisory ratio of cmefaculty member to five students. ......... Fees.will be charged for the individual services provided to each patient based upon the guidelines established by the College of Dentistry for predoctoral dental students' fees and typically are approximately one-half 0fthe fees charged by faculty or private practitioners in the county. Local Funding Summary · United Way of Johnson County - - Does Not Include Designated Gvg. City of Iowa City Johnson County City of Coralville 4/1/95 - 4/1/96 - 4/1/97 - 3/31/96 3/31/97 3/31/98 11500 6185 0 FY96 FY97 FY98 % of Total Budget -57- AGENCY: Dental Services for Indigent Children of Johnson C BUDGET SUMMARY ACTUAL THIS YEAR BUDGETE~ LAST YEAR PROJECTED NEXT YEAR Enter Your Agency's Budget Year ~> 1. TOTAL OPERATING BUDGET (total a+b) 7/1/95-6/30/96 7/1/96-6/30/97 7/1/97-6/30/98 17,744 15,587 10,812 a. Carryover Balance (Cash from line 3, previous colunto) 6,644 10,599 7,587 b. Income (Cash) 2. TOTAL EXPENDITURES (Total a+b) a. Administration b. Program Total (List Progs. Below) . 1) Dental Services for Indigent Children of Johnson County 11,100 4,988 3,225 7,145 8,000 11,000 0 7,145 8,000 11,000 7,145 8,000 11,000 3. ENDING OPERATING BALANCE (Subtract 1 - 2) 4. RESTRICTED. FUND BALANCE (Total from .page 7) 5. IN-KIND SUPPORT (Total from Page 7) 0 0 0 19,114 19,926 20,643 6. NON-CASH ASSETS 0 0 0 Notes_and Comments: When welfare reform becomes a reality there is no question that the needs of the community will increase markedly. Given our past two years of experience, we are not asking for more monies at this time, but hope that we can request and be considered for considerably more in future years as needed. INCOME DETAIL 1. Local Funding Sources- a. Johnson County b. City of Iowa City c. United Way of Johnson County d. City of Coralville e. f. 2. Grants - State, Federal, Foundations a. b. d. e. f. 3. Net Sales Of Services (sources) a. b. ¢. 4. Net Sales of Materials (sources) a. 5. Contributions/Donations a. United Way Designated Giving b. Other Contributions 6. Special Events a. Iowa City Road Races b. ¢. '7. Interest Income 8. Other - List Below a. b. ¢. TOTAL INCOME (same as p. 2, line lb) Notes and Comments: ACTUAL LAST YEAR 10,171 AGENCY Dental Services for Indigent Children of Johnson County THIS YEAR BUDGETED NON- PROGRAM PROGRAM PROJECTED NEXT YEAR DIl~ECTED 1 2 FUNDING 4,638[ 2,875[ 01 2,8751 0 10,171 4,638 2,875 2,875 I el el el ol ol ol olo ol ol ol ol o ol ot~- ol ol o I 668 100 I 100 0 I I · 2611 25ol 2501 .... 01 261 250 250 100 ] 100 25ol 250 I ol ol ol ol ol 11,100 4,988 3,225 0 3,225 I el 0 -3 - -59- PROGRAM EXPENDITURE DETAIL 1. Salaries 2. Employee Benefits & Taxes 3. Staff Development 4. Professional Consultation 5. Publications & Subscriptions 6. Dues and Membersl~ps 7. Mortgage~ Rent and Property Tax 8. Building Maintenance 9. Equipment Pumhase/Rental/Maint. 10. Utilities ] 1. Telephone 12. Offtee Supplies & Postage - 13. Printing and Publicity 14. Local Transportation 15. Insurance 16. Audit -- 17. Interest 18. Other (Specify): Fees for Service 19 20 21 22 23 24 25 TOTAL EXPENSES ( p. 2, l~e 2) Notes and Comments: ACTUAL LAST YEAR AGENCY Dental Services for Indigent Children of Johnson County THIS YEAR BUDGETED ADMINISTRA- PROGRAM PROGRAM PROJECTED NEXT YEAR TION 1 2 7,145 8,000 11,000 11,000 7,145 8,000 11,000 0 11,000 0 -60- -4- AGENCY Dental Services for Indigent Children of Johnson County RESTRICTED FUNDS: ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR Restricted by: Restricted for: ~ N~ N~ N~ TOTAL RESTRICTED FUND (also shown page 2, line 4) MATCHING GRANTS Grantor/Matched by N/A N/A N/A ITOT~L MATCHING GRANTS (also shown pg. 3, line 2) I IN-KIND SlIPPORT DETAIl, ServicesNolunteers * Material Goods Space, Utilities, etc. Other: (Please specify) [TOTAL IN-KIND SUPPORT (also shown on page 2, line 4) Notes and Comments: 13,5-34 14,346 15,063 5,580 5,580 5,580 19,114[ *Director-5%; Receptionist-5 %; Accounts-5%; Assistant-10% 19,926[ 20,643 -5- -61- SALARIED POSITIONS "X" those that apply Position' ~ ~ i None Funded AGENCY FTE* Last This Next Year Year Year Dental Services for Indigent Children of Johnson C Salary Actual This Budgeted % Last Year Year Next Year Change TOTAL FTE's and SALARIES * Full-time equivalent: 1.0---fuR-time; 0.5=half-time; etc. 0 0 0 0 0 0 -62- AGENCY DENTAL SERVICES FOK INDIGENT CHILDREN OF JOHNSON COUNTY ACCOUNTABILITY QUESTIONNAIRE Agency's Mission Statement or Primary Purpose The purpose of our agency is to provide dental services for indigent children of Johnson County who do not qualify for Title XIX or other third-party coverage. Board of Directors: Please attach a list of your agency's Board of Directors Not Applicable Frequency of meetings: Briefly describe board orientation and ongoing training opportunities: C. Finances: flyour agency charges a fee, describe your fee structure. Fee for Service Fees are charged for the individual services provided to each patient based upon the guidelines established by the College of Dentistry for predoctoral dental students and typically are approximately one-half of the fees charged by faculty or private practices. (See Appendix 1) Does your agency have: internal audit X external audit X Frequency review yearly & state audit eveu 3 years financial review X o Has your agency filed the Annual Report with the Secretary of State? Yes No X Has your agency filed Form 990 with the IRS Yes No X Please dismss your agency's fundraising efforts, if applicable. N/A D. Management: Does each professional staff have a written job description? Yes X No Is the agency Director's performance evaluated at least yearly? Yes X No By Whom? Dept. of Pediatric Dent. and College of Dent. -7- -63- AGENCY DENTAL SERVICES FOR INDIGENT CHILDREN OF JOHNSON COUNTY Eo Program/Services: Please define your agency's units of service (service definition, length of time, cost per unit of service, number of units provide, direct or indirect.) A unit of service consists of a clinic visit for~diagnostic, preventive, emergency, or restorative treatment. Please supply information about clients served by your agency during the last two complete budget years. Refer to form instructions for definition of duplicated and unduplicated. 1. How many Johnson County residents (including Iowa City and Coralville) did your agen .cy serve Enter Years- 1994-95 1995-96 la. Duplicated count 116 133 lb. Unduplicated count 49 59 2. How many Iowa City residents did your agency serve? 2a, Duplicated count 104 2b, Unduplicated count 40 118 51 3.' How many Coralville residents did your agency serve? 3a, Duplicated count 6 13 3b. Unduplicated count 6 6 4. How many units of service did your agency provide? 4a. Total 116 133 4b. To Johnson County Residents 116 133 Other areas served: Do you provide service to areas outside of Johnson County? Area(s) served: N/A Services provided: N/A NO Funding Sources: N/A -64- -8- DENTAL SERVICES FOlk INDIGENT AGENCY CHILDREN OF JOHNSON COUNTY Client Profile (for last complete year, if available): Evaluation and Review: A. Please discuss how your agency measures the success of it's programs. Success is measured by the number of patients who are treated through tiffs program and have had their oral health restored. Also the prevention of dental problems is an important objective of the program. Currently we feel we are reaching as many patients as possible within the financial limitations of the program and the college. Does your agency have performance objectives? (give several examples.) To provide the greatest amount of quality dental services for the money appropriated for these children. What plans does your agency have to increase efficiency and effectiveness? We provide treatment at undergraduate fees get the maximum treatment for the amount of money expended. We provide preventive services when appropriate to decrease disease for our patients. In what ways will the needs of your service population change in the next five years: We have no way of knowing but it is predicted that the need for our service will increase when the welfare reform eliminates that source of funding for patients. -9- -65- 10. 11. 12. 13. DENTAL SERVICES FOR INDIGENT AGENCY CHILDREN OF JOHNSON COUNTY Please discuss any other problems or factors relevant to your agency's programs, funding or service delivery: Adequate funding is all that is necessary to maintain our services to indigent children. List complaints about your services of which you are aware: None that we are aware of at this time. Do you have a waiting list or have you had to turn people away for lack of ability to service them? What measures do you feel can be taken to resolve this problem: In the past due to the lack of adequate funds, treatment (other than emergency) has been suspended until the account could be balanced. That is not a problem in this fiscal year and adequate funding is all that is necessary as the facilities and personnel are adequate to provide the necessary service. How many people are currently on your waiting list? none In what way(s) are your agency's services publicized? Contact with potential patients through referral sources (i.e.: Iowa City and outlying Johnson County schools, Pheasant Ridge Neighborhood Center, Free Medical Center, Visiting Nurses Association of Johnson County and Johnson County Health Clinic.) United way involvement by your agency: ("X" if agency participates) g. h. i. Agency Directors Meetings Agencies Representative to Funding Heatings Business Blitz Day of Caring Executive Development Seminars X Kick Off Victory Reception Volunteer Action Center Other · Business Fair X Torch Relay Celebration X DENTAL SERVICES FOR INDIGENT AGENCY CHXLDREN OF JOHNSON COUNTY AGENCY HISTORY (Using one page ONLY, please summarize the history of your agency, emphasizing Johnson County, telling of your purpose and goals, past and current activities and future plans. Please update annually.) .~ Dental Services for Indigent Children of Johnson County has provided dental treatment for over a decade for those individuals !?s than 17 years old who are not qualified for other forms of assistance and who could not otherwise afford dental care. Services are provided in the Department of Pediatric Dentistry at the College of Dentistry from 8:00 a.m. to 5:00 p.m. Monday through Friday and on an emergency basis at the University Hospital School on evenings and weekends. State appropriations for indigent patients are not allocated for the College of Dentistry to provide dental services. This program was developed to respond to the need for treatment of dental diseases which affect nearly all individuals at one time or another. Our activities have primarily involved the delivery of emergency, restorative and preventive dental services (orthodonfic services are not covered by this agency). During the past year, we have continued working with the Iowa City School system, administrators of elementary schools in outlying Johnson County, the Iowa City Free Medical Clinic, the Visiting Nurses Association of Johnson County and the Johnson County Health Clinic. These contacts have helped us in the past years and we will contimie working with them in the future. -11- -67- DENTAL SERVICES FOR INDIGENT AGENCY CHILDREN OF JOHNSON COUNTY AGENCY PROGRAM GOALS AND OBJECTIVES (several pages are provided, please add any additional pages you may need with your agency name as a header) Agency Name:- DENTAL SERVICES FOR INDIGENT Year: FY98 CHILDREN OF JOHNSON COUNTY Name of Program: SAME DENTAL SERVICES FOR INDIGENT CHILDREN OF JOHNSON COUNTY Goal: To provide dental services to indigent children of Johnson County who are not eligible for help from other assistance programs. Objective A~ - To provide the greatest amount of quality dental services for the money : .... appropriated for these children. Tasks: 1. Fees will be kept to a minimum by utilizing predoctoral dental students as the .-- primary care givers under the direct supervision of the faculty at the College of .... Dentist.ry Resources: Increase the patient population to include those eligible children in outlying Johnson County. Resources will come from the Department' of Pediatric Dentistry of the College of Dentistry. Materials, supplies, equipment, faculty, staff, predoctoral dental students and space will be provided by the Department of Pediatric Dentistry. -68- -12- HUMAN SERVICE AGENCY BUDGET FORM Director: Cris Kinkead City of Coralville Johnson County City of Iowa City United Way of Johnson County. CHECK YOUR AGENCY'S BUDGET YEAR 1/1/97- 12/31/97 ~ 10/1/97- 9/30/98 ~- 4/1/97- 3/31/98 ~ 7/1/97- 6/30/98 'X COVER PAGE Program Summary: (Please number programs to correspond to Income & Expense Detail, i.e., Program 1, 2, 3, etc.) Agency Name: Domestic Violence Intervention Address: P.O. Box 3170 Phone: 319-354-7840 Completed by: Cl~s Kinkead/Sheri Gilds Approved by Chair Board: J/~4~(5~;/~,2~ 9/23/96 (datc) PROGRAM'i RESIDENTIAL SERVICES: Provide sat~, 24 hour sl~elter and crisis line Ibr victims of domestic violence and their children. Services include: referrals for housing and employment, in-service programs with area agencies, advocacy, no-contact order advocacy, hospital and social service advocacy, and law enforcement advocacy. Residential services include meeting basice needs such as food, clothing, and hygiene items. All DVIP staff and Volunteers that provide direct services are trained according to Iowa Criminal Code 236. PROGRAM 2 CHILDRENS PROGRAM: Provide 24 hour shelter for children accompanied by morn. DVIP provides basic needs, such as school supplies, food, clothing, and other needed items. A children's play area is provided in both main level and lower level of the shelter. Other services provided/supported/developed by the one child advocate on staff inctu6e- the following: play and art therapy, field h'ips, play time, school advocacy, counseling, court advocacy, tutoring, support group and conflict resolution. All DVIP staff and volunteers providing direct services to children are trained according to Iowa C .riminal Code 236. PROG ..RAM. 3 COMMUNITY.:__ DVIP provides community education, training, and informational presentations on domestic violence issues sexvices, intervention, and prevention. DVIP provides training to approximately 10/5 Volunteers per year according to Iowa Criminal Code 236. PROGRAM"4 OUTREACH: DVIP offers domestic violence services in the following counties: Johnson, Jones, Cedar, Washington, and Iowa.Counties. Iowa. Cedar, and Washington Counties are staffed one day each week in donated office space. Jones County is staffed two and one half days per week.in Anamosa. The Johnson County Coordinator works 5 per week. Services include: Individual counseling, support group, no-contact order advocacy, court,human services, medical and law enforcement advocacy. Each county has it's own local coalition against domestic violence or human ser~ce consortium that DVIP are members of. All DVIP staff and-volunteers providing direct service in our outreach programs are trained according to Iowa Criminal Code 236. PROGRAM 5 FURNITURE PROJECT: DVIP is the lead agency in a community response effort to get free furniture to_homeless families and families who cannot afford furniture. This, in turn, reduces the number of large items being taken to the local landfillsj- Furniture is donated, then distributed and delivered to families. Local Funding Summary · United .Way of Johnson County - - Does Not Include Designated Gvg. 4/1/95 - 4/1/96 - 3/31196 3/31/97 $40,912 $40,912 FY96 FY97 4/1/97 - % of Total 3/31/98 Budget $42,958 10 FY98 ~-~- ~..._ City of Iowa City 44100 46000 47984 11 Johnson County 44990 46340 47732 11 City of Coralville 2700 2700 3500 AGENCY: Domestic Violence Intervention Program BUDGET SUMMARY ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR Enter Your Agency's Budget Year ==> 7/95-6/96 7/96-6/97 7/9%7/98 1. TOTAL OPERATING BUDGET (total a+b) 356,646 400,603 427,303 a. Carryover Balance (Cash from line 3, previous column) 11,369 -4,592 5,275 b. Inco-rae (Cash) 2. TOTAL'EXPENDITURES (Total a+b) a. Administration .... 345,277 405,195 422,028 361,238 395,328 421,275 61,410 66,530 68,890 b. Program Total (List Progs. Below) 2. 3. 4. 5. Furniture Project 6 Resident Services Children Community Outreach: Johnson, Jones, Cedar, Iowa, & Wash. Counties 299,828 328,798 352,385 144,495 157,698 182,9[)0 43,349 46,000 41,095 32,511 36,000 41,151 54,186 66,000 63,260 25,287 23,100 23,97°-- 3. ENDING OPERATING BALANCE (Subtract 2 - 1 ) 4. RESTRICTED FUND BALANCE .(Total from page 7) 5. IN-KIND SUPPORT (Total from Page 7) 168,584 210,496 222,887 .... !05,985 101,271 111,774 6. NON-CASH ASSETS 614,093 587,700 561,300 Notes and Comments: *2b, #2: Program entitled "Shelter" was changed to "Resident Services". *2b, #2: Program entitled "Counseling" was omitted and partially incorporated into "Resident Scrviccs". *2b, #4: Program entitled "Counseling" was omitted and partially incorporated into "Outreach". *6. Column 1, non-cash asset figure, less accumulated dcprcciation, as provided by DVIP auditors, including bascmcnt rcnovation done in FY96. The non-cash asset figure included on the FY97 Budget Form appears to have represented mortgage balance only. *6. Column 2 & 3 of non-cash assets estimate based on a 4% dcprcciation rate, over a 25 year period. -2- INCOME DETAIL -1. Local Funding Sources- a. Johnson County b. City of Iowa City c. United Way of Johnson County d. City of Coral .vitle e. United Way of East Central Iowa f. ,Jones County Family Protection 2. Grants - State, ~ecteral, Foundations a. CDBG/Landftll b. Crime Victim c. Emergency Shelter d. Family Violence Prevention e. FEMA f. Violence Against Women g':"-VOCA f.. Other Grants 3. Net Sales'Of S'~ryices (sources) a. Training/Speaking ' b. C. Net Sales of Materials (sources) ~..poetry Books 5. Contributions/Do. natiogs a. United Way Designated Giving b. Other Contributions 6. Special Events a. Iowa City Road Races b. Direct Mail c..-Fine Art & Fun .-. d. Other Events, 7. Interest Inc0rhe 8. Other - List Below a. Flood Reimbursement b. Sale of Tanms c. Misc ACTUAL LAST YEAR 7/95-6/96 134,614 44,990 44,100 40,912 2,700 1,312 60O 128,608 20,000 51.814 25.500 4,000 4,940 2,964 18,490 900 1,169 1,169 291 160 36 95 35,901 6,933 28,968 44,184 4,512 12,569 25,800 1,303 347 163 0 0 163 AGENCY Domestic Violence Intervention Program THIS YEAR BUDGETED NON- PROGRAM PROGRAM PROJECTED NEXT YEAR DIRECTED 1 2 7/96-6/97 7/97-6/98 FUNDING Resident Svcs Children 138,4641 144,174 [ 36,0001 61,786 ] 18,983 46,340 47,732 12,000 21,280 6,205 46,000 47,984 12,000 21,458 6,238 41,424. 42,958 11,000 17,613 6,085 2,700 3,500 1,000 1,435 455 1,400 1,400 0 0 0 600 600 0 0 0 !81,005 I 196,554 I 2,0001 91,2701 14,700 17,500 21,134 0 0 0 78,134 75,520 0 57,020 0 19,000 19,000 2,000 17,000 0 4,000 ~5,000 0 6,000 0 4,950 4,950 0 4,950 0 20,931 20,000 0 0 0 34,490 47,950 0 5,(100 14,450 2,000 2,000 0 1,300 250 1,2001 1,0001 1901 4101 130 1,200 1,000 190 410 130 9561 500 276 0 680 ..... 500 0 0 28,5771 28,500 I 6,a6o] ,soo 21,717 '22,000 52,2081 51,o0o 5,000 5,000 18,708 19,000 27,000 25,500 1,500 1,500 278l 300 2,5o71 0 300 0 2,100 0 107 0 0 0 0 0 0 0 11,000 I 10,000 oI 3,500 11,000 6,500 19,400'1 19,625 [ 2,500 1,250 5,500 9,000 11,400 8,575 0 800 3001 o l 0 0 0 0 0 0 0 0 2,600 1,000 1,600 5,200 60O 2,000 2,40O 200 ol 0 0 0 0 TOTAL INCOME (same as p. 2, line lb) 345,277 405,195 422,028 68,890 183,091 41,613 Notes and Comments: --*2b. Crime Victim, FY97, includes extra money for safety and equipment. One time extra allocation. 2f. Violence Against Women is grant money received to operate an outreach program in Jones County, adopted by DVIP, January, 1996. *Sa. Flood fromsewer backup after heavy rains. Cleanup costs approximately $1000. Claim with city resulted in $300 reimbursement. *Sb. Ford Taurus donated Spring of FY96 in need of repair. Costs incurred to repair and sell approximately $850. '8c. Misc. income from pop machine being discontinued. -73_~ INCOME DETAIL 1. Local Funding Sources- a. Johnson County b. City of Iowa City c. United Way of Johnson County d. City of Coralville e. United Way of East Central Iowa f. Jones County Family Projection 2. Grants -Staie, Federal, Foundations a. CDBC4I :andfill b. Crime Victim c. Emergency Shelter d. Family Violence Prevention e. FEMA f. Violence Against Women g. VOCA f, Other Grants 3. Net Sales Of Services (sources) a. Training/Speaking b. 4. Net Sales .of Materials (sources) a. Poetry Books b. Manuals c. T-Shirts 5. Contributions/Donations a. united Way Designated Giving b': "O~tibTC6ntribu ti9n s 6. Special Events a. Iowa City Road Races b. Direct Mail c. Fine Art & Fun d. Other Events 7. Interest Income 8. Other - List Below 'a. Flood Reimbursement b. Sale of Taurus c. Misc TOTAL INCOME (same as p. 2, line lb) Notes and Comments: AGENCY Domestic Violence Intervention Program PROGRAM PROGRAM PROGRAM PROGRAM PROGRAM 3 4 5 7 Community Outreach Fum Project 12,796l 12,039[2,570[ 4,296 2,666 1,285 4,319 2,684 1,285 3,866 4,394 0 315 295 0 0 1,400 0 0 600 0 1,9,240 ] 48,210] 21,134] .. 0 0 21,134 5,000 13,500 0 0 0 0 0 0 0 0 0 0 0 20,000 0 14,000 14,500 0 240 210 0 9ol l sol o l 90 180 0 5ool o l o l 0 0 0 500 0 0 0 0 0 3,0751 1,5501 ': 2751 1,000 ] 1,000 [ 0 2,075 550 275 5,450 I 1,325 O I 450 200 0 2,250 250 0 2,500 625 0 250 250 0 ol ol ol I I I ol ol ol 0 0 0 0 0 0 0 0 0 41,151 63,304 23,979 -4- PROGRAM EXPENDITURE DETAIL AGENCY Domestic Violence Intervention Program 12. 13. 14. O. 17. 18. 19, 20. 21. 22. 23. 1. Salaries 2. Employee Benefits & Taxes 3. Staff Development 4. Professional Consultation 5. Publications & Subscriptions 6. Dues and Memberships 7. Mortgage, Rent and Property Tax 8. Building Maintenance 9. Equipment Purchase/Rental/Maint. 10. Utilities 11. Telephone Office Supplies & Postage Printing and Publicity Local Transportation Insurance Audit Interest Other (Specify): ....... .,, Direct Aid Children's food . . Fundraising Miscellaneous ACTUAL LAST YEAR 7/95-6/96 240,997 35,584 2,659 0 133 35O 0 3,567 11,966 13,960 10,185 4,965 2,395 4,650 11,493 3'~273 43 THIS YEAR BUDGETED ADMINISTRA- PROGRAM PROGRAM PROIECTED NEXT YEAR 'lION I 2 7/96-6/97 7~97-6/98 Resident Svcs Children 263,059 284,755 55,400 116,225 26,600 42,000 48,000 8,000 22,000 2,375 2,955 1,000 50 500 150 0 '~0 0 0 0 144 150 0 150 0 358 375 0 175 60 0 0 0 0 0 2,645 3,100 50 2,200 450 14,245 12,595 400 7,500 1,600 14,560 14,900 1,000 10,500 1,700 12,750 13,100 1,000 5,000 1,450 5,906 6,100 500 1,800 600 1,650 1,750 50 500 150 4,272 4,500 100 1,100 500 11,117 11,500 1,000 5,000 1,500 2,500 2;500 ..... 250 1,100 400 26 0 0 0 0 3,308 470 250 0 250 0 871 1,597 1,000 0 0 1,000 1,506 1,175 _ . 1,200 0 1,200 0 8,780 13,499 14,000 1,000 7,500 2,500 553 400. 500 90 200 60 TOTAL EXPENSES Notes and Comments: p. 2, line 2) 361,238 395,328 421,275 68,890 182,900 41,095 -5- ?ROGRAM EXPENDITURE DETAIL AGENCY Domestic Violence Intervention Progrmn 13. 14. 15. 16. 17. 18. 19, 20. 21. 22. 23. I. Salaries 2. Employee Benefits & Taxes 3. Staff Development 4. Professional Consultation 5. Publications & Subscriptions 6. Dues ~d Memberships 7. Mortgage, Rent and Property Tax 8. Building Maintenance 9. Equipment Purchase/Rental/Maint. 10. Utilities 11. Telephone 12. Office Supplies & Postage Printing and P~bli~ily Local Transportation Insurance Audit Interest Other (Specify): Direct Aid Children's food Fundraising Miscellaneous PROGRAM PROGRAM PROGRAM 3 4 5 Community Outreach -Furn Project 25,750 43,100 17,680 4,071 8,100 3,454 50 250 0 0 0 0 o 0 0 40 100 0 0 0 0 3O0 0 100 1,600 1,400 95 1,700 0 0 1,000 3,750 900 1,500 1,500 200 750 250 50 500 2,000 300 2,000 1,000 1,000 100 500 150 0 0 0 0 0 0 0 0 0 0 0 0 1,750 1,250 0 40 60 50 PROGRAM 7 PROGRAM 8 TOTAL EXPENSES p. 2, line 2) Notes and Comments: 41,151 63,260 23,979 AGENCY Domestic Violence Intervention Program R};~TRICTED FUNDS: ACTUAL LAST YEAR THIS YEAR PROJECTED BUDGETED NEXT YEAR Restricted by:,- : A. Family Violence B. Crime Victim C. VOCA D. Emergency Shelter E. FEMA ..... : F. ECI United Way: G. CDBG H. Violence Against Women I. Mortgage Restricted for: Prevention Direct Services Direct Services Utilities, Insurance Food, Household Rural Transportation Salary/Benefits: Furniture Project Jones County: Salary, Benefits, Travel Building Mortgage Payments TOTAL RESTRICTED FUND (also shown page 2, line 4) 7/95 -6/96 4,000 51,814 18,490 25,500 4,940 1,312 20000 2964 39564 168584 7/96-6/97 4,000 78,134 34,490 19,000 4,950 1,400 17500 20931 30091 210496 7/97-6/98 6,OO0 75,520 47,950 19,000 4,950 1,400 21134 20000 26933 222887 ~ --TCHING GRANTS Grantor/Matched by A. Emergency Shelter B. Family Violence C. VOCA Salary Salary; Volunteer hrs @ 12.96 Volunteer hrs @ 12.96 TOTAL MATCHING GRANTS (als0 shown pg. 3, line 2) . 25500 2000 463 hrs, $5000 32,500[ 1900O 277hrs,$3583 772hrs,$10000 32,5831 19000 415hrs,$5375 976hrs,$12650 37,o2511 IN,KIND. S.UP. PORT DETAIL Services/Volunteers Material Goods Space, Utilities, etc. t,.~er: (Please specify) Americ0rP ITOTAL IN-KIND SUPPORT (also shown on page 2, line 4) Notes and Comments: -7- Clerical, Child Adv, House Staff Food, Household Johnson, Wash, Cedar, Jones Office Spa 65,2.41 20,000 8,100 12,644 105,985 68,040 20,60(.) 9,000 3,631 101,271 71,280 20,600 9,000 10,894 111,774 -75- SALARIED POSITIONS AGENCY Domestic Violence Intervention Program Position Director Financial Coordinator Volunteer Coordinator Counselor: Johnson County. "X" those that apply FTE* ~ ~ ~ Last This Next Actual Year Year Year Last Year 48 x x 24 1.00 1.00 1.00 48 x x 27 0.50 0.7~ 1.00 48 x x 25 1.00 1.00 1.00 48 x x 28 1.00 1.00 1.00 Outreach: Wash, Iowa Counties 48 x x 29 0.50 0.50 0.50 Outreach: Jones,Cedar Counties 48 x x 28 0.60 0.75 0.80 48 x x 25 0.75 0.40 0.40 48 x x 26 1.00 1.00 1.00 48 x x 26 1.00 1.00 1.00 48 x x 29 1.00 1.00 1.00 48 x x 29 1.00 1.00 1.00 House Coordinator Child Advocate Shelter Coordinator-Days Shelter Coordinator-Days Shelter Coordinalor-Nights Shelter Coordinator-Overnight 48 x x 29 1.00 1.00 1.00 48 x x 26 1.00 1.00 1.00 0.05 0.05 0;05 0.05 0.05 0.05 48 x x 29 0.50 0.50 0.50 48 x x 29 0.50 0.50 0.50 48 x x 29 0.00 0.00 0.50 Shcltcr Coordinator-Wcckcnd Shelter Coordiuator-Parttime Shelter coordinator-Parttime _Furniture Project Furniture Project Shelter CoordinatorsParttime Salary. This Budgeted % Year Next Year Change 32,365 32,999 33,990 3% 10,400 15,600 21.423 37% 23,327 25,000 25,750 3% 18,!25 18,533 19,000 3% 9,000 8,320 8.676 4% 11,117 14,040 15,425 10% 11,154 6,240 6,427 3% 21,577 22,000 22.600 3% 21,496 22,152 22,817 3% 0 16,640 17,139 3% 16,762 17,139 17,653 3% 16,640 16,640 17,139 3% 15,520 17,476 18,000 0 640 768 20% 0 640 768 20% 10,000 8,750 8.840 1% 10,000 8,750 8,840 1% 0 ...0 8,000 100% Americorp Americorp Panericorp Subs 0.50 0.00 0.00 1,976 0 0 0% 0.50 0.50 .0.50 2,000 2,000 2,000 0% 0.50 0.50 0.50 2,000 2,000 2,000 0% 7,538 7,500 7.500 0% -'76- TOTAL FTE's and SALARIES 13.95 13.501 14.30 240,997., 263,059 . 284,755 8% AGENCY: DOMESTIC VIO!,FaNCE INTERVENTION PROGRAM ACCOUNTABII,ITY QUESTIONNA1RF~ A. Agency's primary purpose: The primary purpose of the Domestic Violence Intervention Program (DVIP) is to make comprcheusive services available to adults and children affected by domestic violence.' DVIP serves both rural and urban areas. Programs support and involve battered women of all racial, social. ethnic, religious and economic groups, ages and lifestyles. The DVIP opposes violence as a means of control over others and supports equality in relationships and the concept of helping women assume power over their own lives. Board of Directors: 1. Please attach a list of your agency's Board of Direetor~ 2. Frequency of meetings: Board meeting once monthly, committee meetings - as needed. Briefly describe board orientation and ongoing training opportunities: Board orientation is complete within one month of becoming a board member. Continued training about the agency is offered 3 to 4 times a year. Board periodicals are also offered on a monthly basis. FI!NANCES: 1. If your agency charges a fee for services, describe your fee structure, N/A 2.. Does your agency have an internal auditSexternal au~)0r a financial review? 3. Has your agency ~ed an annual report with the Secretary. of State? No Has your agency filed Form 990 with the IRS? Yes Please describe your agency's fundraising efforts, if applicable. (e.g. events, direct mail campaign, planned giving~ etc.) DVIP participates in three major fundraisers per year. 1. Fine Art and Fun: DVIP's largest fundraiser, Fine Art and Fun is an annual event in early spring (this year's event will be held April 5th). Fine Art and Fun is a combination silent auction of fun items and baskets and a live auction of fine art. $25,800 .EY96 2. Hospice Road Race: DVIP staff. board, and volunteers participate in the Iowa City. Hospice Road Race each year. Those that participate help collect pledges for the event. $4,512 FY96 .. 3. 11,000 Nights of Safety: This fundraiser is a new direct mail effort that ask each participant to pledge one or more nights of safety for a battered woman or her child. Each night pledged cost 12.15. The 11,000 nights represent the number of nights residents stay at the shelter each year. $10,000 TY96 MANAGEMENT: 1. Does each professional staff have a written job description? Yes 2. Is the agency Director's performance evaluated at least yearly, Yes, by the board executive committee. -9- -77- -78- DVIP Board 1996-I997 Beth Beasl~ 95 602 N. First Ave. Iowa City, Iowa 52245 I-I: 337-5352 Maureen Donnety 95' 3104 Maplewood Ln Iowa City, Iowa 52245 W: 354-4169 H: 335-0314 or0320 Laura Hill 8/96 193 Bon Aixe Iowa City, Iowa '52240 W: 338-2135' H: 351-4170 Susan Horowitz 96 1129 Kirk-wood Ave. .... Iowa City,'Iowa 52240 H: 3544225 Kaxea Jacobson 8/96 2269 Taylor Drive 'Iowa City, Iowa 52240 W: 353-6165 I-I: 388-1078 Meredith Jacobson 95 17 W. Prentiss Iowa City, Iowa 52240 W: 335-6001 H: 338-5683 Bernie Kennedy 95 33 Post Rd. Iowa City, Iowa 52245 W: 354-5444 H: 354-1763 Amy Knoke 96 15 WooIf Ave. Iowa City, Iowa 52246 W: 3354846 H: 358-9414 (do not call after 91:an) 9a Laura McLeran 96 680 Emily St. North Liberty, Iowa 52317 W: 335-3106 H: 626-2757 Rose Metz 94 2530 Bluffwood Cir, Iowa City, Iowa W: 3354149 H: 351-5816 Suzanne Koury 8/96 919 Deforest Ave. Iowa City, Iowa 52240 W: 356-7216 H: 354-0199 Christy. Scheetz 7/95 Healthy People 2001) 500 E. Market St Iowa City, Iowa 52245 I-I: 338-0087 W: 339-3881 David Schoon 8/96 1103 Cambria Ct. Iowa City, Iowa 52246 W: 356-5236 H: 351-2812 Jerry. Vanni 8/96 401 KSmball Rd. Iowa City, Iowa 52245 W: 356-5816 H: 338-5628 Troy Weier 96 710 Carriage Hill #5 Iowa City., Iowa H: 351-3874 AGENCY: DOMESTIC VIOLENCE INTERVENTION PROGRAM E. Program Services: Please define your agency's umts of service (service definition length of time, cost per unit of service, number of units provided, direct or ind~ect.) Unit of service Shelter-24 hour crisis shelter for victims of domestic violence; Length Cost # of Units 60 - 80 days 12.15 per-'night 418 sheltered Crisis line 1/2 hour 6.97 per call 13,039 calls Individual Crisis Counseling: 1 to 2 hours 39.69 per hour 475 units Support Group 2hrs ech wk. 35.40 per hour 104 hours no-contact order advocacy 3 hours Other advocacy (law, medical, soc. service, financial, housing etc.) 2 hour o. 9.27 per hour 417 hours 10.04 per hour 2.252 hours Please supply information about clients served by your agency during last two comolete budget years, Refer to form instructions for definition of duplicated and unduplicated. FY95 includes shelter only. FY96 includes all units of service listed above. 1. How man~:John~on County residents (including Iowa C~ty and CorMville) did your agency serve 2. How many Iowa City residents did your agency serve? 3. How many Coralville residents did your agency serve? 4. How many units of service did your agency provide? Enter Years--> la. Duplicated Count lb. Unduplicated Count 2a. Duplicated Count 2b. Unduplicated Count 3a~ Duplicated Count 3b. Unduplicated Count 4a, Total 4b. To Johnson County residents FY9$ 378 227 164 141 23 10,044 8,290 FY96 N/A N/A 508 N/A 77 · 14,200(=calls) 648(does not i include calls) Other Areas Served: Do you provide services to areas outside of Johnson County ? Yes Areas Served: Washington, Iowa, Cedar and Jones County.. Services Provided? All shelter services are 'served in Johnson County. Other services such as court, law enforcement, medical, Crisis counseling, support groups, and no-contact orders are served in the local county. Referrals are made to appropiate agencies according to client need. Funding Sources? Funding for the rural outreach programs comes from the local rural area, East Central United Way Donor Option Funds, state and federal grants such as Victim Of Crime Act and Women Against Violence Act Grant These funds staff each county one day per week and Jones Co. 21/2 days per week. - 10 ~ -79- AGENCY: DOMESTIC VIOLENCE INTERVENTION PROGRAM 6. Client Profile (for last complete year, if available): 6- 17 18 - 29 30 - 61 62 - 75 75+ UNKNOWN 7. A. AGE *shelter only 0-5 107 96 99 103 2 0 " 11 Evaluation and Review: GENDER M F UNKNOWN shelter only 299 ETI-INICCITY African american .Native American Asian Hispanic White Multi - racial Unknown shelter only 170 5 6 23 204 0 10 Please discuss how your agency measures the success of its programs, 1. A written evaluation from residents as they. depart from shelter. 2. Quaner~ focus groups with exresidents of shelter program. 3. Yearly staff goals, meetings, and retreats to discuss services. 4. Board retreats Through these meetings and discussions DVIP evaluates it's focus and mission to better serve battered women and their children. Success in terms of programming are not often measured by prevention because DVIP generally sees people at a crisis time'in theix lives - often life threatening. Success is keeping women or children from further harm while in shelter. Success may mean a woman getting a permanent no-contact order. Other measures of success include community. education ( how many trainings or education session were ~ven), how many people were helped on the 24 hour crisis line, are children and morns using non-violem forms of conflict resolution while in shelter? etc. DVIP also offers a wide range of in-service meetings that will help in the success of their goals. Many local agencies have participated by coming to the shelter on a monthly basis to facilitate an hour long group about what they as an agency can do to help or to educate about their services. These agencies have included but are not limited to: Home Ties, HACAP, legal services, Candle Works, Human Resources about legalities of interviewing, Victim Wireess Coordinator from the County Attom~ Office, Emma Goldman, Civil Rights Depart., SAFE Foundation, Dept. of Health, Life Skills, and Uof I diversity training. Other agencies that DVIP work close .ty with include: Neighborhood Centers, RVAP, MECCA and Community Mental Health. B. Does your agency have performance objectives? (give several examples). DVIP's performance objectives usa~o!ly relate to current funding sources guidelines (e.g. 1. The Volunteer Coordinator will hold four trainings per year according to the guidelines set out in Iowa Criminal Code 236. 2, DVIP will' offer 24 hour shelter and crisis line and will keep statistics on number of women/children shelter and the number of crisis calls year.. 3. DVIP will provide staff with continuing education about domestic violence related issues as well as in-services trainings from local human service programs that directly affect a majority of DVIP chentele. C. What plans does your agency have to increase efficiency and effectiveness? DVIP is currently analyzing it's building and housing needs of single women with no children who are victims of domestic violence. Although no decisioi~ has been made DVIP is currently considering using a few of it's unused bedrooms for transitional housing. This is in an effort to efficiently use the building. 8. In what ways will the needs of your service population change in the next five years? See Above(C). Also We are in discussion about how welfare reform may affect battered women and our services in the next five years -11 - -' GENCY: DOMESTIC VIOLENCE INTERVENTION PROGRAM Please discuss any other problems or factors relevant to your agency's programs, funding or service delivery: One of the largest funding problems or financial problems that DV~P has is that of cash flow. DVIP's cashflow is extremely tight and does cause some problems for us during certain months or quarters of the year. DVIP's board and executive director are currently working to solve this problem. Steps have been taken to analyze DVIP's budget over the last four years to resolve the on going cash flow problem. The second half of the fiscal year looks good for DVIP, however, the first half is very tight. The board of directors has appointed a committee to look into this issue. knowing that the over all budget for income and expenses looks fine, the committee has been tasked to find solutions for the worst part of the year. A particular concern is that the majority of DVIP's funding comes from reimbursable grants and must be spent before we are reimbursed. Although the City, County or United Way grants are not se~ up this way all of the S. ta.te and Federal gxants are. 10. List complaints about your services of which you are aware. One consistent complaint that residents of the shelter have had is that of staff consistency - especially on the weekends. The complaints had to do with residents not getting consistent messages from the staff who worked on weekends versus staff who worked full time during the week. tt was not unusual for the weekends to have as many as five different staff people working in a 48 hour period of time. After careful consideration, and because of this feedback from the women who must live here for up to 60 - 80 days DVIP has hired a full time person,to work weekends. This has proven to be a very good move for the residents. Services on the weekends are much more consistent with the rest of the week and staff turn over is much lower. The staff person also has the OlSpermmty to -- ~ake a fair wage with complete DVIP benefits. 11. Do you have a waiting !is~ or have you had to turn people away for lack of ability to serve them? What measures do you feel can be taken to resolve this problem? DVIP has not had a waiting list since the summer of 1995. How many people are currently on your waiting list? 0 12. In what ways are your agency's services publicized? Phone Book Newsletter Local News Stations 'Radio Human Services Resource Guide Volunteer Alert Brochures 13. United Way involvement by your agency: (check if agency participates) a. Agency Directors Meetings X b. Agencies Representative to Funding. Hearings c.. Business Blitz X d. Day of Caring X e. Executive Development Seminars__ f. Kick Off X g. Victory. reception X h. Volunteer Action Center X i. Other Business Break:fast X (will be participating in this years hearings) - 12- AGENCY HISTORY AGENCY Domestic Violence Intervention Program In 1977, the University of Iowa's Women's Resource & Action Center (WRAC) received a one year CETA grant from the Federal Government to explore the problem.and incidence of domestic violence in our community and provide counseling for women affected. The study highlighted the barriers that battered women experience in seeking safe shelter, and the unspoken epidemic of violence against women in our community~.. Responding to these needs, volunteers very quickly established a safe home network, referral service, and provided emergency housing in motels for battered women. The Domestic Violence Intervention Program officially opened in October of 1980. The shelter program was partially funded by the United Way, the City of Iowa City, and Johnson County. DVIP's shelter building was funded by the Community Development Block Grant. A first year budget of $29,000 provided battered women and their children emergency housing, counseling, and a 24 hour crisis line. In 1982 DVIP added a staff position to help meet the needs of children, who frequently accompanied their mothers in the shelter. By 1988 DVIP underwent a major renovation to better utilize space and make more room for increased numbers of women seeking shelter. In 1988 the average length of stay was 20 days, and the majority of the children residing in the shelter were § years old and under. Additional funding was granted in 1991 that enabled DVIP ta offer support services beyond'Johnson County. Those Counties include Cedar, Iowa, and Washington Counties and continue to be the Counties we serve today. As of 1992 ~h,~. average length of stay has increased form 20 days to 32 days. In 1994 the average length of stay at DVIP is 4,5 days. At least 5[]% of the children are ages 6 to 11 years old. Because shelter is continuously at peak capacity a capitol campaign was launched in an effort to acquire a larger, more functional shelter to meet the communities needs for battered women° In December of 1993, with a successful community effort, DVIP moved into it's new facility, a fifteen bedroom shelter that can house up to 60 women and children. A new director was hired and for the first time the shelter has paid staff around the clock. The new shelter remains in a confidential location, and the agency continues to offer comprehensive services to battered women and their children. 1996, DVIP has received federal/local grants to improve i~s rural outreach to battered women. A grant passed by the Federal Crime Bill legislation has helped. DVIP currently has 21 full and part time staff members, staffing a 24 hour shelter and services to four other counties. Since opening our doors in 1980, DVIP has provided services to over 14,161 women and children. -13- -82- AGENCYDomestic Violence Intervention Program To provide free for battered women and their children, confidential safe shelter, counseling, support groups, phone counseling and education about the .dynamics pf domestic violence in Johnson, Cedar. Iowa, and Washington and Jones Counties. As many womefi's lives are threatened and many women are ......... _stalked by their abuser DVIP is equipped and trained to deal with emergency situations. DVIP continues to be the only:domestic violence shelter in the community. To provide shelter to 200 battered women and 225 of thei~ children with emergency shelter when fleeing their homes to escape being battered on a 24 hour a day basis. This service is an unduplicated service in the Johnson County and surrounding area in that it is the only domestic violence shelter offered in Johnson County. All services are offered to all socioeconomic. classes, and without discrimination to people with disabilities or who are otherwise disadvantaged. TASKS: 1.. To maintain accountability to women, board and commumty by remaining staffed 24 hrs. a day. 2. Provide training set by Iowa Criminal Code 236 to all staff and volunteers that do direct service work. 3. Build volunteer pool to 125 by providing four trainings in fiscal year 98. 4. To network with agencies that also deal with domestic violence, such as law enforcement, hospitals, court systems and human service agencies. O!~CTIV~ B: In 1998, provide an es~cimated 15,000 women with 24 hour access to domestic abuse crisis line. TASKS: 1. Train staff and volunu:ers about domestic violence, ueeded referrals, optious etc., four times year .ly in 2. To continue utilizing volunteers ou an on call basis and provide volunteers with a b~l~r. 3. To mabitaiii call forwarding-Option on phone service. -'-=-- 4. Train and update staff/volunteers with community information and referrals as well as commumty 5. Maiuj_ t~in.th.eilr800 hotline for FY98. OBJECTIVE C: DVIP will serve an estimated 225 women in a support group setting in FY98. TASKS: 1. DV[P will let women know about support and education groups through it's information packet and brochure. 2. DVIP will keep all other agencies apprised of it's groups in FY98 by mailing and posting flyers throughout the Johnson county, area. 3. Will provide a trained group facilitator and use curriculum that is specific to domestic violence victims. - 14- -83- AGENCY Domestic Violence Intervention Program O1MECT1V~ To provide 225 'wbmen with counseling services; to include supportive short term counseling, information on domestic violence, referrals to community. resources, an~to address theft immediate needs and goals. TASK: 1. To provide 24 hour coverage by trained staff to address issues raised with residents. 2. To provide training for volunteers who choose to counsel women. ' 3. To provide a confidential space for women who want/need counseling who may not be in shelter. 4. To continue to network with other community agencies. OB~ICTIVE E: To educate the community about problems facing women who are victims of domestic violence; including services available, _dynamics of abuse, intervention, prevention, and program needs. TASK: 1. Maintain a wide distribution of printed materials. 2. Solicit groups, especially of high risk, professionals, and adolescents to speak to. 3. Develop a media packet about services, and Speakers Bureau. 4. Solicit other Human Service Agencies to train their personnel about'ihe .dynamics of domestic abuse. OBJECTIVE F: " To provide services that address the needs of children affected by violence andoffer parents supl on and alternatives to physical punishment. TASK: 1. To provide activities for children in shelter to help build self-esteem, teach contlict resolution skills and to address developmental needs. 2. To work closely with the public school system so that children's needs are being met educationally as well as emotionoily while child is dealing with crisis. 3. Maintain a safe space for children in shelter for activities and groups. 4. To address parentconcerns and children's needs as part of intake and planning. 5. To offer support groups for children in shelter with a train~ facilitatorl OBJECTIVE G: To provide free furniture to people who do not have the resources to purcha~ ~uch furniture on their own. TASK: 1. To make community aware of the need for donated furniture by use of service organization newsletters, speaking engagement, and media. 2. To continue efforts to secure volunteers for pick up and delivery of furniture. 3. To continue to network with area agencies to help meet furniture needs in the Johnson County area. - 15 - -@4- AGENCY Domestic Violence Intervention Program OBJECTIVE H To continue to seek resources for staff through the Green Thumb and AmeriCorps Programs as long as programs are made available to Domestic Violence Shelters.. TASK: 1. To continue to reach out to said programs about DVIP's identified need for staff. 2. To meet grant deadlines for said grants. 3. Will evaluate the necessity of above programs annually. O!!J~.CTIV~. I DVIP does and will continue to network with area agencies as needed for community education, resident and clientele needs, and interagency cooperation. TASK: 1. DVIP will continue to collaborate with other agencies for the purpose of serving DVIP residents. 2. DVIP will continue to attend various commumty functions, including other Untied Way Agency. functions, City and County functions as well as most Urnted Way functions. 3. DVIP Will continue to Oldrate as a lead agency in the Local Coalition Again~ Domestic Violence in the effort to offer safe, comprehensive services to battered women working with the many local agen~ and individual members. ........ 4. DVIP will continue it's mining/education efforts in the commumty including participating in the Crisis Center's training and the Women's Resource and Action Center's training. DVIP will continue . :tO- -participate intwo 3 hour Social Work Classes teaching about the basic Domestic violence issues on 4. DVIP will continue to ask area agencies to participate in shelter in-service meetings for residents about what their agency hell~ do and how to access those services, 5. DVIP will continue to make an.v necessary referrals to any and all agencies that will be helpful to _ residents and others who seek DVIP services. These referrals will be made in person, on the phone and through the mail. - 16- -85- HUMAN SERVICE AGENCY BUDGET FORM Director: Jean H. Mann City of Coralville -Johnson County City of Iowa City United Way. of Johnson County CHECK YOUR AGENCY'S BUDGET YEAR 1~i/97 - 12/3'1/97 4/1/97 - 3/31/98 7/1/97- 6/30/98 Agency Name: Elderly Services Agency Address: 28 South Linn Phone: ,.356-5217 Completed Approved by Chair Boa '~t~~--Eg 10/1/97- 9/30/98 18-Sep-96 (date) COVER PAGE ' ' Program Summary: {Please number programs to correspond to Income & Expense Detail, i.e., Program 1, 2, 3, etc.) Program 1: .Chore refers workers for care of the yard, house, & in-home and/or respite care. Program 2: Subsidized chore: refers workers under a contract with the Johnson County Health Department only for lawn care, snow removal and heavy cleaning for low-income clients. Program3: Assessment and Intervention/Shared Housing: links older people to services; screens to find out -~ -: ......~hat theirneeds are; includes an outreach component to rural areas through VNA's Well Elderly -:.Clinics-~and a shared housing program (which provides companionship, help around the house & xncome from.rent for_homeowners). Serves as a base for referrals to case management, and as a ....... nuclens..for information and referral across the country as well as in our community Program 4: .Retired Senior Volunteer Program and Volunteer Coordination: RSVP provides seniors with a - ..... ~. ...... .:~:i_..xsh.qpping 1/st of_0ppor[u~ hi_ties for volunteer efforts, plus insurance, mileage and recognition. ..... ..~.-..i'V_oJgnte.ers work t. hroughout the community at 75 diff_er__e,n..t_l_o~_atip_ns_. W_e combine this program ......... ~ ~_with_the yo!unt_eer efforts. of University students studying aging in school and volunteering · thro_ugh re!igio3s.organizatjons. Progr ~am ~,:.aHohs!ii~g i(e-p~ili-~. p_ro.v_!~.e.s repairs related to safety and modifications to the home which accommodate disability.s° that older people can remain in their homes'as long as possible. pr._og~am.6..~.'~iCas'~' Management!.:,9,~?rs older people and their famil~s evaluation, presentation of available 2. :...options for_c_ e_ at..h_o_me, ~pordination of all services,' and §ome0ne to act for them, if necessary. : Staffed by a team0fpi-6fessionals from area hospitals, health care and social service aeencies. ,:'-~ocat-Funding Summary' united wa-~'of John-Son CSunty-- - Does Not Include Designated Gvg. 4/1/95 ~ - ~ 4/1/96 - 3/31/96 .... 3/31/97 4/1/97 - % of Total 3/31/98 Budget $30,000. $30,678 $35.000 12.97% FY96 FY97 FY98 ~ City of Iowa City $53,500 $55,105 $60,000 22.23% Johnson County City of Coralville $15,532 $15,998 $26,000 9.63% $1,500 $1,500 $6,000 2.22% -1- AGENCY: Elderly Services Agency ~BUDGET SUMMARY 3 5 6 7 8 Enter Your Agency's Budget Year ==> 1. TOTAL OPERATING BUDGET (total a+b) a. C_a...rryover Balance (Cash from line 3, previous column) b. Income (Cash) 2. TOTAL EXPENDITURES (Total a+b) a. Administration b. Program Total (List Progs. Below) 1 Chore 2 Subsidized Chore Assessment & Intervention/Shared Housing Retired Senior Volunteer Program/Volunteer Coordination Housing Repair Case Management f~r the Frail Elderly/County Facilitation 3. ENDING OPERATING BALANCE (Subtract 2 - 1 ) 4. RESTRICTED FUND BALANCE (Total from page 7) 5. IN,KIND SUPPORT (Total from Page 7) 6. NON-CASH ASSETS Notes and Comments: ACTUAL LAST YEAR FY96 229,810 15,959 213,851 220,423 30,052 190,371 28,774 12,186 30,498 31,676 35,775 51,462 THIS YEAR PROJECTED FY97 245,388 9,387 236,001 234,920 34,115 200,805 31,593 11,086 33,249 33,395 36,235 - 55,247 81,170 165,108- 17,677 BUDGETED NEXT YEAR FY98 280,354 10,468 269,886 269,841 38,643 231,198 32,153 10,793 58,664 32,577 36,556 60,455 10,4681 85,004 165,640 14,000 10,513 113,883 165,640 12,000 The actual ending balance in column 1 is made up of operating funds. -2- AGENCY Elderly Services Agency INCOME DETAIL 1. Local Funding Sources- a. Johnson County b. City of Iowa City c. United Way of Johnson County d. City of Coralville e. CDBG Housing Repair/Mod. f. 2. Grants - State, Federal, Foundations a. Heritage Area Agency on Aging b. JCHD Subsidized Chore C. d. e. 3. Net Sales Of Services (sources) a. b. C. · 4. Net Sales of Materials (sources) a. RSVP afghans b. _5._ Contributions/Donations' a. United Wa Desi naiCd'Givin~ b. Other Contributions 6. Special Events a. Iowa City Road Races b. C. -7. interest Income 8. Ot.her -.Lis. t Below ' a. Shared Housing fees b. Miscellaneous C. ACTUAL LAST YEAR 122,078 15,532 53,500 30,170 1,500 21,376 70,091 59,926 10,165 4,296 4,296 15,110 3,i37 11,973 -' 444 444 184 1,648 230 1,418 THIS YEAR PROJECTED 132,362 15,998 55,105 31,759 1,~00 28,000 81,386 70,495 10,891 2,0001 2.000 18,3531 2,353I 16,000 1,000I 1,000- 200 700 300 400 BUDGETED NEXT YEAR 155,oool 26,000 60,000 35,000 6,000 28,000 NON- PROGRAM DIKECTED 1 FUNDING Chore 20,970 [ 16,081 3,120 5,200 12,600 10,200 5,250 0 0 681 0 0 $8,533 J, 5,117[ 16,120 77,642 5,117 16,120 10,891 0 0 ol ol o 2,oool 2,000 '0 0 0 0 22'353i 2,353 20,000 1,oool 1.000 i0.935 0 10,935 500 50O 0 0 0 0 0 300 I"' 7001 30O 400 4001 0 400 0 0 0 0 PROGRAM 2 Subs, Chore 0 0 0 0 0 0 10,891[ 0 10.891 0 0 0 0 0 0 0 0 TOTAL INCOME (same as p. 2, line lb) Notes and Comments: 213,851 236,001 269,886 37.922 32,201 10.891 -ss- -3 - AGENCY Elderly Services Agency INCOME DETAIL (cont) 1. Local Funding Sources- a. Johnson County b. City of Iowa City c. United Way of Johnson County d. City of Coralville e. CDBG Housing Repair/Mod. f. -.'2~Grants - State, Federal, Foundations ' a. Heritage Area Agency on Aging b. JCHD Subsidized Chore C. d. e. f. 3. Net Sales Of Services (sources) PROGRAM 3 A&I/SH 37,698 13,779 9,3O0 9,800 4,819 0 !2,615 12,615 0 Do 4. Net Sales of Materials (sources) [ 0 a. RSVP afghans 0 b. C. 5. Contributions/Donations '1 7,453 a~-United Way Designated Giving 0 b. Other Contributions 7,453 6. Special Events I 500 a. Iowa City:Road:Races' 500 b. C. 7. Interest Income [ 300 8. Other:- List Below t 300 a. Shared Housing fees 300 ..... b. Miscellaneous 0 C. TOTAL INCOME (same as p. 2, linelb) Notes and Comments: 58,866 PROGRAM 4 RSVP 16,040[ 2,340 8,100 5,600 ~ 0 0 13,3091 13,309 0 Ol 2,oool 2,000 1,28s I 0 1.2851 0 Ol 32,634 PROGRAM 5 Hse Rep 33,800 0 3,900 1,400 500 28.000 2,750 2,750 0 ol 0 0 179 0 179 0 0 0 0 0 0 36,729 PROGRAM 6 CMFE 30,411 1,561 15,900 12,950 0 0 PROGRAM 7 27,731 27,731 0 0 0 2.501 2.353 148 0 0 60.643 PROGRAM 8 -4 - -89- PROGRAM EXPENDITURE DETAIL AGENCY Elderly Services Agency I. Salaries 2. Employee Benefits & Taxes 3. Staff Development 4. Professional Consultation 5. Publications & Subscriptions 6. Dues and Memberships '7. Mortgage, Rent and Property Tax 8. Building Maintenance 9. Equipment Purchase/Rental/Maint. 10. Utilities ACTUAL THIS YEAR LAST YEAR PROJECTED 133,906 143,000 22,02? 25,052 488 600 4,469 4,500: 586 300 523 525 0 602 0 4,568 1,205 0 BUDGETED ADMINISTRA- PROGRAM NEXT YEAR TION 1 Chore 168,720 15,910 26,686 30,565 2,836 3,668 --t,000 1,000 0 4,5O0 4,5OO 0 3O0 3O0 0 550 315 0 2,800 2,300 0 11. Telephone 2,662 2,700 12. Office Supplies & Postage 4,794 4,342 13. Printing and Publicity 2,611 2,500 14. Local Transportation 3,138 3,690 15. Insurance 4,272 4,300 16. Audit .......... 2,750 2,900 17. Interest 18. Other (Specify~: ..... 19 ProHam Expenses .... 3,025 4,821 20 Miscellaneous 524 200 21 Contractors/Hse Rep 21,006 25,000 22 Subsidized chore 7,844 7,385 23 Fund raising costs 628 1,900 24 25 3,200 580 4,800 35 2,500 0 3;800 667 4,600 4,600 3,000 -3,000 '4,821' ............-500 200 2'5,000 7,385 2,100 0 0 2,100 327 916 456 0 0 0 0 100 0 0 0 TOTAL EXPENSES ( p. 2, line 2) Notes and Comments: 4. 6. 9. 19. 21. 22. 23. PROGRAM 2 Subs. Chore 2r , 391 0 0 0 0 0 53 100 0 0 0 0 0 100 0 7,385 0 220,423 234,920 269,841 38,643 32,153 10,793 Professional Consultation: Accounting fee paid to Great Balancing Act Includes NASW fees, state license costs, RSVP lobbyist (required by contract) Includes cost of IRis software ($1,300) providing information & referral national data base Donations spent on client needs; RSVP costs, ads for shared housing, equipment rental, fees for JC Fair, refreshments for open house/Sr. Cntr.;staff training/CPR Payments to independent contractors for housing repair/modification throughout the county Client reimbursements for chore work Includes mailing cost for FR letter and $1,100 to Riverside Theatre to buy house for a fund raiser. 5 PROGRAM EXPENDITURE DETAIL AGENCY Elderly Services Agency (continued) PROGRAM PROGRAM PROGRAM PROGRAM PROGRAM 3 4 5 6 7 -- A&I/SH RSVP Hse Rep CMFE ~. Salaries 45,490 23,150 9,450 45,270 2. Employee Benefits & Taxes 9,166 3,202 1,512 9,790 3. Staff Development 0 0 0 0 4. Professional Consultation 0 0 0 0 5. Publications & Subscriptions 0 0 0 0 6. Dues and Memberships 0 235 0 0 7. Mortgage, Renfand Property Tax 0 0 0 0 8. Building Maintenance 0 0 0 0 9. Equipment Purchase/Rentai/Maint. 500 0 0 0 10.Utilities 0 0 0 0 11. Telephone 355 372 185 1,328 12. Office Supplies & Postage 1,294 572 269 1,614 13. Printing and Publicity 674 725 140 505 14. Local Transportation 1,185 0 0 1,948 15. Insurance 0 0 0 0 16. Audit 0 0 0 0 _ 17. Interest 0 0 0 0 t8. Other (Specify): _. see_notes 19 Program Expenses 0 4,321 0 0 20 Miscellaneous .. 0 0 0 0 21 Contractors/Hse Rep 0 0 25,000 0 ~..2 Subsidized ~h6r~ 0 0 0 '~' ,.- ' ' 0 23 Fun{raising costs 0 0 0 0 24 TOTAL EXPENSES (p. 2, line 2) '58,664 32,577 36,556 60,455 Notes and Comments: 4. Professional Consultation: Accounting fee paid to Great.Balancing Act 6. 9. 19. 21. 22. 23. 0 Includes NASW fees, state license costs, RSVP lobbyist (required by contract) Includes cost of IRis software ($1,300) providing information & referral national data base Donations spent on client needs; RSVP costs, ads for shared housing. equipment rental, fees for JC Fair, refreshments for open house/Sr. Cntr.;staff training/CPR Payments to independent contractors for housing repair/modification throughout the county Client reimbursements for chore work Includes mailing cost for FR letter and $1,100 to Riverside Theatre to buy house for a fund raiser. PROGRAM 8 - 6- -9]_- AGENCY Elderly Services Agency RESTRICTED FUNDS: ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR Restricted by: Jo Co Health Department IA Dept Elder Affairs Iowa City Heritage AAA Restricted for: 'Subsidized Chore RSVP Housing Repair/Modification Chore (and, in FY98, Respite) Assessment & Intervention Case Management/Frail Elderly Housing Repair (rural) I TOTAL RESTRICTED FUND (also shown page 2, line 4) 10,165 10,891 10,891 12,502 12,502 12,502 21,376 28,000 28,000 9~74 9,074 15,074 11,410 11,410 11,410 20,986 20,986 20,986 2,750 2,750 2,750 88,263 95,6131 101,613 MATCHING GRANTS Grantor/Matched by IA Dept Elder Affairs (RSVP) Iowa City: Hse Rep Heritage AAA: Chore/Respite Heritage: Assess & Inter. Heritage: Case Management ITOTAL MATCHING GRANTS: Local funders Local funders Local funders Local funders Local funders SEE NOTES~ 12,636 14,236 16,847 7,656 5,225 5,800 19,049 20,948 23,127 17,778 19,358 37,698 24,050 25,237 30,411 81,1701 85,0041 113,883 IN-KIND SUPPORT DETAIL ServicesNolunteers: Advocates/visits/repairs/chore SEE NOTE Material Goods Space, Utilities, etc.: Senior Center office space Other: (Please specify) ITOTAL IN-KIND SUPPORT (also shown on page 2, line 4) 156,468 157,000 157,000 8,640 8,640 8,640 165,108 165,640 165,640 Notes and Comments: Re: Services/Vol's: Re matching grants: does not match page 3, line 2. RSVP matched by Iowa City, United Way and Johnson County funds; Housing Repair by Iowa City regular allocation money, UW and Coralville. Case Management matched by Johnson County, Iowa City, United Way. Chore, Assessment & Intervention: JoCo/Iowa City, UW & Coralville. 1,200 hrs @$10/Practicum Student; 25,878 hrs@ $6/Undergrad's & other volunteers. -7- -92- SALARIED POSITIONS Position "X" hhosc that apply Last Year Executive Director 32 X X 17% 1.00 Chore Coordinator 25 X 12% 1.00 RSVP/Volunteer Coordinator 27 X 12% 1.00 Case Management Facilitator 22 X X 21% 0.96 SH/Assessment & Intervention 25. X . X 20°4 1.00 I&R Aging Specialist 22 X 20% n/a Housing Repair Project Coord. 0 8% 0.04 AGENCY FTE* This Next Actual Year Year Last Year 1.00 1.00 38,000 f 00 1.oo 25,000 1.00 1.00 25,300 'I .00 1.00 20,606 1.00 1.00 22,500 n/a 0.75 0 0.04 0.04 2,500 Elderly Services Agency Salary This Budgeted % Year Next Year: Change 39,500 43,000 8.86% 26,500 27.300 3.02% 27,000 28,000 3.70% 23,000 23,920 4.00% 24,500 25,500 4.08% 0 18.000 n/a 2,500 3,000 20% Paid leave: includes vacation and holidays Percentage of benefits: includes Health Insurance, FICA and Retirement TOTAL FTE's and SALARIES ####### ####### . 5.79 133,906..143.000 168,720 4.09% Note: %increase, staff salary raises: does not include $500 raise to 4% part-time employee (Housing Repair Project Coord.) AGENCY Elderly Services Agency ACCOUNTABILITY OUESTIONNAIRE Agency's Mission Statement or Primary Purpose Elderly Services' mission is to help people 60 and over remain safely and comfortably in their homes for as long as possible. Board of Directors: Please attach a list of your agency's Board of Directors Frequency of meetings: monthly, except for July Briefly describe board orientation'and ongoing training opportunities: Board members' orientation is usually a one-on-one experience with the Director. We distribute a Board notebook, which contains a list of the ten basic responsibilities of nonprofit boards, our bylaws, personnel policies, general agency policies, articles on Board functions, duties and training, fund-raising strategies, a list of acronyms for common terms, a copy of the agency histor3', a list of current Board members and the agency committees to which they belong. Covered in the orientation are such topics as our strengths and weaknesses, what would be lost if we ceased to exist, the business that we are in, our most important service, a description of our clients, our volunteers and the people who give us money. C. Finances: If your agency charges a fee, describe your fee structure. The only fee charged by our agency is at the signing of a shared housing lease. The charge is $25. Does your agency have an: -internal audit external audit ' X'X financial review Frequency annually Has your agency filed the Annual Report with the Secretary of State? Yes XX No Has your agency filed Form 990 with tii~ iRS? Yes XX No Please discuss your agency's fundraising efforts, if applicable. We send out an annual fundraising letter in July to clients and their families. :RSVP has sales of afghans. We are holding a Riverside Theater fund-raiser in May 1997. We participate in the Iowa City Road Race and we solicit donations from sororities, individuals and community organizations. Management: o Does each professional staff have a written job description? Yes Is the agency Director's performance evaluated at least yearly? Yes XX No By Whom? Board of Directors X No 9 AGENCY Elderly Services Agency E. Program/Services: Please define your agency's units of service (service definition, length of time, cost per unit of service, number of units provided, direct or indirect.) ,Chore: Service definition: yard work, household maintenar~ce, respite care; unit of service: one chore hour; length of time: one hour of service, cost: $1.88 per unit of service; number of units provided: 21,324; direct. P,S.VP: Service definition: volunteer community service to young & old; unit of service: volunteer hours; length of time: one volunteer hour; cost: $1.07 per unit of service; number: 22,183 units provided; direct. Case Management: Service definition: analyzing in depth the situation of elderly most at risk for nursing home placement (they are certified by the State as needing that level of care as a prerequisite to be in the program); devising, coordinating & tracking plans of care with 30 agencies, 3 hospitals, and nursing homes; unit of sei'vice: one Iowa assessment or reassessment; length of time: ten hours each; cost: $411 per unit of service; direct. Housing Repair: Service definition: repairs and modifications to elderly/handicapped households; unit of service: each household repaired; length of time: n/a; cost: $717 per unit of service/direct. Assessment & Intervention: service definition: assess needs of vulnerable elderly and help meet those needs by providing information, making referrals and monitoring cases, using staff and volunteers; length of time: one hour of service or one personalized piece of mail; cost: $5.03 per unit of service; number of units provided 6,054/direct. Please supply information about clients served by your agency during the last two complete budget years. Refer to form instructions for definition of duplicated and unduplicated. 1. How many Johnson County residents (including Iowa City and Coralville) did your agency serve? Enter Years- FY95 FY96 la. Duplicated coui~t · 11,748 12,133 lb. Unduplicated count 1,375 1,548 2. How many Iowa City residents did your agency serve? 2a. Duplicated count 8,680 10.084 2b. Unduplicated count 1,085 1,242 3. How many Coralville residents did your agency serve? 3a. Duplicated count 2,068 3,083 3b. Unduplicated count 133 150 4. How many units of service did your agency provide? 4a. Total 71,428 59,542 4b. To Johnson County 71,428 59,542 Residents Note: ESA no longer counts calls in and calls out as units of service, thus accounting for lower total numbers. 5. Other areas served: Do you provide service to areas outside of Johnson County? Yes Area(s) served: Washington County Services provided: Our Case Management Facilitator began staffing the case management meetings held monthly in Washington. County in July, 1996 Funding Sources: Heritage Area Agency on Aging 10 0-5 6-17 18 - 29 30 - 61 62 - 75 75+ o AGENCY Elderly Services Agency Client Profile (for last complete year, if available): Age IIGender 0 Female 1114 0 Male 434 0 13 5O5 1030 Ethnicity African American 15 Native American 3 Asian 10 Hispanic 9 Caucasian/Non-Hispanic 1511 Multi-racial Evaluation and Review: ao (2) RSVP Please discuss how your agency measures the success of its programs. Our agency staff sets its own quantifiable objectives for performance in each program. These are analyzed at mid-year (to see if they remain valid goals or if they need to be changed) and at the end of each fiscal year to see if the the target numbers have been reached. Does your agency have performance objectives? (give several examples.) Yes, our agency has performance objectives. Examples: Assessment & Intervention: (1) Make 6 visits to rural areas with the VNA Wellness and Flu Shot clinics to inform people about available services. (Done) Update brochure on services & distribute to MD' s, lawyers, dentists, agencies, public library, housing sites. (Done) (1) Maintain number of active volunteers at 220 (Done, had 289) (2) Maintain 22,000 hours of volunteer effort (Done, had 22,183) Case Management (1) Conduct formal assessment on 100 clients identified as high-risk by their performance on the FASE screening tool. (Done) Housing Repair: (1) Build one-two ramps for low income elderly unable to safely enter and leave their homes (Done, modular ramp, with City Rehab) (2) Provide bathroom modifications for two-four low-income elderly in danger of losing theirsindependence because of bathroom accessibility problems (Done, three households) C. What plans does your agency have to increase efficiency and effectiveness? (1) Raise funds to set up a network of computers so staff can share information on clients more easily (2) Use network to program information and referral data for all staff (3) Combine & realign job descriptions annually to increase efficiency (4) Recruit volunteers to serve as staff support. In what ways will the needs of your service population change in the next five years?: We serve over 1,000 people who are 75+. The great majority of them will continue to grow older (people survive longer now). Their needs will grow. The needs of 50+ family members who are caring for them will grow as well. The push to save health care dollars will mean more care at home, not covered by insurance. ll AGENCY Elderly Services Agency 9. Please discuss any other problems or factors relevant to your agency's programs, funding or service delivery: Our main office is noisy and overcrowded, making it very difficult for the staff to work efficiently. We have problems finding housekeeping help for clients at the recommended wage of $6 an hour. The cho~:e program has been adversely affected by the new (and necessary) agency policies on machines (must be either owned by client or worker, not ESA) The lack of support staff continues to plague our operation, resulting in time spent on trivial tasks and, therefore, depriving older people of staff time available to them. Medicaid waiver funds are available to pick up home care costs and we have been approved as a provider of chore, respite and assistire devices services -- impact unknown. 10. List complaints about your services of which you are aware: Not enough housekeeping help is available at a price people want to pay. People living in mobile homes have maintenance/repair/modification costs far beyond the scope of our limited funding for rural areas. RSVP cannot fill every request for a volunteer. Volunteers do what they please, not necessarily what the public wants them to do. Agency telephones are frequently busy; people don't like that. The public wants hands-on respite care for sick elderly at $6 an hour. We cannot provide that, both because no one will do the work for that price and because we are not licensed to provide that level of care. 11. Do you have a waiting list or have you had to turn people away for lack of ability to service them? What measures do you feel can be taken to resolve this problem: We do not have a waiting list. There are difficult chore requests which take time to fill, but others are filled within two days as a rule. Some shared housing homeowners are not easy to find tenants for, but most matches are being made easily, depending on the time of year. People that want matches in the wintertime often have a long wait because most matches are made with students and are, therefore, on the academic calendar year. How many people are currently on your waiting list? none 12. In what way(s) are your agency's services publicized? We update brochures advertising our services along with housing information and information on all the other services which might help people and mail them to all our clients, area MD's, attorneys, churches and take them to the public library. We encourage special articles by local media and each program tries for one feature story a year. We speak to local community groups and religious organizations frequently. We speak on the radio and advertise through "Senior Center TV." 13. United way involvement by your agency: ("X" if agency participates) a. Agency Directors Meetings X b. Agencies Representative to Funding Hearings X c. Business Blitz X d. Day of Caring X e. Executive Development Seminars X f. Kick Off X g. Victory Reception X h. Volunteer Action Center X i. Other Serve on Professional Development Committee and Guidelines Committee; speak for United Way during campaign: act as Rep for agencies on insurance. 12 AGENCY Elderly Services Agency AGENCY HISTORY (Using one page ONLY, please summarize the history of your agency, emphasizing Johnson County, telling of your purpose and goals, past and current activities and future plans. Please update annually.) Elderly Services Agency was founded in July of 1980 to serve Johnson County's elderly. Its mission is to help people 60 and over remain safely in their homes as long as possible. ESA started with a director, a half-time chore worker and a receptionist. In 1983 the chore program became full-time. The program'refers people whose police records and business references have been checked to elderly needing help with chores. In 1984 we eliminated the receptionist position and started an outreach program; 50 student volunteers visited and called our elderly clients. A shared housing program began in 1985; we combined that with calls and visits by the coordinator to our frailest elderly. In 1986 the Board of Supervisors began to contribute funding to the agency; we also started a small housing repair program with $1,000 from Iowa City. Iowa City now gives ESA $28,000 for small repairs, ramps, bathroom modifications. In FY95, Coralville and the Heritage Area Agency on Aging contributed funding for housing repair in Coralville and the rural areas of the county. In 1988 Gannett awarded ESA $45,000 to start a case management program. After the grant was over, the City, County, United Way and the Heritage Agency provided financial support. Heritage has administrative oversight of the program for the State of Iowa. By the end of 1995, ESA computerized reporting/recording efforts for that program. In 1990, the state funded RSVP half-time. ESA combined that program with other volunteer efforts to create a full-time position, In 1992 ESA received two grants (1) to find people eligible for SSI (2) a grant to interest lenders in providing home equity conversion loans. 1993 was the year of the great flood. ESA spent a tremendous amount of time and staff effort cleaning up for elderly people caught either on the flood plain or in homes with lots of leaks. Also in 1993, ESA and Ecumenical Towers sent a survey to 600 randomly selected elderly to determine unmet needs related to remaining in their homes. In 1996, RSVP and West High collaborated to begin a mentoring program titled MASTERS (Mentoring Adolescents Striving Towards Excellence, Responsibility and Success). Speak Up continued with fifth grade students and seniors, teaching public presentation skills. Partners in Reading matches seniors with 8th grade students. They exchange a weekly journal surrounding a book like Diary of Ann Frank. In 1996, ESA collaborated with the Community Mental Health Center in writing a proposal to administer the Adult Day Program, which was rejected by the Advisory Committee to ADP. In FY96 Heritage Area Agency on Aging funded a grant for assessment and intervention to buttress case management. It combines "outreach" and "information and referral" with formal assessment and client tracking through the system of community and health-care support. In FY96 we also started "piggybacking" on the Visiting Nurses Well Elderiy Clinics in rural areas. We send staff to explain services and encourage use of existing resources. In FY96 ESA instituted a number of reforms in the chore program to bring it into compliance with federal law on employer-employee relationships. Now clients or workers must provide equipment; we cannot. We also pay reimbursements to subsidized chore clients, rather than paying workers directly. The changes were difficult for clients, but they seem to be adjusting to the new system. Our future goals include expanding our information base to a computerized network for staff, expanding case management into Iowa and Washington counties, creating a staff line for information and referral as well as administrative support, developing respite care, chore and assistive devices elements in our programs so that clients are eligible for Elderly Waiver funds through ESA, and working to amend Iowa's Dependent Elderiy Abuse and Guardianship Laws. ESA continues to work on having an ECHO housing site in Iowa City, but so far, the Iowa HUD grant to build these homes has not produced a house. When it does, we will be there to put in a bid. -98- 13 AGENCY Elderly Services Agency AGENCY PROGRAM GOALS AND OBJECTIVES (several pages are provided, please add any additional pages you may need with your agency name as a header) Goal: The mission of Elderly Services is to help people 60 and over remain safely and comfortably in their homes as long as pos?ble, CHORE PROGRAM Objective A: To help 737 elderly maintain their residences by providing 9,000 hours of assistance with household chores by June 30, 1997 1. Refer 80-90 workers with good job references, a clean police record, experience with ordinary chore work and knowledge of tools, to be hired by elderly clients at an affordable wage. 2. Advertise for, screen, interview, refer and provide oversight for an average of 20 to 40 workers in an average of 363 jobs each month, negotiating a wage of $6 an hour (plus a 50 cent charge for gas when the machine worker's machine is used). 3. Administer the Johnson County Health Department Subsidized Chore Program for low- income clients in compliance with the regulations set up by the State Department of Health, aiming to serve at least 65-70 clients, primarily for the removal of snow and lawn mowing, providing at least 1,200 hours of help. Special preference will be given to those people with the greatest economic and social needs, with special attention to rural elderly and low income minorities; some referrals will be for people with handicaps younger than 60 years of age. 4. Assess clients using the Functional Abilities Screening Evaluation (FASE) thus assisting in the identification of those with the greatest economic and social needs, those who live in rural areas and low-income minorities. 5. Screen agency clients brought in through outreach programs for those who might need help with chores by examining their FASE's and contacting them, if appropriate. 6. Solicit and consider views of recipients by having them make written comments on the service agreements as to their satisfaction with the work done and by telephoning 5 randomly selected clients to discuss service satisfaction each month. 7. Evaluate objectives in January and May for outreach effectiveness, program and cost efficiency, and progress toward meeting objectives. Objective B: To provide 65 people 12,000 hours of in-home care 1. Refer 12 o 15 workers with experience in caring for older people, a clean police record and good job references to be hired for non-skilled home care. 2. Assess each client using the Functional Abilities Screening Evaluation (FASE) 3. Work with the case management team to set up case plans using chore srevices when appropriate Objective C: To find volunteers to provide 1,000 hours of services at no cost elderly with the greatest economic and social needs, especially those in rural areas, by June 30, 1997 1. Recruit 100 to 150 volunteers from social fraternities, sororities, and community organizations to provide 600 hours of seasonal help with chores for low income elderly. 2. Coordinate efforts of professional societies volunteering help with household maintenance tasks (e.g. furnace cleaning and oiling), targeting those with the greatest economic and social needs. Cost of the chore program: $42,679 in $42,946 in FY97 FY98 14 -99- AGENCY Elderly Services Agency ASSESSMENT AND INTERVENTION/SHARED HOUSING PROGRAM Objective A: Objectives B 4. 5. 6. 7. 11. To inform seniors of the services focused on helping them remain safely in their homes, assessing thoroughly those who appear to be at risk for losing independence, and making appropriate referrals To train a practicum student to assist staff in the completion of 150 Functional Abilities Screening Evaluations on frail elderly Send personalized letters to 1,550 clients by December 31 to let them know about any changes in the services available to help them remain independent in their homes,, including an updated brochure with all relevant services, and reference to the updated housing brochure. Enclose reminders to low-income elderly about rent and property tax reimbursement forms and deadlines. Coordinate six presentations on services through the VNA at rural flu clinics Provide information on services at the Senior Center VNA flu clinic to 300 people. Administer the Iowa Assessment Tool to 75 elderly referred for evaluation Mail a letter to all Home Delivered Meals' clients each month, asking to visit them in their homes to tell them about services available. In a personalized letter sent to 1,550 clients at ESA by 12/31/96 solicit the views of recipients on all services as to the efficacy of those programs, and use those opinions, if appropriate, to develop and administer the programs. Administer the Iowa Assessment Tool to six elderly referred for evaluation from Washington and Iowa counties. Train 30 volunteers to make 850 home visits to frail elderly clients. Develop a computerized information and referral service to answer questions about ~resourees available to elderly and/or people with handicaps in other communities/states as well as Johnson County. Evaluate objectives in January and May for outreach effectiveness, program and cost efficiency, and progress toward meeting objectives. To coordinate a shared housing program to provide support for 25 elderly people trying to maintain their independence by remaining in their own homes 4. 5. To recruit 30 frail or at-risk older people who are interested in sharing their homes in exchange for services, companionship and a reasonable rent. To advertise for prospective tenants through the University and local media sources. To screen and match 25 homeowners and tenants, monitoring the relationship to (a) assess client satisfaction (b) make referrals to available services as needed to support the older person Evaluate objectives in January and May for effectiveness, program efficiency and progress toward meeting objectives. To speak at 4-6 community organization meetings to stimulate interest in home sharing. Cost of Assessment and Intervention/Shared Housing: $33,349 in FY97 ~ $58,664 in FY98 HOUSING REPAIR PROGRAM Objective A: Identify 65 low and moderate income older people and people with disabilities who live in Iowa City, Coralville and rural Johnson County who are in need of home repairs and modifications revolving around their safety ~ Provide an experienced contractor as project superintendent for 10 hours a month to evaluate repair jobs and detail specifications and monitor the completion of work 15 -100- Objective B: AGENCY Elderly Services Agency 2. Refer jobs to 10-15 local contractors, using names taken from the Housing Rehabilitation approved list. 3. Administer the program according to the guidelines set out in the Handbook for SmalI Housing Repair for Low/Moderate Income Elderly published by the Iowa City CDBG planning staff. 4. Refer elderly Iowa City residents in need of extensive home repair to the Residential Accessibility Program, the Housing Rehabilitation Program, or the Emergency Repair program. 5. Provide small housing repairs to the ho/hes of 3-5 people from Coralville and 10 people from the rural areas of Johnson County. Provide housing modifications to enable people from Iowa City with disabilities involving ambulation/movement to remain in their homes I. Build one-two ramps for low income elderly unable to safely enter and leave their homes. 2. Provide bathroom modifications for two to four low income elderly in danger of losing their independence because of bathroom accessibility problems. 3. Evaluate objectives in January and May for outreach effectiveness, program and cost efficiency and progress toward meeting objectives. Cost of Housing Repair: $33,395 in FY97 $36,556 in FY98 CASE MANAGEMENT PROGRAM Goal: : '0i~jecti~,e A: 1. 2. 3. 4. 5. 10. To provide 130 very frail, sick people with all the options available to them in their fight' to stay out of a nursing home as long as possible and to devise, implement and monitor plans of care to help them do so. By lun~ 30, 1997, in Johnson County: Complete 100 Iowa Assessments Complete 250 Functional Assessment Screening Evaluations. Complete 30 reassessments. Bring in 70 new clients Coordinate a team of 20-30 professionals meeting every other week to consult about the delivery of community based long term care to case management clients Work with HAAA staff on four regional consortium meetings : Formalice plans of care for all clients active in the CMFE program and update them at intervals prescribed by the state. Write a letter to each client's physician stating the goals of the case management system and outlining the proposed plan of care, asking for suggestions/opinions (with client's permission) To increase the number of individuals eligible for service by screening home-delivered meals clients interviewed in the home by staff and/or our practicum student and refer those whose FASE's indicate a need for comprehensive assessment into case management Solicit and consider the views of the recipients of services by asking them to sign the care plan. If they won't do that, change the care plan until it meets their satisfaction or they refuse service. Objective B: By June 30, 1997, in Washington County, with the older person's permission 2. 3. 4. Complete 10 Iowa assessments Hold 24 case management team meetings to provide options Encourage agencies to administer at least 25 FASE's Forrealize plans of care for all clients active in the CMFE program and update them at intervals prescribed by the state. 16 -101- AGENCY Elderly Services A~zency Objective C: Write a letter to each client's physician stating the goals of the case management system and outlining the proposed plan of care, asking for suggestions/opinions and feedback. Solicit and consider the views of the recipients of services by asking them to sign the care plan. If they won't do that, change the care plan until it meets their satisfaction or they refuse service. By June 30, 1997, in Iowa County, with tl~e older person's permission Complete 5 Iowa assessments Hold 12 case management team meetings to provide options Encourage agencies to administer I0 FASE's Objective D: . ~~: ~-~. · 1. 2. Complete two quality assurance reports on the policies of the case management program as directed by the Iowa Department of Elder Affairs and the Heritage Area Agency on Aging Appoint one social worker and one nurse from outside agencies to review the files Relay information on deficiencies in the quality assurance report to the team in order to raise the standard of team performance. Cost of case management: $55,247 in FY97 $60,455 in FY98 RETIRED SENIOR VOLUNTEER PROGRAM Objective A: To provide a structured outlet for seniors wishing to give their time to the community through schools, human service agencies, non-profit groups, nursing homes and the Universit3,, among others,as well as recognition and~ support for their efforts I. To maintain membership in RSVP by at least 220 people 55 and over. 2. To contribute at least 21,000 hours of community service. 3. To support 75 volunteer stations for RSVP members. 4. To publish a newsletter quarterly that lists volunteer opportunities available as well as ~' ~cognizing past volunteer effort. 5~ .... -To make 15 media contacts and presentations about RSVP 6. To hold'recognition celebrations for volunteers twice during the year 7. To raise $3,751 for a 30% match for Corporation for National Service grant dollars. Cost of RSVP: $33,395 in FY97 $32,577 in FY98 ADMINISTRATION OF ALL PROGRAMS Objective A: To increase the effectiveness and efficiency of Elderly Services' programs and support funders' efforts to serve older people Analyze job descriptions at the annual evaluation of each staff member, combining and realigning tasks to increase job performance. Encourage staff initiative in redesigning programs to improve service delivery to clients. Examine agency programs critically, working with the Board of Directors to (a) analyze outcome measures, looking at cost per unit of service evaluate the relevance of each program to current social and economic needs of older people and our ability to meet those needs effectively (c) evaluate unmet community needs in light of ESA's mission, working AGENCY Elderly Serv. ices Agency with local organizations for the elderly to meet their needs Set up a computer network for agency employees so that information on clients can .be shared, the Johnson County Service Directory can be accessed and updated, and a national information and referral data base installed in order to quickly and thoroughly provide information on services to older people and their families. Raise funds for an information and referraJ/computer specialist staff line. Act as liaison between City/County staff'and older people to explain policies and proe.edures changing as a result of governmental mandate. .... " Cost of Administrating all programs: .............. - $34,115 in FY97 ...... ~.- .: $38,643 in FY98 -103- 18 Officers of the ELDERLY SERVICES 1996 Board of Directors: President Charles W. Davidson 1 992-1 998 1 Longview Knoll NE 52240 351-8340 Vice President Margery Steiner 1 990-1 996 640 Stuart Ct #4 52245 351-8522 Fax: 337-0611 call her # first Executive Director Jean Mann ESA, 28 S Linn 356-'521 7/338-0265 Fax: 356-5215 52240 AGENCY Secretary Chris Knapp 1 993-1999 2 Lime Kiln Lane 52240 338-0909/356-9080 Fax: 356-9002 Treasurer Stan Miller 1992D1998 400 Plaza Center Qne 354-1500 Fax: 351-0109 52240 -104- 'Board' of Directors: "Phyllis-Harper-Bardach -328..--Highland--Dr - - 338-6019 Gary Haymond 3005 Sweetbriar Ave 351 -31 86/338-1 522 Fax: 338-9601 Jane Henderson 1227 Pine Street" 338-1507 Richard Johns 2064 Little Creek Lane 351-3641/335-5796 H. Wayne Johnson 824 West Side Drive 338-6467/335-1257 Fax: 335-1711 1991-1997 52246 1992o1998 52245 1995-2001 52240 1990-1996 52246 1991~1997 52246 Jodie MacDonald 1992-1998 2304 MacBride Dr 52246 351 -3746 Roberta Patrick 1 995-2001 515 Oakland Avenue 1338-0309 Marilyn Rose 1 990-1 996 1110 E Court 52240 338-5988 (fax too, call first) Pamela Stewart 1991-1997 2012 Kestral Ridge SW Oxford 52322 683-2323 Glenys Williams 1994-2000 1911 Brown Deer Road 52241 338-1 838 Coralville 19 Barbara Womer 1 995 - 2001 --. 3411 Chateau Knoll Bettendorf, IA 52722 332-3596/356-2957 HUMAN SERVICE AGENCY BUDGET FORM Director: Julia K. Rembert City of Coralville Johnson County City of Iowa City United Way of Johnson County CHECK YOUR AGENCY'S BUDGET YEAR 1/1/97 - 12/31/97 7/t/97- 6/30/98 X 10/1/97- 9/30/98 Completed by · Approved by Chair Board: Agency Name: Emergency Housing Project Address: 331 N. Gilbert St. Phone: (319) 35143326 Julia K. Rembert (date) COVER PAGE Program Summary: (Please number programs to correspond to Income & Expense Detail, · ' i.e., Program 1, 2, 3, etc.) --1. Procram !, Shelter: The Emergency Housing Project (EHP) provides short-term housing to those who desire to achieve their maximum possible self-sufficiency. Others with critical housing needs are accomodated as space permits. ~Xh'71995, EHP housed 667 persons for a total of 9,170 nights stayed. The shelter component also consists of daily breakfasts, a nightly snack, and Sunday brunch (when bus service to the Salvation army is unavailable.) EI-[P also provides food, shower, and laundry facilities, and a mail and message service to many area people who are homeless. 2. Pro-ram 2, In-Shelter Counselinc: "'Early Bird," EHP's strengths-based anchor program, works with participants to design their own self-sufficiency goals and then agree in writing to pursue them. From January to the end of June this year, 151 EI-tP participants were a part of the Early Bird program. 58.3% of them achieved 100% of their goals. As a result of the Early Bird program, and EHP's focU%'on bfiilding self-sufficiency- ~kills, our recidivism rate ~ntinues to drop. In the January, to July period, ~ from 1994to 1996,EHl?-'s-recidixdsm ratedropped by over 25%. "The Wrong Stuff," EHP's alcohol- and drug-abuse program (run by a certified drag and alcohol counselor) is desi'gned td'assist those EHP clients who are either currently in recovery, or who have exhibited signs of current abuse. The program is mandatory for appropriate clients and consists of a combination of counseling and referral. _ 3. Pro,,ram 3, Transitional Courtselint,: In Worlong Persons Living Alone, .an innovative program in parmership with the city of Iowa City and a private boardinghouse owner, EHP provides supportive counseling for 'potentially or'previously-homeless single people getting back on their-feetTSinee the program started in March of this year, EHP has se_rved 13 part~icipants. All participants have been consist. en[l~..e_mp!oyed since March, increased their money in savings, and paid their bills in a timely manner. Local F.u. nding Summary ' United Way. of Johnson County .... Does Not Include Designated Gvg. 4/1/95 - 4/1/96 - 4/1/97 - % of Total 3/31/96. 3/31/97 3/31/98 Budget $14,800 $15,175 $17,5~)0 10.2% FY96 FY97 FY98 ~ City of Iowa City $6,000 $7,500 $8,750 5.0% Johnson County $4,285 $8,000 $9,200 5.2% City of Coralville $500 $500 $800 0.5% -1- -105- AGENCY: Emergency Housing Project, Inc. BUDGET SUMMARY Ehter Your Agency's Budget Year ~> 1. TOTAL OPERATING BUDGET (total a+b) a. Carryover Balance (Cash from line 3, previous column) b. Income (Cash) 2. TOTAL EXPENDITURES (Total a+b) a~ Administration b. Program Total (List Progs. Below) 1. Shelter (i)' :.2; In-House Counseling 3, Transitional Counseling 3. ENDING OPERATING BALANCE. (Subtract 2 - 1 ), (2) 4. RESTRICTED; ,.FUND. ~BALANCE (Total from page 7) 5. IN-KIND SLIPPORT (Total from Page 7). 6. NON-CASH ASSETS. Notes and Comments: ACTUAL THISYEAR LASTYEAR PROJECTED 1995 1996 159,379 172,313 34,339 24,187 125,040 148,126 - 135,192 167,897 46,458 " 47,350 88,734 120,547 79,434 95,454 9,300 9,418 0 15,675 BUDGET~__~ NEXT YEAR 1997 176,010 4,416 171,594 170,373 49,351 121,022 89,442 9,813 21,767 11,094 38,472 50,675 23,025 25,500 26,250 110,294 110,000 110,000 1. Shelter: Increase between 1995 and 1996 was the result of construction funded by CDBG and IA Finance Authority rehab grants. · '" ·' _'22~ 2. Ending Operating Balance: General operating funds needed to fund shelter operations, as most of EHP's grants are reimbursements. -106- -2- INCOME DETAIL 1. Local Funding Sources- a. Johnson County b. City of Iowa City c. United Wayof J0hns0n-County d. City of Coralville e. Church Pledges 2. Grants - State, Fed,' Found a. Homeless Shelter Oper Grant Pro( b. Emerg Shelter Grant Oper c. IA Finance Authority Oper Grant d. IA Finance Auth Rehab Gran{ e. FEMA f. Corn Der Blk Grant 3. Net Sales Of Se ~ryices (~ources) a. Agency Reimbursement (1) b. 4. Net Sales of Matedals (sources) b. ,5~ Contributions/Donations United Way Designated OivLn~ b. Other Contributions (2) 6. Special Events. a. Iowa City Road Races' b. Home With a Heart Open House (3) c. Benefit Concert 7. Interest Income 8. Other - List Below' b. AGENCY Emergency Housing Project, Inc. ACTUAL THIS LAST YEAR YEAR PROJECTED 43,392.1 47,973 I 4,223 6,143 5,625 6,750 13,050 ~ 15,080 250 500 20,244 19,500 32,499 [ 51,5791 0 12,273 8,794 6,037 21,405 12,671 0 11,816 2,300 4,483 0 4,299 94 I 3861 94 386 ol I BUDGET NEXT YEAR 55,294 8,600 8,125 .16,919 650 2!,000 61,925 23,725 4,200 11,750 8,250 4,200 9,800 150 150 ol 25,3561 25,803 I' 26,975'[ 2,003 . 23,353 t 1,803 24,000 ] 1,975 22,863 ]21,5851 26,500 l 11,740 10,685 12,000 9,648 10,900 . 12,000 1,475 0 2,500 8361 8001'' 7501 TOTAL INCOME (same as p. 2, line lb) 125,.040 Notes and Comments: NON- DIRECTED FUNDING 32,044.. [ 0 -625 10,419 0. 21,000. 0 [ 0 0 0 0 0 0 o I °I ol PROG PROG PROO 1 2 3 (Shelter) (In-house.couns)(Trans. couns) 19,650 ] 2,100[' 1,500 [ 7,500 600 500 · 6,000 1,000 500 5,500 500 500 650 0 0 0 0 0 46,200 'l 4,925 I 10,800 23,000 725 0 0 4,200 0 10,750 0 1,000 8,250 0 0 4,200 0 0 0 0 9,800 lSO o [ o 150 0 [ 0 ol ol o 10,000 [ 1o,oo I 30001 0 6,000 1,000 750 ol 7,275 I 1,200[ 8,500 '575I '1,20o o 6,500J 01 8,500 !6,500 '[. 2,000 1,000 11,000. 1,000 0 4,000 1,000 1,000 1,500 0 0 o I o [ o O[ 0 0 148,126 . 17,i,5~4 49,794 89,775 10,225 21,800 1. Agency Reimbursement: Consists of occasional vouchers for stay issued by the Veterans Administration at $9/night stay. 2. Other Contributions.' Includes giving from individuals, corporations, and community organizations. 3. Home With A Hear(Open House: Also includes a direct mail solicitation. -3- -107- PROGRAM EXPENDITURE DETAIL AGENCY Emergency Housing Project, Inc. ACTUAL THIS YEAR BUDGETED ADMIN PROG PROG PROG LAST YEAR PROJECTED NEXT YEAR 1 2 3 (Shelter) (In-house couus)(Trans. couus) 1. Salaries(I) : 78,763 99,731 107,345 31,500 51,969 7,696 16,180 2. Employee Benefits & Taxes (2) 16,062 16,896 20,658 5,781 9,673 842 4,362 3. Staff Development 154 400 600 150 200 150 100 4. Professional Consultation (3) 720 960 1,020 1,020 0 0 0 5. Publications & Subscriptions 181 160 200 150 50 0 0 6. Dues and Memberships 30 100 150 150 0 0 0 7. Mortgage, Rent, Prop Tax 0 0 0 0 0 0 0 8. Building Maintenance (4) 7,639 16,000 4,000 0 4,000 0 0 9. Equip Purch/Rent/Ivlaint. 3,000 2,000 2,100 1,000 1,100 0 0 10. Utilities 5,104 5,250 5,400 0 5,400 0 0 11. Telephone (5) 1,685 2,000 2,500 750 1,350 200 200 12. Office Supplies&Postage 1,306 1,500 1,650 850 500 200 100 13. Printing and Publicity 2,074 2,500 2,600 1,300 800 300 200 14. Local Transportation 294 350 725 400 0 25 300 15. Insurance 3,911 4,000 4,100 4,100 0 0 0 16. Audit 1,770 1,900 2,000 2,000 0 0 0 17. Interest ~. 0 0 0 0 0 0 0 18. Other (Specify): Food' 2,636 3,100 3,300 0 3,300 0 0 19. Household Supplies 3,264 3,500 3,700 0 3,700 0 0 20. Guest Overflow Lodging __ 824 850 900 0 900 0 0 21. Guest Emergencies 374 400 500 0 200 150 150 22. Guest Transportation 1,001 1,000 1,050 0 800 150 100 23. Water and Sewer 2,430 2,600 3,000 0 3,000 0 0 24. Garbage Collection 1,781 2,200 2,300 0 2,300 0 0 25. Miscellaneous 190 500 575 200 200 100 75 TOTAL EXPENSES (p. 2, line 2) 135,192 167,897 170,373 49,351 89,442 9,813 21,767 Notes and Comments: 1. Salaries: 1996 increase because of addition of half-time Early Bird counselor, and Early Bird Director refusing part of 1995 salary. 2. Employee Benefits and Taxes: 1997 projected increase because of addition of full-time night staff person entitled to benefits and projected healthcare cost increases. 3. Professional Consultation.' Bookkeeping costs. 4. BuildingMaintenance: Primary 1996 maintenance and renovation costs covercA by IFA Rehab funding. $. Telephone: 1997 increase includes on-line ser,dce. -108- -4- AGENCY Emergency Housing Project, Inc. RESTRICTED FUNDS: ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR Restricted by: Emerg Shelter Grant Oper Com Dev Blk Grant Homeless Shelter Oper Grant IA Finance Auth Rehab FEMA Restricted for: Early Bird Director sala~ Transitional Counseling services Salaries Shelter rehabilitation Shelter operations 0 .RESTRICTED .FUND (aisO shown page 2, line 4) 8,794 1,500 4,200 0 8,400 9,800 0 12,273 24,225 0 11,816 8,250 2,300 4,483 4,200 11,094 38,472[ 50,675[ MATCHING GRANTS Grantor/Matched by [TOTAL MATCI-IIN.G GRANTS (also shgwn pg. 3, line 2) IN-KIND SUPPORT DETAIL Services/Volunteers: general assistance at $5.50 an hour. Material Goods: food, clothing, shelter and office supplies Space, Utilities, etc. Other: (Please specify) TOTAL IN-KIND SUPPORT (also shown on page 2, line 4) Notes and Comments: 9,325 - i 1,500 12,250 13,700 14,000 14,000 0 0 0 [ 23,025[ 25,500i 26,250 -5- -109- SALARIED POSITIONS Position. "X" those ~hat apply Last Year Director 27 X 18% 1.0 Assessor/Night Shiit (1) 27 9% 1.0 Database Man./Night Shift (2) 27 X 22% 1.0 Night Shift Worker (3) 27 X 34% 0.3 Fill-in Night Shift w~)rker (4) 12°/~ .0.0 Early Bird Director (5) X 30% 0.5 Early Bird Counselor (6) 18% 0.3 Wrong Stuff Counselor 12% 0.0 AGENCY Emergency Housing Project FTE* Salary This Next Actual This Budgeted % Year Year Last Year Year Next Year Change 1.0 1.0 31,500 33,075 31,500 -5% 1~0 1.0 17,999 21,577 22,173 3% 1.0 1.0 20,906 18,876 16,864 -11% 1.0 1.0 2,985 9,156 10,982 20% 0.1 0.1 0 1,000 1,950 95% 0.5 0.5 3,467 9,209 11,960 30% 0.5 0.5 1,122 5,200 10,200 96% 0.1 0.1 784 1,638 1,716 5% TOTAL FTE's and SALARIES 4.1 5.2 5.2 78,763 99,731 [ 107,345. 8% * Full-time equivalent: 1.0--full-time; 0.5=half-time; etc; 30 hours/week is considered full-time for EHP Night Shift workers. Notes and Comments: 1. Assessor/Night Sh~fi: Does not receive health insurance at EI-IP because he opts to participate in another plan available to him through a second job at a different comply. 2. Database Man./Night Shift: Reduction in pay a result of reduction in hours. 3. Night Shift Worker: Third:night shift worker hired June 1996. Moved to full-time August 1996. 4. Fill-in Night Shift Worker: Covers for .qther Night Shift workers while on vacation or ill. 5. Early Bird Director: Did not take'salary commensurate with duties in 1995; increases duties in 1997 with involvement in Transitional Counseling serdccs. ~ ~. 6. Early Bird Counselor: Hired July 1996 to provide Transitional Counseling services. -110- AGENCY: Emergency Housing Project. Inc. Ao Co ACCOUNTABILITY QUESTIONNAIRE Agency's Mission Statement or Primary Purpose: The mission of the Emergency Housing Project is to meet the ~hort-term housing needs of the homeless. Our first priority is to work with those whom, in our ju.dgment, we' can assist to achieve the maximum possible independence. We will accommodate others v~;ith critical short-term housing needs as our limited space and resources allow. Assistance will be offered in a safe and healthy environment with respect for the dignity of each.p.~r. s0n. Board of DirectorS 1. Please attach a list of your agency's Board of Directors. 2.-.Frequency of meetings: monthly, with no July meeting 3. Briefly describe'board orientation and ongoing training opportunities. New board members attend an orientation at the shelter, during which time the board president leads them through the history, policies, and budget of the organization. EHP's director conducts a tour of the house mad answers any questions. The board president and EHP's director apprise board members of educational 0pp0,,~. ~ti~s and materials pertinent to EHP's mission and work. Finances 1. If your agency ~:harges a fee for services, describe your fee structure. Ira participant is referred by the Veterans Administration or the University Hospitals, a voucher for $9.00 per night is sometimes provided. 2. Does your agency have an internal audit, nal audi r a financial review? , ....;,._,.~ , (circle one) '~requency' ' annually $oHas your agency filed ti~e Annual Report with the Secretary of State? Yes X No~ 4. Has your agency filed Form 990 with the IRS? Yes' X No 5. Please discuss your agency's fundraising efforts, if applicable. '(e.g. events, direct mail campaign, planned giving, etc.) Home Wii_h A Heart :OPen H°use and Direct Mail Solicitation..~ January each year, EHP mails approximately 1,000 letters inviting friends of EI-IP to attend an open house and/or make a donation. The open house is on a Sunday before or after February 14. The open house/solicitation combination is increasingly successful, both in terms of money raised and level of awareness oft he agency and its services to the community. Benefit Concert. Held in April, 1995, this concert featuring local musicians raised $1,850 for EHP. Kevin Hanick, Steve Long, and EHP staff are planning a spring 1'997 concert again featuring local musicians with a goal of raising $2,500 or more. ' Management 1.Does each professional staff have a written job description? Yes X No 2. Is the agency Director's performance evaluated at least yearly? Yes X No__ By Whom? The Board of Directors -7- -111- AGENCY: Emergency Housing Project, Inc. Program/Services: Please define your agency's units of service (service definition, length of time, cost per unit of · service,number of units provided, direct or indirect). Shelter: Units'of service are the cumulative total nights stayed by each client during the year. The 1997 projected cost of running the shelter minus Transitional. Counseling costs is $149,733. Assuming 29 participants in the shelter each night, EHP spends $14.'15 per participant per night for shelter services, including Early Bird counseling. However, many former participants, homeless people who are not interested in staying in the shelter or participating in the Early Bird program, and low-income people use the shelter for social interaction, supportive services, laundry facilities, showers, clothing, food, mail, telephone use and messages, and supplies. These people are not reflected in the table below or the cost breakdown above. '~,~ Transitional Counseling.' In an/nnovative partnership between EHP, Iowa City, 'and a private boarding house landlord, EHP has been providing supportive services to Working Persons Living Alone since March 1, 1996. Units of service here are direct contact hours spent with program participants at a cost of$11 an hour. From March 1 to September 1, EHP provided 137.5 direct contact hours to 13 program participants. Because this program began in this incomplete budget year, full information about participants served in this program will be available for next year's proposal. Please supply information about clients served by your agency during the last two complete budget years. Refer to form instructions for definition of duplicated and unduplicated. 1. How many Johnson County residents (including Iowa City and Coralville) did your agency serve? 2. How many Iowa City residents did your .... agencyserve? _ -3. How many Coralville residents did your agency serve? 4. How many units of service did your agency provide? * In 1994, EHP served, on average, 31.28 persons/night Enter years --> 1994 1995 la. Duplicated Count 288 155 1 b. Unduplicated Count 194 124 2a. Duplicated Count 238 131 2b. Unduplicated Count 154 102 3a. Duplicated Count 30 19 3b. Unduplicated Count 26 18 4a. Total 11,419' 9,170'* 4b. To Johnson County residents 4,908 2,973 ** In 1995, EHP served, on average, 25.12 persons/night Between 1994 and 1995'EHP made a deliberate effort to reduce overcrowding, as encouraged by the City of Iowa City, the United Way, and Johnson County 5. Other Areas Served: Not Applicable. All services provided in-house or in Iowa City. Do you provide services outside of Johnson County? Noo Area(s) served: Services provided: Funding Sources: -8- ' 112- AGENCY: 6. ® Emergency Housing Project. Inc. Client Profile (for 10st complete year, Gender M I 547 F 120 Age 0-5 22 6-17 21 18-29 131 30-61 371 62-75 16 75+ 4 if available): Ethnicity African American 110 Native American 5 Asian 2 Hispanic .- 33 White 515 Multi-racial 2 Evaluation and Review: A. Please discuss how your agency measures the success of its programs. Early Bird Success Rate. Participants are rated on the degree to which they fulfilled their Early Bird agreements, from 0 to 100%. For example, a participant would be rated as completing 100% of their agreement if s/he left EI-IP with long-term housing, a job, and some money. Someone who found and maintained a job and saved money but lef~ EHP before locating long-term housing would have completed 75% of his/her agreement. Security Upon Ex/t. The EHP director regularly analyzes the rate of return (recidivism rate) of EHP participants to determine the security of their placement upon exit. Future Evaluation. The director is currently working with the University of Iowa's School of Social Work to devise and carry out new and more intensive evaluation strategies. B. Does your agency have performance objectives? (Give several examples.) Performance objectives are different for each position. However, overall they include: treating EHP participants with respect and compassion; maintaining a safe and secure shelter that is conducive to human dignity, personal growth, and self-sufficiency; supporting participants by researching and presenting a variety of oppommities, resources, and suggestions for options; advancing agency accountability by improving data collection and evaluation procedures; working with other agencies to more proactively address homelesshess and housing options; and fostering relationships with churches, community organizations, and others in the Iowa City area to establish EHP as an agency and a neighbor. C. What plans does your agency have to increase efficiency and effectiveness? Multi-tasking. EHP shelter staff are learning to wear many hats at the same time. Two night-shift staff members already have database management and assessment duties, as well as their responsibilities as shelter supervisors. The third and most recent night-shii~ staff member is enlarging her duties to include recycling management and in-kind donations management and solicitation. These and other staff members' continuing willingness to wear many hats at the.shelter allow the director to be more active in coordinating shelter activity with other local agencies and pursue additional resources for the shelter. Motel charges. EHP is the only ~helter of which we are aware that will occasionally provide motel lodging for one night for a family with children or someone in dire need (e.g., someone who was just released from the hospital after surgery, etc.) when we are at capacity. At around $45.00/night, "overflow lodging" is costly. We are looking for more efficient and effective ways to house people in special need, particularly families. In what ways will the needs of your service population change in the next five years: Families. Families traditionally have been a very small part of our service population. However, this year by September 1, we served more children than we hadin all of 1995. With the changes in welfare reform, we will see more families at EHP and need to be ready to work with them as we have with single adults. People with Disabilities. Again, with the changes in welfare laws, many people with disabilities will be cut from the SSI and Social Security rolls. EHP needs to increase its activity to facilitate or provide services and housing options for people with mental illnesses and physical disabilities that would assist them in reaching self-sufficiency. -9- -113- AGENCY: Emergency Housing Project, Inc. 9. Please discuss any other problems or factors relevant to your agency's programs, funding, or -- service delivery. Funding. EHP is encouraged by the growing funding commitments from the United Way, Johnson County, Iowa City, and Coralville for our shelter and programs. EHP's services are expanding to be more proactive and solution-focused, in an era when federal and state funding for programs and shelters to assist people who are homeless is decreasing. Area churches have historically provided approximately 10% of the funds necessary to run the shelter. However, they are also experiencing problems of decreased giving and increased demands on their services, particularly with the increased federal emphasis on private organizations meeting national needs. ,Spoce. Space for service provision and housing needs are an issue. See below complaints for more ~'~7. -- information. 10. List complaints about your services of which you are aware: Accessibility during daytime hours. People who are homeless, particularly when the weather is inclement, need a place to stay during the day, especially if they work nighttime hours, have appointments they need to schedule, or need access to a telephone, etc. Inability to house couples/families together. For maximum use of shelter space, men and women are divided into separate bedrooms, with small children being housed with the mother (thus far, EHP has not served a single father with a small child). This further damages the already stressed family and causes trauma to the children. Lack of a space in which to conduct intakes, mental health appointments, Early Bird counseling sessions, etc. We do not currently have adequate space to provide an area in which participants feel confident that they will not be interrupted during confidential d~scussions. As EHP becomes more case management oriented, this is a growing concern. Inability to accomodate all who seek services. 11. Do you have a waiting list or have you had to turn people away for lack of ability to serve the What measures do you feel can be taken to resolve this problem.* ~ We do not have a waiting list; services are first come, first served, based on available space. This is a special ?robleto for..~amilies because rarely do we have enough spaces open to accomodate more than 3 people at a time. When we do not have space, we make appropriate referrals, sometimes assist with transportation to another site, ...... ~d:infrequently accommodate emergency situations by placing a participant in a motel. Obviously, creating more space would provide more room for participants. However, we feel there will probably always be more people who are homeless than we can serve. We are interested in creating space for families to stay in our shelter in such a way that they can stay together as a family unit. Row many people are currently on your waiting list.* 0 (Not applicable) · -~.2..~ :~-i~:,i-Ih~-~hat wa~,{s) are your agency's services publicized? ..,,. ' · EHP's services are publicized in many ways, including the print ~-d'b~d~'~t media, quarterly newsletter, brochures in local libraries and agencies, board minutes (distributed to member churches and synagogue), and staff speeches at community group meetings. United Way involvement by your agency: (Check if agency participates) a. Agency Directors Meetings. X b. Agencies Representative to Funding Hearings. X c. Business Blitz X do Day of Caring X e. Executive Development Seminars X f. Kick Off g. Victory Reception X - h. Volunteer Action Center X i. Other providing brochures, information, etc., when requested (e.g., Proctor and Gamble picnic) -114- -10- AGENCY: Emergency Housing Project, Inc. AGENCY HISTORY · 3sing this page ONLY, please summarize the history of your agency, emphasizing Johnson County, past and current activities and future plans. Please update annually.) Our M'~slon and Beginning. The Emergency Housing Project (EHP) is a private, secular, not-for-profit agency started in 1983 by a group of local churches and human service agencies. EHP's primary mission is to provide temporary shelter to those who are interested in achieving serf-sufficiency. In 1984, the City of Iowa City provided CDBG funds to purchase the shelter on 331 N. Gilbert Street. At that time, local churches agreed to provide funding and Board members. Until 1993, EHP was operated by a half-time director and a largely volunteer staff and provided shelter and an evening hot meal to all comers. As the shelter and its services have grown in response to an increasing need, church funds alone have proved to be insufficient to operate the shelter and provide residents with the tools necessary for successful transition into the community. The EarIv Bird Progran~ EHP hired a full-time director in July 1993. Shortly after, EHP introduced the "Early Bird" case management program through which participants develop and agree in writing to pursue goals. Early Bird participants receive counseling on budgeting, interpersonal and life skills, and information and referral to other needed social services. Further, EHP fostered relationships with the UIHC and Community Mental Health Center, allowing a psychiatrist, psychiatric nurse, and an outreach counselor to make weekly visits to provide mental health services on-site to our participants who need them. EHP also provides supportive services to many former participants and low-income Johnson County residents, including job maintenance advice; information and referral to other agencies; and various homelesshess prevention efforts. EHP also provides "The Wrong Stuff," a weekly substance abuse counseling program for participants, conducted by a substance abuse counselor from MECCA. The Success of Early Bird In February of 1994, EHP limited the number of persons served per night from approximately 40 to 29, based on a recommendation from the City of Iowa City's Fire Marshall. In May 1995, the agency decided to intensify its "Early Bird" program and b0gin assessments at the intake level, with the goal of housing primarily those who desire permanent _jointions. From January to the end of June of this year, 58.3% of 1996 Early Bird participants have achieved 100% of their p'eed-upon goals, and EHP's recidivism rate dropped from 18.7% in 1994 to I4%in 1996, a 25% decrease in the rate of return. The Transition to Self-Sufficiencv. EHP continues to push the envelope in searching for or creating opportunities for homeless and low-income people to transition into serf-sufficiency. In 1996, EHP won awards from the City of Iowa City and the Housing and Conammity Development Commission, and the Community Development Block Grant program for its innovative approach to homelessness:'In March of :1996, EHP entered a partnership with the City of Iowa City and D & K Properties, a private boardinghouse owner. In "Working Persons Living Alone," EHP provides Early Bird-style supportive services to residents era nine room boardinghouse, purchased with the help of City funds. Five of the nine residents can receive rent subsidies for up to two years fithey continue to make progress on their Early Bird agreeme,nts. ,,,. ~ ~. Pro~oram Direction& EHPhas become much more than a shelter. In 1983,'W~ provided lodging and food for all who came to our door, with little structure and no supportive services. We learned that with this approach, EHP participants would return to the shel~ei' aftei' 0nly a short'time oiil in the community. In 1996, we provide shelter, support, and a jump start to independence for 29 people at a time. We work hard with EHP participants in our Early Bird program so they won't have to come back and stay with us in the future. We work with low-income Johnson County residents trying to get on their feet to keep them out of our shelter. Because people who are homeless know that to stay in our shelter they will .need to work toward self-sufficiency, we are no longer a "magnet" for people who are not interested in moving forward in their lives. Program Needs. Became of these changes in EHP's focus, our staff and program needs have changed and grown. In. 1983, EHP was run with two full-time night shift workers and a half-time director working many, many hours with few benefits. Now, we employ a full-time direx:tor, three full-time night shift workers, a half-time Early Bird director, a half-time Early Bird counselor; 'and a tenth time substance abuse counselor. In this era of shrinking federal and state dollars, if we are to continue this progressive work that marries community support, compassion, and personal responsibility, we need local support. Between _,FY1996 and FY1997, EHP's budget grew by approximately $30,000 -- the cost of operating the Early Bird and Transitional ounseling programs. If we want to continue addressing homelessness proactively, cornpassionately, and comprehensively, we need to retain and increase our case management services. Then we can move on to our next challenge: working more effectively with homeless families. -11- -115- AGENCY: Emergency Housing Project, Inc. AGENCY PROGRAM GOALS AND OBJECTIVES Goal aml Objective #1: Fosterin~ Self-sufficient ~' .t".r~i'bl~t~b'.n,:¢n~t!: El! P rosidcnls and other partic~panls arc not self:sufficient in onc or more of' the fbilo~ ing ways: * maintaining a portoanent place to live * rcqaining a job (if apl, ropriate), * gcfling lhc s~ial service assislm~cc they n~d, aid ' managing their resources. Gemh EHP tcsidenLs m'Ld ofi~r pa~icipants will achieve sclt:SL~fliC~,:ncy in a supportive community that works ~, ith them io enhance their strang~hs and address concerns. Inputs/Requirements * 'Funding - * Early Bird (EB) Director * EB Counselor * Participant emergency funds - - * Supplies * Confidential space * Ediication resources for EHP staff * EHP Director as administrator and evaluator Processes/Methods * EB supportive case management services to EHP residents. * EB services to low-income people making the transition to self-sufficiency. * Follow-up after participants leave the shelter. * Coordinating EHP activities and goals with other Johnson County agencies and services. * Evaluation strategies. * Educational opportunities for EFIP .staff. Results 1997-1999 * 70% of participants will leave EHP with a job, a stable place to live, and money saved on which to live. * 95% of low-income non-residents participating in EB services will NOT ENTER EHP and will maintain jobs and stable residences. Results, 2000 and Beyond * 50% of the previously homeless and low-income people served by EItP will be self-sufficient one year after leaving EHP, as documented by a follow-up study. .Goal and Obiectivc.~2: Workiu ,l~.Effectiveh2.Wifit Families 1.5'oble,n6%,ed: Families staying with El IP are negatively impacted during. their stay because thcx are splil 'up into dillbrent ft.)ms emphasizing their identity ~ individuals, not as an interconnected . . ~hmily, . (;oal~ Families who stay at I;;!-!i) will remain togelinor as a unit and grow stronger as a fi~mily. Processes~ ethods * Housing families as a unit in one room. * Special, family-oriented EB services. * Increased linkage between EHP and other social service agencies. * Evaluation of methods. Inputs/Requirements * Funding * Family Space * EB Director * EB Counselor * Assistance from other social service agencies * EHP Director as administrator and evaluator Results 1997-1999 * 85% of families served at EHP will'be housed together as a family. * 75% will: - participate in EB family case management, - utilize appropriate services and resources, and, - leave the shelter with a family plan in place. Results, 2000 and Beyond * 100% of families staying at EHP will be housed together as a family. * 90% will: - participate in EB family case management - utilize appropriate services and resources, and - leave the shelter with a family plan in place. -116- -12- AGENCY: Emergency Housing Project, Inc. AGENCY PROGRAM GOALS AND OBJECTIVES Goal aud Objt~tive #3: Alternative, f,r People With Mental !11ne,~ ~oblen~N~d: EHP msidcnls and },ow-incomc participa.ls who have chronic mc.tal illness have limm:d a~¢ss 1o the nlCll~11 l~clath services and the kind ~1' permanent housi,g they mmcl G~ml: El. [P ~sidonm and low-income participants will receive mental hatlfi'~ serxqccs ,.tnd be able to rcnmiu indepcndunt . whik livh~ in a support~ euvironmcnl dcsig,cd to m~l their ne~s, Inputs/Requirements * Funding * Early Bird (EB) Director * EB Counselor- - *._.Linkage between mental health care providers in Johnson County ..... * Continuing outreach at EHP'by UIHC arid CMHC * A boardinghouse-or other housing unit * ~'~;tatt on-site at housing ~" 'ation * EHP Director as administrator and evaluator Processes/Methods * EB supportive case -management services to participants. * Continuing mental health outreach from providers (e.g., UIHC, CMHC) * Follow2up after participants leave the shelter. * Coordinating EHP activities and goals with other Johnson County agencies and services. * Evaluation strategies. * Educational opportunities for EHP staff. Results 1997-1999 * 85%ofEHP residents and low-income participants with mental illness receix/e care. * 55% of EHP residents with mental illness leave EHP with a job (if appropriate), a stable place to live, money saved on which to live, and a plan for maintaining their mental health Results, 2000 and Beyond * 20% of EHP residents with mental illness move from the shelter into a supported living environment. * 65% of EHP residents with mental illness leave EHP with a job (ffappropriate), a stable place to live, money saved on which to live, and a plan for maintaining their mental health. .Goal and Obi..~.~ti~efi4: A(hire.~siag Snbstauce Abu.~: I~blet~%i.~M: Some EHP residents and low-in,me participants have tinmtdrcss'~t issues ~ itl'~ subsumcc abus~: or are not eligibk~ to rc~ivc substance abuse treatmoist. (i~nti:' E!.[P msid~ncq and lo~v-i,comc participm~ts who ha~ c. issues wid't subslm'~' abuse ~utve available trcatmcnL and .' ..'".. counselil)g options. Inputs/Rgquirenfents- ~ , * Funding * Wrong Stuff Counselor * Relationship with MECCA * EB Counselor * EHP Director as administrator and evaluator ProcessesEMethods . * Wrong Stuffweekly counseling sessions, * Referral to MECCA for treatment. * Educational opportunities for EHP staff. * Evaluation of methods. Results 199%1999 * 60% of EHP residents and low-income participants who are either currently in recovery, or who have exhibited signs of current substance abuse participate in the Wrong Stuff or seek other substance abuse treatment or counseling. Results, 2000 and Beyond * 80% of EHP residents and low- income participants who are currently in recovery or who have exhibited signs of current substance abuse participate in the Wrong Stuff or seek other substance abuse treatment or counseling. -13- -117- AGENCY: The Emergency Timothy Barrett Iowa City Friends Mtg. 1302 Ginter Ave. Iowa City, IA 52240 (H) 351-5732 Campus: Paper Research Oakdale Hall (W) 3354410 Jan Ca~;lor ' New Song Episcopal P.O. Box 5522 Coralville, IA 52241 (H) 3544472 Kathy Clark Congregational UCC 150 Oakridge Ave. Iowa City, IA 52246 (H) 354-0578 Campus: 434 NB (W) 335-7038 Barb Davidson Zion Lutheran 539 Kimball Rd.' Iowa City, IA 52245 (H) 337-5645 (W) 356-1337--. - -- Karen Dinsmore ' c~ralvilie Unit'~i-M~tiiodist 1705 Oak Lake Park Rd. Coralville,- IA-52241- (H)351-9031 Be'tiy D0nohue St. Thomas More 710 11th Ave. Coralville, IA 52241 (H) 354-5424 Beverly Jones Agudas Achim 816 Park Rd. Iowa City, IA 52246 (H) 338-2879 Paul Kemp 1001 Oakcrest St. Iowa City, IA 52246 (H) 358-7663 Housing Project, Board List Mike Kratz VA Medical Center Highway 6 Iowa City, IA 52246 (W) 338-0581, pager 651 Joyce Left First United Methodist 12 Lakeview Dr. NE Iowa City, IA 52240 0-I) 351-8220 Jim Martins First Presbyterian 31 Bedford Ct. Iowa City, IA 52240 (H) 337-4378 Campus: Int. Med E-318-3 GH James McCue (See'y) St. Mary's 447 S. Summit Iowa City, IA 52240 (H) 3384134 Campus: Religion 312 Gil H (W) 335-2168 Ed Moreno Unitarian Universalist "' -'"' 34 Samuel Drive Iowa City, IA 52245 (H) 337-5776 Joanne Peterson St. Mark's United Methodist-' 107 Post Road -.- Iowa City, IA 52245 (H) 3384209 Charles Ping St. Wenceslaus Box 424 West Branch, IA 52358 (H) 1-643-5788 (W) 335-1157 John Rauer First Christian 100 Cardiff Circle Iowa City, IA 52246 (H) 337 - 2551 John Reinhardt (Vice President) St. Andrew Presbyterian 1371 Bum/Drive Iowa City, IA 52246 (H) 338-8533 Campus: 335-7207 Christine Rumsey First Mennonite 2417 Friendship Iowa City, IA 52245 (H) 338-5104 Carol Solberg (Treasurer) Gloria Dei P.O. Box 294 Solon, IA 52333 (H) 664-3827 (W) 337-1144 Barb Stimmel St. Patrick's 32210 Highway 1 SW Iowa City, IA 52240 351-288 Gerry Tetrault (President) Faith United Church of Christ 1045 Mulberry Circle Coralville, IA 52241 '(H) 337-3288 Campus: U-H Nursing Sere. 2075 GH (W) 356-2274 -14- -118- HUMAN SERVICE AGENCY BUDGET FORM City of Coralville Johnson County City of Iowa City United Way of Johnson County CHECK YOUR AGENCY'S BUDGET YEAR Director: Sandy Kuhlmann Agency Name: 4Cs Community Coordinated Child Care Address: 1500 Sycamore St., Iowa City, IA Phone: 338-7684 Completed by: Sandy Kuhlmann Approved. by Board Chair: t'~]~, 4 ~c~--A'l~x-c5'~ ~ 1/1/97 - 12/31/97 4/1/97 - 3/31/98 7/1/97- 6/30/98 10/1/97- 9/30/98 X (date) COVER PAGE Program Summary: (Please number programs to correspond to Income & Expense Detail, ........ i.e., Program'l, 2, 3, etc.) 1. Resource and Education Services: Compile information on child care services; recruit care providers; disseminate information to those seeking child care; particularly care for special needs and special circumstances. Recruit, train and provide support to all caregivers, with special emphasis to those providing sick/emergency care; infant care; and care for low-income and student families. Provide employer assistance; provide consumer education on selecting child care, and support for child caregivers. Develop programming to meet comm~.ni_'ty_~ee.ds. Special support to low-income parents seeking child care and financial resources for child care. Provide community education, parenting skills education, resources on child development, f.~ 41d care provider training and parenting topics. Individual consults, group presentations, conferences. ~ommunity education on child care issues; advocacy for child care services to address needs. Lending library of multicultural, anti-bias_toys,learning materials and other equipment. Curriculum consultations and workshops. 2. Rome-Ties Child Care Center: Operation of a licensed child care center serving fifteen children. Provides _quality, short-term, free child care to homeless and near-homeless families while they pursue self- sufficiency goals throughjob-searches, housing searches, and attend social service and medical appointments. The program refers and assists families with goal-setting, accessing community resources and coordinates efforts with local crisis agencies, homeless and domestic violence shelters. This pilot program has been refunded for a second year by Johnson County through the Johnson Co. Decategorization Project. 3. Child Care Food Program: Promotes health and nutrition by providing direct reimbursement to registered child care home providers for meals and snacks served to children in their care. Offer nutrition education and information trainings. Provide quarterly in-home visits to support good nutrition and child care practices. Local Funding Summary : United Way of Johnson County - - Does Not Include Designated Gvg. ty of Iowa City Johnson County City of CoraMile 4/1/95 - 4/1/96 - 4/1/97 - 3/31/96 3/31/97 3/31/98 $8,000 $8,000 $16,000 FY96 FY97 FY98 % of Total Budget 0.026 AGENCY: 4Cs Community Coordinated Child Care BUDGET SUMMARY Emer Your Agency's Budget Year ~---> 1. TOTAL OPERATING BUDGET (total a+b) a. Carryover Balance (Cash from line 3, previous column) b. Income (Cash) 2. TOTAL EXPENDITURES (Total a+b) a. Administration b. Program Total (List Progs. Below) 1 Resource and Referral Services :~ Home- Ties Child Care 3 4 5 6- 7 8 Child Care Food Program 3. ENDING OPERATING B'A~A/qlCE (Subtract 2 - 1 ) 4. RESTRICTED FUND BALANCE (Total from page 7) 5. IN-KIND SUPPORT_..(Total from Page 7) 6. NON-CASH ASSETS ............ Notes and Comments: 1 ACTUAL THIS YEAR BUDGETE~ LAST YEAR PROJECTED NEXT YEAR 4/1/95-3/31/96 4/1/96-3/31/97 4/1/97-3/31/98 455,712 540,967 599,216 64,678 77,934 77,934 391,034 463,033 521,282 377,778 463,033 521,282 18,888 23,152 25,892 358,890 439,881 495,390 121,978 105,572 119,662 35,934 87,976 94,790 200,978 246,333 280,938 362,650 436, 90 ! 451,380 53,252 56,366 59,991 209,500 231,500 239,750 Carryovers reflect funds required for Programs 1 & 2 operation from beginning of agency fiscal year, (April), to beginning of fiscal year, (July), for funding sources. Increase in carryover from FY95 to FY96 due to growth in Programs 1 & 2. --,2o- -2- INCOME DETAIL · kocal Funding Sourers- INotes I a. Johnson Counly/ DECAT ( a );( d ) b. City of Iowa City ¢. United Way of $ohnson County d. ~ity ofCoralvill¢- . e. University of Iowa. Operational f. University of Iowa-Programs 2. Grants - State, Fedeml,.Foundations [ a. I.~,Child Development Block Grant b; Child Care Food Program ' d. USDA Food Prog./Home~Ties e. Ganne~ Foundation (d) - (b) 3. Net Sales Of Services (sources) b. C. 4. Net Sal~s of Materials (sources) b. J. Contributions/Donations' - a~ United Wayl~signatedOiving ] [ b. Other Contributions 6. E, ts b. Family Fun Day ...... c. 7. Interest Income 8. Other - List Below a~ Midwest Assoc. for Educ. Young Child TOTAL ..INCOME'(~m, a~p. 2, linc it,) Notes and' Comments: .... ACTUAL LAST YEAK 118,125 [ 46,351 AGENCY 4Cs Community Coordinated Child Care THIS YEAR BUDGETED NON- PROGRAM PROJECTED NEXT YEAR DIRECTED 1 FUNDING 128,921[ 156,1711 12,8221 73,091 57,147 73,208 2,950 8,000 8,000 16,000 29,050 29,050 30,503 34,724 34,724 36,460 256,525 .[ 312,0511 332,489 25,116 27,366 30,391 206,385 264,173 280,818 21,024 10,512 6,000 15,280 4,000 4,000 6,000 6,2461 10,253 I 14,800 6,246 10,253 14,800 800 15,200 7,249 23,254 1,823 34,637 1,5201 28,871 1,520 28,871 4,500[ 10,300 4,500 10,300 PROGRAM 2 70,258 70,258 21,280 15,280 6,000 0 ol ol ol ol 0 4,479 [ 5,031 972 I 1,031 3,507 4,000 1,942 [ 3,602 1,942 2,602 1,000 2,175 [ 2,360 1,542 ] 815 1,542 6,2001 2,5501 3,650 ,,2001 I ,200 5,000 2,550 2,450 7,5ool 3,ooo I 1,750 3,000 1,500 250 4,500 1,500 1,500 2,622 i I 2,000 1,500 I 1,500. I 0 815 1,500 1,500 2,750 1,250 1,500 502 0 391,034 463,033 521,282 25,892 119,662 94,790 ( a ) Increase in funding from Johnson County for FY98 reflects full budget year for FY98; FY97 was reduced due to carryover from FY96. Program was only in operation 10 months of FY96. ( b ) Growth increase in FY97 due to major recruitment project for this program. Smaller increase for FY98 due to new federal regulations changing program to two-tiered system, with smaller reimbursements for second tier. ( c )Small rent income from rental of one room each to education tutor, play therapist and child psychologist. ( d ) Matched grant figures from pg.7 are included in funding figures from Johnson County and ICCDBG. -3 - -121- INCOME DETAIL (cont) AGENCY 4Cs Community Coordinated Child Care PROGRAM PROGRAM PROGRAM PROGRAM PROGRAM 3 4 $ 6 7 280,818 280,818 ol ol ol ol 1. Local Funding Sources- a. Johnson County b. Cky of Iowa City c. Uifitexl Way of Johnson County d. City of Coralville e. University of Iowa-Operational f. University of Iowa-Pro'~rams ~- 2. Grants - State, Federal, Foundations a. IA Child Development Block Grant b. Child Care Food Program c. HeadstardHUD · ~, - d. USDA Food Prog./H0me-Ties 'Center e. Gannqtt Foundation f. University of Iowa workstu~. 3. Net Sales Of Semces (sources) a. Commlmity Educ./Referrals/Empl. cont. b. ¢. 4. Net Sales of Mat ,erials (sources) ¢. 5. Contributions/Donations a. United Way Desistmated Giving b. Other Contributio.ns 6. Special Events a. Iowa City Road Races b. Family Fire Day c. 7. Interest Income - ' ' ' ". 8. other- L~t Beiow a. Midwest AsSOC. for Educ. Young Child b. Rent TOTAL INCOME (same as p.' 2, linelb) Notes and Comments: ol ol ol ol ol ol ol ol o[ ol ol ol ol ol ol ol ol o ol ol ol o ol ol PROGRAM 8 0 0 0 280,938 0 0 0 0 0 0 -122- -4- GRAM EXPENDITURE DETAIL ACTUAL NOTES LAST YEAK 1. S~_,es 133,796 2. Employee Benefits & Taxes 21,016 3. Staff Development ' ' 7,509 4. Professional Consultation 3,442 5. Publications & Subs~rlptions 1,459 6. Dues and Memberships 247 7. Mortgage, Rent and Property Tax ( a ) 11,477 8. Building Maintemmoo ' 1,006 9. Equip. Purehase/Rental/Maint. ( b ) 8,129 lO. Utilities 11. Telephone 4,235 12. Office Supplies & Postage 7,696 13. Printing and Publicity 6,613 14. Local Tran,~portation ( c ) 2,918 15. Insurance 3,811 16. it ( d ) 800 17. Interest 34 18. Other(Spenify): '' TM .' '" 19. Provider Reimbursement 157,354 20. Crraduate Subsidies 4,755 2 I. Meals:Home-Ties Canter 760 22. Misc. . 721 23 24 25 TOTAL EXPENSES (v. 2. linc 2) Notes and Comments: AGENCY 4Cs Community Coordinated Child Care THIS YEAR BUDGETED ADMINISTRA- PROGRAM PROGRAM PROJECTED NEXT YEAR TION 1 2 177,336 190,545 9,527 81,369 54,985 29,420 34,298 1,715 16,308 9,061 2,500 4,000 750 950 780 3,000 3,650 1,550 1,150 200 1,532 1,600 350 950 100 250 300 225 6,312 6,312 1,626 1,686 2,100 6,000 3,340 1,760 10,900 12,800 2,590 4,481 3,244 2,300 2,600 520 1,180 6,628 8,000 1,260 2,460 2,220 8,266 9,000 1,070 2,963 1,800 4,375 4,585 480 1,655 650 1,750 2,300 130 500 150 5,200 6,000 300 1,000 3,500 1,250 2,111 486 1,025 600 201 198 198 192,213 209,483 7,500 17,500 17,500 377,778 463,033 521,282 25,892 119,662 94,790 ( a ) Purchase of building through bank loan, the figure for FY96 represents the down payment and closing costs ( b ) Figure for FY98 reflects minor roof repair. ( c ) Figare for FY97 reflects elimination of agency paid parking passes for downtown office space. Increased figure for FY98 reflects increased number of participants and required home visits for Child Care Food Program, thereby requiring increased travel ( d~X-Agency is financially responsible for independent quarterly financial reviews, with full audit every three years, full audit due in FY98 S~._ of Iowa provides full audit twice annually as well ~ -5 - -123- PROGRAM EXPENDITURE DETAIL (continued) PROGRAM 3 1. Salaries 44,664 2. Employee Benefits & Taxes 7,214 3. Staff D~¢elopmem 1,520 4. Professional Consultation 750 5. Publications & Subscriptions 200 6. Dues and Memberships 75 7. Mortgage, P,~nt and Property Tax 3,000 g, Building Maintenance 900 9. Equipment Purchase/Rental/Maim. 2,485 10.Ufilities 900 11. Telephone 2,060 12. Office Supplies & Postage 3,167 13. Printing and Publicity 1,800 14. Local Transportation 1,520 15. Insurance 1,200 16. Audit 17. Inte~st 18. Other (Specify): 19. Provider Reimbursement 209,483 20. Graduate Subsidies 21. Meals: Home-Ties Center 22. Misc. 23 24 25 TOTAL EXPENSES (p. 2, line 2) Notes and Comments: AGENCY 4Cs Community Coordinated Child Care PROGRAM PROGRAM PROGRAM PROGRAM 4 5 6 7 280,938 0 0 0 0 PROGRAM 8 -124- -6- AGENCY 4Cs Community Coordinated Child Care REb fRICTED FUNDS: ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR Restrkt~d by: Johnson CountyfDECAT University of Iowa State oflowa/CCDB Grant Headstart/HUD Restricted .for,: Home-Ties Child Care Center Program objectives Resource 8: Refe,rra! Grant objectives Child Care Food Program Program objectives iITOTAL RESTRICTED FUND (also shown page 2, line 4) 46,351 71,076 73,208 63,774 63,774 66,963 25,116 27,366 30,391 21,024 10,512 0 206,385 264,173 280,818 362,650t 436,901[ 4517380I MATCHING GRANTS Grantor/Matched by Uni//er~igr ofliSx0a workztudy / Johnson County-State of Iowa 8,190/2,730 20,940/6,980 29,250/9,750 TOTAL MATCHING GRANTS (also shown pg. 3, fine 2) *** 8,190 / 2,730' 2 940/6,980 29,250 / 9,750 IN-KIND SUPPORT DETAIl, ServicesfVolunteers: CHILD CARE / CLERICAL / FINANCIAL 17,400 19,140 21,054 Material Goods: FOOD / EQUIPMENT / SUPPLIES 7,820 8,602 9,462 Space, Utilities, etc.: 1st MENNONITE / OLD PUBLIC LIBRARY ' 23,832 25,024 26,275 Other: (Please specify):' .TRAINING . . 4,200 3,600 3,200 [TOTAL IN-KIND SUPPORT (also shown on page 2, line 4) [ 53,2521 56,366[ 59,991 Notes and Comments: Ma_.~hed grant figures are included in funding figure totals fromJohnson County and Iowa Child Care & Development E : Grant on pg. 3 -7 - -~25- SALARIED POSITIONS Position "X" those that apply Executive Director 43 X Administrator 38 X Prog. Coord.fEduc.-Best Beg. 38 X Prog. CoordJHeadsta~-HUD X Prog. Coord./R~sl & Ref.-HT. 38 X Acct. CoorddCCFP 38 X Nulrifionist/CCFP 38 X Prog. Coord./CCFP Prog. AsstJCCFP Home-Ties Center Diregtor 38 X Home-Ties Lead Teacher 38 X (2) HT Asst. Teacher 8 (8) FIT ~hild ,~dvocates-wks'i~ Reeeptionist-workstudy Toy Librarian 8 -. · Finance Coordinator 8 Prog. CoordJGraduate Prog. AsstdC & C-HOD TOTAL FTE's and SALARIES AGENCY 4Cs Community Coordinated Child Care .q Last This Next Actual Year Year Year Last Year 14% 1.00 1.00 1.00 34,829 18% 0.00 0.67 -~ 1.00 0 20% 1.00 1.00 1.00 16,621 0.50 0.25 0.00 9,100 20% 1.00 1.00 1.00 16,228 20% 0.43 1.00 1.00 6,540 23% 0.35 0.75 1.00 5,280 0.67 0.00 0.00 12,600 0.08 0.00 0.00 1,400 20% 0.60 1.00 1.00 8,000 24% 0.00 0.92 1.00 0 9% 0.66 1.13 1.13 5,625 #### 2.10 2.10 2.50 .2,730 #g-~ 0.00 0.60 1.00 0 9% 0.45 0.50 0.50 4,628 9% 0.07 0.08 0.13 ·1,620 0.25 0.00 0.00 3,124 0.40 0.25 0.00 5,471 9.56 * Full-time equivalent: 1.0--full-time; 0.5=haii~-time; etc. Salary This Year 35,796 14,000 17,088 4,680 16,605 17,680 13,634 0 0 16,940 11,040 12,285 5,460 1,520 5,356 1,872 0 3,380 12.25 13.26 133,796 177,336 Budgeted % NextYear Change 36,870 22,152 18,330 0 17,680 18,200 14,788 0 0 18,360 13,680 12,623 7,150 2,600 5,512 2,6OO 0 0 Notes 3% 59% (a) 8% (b) lOO% (c) 7% (b) 3% 9% ,,( d ) 0% 0% 9% (b) 24% ( e ) 3% 31% (f) 71% 3% 39% ( h ) 0% 100% ( c ) 190,545 8% (a) Newly structured position for FY97; increase reflects full year status plus merit and cost of living raise. (b) Positions increase reflect merit and cost of living raises. - (c) Headstart/HUD Program ends 9/96. '-'~-~¥'r~fl-~'et~ in'~e~sed hours plus merit and cost of living raise. ' ......... (e) Newly created position.reflects full year status plus merit and cost of living raise. (0 Workstudy positions reflect increase to remain competitive for hiring purposes. (g) New workstudy position reflects full year status and increase in hourly wage to remain competitive. (h) Change reflects increase in paid hours to accommodate all tasks. This position has moved from completely volunteer in FY95 to partial paid/partial volunteer in FY96/97 to fully paid in FY98. * A Retirement Plan is available with an employee-only contribution option. -8° AGENCY 4Cs COMMUNITY COORDINATED CHILD CARE ACCOUNTABILITY QUESTIONNAIRE Ageney's Primary Purpose: 4Cs primary purpose is to promote the well-being of children and their families by assisting parents, child care providers, employers, and others with their child related needs. This encompasses addressing challenges to the community's child care system; documenting needs and trends in the child care delivery system and serving as a resource for planning and development of new programs. Board of Directors: 1. Please attach. a list of your agency's Board of Directors 2. Frequency of meetings: Monthly with additional meetings as necessary, Committee meetings 3. Briefly describe board orientation and ongoing training opportunities: New board members attend a two hour orientation with the Executive Director becoming familiar with the agency programs, policies, funding, budgeting, and committee options. This is also an opportunity to ask questions° Then a board mentor is chosen from the current board members to assist the new person for the first six months. The mentor reminds about meetings, provides follow-up calls after meetings for clarification, and communicates with the agency Director about any issues which come up that could provide training for the entire board. Finances: 1. If your'agency charges a fee for services, describe your fee structure. Fees for referral services are structured and imposed by the State of Iowa, they are based upon a sliding scale fee structure incorporating household income and family size. Toy Library memberships operate in the same manner. Fees for educational classes vary and reflect the cost of providing the class, currently the range is $3-$20. 2. 'Does your agency have an internal audit, external audit or a financial review? (circle one) Frequency: External audit twice annually; administrative audit annually; financial review quarterly 3. Has your agency filed the Annual Report with the Secretary of State? Yes: X No:~ .. 4. ,Has your agency fled Form 990 with the IRS? Yes: NO: ~ 5. Please discuss your agency's fundraising efforts,ff applicable. (e.g. events, direct mail campaign, planned giv'mg, etco) Grant applications to government and private sources; requests to service clubs and churches; conduct a direct mail campaign annually; participation in the Hospice Road Races. Annual event (2 years); Family Fun Day - carnival. Additional events over the past two years, *'Tea Party and Silent Auction"; sales of T-shirts and resource materials. D. Management: Does each. professional staff person have a written job description? Yes X No 2. Is the agency Director's performance evaluated at least yearly? Yes X No By Whom? Board of Directors Executive Committee 9 -127- AGENCY: 4Cs COMMUNITY COORDINATED CHILD CARE BOARD OF DIRECTORS PRESmENTi VICE-PRESIDENT: TREASURER: SECRETAKY: Mimi Haithcox Social Work, Department of Human Services 911 Governor Iowa City, Iowa 52245 Professor James Pusack German 103 Shaeffer Hall University of Iowa 52242 Jonathan Haas Consultant; University of Iowa 2545 Quincy Road N.E. Solon, Iowa 52333 Professor Alice Atkinson Curriculum Instruction, College of Education N238 Lindquist Cemer University of Iowa 52242 H0 as Administration, Facility Services Cl18GH University of Iowa Hospitals and Clinics 52242 Sally Staley 314 Beldon Ave. Iowa City, Iowa 52245 Ruth Allender Retired 1704 Ridgeway Drive Iowa City, Iowa 52245 10 AGENCY: 4Cs COMMUNITY COORDINATED CHILD CARE '-- ?rograms/Services: Please define your units of service (service definition, length of time~ cost per unit of service, number of units provided, direct or indirect). Resource & Referral: phone call, personal contact, child care directory and/or home provider infor- mation. Time involved: 30 minutes initially, 15 minute increments thereafter. Direct service. Education & Training: phone call, personal contact, education class attendance. Direct service. Toy Library & Resource Center: one membership, circulation, workshop attendance, phone call, personal contact. Direct service. Child Care Food Program: phone call, personal contact, children and adults in the program, menu review, home visit, education class attendance. All tasks are direct service with the exception of menu reviews. Home -Ties Child Care Center: phone call, personal contact, child attendance day in center, meal served, parera counseling. Time involved for parent counseling 1 hr initially, 30 minute increments thereafter. Direct service. Please supply information about ¢lienta served by your agency during the last two ¢omplete budget years. Refer to form instmations for definition o! duplicated and unduplicated. 1. How many Johnson County residents ~_ (including Iowa City and Coralville) did your agency serve? 2. How many Iowa City residems did your agency serve? How many Coralville residents did your agency serve? How many units of service did your agency provide? 94-95 95-96 1 a. Duplicated 11,691 13,607 Count lb. Unduplicated 6,447 8,736 Count 2a. Duplicated 6,085 6,386 Count 2b. Unduplicated 3,767 6,241 Count 3a. Duplicated 3,255 2,903 Count 3b. Unduplicated. 1,636 1,958 Count 4a. Total 19,494 24,390 4b. To Johnson County 19,024 residents ***Additionally sent out 10,500 directories to community; not figured into statistics. 23,792 5. Other Areas Served: Do you provide services to areas outside of Johnson County? Ye__~s Area(s) served: Washington and Cedar Counties - -vices provided: Resource and Referral, education to parents, child care providers and others Funding Sources: Iowa Child Care and Development Block Grant through the State of Iowa Department of Human Services 11 -129- AGENCY 4Cs COMMUNITY COORDINATED CHILD CARE 6..Client Profde (for last complete year, if available): Age Gender Ethnicity 0 - 5 6,804 M 1,960 African American 680 6 - 17 1,089 F 11,647 Native American 18 - 29 136 Asian ~ 272 30 - 61 2,721 Hispanic 408 62 - 75 2,857 Caucasian" 10,750 75+ Multi-racial 412 Unknown 544 Unknown 1,089 * The above information is not tracked for all agency programs, ( e.g. we'don't ask age or ethnic background info at education classes). The figures above represent Resource and Referral, Home * Ties and Child Care Food Program information. This information is not available for Education & Training, Toy Library, Comfort & Care, HUD/Headstart, Best Beginnings or Caring Connection programs this year. We have begun tracking for all programs as of September, 1996o 7. Evaluation and Review: A. Please discuss how your agency measures the success of its programs. Evaluation forms are sent with every referral and distributed to all participants at each education and training session. Follow-up calls are made on 25% of all parent intakes. Pre and post survey questionnaires for every parent participating in the Home * Ties program, agency surveys for this program as well. Primarily gauge programs by usage figures. Conduct periodic assessment survey (last done in 1989, preparation for new in 1997). B. Does your agency have performance objectives? [Give several examples] Must assist parent at the time of the call, no call-backs. Must be able to provide every parent request with a minimum of three choices for child care providers. Must send information out within two working days. Must mall provider reimbursement checks out within five days of receiving the money in-house (we have an office objective of sending this money out same day). C. What plans does your agency have to increase efficiency and effectiveness? Complete cross-training for all staff within each site 'to insure client needs can be met regardless of staffing. Reviewing all positions responsibilities and workload within 'the agency; restructuring as necessary. Networking computers providing increased access and availability of software programs to accomplish the work, more efficient use of staff time and improves turn-around for client information. -130- In what ways will the needs of your service population change in the next five years: Families who are low-income and multi-need will require increased assistance through Home · Ties in particular, child care referrals and education programs. Welfare to Work programs will put a greater burden on families which will be felt in all of our programs. Parents and providers both will need access to additional resources both £mancially and nutritionally with the federal Child Care Food Program moving to a two-tiered system. Continued support, efforts and advocacy on behalf of all children and families. Additional training for child care providers as guidelines are increased and monitored more frequently. Additional training and coordination of resources to assist families with special needs children and providers offering special needs care. 12 AGENCY: 4Cs COMMUNITY COORDINATED CHILD CARE 9. Please discuss any other problems or factors relevant to your agency's program, funding or service ~delivery: ~. Our most crucial need continues to be staffing, due to budgetary constraints the Resource & Referral posit.io.n remains part-time; the work performed has been streamlined to maximum efficiency due to computerization and cross-training. However, the demand continues to dramatically outgrow supply despite this. This will continue to be exacerbated due to the growth in programming of the Caring Connection program and the Infant Caregiver Recruitment Program. There have been overwhelming requests for expansion of the educational trainings available. Additionally an area of concern for the staff and board are the low wages and salaries the program is able to offer Home · Ties staff. 4Cs stands for quality, and worthy wages, and this is an area due to funding we are not able to ameliorate. 10. List complainers about your services of which you are aware: Occasionally, people object to our fee for the computerized listings of child care home providers and occasional providers. Occasionally, people will inform us that vacancies indicated on the child care home provider listings are full by the time they call ( though records are frequently updated, due to a variety of factors this will continue to occur). Recently, people have complained about the frees charged ($1/day, waived if y0u call and renew; $2/day for reserve items) for overdue toys at the Toy Library. Also complaints regarding the reduction of hours the Toy Library is open. 11o Do you have a waiting list or have you had to turn people away for lack of ability to serve them? What measures do you feel can be taken to resolve this problem: There is currently a waiting list at Home * Ties. Often this is due to the age of the child and staff ratio necessary for younger children. We have increased staff by one full-time position, which will allow us to care for 8 infants. Increasing staff to accommodate child/staff ratios is the only rectifiable measure to be taken. We also have waiting lists for most of our education classes. Class sizes must be restricted according to the material covered and presenter~s wishes. We do not have a waiting list for referrals, in the past there had been a bottleneck in the system, which has been alleviated through c~0ss training and re-definition of staff positions as well as computerization of the process. However, to be able to provide service at this rate of demand and rate of increase, we have requested an increase in funding to support key positions and provide optimum staffing for this critical aspect of our operations with additional hours. How many people are currently on your waiting list? 15 (Home + Ties); 60 (Education classes) 12. In what way(s) are your agency's services publicized: Classified ads in local newspapers, press releases for. special events, workshops and meetings, flyers, UI taped information system, Public Access Channel, agency brochure, newsletters, child care directory, employer referrals, yellow pages, community numbers section, Chamber of Commerce, word of mouth, United' Way brochure, Johnson County Social Services Index, newspaper feature stories, television and radio interviews, speaking engagements. 13. United Way involvement by your agency: (Check if agency participates) a. Agency Directors Meetings: X b. Agencies Representative to Funding Hearings: ~ c. Business B!itz: X d. Day of Caring: X e. Executive Development Seminars:_.XX f. Kick Off'..X g. Victory Reception:,,,, X h. Volunteer Action Center: X i: Other: AGENCY 4Cs COMMUNITY COORDINATED CHILD CARE AGENCY IllSTORY (Using this page ONLY, please summarize the history of your agency, emphasizing Johnson County, telling of your purpose and goals, past and current activities and future plans. Please update annually.) Responding to a study by the League of Women Voters in 1972, 4Cs was formed to develop needed services in Johnson County for youth and children. We continue today in the role of assessing needs and developing successful programs to meet our community's child care challenges. Our overall purpose is to promote the well-being of children and their families through collaborative efforts for parents, child care providers, and employers. 4Cs components include: The Resource and Referral Prom'am which operates as a fnember of the Statewide Resource and Referral Network. Partial funding for this program through the network is made possible through allocations from the Child Care and Development Block Grant. The purpose for this network is to provide comparable, up-to-date computerized, coordinated services throughout the state, which in turn will raise the awareness and the ability to provide quality care for all children. The Resource and Referral Program conducted 2,744 parent intakes, listed 281 individual child care providers, and distributed 10,000 Directories of Child Care Services with 60 child care center and preschool entries, and provided consumer education as requested. Included in the Resource and Referral Program are the Sick/Emergency Child Care Program, the Best Beginnings Infant Caregiver Recruitment Program, and the HUD/Headstart Public Housing Child Care Program. The Sick/Emergency Child Care Program benefits parents by providing them with a list of qualified and trained caregivers able to provide care in a mildly ill child's home. This program also supports parents in emergency situations when their regular child care breaks down, for example, when their caregiver is ill. The Best Beginnings Program is designed to enrich family child care for infants. The purpose of this program is to increase the quantity and availability of infant care in family child care homes. These participating caregivers receive several benefits including infant/child CP1L free use of equipment such as strollers, car seats and monitors, continued comprehensive training, support, and resource materials. The HUD/Headstart Public Housing Child Care Program is in final stages, and it's components included increasing numbers of registered family child care providers in public housing developments, and increasing availability of child care to public housing recipients. This program involved an income-based percentage ($0-100%) subsidy payment for child care to public housing recipients. _The Education and Training Program which offers individual consultations, group presentations, and resources -- on child development, parenting, and business practices, including Provider Orientations, Mandatory Reporters of Child Abuse classes, Child Care Food Program Workshops, Toy Workshops, cPR and First Aid Trainings. The annual Our Child, Every Child conference containing information relevant to parents, child care providers, and employers is involves over 300 participants. The Toy Library and Resource Center, begun in 1985 through a Gannet Foundation Grant, is also encompassed in the Education and Training Program, and currently has 232 members. 4Cs has received a grant from the Midwest Association for the Education of Young Children to develop a Multicultural/Anti-Bias program, to introduce new multicultural toys, activities, practices, consultations, and seminars to Johnson County. Our self-circulation program continues to increase efficiency and our sliding scale fee membership makes this program accessible to low-income families. The Child Care Food Pro,ram-- 4Cs renews its local sponsorship of this federally funded program which provides reimbursements and nutrition education to registered child care home providers. We see steady growth each year due to increased participation and increased reimbursement rates. Presently, we have been conducting a massive recruitment drive and have succeeded in the goal of doubling this program within eighteen months time. Child Advocacy has focused on generating information on State child care assistance available to parents, child care providers, and others who may come in contact with eligible families. The goal of this component is to encourage utilization of existing programs. This year we have worked dosely with the Department of Human Services to establish consistent information and services for low-income families involved with the Family Investment Program We have joined the statewide Iowa Child Care Coalition and proceed with annual agendas to lobby the legislature to improve conditions for children and families. Last year, we accomplished the goal for Resource and Referral agencies to have access to State Child Abuse Registry information, allowing agencies to screen potential child care home providers before they are referred to parents. Additionally, we are seeking funds to address the emergency and respite child care needs of families who are homeless and identified as at risk. We also co-sponsor local "Week of the Young Child" activities. 4Cs remains committed to taking a proactive view of challenges to child care in the community, anticipating an& assessing problems, and developing successful programs. By addressing challenges to the community's child care system, documenting needs and trends in the child care delivery system, and serving as a resource for planning and development of new programs, we feel confident that we will be succeed in ensuring that our children will thrive in safe, nurturing environments. -132- 14 4Cs COMMUNITY COORDINATED CHILD CARE AGENCY GOALS FORM FISCAL YEAR 1998 (APRIL 1, 1997 - MARCH 31, 1998) PROGRAM 1 - RESOURCE AND EDUCATION SERVICES GOAL: To provide information about local child care to residents of Johnson County. OBJECTIVE A: Provide telephone or walkoin resource and referral services, 40 hours per week to an estimated 3000 individuals including parents seeking child care and child care providers seeking clients. TASKS: Provide full time office coverage with at least one staff person'available to conduct parent intakes and answer questions concerning child care referral and resource information. 2. Recruit, train, and supervise 5-10 volunteers, intems and workstudy students to assist with office tasks. o Compile information on Johnson:County licensed child care centers, preschools, etc. for dissemination. a. Annually gather and update information from each licensed center and preschool.. .. b. Publish information in the Johnson County Directory of Child Care Services. c. Distribute 10,000 copies using distribution lists and requests from individuals and organizations. 4. Compile information on child care homes for dissemination. a. Recruit child care home providers, occasional care providers, sick child care providers, and infant caregivers to list with 4Cs. b. Maintain and continually update computerized listing of child care home, occasional care, sick child care, infant care providers, and licensed child care centers and preschools. c. Screen list to match needs of those seeking child care. d. On a monthly basis, get copy of Department of Human Services registered child care homes. 5. Maintain file of other child care options (ex. playgroups, bartering, etc.) 6. Advertise services regularly in local newspapers and as needed via flyers, posters and radio announcements. 15 -133- AGENCY - 4Cs COMMUNITY COORDINATED CHILD CARE RESOURCE AND EDUCATION SERVICES - Continued 7. Maintain and update information on community resources and refer people as needed. : OBJECTIVE B: Offer child care consumer education information to an estimated 3,000 people through group presentations and individual phone or walk-in consultations. TASKS: Provide full t/me office coverage with at least~one staff person available to offer child care consumer education materials and consultations to individual callers or walk-ins. Publicize availability of child care consumer education seminars through agency brochure, 26 county newsletter, contacts with employers and community groups, and networking with other local agencies. Distribute printed materials on child care alternatives and selecting child care to individuals and groups upon request: a. Maintain and update consumereducation information files by copying and filing articles, etc. b. Develop, print and distribute original agency consumer education information. - .... c. Offer printed materials to individual callers and walk-ins in conjunction with consumer education consultations. d. Provide printed materials to those attending consumer education seminars. .. 4. Select and purchase child care consumer education materials for Resource Center Lending Library. OBJECTIVE C: Assess underserved / unmet need areas and conduct targeted recruitment campaigns to address need. TASKS: 1. Compile feedback on services gathered through follow-up surveys. 2. Conduct periodic community needs assessment surveys. 3. Recruit providers through a variety of methods to address identified needs. -134- 16 AGENCY - 4Cs COMMUNITY COORDINATED CHILD.CARE RESOURCE AND EDUCATION SERVICES - Continued OBJECTIVE D: TASKS: Develop a pool of caregivers to.~care for children unable to attend their usual child care program or school due to mild illness; develop an increased pool of caregivers to provide care for infants. Provide referrals to families needing these types of care.: 1. Recruit 15-20 caregivers to participate in the Sick Child Care Program. Recruit 15-20 caregivers to participate in the Infant Caregiver Program. 2. Advertise through newspapers, child care providers associations, flyers, brochures, newsletters, word of mouth, etc. 3. Solicit speaking engagements to publicize the need for caregivers. 4. Purchase infant care equipment to.distribute to caregivers for period of 1 year as incentive. OBJECTIVE E: TASKS: OBJECTIVE F: TASKS: Offer specialized caregiver training-programs 20-30 times per year. 1. Design training programs specifically geared toward the care of mildly ill. children and the care of infants ...... 2. Engage 15-20 presenters to conduct training sessions. 3. Assemble and distribute training packets to participants. Recruit, train, support and provide equipment for child care home providers willing to accept new infants into their care. Provide subsidy payments to eligible graduate students of The University of Iowa to acquire family home child care through the Best Beginnings program for their infants-toddlers. Recruit, train and provide support to 8-12 child care home providers willing to open new slots in their home business for infants-24 month old children. Provide appropriate equipment to 8-12 child care home providers to assist them in caring for infants-24 month old children, while they participate in the program. 17 -135- AGENCY - 4Cs COMMUNITY COORDINATED CHILD CARE RESOURCE AND EDUCATION SERVICES - Continued OBJECTIVE G: Provide support, training, educational oppommities for child care home providers continuing to participate in the Best Beginnings program beyond the initial year in which the program provides infant equipment. Provide telephone and walk-in referral services to an estimated 800-900 individuals seeking these types of care. TASKS: 1. Advertise programs through a variety of methods such as newspapers, newsletters, brochures, etc. 2. Conduct monthly or bi-monthly or individual orientations for families who may seek referrals. 3. Set up database of caregivers and update it as needed, keeping current information on message-retrieval voice-mail system parents can access. 4. Provide office coverage to conduct parent intakes and answer any questions about the program. Conduct follow-up inquiries regarding services through a written survey and telephone calls. Conduct overall evaluation of services and modify program as needed. GOAL: To offer child development education and training programs, resources and services to parents and child care home providers. To conduct community education activities on child care issues and offer special support to Johnson County families with children who have been identified as being "at-risk". OBJECTIVE A: Offer monthly workshops and training sessions including mandatory child care home provider orientation sessions for those listing with 4Cs; training class for Mandatory Reporters of Child Abuse, CPR, First Aid and education workshops to an estimated 4000 child care home providers, child care center staff, parents, and the community at large. Offer classes for certification for "Caring Connection" and compliance for new State of Iowa caregiver training requirements. -136- 18 AGENCY - 4Cs COMMUNITY COORDINATED CHILD CARE RESOURCE AND EDUCATION SERVICES - Continued TASKS: 1. Determine curriculum, purchase educational support materials, and engage 25-35 individuals with specialization in appropriate areas to conduct sessions. 2. Advertise referral service and education and training classes and workshops in local media, agency brochures, newsletters, etc. and inform interested parties of necessary requirements. 3. Maintain and update printed materials packets and supplies to distribute to participants. Schedule classes monthly and register interested participants for provider orientation, mandatory reporter, and education and training workshops. Conduct specialized child care provider training programs in response to specific community requests (ex. mildly ill care providers), and training requirement programs. a. In response to requests develop appropriate training curricula. b. Research, develop, adapt or purchase materials for use in training programs, including training packets to distribute to participants. 6. Distribute program specific evaluations to all participants. Evaluate results and-modify programs as needed. OBJECTIVE B: TASKS: Offer child developmere and parenting education information (ex. developmentally appropriate activities, discipline and positive child guidance, etc.) to an estimated 1200 people. 1. Maintain and update educational resources on a variety of child related topics. 2. Provide consultations and resource materials to individual callers and walk-ins. 3. Publicize availability of seminars and workshops through agency brochures, newsletters, word of mouth and targeted contacts. 19 -137- AGENCY - 4Cs COMMUNITY COORDINATED CHILD CARE RESOURCE AND EDUCATION SERVICES - Continued 4. Conduct seminars and workshops to employers and other community groups; distribute education.al materials as needed. OBJECTIVE C: TASKS: Provide and submit information to the quarterly SDA 26 county-wide newsletter, Child Care Link; which links child care professionals, early childhood educators, and family/children's service providers. 1. On a quarterly basis, solicit articles from the various segments of child care, early childhood education, and family/children's services community. 2. Prim and distribute 1200 copies of the newsletter. 3. Seek funding from local businesses for production and distribution costs. OBJECTIVE D: To increase community awareness concerning issues relating to child care. TASKS.:.. 1, Annually co-sponsor "Week of the Young Child" activities with the Iowa City Area Chapter of the Iowa Association for the Education of Young Children. 2. On a request basis, conduct presentations on child care issues and services. 3. Respond to interview requests with local media or write articles regarding child care issues. 4. Increase community awareness on the need for affordable child care alternatives for families with children identified as being "at-risk". OBJECTIVE E: TASKS: Advocate for child care services and for fmancial assistance resources that address the needs of low income families. Maintain regular contact with organizations (ex. Department of Human Services, Promise Jobs, etc.) to keep up to date on the status of financial resources available through these programs and eligibility requirements and procedures. -138- 2O AGENCY - 4Cs COMMUNITY COORDINATED CHILD CARE RESOURCE AND EDUCATION SERVICES - Continued Network with other community agencies to assess community needs, design and develop programming and seek funding for program implementation. 3. Conduct staff in-service training on eligibility requirements and procedures of programs. Provide information to low-income parents and child care providers concerning the eligibility, policies and procedures associated with financial assistance programs. 5. Participate in the Johnson County Coordinated Services network by serving as the child care contact. 6. Advocate at the local, state and national levels for funding and services to assist low-income families with their child care needs. GOAL: To provide specialized services for parents and providers through a lending library of various toys and curriculum materials for children ages infant through 12 years. OBJECTIVE A: Operate a toy lending service for an estimated 250 members which includes parents, providers, licensed centers, and other community members. TASKS: 1. Schedule part-time toy librarian and toy library assistant to conduct daily operations, maintain records, and supervise volunteers. Daily operations include: selection, purchase: cataloging, circulation, and maintenance of toys and other resource materials. 2. Recruit, train, and supervise 5-10 volunteer assistants. o Publicize lending service through agency brochure, training programs, newsletters, newspaper article features, resource and referral information, and word of mouth. 4. Assist members with selection of toys. Solicit donations of toys through agency brochure, Volunteer Action Center, newspaper article features, and direct requests to manufacturers or retail stores. 21 -139- AGENCY 4Cs - COMMUNITY COORDINATED CHILD CARE RESOURCE AND EDUCATION SERVICES - Continued 6. Look for alternatives to funding and support for operation of toy library to assist in providing zero fee for low-income members. OBJECTIVE B: TASKS: Assist at least 3 licensed child care centers with curriculum planning and programming of developmentally appropriate activities for children. 1. Publicize curriculum consultations through direct mailings or phone contact with centers. 2. Work with the Department of Human Services on securing referrals for those in need of assistance. 3. Schedule consultations according to requested needs, avoiding conflicts at 4Cs office; provide on-site consultations as needed. OBJECTIVE C: Conduct toy workshops to include such topics as: toy safety, selecting appropriate toys, repairing toys, and making your own toys. TASKS: 1. Develop curriculum on various topics utilizing available resources and purchase needed materials. 2. Publicize workshops through news releases, flyers, newsletters, and direct phone contact. -140- 22 AGENCY - 4Cs COMMUNITY COORDINATED CHILD CARE RESOURCE AND EDUCATION SERVICES - Continued RESOURCES NEEDED TO ACCOMPLISH PROGRAM TASKS: 1. Staffing: 4 full-time (Executive Director, Administrator, Education and Training Coordinator, Resource and Referral Program Coordinator), 4 part°time (Sick/Emergency Child Care Program Coordinator, Infant Caregiver Recruitment Program Coordinator, Finance Coordinator, Toy Librarian) 2. Five to ten volunteers 3. Approximately 25-35 resource people to teach child care provider training segments, conduct workplace seminars, and mandatory reporter training 4.Three phone lines, including a voice-mail system 5.Office supplies, equipment and equipment maintenance (incl. 7 computers) 6. Printing, copying and postage supplies for conference brochures workshop schedules, orientation meetings, provider packets, training program schedules, curriculum materials, newsletters and promotional activities 7.Infant equipment fund 8.Insurance 9. Typesetting and printing for 10,000 copies of Child Care Directory and other agency publications 10. Publications, subscriptions, and other resource materials 11. Donated space to hold orientations, workshops, meetings and training programs and Toy Library 12. Office space and utilities Cost of program 4/96-3/97 $110,897 * Cost of program 4/97-3/98 $125,617 * * These figures include admirdstrative costs to operate the program 23 -141- 4Cs COMMUNITY COORDINATED CHILD CARE AGENCY GOALS FORM PROGRAM 2 - CHILD CARE/HOME * TIES CENTER PROGRAM GOAL: To provide quality, short-term child care to homeless, near-homeless and families on public assistance while they are pursuing goals of self-sufficiency through job-searches, home-searches, fulfilling appointments with the Department of Human Services and Promise Jobs, or are seeking medical care, (including substance abuse treatment). To assist families in locating and selecting appropriate child care when jobs are obtained. To provide families with availability to community resource people and agencies to address areas of concern and need, while coordinating efforts with the Domestic Violence Intervention Program, Emergency Housing Project, Mid-Eastern Council on Chemical Abuse, Crisis Center and Department of Human Services. OBJECTIVE A: Operate a full-service, full-time child care center for a maximum of 15 children of homeless and near-homeless families. TASKS: 1. Hire,.traln and schedule appropriate individuals to staff the child care program. 2. Prepare and produce all necessary paperwork and materials to apply for licensing as a center with the Department of Human Services. 3. Meet with all cooperating agencies (DVIP, EI-IP, DHS, MECCA, Crisis Center), to determine most efficient methods for outreach to families, referrals, working with families and interagency communication. 4. Contract with First Mennonite Church for space, equipment, utilities, etc. 5. Purchase all necessary supplies and equipment to operate a quality child care center. . 6. Develop all tools for evaluation,personnel files and children's files to meet grant guidelines and DHS regulations. 7. Contract with State of Iowa Department of Education, Bureau of Food and Nutrition for reimbursement towards nutritionally balanced meals for children participating in center. - ~ 8. Contact with Goodwill Services to provide Food Program approved nutritious meals for children participating in center. 24 -142- AGENCY - 4Cs COMMUNITY COORDINATED CHILD CARE CHILD CARE ! HOME · TIES CENTER PROGRAM - Continued 9. Maintain accuracy in recordkeeping for grant compliance as well as other licensing and programsparticipation requirements. OBJECTIVE B: Assist homeless families towards goals of self-sufficiency. TASKS: 1. Provide families with quality, short-term free child care. 2. Provide families with information and support regarding community resources. 3, Assist families in goal-setting and working towards completion of goals. 4. Set up Advisory Council coordinating efforts with local crisis agencies and homeless and domestic violence shelters. 25 -143- RESOURCES NEEDED TO ACCOMPLISH PROGRAM TASKS: 1. Staffing: 2. 3. 4. 2 full-time (Center Director, Lead Teacher) - ~. 30 part-time (Executive Director, Administrator, Home *Ties Program Coordinator, 2 Assistant Teachers, 8 Child Advocates) One phone line and one eelMar phone : Office supplies for program records and curriculum planning Program equipment and supplies including large outdoor equipment, small and large motor activity toys, perishables, (paints, paper, crayons, markers), child support items, (diapers, baby wipes, bottles, surgical gloves), and cleaning supplies, (bleach, disinfectant) Food supplies to prepare snacks and breakfast Printing for program packets and recordkeeping 20-30 volunteers Child Care Center space and utilities (in-kind) · Cost of program 4/96-3/97 Cost ~ofprogram 4/97-3/98 $92,375 * $99,709 * *.These figures include administrative costs to operate the program -144- 26 4Cs COMMUNITY COORDINATED CHILD CARE AGENCY GOALS FORM PROGRAM 3 - CHILD CARE FOOD PROGRAM GOAL: To provide monetary (reimbursement) assistance so nutritious meals may be prepared and served to children, and to assist children in developing desirable eating habits and positive attitudes ~6ward a voxiety of foods. OB3ECTIVE A: TASKS: Provide nutrition education to 70-100 day care home providers in Johnson County and to monitor their adherence to program nutritional and recordkeeping requirements. Conduct home visits 3-4 times per year to each of the providers enrolled in the program. Respond to requests by enrolled providers for additional information and guidance. 2. Evaluate and provide feedback on menus submitted weekly by each provider .... 3. Provide 8 educational workshops for enrolled providers per year, and ensure attendance at one or more workshops by each provider per year. 4. Provide nutrition and program requirements information in a monthly newsletter. OBJECTIVE B: '" TASKS: 5. Publicize program and enroll new providers in program upon request. PrOvide/'eimbursements to 70-100"~nrolled day care home providers for meals and snacks served to their day care children~ i. Receive and process weekly menus, meal records and requests for xeimbursements. Execute monthly finances and bookkeeping for Iowa Department of Education to accurately provide program reimbursement and administrative money. 2. Write and mail checks to reimburse providers. 3. Maintain accuracy in recordkeeping and files for State Auditors office to evaluate twice annually. Administrative audit twice annually also. 4. Maintain contact with the regional funding agent, the Iowa Department of Education, Child Nutrition Division. 27 -145- AGENCY - 4Cs COMMUNITY COORDINATED CHILD CARE CHILD CARE FOOD PROGRAM - Continued RE~)URCES NEEDED TO ACCOMPLISH PROGRAM TASKS: 1. Staffing: 2 full-time: (Child Care Food Program Account Coordinator, Child Care Food Program Nu~tionist) ..... 3 part-time: (Executive Director, Child Care'.Food Program Administrator, Finance Coordinator) - ~'~ 2. Two phone lines 3; Voice-mail system ........... 4. Office equipment and equipmere maintenance (including computer) 5. Program supplies 6. Printing and postage for program records, newsletters, and reimbursements .... 7~ Mileage reimbursemeres for staff persons 8. Office space Cost' of program 4/96-3/97 $258,835 * -- '* Three-'figures include administrative costs to operate the program 28 -146- HUMAN SERVICE AGENCY BUDGET FORM City of Coralville "Johnson County City of Iowa City United Way of Johnson County CHECK YOUR AGENCY'S BUDGET YEAR 1/1/97- 12/31/97 4/1/97 - 3/31/98 7/1/97- 6/30/98 Co-Director: Sandy Pickup Agency Name: Iowa City Free Medical Clinic Address: 120N. Dubuque Phone: 3374459 Approved by Chair Board: ~: ' Ca, 3 _ (date) X COVER PAGE Program Summary: (Please number programs to correspond to Income & Expense Detail, i.e., Program 1, 2, 3, etc.) 1. Health care delivery- General out patient care including medications, in clinic testing, limited testing sent out, needs assesment and referrals. 2. Financial assistance programs- Voucher programs to assist residents of Johnson County not able to afford medications, medical supplies, eyeglasses, hearing aids, cancer screening and other preventive 'health needs. 3. HIV counseling and testing- Offers free, anonymous HIV testing, counseling and education about HIV infection and AIDS. 4. HIV Outreach- Grant funded.Program providing HIV education, counseling and testing to 18-25 year olds, Hispanic, Africian American and homeless people. 5. Scholarship- Funds donated by a past volunteer, this money is awarded to a 3rd or 4th year medical student volunteer Local Funding Summary · United Way of Johnson County - - Does Not Include Designated Gvg. City of Iowa City Johnson County City of Coralville 4/1/95 - 4/1/96 - 4/1/97 - 3/3'1/96 3/31/97 3/31/98 67,050 67,700 74,472 FY96 FY97 FY98 5,000 5,180 5,439 78,006 84,246 84,370 - 600 1,000 % of Total Budget 29% 2% 34% 0% -1- -147- AGENCY: Iowa City Free Medical Clinic BUDGET SUMMARY Enter Your Agency's Budget Year ==> 1.4'6YAL OPERATING BUDGET (total a+b) a. Carryover Balance (Cash from line 3, previous column) b. Income (Cash) 2. TOTAL EXPENDITURES (Total a+b) a. Administration b. Program Total (List Progs. Below) 1. Health care delivery 2. Financial Assistance 3. HIV counseling and testing 4. HIV Outreach 5. Scholarship 7 8 ACTUAL THIS YEAR LAST YEAR PROJECTED 7/!/95-6/30/96 7/1/96-6/30/97 249,936 305,754 -3,392 14,735 253,328 291,019 235,201 297,722 40,000 42,597 195,201 255,125 139,570 200,805 7,156 5,500 17,641 17,850 30,334 30,470 500 500 BUDGET; NEXT YEAR 7/1/97-6/30/98 253,472 8,032 245,440 241,718 44,866 196,852 144,752 5,600 18,000 28,000 3. ENDING OPERATING BALANCE (Subtract 2 - 1 ) 4. RESTRICTED FUND BALANCE (Total from page 7) 10,209 5,500 5. IN-KIND SUPPORT (Total from Page 7) 220,000 221,000 6. NON-CASH ASSETS 12,295 15,295 Notes and Comments: FrY 96 ending bal. includes: checking restricted $ petty cash liabilities *FY 96 beginning balance includes: checking restricted $$$ $ 8,908.00 petty cash $ 5,658.00 Payables and deferred revenue $ 4.00 $ 417.00 11,754 5,500 222,000 15,000 6,649.00 1,615.00 9.00 (11,664.00) -2- -148- AGENCY Iowa City Free Medical Clinic INCOME DETAIL 1. Local Funding Sources- a. Johnson County b. City of iowa City c. United Way of Johnson County d. City of Coralville e. f. 2. Grants - State, Federal, Foundations a. CDC HIV grant b. ICAP c. State HIV Outreach d. CDBG rehab funds e. f. 3., Net Sales Of Services (sources) b. C. 4. Net Sales of Materials (sources) - a. AC]'UAL THIS YEAR LAST YFakR PROJECTED 150,2191 159,419I 78,006 84,246 5,000 5,180 67,213 69,393 0 60O BUDGETED: NON- NEXT YE4VR DIRF~I'ED FUNDING 165,840{ 0] 84,370 5,439 75,031 1,000 47,667 I 95,000 I 43,oo01 2,4o0 15,ooo 15,ooo lS,OOO 16,667 20,000 20,000 16,000 8,000 8,000 2,400 0 52,000 0 PROGIL~M I HCD 160,740 81,320 5,439 72,981 1,000 0 { o{ o{ o{ o{ o "1 Ol Ol o o{ o{ 5. Contributions/Donations [ 24,940{ 16,0001 a. United Way Designated Giving '[ 4,950I 4,000I b. Other Contributions 19,990 t2,000 6. Special Events ] 22,350 ] 14,500 ] a. Iowa City Road Races 5,396 6,500 b. Fundraising letters 11,990 7,000 c. 25th anniversary 4,964 1,000 7. Interest Income [ 1,472 [ 900I 8. Other - List Below . 6,680 11 5,200 I a. Miscellaneous 690 1,200 b. Restricted gifts 5,990 4,000 C. TOTAL INCOME (same as p. 2, line 253,328 291,019 Notes and Comments: ' HIV Outreach grants b. and c. must be reapplied for in FY 98 t4,5oo I 6,500 8,000 0 900 5,200 1,200 4,000 Ol 12,000[ 6,500 8,000 9001 ~,2o0 .I 1,200 193,340 PROGILAM ' 2 FA 2,100 / ,050 0 1,050 0 0 0 0 0 0 0 0 0 3,500 0 3,500 5,600 -3- -149- INCOME DETAIL (cont) 1. Local Funding Soumes- a. Johnson County b. City of Iowa City c. United Way of Johnson County d. City of Coralville e. 2. Grants - State, Federal, Foundations a. CDC HIV grant b. leAP · c. State HIV OUtreach d. CDBG rehab funds e. f. 3. Net Sales Of Services (sources) a, b. C. 4. Net Sales of Materials,.(sourceS'i b. C. 5. Contd buti0ns/Dbnations a. United Way Designated Giving b. Other Contribution'~" 6. Special Events .... ' a. Iowa City Road Races b. Fundraising letters c. 25thanniversary 7. lnteresr Income 8. Other- List Below a. Miscellaneous b. Restricted gifts C. TOTAIz,.tNCOM.E (same as p. 2, line Notes and Comments: PROGRAM 3 HIV test :3,000 2,000 1,000 AGENCY Iowa City Free Medical Clinic PROGRAM PROGRAM PROGRAM 4 5 6 Outreach Scholarship ol ol 25,6OOl o 0 20,000 5,600 'l o'l o l O l o PROGIL~.M PROGRAM 7 8 0-' Ol I 18,000 o ot 500 I Ol o o Ol o 0 0 0 0 0 0 25,600 500 0 0 0 -150- -4- ' y PROGRAM EXPENDITURE DETAIL AGENC Iowa City Free Medical Clinic: ACI'UAL LAST YEAR Salaries ~' 132,560 2. Employee Benefits & 'Faxes 26,353 3. Staff Development 135 4. Professional Consultation 200 5. Publications & Subscriptions 4,435 6. Dues and License lees 160 7. Mortgage, Rent and Property Tax 10,982 8. Building Maintenance 904 9. Equipment Purchase/Renml/Maint. 7,091 10. Lab Services 1,535 11. Telephone 2,949 12. Office Supplies & Postage 3,563 13. Printing and Publicity 4,843 14. Local Transportation 474 15. Insurance 7,559 16. Audit -~. Remodeling ,,. Other (Specify):Scholarship 500 19. MD Contracted 13,574 20. Supplies-Clinic 4,375 21. Supplies-Pharmacy 4,493 22. Client Assistance 7,156 23. Volunteer Recognition 105 24. Fundraising 606 25.Mist 649 TOTAL EXPENSES ( p. 2, line Notes and Comments: THIS YEAR BUDGI/~I'ED AI)MINISTPLA- PROGI,LAM PROJECTED NEXT YEAR TION 1 HCD 137,486 141,434 35,356 72,013 27,421 28,805 7,201 16,734 200 200 50 150 1,070 .~ 600 100 100 4,638 2,713 275 60 135 135 11,437 12,008 1,200 10,208 1,850 1,700 1,700 2,975 550 100 225 1,700 1,700 1,700 2,785 2,508 250 1,908 2,050 2,237 559 1,328 3,570 3,726 1,806 420 420 50 100 8,300 8,300 8,3(X) 58,300 - 500 5O0 16,867 17,204 17,204 5,393 6,148 5,686 4,000 4,080 4,080 5,500 5,600 500 500 500 500 500 500 200 150 100 235,201 297,722 241,718 44,866 144,752 PROGlUM 2 FA 5,600 5,6(X) -5- -151- PROGRAM EXPENDITURE DETAIL (continued) I~R.OGRAM 1. Salaries 2. Employee Benefits &Taxes 3. Sufff Development 4. Professional Consultation 5. Publications & Subscriptions 6. Dues and License lees 7. Mortgage, Rent and Property Tax 8. Building Maintenance 9. Equipmeut !~urchase/Rental/Maint. 10.Lab Services 11. Telephone 12. Office Supplies & Postage 13. Printing and Publicity 14. Local Transportation 15. Insurance 16. Audit 17. Remodeling 18. Other (Specify):Scholarship' 19. MD Comracied 20. Supplies- Clinic -. -" 21. Supplies-Plmnnacy 22. Client Assistance' ' 23. Vol unteer Recognition 24. Fundraising 25. Misc 3 HIV Test 14,600 1,070 300 600 80 ,250 100 TOTAL EXPENSES (p. 2, line 2) Notes and Comments: 18,000 AGENCY Iowa City Free Medical Clinic PROGIL&M 4 Outreach 19,465 3,800 I>ROGRAM PROGRAM 5 6 Schohtrship PRO(ilLAM 7 400 2,13t~ 225 350 270 670 270 500 362 50 PROGILAM 8 28,000 500 0 0 0 -152- -6- AGENCY Iowa Cily Free Medical Clinic R~,~, £RICTED FUNDS: ACTUAL THIS YEAR IIUI)(;ETEI) LAST YEAR PROJECTED NEXT YEAR Restricted by: Restricted ti}r: Donor Scholarship Donors Client assistance Board Building renovation 500 500 500 5,490 5,000 5,000 4,219 0 0 ]TOTAL RESTRiCT!,.'I) FUND (also shown page 2, line 4) MATCHING GRANTS Grantor/Matched by 10,2091 5,5001 5,500I TOTAL MATCHING GRANTS (also shown .pg. 3, line 2) IN-KIND SUPPORT DETAIL Services/Volunteers - 14,000 medical and non medical hours Material Goods-donated medications, lab tests and supplies Space, Utilities, etc. Other: (Please svecify) TOTAL IN-KINO SUPPORT (also. shownon page 2, line 4) Notes and Comments: 210,000 210,500 211,000 · 10,000 --10,500 11,000 220,000 [ 221.000 222.000 -7- -153- SALARIED POSITIONS AGENCY Iowa City Free Medical Clinic "X" those that apply FTE* Sala_~ Position ~ a: ~ o~ Last This Next Actual This Budgeted Year Year Year Last Year Year Next Year, Change Volunteer Coordinator 27 X X 13% 1.00 1.00 1.00 27,915 28,582 29,558 3.4% Financial Coordinator .. 27 X X 13% 1.00 k00 1.00 28,515 29,182 30,158 3.3% Patient Services Coordinator 27 X X 13% 1.00 1.00 1.00 27,435 28,132 29,108 3.5% HIV Coordinator 27 X X 24% 0.43 0.50 0.50 14,051 13,842 14,300 3.3% Physician Assistant 3 6% 0.13 0.13 0.13 4,241 4,337 4,475 3.2% Physician Assistant 3 6% 0.13 0.13 0.13 4,121 4,217 4,335 2.8% Office Assistant -'. " 27 X X 41% 0.63 0.57 0.50 11,375 8,400 8,320 -I.0% HIV Outreach Coordinator 27 X X 29% 0.50 0.50 0.50 12,480 12,854 13,240 3.0% Work Study 0.25 0.50 0.50 652 740 740 0.0% Maintenance 0.01 0.00 0.00 700 0 0 0.0% HIV Outreach contract worker 0.01 0.25 0.25 !,000 7,200 7,200 0.0% Clinic Assistant 0.00 0.0o 0.00 76 0 0 0.0% · TOTAL FTE's and SALARIES 5.08 5.58 5.5.1 132,560. 137,486 141,434 2.9% * Full-time equivalent: 1.0=fuil-time; 0.5=half-time; etc. *paid leave includes vacation and holidays/% Benefits does not - 8 - include paid leave -154- AGENCY Iowa City Free Medical Clinic' ACCOUNTABILITY OUESTIONNAIRE A. Agency's Mission Statement or Primary Purpose To provide a wide range of quality health care services to our patients free of charge. The Clinic is open to unyone who either for fireracial reasons or reasons of confidcnti~fiity cmmot seek health care elsewhere. The Clinic serves people who do not qualily lbr federal, stale or county assistanct~ programs and do not have private health insul'ancc. Co Board of Directors: Please attach a list of your agency's Bom'd of Directors Frequency of meettugs: Jun, Mar, May, Aug, Sept, Nov Briclly describe board orientation und ongoing train ing opportunities: There is no formal orientation or training at this time. Finances: If your agency charges a fee, describe your lke su'ucture. There is uo fee for service, we request that patients contribute $5, "more if you can less if you ctm't." Does your agency have: internal audit external audit Frcxluency annual review by lxmrd financi',d revie~v X Has your agency filed the Arereal Report widi tile Secretary of State'? Yes X No Has your agency filed Fom~ 990 with the IRS Yes X No Please discuss your agcncy's fundraising eft'oHs, if applicable.-2 fundraising letters were sent to past supporters. A volunteer solicitation letter was mailed to all doctors at UIHC, which also inspired some donations. FMC 25th anniversary celebration and silent auction in May ruiscd money for building renovations. In conjunction, local businesses donated a portion of a day's sales to the building renovations. Hospice Race team Friends of FMC raises fuuds. Management: Does each professional staff have a written job description? Yes ~ ls the agency Director's perfornmncc evaluated at least yearly? Yes X No By Whom? - Board committee X No -155- Free Medical Clinic Board Members 3-96 Dave Schuldt 338-I 179 120 N. Dubuque Iowa City, IA 52245 (1971) Karen Kubby 338-1321 728 2nd Ave Iowa City, IA 52245 (Aug 1987) Treasurer Susan Krohmer 354-9268 1712 Wilson Iowa City, IA 52245 (Aug 1988) Carol Thompson 351-8581 398-3545 ext.25 41 Lakeview Dr. N.E. Iowa City, IA 52240 (Aug. 1992) 356-6076 Linda Garand 339-1683 2302 Friendship St. Iowa City; IA '52245 (Aug 1993) John Sopher 339-0414 Chair 1958 Meadow Ridge Ln Iowa City, IA 52245 (Nov1994) Dale Wallerich 354-4799 1648 Burns Iowa City, IA 52240 (Nov 1994) David Rosenthal 335-7686 354-4659 1311 Rochester Ave Iowa City, IA 52245 (March 1996) Sue Riedl 337-3921 722 Rundell St Iowa City, IA 52240 354-5464 (March 1996) Jane Thomas 353-5020 654 Hawkeye Ct Iowa City, I,a/ 52246 (March 1996) 9a -156- AGENCY Iowa City Free Medical Clinic Program/Services: Please define your agency's units of service (service definition, length of time, cost per unit of service, number of units provide, direct or indirect.) Patient visits: in person contacts. An average clinic visit includes contact with at least 5 medical and lay volunteers. Clients may receive medications and tests. Average time spent with client is 1-2 hours. Average cost of unit of service is $30. Please supply information about clients served by your agency during the last two complete budget years. Refer to form instructions for definition of duplicated and unduplicated. Enter Years- ! ~)5 1996 1. How many Johnson County residems (including Iowa In. Duplicated count 4952 5225 City and Coralville) did your agency serve lb. Unduplicated count 2540 2691 2. How many Iowa City residents did your agency 2a. Duplicated count 2544 * 2636 * 2b. Unduplicated count 1210 * 1224 3. How many Coralville residents did your agency 3a. Duplicated count NA NA serve? 3b. Unduplicated count NA NA 4. How many units of service did your agency provide? 4a. Total 7191 7891 4b. To Johnson County 5872 6693 Residents 5. Other areas served: none Do you provide service to areas outside of Johnson County? Area(s) sen, ed: Services provide: Funding Sources: * No HIV clients included as we have no way of differentiating Iowa City residents fi'om other Johnson County residents. 10 -157- 0-5 6- 17 18 - 29 30 - 61 62 - 75 75+ AGENCY Iowa City Free Medical Clinic Client Profile (for last complete year, il' available): This inlbrmation will be gathered as of 8/96 Age II Gender Female Male Ethnicity Africm~ American Native American Asian Hispanic Caucasian/Non-Hispanic Mulfi-raci~d Evaluation and Review: Please discnss how your agency measures the success of it's programs. An evaluation process ires been underway since December of 95, as a Quality Assurance program IBr all clinic systems is being written, to be implemented in December 96. Patient safislhction surveys are 'also conducted biannually. Bo Does your agency have perfommnce objectives? (give several examples.) Increase the number of people at high risk for HIV infection, tested at the clinic. Increase the number of people seeking STD res.ting mid treaunent who are referred for HIV counseling and testing. Increase the accuracy of chart documentation what plans does your agency imve to increase efficiency and effectiveness? Implement the Quality Assurance program. In what ways will the needs of your service population change in the next five years: We anticipate an increase in the need for our service due to health care refom~, rising cost of insurance, higher insurance deductibles as well as major cuts in welfare programs. -158- 11 10. 11. 12. 13. AGENCY Iowa City Free Medical Clinic Please discuss any other problems or lhctors relevant to your agency's programs, funding or service delivery: More people cannot be seen in our Clinic without more staff hours (lbr patient follow up, volunteer recruitment, clinic coordinfition, etc.). Funding has not increased with the demand lbr our services and time for fundraising rs. direct service is an ongoing problem. Recruitment and retention of highly professional volunteers is an concern that has yet to be solved in the changing climate of health care relbrm. List complaints about your services of which you are aware: Appointments m'e always full, Phone is always busy. Not wheelchair/handicap accessible. Do you have a waiting list or have you had to turn people away for lack of ability to service them? What measures do you feel can be taken to resolve this problem: We do not have a long term waiting list for FMC though we do take a same day list if our evening clinic is full. This allows that if we have no-shows we can ofteu fit people in. When our appointments are full for an evening clinic we encourage people to phone back for our next clinic. This problem could be resolved were we oven more hours. How many people are currently on your waiting list'? NA In what way(s) are your agency's services publicized'? Posters, brochures, referring agencies, speaking engagements, newspaper articles, phone book, word of mouth and classified ads. United way involvement by your agency: ("X" if.~lgency participates) ao Agency Directors Meetings X Agencies Representative to Funding Hearings X Business Blitz X Day of Cafiug X Executive Development Seminars X Kick Off X Victory Reception X Volunteer Action Center X Other logo on all literature, T-shins and letterhead, campaign tours, ackno,vledgmcnt in all appe,~nces and presentations 12 -159- AGENCY Io~va Cily Free Medical Clinic AGENCY HISTORY (Using one page ONLY, please summarize the histo~ of your agency, emphasizing Johnson County, telling of your purpose and goals, past and current activities and future plans. Please update annually.) The Free Medical Clinic began seeing patients in March of 1971. The concept of providing free medical care in a non judgmental way to those who couldn't aflbrd it was tbrmulated by a diverse group of politically active medical and non-medical community members. During the first year the Clinic was held in the River City Free Trade Zone in downtown Iowa City and then in the basement of Center East, the Catholic student Center. Since the Spring of 1972 FMC has been located in the lower level of Wesley House at 120 N. Dubuque. Since opening 25 years ago, over 53,000 patients have been seen for a total of over 121,000 patient visits. FMC is equipped with six exam rooms, st',d¥ offices, walk-in office, lab and dispensary. In 1996 CDBG funds will be used to renovate the Clinic area to be more "health oriented". Sinks will be put in each room, heating and airconditiong will be installed, improved !ighting an.d flooring will be a great help to staff and w)lunteers and acoustical paneling will mcrease privacy. Our patients continue to be the working poor, "very low income" people who do not qualify ~br other assistance programs. Patients are seen here for job physicals, colds and flu, hypertension, diabetes and other acute and chronic conditions. One of the primary reasons we have been able to maintain our original commitment to free health care tbr all, is thededicated participation of a large volunteer st',fff. ,.P, hysicians, lab techs, pharmacists, physician assistants, nurses, medical students, patient advocates, receptionists and HIV counselors come together with staff to created an environment of caring and support for one another and ourpatients. In September 1995 a group of local dentists began seeing patients at FMC. They raised the funds to purchase two portable chairs and other essenti',d equipment. Dental services are a great unmet need in the community, and this has been a valiant attempt to help alleviate this problem. Ophthalmology residents continue to come to FMC once a month to provide people with free eye exams and glaucoma screening. 25th anniversary festivities included an open house and silent auction in May, held at Free Medical Clinic. Local artists, business people and friends donated auction items. Founding friends spoke about the times that spawned such an undertaking. They alSO spoke to the perseverance of a community that finds it important to provide health care to those in need. In the early part of 1997 a rededication of the newly remodeled clinic will take place and another open house and silent auction will welcome people into our next 25 years. -160- 13 AGENCY GOAL FORMS AGENCY NAME: Iowa City Free Medical Clinic YEAR: FY 98 NAME OF PROGRAM: Health Care Deliv'&ry HEALTH CARE DELIVERY Goal: To provide free, general outpatient health care to residents of Johnson County. Objective A: In 1997/98 provide free health care (direct patient contact) on Monday and Thursday evenings, Tuesdays 9am-4pm, one Wednesday evening per month to an estimated 4,000 patients. Tasks: 1. Schedule Clinic evenings with 12;14 lay volunteers and 10-12 medical volunteers. 2. Provide ongoing recruiting and orientation for medical volunteers. 3. Provide ongoing recruiting and training for lay volunteers. 4. Provide Clinic evening supervision to volunteers. 5. Provide periodic in service training sessions for volunteers. 6. Publish newsletter to provide internal communication and update medical information to volunteers. 7. Schedule paid staff to cover the office 9am-3pm Monday through Thursday to accomplish: a. administrative duties b. patient follow-up c. phone answering d. counseling walk-in clients and providing information and referrals, doing pregnancy tests, blood pressure checks and HIV test results. e. administering voucher programs 14 -161- Iowa City Free Medical Clinic Tasks: Objective B: To provide community information and referrals for medical and related social services. 1. Maintaining current and updated referral information or which the clinic receives frequent requests. 2. In 1997/98 transmitting this information to an estimated 8,500 people through phone contacts, walk- ins and clinic visits. 3. Provide educational presentations to agencies, civic groups, professionals and the Clinic's service population. 4. Developing or ordering informational materials geared towards our patient population, and making them easily available. Resources Needed to Accomplish Program Tasks 1. Three full-time paid staff persons. 2. One part-time paid physician, 10-12 hours a week. 3. One 1/4 time paid examiner position. 4. One 20 hour per week office manager. 5. Three (or four) phone lines. 6. Supplies for Glinic, Lab, Pharmacy and Office 7. Professional liability insurance. 8. Waiting room, lab space, pharmacy space, Clinic space, office space. COST OF PROGRAM: FY 1998 $144,752 15 -162- AGENCY GOALS FORM FY 1998 IOWA CITY FREE MEDICAL CI.INIC NAME OF PROGRAM: Financial assistance programs MEDICATION AND MEDICAL SUPPLY VOUCHER PROGRAM Goal: To provide emergency assistance to residents of Johnson County who cannot afford needed medications or medical supplies. Objective A: To provide vouchers for medication and medical supplies from 9am-3pm Monday through Thursday. Tasks: 1. Maintain contact with Iowa City and Coralville pharmacies. 2. Maintain a record keeping system. 3. Maintain a referral list of Johnson County agencies EYEGLASS ASSISTANCE PROGRAM Goal: To provide assistance to residents of Johnson County who cannot afford eyeglasses or exams. Objective A: To provide vouchers for eyeglasses and exams from 9am-3pm Monday through Thursday. Tasks: 1. Maintain contact' with Iowa City/Coralville Optometrists. 2. Maintain a record keeping system. 3. Maintain contact with the Lions Club, providing statistical information and updates on the program. 16 -163- Iowa CityFree Medical Clinic HEARING AID ASSISTANCE PROGRAM Goal: To provide assistance to residents of Johnson County who cannot afford hearing aids. : Objective A: To provide vouchers for hearing aids from 9am-3pm Monday through Thursday. Tasks: 1. Maintain contact with Iowa City/Coralville audiologists. 2. Maintain a record keeping system. 3. Maintain contact with Lions Club providing statistical information. PREVENTIVE HEALTH FUND Goal: To provide assistance to Johnson County residents who cannot afford, diabetes monitoring equipment, or other preventive health needs.. Objective A: To provide vouchers for preventive health items from 9am-3pm Monday through Thursday. Tasks: 1. Maintain contact with Iowa City businesses and physicians regarding referrals and purchase of preventive health services. 2. Maintain a record keeping system. 3. Seek funding for this program. CANCER PREVENTION FUND Goal: To provide £mancial assistance to people who cannot afford cancer screening tests. Objective A: To provide vouchers for cancer screening for patients. Tasks: 1. Maintain contact with referring physicians. 2. Maintain a record keeping system. 17 -164- Iowa City Free Medical Clinic Resources needed to accomplish all program tasks 1. A full time paid staff person and a ~upport staff person. 2. Supplies 3. Phone line 4. Professional liability insurance 5. Administrative space (FMC Office) Cost of program FY 98 $5,600 18 -165- AGENCY GOALS FORM FY !998 .... IOWA CITY FREE MEDICAL CLINIC '" NAME OF PROGRAM: HIV Counseling and Testing HIV ANTIBODY TESTING ' Goal: To provide anonymous HIV antibody testing and AIDS information to clients. Objective A: In 1997/98 provide anonymous HIV antibody testing two to three days per week and post test counseling to those approximately 1300 clients. Tasks' 1. Schedule 2-3 volunteer counselors for each Clinic. 2. Recruit and train new volunteers as needed. 3. Provide monthly in-service training sessions for Volunteers. 4. Offer financial reimbursements for conferences on AIDS to HIV counselors. 5o Inform the community of the service through advertising and speaking. engagemen!s. -6. Work cooperatively with the County and State Health Departments, local physicians, and other community agencies in providing care and support for those who test HIV positive. 7. Administrative duties to accomplish above.' Tasks' Objective B: To provide to the community information and referrals regarding HIV .'infection. 1. Maintain current information available for public use consisting of books, magazine and journal articles.and pamphlets' on AIDS, and an updated referral book. 2. Keeping staff information current by providing reading materials and opportunities to attend conferences and workshops. 3. Speaking engagements. 4. Maintaining a relationship with ICARE, Johnson County AIDS Project and other HIV related services. -166- 19 Iowa City Free Medical Clinic Resources Needed to Accomplish Program Tasks 1. One part time paid staff person. 2. Phone lines. 3. Lab supplies. : 4. Office and counseling space. 5. Educational materials Cost of Program FY 1998 $18,000 (Partially provided by CDC grant) FREE MEDICAL CLINIC NAME OF PROGRAM: Strategies for Community Outreach Prevention Education (SCOPE) HIV PREVENTION Goal: Lower the rate of HIV infection amofig high risk and underserved populations in the greater Iowa City/Johnson County area Objective A: Develop and deliver HIV prevention programs (risk reduction and behavior change) Tasks: 1. Identify sites for outreach programs/activities 2. Determine and develop appropriate format and materials for each site/population 3. Assist members of populations which are underserved or at high risk and their advocates in developing and delivering their own prevention programs 4. Provide additional or off-site HIV counseling and testing as necessary Objective B: Lower risk of transmission among recovering chemical abusers and their partners. Tasks: 1. Establish off-site HIV testing program at MECCA 2. Provide materials and training for MECCA staff addressing issues of HIV transmission, especially testing 3. MECCA will provide 3 in-service trainings on substance abuse issues for Clinic H1V counselors and other staff 4. Explore other ways of collaborating with MECCA, including a joint project at the Emergency Housing Project 5. Develop strategies to reach those not yet in treatment Objective C: Prevent HIV transmission on UI campus; recruit students to design and deliver prevention programs on campus. Recruit students for H1V test site. Tasks: 1. Meet with executive committees of .50 of all Greek houses on campus. Set up programming for .25 of all Greek houses on campus. Assure Traditionally Black and Latino houses are represented, or do one just with them 2. Conduct presentations on testing and risk-reduction for 5 dorm halls 3. Present programs at cultural centers: Afro House, Women's Resource 21 -168- FREE MEDICAL CLINIC knd Action Center, the Chicano/Native American Cultural Center Recruit Spanish-speakers for seasonal labor camp testing Provide safe sex materials for 5 general events on campus Objective D: Assess testing and prevention needs of people who have disabilities Tasks: 1o Review research by student nurses assigned to project 2. Check findings against previous research 3. Assemble meeting of key agency and advocacy staff to discuss situation Objective E: Increase participation of people of color in counseling/testing Tasks: 1. recruit and train 5 new counselors who are of color 2. Improve percentage of African Americans and Latino/as testing to 1% above the county demographic profile 3. Increase presence at minority events 4. Provide cultural sensitivity inservice for existing counseling staff Objective: Increase participation of Clinic in community HIV/AIDS events Tasks: 1. Participate in planning meetings 2. Contribute resources to joint efforts. 3. Encourage members of target populations to participate in community events, or schedule parallel events in their communities for events such as World AIDS Day Objective: Identify useful evaluation tools Tasks: 1. Review research conducted by IDPH 2. Inspect instruments used for data Collection 3. If appropriate, modify and employ instruments in SCOPE program 4. Develop new materials if existing ones are insufficient COST OF PROGRAM FY 98 $28,000 (contingent upon renewal of grants from the Iowa Community A1DS Partnership and Federal funding of prevention through state and county departments of health) 22 -169- HUMAN SERVICE AGENCY BUDGET FORM City of Coralville Johnson County City of Iowa City united Way of Johnson County CHECK YOUR AGENCY'S BUDGET YEAR Direcfor: Agency Name: Address: Phone: Complefed by: Appr(~ved by Board Chair: John Watson Goodwill industries of SE Iowa 1410 First Avenue, Iowa City, IA 52240 (319) 337-4158 Tamera Erb 1/1/97- 12/31/97 4/1/97 o 3/31/98 7/1/97- 6/30/98 X 10/1/97 - 9~30~98 August 15, 1996 o (date). COVER PAGE Program Summary: (Please number programs to correspond to Income & Expense Detail, i.e., Program 1, 2, 3, etc.) Program 1: Employment Services is our community-based training and supported employment service which is designed to help persons with disabilities obtain and maintain jobs with local businesses and industries. Program 2: ACCESS provides evaluation and training in the use of assistive technology options, such as specialized computers, software and communication devices in order to increase the individual's level of independence. Staff assists the person served with equipment acquisition, installation, training and followu Program 3: CORE Services Coordination provides counseling, support and referral for needed services for persons with traumatic brain injuries and their families. These individuals have survived accidents or illnesses and are in need of assistance to improve the quality of their lives as they re-enter the community after hospitalization. Program 4: Facility Training provides training and employment opportunities for persons with disabilities at our main plants and our retail stores. This program may be time limited as the person transitions into Employment Services or long term if the person so chooses. Program 5: Self Support includes our operational activities which are designed to provide real work and also revenues to help support our rehabilitation efforts. Self support includes our donated goods collection/production/sales, the beverage container recycling project, and facility/community-based subcontracts with local business and industry. ]~' il'_ Local Funding Summary · United Way of Johnson County - - !Does Not Include Designated Gvg. ICity of Iowa City Johnson County City of Coralville 4/1/95 - 3/31/96 $44,0ool FYg6 4/1/96 - ..... 3/31/97 $44,650 FY97 4/1/97 - = % of Total 3/31/98 Budget $65,000~ FY98 ~ 0.72% -170- - I - AGENCY: Goodwill Industries of SE Iowa BUDGET SUMMARY Enter Your Agency's Budget Year ==> 1. TOTAL OPERATING BUDGET (total a+b) a. Carryover Balance (Cash from line 3, previous column) ib. Income {Cash) 2. TOTAL EXPENDITURES (Total a+b) a. Administration (allocated to programs) b. Program Total (List Progs. Below) 1. Employment Services 2. Access Center 3. Core Services Coordination 4. Facility Training __~ Self support ACTUAL LAST YEAR 1995 7,557,335 1,165,890 6,391,445 6,214,402 6,214,402 665,113 53,428 53,587 653,800 4,788,474 THIS YEAR PROJECTED 1996 8,067,790 1,342,933 6,901,900 7,050,000 BUDGETED NEXT YEAR 1997 8,973,433 1,017,790 7,630,500 7,695,200 7,050,000 7,695,200 760,200 831,300 92,900 113,800 55,300 62,500 705,400 746,000 5,436,200 5,941,600 o 3. ENDING OPERATING BALANCE {Subtract 2 - 1 ) 4. RESTRICTED FUND BALANCE (Total from page 7) 5. IN-KIND SUPPORT 16. NON-CASH ASSETS (Total from Page 7) Notes and Comments: PLEASE NOTE: 1,342,933 1,017,790 1,278,233 72,626 40,000 0 n/a n/a n/a 2,001,357 1,878,900 1,708,900 1. The program costs shown _on this page are direct costs for each program plus administrative costs. The administrative costs are allocated to each program by percentage of direct expense. 2. The carryover~bblance on line item l~a, column 1, is the organization's unrestricted net asset balance (equity) at 12\31 \94. 3. The ending balance on line item 3, column 1', is the organization's unrestricted net asset balance (equity) at 12\31\95. -171- -2- INCOME DETAIL 1. Local Fundin.q Sources- a. Johnson'Cou~t~y b. City of Iowa City (CDBG for Capital Improve) c. United Way of Johnson County d, City of Coralville e. United Way of East Central Iowa £. 2. Grants - State, Federal Foundations a. Federal - Progress with Industry b. State-CEO c. Johnson County-MH\MR\DD d. Hall Foundation e. DVRS-Establishment Grant f. Ca'wet Foundation 3. Net Sales Of Services '(sources) a. Purchase of Vocational Services b. C. 4. Net Sales of Materials (sources) a. Contract b. Retail Sales C. 5. Contributions/Donations a. United Way Designated Giving b. Other Contributions 6. Special Events a. Iowa City Road Races G. 7. Interest Income 8. Other - List Below a. Rent Income ACTUAL LAST YEAR 1995 [ 147,249 45,000 43,575 AGENCY · Goodwill Industries of SE Iowa THIS YEAR BUDGETED NON- PROGRAM PROGRAM. PROJECTED NEXT YEAR DIRECTED 1 2 1996 1997 FUNDING Employment Svs. Access Center I. ?~o_~,~s_~_l_.?:~q0! .........-.--. ....] .....--. 76,300. 15,000 44,488 59,900 44,900 15,000 58,674 58,500 60,300 31,400 160,132 31,128 15,877 43,303 2,500 37,850 29,474 1,148,827 1,148,827 4,863,596 2,352,002 2,511,594 25,920 1,961 23,959 880 880 16,309 28,532 28,532 91,700J 26,5O0 80,100 j 44,400 44,400 20,800 35,700 1,316,1001 1,342,3001 I 1,316,100 1,342,300 5,330,9001 6,022,3001 2,241,900 2j222,300 3,089,000 3,800,000 19,526J 20,500120,5001 640[ 1,000 1,000I 18,886 19,500 19,500 286J 5ool 5ool 286 500 500 ~i,~00 24,300 558,1001 558,100 35,700 35,700 42,400 42,400 11,900J 13,200! 13,200J 28,500 31,400J 31,400 28,500 31,400 31,400 TOTAL INCOME 6,391,445 6,901,900 7,630,500 65,600 658,700 93,100 * Allocation of Administrative Income, TOTAL INCOME AFTER ALLOCATION (same as page 2, line lb) Notes and Comments: 6,391,445 6,901,900 7,630,500 (65,600) 0 7,100 665,800 1,000 94,100 * SEE ATrACHMENT EXPLAINING ALLOCATION METHOD ON PAGE 3a. -172- -3- GOODWILL INDUSTRIES OF SOUTHEAST IOWA UNJ,T~D WAY PROPOSAL 1996 Art--nent to Page 3 1995 ~'~'~ ~' ' '-~ Actual Note to line 6: Sales Store' Sales 2,511,594 Salvage 374,629 Facility Contract 88,270 Supported Sites 161,668 JWOD Contracts 225,065 Container Project 1,388,884 Food Service 113,486 1996 1997 Budget Budget 3,089,000 3,800,000 415,400 352,200 165,300 167,100 t40,900 156,400 226,600 231,100 1,155,700 1,171,800 138,000 143,700 Total 4,863,596 5,330,900 6,022,300 ALLOCATION OF ADMINISTRATION INCOME & EXPENSES Attachm~ent to Page 3, 4, 5, & 6 ALLOCATION METHOD: Administrative income and expenses are allocated by percentage of direct expense. Allocation Budgeted Next Year By % 1996 Total Total Income Expenses (pg. 3, col. 4) (pg. 4, col. 4) Administration 65,600 1,149,700 Allocation to Programs: ** Program 1: Employment Services 10.8% 7,100 124,200 Program 2: Access Center 1.5% 1,000 17,000 Program 3: CORE Svcs Coord 0.8% 500 9,300 Program 4. Facility Training 9.7% 6,400 111,500 Program 5: Self Support 77.2% 50,600 887,700 Total 100.0% 65.60_____Q0 1.149,700 **, cartons to programs are rounded to the nearest 100. - 3a - -'173- INCOME DETAIL (cont) 1. Local Funding Sources- a. Johnt?on County b. City of Iowa City (CDBG for Capital Improve) c. United Way of Johnson County d. City of Coralville 1 e. United Way of East Central Iowa i2.f~rants - State, Federal, Foundations i _ a. Federal - Progress with Industry ' b. State-CEO i. c. Johnson County-MH\MR\DD d. Hall Foundation ! f. ',3. Net Sales Of Services (sources) a. Purchase of Services b. C. J4. Net Sales of Materials (sources) [ a. Contract b. Retail Sales C, 5. Contributions/Donations a. United Way Designated Giving b. Other Contributions 16. Spedal Events ia. Iowa City Road Races b. C. 7. Interest Income 8. Other - List Below a. Rent Income TOTAL INCOME * Allocation of Administrative Income TOTAL INCOME AFTER ALLOCATION (same as pa§e 2., line !b) Notes and Comments: · PROGRAM 3 ~ORE Svs Cord 28,900 28,900 20,100 20,100 AGENCY Goodwill Industries of SE Iowa PROGRAM PROGRAM PROGRAM PROGRAM PROGr~ 4 5 6 7 8 Facility Self Support 741,800 741,800 6,022,300 2,222,300 3,800,000 49,000 741,8006,022,300 500 6,400 50,600 49,500 748,200 6,072,900 * SEE ATFACHMENVr EXPLAINING ALLOCATION METHOD ON PAGE 3a. -4- PROGRAM EXPENDITURE DETAIL AGENCY Goodwill Industries of SE Iowa ~--~ ACTUAL LAST YEAR 1995 1. Salaries 3,789,145 2. Employee Benefits & Taxes 679,350 3. Staff Development 23,695 4. Professional Consultation 53,863 5. Publications & Subscriptions 2,119 · 6. Dues and Memberships 49,696 7. Mortgage, Rent and Property Tax 436,652 8. Building Maintenance 60,954 9. Equipment PurchaselRental/Maint. 36,461 10. Utilities 102,749 11. Telephone 23,671 12. Office Supplies & Postage 62,450 13. Pdnting and Publicity 78,958 14. Local Transportation 123,438 15. Insurance 47,121 · Audit 5,600 17. Interest 62,501 18. Other(Specify): Supplies 223,271 19. Meetings and Conferences 11,686 20. Trash Removal 93,541 21. Depreciation 247,481 22. 23. iTOTAL EXPENSES * Allocation of Administrative Expenses TOTAL EXPENSES after ALLOCATION (p. 2, line 2) Notes and Comments: THIS YEAR BUDGETED ADMINISTRA- ROJECTE NEXT YEAR TION 1996 1997 4,248,600 4,486,100 519,800 813,000 880,400 96,000 16,500 -~ 22,400 15,000 69,600 77,500 65,200 2,200 2,300 1,500 54,800 55,900 53,600 512,100 707,800 79,800 92,400 38,300 40,200 117,300 135,000 3,000 25,600 30,400 5,900 61,400 65,300 31,300 94,600 116,600 36,600 143,900 154,200 13,000 47,000 49,700 3,100 6,500 6,500 6,500 69,100 71,300 274,800 289,200 6,600 10,600 12,600 12,600 101,300 119,400 263,000 280,000 280,000 6,214,402 7,050,000 7,695,200 6,214,402 7,050,000 7,695,200 PROGRAM PROGRAM 1 2 Employment Svs. Access Cente 500,300 70,300 129,300 14,100 2,500 1,000 2OO 32,700 8,4OO 200 4,600 2,800 4,400 1,000 2,700 3,700 1,500 1,500 18,800 2,000 700 200 1,000 1,149,700 707,100 96,800 (1,149,700) 124,200 17,000 0 831,300[ 113,800 * SEE ATTACHMENT EXPLAINING ALLOCATION METHOD ON PAGE 3a. Note to line 2. Employee Benerfits and Taxes: The increase in Employee Benefits and Taxes is due to an increase in the health insurance premium and an increase in employees. d~[,ote to line 7. Mortgage, Rent and Property Tax: The increase i n rent and property tax is due to a full year of rent in 1996 for Employment Service space ~d a full year of rent in 1997 for two new Quad City stores. Note to line 13. Printing and Publicity: The increase in Pdnting and Publicity is due to an increase in retail stores. The agency calculates the advertising budget as a percentage of retail sales. -5- -~s- PROGRAM EXPENDITURE DETAIL (continued) 1. Salaries 2. Employee Benefits & Taxes 3. Staff Development 14. Professional Consultation 15. Publications & Subscriptions .6' Dues and Memberships !7. Mortgage, Rent and Property Tax !8. Building Maintenance :9. Equipment Purchase/Rental/Maint. 10. Utilities 11. Telephone '12. Office Supplies & Postage i13. Printing and Publicity i14. Local Transportation !15. Insurance '16. Audit i17. Interest 18. Other (Specify): Supplies 19. Meetings and Conferences PROGRAM 3 7,ORE Svs Cord 36,600 6,300 500 2,500 100 2,500 300 500 1,100 3OO 2,300 2OO 20 21 23 TOTAL EXPENSES * Allocation of Administrative Expense AGENCY TOTAL EXPENSES after ALLOCATION ( p. 2, line 2) Notes and Comments: PROGRAM 4 Facility 504,500 113,500 1,400 50O 2,100 1,300 1,800 8,600 8OO Goodwill PROGRAM 5 Self Support 2,854,600 521,200 2,000 9,800 800 1,300 672,600 83,700 40,200 122,000 16,700 25,500 77,000 109,500 44,700 71,300 281,600 119,400 0 53,200 634,500 5,053,900 9,300 111,500 887,700 62,500 746,000 5,941,600 Industries of SE Iowa PROGRAM PROGRAM 6 7 PROGRAM-I 8 * SEE ATTACHMENT EXPLAINING ALLOCATION METHOD ON PAGE 3a. - 6 - AGENCY Goodwill Industries of SE Iowa RESTRICTED FUNDS: Restricted by: Restricted for: Donor Access Center !;TO~AL RESTRICTED FUND (also shown page 2, line 4) ACTUAL THIS YEAR LAST YEAR PROJECTED 1995 1996 72,626 40,000 72,626 40,000 BUDGETED NEXT YEAR 1997 0 Grantor/Matched by- - n/a n/a TO~A'L--MATCHtNGGRANTS (also shown pg. 3, line 2) 0 TN-KTND SUPPORT DETAIL Services/Volunteers Material Goods Space, Utilities, etc. Other: (Please specify) TOTAL IN-KIND SUPPORT (also shown on page 2, line 4) Notes and Comments: n/a n/a n/a n/a 0 n/a n/a nJa n/a n/a n/a n/a n/a -7- SALARIED POSITIONS Position EXECUTIVE DIRECTOR OPERATIONS DIRECTOR ASSOCIATE DIRECTOR CONTROLLER RETAIL OPERATIONS MGR PERSONNEL DIRECTOR COMMUNICATIONS DIRECTOR iBUILDING SVS DIRECTOR !PROGRAM COORDINATOR I VOCATIONAL SPECIALIST II ! VOCATIONAL EVALUATOR t STORE MANAGER VOCATIONAL SPECIALIST CASE MANAGER PERSONNEL TRAINER .RETAIL SKILLS INSTRUCTOR INSTUCTOR SUPERVISOR OFFICE SUPERVISOR JOB COACH COMMUNICATIONS ASSIST. BOOKKEEPER TRUCK DRIVER STORE CLERK MATERIAL HANDLER CUSTODIAN "X" those that apply m o-e Last Year X X 27% ] .00 X X 29% 1.00 X X 29% 1.00 X X 29°A 1.00 X X 28~ ] .00 X X ~o~ ] .00 X X ~o~ 1.00 IX X ~o~ ].00 x x 3~ 6.00 x x 32% 2.00 x x 31% ] .00 x x 33% 7.00 x x 33% 9.65 x x 33% 1.25 X x 32~ 0.75 x x ~ 1.00 x X 3~ 24.21 x x 33% 2.00 x x 36% 24.02 x x 35% 0.75 x x 34% 4.00 x x 34% 5.50 x x 38~ 29.31 x x 39% 33.06 x x 37% 6.00 AGENCY FTE* This Next Year Year I.IJ0 1.00 1.00 1.00 ! .00 1.00 1.00 1.00 1.00 2.00 1.00 1.00 1.00 1.00 1.00 1.00 6.50 7.50 2.00 2.00 0.75 0.50 7.60 9.00 9.40 9.15 1.50 i .50 0.75 0.75 0.83 ......... 26.33 27.16 2.00 2.00 24.40 24.40 0.75 0.75 4.00 4.00 7.20 7.20 33.76 40.85 31.91 32.91 6.50 6.50 Goodwill Industries of SE Iowa Salary A~ual This LastYear Year 71,250 74,600 37,647 39,800 43,495 44,500 43,495 44,500 29,288 31,000 34,853 35,800 31,815 33,700 35,007 35,800 178,989 194,800 51,383 54,100 25,768 20,500 151,856 173,100 207,834 214,900 28,614 34,400 17,787 18,500 16,532 12,000 415,048 470,900 38,721 42,900 394.,214 406,500 12,289 13,000 71,421 77,400 90,197 139,900 387,464 441,200 396,229 407,400 90,233 99,800 Budgeted % Next Year Change 78,400 5% 41,700 5% 45,000 1% 45,000 1% 60,000 94% 36,300 ~ 1% 35,3001 5% 36,3001 I% 236,5001 21% 56,0001i 4% 14,300! -30% 200,400 16% 220,100 2% 36,100 5% 19,300 4% ............... 100% 503,300 7% 44,200 3% 424,000 4% 13,600 5% 80,700 4% 145,100 4% 567,500 29% 436,500' 7% 102,500 3% Total Staff 165.50 174.18 185.17 2,901,429 3,161,000 3,478,100 10% Client Wages Temporary Wages TOTAL FTE's and SALARIES * Full-time equivalent: 1.0=full-time; 0.5=half-time; etc. 624,585 706,800 728,000 3% 263,13i 380,800 280,000 -26% -~_78- -8- GOODWILL INDUSTRIES OF SOUTHEAST IOWA 1997 SCHEDULE OF POSITIONS AND SALARY RANGES EXPLANATORY NOTE TO BUDGET FORM 8 Staff salary increases approved by the board for 1996 were: 3.'5% step increase on the anniversary date of employment, with the exception of employees at the top of the pay range. Effective April 1,1996 :staff positions received a 1% increase. Annual salary increases from 1996 to 1997 range from 1% to 5%. The difference caused by the timing of anniversary step increases. In addition, the following are explanations regarding significant variances from the annual percentage. POSITION Retail Operations Manager Program Coordinator V0t~ational Evaluator- Store Manager % CHANGE 94% 21% (3O%) 16% Retail Skills Instructor Store Clerk (100%) 29% EXPLANATION New 1.00 FTE 1/97 Full year of Access Coordinator. Reduced to .50 FTE 7/96 2 New stores in the Quad Cities, 6/96 and 1/97. Grant over 10/96 2 New stores in the Quad Cities, 6/96 and 1/97 -179- AGENCY Goodwill Industries of Southeast Iowa ACCOUNTABILITY QUESTIONNAIRE Ae Agency's Mission Statement or Primary Purpose: The mission of Goodwill Industries of Southeast Iowa is to advance the social and economic independence of men and women with disabilities and other persons who may experience barriers to such independence. To achieve this purpose, Goodwill provides a variety of training, employment, and support services. Board of Directors: Please attach a list of your agency's Board of Directors (enclosed) Frequency of meetings: Monthly Briefly describe board orientation and ongoing training opportunities: New Board members receive an orientation that acquaints them with Goodwill's mission, philosophy, values, programs, Operations, fmances, strategic plans, human resource system and quality improvement program. Ongoing training is provided approximately every other month by programs and operations staff. Board members are encouraged to attend conferences and seminars to remain current regarding the field of rehabilitation. Finances: Goodwill Industries charges a fee for all of our vocational services based upon the cost of providing those services. Depending upon the service, this fee is charged upon a unit of service basis (1/4 hour, 1/2 day) or upon the achievement of an outcome (ex. a successful placement). The vast majority of these fees are paid by the Iowa Division of Rehabilitation Services or various counties. No fees are charged for · our services coordination and vocational services for persons with a traumatic brain injury. If your agency charges'a fee, describe your fee structure. (See Fee schedule page 9d.) Does your agency have: internal audit Frequency Annually external audit Yes financial review 3. Has your agency filed the Annual Report with the Secretary of State? ........ Yes X No 4. Has your agency filed Form 990 with the IRS Yes X No Please discuss your agency's fundraising efforts, if applicable. We have an annual membership drive. We are planning to have a capital campaign in 1997/1998. D. Management: Does each professional staff have a written job description? Yes Is the agency Director's performance evaluated at least yearly? Yes X No By Whom? Executive Committee of the Board of Directors X No -180- GOODWILL INDUSTRIES OF SOUTHEAST IOWA BOARD OF DIRECTORS 1996-1997 Lois Bartelme John Helbling Kathy Krusie Gordon Hinz OFFICERS Chairperson Vice Chairperson 'Secretary -' Treasurer NAME/HOME ADDRESS BARTELME, Lois A., PhD 2083 South Ridge Drive Coralville, IA 52241 354-3717 CAMPBELL, Alan B. 4221 Mt. Vernon Road S.E. Cedar Rapids, IA 52403 366-4994 ........... DUNGY~.-Claibourne I.,, MD/MPH 35 Lakeview Knoll N.E. Iowa City, IA 52240 351-9173 GULICK, Kris, C.P.A. 2103 Linmar Drive N.E. Cedar Rapids, IA 52402 364-4219 HEFLIN, Steve 1707 1 lth Street Coralville, IA 52241 351-2591 HELBLING, John K. 2675 Rainier Court N.E. Cedar Rapids, IA 52402 364-8893 OCCUPATION/ADDRESS YEAR ELECTED Director 1990 APAC University 425 Second Street SE P.O. Box 3300 Cedar Rapids, IA 52406-3300 '369-4089 399-2428 (FAX)~ Retired Hospital Administrator 1988 St. Lukes Hospital, Cedar Rapids Mercy Hospital, Iowa City TERM EXPIRF3 1999 _Univ. of Iowa Hospitals '&Clinics Department of Pediatrics 2569 JCP 200 Hawkins Drive Iowa City, IA 52242-1083 356-3644 356-4855 (FAX) Senior Consultant Clifton Gunderson & Company Cedar River Tower 100 First Ave. N.E., Suite 101 Cedar Rapids, IA 52401 363-2697 363-1746 (FAX) Staff Asst, Organizational Develop V.A. Medical Center Hwy 6 West Iowa City, IA 52246 338-0581 Ext 6207 339-7139 (FAX) Director, Economic Development and Governmental Affairs IES Utilities, Inc. P.O. Box 351 Cedar Rapids, IA 52406 398-7290 398-4567 (FAX) 1993 1990 1996 1990 1999 1999 1999 1998 - 9a- -181- NAME/HOME ADDRESS HELMS, Lelia B. 1945 Graslon Drive Iowa City, IA'"52246' 354-5901 HERNANDEZ, Laura C. 115 Dawley Street NE Cedar Rapids, IA 52402 362-1912 HINZ, Gordon L. 2119 Leonard Circle Iowa City, IA 52246 338-5033 HOLZHAMMER, Robert E. Reverend (RET) 2105 Muscatine Avenue Iowa City, IA 52240-2119 338-0400 KLOSS, John 1920 RidgewayDrive SE Cedar Rapids, IA 52403 365-8383 KRUSIE, Kathleen 3121 Adirondack Drive N.E. Cedar Rapids, IA 52402 364-0549 NEFF, Jo Anne 1506 Bryant Road Mount Vernon, IA 52314 895-6106 PARKER, Karen L. 9860 Deer Ridge Dr. Cedar Rapids, IA 52411 378-1456 RIESZ, Peter C., PhD, MBA 2411 Tudor Drive Iowa City, IA 52245 338-2177 OCCUPATION/ADDRESS Professor of Education The University of Iowa N465 Lindquist Center Iowa City, IA 52242 335-5370 384-0587 (FAX) Senior Communication Consultant Frank N. Magid Associates One Research Center Marion, IA 52302 377-7345 377-5861 (FAX) Vice President Hills Bank & Trust Company 1009 2nd Street Coralville, IA 52241 351-8000 351-2529 (FAX) Rector Emeritus Trinity Episcopal Church 320 E. College Street Iowa City, IA 52240 337-3806 Senior VP & Trust Manager First Trust Bank 4051 42nd Street NE Cedar Rapids, IA 52402 3934100 Assistant Administrator Mercy Medical Center 701 10th Street S.E. Cedar Rapids, IA 52403 398-6451 398-6912 (FAX) Artist President/Manager Hall Home Furnishings 1618 Collins Road N.E. Cedar Rapids, IA 52402 393-5550 Professor of Marketing The University of Iowa 108 Pappajohn Bus. Adm. Bldg. Room S334 Iowa City, IA 52242 335-0937 YEAR ELECTED 1994 1996 1990 1992 1996 1993 1992 1992 1989 1997 1999 1999 1998 1999 1999 1998 1998 1998 - 9b- -182- NAME/HOME ADDRESS ROBINSON, Herb 2 Audrey Court N.E. Iowa City, IA 52240 338-9686 SCHREIBER, James 3940 Wyndham Dr. NE Cedar Rapids, IA 52402 393-7300 SPARKS, Elizabeth A. 218 2nd Avenue N. Mt. Vernon, IA 52314 895-8103 SPAZIANI, Eugene, MA, PhD 1029 Rider Street Iowa City, IA 52246 351-7674 STOCKMAN, Florence, MA 2514 Potomac Drive Iowa City, IA 52245 338-2792 THOMOPULOS, Gregs G. 1002 Estron Street Iowa City, IA 52246 351-2691 351-8286 (FAX) THOMSON, Miriam 1516 Rochester Avenue Iowa City, IA 52245 338-1498 VALDEZ, Perry 262 Brentwood Circle N.E. Cedar Rapids, IA 52402 377-2367 WATSON, John (Ex Officio) 403 Elmridge Avenue Iowa City, IA 52245 337-9225 OCCUPATION/ADDRESS Hair Care Business Leader Procter & Gamble 2200 Lower Muscatine Road Iowa City, IA 52240 339-2284 339-2718 (FAX) Director of Human Resources National Propane Corp. IES Tower, Suite 1700 200 First Street SE Cedar Rapids, IA 52401 365-1550 365-3672 (FAX) Attorney Sparks Law Office 222 Third Avenue SE, Suite 299 Cedar Rapids, IA 52401 362-7755 364-8914 (FAX) Professor of Biology The University of Iowa Department of Biology - BB 128 Iowa City, IA 52242 335-1063 335-1069 (FAX) School Social Worker Grant Wood AEA 200 Holiday Road Coralville, IA 52241 358-6200 Ext. 235 358-6201 (FAX) President Stanley Consultants, Inc. Stanley Building 225 Iowa Avenue Muscatine, IA 52761 264-6645 264-6658 (FAX) GIVS President Customer Service Manager Jack's Discount, Inc. 3111 16th Ave. S.W. Cedar Rapids, IA 52404 363-6424 President Goodwill Industries of Southeast Iowa 1410 First Avenue P.O. Box 1696 Iowa City, IA 52244 3374158 YEAR ELECTED 1996 1995 1994 1992 1991 1988 1975 1995 TERM EXPIRES 1999 1998 1997 1998 1997 1997 1998 -183- Revised I0/96 GOODWILL INDUSTRIES OF SOUTHEAST IOWA Our Business Works. So People Can. FEE SCHEDULE The following fee schedule for services at Goodwill Industries of Southeast Iowa is effective April 1, 1996. Department of Human Services and Private Pay Placement Services (B52-07) Vocational Evaluation (B52-09) Transportation (B52-10) Facility-based Training (B52-12) Job Training (B52-13) Community Employment Services (B52-14) $ 9.83 per quarter hour $26.10 per half day $ 7.41 per one way ride $12.47 per half day $ 1.70 per quarter hour $ 9.20 per quarter hour Department of Vocational Rehabilitation Services and Department of the Blind Vocational Evaluation Work Evaluation Selective Placement Supported Employment-Iowa City Supported Employment-Cedar Rapids Retail Skills Training-Cedar Rapids Work Adjustment-Iowa City Work Adjustment-Cedar Rapids Short-term Support Services-Iowa City ACCESS Evaluation Center based ACCESS Evaluation Home based ACCESS Training Center based ACCESS Training Home based ACCESS Vendor Package ACCESS Work Site Evaluation Scheduled/Completed $100.00/$600.00 $100.00/$350.00 $600.00/$900.00 $500.00/$1,800.00 $21.00 per hour $14.50 per half day $150.00/$950.00 $150.00 15750.00 $25.00 per hour $100.00/$250.00 $100.00/$400.00 $100.00/$400.00 $100.00/$550.00 $400.00 $300 per day FEE SPONSORSHI'P As required by our Iowa Purchase of Services contract, all of Goodwill's vocational programs require a fee sponsorship for provision of services. The CORE Case Management Services program does not currently charge a fee for services. 1410 First Avenue P.O. Box 1696 Iowa City, IA 52244 319-337-4158 FAX 337-7369 TDD 337-8491 -184- A United Way Agency - 9d- 1441 Blairs Ferry Road NE Cedar Rapids, IA 52402 319-393-3434 FAX 393-8935 TDD 393-2894 ge AGENCY Goodwill Industries of Southeast Iowa Program/Services: Please define your agency's units of service (service definition, length of time, cost per unit of service, number of units provided, direct or indirect.) Service De£mition - Employment Services Job Coaching (direct) ACCESS Evaluation (direct) ACCESS Training (direct) · Lengthof Time Cost/Unit . # Of Units 1/4 hour $9.20 69,380 3 - 4 days $350 20 4 - 5 days $500 20 Please supply information about clients served by your agency during the last two complete budget years. 1. How many Johnson County residents (including Iowa City and Coralville).did your agency serve la. Duplicated count lb. Unduplicated count 1994 1995 280 291 231 242 2. How many Iowa City residents did your agency serve? 2a. Duplicated count N/A N/A 2b. Unduplicated count N/A N/A 3. How many Coralville residents did your agency serve? 3a. Duplicated count N/A N/A 3b. Unduplicated count N/A N/A 4. How many units of service did your agency provide? 4a. Total 69,400 70,550 4b. To Johnson County Residents 31,100 32,300 Other areas served: Linn County Do you provide service to areas outside of Johnson County? Yes Area(s) served: Services provided: Linn County Full range of vocational services and TBI services coordination. Funding Sources: Iowa DVRS, various counties,'United Way of East Central Iowa. 10 -185- AGENCY Goodwill Industries of Southeast Iowa Client Profile (for last complete year, if available): 1995 '. .........Age .........II ........Gender' 0-5 0 6-17 5 18-29 95 30 - 61 103 62- 75 39 75+ 0 -'Female ]11 Male 131 II " Ethnicity African American 7 Native American 0 Asian 4 Hispanic 7 Caucasian/Non-Hispanic 224 Multi-racial Evaluation and Review: A. Please discuss how your agency measures the success of it's programs. We use a Walker and Associates program evaluation system to measure our effectiveness, efficiency and customer satisfaction. Does your agency have performance objectives? (give several examples.) (See enclosed.) Go What plans does your agency have to increase efficiency and effectiveness? Our strategic plan contains objectives and action steps to address these issues. (See enclosed.) In addition, our Continuous Improvement Training process has also formed teams and improvement plans for the ACCESS Program and for our Employment Services job coaching function. In what ways will the needs of your service population change in the next five years: The level of severity of disability is likely to increase requiring more support and greater use of creative accommodations such as assistire technology. The population we serve will be aging requiring additional support and retirement related services. We will likely be serving a group of individuals who have disadvantaging conditions that are not disability related. This is due to welfare reform and job training consolidation legislation .... -186- 11 GOAL 1- Improve the quality of services provided in order to enhance the benefits obtained by persons and improve the level of customer satisfaction. Objective 1' Determine our role in the Workforce Development Center System. A. "Put ourselves at the table." l&esponsibility: 'l'imc t"k4 C :.1Sl.l i'C 1 i1C 111.; Townsend, Watson. staff Jantmry 30. 1996 l)ialo,, concltmtcd with local advisory board. KCC l)]'-]S \Vorl<Ibrcc Center, etc. [)trine our potential role with \VDC system. Responsibility: "I'ownsend, staff Time Frame: March 31, 1996 Measurement: Written proposal/strategy. O bj ective 2: Conduct a community needs assessment. A. Identify survey participants. Responsibility: Time Frame: Measurement: Townsend, staff February 29, 1996 Participants identified. Develop survey instrument(s). Responsibility: Townsend, staff Time Frame: March 31, 1996 Measurement: Survey instruments created. Go Conduct survey(s). Responsibility: Time Frame: Measurement: Townsend, staff April 30, 1996 Surveys mailed. -11a- -187- Do Analyze survey results. Responsibility: Time Frame: Measurement: Townsend, staff June 30, 1996 Written report :with conclusions. Objective 3- A. Conduct a comprehensive analysis of current sen, ices and delivery systems. Develop baseline information of current services. including scope, cost and quality'. 1,.e~l)Onstb~llt5. Time Frame: Mcasu foment' Townsend, focus groups May 31, 1996 Written report. go Identify areas for improvement and make recommendations. Responsibility: Time Frame: Measurement: Townsend, focus groups July 31, 1996. Written report of recommendations. Begin implementation of recommendations. Responsibility: Time Frame: Measurement: Townsend, program staff Beginning October 1, 1996 Written implementation plan established. Objective 4: Improve the quality assessment system. Responsibility: Time Frame: Measurement: Townsend, staff October 1, 1996 New system in place. -188- -11b- AGENCY Goodwill Industries of Southeast Iowa Please discuss any other problems or factors relevant to your agency's programs, funding or service delivery: Funding is limited in most of the counties we serve. In addition, each of the 25 counties we serve has its own managed care plan that outlines 25 separate service priority lists, billing procedures and quality assurance requireme~nts. ]~0. List complaints about your services of which you are aware: Long waiting times for certain services. 11. Do you have a waiting list or have you had to turn people away for lack of ability to service them? What measures do you feel can be taken to resolve this problem: We have a waiting list. Funding restraints are the primary reason for these waiting lists. How many people are currently on your waiting list? 50 In what way(s) are your agency's services publicized? ® Publications: brochures, quarterly newsletter. · . Media: PSA's, paid ads, news and feature releases. · Public speaking, tours, annual meeting, Business P.M.'s. _~ ~ 'c-?~ ,, ; , ,.-- 13,.. ;.-i-.~Jnit~ way:involvement by your agency: ("X" if'agency participates) · ~ : · .~ '~ ' i ....~ " :,--'- a. Agency Directors Meetings X b. Agencies Representative to Funding Hearings X c. Business Blitz X d. Day of Caring ~ . X e. Executive Development Seminars X f. Kick Off X -. .... g. _..VictoryReception X h. Volunteer Action Center i. Other 12 -189- AGENCY Goodwill Industries of Southeast Iowa AGENCY HISTORY Goodwill Industries of Southeast Iowa was established in Iowa City in 1965 to provide rehabilitation, training and employment services to persons with disabilities and other disadvantaged persons who may experience barriers to competitive employment. The Goodwill program is designed to encourage and enhanoe dignity, self-respect and social and economic independence. The need for an organization like Goodwill Industries was recognized in the early 1960's by the local Association for Retarded Citizens and area professionals. In the spring of 1965, the Iowa City Kiwanis _: ·-Club began early organizational efforts, and Goodwill Industries was incorporated on November 24, 1965. Goodwill first opened its doors in early 1966in the former Montgomery Ward building in downtown'Iowa City. In 1968, Goodwill moved to a new 32,000 sq. ft. facility on First Avenue. A retail ....... stgr$ !n Cedar Rapids was opened in 1967 and training programs began there in 1973. · The Iowa CityGoodwill Industries was one of the first organizations in Iowa to be fully accredited by the Commission on Accreditation &Rehabilitation Facilities in 1977. It has maintained the highest level of accreditation by CARF ever since. Goodwill has ranked high in the state in job placements the past several years. Eight state grants have been awarded for innovative new programs: work stations in industry in 1982, the Threshold Program in 1985, 1988 and 1991, and Supported Employment Programs in ! 988, 1989, 1990 and 1994. Pathways, a community-based training and employment program for persons with mental retardation/developmental disabilities, was initiated in 1990. Goodwill Industries began providing community-based training and employment services for persons with-traumatic brain injuries in late 1989. The program was funded by a grant from the Division of Vocational Rehabilitation Services and was developed under the auspices of the East Central Iowa Brain Injury Tasl~ Force. A services coordination component for these individuals and their families was added during 1992. Our CORE, Pathways and_Threshold programs are collectively called Employment Services. During 1995, Goodwill began the ACCESS Program. This pro.$~ram.is designed to provide evaluation of the need for and training in the use of assistive technology to aid persons with disabilities to build on 'their strengths and overcome barriers to independence. Goodwill received major contributions for renovation and equipment to implement the ACCESS Program from the Roy J. Carver Charitable Trust, The City of Iowa Gity Community Development Block Grant program and the Iowa Division of Vocational Rehabilitation Services. Goodwill benefits its clients by encouraging and assisting them in their own desire to help themselves. It enables economic and social advancement of people by providing jobs, training for jobs and placement into jobs. Both nationally and locally, it is the largest private sector employer of persons with disabilities -- helping tax "users" become tax payers. Goodwill is a leader in seeking to create job opportunities in other sectors. It provides valuable labor contracting services to area business and industry. Goodwill also benefits its communities by recycling a tremendous quantity of donated materials and beverage containers. -190- 13 AGENCY Goodwill Industries of Southeast Iowa AGENCY PROGRAM GOALS AND OBJECTIVES Name of Program: Employment Services Goal: To increase the level of vocational independence, decrease hospitalization/ institutionalization and increase opportunities for successful living for persons with disabilities by providing community-based training and employment services. Objective A: Objective B: Tasks: During 1997, provide vocational services to 175 Johnson County residents. During 1997, place and maintain 40 Johnson County participants into competitive employment. 1. Provide job seeking skills training. 2. Provide support groups to provide peer training and support. 3. Develop sufficient job sites. 4. Provide job coaching to individuals who have been placed. 5. As part of community education, speak to a variety of community groups. -' .Obje. et!ve C: During 1997, place and/or maintain 125 Johnson County participants in supported " ~ ~ ~':~:'~'~ employment positions. Tasks: 1. Develop 30 new supported employment sites. 2. (See tasks for Objective B.) '3'. Develop two additional community'based gYdup work sites. ...... Resources Needed To Accomplish Objectives: '-' 1. 6 ~11-ii'/fi~=eqt/ivalent Vocational Specialists. -:. ~ .......~. 25 part,time.lob Coaches. 3. Office space located at Employment Services (Eastdale Mall). 4. Miscellaneous staff r61ated ex~3~nditures (Professional liability insurance, travel, ' and training). Cost of Program: 1996: 760,200 1997: 831,300 14 -191- AGENCY Goodwill Industries of Southeast Iowa Name of Program: ACCESS Goal: To increase the level of vocational independence and increase opportunities for successful living for persons with disabilities by providing evaluation and training in the use of assistive technology. Objective A: During 1997, provide assistive technolog~ evaluations for 40 Johnson County residents. Objective B: 'During 1997, provide training in the use of assistive technology for 50 Johnson County residents. 1. Provide staff training to keep current with the constantly changing technology. 2. Purchase additional equipment for participants to utilize. 3. Train participants and family members. 4. Provide follow-up services for participants who have been trained. 5. As part of community education, speak to a variety of community groups ~' regarding assistive technology and other accommodations. Objective C: During 1997, provide clerical skills training for 40 Johnson County residents. '~ ' publishing software. 6. An assortment of adaptive computer keybcmrd___s~.n_d_ switches. 7?-A'~ariety 6feommunieation devices. Tasks: 1. Provide staff training to stay current with popular clerical software. 2. Utilize updated clerical skills training curriculum. Resources Needed To Accomplish Objectives: .... 1'.~ One' f~11 time ~.~e_chnology Specialist. - 2~" One and one-halfFTEClerical Skills Trainers.- 3. The Access Center - space located at Goodwill Industries. 4. Miscellaneous staff related expenditures (professional-liability insurance, travel, and training). ........ -- 5. A local area network, current word processing, spreadsheet, database, and desktop Cost of Program: 1996: 92,900 1997: 113,800 -192- 15 HUMAN SERVICE AGENCY BUDGET FORM City of Coralville Johnson County City of Iowa City United Way of Johnson County CHECK YOUR AGENCY'S BUDGET YEAR Director: Maryann Dennis Agency Name: Greater I. C. Hsg. FeUowship Address: P.O. Box 1402 I. C., IA 52244 Phone: 358-9212 Completed by · Maryar~. Dennis Approved by Chair Board: (/_5/z~.. 1/1/97- 12/31/97 4/1/97'- 3/3t/98 .-7/:1/97- 6/30/98 . X 10/1/97 - 9/30/98 9/20/96 (clam) CO~IiR PAGE Program Summary: (Please number programs to correspond to Income & Expense Detail, ..... i.e., Program 1,2, 3, etc.) Program 1: 'Affordable Housing Purchases, rehabilitates, constructs and manages affordable rental housing for very low income ~amilies {n'Iowa City. By the end of calendar year 1997 GICHF will own 40 and manage 48 rental units. Purchases lots and construct modest, three bedroom houses. Johnson County families below 80% of the Area median Income may purchase the houses. GICHF retains ownership of the land and leases the land .to the home owner, reducing the cost of the purchase. ?!~rogram 2: Security Deposit Loan Program m conjunction with First Nati6nal Bank, this award winning program offers one year, no interest loans to very tow-income.individuals/families to pay a deposit on a rental unit. This program also offers grants to v ..ery low-inc0me Iowa City households to pay the City utility (e.g. water) deposit on a rental unit. Program 3: Housing 8kffis Support* Assists individuals and families with locating and malnitaining h9u~ing through a contract with Life Skills, Inc. Program.4: HACAP Itou~e Leases ,a;sing!e.family home to HACAP for use in their Transitional Housing Program. * Greater Iowa City Housing Fellowship's projected income will not support this contracted service for 1997, Local Funding Summary · United Way of Johnson County - - Does Not Include Designated Gvg. City of Iowa City Johnson County 4/1/95 - 4/1/96- 3/31/96 3/31/95' $5,ooo $s,ooo FY96 FY97 $o $o $o $o $o $o 4/1/97 - % of Total 3/31/98 Budget $11,000 0.009 FY98 $0 0 $0 0 $0 0 -1- -193- AGENCY: Greater I. C. Housing Fellowship BUDGET SUMMARY Enter Your Agency's Budget Year ==> 1. TOTAL OPERATING BUDGET (total a+b) a. Carryover-Balance (Cash from line 3, previous column) b. Income (Cash). ' ' ' 2. TOTAL EXPEND1TURES'(Total a+b) a. Administration b. Program Total (List Progs. Below) I Affordable Housing 2 Security Deposit Loan Program 3 H0~ising Access Support 5 '6 7 8 HACAP House 3. ENDING OPERATING BALANCE (Subtract 2 - 1 ) 4. RESTRICTED FUND BALANCE (Total from page 7) 5. IN-~IiqD SUPPORT (Total from Page 7) 6. NON-CASH ASSETS Notes and Comments: 1995 Carryover Balance is an actual figure from GICHF's audit. ACTUAL THIS YEAR LAST YEAR PROJECTED 1995 1996 $214,973 $716,564 $32,014 $19,186 $182,959 $697,378 $195,787 $716,209 $58,821 $78,024 $136,966 $638,185 $123,143 $623,006 $6,401 $7,500 $1,975 $2,100 $5,447 $5,579 .$19,186[[ $37,564 $5,88o $I ,377,063 $319,490 $6,220 $1,879,063 BUD GETE~ NEXT YEAR 1997 $1,231,419 $355 $1,231,064 $1,228,991 $88,893 $1,140,098 $1,127,016 $7,500 $5,582 $2,428[ $381,302 $7,161 $2,566,463 -194- -2- AGENCY Greater I. C. Housing Fellowship INCOME DETAIL ACTUAL THIS YEAR BUDGETED NON- LAST YEAR PROJECTED NEXT YEAR DIRECTED ~---, 1995 1996 1997 FUNDING 1.. L~. :r.,~n~,.~..s.~_~r~-' .......~_.., ......................~.$7_~ ...........i ......$,s,o9o. I._,._ $9~soo.. $9,Soo a. Johnson County b. City of Iowa City c. United Way of Johnson County $4,575 d. Ci .v)~o. f .Coralville e, f. 2. Grants - Suue, Federal, Foundations $37,564 a. S~ HOME ~ b. City HOME c. ci~ c~eo $5,610 d. State ESOP $4,000 f. Federal Home Loan Bank 3. Net Sales Of Services (sources) $625 a. SDLP Fees & Loan P~ym=a~s- ................. , .......~625 4. Net Sales of Materials (sources) i ] Sale of Houses ~ I ,5. ContriUu~ons/Donations $! 1 239] a. United Way Designated Giving '~428 ' b. Other Contributions $10,811 6. Special Evems $I ,870 a. Io~a City Road Races $685 b~ ~se Pins $710 c. ,./chef $475 8. Other - List'Below ........... ' .....$'1:~6525 b, Notes c. Rent $119,473 d, Damage Deposit~ ' $3 295 e. Tenant Reqmbursements $1,722 $5,000 $9,500 $9500 $256902 $289,490 $59,400 $25,000 $5,000 $5,000 $60,000. $600 ,$900.- ' ~0J $~oo ........$900 $4o,56o1 $10,~50 ] $40,860] $m,65o s~o,65o ] $591 $15o $15o $10,500'I .....$19.~0._0....~1o,50o $1,86o I $8,~oo $8~oo $750 .........~1'1ooo' $1 ,ooo $110 $1,000 ..... $7,500 $7,500 5oo ~o01 ' ~5o0, $3,~¢,3751 -..~77~,~21'- so' $222,360 $596,838 $132,518 $175.,789 $2,000 $3,600 $2500..~ $2,625. PROGRAM 1 PROGRAM 2 $o1., $o $376,3021 $256,9o2 $59,400 .$5,000 $5,000 $6O,OOO. .[. $900 $900 $4o,s~ol ~o,8~ol ~Ol so $o I' $o $7~6,562 $596,838 $173A99 $3,600 $2,625 TOTAL INCOME (sam/~ as p-. 21 line lb) $182,959 NOtes and Comments:':.: ' " ' $697,378 $1~'31064 -~'$29,150 $11i'93,724 I $5,900 -3- -195- INCOME DETAIL (cont) 1. Local Funding Sources~ a. Johnson County b. City of Iowa City c. United Way of Johnson Cotmty d. City of Coralville f. 2. Grants - State, Federal, Foundati,o~)s a. d. e. 3. Net Sales Of Service~ (sources) a. b. C, 4. Net Sales of Materials (sources) a, b. C. 5. Contributions/Donations a. United Way Designated Giving b. Other Contributions 6. Special Events a. Iowa City Road Races b. C. 7. Interest Income 8. Other - List Below a. c. Rent TOTAL INCOME (same as p. 2, linel Notes and Comments: AGENCY Greater I. C. Housing Fellowship PROGRAM PROGRAM PROGRAM 3 4 5 PROGRAM PROGRAM 6 7 I ol ol ol ol PROGRAM 8 I Ol Ol Ol Ol Ol o I Ol Ol Ol Ol Ol o I o.I Ol Ol Ol Ol o I Ol '0 Ol ol I $2,290 I 01 $2,290 $2,290 I 01 I 0 0 0 0 -196- PROGRAM EXPENDITURE DETAIL AGENCY Greater I. C. Housing Fellowship ACTUAL THIS YEAR LAST YEAR PROJECTED t-' -'. ~ 1995 1996 ~. Salaries $33,250 $48,000 2. Employe~ Benefits & Taxes $5,632 $8,218 3. Staff Development $378 $500 4. Professional Consultation $3,419 $4,000 5. Publications & Subscriptions $425 $150 6. Dues and Memberships $341 $300 7. Office Rent $4,950 $5,530 8. Building Maintenance $223 $200 9. Equipment Purehase/Rentai/Maint. $628 $1,000 t O. Utilities $828 $215 11. Telephone $983 $1,080 12. Office Supplies & Postage $2,038 $2,040 13. Printing and Publicity $807 $900 14. Local Transportation $744 $1,000 15. Insurance (Bonding) $774 $800 16. Audit $2,385 $2,941 17. Interest 1 ?~'~ther (Specify): 19. Mortgage (P.I.T.I.) $78,477 20. Repairs, Maintenance, Capilal Imp. $40,132 21. Hsg. ProduetioWPurehases/Rehab $9,981 22. SDLP Grants & Repays $6,401 23. Contract Services (Life Skills) $1,975 24. Fundraising Expenses $304 25. Misc. $712 TOTAL EXPENSES ( p. 2, line 2) $195,787 Notes and Comments: ........... BUDGETED ADMINISTRA- NEXT YEAR TION 1997 $53,500 $53,500 $8,465 $8,465 $515 $515 * $5,620 $5,620 $155 $155 $309 $309 $5,520 $5,520 $206 $206 $1,030 $1,030 PROGRAM 1 $1,112 $1,112 $2,101 $2,101 $927 $927 $1,030 $1,030 $824 $824 $3,029 $3,029 $95,735 $124,848 $26,000 $34,610 $506,850 $973,140 $7,500 $7,500 $2,100 ** $500 $3,9~) $650 $650 $716,209 $1,228,991 $3,900 $650 $88,893 $119,266 $34,610 $973,140 $1,127,016 *Includes contracted accounting services and facilitator for Board of Trustee training. ** GICHF's projected income will not support this contracted service in 1997. PROGRAM 2 $7,500' $7,500 -197- PROGRAM EXPENDITURE DETAIL (continued) PROGRAM 3 1. Salaries 2. Employee Benefits & Taxes 3. Staff Development 4. Professional Consultation 5. Publications & Subscriptions 6. Dues and Memberships 7. Mortgage, Rent and Property Tax 8. Building Maintenance 9. Equipment Purchase/Rental/Maint. 10.Utilities 11. Telephone 12. Office Supplies & Postage 13. Printing and Publicity '14. Local Transportation 15. Insurance 16. Audit 17. Interest '18. Other (Specify): 19. Mortgage (P.I.T.I) '20. Repairs, Maintenance, Capital Imp. 21. Hsg. Produetion/Pttrchase/Rehab. 22. SDLP Grants & Repays 23. Contract Services (Life Skills) 24. Fundraising Expenses 25. Misc. TOTAL EXPENSES (p. 2, line 2) Notes and Comments: AGENCY Greater I. C. Housing Fellowship PROGRAd PROGRAM PROGRAM PROGRAM 4 5 6 7 5,582 PROGRAM 8 $0 5,582 0 0 0 0 -198- -6- AGENCY Greater I. C. Housing Fellowship REo sRICTED FUNDS: Restricted by: Iowa DED HOME City of I.C. HOME City of I.C. CDBG Federal Home Loan Bank Iowa DED ESGP Restricted for: Affordable Housing Development Affordable Housing Development Affordable Housing Development Affordable Housing Development Security Deposit Assistance IITOTAL RESTRICTED FUND (also shown page 2, line 4) ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR $27,954 $256,902 $289,490 $59,400 $5,610 $25,000 $60,000 $4,000 $5,000 $5,000 $37,564 I $319,4901 $381,302[ MATCHING GRANTS Grantor/Matched by Iowa DED HOME City of I.C. HOME Iowa DED ESGP Property Tax Exemption Property Tax Exemption Volunteer Hours/Salaries $6,989 $64,226 $72,373 $14,850 $4,150 $5,250 ITOTAL MATCHING GRANTS (also shown pg. 3, line 2) IN-KIND SUPPORT DETAIL Services/Volunteers $5.00/hour Material Goods Space, Utilities, etc. Other: (Please specify) Pro Volunteers (~ '$20/Hour [TOTAL IN-KIND SUPPORT (also shown on page 2, line 4) Notes and Comments: 1511,1391 $77,6231 $79,0761 $4,260 ..... $4,120 $4,326 $500 $700 $735 $1,120 $1,400 $2,100 5,8801 6,2201 7,161 -7- -199- SALARIED POSITIONS "x" thoseI · th,at a~ply (o Position '~ ~- ~ ~ Administrator 3 4 x ' ' 1 5% Compliance Manager 2 9 x 21% AGENCY Greater I. C. Housing Fellowship FTE* Salary Last This Next Actual This Budgeted % Year Year Year Last Year Year Next Year Change 1.00~ 1.00 1.00 25,000 28,000 ,30,000 7% 1.00 1':00 1.00 *8,250 20,000 23,500 18% TOTAL FTE's and SALARIES 2 2 2 33,250 48,000 53,500 * Full-time equivalent: 1.0=full-time' 0.5=half-time' etc. *Compliance manager position is 1.0 FTE. The positio_nsw_~ts filled for half of the year. -200- AGENCY Greater Iowa City Housing Fellowship ACCOUNTABILITY OUESTIONNAIRE A. Agency's Mission Statement or Primary Purpose It is the mission of Greater Iowa City Housing Fellowship to increase access to and availability of affordable housing for low-income people. B. Board of Directors: Please attach a hst of your ageney's Board of Directors Frequency of meetings: Monthly except August Briefly describe board orientation and ongoing training opportunities: New Trustees are recruited and oriented by the Trustee Recruitment Committee and the Administrator. The GICHF Board of Trustees held a planning workshop in February of 1994. Another workshop is scheduled for November 2, 1996. The Trustees completed questionnaires regarding Trustee responsibilities and meetings in the Spring of 1996 to define Board strengths and weaknesses to be addressed at the workshop. Finances: If your agency charges a fee, describe your fee structure. Rents are charged for rental housing units. Tenants pay no more than 30% of their income for rent. The remainder of Fair Market Rent is paid from rental subsidies (HUD Section 8). AS10.00 application processing fee is charged for all approved loans through the SDLP, Does your agency have: internal audit external audit X financial review Frequency Yearly Has your agency filed the Annual Report with the Secretary of State? Yes X No Has your agency filed Form 990 with the IRS .. Yes X No o Please dimuss your ageney's fundraising efforts, if applicable. Do GICHF promotes contributions from member congregations through public speaking and written requests. GICHF sold decorative lapel pins for the past four years. The Board Fund Raising Committee has been planning a major fund raising effort with the production of a poster of the 'Doors of Iowa City~ to be sold at congregational bazaars, through local merchants and from the office. The majority of funds for housing production are obtained through grants/loans for federal fands and private mortgage financing. All private local lending institutions in Johnson County participate in a consortium to provide mortgage financing for GICHF homing production projects. Management: Does each professional staff have a written job description? Yes Is the agency Director's performance evaluated at least yearly? Yes X No By Whom? Board of Trustees X No -201- AGENCY Greater Iowa City Housing Fellowship E. Program/Services: Please define your agency's units of service (service definition, length of time, cost per unit of service, number of units provided, direct or indirect.) Affordable rental housing - one unit of service equals rental for all or part of one year for each household member. Rents are no higher than the local Fair Market Rents minus an allowance for utilities. GICHF tenants pay no more that 30% of their household income for rent. The remainder is .paid from rental subsidies (HUD Section 8). In calendar year 1995, GICHF provided housing for 77 Iowa City residents. Security Deposit Loan Program - one unit of service equals one loan issued. A $10.00 application processing fee is charged for each approved loan. In calendar year 1995 GICHF provided loans to 51 households in Johnson County. All units of service reported represent direct services. Please supply information about clients served by your agency during the last two complete budget years. Refer to form instructions for definition of duplicated and unduplicated. 1. How many Johnson County residents (including Iowa City and Coralville) did your agency serve 2. How many Iowa City residents did your agency serve? 3. How many Coralville residents did your agency serve? 4. How many units of service did your agency provide? Enter Years- 1994 1995 la. Duplicated count Hsg. 61 Hsg. 77 Loans 25 Loans 51 lb. Unduplicated count Hsg. 59 Hsg. 77 Loans 25 Loans 51 2a. Duplicated count Hsg. 61 Hsg. 77 Loans N/A Loans N/A 2b. Unduplicated count Hsg. 59 Hsg. 77 Loans N/A Loans N/A 3a. Duplicated count Hsg. 0 Hsg. 0 Loans N/A Loans N/A 3b. Unduplicatedeount Hsg. 0 Hsg. 0 Loans N/A Loans N/A 4a. Total Hsg. 61 Hsg. 77 Loans 25 Loans 51 4b. To Johnson County Hsg. 61 Hsg. 77 Residents Loans 25 Loans 51 o Other areas served: N/A Do you provide sorvice to areas outside of Johnson County? NO Area(s) serve& N/A Services provided: N/A Funding Sources: N/A -202- 10 AGENCY Greater Iowa City Housing Fellowship Client Profile (for last complete year, if available): Age 0- 5 N/A 6-17 N/A 18-29 N/A -30 -61 N/A 62-75 N/A '75~ N/A Gender II Female Hsg. 47 Loans31 Male Hsg. 30 Loans20 Ethnicity African American Native American Asian Hispanic Caucasian/Non-Hispanic Multi-racial Hsg. 37 Loans N/A Hsg. 0 Loans N/A Hsg. 0 Loans N/A Hsg. 1 Loans N/A Hsg. 26 Loans N/A Hsg. 13 Loans N/A Evaluation and Review: Ao Please discuss how your agency measures the success of it's programs. Affordable Housing - Increase in the number of affordable housing units placed in service. Lease renewals. Monthly tenant occupancy reports. Security Deposit Loan Program - Requests for loans and the number of applications received. Repayment rate of loans. Monthly statistical reports. Annual program report. Housing Skills Support - Reports submitted by Life Skills, Inc. HACAP House - Rental permit. Annual inspections. Reports from HACAP. Does your agency have performance objectives? (give several examples.) YES To decrease rents at~er debt retirement to a level affordable for families at or below 50% of the Area Median Income without rental assistance. To become a self-sufficient Community Housing Development Corporation by owning and operating between 80 and 100 units of affordable rental housing. To increase funding source~ by building the capacity of GICHF staff through partnerships with other developers of affordable hqusing. To increase public awareness of the housing crisis in our community and engage neighborhood and community support for GICHF's projects and services by establishing a permanent Community Relations Committee of the Board of Trustees. 11 -203- AGENCY Greater Iowa City Housing Fellowship What plans does your agency have to increase efficiency and effectiveness? GICHF plans to increase the capacity of the staff in order to increase efficiency and reduce costs. Staff are currently receiving technical assistance from a non-profit Housing Developer to perform general contracting duties for new construction projects. GICHF plans to continue to work in partnership with Robert P. Bums. This parmership may allow GICHF to access equity financing through the Low Income Housing Tax Credit Program, a major source of funds tbr af[brdable housing. Fund raising efforts will be increased in order to plan for the purchase of a new computer system and housing development and property management specific software. The Board 0f Trustees will attend a full day planning workshop in November, 1996. Trustees will examine: the strengths and weaknesses of the governing board responsibilities of Board members organizational structure. It is anticipated that a Board Committee structure will be adopted to address Tntstee Recruitment, Project Planning, Personnel, and Community Relations. In what ways will the needs of your service population change in the next five years: It is, anticipated that the need for affordable housing for very low-income households in Iowa City and surrounding Johnson County will increase and will remain critical. The top two priorities of the City of Iowa City's five year City STEPS Consolidated Plan for Housing, Jobs, and Services are: .. · the acquisition of land and/or construction of rental units rehabilitation of existing homing stock. The need for rental units that are conducive to family living will also increase. Many rental units constructed in this area are configured for non-related student households. That is, units tend to have many bathrooms and bedrooms, small kitchens and limited common areas. The cost of moving and other barriers to accessing safe, decent housing will increase. The demand for loans tl~. ough the Security Deposit Loan Program has risen dramatically and will continue to increase In the next five years. All landlords, in61uding owners rent'rag to assisted households can charge up to two months rent for a deposit. The City of Iowa City Utility Deposit for renter households is higher than for owner-occupied households. Many current tenants of GICHF will remain stable. GICHF experiences a low vacancy rate. 12 -204- AGENCY Greater Iowa City Housing Fellowship Please discuss any other problems or factors relevant to your agency's programs, funding or service delivery: There are no funds available for the operation of the Security Deposit Loan Program. The SDLP ia a labor intensive program and requires an average of 12% of staff time to administer. There is very little vacant, developable land in Iowa City. GICHF has encountered resistance from neighborhoods to add low cost housing. GICHF needs to partner with an experiefieed administrator of Low Income Housing Tax Credits in order to attract equity investors. 10. List complaints about your services of which you are aware: GICI{F occasionally receives complaints about tenants and/or properties. All complaints are immediately addressed by staff. GICHF proposed projects have met with resistance from certain neighborhood groups. The need for additional affordable housing exceeds the existing available units. 1.1. Do you have a waiting list or have you had to turn people away for lack of ability to service them? GICHF maintains an applicant pool for rental units. The Security Deposit Loan Program is capitalized by First National Bank at $10,000, guaranteed by GICHF. The Banks' outstanding balance exceeded $10,000 during July and August, 1996. Therefore, additional funds are not loaned. As loans are repayed, funds are again available for loans. What measures do you feel can be taken to resolve this problem: Increase the number of affordable rental units. Continue close monitoring of loan funds. GICHF eaunot afford to guarentee more than $10,000 to First National Bank. 12. How many people are currently on your waiting list? 47 Households In what way(s) are your agency's services publicized? As they become available for occupancy, households on the waiting list are contacted. Units are advertised as needed through other housing related agencies or in local newspapers. Program Brochures are widely distributed among community service providers. Speaking engagements, press releases communicate to member organizations and the community. 13. United way involvement by your agency:.("X" if agency participates) g. h. i. Agency Directors Meetings X Agencies Representative to Funding Hearings Business Blitz X Day of Caring X · Executive Development Seminars Kick Off X Victory Reception X Volunteer Action Center X Other United Way New Director Me~ntor X 13 -205- AGENCY Greater Iowa City Housing Fellowship AGENCY HISTORY (Using one page ONLY, please summarize the history of your agency, emphasizing Johnson County, telling of your purpose and goals, past and current activities and future plans. Please update annually.) The Greater Iowa City Housing Fellowship (GICHF) was incorporated as a non-profit organization in 1990. It began as a response to the severe shortage of affordable housing in our community by representatives from area religious congregations. The mission of GICHF is to increase access to and availability of affordable housing for low-income peopie2 GICHF currently has fifteen permanent member congregations and representatives from four local human service agencies that select the Board of Trustees. One third of the Trustees represent the low-income community. GICHF has been designated a Community Housing Development Organization by HUD and has also received local United Way designation. As an initial project, a three bedroom house was purchased in April, 1991, funded by CDBG and a loan from a consortium of local private lenders. The loan is paid from donations from religious congregations. The property is leased to HACAP for use in their Transitional Housing Program. Since its beg'inning, GICHF has increased the local stock of affordable rental housing by 20 units. GICHF assembled funding from the HOME Program, CDBG funds, and mortgage loans from a local lending consortium to purchase and rehabilitate or construct these, units. The one, two, three and four bedroom units are scattered throughout Iowa City. Housing types include single thmily homes, duplexes and condominiums. All of our tenants receive HUD Section 8 rental assistance. The majority of our tenants have household incomes which place them at the local poverty level. The household characteristics of GICHF tenants as of September 1, 1996 include: °80% are headed by single morns ;20% of the heads of households are full-time college students o 5 % of the heads of households are disabled °65 % of the heads of households are employed. After debt retirement of GICHFs rental units, rents are set at operating and replacement reserve costs. The rental .amount then will be within the affordable range of many very 1owqncome households that do not receive rental subsidies. The long range plan of GICI-IF is to become a self-supporting Community Housing Development Organization. As the amber of units owned and managed by GICHF increases, the need for external funding for operations will decrease. Between 80-100 units are needed in order for us to be self-supporting. The Housing Fellowship continues to explore new projects. GICHF and Robert P. Burns, a local for profit developer, have entered into a Limited Partnership Agreement. Sixteen lots in the Walden Ridge sub-division have been purchased. Saratoga Springs Limited Partnership will construct sixteen townhouses for use as affordable rental housing. GICHF will own eight units and manage all sixteen. GICHF will acquire and rehabilitate twelve existing units of aftbrdable rental housing over the next eighteen months. Sources of funding for the new construction and acquisition projects include City of Iowa City HOME and CDBG funding, private mortgages, State of Iowa HOME funds and Federal Home Loan Bank Affordable Housing Program Funds. By the end of 1997 GICHF will own 40 and manage 48 units of affordable rental housing. GICI-IF also plans to develop owner-occupied housing. GICHF has purchased developed lots and will build single-family homes. The improvements to the lots will be sold at affordable prices. GICHF will maintain ownership of the land and lease the land to the owner of the houses. A housing project of this kind reduces costs to buyers, removes the land from the speculative market and ensures affordability over time. GICHF purchases housing support services for individuals/families experiencing severe difficulties accessing and maintaining housing through a contract with Life Skills, Inc. The Security Deposit Loan Program was implemented in February, 1993. In conjunction with First National Bank, this program offers no interest bank loans to very low-income households to pay for a security deposit on a rental unit. The maximum loan amount is $400 and must be repaid within 12 months. Upon successful repayment of the loan, ~ecipients have an established relationship with First National Bank. Over 165 households have received assistance through the loan program. The GICHF office is located at Eastdale Plaza, 1700 1st Ave., Iowa City. GICHF employs a full-time Administrator and Compliance Manager. Jean Bott of A Great Balancing Act provides accounting services on a contractrod basis. Volunteers provide invaluable support to GICHF. -206- 14 , AGENCY Greater Iowa City Housing Fellowship AGENCY PROGRAM GOALS AND OBJECTIVES (several pages are provided, please add any additional pages you may need with your agency name as a header) ~ GOAL: To increase access to and availability of affordable, housing for very low-income residents of Iowa City-and Johnson County. Affordable Housing Objective A: To manage the Housing Fellowship's rental units currently in operation. Ta~!!, jhaintain rental permits. · - '2. Maiiitain tenants in currently occupied rental units. · ~ 3. Rent-up units as vacancies occur. Objective B: To construct 16 units townhouses as part of Saratoga Springs Limited Partnership. T~ks: ? 1. Bid General Contractor. 2. Award contract. .... 3. Complete:construction. 4. Maintaiii housing waiting list. 5. Rent-up units. Obj,e~ctive C: To acquire and rehabilitate 12 units of scattered site housing. ,asks': 1. 2. 3. 4. 5. 6. Acquire existing properties in need of rehabilitation. Develop work lists for rehabilitation. Advertise for bids. Award rehabilitation contracts. Maintain housing waiting list. Rent-up units. Objective D: To provide homeownership opportunities to four households with incomes below 80% of the area median income. Tasks: i. Purchase developed lots. 2. Obtain house plans and specifications. 3. Bid for sub-contractor 15 -207- AGENCY Greater Iowa City Housing Fellowship 4. Award construction contracts. 5. Complete construction. 6. Accept applications from prospective buyers. 7. Assist buyers with mortgage loan application. 8. Prepare long term land lease. 9. Select qualified buyer. 10o Complete sales transaction. .- Security Deposit Loan Program Objective A: To continue revolving loan fund to offer no interest, one year loans to low income households to pay a security deposit for a rental unit. Tasks: "' ~ 1. Accept applications from very low-incomes individuals/families ~' '-' for the Security Deposit Loan Program. 2. Arrange membership of local agency representatives to sit on the loan approval committee, to review all applications and approve or deny loans. 3. Arrange loans and paymeats with First National Bank. 4. Collect processing fee of $10.00/applieation. 5. Monitor program by keeping monthly statistics. · 6. Prepare annual report. ", ~" :' " Housing Skills Support GOAL: To assist very low-income households in locating housing and maintaining current housing. Tasks: :-,',~ "1: Refer up to ten households to Life Skills, Inc. for enrollment in ' their Housing Support Curriculum program. 2. Reimburse Life Skills, Inc. for program costs for these ten householdso Transitional HOuSing: GOAL: To provide property for HACAP's Transitional Housing Program. Objective A: Maintain the availability of a 3 bedroom single family house for use by HACAP in their Transitional Housing Program. 16 -208- AGENCY Greater Iowa City Housing Fellowship Tasks: 1. Obtain contributions from member congregations to cover debt .... service and insurance costs. · :~ 2. Negotiate lease with HACAP to cover mortgage and insurance. Resources Needed: - one full-time Administrator .-. ' - ...... one full-time Compliance Manager -:'~ .... · '~?'. '-- 'l~hone line ..... , office space .... .office supplies - computer system and other office equipment - staff training and capacity building ...- ~ .... community volunteers 17 -209- Agency. Greater Iowa City Housing Fellowship Board of Trustees, 1996 Jean Anderson Joan Black, Vice President Barry Bauman, Treasurer Glorine Berry 'Carolyn Corbin Charlie Eastham, President An Feuoid Kevin Hanick Theresa Klingenberg Pat Levin Roger Medsker Mary McCue, Secretary Darcy Miller Richard Park Bruno Pigott Sharon Raffensperger Steffani Randall Christine Rumsey Patti Santangelo Tracy Voparil Ruth Wagner -210- 18 HUMAN SERVICE AGENCY BUDGET FORM Director: Don Maniccid City of Coralville /ohnson County City of Iowa City United Way of Johnson County CHECK YOUR AGENCY'S BUDGET YEAR 1/1)9~ ~ 12/31/97 4/1/97' 3/31/98 7/1/97- 6/30/98 10/1/97 - 9/30/98 X Agency Name: Hawkeye Area Community Action Program Address: P.O. Box 789, Cedar Rapids 52406 Phone: (319) 366-7631 Completed by: Chris Carman Approved by Chair Bo 'ard.'~~ r,,' (date) COVER PAGE '~rogram Summary: (Please number programs to correspond to Income & Expense Detail, i.e., Program 1, 2, 3, etc.) Program 1: Johnson County Family Service Center This program started as a 3 year federal Head Start demonstration project in 1990 and has now secured permanent on-going funding through HI-IS. The program aims to increase the financial self-sufficiency of l~-w-income families through the provision of wraparound child care services, family support services, . .cacy/GED services, and interagency service coordination for families.' HACAP's local funding from United Way, Johnson County, the City of Iowa City and the City of Coralville share in the support of all the activities described above,.and is a critical source of non-federal match~'equired for on-going funding of the project. In the fall of 1996 HACAP will be expanding its child care services to include infants and toddlers at the Coralville. site~. This contributes significantly to achieving the goals of welfare reform, as it offers low-income families high quality care for their very young children, so parents can hold employment or obtain job tmining~ - Local Funding Summary: United Way of Johnson County - - Does Not Include Designated Gvg. City of Iowa City Johnson County '-"ty of Coralville 4/1/95 - 4/1/96 - 4/1/97 - % of Total 3/31/96 3/31/97 3/31/98 Budget . $ 13,520$ 13,520$ 13,925 2.26% FY96 FY97 F. Y98 $ 6,240 $ 6,240 $ 6,425 1.o4% $ 22,145 $ 22,360 $ 23,030 3.73% $ - $ 2,500 o.41% -1- -211- AGENCY: Hawkeye Area Community Action Program BUDGET SUMMARY Enter Your Agency's Budget Year -~-> ':. 1. TOTAL OPERATING BUDGET (total a+b) a. Carryover Balance (Cash from line 3, previous column) b. Income (Cash) 2. TOTAL EXPENDITURES (Total a+b) a. Administration b. Program Total (List Progs. Below) '1. Head Start'Family Service Center 3 4 3. r 'DINO OP! RAT!N G.BALANCE (Subtract 2 - ) 4. RESTRICTED FUND BALANCE (Total fxom page 7) 5. INaKiNDkqUPPORT (Total from Page 7) 6. NON-CASH ASSETS '":" ' Notes and Comments: Line l(a)- Head Start funds used to bring to zero balance Line 5- HACAP building in Coralville under long-term lease. ACTUAL LAST YEAR 10/1/95 to 9/30~96 ·276,534 0 276,534 276,534 38,713 237,821 237,821 THIS YEAR BUDGE'i..~ PROJECTED NEXT YEAR 10/1/96 10/1/97 tO 9/30/97 tO 9/30/98 345,600 355,470 0 0 345,600 345,600 49,467 296,133 296,133 355,470 355,470 50,949 304,52! 304,521 -''0 0 23,160 23,160 0 0 0 0 23,160 0 -212- -2- INCOME DETAIL 1. Local Funding Sources- a. Johnson County b. City of Iowa City c. United Way of Johnson County d. City of Coralville e. ACTUAL LAST YEAR 41,959 22,199 AGENCY Hawkeye Area Community Action Program THIS YEAR BUDGETED NON- PROGRAM PROGRAM PROJECTED NEXT YEAR DIRECTED I 2 FUNDING 42,5.37 'l 45,880 [ 01 45,880 I 0 .22,528 23,030 23,030 6,240 6,286 6,425 6,425 13,520 13,723 13,925 13,925 0 0 2,500 2,500 f. 2. Grants - State, Federal, Foundations a. Iowa DHS (Child care subsidies) b. HI-IS- Head Start Bureau c. Other child care income. d. e, f. 3. Net Sales Of Services (sources) b. C. 4. Net Sales of Materials (sources) a. b. 5. ContributionafD onations a. United Way Designated Giving b. Other Contributions 6. Special Events a. Iowa City Road Races g. 7. Interest Income 8. Other - List Below a. b. C. --*TOTAL INCOME (same as p. 2, line I Notes and Comments: 23.2,275 I g;9oo 223,375 300,763 [ 307,1901 01 307,190l 55;296. 65,956 65,956 239,323 234,908 234,908 6,144 6,326 6,326 ol ol ol ol ol 2,100 [ 1,900 200 20ol 200 ol o ol ol ol 276,534 o{ ol 2,1001 1,900 20O 200 200 ol o} 345,600 -3- 2,200 2,000 200 2ool 200 o{ o{ 355,470 o{ o{ o} 2,2o01 2,000 200 200 { 200 0 355,470 ol -213 - 0 PROGRAM EXPENDITURE DETAIL ACTUAL LAST YEAR AGENCY Hawkeye Area Community Action Program THIS YEAR BUDGETED ADMINISTRA- PROGRAM PROGRAM PROJECTED NEXT YEAR TION 1 2 1. Salarie.~'" 164,882 210,690 217,011 217,011 2. EmployeeBenefits&Taxes 31,328 40,031 41,232 '41,232 3. Staff Development 1,895 2,000 '~2,000 '~ 2,000 4. Professional Consultation 10,968 11,000 11,000 11,000 5. Publications & Subseription.s 0 0 0 0 6. Dues and Memberships 0 0 0 0 7. Mortgage, Rent and Property Tax 6,250 6,562 6,828 6,828 8. Building Maintenance 3,245 4,500 4,500 4,500 9. Equipment Purchase/Rental/Maint. 525 2,500 2,500 2,500 10. Utilities 0 0 0 0 11. Telephone 3,397 3,500 3,500 3,500 12. Office Supplies & Postage 3,160 3,300 3,300 3,300 13. Printing and Publicity 489 500 500 500 14. Local Transportation 4,690 4,400 4,400 4,400 15. Insurance · 1,297' 1,350 1,400 1,400 16. Audit 0 0 0 0 17. Interest 0 0 0 0 lg. Other (Specify): 0 19. Meals- Net Cost after reimbursement 1,695 1,800 1,850 1,850 20. Work Study- Part Time 0 0 0 0 21. Parent Education (GED/Litemcy). 4,000 4,000 4,500 4,500 22. Indirect Costs 38,713 49,467 50,949 50,949 23 24 .... 25 TOTAL EXPENSES (p. 2, line 276,534 345,600 355,470 50,949. 304,520 Notes and Comments: Line 4- Payment to case management agencies and Kirkwood Literacy program Line 7- Program 1% share of cost for occupancy at Broadway Neighborhood Center (Note: 'basic occupancy costs for Coralville Bldg is included in Indirect Rate) Line 8- Utility costs at Coralville funded through agency Indirect Rate Line 19- Child and staff meal costs in excess of CACFP r~imbursements. Line 22- Allocated share of agency overhead cost per HH8 allocation plan. 0 -214- -4- AGENCY _Hawkeye Area Community Action Program RESTRICTED FUNDS: ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR Restricted by: Oqone) Restricted for: iTOTAL RESTRICTED FUND (also shown page 2,.line 4) '1 , ol ol ol MATCHING GRANTS GrantorfMatched. by Grantor: HHS/Matched by:Johnson Co.,City of I.C., Unit (Local) 223,429 $ 239,740 $ 234,908 41,905. $. 42,120 $ 45,880 ITOTAL MATCHING GRANTS (also shown pg, 3, 'line 2) IN-KIND SUPPORT DETAIL Services/Volunteers . Classroom,, Volunteers Material Goods Space, Utilities, etc. ~low Market Space @ Broadway Center Other: (Please specify) [TOTAL IN-KIND SUPPORT (also shown On page'Z, line 4) Notes and Comments: 265,334] 28!,8601 280,7881 $ 11,160 $ 11,160 $ 11,160 $ ~ 12,000 5 12,000 $ 12,000 23,16oI ,23,16ol 23,16o -5- -215- SALARIED POSITIONS Position "X" those that apply FSC Coordinator/Keith FSC Counselor/Peck FSC Counselor FSC Counselor Teaoher-FSC I Teacher- Broadway~l ' Teacher Assoc- FSC Teacher Assoc- FSC Teacher Assoc- FSC Teacher Assoc- Broadwa.¥ Teacher Assoc- Broadway Teacher Assoc- Broadway Child Care Subs/varied Lead Infant Worker-FSC Lead Toddler Worker- FSC Infant/Toddler Associate- FSC' '~[7.o. x , x 19% ~z7.o x x !9% .2?,0 X x 19% 13.5 x. x 19% '27.0 X X 19% 27.0 x X 19% 27.o, x x 19% 16.9 x x 19% 8.9. -x x 19% 27.o: x x 19% 19% t6.9 x x 19% 2?.0 x !. ~c 19~ x ' 19% AGENCY FTE* Last This -' Year Year 1.0 t,0 1,0 '1.0 1.0 1.0 0.5 0.5 1.0 1.0 1.0 1.0 1.0 1.0 0.625 0.625 0.33 0.33 1.0 ~, 1.0 0.625 0.625 0.625, 0.625 0,312 0.31.2 ' 0.00 1.00 0.00 1.00 0.00 O.625 Hawkeye Area Community Action Program Salary Next Year 1.0 1.0 1.0 0.5 1.0 1.0 1.0 0.625 0,33 1.0 0,625 0,625 0312 1.00 1,00 0.625 Actua} Last Year. ,2o,9oo 819,292 919~292 99,646" 919,292 919,292 !~!2,862 9.8,039 '94,244 ~ '8.'i 2,862 98,039 ,' .96,039 *3,083 80 $ ~0 $ This Year 921,527 919,871 8~ ~9,871 99,936 919,871 919,871 9i 3,247 98,280 :84,3'72 ' 8 ! 3,247 88,280. ,~,280 16,077 16.077 8.708 Budgeted Next Year. 922,173 ,20,467 820,467 910,234 820,467 920,467 913,645 ~.8,628 ,4,5031 ,88,628 ,3.,271 916,559 ,16,5,59 ~8,970 % Change 3% 3% 3% 3% 3% 3% 3% 3% 3% 3% 3% 3% 3% 3% 3% 3% TOTAL FTE's and SALARIES. 10.017 I 12.642 , 12.662 * Full-time equivalent: 1.0=full-time; 0.5=half-time; etc. 164,8S2'l 210,6901 217,011 3% -6- -216- AGENCY: Hawkeye Area Community Action Program ACCOUNTABILITY QUESTIONNAIRE A. Agency's Mission Statement or Primary Purposo The mission of the Hawkeye Area Community Action Program (HACAP) is to promote economic and tional strength toward a goal of self-sufficiency for poor peoplo in our communities. See attachment for additional information.~ B. Board of DireCts: 1. Please attach a list of your agency's Board of Directors (see alIachmeat.) 2. Frequency of meetings: Board of Director Meetings are held monthly. 3_. Briefly describe bo~d:..orimtafon and ongoing training opportunities!' A Board Developmeat Committee has been operating for several years to recruit and properly orient new board members. A handbook and other materials are supplied to new board members. Several board members each year attend the annual training conference of the National Association of Community Action Agencies. A board retreat is held annually for planning purposes. C. Finances: 1. If your agency ~?ges a fee, describe your fee smtcture. This varies from program. to program. HACAP Head Start services are offered free of charge to eligible children and' families. Infant-Toddler services (before childr~ ar.e age-ehgib'di~y fotHead 'Sgrt) are offered to families qualirb4ng for state child care assistance, internal audit ,yE.S ' "-"';:: ?':' external audit YES financial review YES- in ore,ram monitoring visits FreqUency ANNUALLY 3. Has your agency filed the Annual Report with the Secretary of State? Yes X No 4. Has your agency filed Form 990 with the IRS Yes X No 5. Please discuss your agency's fundraising efforts, if apphcable. HACAP fund raising is focused on State and Federal discretionary resources and the formal local funding'system. We have been a beneficiary of other events'olganized by other groups. D. Managemeat: 1. Does each professional staff have a written job description? Yes X No 2. Is the agency Director's performance evaluated at least yearly? Yes X No__ By Whom? -HACAP Board Executive Cornmitre -7- -217- AGENCY: Hawkeye Area Community Action Program E. Progmm/Service~: Please define your agency's units of service (service definition, length of time, cost per unit of service, number of units provide, direct or indirect.) ~ ? Johnson County Head Start Fami13 Service Center: Number Of _child care days.; ~umber of children ontolied; numbor of famih'es enrolled. Transitional Housing: Number of housing units; number of households served. Energy Assistance Programs: Number of households receiving assistance. Weatherization: Number of homes weatherized. Elderly Fanployment Development: Number of individuals assisted. Please supply information about clients served by your agency during the last two complete budget years. How many Johnson County residents (including Iowa City and Coralville) did your agency serve? Enter Years 10/1/93- 10/1/94- 9/30/94 9/30/95- l(a) Duplicated Count 25,638 26,150 1Co) Unduplicated Count 5,564 5,842 How many Iowa City residents residents did your agency serve? How many Coralville residents residents did your agency serve? 2(a) Duplicated Count 16,821 2Co) Undupli..cared Count 3,369 3(a) Duplicated Count 4,421 3Co) Unduplicated Count 1,026 16,989 3,503 4,509 1,077 How runny units of service did your agency provide? 4(a) Total 2,609,289 2,765,846 4Co) To Johnson Co. 202,043 214,165 Residents NOTE: The above statistics include all HACAP clients, not just the funded program. 5. Do you provide service to areas outside of Johnson Coumy? Area(s) served: The timds reflected in this application are used exclusively within Johnsou County. HACAP serves a six county area including Linn, Johnsou, Iowa, Beuton, Jones, and Washington Counties. Services provided: Funds reflected in this applicatiou are not used for any HACAP services outside of Johnson Couul, y. Funding Sources: A variety of federal, state, local and private funds support the operation of HACAP through- out the six county service area. -218- -8- AGENCY: Hawkeye Area Community Action Program 6.Client Profile (for last complete year, if available): The following information is for children enrolled in the ~ohnson County Head Start Program: 0 - 5 years- 142 children 6- 17 15 °29 30 - 61 62 - 75 75+ Gender Female: 46% Male: 54% F~hnioity :Afi'ican American: 25% N ive Asian: 10% Hispa rle: 7% Can~sian/Non-Hispanic: $7% Multi-racial 7, Evaluation and Review: A. Please discuss how your agency measures the success of it's progmm-~. A family assessment process tracks the growth of individual families. Pre- and post child assessments were piloted in recent years and are being implemented program wide this year to measure general effectiveness with children, The status of families offered support through the interagency service coordination system is tracked according to level of family need experienced throughout their involvement with the program. B. Does your agency have performance objectives? (give several examples.) Head Start operates with a set of performance standards. Examples include: 1) Children with a diagnosed disab'fiity will comprise at least 10% ofthe total Head Start mrollment. 2) Families will be supported in maintaining an attendance rate of 85%. 3) Each Family will receive at least three educational home visits from Head Start staff. C. What plans does your agency have to increase efficiency and effectiveness? We believe our effectiveness with children and f~milies is dffecfiy related to the Eollowing factors: - Provision of full-day/full-year Head Start services: Welfare reform requires that most Head Start families seek employment or training, and our Head Start program has actively sought supplemental funding sources to mable us to offer this level of care. HACAP offers 40 Head Start children full-day full-year services and can serve 8 more children with full-day services if child care subsidy funds are available from DHS for afternoon c, are. - Provision of full-day/full-year hfant/Toddler services for younger siblings in Head Start families: Many Head Start families have younger siblings who need quality child care in order for parents to work or attend school. HACAP ~ offering Infant-Toddler care in Johnson County in the fall of 1996. - Responding to the needs of'individual children: HACAP has taken steps to enhance the classroom ratios beyond the mandated 1 adult for every 8 children. Full-day classrooms have 3 adults for each group of 16 preschool-age children. We have also worked with the Iowa City Cominunity School District and Grant Wood AEA to o~in additional classroom associate time in groups that have children with significant disabilities. 8. In what ways will the needs of`your service population change in the next five years? We believe that both welfare reform and the need for additional family income will increase the need for full-day, full-year Head Start services during the next five years. We see more low-income fmnilies living in rural portions of`the county. (A North Liberty Head Start site was developed this year in resp~onse to the need of families in that community). -9- -219- AGENCY: Hawkeve Area Community. Action Program 9. Please discuss any other problems or fietots relevant to your agency's programs, fimding or service delivery: (A) The acquisition of funding for program development and expansion continues to be very complex, and requires the development and management of multiple funding sources. In addition, more funding is competitive nature and requires evidence of community need and support. Fundfirs are requiring community needs assessment information and scientific study that !ink the amount of funding with quantifiable program results. (B) A permanent HACAP site is being sought in Iowa City to house key agency support~ to children and famih'es. 10. List comp!~ about your services ofwhich you are aware: Waiting Lists and Inab'dity to Provide Service: Waiting lists are maintained for HACAP programs, and applicants were denied this past season for Energy Assistance. In response HACAP will: (A) Continue efforts to provide adequate Energy Assistance funding on local, state, and federal levels. (B) Continue to work with other organizations to provide more affordable housing. (C) Continue efforts to increase Head Start funding at all levels. 11. Do you have a waiting list or have you had to turn people away for hck of ab'fiity to service them? What measures do you feel can be taken to resolve this problem: How many people are currently ou'your waiting list? (for Head Start) 55 children. 12. In what way(s) are your agency's services publicized? · Public service announcements on local radio and television stations, posters, :flyers, interagency meetings, staff/volunteer outreach efforts, agency tours, and 13. United Way involvement by your agency.. ("X" if agency participates) Agency Directors M~gs X_ Agrades Representativeto Funding Hearings _X Business Blitz Day of Caring Executive Development Seminars I ck Off X_ Volunteer Action Center (Note: HACAP has recently created a new position of "Assistant HACAP Director, for Johnson County". This role will permit greater involvement in local lohngoa County activ/ties by HACAP representatives) -220- -10- AGENCY: Hawkeye Area Community Action Program AGENCY HISTORY (Using one page ONLY, please summarize the history of your agency, emphasizing Johnson County, telling of your purpose and goals, past and current activities and future plans. Please lipdate annually.) .~ Hawkeye Area Community Action Program, Inc. was incorporated in 1965 under provisions of the Economic Opportunity Act of 1964. In its first years, the service area was limited to Johnson County. HACAP was reorganized in 1968 and added service to Linn and Jones Counties. The administrative offices were housed in Cedar Rapids. In 1974, services were expanded to include Benton and Iowa Counties. Washington County was added in 1981, bringing the number of counties served to the current number of six. Each county has a primary service center and the one in Johnson County is located at 2441 10th Street, Coralville. HACAP's goal is to promote economic and emotional seW-sufficiency among low income individuals and families through a variety of anti-poverty programs funded through private, local, stato and federal funding mechanisms. HACAP has sponsored the Head Start program in Johnson County since 1968. Over the years, Head Start services have had a variety of locations and program structures. Current locations are: HACAP Family Service Center - (2 Head Start classrooms, an Infant-Toddler class and programming space)-Coralville Broadway Noighborhood Centor (2 classrooms)-Iowa City Myrfie Avenue Head Start (1 classroom w/a morning and afromoon group)- Iowa City Faith Head Start Center (1 classroom)- Iowa City Tiffin Head Start (1 classroom)- Iowa City North Liberty Head Start (l_ classroom)- North Liberty Permanent Head Start funding was obtained for the Family Service Center in October, 1993. A permanent HACAP facility was completed in Coralville in 1994 and serves as the base of HACAP services in Johnson County. tional Housing, Weatherization, Employment Development for the Elderly, Energy Assistance Programs and Head Start services not directly tied to the Family Service Center project. AGENCY PROGRAM GOALS AND OBIECTIVES Objectives of the Johnson CountyHead Start Family Service Center Program are to provide comprehensive child development and family support services to 60 multi-stressed families with preschool age children, and to maintain an interagency service coordination system for high risk families with young children. -11- -221- AGENCY: Hawkeye Area Community Action Program "It~W~YE AREA COMMUNITY ACTION PROGRAM, INC. MISSION STATEMENT The mission of the Hawkeye Area Community Action Program, Inc. (HACAP) is to ~'~ote economic and emotional strength toward a goal of self-sufficiency for poor people in our communities. HACAP will help people in poverty find their own strengths, rather than maintaining the status quo which creates a caste system of poor people living on governmental handouts. HACAP will provide a help'rag hand up and out of poverty--not just a handout. HACAP believes that upward mobility programs are an investmere in the future. In order that families in poverty need not live from one crisis to another nor live in poverty from one generation to another, HACAP will strive to: Identify the causes and extent of poverty in our communities and locate individuals in need. o Identify and mobilize all available local resources and community "facilities to assist the poor in securing needed services~ We will help the poor find the solutions to their needs in order that they may eventually become economically and emotionally self-sufficiem. Provide maximum participation of the poor in the planning operation and evaluation of HACAP programs through our boards and councils. Make the community aware of HACAP and the needs of the poor. -222- -12- AGENCY: Hawkeye Area Community Action Program HAWKEYE AREA COMMUNITY ACTION PROGRAM, INC. BOARD OF DIRECTORS FY 1996 NAME Vacant Karen Kubby J. D. Smith Ed Brecht Virginia Bordwell Ken Caes Sally Statsman Don Peters John Brandt Rozie Schermerhom Ann Tompkins Keith Jordan Tim Fitzgerald Luther Trent Lloyd Klever George Ellis B. Larry Johnson Randy Payne Julie Hocker Kathy Busch Karla Wolff LuAnn Allar Diane Hodge ' Gv~endolyn Cooper Pat Shaw Liz Selk Liz Lucas Dave Benson Beverly Taylor Lisa Page Dale Moore Lori Meyers Brian Fagen VACANT REPRESENTING City of Coralville City of Iowa City City of Cedar Rapids Board of Supervisors Board of Supervmors Board of Supervisors Board of Supervtsors Board of Supertosors Board of Superwsors Private Sector Private Sector Private Sector Private Sector Private Sector Private Sector Private Sector Private Sector Private Sector Low Income Low Income - Homeless/Formerly Homeless Low Income Low Income Low Income Low-income Low Income Low Income Low-Income Food Reservok Homeless Children's Trust Child Care Resource & Referral Inn-Circle Head Start Head Start (Alternate) Housing COUNTY Johnson Johnson Linn Benton Washington Iowa Johnson Jones Linn Linn Johnson Jones Linn Lilm Iowa Benton Linn Washington Iowa Linn Linn Washington Benton Johnson Jones Linn Lilm Ex-Officio Ex-Offimo Ex-Officm Ex-Offimo Ex-Officio Ex-Offimo Ex-Officio -223 - -13- HUMAN SERVICE AGENCkJ*BUDGET FORM City of Coralville Johnson County City of Iowa City United Way of Johnson County CHECK YOUR AGENCY'S BUDGET YEAR 1/1/97 -'12/31/97 X 4/1/97 - 3/3i/9'8 7/1/97 - 6/30/95 10/1/9 ? - Director: A'~ Riley -~ Agency Name: ~c_~P.~ Two.. Address: 2270 ~h gt-. C~hHll~ TA ~2741 Phone: ~9/3~-7~1 ' 9/30/98 (date) COVER PAGE Program Summary:(Pleasenumberprogramstocorrespondtolncome & Expense Detaii, i.e. Program 1,2,3, etc.) PROGRAM 1: DAYCARE ~ND SCHOOL COMPLEMENT SERVICES FOR CHILDREN WITHOUT SPECIAL NEEDS PROGRAM 2: To provide child development activities for 90 - 120 children without special needs up to twelve years of age in an environment that includes children with special needs. DAYCARE AND SCHOOL COMPLEMENT SERVICES FOR CHILDPEN WITH SPECIAL NEEDS To provide specialized services to meet the needs of families and their children with multiple handicaps; ages-infancy to twelve years, in the least restrictive environment. Funding assistance for special needs children of Johnson County who are falling through the cracks in the funding system. : Local Funding Summary: United Way of Johnson County - Does Not Include Designated Gvg. City of Iowa City Johnson County City of Coralville 3/31/96 3/31/97 3/31/98 FY96 F¥97 FYgS % of Total Budget -224- AGENCY ._,: ..... ! :,: ,. BUDGET SUMMARY Enter Your Agency's Budget Year -, 1. TOTAL OPERATING BUDGET (Total a + b) a. Carryover Balance (Cash from line 3, previous column) b, Income (Cash) 2, TOTAL EXPENDITURES (Total a + b) a. Non-directed funding b. Program t-~al il_ist Programs below) 6. 7. 8. ACTUAL LAST YEAR 1995 1,956 1,018,983 979,563 85,500 8%,063 470,190 423,873 3. ENDING OPERATI.NG BALANCE (Subtract 2 - 1) 4. RESTRICTED FUND BALANCE (Total from page 5. IN-KIND SUPPORT. (Total from page 7) 6. NON-CASH ASSETS Notes and Comments: 41,376 35,12~ 96,930 697,289 ~ Isisme on hm~t Variety Club m~efs cami~ av~ future's sal~larship fLrd & general .oilrating .ex!~nse THIS YEAR PROJECTED 41,376 83,492 856,506 481,432 375,076 BUDGETED NEXT YEAR 986,75~ 42,01_5 cY~, 739 959,463 79,678 879,785 505,10a 374,6/-7 27,2~ 28,003 95,030 689,'6I)1) -2- -225- iNCOME DETAIL Local Funding SOurces Johnson County b. City of Iowa City United Way City of Coralville e, f. 2. Grants - State. Federal. Foundations a. Variety · ~. State gch::ol ~e d. 3, Net Sales of S~wices (sQurces) b. ]I-B, ./LRC, JIPA C, 4. Net Safes of Materials (sourcesl a, b. 5. ContributionsIOonation~ a. United Way Designated Giving b. Other Contributions Special Events a, Iowa City Road Races b. carfly, garde, C. 7, Interest Income Other - List Below Including Miscellaneous ~ate nutriticn ~t a. a. r~str., job t~ni~, misc. TOTAL INCOME IshQwn also o, oage 2. line lb) Notes and Comments: AGENCY ~c. aL'e, ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR 18,703 16,320 17,061 27,046 7,400 5,000 10,000 10,OOO 926,033 ?Z~.661 842~793 485,257 49~032 515,583 aZ~), 776 355,629 327,2%) 10,114 3,422 6,692 15,22,'!8 1,189 14,149 262 38,536 a~B15 12,420 11,003 2,420 3,CC0 10,CO0 8,030 16,599 I 15,700 699 700 15,900 15,000 654 37,423 33,254 4,169 7OO NON- DIRECTED FUNDING 84,279 51,558 32,72~: 7OO 3,C00 1,8(I) 89,779 PROGRAM 1 509,925 464,025 45,900 5,500 1,fCO 4,CDO 7~!.~ 350 16,350 15,020 1,350 -346,419 PROGRAM L 2 27,752 22,752 5,000 2,500 2,500 1 248,.589 ~ 248,589. 5,~00 1,500 4,000 . 7,850 __--~. 7,5C0 16,350 !5~COO 1,.353 -226- --3-- AGENCY PROGRAM EXPENDITURE DETAIL 2. 3. 4. 5. 6. 7. 9. lO. 11. 12. 13. 17. 18. 19. 20. 21. 22. 23. 24. 25. Salaries Employee Benefits and Taxes Staff Development Professional Consultation Publications and Subscriptions Dues and Memberships Mortgage, Rent, and Property Tax Building and Maintenance Equipment Purchase/Rental Maintenance Utilities Telephone Office Supplies and Postage Printing and Publicity Local Transportation Insurance Audit Interest Other (Specify): ~ai_d of£ ].o~'~ aL~cs/c~ts; ~r~ra~iof~l SLUiCeS misc. TOTAL EXPENSES (shown also an page 2, line 2) Notes and Comments: ACTUAL LAST YEAR 660,649 85,504 1,512 1,169 6O 94,968 6,702 14,756 2,489 3,888 507'. 707 7,~1'7 1,700 2,078 9,802 9,840 6,616 1,409 THIS YEAR PROJECTED 63:::),7~ ~,252 7O 55 94,968 15,4.71 6,792 14,644 2~910 4,168 2OO 1,449 7,i~ 1,900 49~ 7,Z~O 7,429 1,420 50,726 BUDGETED NEXT YEAR 6O 78,200 38,zC0 7,003 14,800 2,950 85O 7,zOO 1,900 4C0 8,CC0 7,500 1,450 51,000 NON- DIRECTED FUNDING 45,124 3,664 100 7,820 1,8~0 1,480 1,033 1,900 7,500 1.450 79,678 PROGRAM 1 342,937 53,9.34 750 45,7a7 18,280 3,500 6; 660 1/'75 o125 700 ~05,108 PROGRAM 2 253,779 34,265 750 6O 24,633 18,2~ 3,503 6,660 1,475 1,_%D 374,677 -4- -227- AGENCY [-lqndicare~ Ire. RESTRICTED FUlllOS ACTUAL THI$ YEAfi G~3GGETED LAST Y!~J~R PROJECTED ~T,T YEAR Rest.cted by: Restricted Variety Club of Io~ p]ay~ cmstruztion " 10,00~"° Roard of Directors ~ted A]memes 2~ 236 ~ of Directors (fu-draising) children's equil:m~nt 3,0o~ ~ of Dir~tors fudmres f-ufs for mbo~ 800 State of Io~ Kids Ciu~ Term Re. tricted Fu. ds {e~o show. pa~0 Z ~i,e 4 ) 35,Z34 0 10,003 2~J~OCO 11,CCO 3,020 3,0CO $,0C0 4,(700 9801 0 36,801 28,000 MATCHING GRAIlITS Grantor/Matched by: Total Matching Grants (also shown on page 3, line 2 ) IN-KII'~ID SUPPORT DETAIL Ser¥ices/Volunteers ~---'~t ~md-st~ rl~ts-rszpt-l~ ] -5m~d-~ playg~o~ rJ equlpl~ ~L/J~l~ov~, ~L~-LI~ ~k=L~ Material Goods _T-ur;c~t:uL-'~ c~ ~ c_~t.~'~-' ~ ~vs ~ Space, Udik~es, etc. '. 0mar: (Please sgec~f~) 88,500 87,584 ~,© 8,400 11,C00 9,CCq' TOTAL IN-KIND SUPPORT (Shown also on page 2, line c~, 584 , 95,~0 Notes and Comments: * 'Ihese funds car~ ov~ to 1996 ~ ,= to the riding track ~ ~ ~le. '~ ~ ~ ~ m~ ~ b~]d a ~s~ ~ f~t ~~ ~]] ~ ~ 1~ ~ ~ p~y~ ~- -228- -5- AGENCY I-~ie;~., T~c'.. --~,LARIED POSITIONS Position Paid Lye I-~ Se~ Coo~. 24 X Finsme ~. 24 Inta~ C~ord. 24 Facility CoOrdo * 24 X x ~~ ~t 24 X ~~ ~t. 24 X Fd ra~ ~. 24 X ~T~ 24 X ~st ~ ~t 2~ X ~t~ ~ T~ ~T~ ~t 2~ T~h~r's Aid Peruremit 24 Te~_har's Aid Ts,grary Sick l~y AttmnJsnt 24 "X" all that apply Health Retire ins Plan X X X FTE' % Last This Benefits Year Year .75 0 5 1 1 1 1 1 1 4 1 1 6 1 1 1 1 .5 , .75 0 9 11 9.25 11 10 8 2.75 2 2 6 6 1.5 1.5 1 .8 .13 0 .25 .25 10 8 7.5 3.25 3.5 0 0 ACTUAL LAST YEAR Next Year 1995 1 40,691 0 11,044 1 1 23,823 1 18,447 1 24,681 i 18,711 0 16,004 0 11,523 0 10,958 9 145,471 8 117,413 2 25,773 6 25,297 1o5 18,419 .8 10,767 0 1,929 0 3,093 7.5 78,354 3.5 36,872 1 0 THIS YEAR PROJECT- ED 41,235 0 22,043 24,740 19,070 26,692 18,507 16,831: 5,1% 0 127,393 2~,055 76,334 18,9~ 8,542 0 3,355 81,522 35,143 0 BUDGETED NEXT YEAR 1997 42,472 0 22,704 25,482 19,642 27,493 19,062 0 0 0 86,746 2P,687 78,624 19,486 8,7% 0 0 83,971 35,988 18,470 % CHANGE 3 0 3 3 3 3 0 3 3 0 -100 3 2 100 Total Salaries & FTE 49.38 46.3 45.3 6E0,64~9 630,7% 'Full-time equivalent: 1.0 - full.time; 0.5 - half-time; etc. -- ~,.e,,z~ ~'.i.R'_illzi~ ~ccu~tecl benefits for retiremint tx~ksge 641,~ -6- -229- AGENCY: Fardica~, Irr_. ACCOUNTABILITY QUESTIONNAIRE Zo Agency's Mission Statement or Primary Purpose: To p~c~ide early interv~nticn, child c~velognm~t activities in t~m least restrictive enviroarmnt t~.:~ ~ ~ d~i!dr~ ~dt~h a-d v~_th:~ sp~l ne~ds to ~i~ t~_i~ ,Tmxirmm To t~zide a ~tl]-7drnlusicn s~col ccmplsrmnt p~gran that pmnT~tes sccialq?aticn and sp~te choice of leJm_re aztivities durirg school treak tJm~ ard before and after sch;ol hours. Board of Directors: Please attach a list of your agency's Board of Directors 2. Frequency of meetings: rr~y Briefly describe board orientation and ongoing training opportunities: Written materials of missicn stataT~nt, Articles of Inc. and By laws are given..~Ther attends 1 r~etir~ as an ohserwr to be~cm~ faT~l~ with Pohert's Rules of Ck-der s~d structure. Board mathers m~et on crm ~ttee ea:h manth (firming, p~m~ne2~ B & G: fund raising) United Way ~ and t~ sessions are l~esents~ at m~etings ard a~e attended c~ Finances: 1, If your agency charges a fee for services, describe your fee structure. Ov'ER 3 ~ CF .~GE FIM 3~0 FIM 510 1/2 ~ ¥~nthly 257 1/2 tinm Ftnthly 336 Dsity 29 Dsily 36 2, Does your agency have an'i~ernal "~' aud . _ emal or a nancial review? (circle one) Frequency Has yo~ agency filed the Annual Report with the Secretary Of State? Yes No Has your agency filed Form 990 with the IRS? Yes X No 5. Please' discuss your agency's fundraising efforts, if applicable. (e.g. events, direct mail campaign, .planned giving, etc.) garage ~les in s~sunnmz pizza/pie sales in late fall ~ raises het~ $2,500 a-~ $3~5C0 Management: 1. Does each professional staff have a written,job description? Yes X No Is the agency Directo¢s performance evaluated at least yeady'~ Y~,s. X No By Whom? ]5:erd of Direc. tors/Perscrrml CunTitt~ -230- -?- Doug Martens 622-8059 Bill Berger 335-4500 (W) HANDICARE'S BOARD OF DIRECTORS President 354-5900 (H) Vice President 351-2807 Dave VerWoert 363-5741 Secretary 393-4261 (H) Connie Stannard 351-1318 (W) 337-8210 Deb Vogt 335-7154 (W) Joni Troester 377-4552 338-3214 351-2860 (H) Margie Caruth 337-5616 Tony Freund 356-4880(W) 351-2438 (H) David Grady 335-3059(W) 339-8078 (H) Randy Hudachek 335-4500(W) 351-4506 Ann Riley 354-7641 (W) Executive Director 354-8418 Nancy Nagel 354-7641 (W) Assistant Director 643-5499 Dawn Morgan 354-7641 (W) Financial Manager 455-2590 (H) ANNIVERSARY DATE OF JOINING BOARD: Join Connie Stannard Ann Riley Nancy Nagel Dawn Morgan Bill Berger Doug Martens Deb Vogt Marjie Caruth Joni Troester Tony Fr~und David Grmdy Randy Hudachek Dave VerWoer% Mar. 1986 Oct. 1981 June 1990 Dec. 1986 Sept. 1990 Jan. 1993 Feb. 1993 Oct. 1993 Aug. 1994 Sept. 1995 Sept. 1995 Mar. 1996 Oct. 1995 -8- Term Feb. 1997. Aug. 1997- Jan. 1998-. Feb. 1998. Oct. 1996' Jul. 1996 Aug. 1997 Aug. 1997 Feb. 1998 Sept. 1997 -231- AGENCY: E. Program/Services: Please define your agency's units of service (service definition, length of time, cost per unit of service, number of units provided, direct or indirect.) 1 full day of daycare ~ 1 unit Please supply information about clients served by your agency dudng last two complete budget years. Refer to form instructions for definition of duplicated and unduplicated. Enter Years ----* How many Johnson County residents (including Iowa City and Coral- ville) did your agency serve? la. Duplicated Count 1 b. Unduplicated Count How many Iowa City residents did your agency serve? 2a. Duplicated Count 2b. Unduplicated Count How many Coralville residents did your agency serve? 3a. Duplicated Count 3b. Unduplicated Count How many units of service did your age- ncy provide? 4a. Total 4b. To Johnson County Residents 5. Other Areas Served: Do you provide services to areas outside of Johnson County? Area(s) served: ~A Services provided: 0..re of comtv chil~ tray cam to to live with foster fanilies or private fa~l~ tring childran. Funding Sources: Private ~y l:ar~ts lay vol, the cctmty ~qere the ~:oste~ ~h:d_dr~ are ~ p~ 1994 N/A 151 32,076 30,576 1995 232 N/A N/A -9- -232- AGENCY: 6. Client Profile (for last complete year, if available): Age Gender Ethnicity 0 - 5 143 M 105 '~ African Amedcan 1¢/0 6 - 17 50 F 88 Native Amedcan 3/0 18 - 29 Asian 14% 30 - 61 Hispanic 62 - 75 White 75 + Multi-racial 7. Evaluation and Review: A. Please discuss how your agency measures the success of its programs. 1o fhildren with maltiple disabilities ~ere able to stay in their natural hame setting. 2. Parents of children with dq.~Mlit_ies ~ ~ ~ cr ~ tine to meet their families firm~i~l neaqs. B. Does your agency have performance objectives? [Give several examples] 1. Hsrdicare will pmovide coc~:Lsbs~t,~ ccnt~teqt, ~ ~iw~ ~ ~ ~i~ ~ ~ ~ily. 2. Hsrrticare will staff th~ class roams and sgenzy with ~ugh ~ to prnuide the adaptations need~ for the childran with disabilities. C. VVhat p~ans does your agency have to increase e~ciency and effectiveness? As fu~ A=c_.r~ ~ mast dearease staff. ~ may result in irnreased efficieny hut less .~. 'ty for effectiveess with the c~]dren srd th~ir fa~l~es. We are uti]_ifir~ collie s~ r~nts as ~olunteers ard for p~azticun ex~erces. 7~y require aliiticrsl ~aL-;nirg~ In what ways will the needs of your service population change in the next five years: In the next five years vm pm~tict a lo~r ammllmmt of children with disabilities due to limited fu~ assistarne. [5us a c~ in ,or staffing ard supFc~ staff. 7base c~ mean the childran with cl~,].i t. ie~ ~ not he getting t~e qFmlity daily intervent/on services frcm infancy to age 3. %berefore~ ~ will require .~re loag-tenn services as ttmy. get older ard after entering th~ lmblic -10- -233- AGENCY: HarrJicare, Ire.. 9. Pt,~o~,~ discuss any other oroblems or factors relevant to your agency's p~'ograms, funding or service ae~lven/; Hsrdicare currently has only 19 . :':childran with disalilities Lrder th~ age of 5. 2his drop in erroll~snt is a result of: 1. Early intervantion progrars reccnnm-d~ pablic sch:ols at th~ age of three dua to th~,r~ case lcsd and tha larger staff rulers in t!~ ~ol l~o~r~. being able to afford cur l~ogran and otlners dro~ping to tmrt tin~. 10. List complaints about your services of which you are aware: It is tx~ increasir~y difficult to find employees with strcrg ~ ethics ard gocd test. less flexibility in furding for 'dzsabled '~ is often interpreted as Hsndicare des not %ent the children in tt~ir progr4m, 11. Do you have a waiting list or have you had to turn people away for lack of ability to serve them? What measures do you feel can be taken to resolve this problem: Cur ~iting list for cbildr~ 3 - sch~l sge hss di. '~mished as a result of irnreased school p~grans~ infants - todilers still hss a ~iting listo We feel more flexib~llty with tl~ fLr~ scurces may resolve l:ert of this problem. How many people are currently on your waiting list? 39 12. In what way(s) are your agency's services publicized: 13. United Way involvement by your agency: (Check if agency participates) a. Agency Directors Meetings b. Agencies Representative to Funding Hearings c. Business BlitzX d. Day of Caring X e. Executive Development Seminars f. Kick Off g. Victory Reception h. Volunteer' Action Center i. Other X -234- AGENCY Handicare, !no. (Using this page ONLY, please summarize t~e history of your agency, emphasizing Johnson County, telling of your purpose and goals, past and current activities and future plans. Please update annually.) Handicare's early intervention, full inclusion, chili development daycare program opened in 1981 for 15 children daily. We expanded three times in the past 15 years, in an attempt to meet the growing need for supported inclusion childcare in our community. We currently have 193 children enrolled in our program with 50 of these children having a diagnosed disabil. ity. Kids Club is our school complement program for children 5 to 12 years of age. We provide transportation for school age children to and from %he Coralville grade schools. The philosophy that guides Handicare's program is that all children should have the opportunity to grow and develop to ~he_r maximum potential in the least restrictive environment possible. Handicare employees believe there are more similarities than alizerences b ..... e.. children. A c~i!d.'s success may require an adaptation sc the child ~ participate k. ut adaptations are made rather than exception£ ar =~.clusion from activities. All children in our program have the opportunity to ]earn sign language =xplore adaptive equipmen~ an.! .... ~uestions about their f-riend's special needs. Handicare's environment enhances each child's learning and developmental progression and includes daily therapy activities. A full-time registered nurse provides supervision and care tc mean the special medical needs of both disabled and non-disabled children. We coordinate services with many community agencies to meet in~z~u![ fami!iss and children's needs. The Board of Directors, Handicare s~a~f an~ con~unity profes. sionals work together as a team tc ensure earh 3kzid receives the highest quality care feasible within budget ~onstraints. ' '~h~'s yeer, 1996, Handicare experienced ov=~ S70,~'00 reductio~ ~'- service payments for children with disabilities. We have recooped some of these funds by enrolling children without disabilities and children from ot?:er counties. We are still attempting tc establish scholarship ( ~ ..... ~.res) fund for children with special needs. Unfortunately, we have had to decrease edmini ~r- , s~ ~ s~_=%ive ,,~rec~ care en~ '~ ~ r as the funds have decreased This year we ant~cz~ate surpo~t sta~ ~ . another $30,000 decrease in fluriding related to new de~initions under el~gibiiity guidelines with Managed Care. Thee new Federal minimum wa{e increase will elevate exiszin9 our staf~ salaries expense ~proximately $28,00C. Therefore, we anticipate havin~ to eliminate r recreation therapy position an~ zhe part-t~me bockx_epzn~ assistant. Each'<cut we make takes us closer to not havin~ reso'er:es. ~c work with children that have. disabilities in the ~unure. -12- -235- AGENCY Handicare Inc. AGENCY GOALS ~ORM Agency Name: Handicare, Inc. Year: 1996 Names of Programs: Program 1 - DAYCARE AND SCHOOL COMPLEMENT SERVICES FOR CHILDREN WITH SPECIAL NEEDS Program-2 t_ DAYCARE AND SCHOOL COMPLEMENT SERVICES FOR CHILDREN WITHOUT SPECIAL NEEDS DAYCARE AND SCHOOL COMPLEMENT SERVICES FOR CHILDREN WITH SPECIAL NEEDS Goal:~. To!provid~ specialized services to meet'the needs of families and their children with multiple handicaps, ages infancy to twelve years, in a least~restrictive environment. Objective A: Provide therapeutic intervention programming to an estimated 75 - 80 disabled children. Tasks: Provide one trained direct care staff (teacher or assistant) to every 4 - 6 children .attending in each ....... ~1 assroom. "Utilize '12 part-time volunteers in .activity areas to increase staff to'child ratio to 1 for every 2 or 3 children for outdoor and specialized activities. 3-. Provide daily therapeutic and educational activities that promote developmental progression'~fo, r.each child enrolled in Handicare's program. 4. ~Implement specialized programs such as ieeding or behavior management as directed by ~eferrin~ p~ofessionals. Enroll children with and without disabilities striving to maintain a minimum of 25% ratio of children with ..~ disabilities under three years of age. He have dropped to ' ~ only 7% when they are between three and five years of age. Tasks: 1. Provide job training to young adults with various disabilities interested in pursuing careers in child care, food service or janitorial tasks. Handicare l~s been able to provide only 1 - 2 job training opportunities this year to JTPA, Mayor's Youth, Vocational Rehabilitahion or Goodwill Threshold participants. Only one trainee has been hired when a job opening became available and trainee proved qualified. -236- -13- AGENCY Handicare. 'hr. -:"~-~'""'': C: · Provide support services to famit4'es that have a child .~'7. r s~ecial needs Tasks: !. ' Provide daycare services for children with special needs ........... allowing the parents to meet the demands of their homes - - .~.-.:..._ ....... and -.jobs. . . '~ ~ . ~:' · 7,1 '" 2~.f=-C-o~'~l-t' daily with parents o~ children enrolled at ......... ['Hahdicare. 3. Decreasing staff results in less flexibility to attend .- each child's staffing and provide referral services ....... to appropriate community agencies _to meet the child's and family's individualized needs. ec~zv~ D. To provide' a program ~or children with special ......... that complements their school activities and is a sa~e environment fcr them while their'-parents work, Tasks: ! .... Offer activities that promote each child's socialization ......... · ~s-kills with disabled and non-disabled-peers, ~ ._ ~._2,.. Provide o~ortunities for the chiidr.en to learn to cheese .... apprcpriate leisure activities. . _ DAYCARE 'FOR~CH-!-L-DREN~WITHOUT SPECIAL NEEDS " '-'' - '~-- Goal' To pr~vide-chil~/ .development activities ~or 90 --.L.20 non- disab!ed chi!dren,_infancy to ~12 years of age, in an environment tkau includes_ c. i%%1 dr. ep,_~i t h_._s p e c ia. 1 ~ _needs .... ._.. _ _ ......... Objective A: .... T0--pro~ide pT' '-' ~- ~" hi'-~--~---"~'-'-~ .........~'~-~ escnooi and c ld development ac-~ivzuies tc ..... -' ' '--non-disabled children. ' Ta~k----!~. Pr, ovi-d-~ cne-dioroct ca're sta~ to every 4 -6 children · ~-.. atten~.i...%~. within each classroom. 2. Enroll children with and without disabilities strivin? ~c " malnt~n a minimum of 10 - 25% ratio. Cbjective B: To provide a program ~or children ~hat complemen%s school act~ '~ ' _~_ties and is a safe environment for while their parents work. Tasks: Offer activities that promote the ~hildren's socia'~zation skills with peers dzsab!ed and non-disakied alike. Provide opportunities for children to learn to cheese appr6priate leisure ac,.~v .... es, -14- -237- Handicare Board Meetin ' : 8/21196 Present: David Grady, Randy Hudachek, Dab Vogt, Dawn Morgan, Marjie Caruth, Ann Riley, Tony Freund, Bill Berger, Connie Stannard, Doug Martens, Absent: Joni Treestar, Nancy Nagel. Meeting was called to order at 6:18. Christine Herringion was introduced as a potential board member. M/SIC to approve the minutes of the 7/17/96 board meeting. M/SIC to increase the wage scale by $. 1 O/hour effective 10/2/96 for new employees. Discussed options for Sick Bay remodeling costs. 'Approximately $1,300 would cover all remodeling expenses. M/SIC to proceed with SICK BAY, providing costs do not exceed $I ,500. The income statement and balance sheet were reviewed. Carpet update: Trial Friday - more later. "' Re.financing: M/SIC to authorize finance committee to begin appra. isaI process and for Ann and Dawn to investigate various payment options. Restricted savings: M/SIC to put $20,000 into 30 day account at lhe bank to receive a better interest rate. .Personnel: Five positions open. Anniversary dates of current board members will be reviewed at the next board meeting. M/SIC to adjourn al 7:57. -15- -238- HUMAN SERVICE AGENCY BUDGET FORM Director: Donald B. Lewis, Jr. City of Coralville Johnson County City of Iowa City United Way of Johnson County CIIECK YOUR AGENCY'S BUDGET YEAR 1/1/97- 12/31/97 4/1/97- 3/31/98 7/1/97 -. 6/30/98 10/1/97- 9/30/98 11/1/96- 10/31/97.~ X Agency Name: Hillcrest Family Services Address: 2005 Asbury Rd. Dubuque, Iowa Phone: 319-583-7357 Completed by: Brenda Sullivan/Anne Armknecht Approved by Chair Board: . ~, / _ ~.~."/-.c (date) COVER PAGE Hillcrest Supported Living (HSL) provides a team of Visiting Counselors who specialize in assisting individuals diagnosed with mental illness. Counselors teach skills, develop resources, provide group learning opportunities including recreation and socialization, give support and assist in goal setting and attainment. We also provide an individualized 24 hour crisis intervention service which makes available to consumers specialized emergency assistance by telephone as well as in person as needed. Consumers meet with their counselor approximately one to two times per week. However, services are flexible in that we can increase or decrease the amount of service provided in relation to consumers needs at any given point in time. Groups are offered to assist consumers in specific areas such as anger management and self esteem. Social and recreational opportunities are available during the week, in the evenings and every weekend. The adults -~,e serve are typically diagnosed with schizophrenia, bipolar disorder or major depressive disorder and usually .,re secondary diagnoses as well as physical/medical concerns. Consumers live in their own homes, with family, or in the Hillcrest Boarding House, located at 728 Bowery Street in Iowa City. This nine bed home is run cooperatively by the tenants and one live-in HSL staff person. Typically, tenants pay for their own Room and Board costs utilizing their disability income. HSL has a Purchase of Service Contract with the State of Iowa and is accredited by the Joint Commission on Accreditation of Healthcare Organizations. Our mission is to assist adults with mental illness in developing the supports and skills they want or need in order to gain satisfaction in their lives. Program goals focus on preventing unnecessary rehospitalizations, goal attainment, consumer education, empowerment, and increasing the quality of life for those we are here to serve. Local Funding Summary : United Way of Johnson County - - Does Not Include Designated Gvg. City of Iowa City Johnson County City of Coralville 4/1/95 - 4/1/96 - 4/1/97 - % of Total 3/31/96 3/31/97 3/31/98 Budget $6,550 $6,550 $7,500 27o FY96 FY97 FY98 ~ -1- -239- AGENCY: Hillcrest Family Services BUDGET SUMMARY Enter Your Agency's Budget Year ==> 1. TOTAL OPERATING BUDGET (total a+b) a. Carryover-Balance (Cash from line 3, previous column) b. Income - (Cash) 2. TOTAL EXPENDITURES (Total a+b) a. Administration b. Program Total (List Pr0gs. Below) 1 HILLCREST SUPPORTED LIVING 3 4 5 7 8 ACTUAL THIS YEAR LAST YEAR PROJECTED 11/1/94- 11/1/95- 10/31/95 10/31/96 328,563 372,331 10,000 36,414 318,563 335,917 292,149 333,291 --~ 56,963 63,236 235,186 270,055 235,186 270,055 BUDGETED NEXT YEAR 11/1/96- 10/31/97 355,012 39,040 315,972 347,392 77,521 269,871 269,871 3. ENDING OPERATING BALANCE (Subtract 2 - 1 ) 4..R~, .,ST .RI~...CTE~. ~, FUND BALANCE (Total from page 7) 5. IN-KIND SUPPORT (Total from Page 7) 6. NON-CASH ASSETS Notes and Comments: 2,745 0 213,598 2,528 0 231,805 7,620I 2,500 0 238,658 -240- -2- INCOME DETAIL '1. Local Funding Sources- a. Johnson County b. City of Iowa City c. United Way of Johnson County d. City of Coralville e. f. 2. Grants - State, Federal, Foundations a. sr~F ESTEm GRAm b. IOWA FINANCE AUTHORITY ¢. d. e. f. 3. Net Sales Of Services (sources) a. b. ¢. 4. Net Sales of Materials (sources) a. ROOM AND BOARD b, _. Contributions/Donations a. United Way Designated Giving b. Other Contributions 6. Special Events a. Iowa City Road Races b. C. 7. Interest Income 8. Other - List Below a. b. c. TOTAL INCOME (same as p. 2, line Notes and Comments: ACTUAL LAST YEAR 6,425 [ AGENCY HILLCREST FAMILY SERVICES THIS YEAR BUDGETED NON- PROGRAM PROJECTED NEXT YEAR DIRECTED 1 FUNDING 6,550I 6,946 I 01 6,946 6,425 6,550 6,946 6,946 3,'099 I 3,099 14,1251 O I 1,233 0 12,892 0 ,I 265,187 [ 269,269 I 266,582 265,187 269,269 266,582 40,619I 43,1401 40,98.3 40,619 43,140 40,983 2,5791 2,0281 731 I 394 500 6541 8051 730 654 805 730 0 266,582 266,582 40,9831 40,983 731 [ 231 I 500 730I 730 PROGRAM 2 0 0 Ol I I Ol ol Ol Ol ol o 318,563 335,917 315,972 0 315,972 -3- -241- PROGRAM EXPENDITURE DETAIL AGENCY HILLCREST FAMILY SERVICES 1. Salaries 2. Employee Benefits & Taxes 3. Staff Development 4. Professional Consultation 5. Publications & Subscriptions 6. Dues and Memberships 7. Mortgage, Rent and Property Tax 8. Building Maintenance 9. Equipmeat:Pumhase/Rental/Main t. 10. Utilities '11. Telephone 12. Office Supplies & Postage 13. Printing and Publicity 14. Local Transportation 15. Insurance 16. Audit 17. Interest 18. Other(Specify): .... 19 Recreation 20 Recruitment/employee physicals 21 Food/kitchen supplies 22 -..., 24 25 ACTUAL LAST YEAR 187,869 39,420 1,422 606 160 600 13,464 2,867 0 7,126 4,182 4,056 304 11,425 2,546 304 39 THIS YEAR BUDGETED ADMINISTRA- PROGRAM PROJECTED NEXT YEAR TION 1 206,365 222,676 55,275 167,401 39,497 51,854 12,713 39,141 1,296 1,425 1,425 0 214 '~ 250 0 250 397 475 0 475 595 625 0 625 16,800 16,800 3,864 12,936 21,263 3,575 0 3,575 768 312 0 312 7,762 8,000 1,040 6,960 4,254 4,410 573 3,837 3,475 3,675 478 3,197 369 450 0 450 11,585 13,385 1,740 11,645 3,072 3,175 413 2,762 400 425 0 425 235 255 0 255 718 324 525 0 525 1,713 1,411 1,570 0 1,570 13,328 13,209 .13,530 0 13,530 TOTAL EXPENSES ( p. 2, line '~ 292,149 333,291 347,392 77,521 269,871 Notes and Comments: Item 8, column2 has included in its totals items that were paid for by the Iowa Finance Authority. This is an offset to the income shown on page 3. line 2b. column 2. The same dollar amounts ate also included on page 2, line 6, column 2. PROGRAM 2 -242- -4- AGENCY HILLCREST FAMILY SERVICES RESTRICTED FUNDS: Hillcrest Emergency Fund Restricted by: Service Clubs ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR 11/1/94- 11/1/95- 11/1/96- Restricted for: 10/31/95 10/31/96 10/31/97 Emergency client needs ' 2,745 2,528 2,500 TOTAL RESTRICTED FUND (also shown page 2, line 4) MATCHING GRANTS Grantor/Matched by TOTAL MATCHING GRANTS (also shown pg. 3, line 2) { ol IN-KIND SUPPORT DETAIL Services/Volunteers Material Goods Space, Utilities, etc. Other: (Please specify) TOTAL IN-KIND SUPPORT (also shown on page 2, line 4) Notes and Comments: ol -5- -243- SALARIED PosmoNs Position UTILIZATION REVIEW(BARNES) 352 X ASSISTANT EXEC. DIRECTOR(KLUG) 400 X EXECUTIVE DIRECTOR(LEWIS) 400, X FINANCE DIRECTOR(PORTER) 424 X DIR. OF CLINICAL SERVICES(SIMPSON) 352 X DIR. OF ADULT SERVICES(SMITH) 272 X QI COORDINATOR(NEW HIRE) 272 X FINANCE ASSISTANT(SULLIVAN) 352 X BOOKKEEPER~OMPUTER(LAGEN) 424 X BOOKKEEPER/COMPUTER(STEEN) 352 X BOOKKEEPER/COMPUTER(BERGFELD) 352 X BOOKKEEPER/COMPLFrER(BAHL) 272 X PROGRAM COORD. (ARMKNECHT) . 352 X ASSIST. PROGRAM COORD. (MALAKE) 352 X VISITING COUNSELOR 1 (LORENCE) 272 X VISITING COUNSELOR 2(HAUTH) 272 X vISmNG COUNSELOR 3(LONNGREN) 272 X VISITING COUNSELOR 4(SAMPSON) 272 X VISITING COUNSELOR 5(SIMS) 128 X VlSmNG COUNSELOR 6(NEW HERE) 272 X VISITING COUNSELOR 7(NEW HIRE) 1 28 X BOARDING HOUSE COUNSELOR(GOYKE) 1 28. X VISITING COUNSELOR 8(ANDERSON) 272 X VISITING COUNSLOR 9 (CHAN) 272 X SECRETARY(HOT'Z) 1 28 X SECRETARY(NEWHIRE) 272 X SECRETARY(RICE) 424 X SECRETARY(VYVERBERG) 4 24 X MAINTENANCE 0 -x" IhoseJ that apply X X X X X X X X X X X X X X X X .X X X X X ,X .X X X X X X o.23 0.23 o.23 0.23 o.23 o.23 0.23 0.23 0.23 o.23 0.23 0.23 0.23 o.23 .0.23 0.23 0.23 0.23 o.23 0.23. o.23 0.23 0.23 0.23 0.23 0.23 0.23 0.23 Last Year 0.00 0.00 0.02 0.05 0.00 0.11 0.00 0.05 0.05 0.07 O.O5 0.00 1.00 1.00 1.00 1.00 1.00 AGENCY F-rE* This Next Year Year 0.00 0.01 0.01 0.01 0.02 0,03 0.02 0 0.04 0.05 0.11 0.05 0.05 0.05 0.02 0.02 0.05 0.05 0.04 0.04 0.03 0.03 0.00 0.05 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 ,1.00 1.00, 1.00 1.00 1.00 1.00 1.00' 0~50 1.00 1.00 1'.00. 0.35 1.00 1.00 1.00 1.00 0.50 0.00 0.79 0.79 0.00 0.44 0.44 0.5o 0.40 0,50 0.00 0.00 0.50 0.02 0.02 0.02 0.00 0.02 0.05 0.02 0.03 0.13 HILLCREST FAMILY SERVICES Salary J Actual This Last Year Year 0 0 0 477 1,519 1,596 2,439 1,022 O 2,111 5,653 3,904 0 1,714 1,201 501 1,072 1,085 754 773 649 409 0 0 31,367 32,914 21,108 18,433 14,.998 16,918 18,393 16,661 16,480 18,216 9,.346 16,460 16,161 16,962 16,480 16,161 8,762 ~8,205 16,481 14,329 16,480 3,209 16,918... 16,000 16,363 14,352 8,452 0 13,298 16,088 0 . 7,687 7,250 1,417 4,518 .6,969 0 0 6,240 424 430 435 0 918 915 284 327 1,500 Budgetec % Next Yem Change 220 100% 412 -14% 2,358 48% 2,047 100% 2,648 25% 1,442 -63% 1,250 -27% 499 0% 1,037 -4% 773 0% 401 -2% 617 100% 33,024 0% 21,000~ 14%. 16,974 0% -1% 76 -3% -6% 15% -5% -41% 21% -6% 54% 100% 1% 0% 359% TOTAL FTE's and SALARIES * Full-time equivalent: 1.0=full-time; 0.5=half-time; etc. *Paid leave reflected in hours. 10.29 12.091 11.86 1878691 206365 222676 8% -244- -6- [] Hillcrest Family Services AGENCY ACCOUNTABILITY QUESTIONNAIRE A. Agency' s Mission Statement or Primary Purpose Hillcrest Family Services seeks to strengthen individual and family life.. We are committed to instilling hope in those we serve. At Hillcrest we teach skills and provide information and resources that people need to make choices and gain control of their lives. As a caring ministry of the United Methodist Church and the Presbyterian Church (USA), Hillcrest is an advocate for children, youth, and adults ifilneed. We work in partnership with the church and community to provide a full range of services that give people the opportunity to live life to the fullest. B. Board of Directors: 1. Please attach a list of your agency's Board of Directors 2. Frequency of meetings: Every two months 3. Briefly describe tx'mrd orientation and ongoing training opportunities: The members of the governing Btmrd receive formal orientation of the agency's goals, objectives, prograins and methods of orientation. Board members are given a complete packet of program information and their mvn copy of the 56 page Board of Trustees' Manual. A four to six hour presentation is made and facility tours are held. Trai ning inclndes information regarding programs offerred, clients served, development and public relations, c.~m~munity based programs, policies, finance, ageacy history, etc. C. Finances: 1. If your agency charges a fee, describe your fee structure. Hillcrest Supported Living has an hourly fee for direct services and an hourly fee for group services. We have a Purchase of Sen'ice with the State of Iowa. The HSL Boarding House also has Rtx)m and Board charges, which are usually paid by the clients. Room and Board charges have remained the same since we opened the home in 1989. Does your agency have: internal audit Frequency annually external audit 5'es financial reviexx Has your agency filed the Annual Report with the Secretmy of State? Yes No X · Has your agency filed Form 990 with the IRS Yeg'" X No 5. Please discuss your agency's fundraising efforts, if applicable. We d6' ¥ery little fund raising locally. In 1994 we had a fund drive for our new five bed group home. We also try to raise funds through the Hospice Road Race. The majority of our fund raising efforts are focused in the Dubuque area. D. Management: 1. Does each professional staff have a written job description? Yes X No 2. Is the agency Director's performance evaluated at least yearly? Yes X No By Whom? Director of Adult Sen'ices. -7- -245- Hillcrest Family Services AGENCY E. Program/Services: Please define your agency's units of service (service definition, length of time, cost per unit of service, number of units provide, dkect or indirect.) A unit of service is one hour. Our direct service hourly rate is $35.90 and our group service hourly rate is $10.69. The amount of service each client receives monthly is dependent upon their individual needs. Boarding House mon~? costs are as follows: Board is $175.00, Single room is~$260.00~ Double room is $180.00. Please supply information about clients served by your agency during the last two complete budget years. Refer to form instructions for definition of duplicated and unduplicated. 1. How many Johnson County residents (including Iowa City and Coralville) did your agency serve Enter Years- 1995 1996 la. Duplicated count 89 88 lb. Unduplicated count 80 80 2. How many Iowa City residents did your agency serve? 2a. Duplicated count 2b. Unduplicated count 3. How many Coralville residents did your agency serve? 3a. Duplicated count 3b. Unduplicated count 4. How many units of service did your agency provide? 4a. Total 8879 10454 4b. To Johnson County 6592 8010 Residents Other areas served: Do you provide service to areas outside of Johnson County? yes ' Area(s) served: Linn County Services provided: ' CSALA ~Hillcrest Family Services serves Eastern Iowa with a large variety of children, adult and family · services, focusing mainly in the Dubuque, Clinton, Linn, and Johnson County areas. Funding Sources: Purchase of Service for CSALA -246- -8- Hillcrest Family Services AGENCY o Client Profile (for last complete year, if available): Age ]l Gender II Ethnicity 0 - 5. Female 48 African American 2 6 - 17 Male 40 Native American 18-29 13 -Asian 1 30- 61 73 Hispanic 62 - 75 2 Caucasian/Non-Hispanic 85 75+ Multi-racial Evaluation and Review: A. Please discuss how your agency measures the success of it's programs. The Hillcrest Family Services Quality Council meets at least monthly to provide leadership for the process of continual improvement in the quality of services provided to our clients. We utilize statistics generated by satisfaction surveys we send out upon discharge to clients, their families and case workers, as well as aftercare questionaires to clients six months after discharge. Hillcrest Supported Living (HSL) recently formed a Consumer Advisory Group which meets monthly. We have an extensive agency wide Utilization Review Process which is managed by our Quality Improvement Coordinator. Further, we complete monthly, quarterly and yearly statistics on a variety of performance objectives. Also, information is generated regarding the number of units and types of services delivered. Treatment plans are compared to reports of service delivery to ensure needs and wants are being met. Client Record Reviews are completed by the program coordinator on a regular basis. Finally, we are reviewed by the State of Iowa as well as the Joint Commission. B. Does your agency have performance objectives'?. (give several examples.) Hillcrest Family Services continues to strive to be the premier social service agency for Eastern Iowa. We continue to work toward creating an organizational structure that promotes continuous quality improvement. Examples of some of our agency performance objectives include: 1) To develop and coordinate systems to gather and analyze program and client data in order to improve services. 2) Hillcrest Services will be affordable, cost effective and immediately available to the clients and customers. Staff will be responsive to client needs and will be highly visible as professionals in the community. 3) Treatment teams will be committed to their clients' success, have shared values and be empowered with appropriate decision making responsibility to work within their teams to meet their clients' goals. C. what plans does your agency have to increase efficiency and effectiveness? Hillcrest Family Services committment to, and process of, continuous quality improvement is key to increasing our efficiency and effectiveness now and in the future. Quality indicators are continually scrutinized and developed to assist us in the improvement of all areas of service delivery. New and innovative programs are in the process of development. Alternative funding 'streams are also being developed in response to the ever increasing problem of poverty experienced by our clientele. Further, we continue to streamline our organizational strucure to improve efficiency administratively. 8. In what ways will the needs of your service population change in the next five years: The disintegration of traditional funding avenues available to comsumers of mental health services means less state and county assistance to consumers. Waiting lists for funding as wellas client copayments for services will continue to make it difficult for clients to improve the quality of their lives without risking poverty. Further, as the population that we serve increases in age, we anticipate a higher degree of physical/medical needs that must be addressed. -9- -247- Hillcrest Family Services AGENCY 9. Please discuss any other problems or factors relevant to your agency's programs, funding or service delivery: The need for services for people with mental illness remains high as funding continues to decrease for this population. Insurance coverage for mental illness related needs is inadequate as compared to other types of medical needs. Rates that we are allowed to charge for our service have been frozen for seven years. ' ' '10:" List complaints about your services of which you are aware: We have had waiting lists for our services. 11. Do you have a waiting list or have you had to turn people away for lack of ability to service them? What measures do you feel can be taken to resolve this problem:. We have had long waiting lists for our service. In September, 1996 we hired an additional staff person in order to be able to admit clients on our waiting list as soon as possible. How many people are currently on your waiting list? 6 12. In what way(s) are your agency's services publicized? Hillcrest FamilyServices uses the media, public speaking to civic, school and social groups, brochures, Hillcrest :Calling ( a qgarterly newsletter to 19,000 people ) and public service announcements to make our services known. HSL provides a monthly newsletter which is distributed to clients and professionals in the community. Further, we plan to continue to become more involved as an agency with the United Way. 13. United way involvement by your agency: ("X" if agency participates) g. h. i. Agency Directors Meetings Agencies Representative to Funding Hearings Business Blitz Day of Caring Executive Development Seminars Kick Off Victory Reception Volunteer Action Center Other Hospice Road Race X X X -248- -lO- AGENCY Hillcrest Family Services AGENCY HISTORY (Using one page ONLY, please summarize the history of your agency, emphasizing Johnson County, telling of your purpose and goals, past and. current activities and future plans. Please update annually.) Hillcrest Family services began serving Johnson County in Sep[ember, 1976 with the opening of the Iowa City Residence for women, a residential care facility for chronically thentally ill adult women. This facility was located at 313 N. Dubuque St. and licensed by the Iowa Department of Health for seven women. The purpose of the facility ...... was to bring the person from a public or private mental health hospital or institution and help them learn skills so they could lead independent lives in the community. ' :'~'"-In 19~3~ Hillcrest exi~fih~ied he-iowa City Residence (ICR) to fourteen beds for both men and women at a new location at214 E.£hurch St. This facility is now called Hillcrest Residence. In July 1985, Hillcrest Family Services received a one year grant from the Iowa Division of MH/MR~D to develop a Supervised Apartment Living Program for persons with mental illness in Johnson County. Visiting Counselors · work with the persons in their homes. Such a program helps prevent rehospitalizations and improves the quality of life for many of the mentally ill persons living in apartments and family homes in Johnson County. In 1987, Hillcrest Family Services served 17 mentally ill men and women in Johnson County through the Hillcrest Supported Living (HSL) Viiiting Counselor Program. However, it became clear that some clients needed more intensive support services than HSL could provide, including increased crisis intervention services. Some clients found it too difficult to go from the stuctured enviroment of the Hillcrest Residence Program directly into an apartment of their own. To meet these needs, in January,1988 HSL began expansion of staff and services in the Iowa City HSL Program In January of 1989 we did the same for HSL in Cedar Rapids. Currently, HSL is staffed by a Coordinator, Assistant --C-oordinator, six full time Visiting Counselors, two part time Visiting Counselors and a part time secretary in Iowa City. HSL offices are located at 326 S. Clinton St. in Iowa City and 1744 2nd Ave. in Cedar Rapids. We also have a HSL Program, with a vocational component, in Dubuque, Iowa. Crisis intervention and family involvement ser~!~ con_fin. ue to e??ant!, as_well as group skills teaching opp.o. rt_gn)tie__s__an_d_.in~ividualized skills teaching options. In February of 1988 Hil!c~st recejyed.agrant from the Gannett Foundation in order to buy and remodel a Boarding House for nine persofts with mental illness. This Boarding House, located at 728 Bowery St. in Iowa City, has a live in staff person to assist with cooking, cleaning, skills teaching, crisis intervention and safety. It currently is full, with a walting'~lig~6f four, 'HSL and file HSL Boarding'~ouse confifiue to serve adults diagnosed with mehi~i illness in the Johnson County communi~y.,.._Our currenLcensus is 71 .... _In the.smh'm~rlofz1996 Hillcrest opened Birch House, a five bed waiver home in Iowa City for individuals with multiple psychiatric needs. -11- -249- Hillcrest Family Services AGENCY ...... ' AGENCY PROGRAM GOALS AND OBJECTIVES (several pages are provided, please add any additional pages you may need with your agency name as a header) Goal: To provide an expanded Supported Living Program and Boarding House for adults diagnosed with mental illness living in Johnson County. Objec.tive A: Continue expansion of the program to'~ccommodate all incoming referrals. Task: 1. Hire additional Visiting Counselors as needed. ......... ..~ 2. Develop program components to meet changing needs of the population. " 3'. Continue training in psychiatric rehabilitation. ....... 4. Continue case finding in the community. .5__~. Provide partial financial assistance for group learning activities, including socialization and recreational opportunities. 6. Investigate and develop new funding streams. Objective B: Develop community awareness about the increasing needs of persons with mental illness-in this community. -"Task: 1. Advocate for individual client needs in the community. 2. Voice concerns regarding mental health needs to local, state and federal sources. 3, Utilize the Hillcrest Speakers Bureau. 4. Develop and utilize a strategic marketing plan regarding the needs of persons with mental illness. · Objecti~e'C,~ Task: Provide a nine bed Boarding House for persons with mental illness in Iowa City. 1. Provide a safe and healthy living enviroment. .:-. ~..._._.~... 2. Maintain and improve the facility. Replace roof in 1996. '3.- Operate the facility utilizing feedback from current tenants: 4. Maintain current costs to the clients with the use of United Way funds. Objective D. staff. Task: Provide a quality program that includes well trained, educated and concerned 1. Provide Visiting Counselors who have experience in' and dedication to the field of mental health. 2. Provide staff training, workshops and s~-a{e of ti~ m-t educational materials .... regarding mental illness and associated fields of study. ...... .~ .3. Serve on state and local task forces and committees. -4. Utilize regulations from the Joint Commission on Accreditation of Healthcare ~ .Organizations (JCAHO) to increase quality of programming. 5. Utilize quality assurance and continuous'quality improvement procedures on a daily basis and adjust services as data indicates. Resources needed to accomplish Program tasks 1. A full team of Visiting Counselors, administrative supp0'~'t and professional consultants. 2. A safe and healthy boarding house facility. 3. United Way funding. .... 4. Development of new and creative funding streams. . .5. Continued access to current funding streams. -250- -12 - HILLCREST BOARD OF TRUSTEES Vocational Listin~ March, 1996 Nancy-Bradley Associate Director of ~Staff Development Dubuque Community School District Dubuque Doug Brotherton Retired, John Deere .E_ngineering Dubuque - Frank Coe Seni0~'"V':-~':Pres. & Comm. Banking Manager First Trust & Savings Bank Cedar Rapids ........ Carolyn Collins'" Voluntee[ ..... Dubuque John Darrah V.P. Inve_s_tm_.en_t Services, Hawkeye Bank Dt"-',que Mary Davis :. . ........_ .. Secretary, Retired Dubuque Dave Engle Contractor, Esco Electric Company Cedar Rapids Sharon Faley Volunteer Dubuque Sharon Finnin Office Manager, Mike Finnin Motors Peosta Thomas J. Gill Dentist Coralville Richard J. Hartig Ph,.a~.macist, Hartig Drugs D~r que Wes Heitzman Retired Building Contractor Dubuque -13 - Randy Hoff President, Barnstead/Thermolyne Corp. Dubuque Dr. Shannon Jung Director, Center for Theology & Land University of Dubuque Theological Seminary Dubuque Martin McNamer McNamer Construction Systems, Inc. Dubuque Rev. Carroll Robinson Minister, Retired Miles Judy Ruppel Volunteer Dubuque Steve Scott Attorney, Kintzinger Law Firm Dubuque _~ Gall Seipp Homemaker Dubuque Dr. James Stark" Veterinarian, Colonial Terrace Animal Hospital Dubuque Doug Stillings Asst. V. Pres., Dubuque Bank & Trust Dubuque Roger Stutsman Agribusinessman Riverside Steven Yoder Manufacturing Manager, Rockwell-Collins Iowa City -251- HUMAN SERVICE AGENi~Y BUDGET FORM City of Coralville Johnson County City of Iowa City United Way of Johnson County CHECK YOUR AGENCY'S BUDGET YEAR 11119? - 12/31197 4/1/9.7 - 3/31/9'8 7/1/97"-. ' 613019 8 X 10/1/9 ? - Director:Laura Hill, H.S.N. Agency Name: ZCARE Address:,PO Box 2989, IC, ]2/% Phone: 338-2135 Completed by: Laura Hill Approved by Board Chair: on 8/1.5/96 9/30/98 (date} u224z COVER PAGE Program Summary: (Please number programs to correspond to Income & Expense Detail, i.e. Program 1, 2, 3, etc.) Pro9ram 1~ 'Direct Services a. Case Management b. Crisis Intervention Individual and group counselin9 d. Case conferences eo Home/hospital visitations Pro9ram.2 ...... Resources and Education ~a. Resource and Lending Library bo Educational workshops, inservices, groups c. Community inservices about HIV/AIDS psychosocial issues strategie~ .... ' -' d Awareness events eo Quarterly newsletter f. Monthly Service Updates f. Emergency financial support g. Information and referral h. Care Teams i. Buddies jo Transportation, errands, chore assistance, grocery shopping and intervention Local Funding Summary: United Way of Johnson County o. Does Not Include Designated Gvg. City of Iowa City Johnson County ** City of Coralville *Iowa Center for **Funded through -252- 4/1/95 - 4/1i96 - 3/31/96 3/31/97 $1 0 , 300 $ 10 , 300 FY96 FY97 $8,925 $ 9,200 $ 0 $ 0 ~ 0 $ 0 AIDS Resources and Education Johnson County Depto of Public Health 4/1/97 - 3/31/98 ~ 13,000 FY98 $9,765 $ 0 $200 (10%) % of Total Budget .08% .06% 0 .001% AGENCY ICARE --- ., ....... '. .~ -BUDGET SUMMARY Enter Your Agency's Budget Year --~ 1. TOTAL OPERATING BUDGET (Total a + b) a. Carryover Balance (Cash from line 3, previous *- column) 'b.*-Income (Cash) 2. TOTAL EXPENDITURES (Total a + b) *~. Non]~directed funding ' b. Program t0~al (List Programs below) 1. Direct Services 2. Resources & Education 3. 4. 5. 6. 7. 8. ENDING OPERATING BALANCE (Subtract 2 - 1) RESTRICTED FUND BALANCE (Total from page 7) IN-KIND SUPPORT' (Total from page 7) 4. 5. 6. NON-CASH ASSETS Note~ "and Comments: ENDING BALANCE: Checking "Certificates of Deposit Petty Cash Payroll Taxes Owed ACTUAL LAST YEAR FY96 143,638 38,016 105,622 94,810 9,481 85,329 56,886 28,443 THIS YEAR PROJECTED FY97 177,769 48,828 128,941 141,032 18,335 122,697 84,619 38,078 48,828 4,835 94,395 12,000 36,737 0 103,840 15,000 $24,972.00 25,305.00 7.00 (1,455.00) $48,829.00 BUDGETED NEXT YEAR FY98 168,602 36,737 131,865 157,739 23,445 134,294 99,260 35,034 10,863 0 114,219 16,500 -2- -253- INCOME DETAIL 1. Local Funding Sources a. Johnson County _ b. City of Iowa City c. United Way d. City of Coralville J~ohpson Cry. Dept. of f. 2. Grants. State. Federal "Foundations &ow~ Community AIDS a. ~artnersnlp b. Miscellaneous Grants c. d. 3. Net Sales of Services Isources) a. b. c. 4. Net Sales of Nlaterials 'lsource~) _t<~c~ .Ribbon pins a.'rshlrts. ca~Ds ' b. c. 5. Contributions/Donations a, United Way Designated Giving b. Other Contributions Special Events a. Iowa City Road Races b. Pancake Breakfast c. Others* 7. Interest Income Other · List Below Including Miscellaneous a. Board Reserve** b. Misce] q aneo~s c. TOTALl~OMEfshownal~o~p~e2.1inelbl NotesandComments: *World AIDS Day, Direct **Placed into operating a. Not confirmed -254- AGENCY ICARE ACTUAL THISYEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR FY96 ~v97 FY9R I 33,7251 35,125 I 39.7651 0 0 O 8,925 9,260 9,765 10,300 10.975 13,750 0 0 200 14,500 15.000 16,050 I19,399 I37.716 I 29,000 7,650 25.716 ai5.000 ~,~.~ ~.ooo ~..0oo NON- DIRECTED FUNDING 39.7651 0 9,765 13,75~ 2O0 0 PROGRAM PROGRAM 1 2 D.S. R&E o I n O 0 N 0 n 0 0 0 3%,n00 1 4, NNN I o I o I o I o I o I 0 0 392 I 3,500 I . ~0 I 0 I 0 I ~.~0~ '~q? ~,500 4 5n.n 0 0 4,500 J14 46~ J16,ooo ~,322 3,000 1~,143 13,000 I ~9,g17 1 35,900 4,846 6,500 11,594 14,500 13,477 14,900 I ~88 I~00 I ~.o36 J~5o 4,835 0 201 150 J 1R,75n J 18.75oj 3,000 3,000 15.750 15,750 39.'200 I 0 6.700 0 16.500 16,000 O N N ]50 o I 0 N 0 n 0 3 9_, ~O~O J 0 6 7nn 0 ~,~no o ~ 6. 000 O n 0 0 6R 2NN J Mail, ICARE Cabaret fund -3- AGENCY ICARE PROGRAM EXPENDITURE DETAIL 1. Salaries 2. Employee Benefits and Taxes 3. Staff Development 4. Professional Consultation 5. Publications an~l Subscriptions 6. Dues and Memberships 7. Mortgage, Rent, and Property Tax 8. Building and Maintenance 9. Equipment PurchaseIRental Maintenance 10. Utilities ( incl. in rent 11. Telephone 12. Office Supplies and Postage 13. Printing and Publicity Local Transportation Insurance 16. Audit 17. Interest 18. Other (Specify}: Fundraisin9 19. Volunteer Training 20. Programming · 21Direct Financial Assist. Z2. Bank Charges 23. Miscellaneous ACTUAL THIS YEAR BUDGETED NON. PROGRAM LAST YEAR PROJECTED NEXT YEAR DIRECTED I FY96 FY97 FY98 FUNDING D. S . 50,154 72,291 82.313 8,231 55,321 7,955 13,866 16,496 1,650 11 ,363 1,344 2,000 1,500 0 1,500 2,601 5,000 4,500 4,500 0 553 800 800 0 0 260 350 350 0 350 3,000 3,000 3; 000 300 1,950 1,362 Co c. 3,000 3,300 330 2.145 d. 5,289 3,000 3.300 330 :2 lz~5 0 0 0 0 0 3,148 4,725 5,200 520 3,640 3,807 6,000 6,600 660 1,980 2,275 3,415 4,000 400 1,000 1,296 3,060 3,400 340 2,380 815 1,000 1,500 1,500 0 0 0 0 0 0 0 0 O' 0 0 2,974 4,000 4,500 4,500 0 679 1,500 1,600 0 1,200 614 1,500 1', 600 0 800 e. e. 6,295 12,000 13,200 0 13,200 0 106 125 140 140 283 400 440 44 286 PROGRAM 2 R&E 18.761 3.483 0 0 800 0 750 825 825 0 1.040 3,960 2,600 68O 0 0 0 0 400 800 0 0 110 25. TOTAL EXPENSES (shown also on page 2, line 2) 94,810 141,032 157,739 23,445 99,260 35,034 NotesandComments: *Attorney and accountant **National Assoco of People With AIDS; Volunteer Action Network "-'~.In FY97: ½time Secretary; half-time positions increased to full-time ~oIncrease due to increased accountant fees c. Increase due to janitorial services contracted in FY97 d. Purchase of computer equipment eoAnticipation of increased need 4 -255- ASENCY ICARE RESTRICTED FUNDS ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR Restricted by:. Board of Directors Rutrict~ br: Repayment of payroil taxes refund 4,835 * 0 0 Total Rmri~ted Funds lidso dm~m page 2, line 4 ) 4,835 0 0 MATCHIIIG GRABITS Grantor/Matched by:. N/A ........ N/A N/A Total Matching Grant~ (also shown on page 3, line 2 ) IN-KIND SUPPORT DETAIL Services/Volunteers ** office equ_ipm. ent/supp, lies~ educa- MateriaiG00ds riohal & ~Unaraising/even~s mater. Space, Utilities, etc. '. Other: (Please specify) 79,745 87,725 96,493 14,650 16,1i5 17,726 .0 .0. 0 TOTAL IN.KIND SUPPORT IShown also on page 2, line 4) Notes and Comments: *Placed into General operating fund **Direct Services/professional volunteers: Non-client services volunteers: 94,395 103,840 114,219 FY96 6,495 hrs/$10.00hr FY96 2,818 hrs/$5.25hr -256- '~LARIED POSITIONS "X" all that apply Paid Health Retire % Position Lye Ins Plan Benefits Executive Director 43 X N/A 14% Case Worker 38 X N/A 17% ?togram Assistant 38 X N/A 19% ½time Secretary 19 X N/A 8% AGENCY ICARE ACTUAL THIS YEAR BUDGETED % LAST PROJECT- NEXT CHANGE YEAR ED YEAR Last This Next Year Year Year FY 9 6 FY 9 7 FY 9 8 1o0 1~0 1.0 28,822 32,000 33,600 5% · 5 .85 1.0 12,245 18,170 22,880 26% .5 .95 1o0 9,087 15.764 19.115 21% 0 .5 .~ 0 6,357 6,718 6% TotalSala~es&ME 138 X N/A 14.5% 2.0 3.3 3.550,154 72,291 82,313 *Full.time equivalent: 1.0 - full-time; 0.5 - half.time; etc. ~New position in FY97 **Increased to full-time, position filled in 9/96. ***Increased to full-time, position filled in 8/96. 14% 6 -257- AGENCY: ICARE ACCOUNTABILITY QUESTIONNAIRE A. Agency's Mission StatementorPdmary Pu~ose'TO enrich the quality of life persons .living with and affected by HIV/kIDS. Through the distribution of information and services, we aim to foster the self-empowerment necessary to live productively and pgsitively in the face of HIV/AIDS. for B. Board of Directors: 1. Please attach a list of your agency's Board of Directors 2. Frequency of meetings: monthly Briefly describe board orientation and ongoing training opportunities.Orientation: Board Manuals with relevant agency and general board information. The Executive Director meets individually with new members to review the manual and board roles/ reponsibilities. Ongoing training: Members receive monthly copies of "Board & Administrator" and other relevant articles. Discussions occur .individually and as needed during board and committee meetings. Co Finances: 1. If your agency charges a fee for services, describe your fee structure. Services are provided free of charge° Does your agency have an ~eemal aud~ external audit or a financial review? (circle one) Frequency 'annually Has your agency filed the Annual Report with the Secretary of State? Yes x No _ Has your agency filed Form 990 with the IRS? Yes x No 5. Please'discuss youragency's ~ndmising effo~s,E applicable. (e.g..events~direct mailcampaign, planned giving, etc.) ICARE holds annual fundraising events: The Pancake Breakfast, The Cabaret, a World AIDS Day receptio~ a direct mail camRaign, and participate in the Iowa City Hospice Road Races. We also pursue grants and monies through tithes/giving funds. Do Management: 1. Does each professional staff have a written job description? Yes x No 2. is the agency Director's performance ev_aluated at lea~st yearly'; Yes X No By Whom? Fersonnel ~ommittee -258- AGENCY: ICARE E. Program/Services: Please define your agency's units of service (service definition, length of time, cost per uait of service, n,umber. of unit, s provided, dire.ct or indirect°) 1 )Direct Services: various emotlona±, practica±, materia±, or ~inancial support services. Unit=one service provided per person° Unit cost not defined.* FY96=813 people/4,872 unitso Direct Service. ~) Resources & Education: educational and awareness materials and events. Unit: events=one event° Library=one usage per person. Unit cost not defined* FY96=44 events/10,332 people. Library=iS1 people/241 units. Workshops/classes=Direct Service. Awareness events/booths/library=indirect Please supply information about clients served by your agency during last two complete budget years. Refer to form instructions for definition of duplicated and unduplicated. o How many Johnson County residents (including Iowa City and Coral- ville) did your agency serve? Enter Years ----~ FY 95 FY 96 a. Duplicated Count ** 6,363 8,120 lb. Unduplicated ~ 3 339 3 406 Count ' ' .How many Iowa City residents did your agency serve? How many Coralville residents did your agency serve? How many units of service did your age- ncy provide? 2a. Duplicated ** 4 454 5 765 r. Count ' , 2b. Undupli6ated Count 2,337 2,452 3a. Duplicated Count ** 1,273 1,786 3b. Unduplicated Count 668 749 4a. Total 11,21513,814 4b. To Johnson ** 9,533 11,742 County Residents 5. Other Areas Served: Do you provide services to areas outside of Johnson County? yes Area(s) served: surrounding counties without an AIDS Service Organization eerviq. es~ provided: AnY service within 'current programming that is aslDle. The bulk o~ our services are provided to Johnson County residents. Funding Sources:Grants, donations, fund raisersb *length of time/type of service varies. **Estimates 8 -259- AGENCY: ICARE 6. Client Profile (for last complete year, if available): (Data is for Direct Services Program only) Age Gender Ethnicity * 0 - 5 1 M 10 6 '~ African American 12 6 o 17 70 F 140 Native American 18 - 29 2 3 9 Asian 30 - 61 7 9 Hispanic 6 62 - 75 13 VVhite 40 75 + Multi-racial 1 7. Evaluation and Review: · A. Please discuss how youragency measumsthe success ofits programs. -Client Feedback/surveys '-Volunteer surveys -Service provider feedback -Formal program evaluation 7Program/event evaluations -Units of service provided and '--Staff and volunteer feedback continued service requests -Feedback from general membership meetings B. Does your agency have pe~ormance o~e~ives? ~ [Give several examples] Board: review Personnel Manual a minimum of every two..years. Volunteer: Direct Services Volunteers will attend a minimum of 5 inse~vlces annually° Case Management: monthly case conferences for clients. in. intensive case management. We are developing agency wide minimal standards of care for each service and for volunteers. C. VVhatplansdoesyouragencyhavetoincmase efficiency and effe~iveness? Another staff position was created and staff hours increased in FY97o Training opportunities for staff, volunteers and board members will increase. We are in the process of developing agency wide minimal standards of care. Updated office equipment and computer programs are being purchased/donated. We are beginning a long range planning process. An action plan will be developed based on community, volunteer and client surveys° 8. In what ways willthe needs ofyourse~ice population change in the ne~ five yeam: We continue to see an increase in clientele with multiple/complex needs and with conditions that pre-existed an HIV/AIDS diagnosis (homelessness, poverty, chronic mental illnew). Service requests from persons in late stages of the illness are increasing as are requests from their families and caregivers. We are seeing more clients with opportunistic infections that result in blindness or dementia. ~ Financial needs will become more of an issue. Rural needs are becoming more an issue° ~260- *Ethnicity data kept on HIV+9clientele only. AGENCY: ICARE 9. Please discuss any other problems or factors relevant to your agency's programs, funding or service delivery: 33% of clients experience multiple crisis situations at intake. Complex/ multiple needs result in longer and more frequent contacts which create time constraints° We depend heavily upon..volunteers for service provision, yet they often do not have the knowledge/experience to assist with these needs. Burnout and grief issues are ongoing concerns. 10o Listcomplaints aboutyourservices ofwhich you am awam: Volunteer and student turnover result in a' lack ~f Continuity of care° Students are comprising a larger percentage of our volunteer base, thus time constraints and volunteer shortages are issues. There are times during the school year that we are unable to provide a service or must delay service provision due to volunteer shortages. 11. Do you have a waiting list or have you had to turn people away for lack of ability to serve them? What measures do you feel can be taken to resolve this problem: Staff time constraints and volunteer shortages may result in the inability to meet service demands. We frequently must refer caregivers requesting ~unseling/emotional support. Clients often are on waiting lists for ~ddies and Care Teams. Staff hours were increased in FY97 and volunteer recruitment and retainment efforts have intensified. How many people are currently on your waiting list? _ 6 12. In what way(s) are your agency's services publicized: Other agencies' newsletters Brochures Fliers Newsletter Service Updates Press releases Media articles/stories Public Service Ann. 'Interagency meetings United Way Information bo0ths/fai~s Speaking engagements Interagency referrals Churches Word of mouth 13. United Way involvement by your agency: (Check if agency participates) Johnson Cry. Human Service Directory State/national Directories Volunteer Action Network a. Agency Directors Meetings x b. ,. Agencies Representative to Funding Hearings c. Business Blitz x d. Day of Caring x e. Executive Development Seminars f. Kick Off ;~.. g. Victory Reception x h. Volunteer'Action Center i. X Other United Way agency information booths Committees 10 -261- AGENCY: ICARE AGENCY HISTORY (using this page ONLY, please summarize the history of your agency, emphasizing Johnson County, past and current activities and future plans. Please update annually.) ICARE developed out of an HIV/AIDS support group in 1986, was incorporated in 1987 and accepted as an United Way agency in 1988. The focus of the agency was reorganized in 1988 to add programs: Buddies, financial assistance, access to treatment information and other resource materials, crisis counseling, advocacy, and practical support. The first training for Buddy volunteers was conducted in 1989. Initially, the Emma Goldman Clinic provided in-kind office space. ICARE later moved to expand and increase accessibility. ICARE expanded again by moving to our current location at Trinity Place in 1990. The space was shared with the AIDS Project of Johnson County and the Free Medical Clinic. ICARE acquired the entire space in 1995 when the other two agencies vacated. The first part-time Director was hired in 1986 and was increased to full-time within three months. A half-time Program Assistant was hired in 1994. A half-time Case Worker was hired in 1995 with a grant through the Iowa Community AIDS Partnership (leAP). ICARE received another grant from ICAP in FY97 to increase the Case Worker position to full-time. The Program Assistant was also increased to full-time and a half-time Secretary was hired in FY97. A one-year Community Development Block Grant was received in FY94 to hire a Housing Coordinator to conduct an HIV/^IDS Housing Needs Survey and to develop services based on the services. A quarterly newsletter was added to programming in FY95 and Care Teams in FY96. The FY95 ICAP grant also provided monies to formalize and enhance our case management services~ Fundraiser were very successful for us this year. Administratively, this was also a good year. A mission statement and job descriptions for board members were developed. A Personnel Manual was developed and implemented. Plans for ICARE's first Long Range Planning Retreat have been set and a Financial and Administrative Review was conducted by an outside consultant. Service requests and service provision continue to increase. We experienced a 9% increase in the number of direct services provided and a 1,5% increase in the number of people served in the Direct Services Program. We are currently in the process of developing a Case Management Process Manual, developing minimal standards of care, and enhancing our intake process. Length of direct service contacts continue to increase as we see more homebound clients and clients with multiple/complex needs. We provided 16 more events in the Resources and Education Program, We are also redesigning our Resource and Lending Library to make it more Uuser friendly" for consumers. The increase in staff hours will allow us more time to devote to clientele, programming, fundraising, and volunteers. Volunteer recruitment efforts are intensifying and the increase in staff hours has allowed us to spend more time on the volunteer program which should help with volunteer retention. Ongoing training opportunities are increasing to help meet the changing needs of our clientele. -262- ICARE AGENCY GOALS FORM Agency Name: IcARE Name of Program: DIRECT SERVICES PROGRAM GOAL: To provide emotional, practical, and financial support to persons living with HIV/AIDS, their families and loved ones, and to persons concerned about/affected by HIV/AIDS. OBJECTIVE A: In FY98, to provide emotional support and crisis intervention to an estimated 90 persons living with.HIV/AIDS, their families and loved ones and to an estimated 900 people who contact ICARE dudng office hours. TASKS: 1. Increase Direct Services Volunteer pool from 85 to 95. 2. Recruit, train, and coordinate volunteers. 3. Provide supervision and monthly inservices and meetings for volunteers. 4. Schedule one volunteer for each two hour shift during office hours of 9:00 AM to 5:00 PM, Monday through Friday. 5. Obtain grant support for direct service provision. 6. Publicize services through the media, posters brochures, the quarterly ICARE newsletter, and monthly client Services Updates. 7. Provide monthly staff trainings and weekly staff meetings for staff. OBJECTIVE B: TASKS: In FY98, to provide four groups: one therapy and one support group for persons living with HIV/AIDS, a support group for families and friends of persons living with HIV/AIDS, and a bereavement support group. 1. Recruit, train, and supervise group facilitators. 2. Publicize groups through the media, posters, brochures, the quarterly ICARE newsletter, and monthly client Service Updates. OBJECTIVE C: TASKS: In FY98, to provide financial, material, and practical support services such as cooking, housekeeping, transportation, and running errands to an estimated 90 clients. 1. Recruit, train, and supervise volunteers. 2. Obtain in-kind donations for material support and additional funding for direct financial assistance, OBJECTIVE D: TASKS: In FY98, to provide Buddy volunteers for an estimated 18 clients. 1. Increase Buddy volunteer pool from 15 to 20. 2. Provide a minimum of weekly supervision to Buddies. 3. Provide monthly inservices and meetings for Buddies. 12 -263 - ICARE OBJECTIVE E: TASKS: Agency Name: ICARE Name of Program: DIRECT SERVICES PROGRAM In FY98, to provide Care Teams to an estimated 8 clients. 1. Increase Care Team volunteer po.ol from 20 to 35. 2. Provide a minimum of weekly supervision to Care Team volunteers. 3. Provide monthly inservices and meetings for Care Team volunteers. OBJECTIVE F: TASKS: In FY98, to provide case-management services to an estimated 55 clients. 1. Schedule full-time Case Worker during peak office hours. 2. Increase Case Worker Volunteer pool from 3 to 4.. 3. Recruit, train, and supervise Case Worker Volunteers. 4. Coordinate services with appropriate service providers. 5. Communicate/collaborate with other service providers by providing inservices, attending meetings, and scheduling case-conferences. 6. Provide ongoing staff, student, and Case Worker Volunteer training. OBJECTIVE G: TASKS: In FY98, to provide monthly social and recreational activities for an estimated 90 clients and their families and loved ones. 1, Obtain grants to assist with funding, 2, Obtain in-kind support from appropriate businesses and groups. 3. Schedule events and provide transportation as needed, R!=SOURCFS NI=EDED TO ACCOMPLISH DIRECT SERVICE PROGRAM TASKS: 1. Grants and other fund-raising to assist with program funding. 2. One full-time Case Worker and one 1/2 time Program Assistant. 3. 95 volunteers, including professional therapists/counselors. 4. Three telephone lines and 5 telephones. 5. Three staff offices, a counseling room, a meeting/group room, room for training, and administrative space. 6. Office equipment and supplies. 7. Administrative support. COST OF PROGRAM FOR FY98: $99,260,00 -264 - 13 ICARE AGENCY GOALS FORM Agency Name: ICARE Name of Program: RESOURCES AND EDUCATION PROGRAM GOAL: To provide education and resource materials. and programs to persons living with HIV/AIDS, their families and loved ones, concerned others, the community, and local agencies, groups, and organizations. -' ~ .....OBJECTIVE A: In FY98, to provide resource materials to an estimated 300 people who will use the resource library approximately 400 times. TASKS: 1. Purchase HIV/AIDS related materials and magazine/newsletter subscriptions. 2. Continue membership in National Association for People With AIDS. 3. Coordinate purchasing with Johnson County AIDS Project to prevent purchase duplication. 4. Schedule and supervise Volunteer Resource Library Coordinator. 5. Obtain in-kind library donations. 6. Develop user friendly resource manuals. 7. Develop list of on-line resources. OBJECTIVE B: In FY98, to provide 12 educational programs about AIDS psychosocial issues and service provision to agencies and classes and 16 community outreach programs. TASKS: 1. 2. 3. OBJECTIVE C: Schedule 1/2 time Program Assistant. Increase Resource/Special Events volunteer pool from 75 to 85. Recruit, train, coordinate and supervise Resource/Special Events volunteers. In FY98, to provide 6 educational workshops about HIV/AIDS issues to persons living with HIV/AIDS, 4 to their families and loved ones, and 4 to the community. TASKS: 'OBJECTIVE D: 1. Recruit, train, coo~linate, and supervise volunteer facilitators. 2. Survey clients, family members and loved ones for suggested topics. 3. Purchase and prepare necessary materials. 4. Publicize workshops through the media, post~rs, the quarterly ICARE newsletter, and the Client Service Update. 5. Collaborate with other AIDS educators. In FY98, to mail a quarterly newsletter to an estimated 4000 people. TASKS: 1. Coordinate and supervise Newsletter Coordinator volunteer. 2. Recruit volunteers to assist with publication and mailing. 3. Recruit volunteers to write AIDS-specific articles. RESOURCES NFEDED TO ACCOMPLISH TASKS: 1. Grant funding and other fund-raising to assist with program funding. 2, One half-time Program Assistant, 85 volunteers, and administrative support. 3, Tapes, brochures, magazines, books, and other library materials. 4. Office supplies, television, and VCR. 5. Meeting room for educational programs and workshops. COST OF PROGRAM FOR FY98: $35,034.00 14 -265- Richard Potter, Chair 515 N. Dubuque St. Iowa City., IA 52245 354-6217 Pat Dolan, Treasurer 1022 Highland Ave. ,Iowa City, IA 52240-2152 3374224 Karyn Berlit~ VAMC. Hwy 6W Iowa City, IA 52242 338-0581 X6017 W, 645-2709 H Loren Horton 3367 Hanover Court Iowa City, IA 522454016 351-5842 Julie Katseres 629 Wheaton Rd Iowa City, IA 52246 339-0563 Mike Lensing 411 E. Fairchild Iowa City, IA 52245 338-8171 W, 358-9630 H ICARE BOARD OF DIRECTORS 1995/1996 Cari Malone, Vice Chair 103 So. Governor #4 Iowa City, IA 52240 3564421 W, 354-1373 H Clark Stanford, Secretary Two Lake Pt. Rd NE Iowa City, IA 52240 335-7381 W, 338-0195 H Ron Hahn 2727B Muscatine Ave. Iowa City., IA 52240 351-0944 Lois James 314 1/2 Burlington St. Iowa City, IA 52240 354-7113 David Kozichek 205 Fifth St. #11 Coralville, IA 52241 339-3556 W, 358-1331 H Development Clark Stanford, Chair Pat Dolan Mike Lensing Dick Potter Julie Katseres Ron Hahn Executive Dick Potter, Chair Pat Dolan Clark Stanford Cari Malone BOARD COMMITTEES Finance Pat Dolan, Chair Loren Horton Lois James Personnel Carl Malone, Chair Loren Horton Dick Potter Karyn Berlin Programming David Kozichek, Chair Mike Lensing Ron Hahn a:/board/memb.wps 15 HUMAN SERVICE AGENCY BUDGET FORM City of CorMville Johnson County City of Iowa City United Way of Johnson County CHECK YOUR AGENCY'S BUDGET YEAR 1/1197 - 12131/97 ' - -X 41119'7 - 3/31/9'8 10/1/9 7 7/1/97 - 6/30/95 Director: Dennis Groe. n~ Agency Nome: Legal Svcs. Corp. oE fa. Address: 430 Iowa Ave., Ia. City Phone: 319/351-6570 Completed by: Jazl Rutledqe/Tim GOl~T~n Advisory Council Chair: .... ",~ '7;I/; 9130/98 ' X,,,,.~ COVER PAGE Program Summary: (Please number programs to correspond to Income & Expense Detail, i.e. Program 1, 2, 3, etc.) Program 1: Legal advice and representation involving civil legal matters for low inccme people. Local Funding Summary: United Way of Johnson County --. Does Not Include Designated Gvg. Ci,,y el Iowa City Johnson County City of Cor~lvill~] 4/1/95 - 4/1/96 - 4/1/97 - % o[ Total 3/31/96 3/31197 3/31/98 Budget 21,800 ~ 21,800 $27,800 8.6% FY96 FY97 FYQ8 -267- BUDGET SUMMARY AGENCY LeGal Ser_k'J.118~ C_p.Kporatton'of..IQw.3L ACTUAL THIS YEAR BUDGETED LAST YEAR PIqOJECTED NEXT YEAR 1995 1996 1997 Ent.'r Your Ag~ncy°s Budget Year 1, TOTAL OPERATING BUDGET (Total [~ + bl a, Carryover. Balance {Cash from line 3, p~viuus ' - column)" b~'l~dme (C~t~) ' 2, ,TOTAL EXPENDITURES (Total a, Nbd-dlrect~d lunding .: ::.b)' .Program ~.otM {List Progra?s below) 291,091 277, 221 316,027 3, '- ENDING OIl'[{RATING BAEANCE (Subtract 2 - 1) RESTRICTED FOND BALANCE {Total lrom p~,ge 7) 5, 'iN.KIND SUPPORT {Total from page 7) 6, NON-CASH ASSETS No.tes ~nd,C.omments'. Line 3 - Ending Operating Balance: ..... be'addressed by additional Line 4 - Ba].at~ce: 291,091 291,091 277,221 316,027 277,221 323,227 Restricted Fund Iowa Area a% y~ar 277,796 _ 9~861 . _ 22,104 .... .. 2~7.~360 301,123 5,200 ........ $,500 z09,825 I0~ 975 _ _' ..~._~ ?, 5 3 ......L The projected deJicit f t~ndr a i sing. ResBricted funds from l(ll_,..1 2..t.. 109,825 of $7,200 will the Southsast fully expended Agency on Aging end. are projected'to be -268- -2-- m. ~oho~.CountV ............. b, CILy ~1 Iowg .~q~.y ........... ~, S~ 1A, AAA 5,200 . f, United W~y-Bu~lin~ton 4,000 ACTUAL THIS YEAII [:}UDGE TED NON, PROGRAM LAST YEAR PROJ~CT£D NEXT YEAR DIRECTEl:) I 1995 1996 1997 FUNDING 40,689 0 2_? e.z_.~p..p_o o .....,.~ 7, 8 e.O. .5__, S25 _ ,...~ , 525 2 , 000 2 , 000 2 , 000 ~85,949 185,949 17_.,. 234 ~ 68 ~7 ~..5. ...... 4 o ,.5_3. 7~_o., ,~ ~. 3 ..... ......4_.0 ,..9 9 3 20,224 52,528 4, ~.7. 0' 47,658 .. .A, Lega-1- Services CorD. ~, IOLTA c, State of Iowa d. .. O .....Net 8ale~ ,of ~;m'ices [so~es[ ..... b. C, b, C, .'1.54 'l PROCRAM b, Olher 6onlrlbu~ions One Gift . 70 1.37 145 .................. ! 45 ..... 3.,...5.2 7 273 7, .!.o. te.r.e st.,Income .... . ....... . . s%~Fee 8_w..~rds G :r'ei.l~bu.r.~.. b. Nol~l~ andl~ommenu., Line 8a - Fee restricts ~he acceptance funded .oroqram~. That Awards: Congressional action in A~il, 1996, of fee awards by Legal Services Corporation accounts for the ¢trok~ in .,.Projected income, -3- -269- PROGRAM EXPENDITURE DETAIL 1. Salaries 2. Employee Benefits and Taxes 3. Staff Development 4. Professional Consultation 5. Publications and Subscriptions 6. Dues and Membe~'ships 7. Mortgage, Rent, and Property Tax 8. Building and Maintenance ' 9. Equipment Purchase/Rental Maintenance Utilities 11. Telephone 12. Office Supplies and Postage 13. Printing and Publicity - 14. Local Transportation .' 15. Insurance 16. Audit Interest ...... 18. Other (Specify): 19. Advisory Council 20. Library Litigation 22. Outside labor 23. 24. 25. TOTAL EXPENSES (shown also on page 2, line 2) Notes and Comments: AGE~4CY Legal Services Corporation ACTUAL THIS YEAR BUDGETED NON. PROGRAM LAST YEAR PROJECTED NEXT YEAR DIRECTED 1 1995 1996 1997 FUNDING 167,784 165,698 202,020 18,079 183,941 43,749 35,075 44,262 4,025 40,237 21,360 21,465 21,780 21,780 4,939 2,780 13,216 6~740 351 5,144 3,884 54 4,548 4,9.00 4,900 2,472 2,720 2,720 14,289 14,575 14,575 7, 42~ 7,R70 7,R7~ 48O 52O 52O 4,776 5,300 5,300 2,562 3,160 3,160 48 ....... 60 __ 60 167 240 240 240 11,321 5,664 6,240 6,240 4,451 5,268 5,580 5,580 5,151 7,208 4,000 4,000 291,091 277,221 323,227 22,104 301,123 of Iowa PROGRAM.._] 2 -270- AGE~C~ L__e. gal $e.r,~ic~-s.,~orDoration.'~o.f Iowa ~,L'TU A L THIS ¥EAH BUOG£TED LA.~T YEA~. PROJECTED N£XT YEA/~ Restricted by: S,E, Iowa A~.ea Agency Total Restricted Funds (also shown pa~ 2, line MATCtlING GRAIlITS Civil legal a~sis:h- anoe ~o peools over aqe 60 in S~E. AAA service a r ~4'. GrantariMa[chad by: S ,E. Iowa and %OLTA funding AAA matched by LSC Total Malchlng 13rants lalso shown on page 3, lin, 2 ) '' · IN,KIN[] $UPPOR¥ DETAIL $e~vicaslYolunteors' Mzlarl~l Goods Space, U!,llitJe~, elc. _ . '. Other: IPlease spacily) 5,200 5,500 5,525 5,200/' 1,8~6 0 5 , 500/ 1,300 150 5,525/ 1 300 0 TOTAL IN.KIND SUPPORT IShown also on 1995: ~ole~ and ~orrrnent$: Volunteer Services: Donated' Goods: ..... 1 o9,82..s. ,109, 9.ZS 2Q~),SZS Donate Donate AttQrn Lawyer $ 80/hr The of mind or] c. omput their d in house attorp~? 55 hr d in house law clerks 1,2 d it] house' secretary 233 eye partio%pating in LSCI s Project donated 1,193,4 fica has received hwo use e computer %a'bl~ in 1996. ere are of nominal value vintage, s. X $80/hr. 61 hrs. X $9.~ 's Volunteer 5 hours at d computers ,The because of -271- -5- A1] regular employees are eligible for annual days of paid leave as follows: sick leave-14, personal leave-2, vacation 20-30 depending on length of em~yment~ and holiday-10, AGENCY Leqal Services Corporation o~ Iowa SALARIED POSITIONS see note above F'o$i~ion Managing Attn. X Staff Attns. X SUDDort Staff X Law Clerks "X" all that nppiy IiealU~ Relire Plan X see ~ote be]ow ACTUAL THIS YEAR / LAST PROJECT. FTE' YEAR ED lq.sI This Next Benefil.x YeRr Year Year 1995 1996 .22.6 . 75 . 75 19.9 3.5 3.5 31.2 1.5 1.5 7.7 1.0 32,57033,320 BUDGETED % NEXT CtIANGE YEAR 1997 43 , 400 30 . 3 4.0 10S,589104,011 120,80C 16.1 2.0 27,212 26,752 36,020 34.6 · 25 · 25 .25 2 . 43 3 ] · 615 1 · 800 11 . 5 T0talSalaries&FTE ;. 6.0 6.0 7.25 167784 165698 202020 'Full.lJmeequJvalent: 1,0 - lull.tJme;O.~ - h~!l,time:e~c. ~'~'~.'~ Note: Benefits.include FICA~ health, dental, life & disability insu and work comp. and unemployment insurance for all ~ositions except law clerks. Law clerks receive FICA, unemployment and work comp. coverage only. -272- -6- 21.9 ice AGENCY: [.eqa_l., Services Corporation of Iowa ACCOUNTABILITY QLIESTIONNAIRE A. ,A3ency.'s Mission Statement or Pdmary ?u.rpqs.e:The. m&s.s,i.on of the Legal Services Corpora- tion o~ iowa 'is to secure a full measure o= 3us~lce zn pUD±lC and private affairs for low inccme persons with emphasis on legal problems* involving basic necessities, fundamantal rights or safety. "LSCI seeks to improve the lives of people living in poverty by providing high quality legal services and er~pc~er clients with self advocacy skills through legal education. LSCI strives to treat all people with respect and dignity and work to dispel p~evail~ng n~ft~i_s. and misconceptions about low income people. · ~oard or u~recmrs: Please attach a list of your agency's Board of Directors -. .Frequency of meetings: four per year * Bde,qy descdbe board odentaticn and ongoing trainincl opportunities' 3oard members az'e provided a c~rehensive Board manual, fhat se~s ~brth pr-o~am policy. New members are provided training in sessions held the evening before the weekend meetings. In addition, the Director meets regularly with members prior to Board meetings o Finances: 1. If your agency charges a fee for services, describe your fee structure. N/A 'D(~e's you~ agency have anq.Qtemal audi~ external audit or a financial review? :: .... (circle one) Frequency Annua~ .]y . . ....,. Has your agency filed he Annual Report with the Secreta~ of State? Yes X .. No Has yoOr agency filed Form 990 with the IRS? Yes x No Please' discuss your agency's fundraising efforts, if applicable. (e.g. events, direct mail campaign. planned giving, etc.) ~'~-zis year :T._SCT conducted its first donor solicitation fund-raising event through the Iowa Lawyers Campai.gn for Legal Services° This event was co-sponsored by LSCI, the Legal Aid Society of Polk County and HELP Legal Assistance, Inc. In addition, the campaign was endorsed by the Iowa State Bar Association. D, Management: 1. Does each professional staff have a wdtten job description? Yes No X ** 2,Is the' agency Director's performance evaluated at least yeady~ Yes x No By Whom? Board of Directors * The Iowa City Regional Office has a local Advisory Board that meets four times per year. ** ~mployees are provided a written job expectations mc~o in lieu of a job description. -273 - '7- Legal Services Corporation of Iowa E. Program/Services: Please define your agency's units of service (service definition, length of time, cost per unit of service, number of units provided~ direct or indirect.) One unit of service is the provision of assistance to one low- income person in connection with one legal problem. LSCI "counts" a case at the time when it is closed. A case may involve only giving advice or may involve years of litigation in state or federal court. Please supply information about clients served by your agency during last two complete budge% years. Refer to form instructions for definition of duplicated and unduplicated. 1o How many Johnson county residents (including Iowa City and Coralville) did your agency serve? 2. How many Iowa city residents did your agency serve? .. How many Coralvill~ residents did your agency serve? 4o How many units of service did your agency provide? Enter Years la. Duplicated Count lb. unduplicated Count2 2a. Duplicated Count 2b. Unduplicated Count 3a. Duplicated Count 3bo unduplicated count 4a. Total ........... 4b. To Johnson County Residents 1994 1995 staff/VLP $taff/VL~1 796/79 758/136 562/57 * 553/86 130/16 124/24 1,736/172 1,595/288 796/79 758/136 ~ The VLP (Volunteer Lawyers Project) is operated by LSCI and matches eligible clients with private attorneys who have agreed to provide services without charging .a,* fee.. The first column represents cases closed by the Iowa City staff; the second, cases closed by VLP attorneys in the service area of the office° 2 LSCI keeps its data in terms of closed cases, not clients. LSCI's case management software does not allow us to separate out duplicated from unduplicated clients. Some clients are served with more than one legal problem (e.g., a person may need a domestic abuse protection order and assistance in obtaining public benefits to provide health care for her family),, but the vast majority of clients are served with only one case. -274- Legal Services Corporation of Iowa 5. Other. Areas. Served Do you provide services to areas outside of Johnson County? Area(s) served: Cedar, Des Moines, Henry, Louisa, Muscatine and Washington counties. Services provided: free legal services to low-income Deople in civil (non-criminal) matters. Funding Sources: Legal Services CorDoration (national grant source), Lawyers Trust Account Commission., Area Agency on Aging in Burlington, the Burlington Area United Way, the State of Iowa, and the Iowa Lawyers CampaiGn for Leqal Services. Client Profile (for last complete year, if available): Johnson County, all cases closed, either by staff or the Age 0-5' 6-17 18-29 30-61 62-75 75 + 832 '36 Gender M 267 F 627 Ethnicity African American 113 Native American 6 Asiah' 12 Hispanic 22 White 741 Multi-racial 7. Evaluation and Review: Please discuss howyour agency measures the success of its programs. - The quality of our work is measured by the managing attorney in each office, the litigation directors, and the executive director. Among the factors considered are the number of cases, the types of cases, and the complexity of the cases. The outcome is important, of course. However, even high-quality advocacy cannot guarantee :a successful outcome for the client. We measure our success in terms of providing access to the judicial system in a competent · manner. Our agency is now in the process of reviewing and refining our outcomes measures for each of our programs and offices to satisfy evolving National Legal Service Corporation guidelines. -9- -275- Legal Services Corporation of Iowa B. Does your agency have performance objectives? [Give several examples] Our agency has the following performance objectives established for our Iowa City office in 1997: If staffing patterns assumed in the budget are realized, it is projected that the Iowa City Regional office will handle -thefollowing numbers of cases, either with in-house staff, or by referral to the Volunteer Lawyer's Project. Type of Legal Problem # Cases Consumer Finance 263, -'~,Education 23 Employment 60 Family 569 Juvenile 0 Health 61 Housing ~46 Income Maintenance 310 Individual Rights 75 Miscellaneous'-,'_ ......... 48 Total -. 1855 Co What plans does your agency'have to'increase efficiency ', and effectiveness? ~' 'LSCI has begun a formal program of soliciting client responses when.a case is closed (and the case involves more than advice or brief service). LSCI continues to improve its technological capabilities, and plans to install computer networks in 1996 in half of the eight offices which do not already have networks° ~ The two litigation directorswill soon have access to West Law, a computerized legal research on-line service. LSCI offices will soon be provided with answering machines. LSCI upgraded its case management software in 1995 to accommodate new time-keeping requirements. The new software enables the clerical staff to compile reports more efficiently. LSCI plans to continue to save money on library expensesby obtaining the temporary soft cover volumes of three case reporter series from a local law firm. (The law firm would otherwise throw -276- -10- Legal Services Corporation of Iowa away the temporary volumes when the hard-bound volumes arrived.) LSCI plans to move toward smaller, more narrowly-focused materials for client publications, rather than larger, more comprehensive booklets. This will save on copying costs and postage, and make updates easier. 8o In what ways will the needs of your service population change in the next five years: Welfare reform legislation and other cost-cutting initiatives on the national level and state level will likely produce many more needy people who are not automatically entitled to assistance, and who will need even more help than in the past to access remaining benefits programs. These changes affect not only cash 'assistance programs, but also food programs, housing subsidies, energy assistance, and medical care. The assistance of an attorney with special training in poverty law often makes the difference between obtaining or retaining essential benefits, and hunger, homelessness, illness, abuse, and despair. 9o Please discuss any other problems or factors relevant to your agency's programs, funding or service delivery: It is difficult to frame our problems in any terms other than lack of advocates. We seem to be well=known among other service providers, judging from the volume of referrals we receive, and as a general matter, we are able to work with other agencies cooperatively in resolving problems. Our primary problem is simply having too few advocates to handle the legal needs of everyone who contacts us with a legitimate request for help.~ There are approximately 10,000 low-income Iowans for every Legal Services attorney in Iowa. Despite the fact that in 1995 LSCI served nearly 18,290 persons statewide, there was unmet legal need. 10. List complaints about your services of which you are aware: The major criticism is based on our rejection of cases° As indicated by the information above, we are thinly-staffed, and so the rejection of clients with a genuine need for help become inevitable° LSCI has a formal complaint process for clients and the public° 11. Do you have a waiting list or have you had to turn people away for lack of ability to serve them? What measures do you feel can be taken to resolve this problem: We have no waiting list and are concerned about liability problems owing to possible misunderstandings about whether LSCI is representing the persons on the list. We are attempting to deal with the problem of under-staffing by involving more local attorneys in the provision of services -277- Legal Services Corporation of Iowa through the Volunteer Lawyers Project° The goal from the Iowa City Office for 1996 is 150 referrals. In addition, we have advice clinics, where private attorneys come to our office in the evening and give advice to eligible clients. 12. How many people are currently on your waiting list? N.A. In what way(s) are your agency's services publicized: First, we have been providing legal help in Johnson County for so long that most other service providers are well aware of our existence, and we receive many referrals from those other providers° Second, we engage in outreach efforts in the community legal education presentations, which inform potential clients and service providers about the law and about the availability of our services. Third, we distribute occasional press releases concerning legal services activities, and receive media coverage calculated to inform the public of the nature of our services. LSCI attorneys give talks at the Free Lunch Program and at the DVIPo 13o United Way involvement by your agency: participates) (Check if agency a. Agency Directors Meetings x bo Agencies Representative to Funding Hearings in the past c. Business Blitz x d. Day of Caring e. Executive Development Seminars x f. Kick Off x g. Victory Reception x h. Volunteer Action Center x i. Other' AGENCY HISTORY In the late 1960's, the Hawkeye Legal Services Society was created as a delegate agency of HACAP, with funding from the U.S. Office of Economic Opportunity. The OEO was phased out in the early 1970's, however, and the U.S. Congress created the Legal Services Corporation (LSC). The Iowa City Office became a grantee of LSC in 1974. In 1977, the Legal Services Corporation of Iowa (LSCI) was formed, with a goal of providing free service to low- income Iowans in every county, with the-'exception of Polk County, which maintained a separate legal aid society. The Iowa City Office and several other small offices in Iowa merged into LSCI, and the program expanded until 1980, mainly through funding from LSCo In 1982, however, federal budget cuts reduced LSCI's funding from LSC by about 30%. As a result, five of the 15 offices in the -278- Legal Services Corporation of Iowa state closed, and the surviving offices began making greater efforts to secure funding from other sources to maintain staff sizes at workable levels. The Iowa City Office first received assistance from United Way in 1983, when United Way funded a half- time attorney position. Funding on the federal level was essentially static for several years, while costs rose dramatically. As a result, the LSCI Board considered closing the Iowa City and Dubuque offices in 1989, but did not, owing to a grant from the IOLTA (Interest on Lawyers Trust Account) Commis- sion. In 1991, in response to continuing budget problems, the LSCI Board decided to lay off one clerical worker in each office. Congress voted a one-third cut in funding in 1995, which amounted to about a one million dollar loss for legal services programs in-.Iowa. This reduction was ..anticipated, and LSCI prepared by freezing positions vacated in 1995, slashing library expenses, and cutting back on training, publications and other items. In the Iowa City office, one staff attorney position and one clerical position were frozen for most of 1995. In addition, the managing attorney also served as the Acting Managing Attorney in the Cedar Rapids office from April 1995 until March 1996. Fortunately, the Iowa Legislature made up nearly all of the federal cut° In addition, a fund raising campaign among Iowa lawyers had modest success. As a result, both the staff attorney position and the clerical position in the Iowa City office were unfrozen in 1996. The outlook for 1997 is still cloudy. The House of Representatives voted a 10% cut for FoYo t996. Even if the Senate version (about 4% increase) prevails, LSC funding will still be only $288 million nation-wide, as opposed to $415 million in F.Y. 1995, prior to the rescission. Presently, the Iowa City Office serves seven counties: Des Moines, Henry, Johnson, Cedar, Louisa, Muscatine and Washington. Staff members provide advice and representation to individuals in a wide variety of cases identified by-'survey as 'high priority areas, cases which involve safety, shelter, and denial of funda- mental liberties and other critical legal problems. Among these are income maintenance (e.g., FIP (ADC), Food Stamps, Social Security, Unemployment Compensation), health law issues (e.g., Medicaid and Medicare), housing law issues (eog., landlord-tenant relations and federally subsidized housing), individual rights (eog., rights of mentally or physically handicapped), family abuse, consumer law problems, utility problems, .and special education issues. In 1993, LSCI formed a Disaster Response Team to assist low-income Iowans affected by the flooding. The staff also is involved in presenting talks to groups of low-income people or agencies that deal with low-income people, in order to educate them about legal rights and responsibilities in various areas of the law. In 1996, the Iowa City office began regular outreach at the DVIP. A staff attorney presents a talk on an area of the law, and takes applications for assistance. LSCI plans to continue this outreach in 1997. -13- -279- Legal Services Corporation of Iowa AGENCY GOALS FORM Agency Name: Legal Services Corporation of Iowa Year: 1997 Iowa City Regional Office Name of Program: Legal Services for LowsIncome People of Johnson County LEGAL SERVICES FOR LOW-INCOME PEOPLE IN JOHNSON COUNTY GOAL: TO PROVIDE LOW-INCOME PEOPLE OF JOHNSON COUNTY WITH ACCESS TO QUALITY LEGAL HELP, FREE OF CHARGE Objective A: To provide legal assistance to homeless people of Johnson County° Tasks: 1o Continue outreach to people at the free lunch program. 2° Prevent or alleviate homelesshess by repre- senting people in retaining or gaining housing and public benefits. Objective B: To provide legal assistance for low-income people with public benefits problems: Assist people with the following types of problems: Improper denial or reduction in the following benefits: · Aid to Families with Dependent Children (ADC) and the Family Investment Plan (FIP); · Food Stamps; · Title XIX (Medicaid)~ · General Relief; and · Medically Needy 2. Improper denial of initial application or cessation (termination of current benefits) regarding disability benefits. · Supplemental Security Income (SSI); and ® Social Security Disability Insurance ® Veterans' Benefits Tasks -280- ~14~ Objective C: Task: Objective D: Task: Objective E: Tasks: Objective F: Tasks: Legal Services Corporation of Iowa To provide legal assistance for low-income people who are victims of domestic abuse° Represent victims of domestic abuse to secure legal remedies, including domestic abuse protective orders in court. To provide assistance with special education prob- lems and due process in schools. To assist clients with the following types of prob- lems~ 1. Denial of a free, appropriate education for students with disabilities; 2o Denial of due process rights for students. To provide legal assistance for low-income people with housing problems: 1. Violations of landlord/tenant law: ® lock-outs; ® seizure of property; o evictions; and · utility shut-offs; 2. Housing discrimination; 3° Illegal standards/procedures in federal hous- ing programs. To provide legal assistance for low-income people with consumer law problems. Assist clients with the following types of problems: 1. Illegal garnishment of exempt property; 2. Repossession of unlawfully detained personal property; 3. Unlawful debt collection practices; 4. Improper utility shut-offs; 5° Violations of state and federal Truth in Lending Acts. -15- -281- Objective G: Tasks: Objective H: Tasks: GOAL Objective: Tasks Legal Services Corporation of Iowa To provide legal assistance for low-income people with employment law problems. Assist clients with the following types of problems: Improper denial of unemployment compensation benefits or improper cessation of the same; and e Job discrimination. To provide legal assistance for low-income people with individual rights problems. Assist clients with the following types of problems: Violations of the rights of mentally ill or mentally handicapped persons to treatment in the least restrictive setting, adequate indi- vidual program plans and proper use of psycho- tropic drugs; 2o Violations of residents' rights in nursing homes or county care facilities; Disputes a client may have with his or her guardian or conservator; and 4. Denial of civil..._~$ghts based on a client's handicapping condition. TO PROVIDE OPPORTUNITIES FOR LOW-INCOME PEOPLE IN JOHNSON COUNTY TO LEARN ABOUT THEIR LEGAL RIGHTS AND RESPONSIBILITIES. To educate low-income people regarding their rights and responsibilities so they may become effective advocates for themselves Hold at least six legal education presenta- tions on topics of particular interest to the poor; Provide written materials explaining the law to local low-income people, through consulta- tion with individual clients and at legal education presentations to groups; and Inform other service providers of the written materials available through Legal Services, to ensure wide distribution of such materials to low-income people. -16- -282- GOAL: Objective A: Objective B: Legal Services Corporation of Iowa TO CONTINUE EFFORTS TO ENLIST THE ASSISTANCE OF THE PRIVATE BAR To refer 150 cases per year to the Volunteer Law- yers Project. To hold at least three advice clinics per year in Iowa City. Objective C: Resources Needed to Accomplish Program Tasks 1o Continue the part-time attorney position position funded in the past by United Way° To conduct continuing legal education classes on poverty law for attorneys. and law clerk 2o Miscellaneous supplies for legal work, community education and outreach. 3. Travel expenses. 4. Professional liability insurance. 5. Office space, utilities and telephone. 6o Litigation expenses° Cost of Needed Resources . $27,800* annually for part-time attorney and law clerk TOTAL $27,800 *LSCI actually "needs" more than $27,800, but is requesting only $27,800 from the Johnson County United Way. Please see the exptanatioD 9n page°2. -17- -283 - LSCI BOARD OF DIRECTORS BUCHANAN, SCOTT G.* (1997) Buchanan, Buchanan, Bibler, Buchanan & Handsaker 111"N. Dodge Street Algona, IA 50511 515-295-3565 (Office) CUMMINSf MILDRED (1996) 193 Jacolyn~Dr., N.W., %107 Cedar Rapids, IA 52405 319-396-6365' DANIELSON, CYNTHIA H.* (1998) Danielson Law Office 110 N. Jefferson Street P.O. Box 454 Mr. Pleasant, IA 52641 319-385-9522 (Office) DIETH, LAURA (1998) P.O. Box 211 Lone Tree, IA 52755 319-629-4515 FOWLER, JAMES F.* (1998) Wilson, Fowler & Fusco 209 N. Howard Street P.'~'OX 197 Indianola, IA 50125 515-961-5377~ (Office) JENKINSON, PAT (1998') 1607 E.' 5th Street Emmetsburg, IA 50536 712-852-4916 (Home) KINTIGH, THOMAS F.* (1998) 211 North Washington O. ttumwaf IA 52501 515-684-6517 (Office) KUTZKO, DIANE* (1998) Shuttleworth & Ingersoll 500 Firstar Bank Building P.O. Box 2107 Cedar Rapids, IA 52406-2107 319-365-9461 (Office) McHALE, JOHN M.* (1998) 233 Pearl Street P.O. Box 1078 Council Bluffs~ IA 51502 712-328-3157 (Office) SCHWARTZ, BARBARA* (1998) University of Iowa College of Law Iowa City, IA 52240 319-335-9092 (Office) 319-338-0674 (Home) SMALLEY, JEAN (1998) R. R. 8 Bloomfield, IA 52537 515-929-3247 (Home) STEFFES, JAMES C.* (1998) 211 N. Maple ~Creston, IA 50801 515-782-7007 (Office) *Designates Attorney Members Terms expire each year with the conclusion of LSCI's annual meeting. The Council Bluffs/Sioux City client representative seat is currently vacant. Rev. 9/18/96 -284- LSCI Board of Directors COMMITTEE ASSIGNMENTS 996/ 997 - -EXECu%iV -coMM T .E John~McHale (President) Diane Kutzko (Vice-President) Jean Smalley (Secretary) Barbara Schwartz (Treasurer) Diane Kutzko, Chair "Jean Smalley Scott Buchanan .... Cynthia Danielson .......... Mildred Cummins John McHale (Ex-Officio) BUDGET & AUDIT COMMITTEE Barb Schwartz, Chair Jim Fowler ..................... Laura Dieth Jim Steffes John McHale (Ex-Officio) __~_~PROGRAMS., PLANNING & PROJECTS COMMITTEE Cynthia Danielson Pat Jenkinson . .. (Vacant) JohnMcHale (Ex-Officio) FUNDRAISING & BAR LIAISON COMMITTEE Tom Kintigh, Chair Jim Fowler Mildred Cummins John McHale (Ex-Officio) *Pursuant to LSC regulations, this committee must be composed of 3 attorneys and 2 clients. Rev. 8/6/96 -19- -285- LEGAL SERVICES CORPORATION OF IOWA REGIONAL ADVISORY COUNCIL MEMBERS September 1996 JOHNSON COUNTY Clients: Attorneys: Roberta 'Patrick 515 .Oakland_. Iowa City, Iowa 52240 338 - 0'309 '~'(home) Laura Poisel P.O. Box 21i' Lone Tree, Iowa 52755 629-4515 Paul McAndrew 122 S. Linn St. Iowa City, Iowa 338-9222 52240 Barbara Schwartz College of Law University of Iowa Iowa City, Iowa 52242 335-9023 Fax: 335-9019 Jay Stein Englert Bldgo P.O. Box 2416 Iowa City, Iowa DES MOINES COUNTY' Attorneys: 52245 Agency ReDresentative: Community.Action Program ~. Lyn Stinson 2850 Mto Pleasant, Suite 108 Burlington, Iowa 52601 753-0.193 HENRY COUNTY Michael Schilling President .... P.O. Box 821 Suitei7200,"Washington Plaza 205 Washington Street Burlington, Iowa 52601 752~3641 Fax: 752-4449 Attorneys: -20- -286- LEGAL SERVICES CORPORATION OF IOWA LOUISA COUNTY Agency ReDresentative. ..... Marcy Gerst Southeast Iowa Community Action ...... Program .-.205 E. AcceSs Rd, Suite D P.Oo Box 29 '~-'"Columbus Junction, IA 52738 .- (319)..728-2314 i':' Attorneys: Dave Matthews 326 Van Buren St. WaDello, Iowa 52653 523-3331 Fax: 523-5291 MUSCATINE COUNTY-. Attorneys:~=--- John Wunder 610 Cedar Muscatine, Iowa 263-8525 Fax: 263-2028 WASHINGTON COUNTY .Clients: Erma..Manning 1307 North 2nd -- Washington, Iowa' 52353 653-6061. Attorneys:- Douglas Tindal Secretary 222 West Main St. Washington, Iowa 653-2159-' ....... Fax: 653-5614 CEDAR COUNTY Attorneys: 52761 ADVISORY.CNC -21- -287- HUMAN SERVICE AGENCY BUDGET FORM Cit;y of Coralville JohnsOn County-=' -- City of Iowa City United Way of Johnson County CHECK YOUR AGE~CY'S BUDGET YEAR 111/97 -12/31197 4/1/97 - 3131/98 7/1/97 - 6/30/98 1011/97 -9130/98 2/1197- 1/31198 X Director: Pat Geissel Agency Name: Lutheran Social Service of Iowa Address: 125 S. Dubuque, Iowa City, IA Phone: (319) 351-4880 Completed by: Rich/~rd. L. Jensen., . COV~=R PAGE ....... Program Summary: (Please number programs to correspond to Income & Expense Detail, i.e. Program 1, 2, 3, etc.) 1, Family Counselingi-'Provide professional counseling services to families and individualsseeking assistance in resolving emotional problems or temporary stress that they may be encountering. 2, ~i~gna~cY'co~nseling!.~ Provide professional 'counseling service to expectant sir~gle parents faced with issues of ' pregnancy, parenthood, physical care arrangements, adoption, family and other significant relationships. 3, Sexual Abuse Treatment: Provide professional individual, family, and group counseling for child victims of sexual abuse~ and their families'.-Foc6s'is list~nihg; relieving pain and trauma, supporting ongoing safety, and coping with the nature of the abuse. 4. Other Programs: Includes foster care, therapeutic foster care, family-centered services, adoption services, and mental health c. oun.seling. ' .... Local Funding Summary: 4/1/95- 4/1/96- 411/957 - 3/31/96 3/31/97 3/31/98 United Way of Johnson County- $ $ $ Does Not Include Designated Gvg. 13,750 13,750 22,200 FY96 FY97 FY98 City of Iowa City Johnson County City of Coralville % of Total Budget 3.0% 16,068 16,068 16,800 2.3% -288- AGENCY BUDGET SUMMARY Enter You~ Agency's Budget Year: 1.~ TOTAL'OPERATING BUDGET (Total a + b) .... ..... a. Carryover Balance'(Cash from line 3, previous column) b. Income (Cash) 2. TOTAL'EXPENDITURES (Total a + b) a., .Non-directed funding b. Program total (List Programs below) * 1. Family & Individual Counseling * 2. Pregnancy-Counseling * 3. Sexual Abuse Counseling ---:4~Other~P. rograms.. ENDING"OPERATtNGBALANCE -(Subtract 2 - 1) RESTRICTED FUND ,BALANCE (Total-from page 7) IN-KIND SUPPORT (Total from page -7)' NON-CASH ASSETS Notes and Comments: ~C~6~t o.f s.e~ices to ~16h~on County residents only. I$ LUTHERAN SOCIAL SERVICE OF IOWA ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR 618,264 $ 646,139 $ 712,939 0 (26,123) (29,661) 618,264 672,262 742,600 644,387 675,800 751,700 33,322 35,100 39,500 611,065 640,700 712,200 48,441 49,700 46,200 15,347 15,700 15,800 29,363 21,800 17,300 517,914 .. 553,500 632,900 (38,761)I -2- -289- AGENCY LUTHERAN SOCIAL SERVICE OF IOWA INCOME DETAIL Local Funding Sources Johnson County (Pregnancy Counseling) City of Iowa City United Way City of Coralville 2. Grants = State, Federal, Fqundations a. Johnson County DHS (Sexual Abuse Coun.) b. Washington County (Mental Hlth. Coun.) c. For6man Fund (Sexual Abuse Counseling) d. Catholic Diocese of Dvnpt. (Flood Ad¥gcacy) 3. Net Sales of Se .r~!ces (sources) a. Iowa Dept. of Human Services (P.O.S.) b. Program Service Fees C. 4. Net Sales of Materia!s (sources) a. b. C. 5. Contributions/Donations a. United Way Designated Giving b. Other Contributions 6. Special Events a. Iowa city Road Races b. C. 7. Interest income 8. Other- List Below Including Miscellaneous a. Miscellaneous Income b. C. TOTAL INCOME (shown also on page 2, line lb) Notes and Comments: ACTUAL THIS YEAR BUDGETED NON- PROGRAM PROGRAM LAST YEAR PROJECTED NEXT YEAR DIRECTED 1 2 FUNDING Faro. Court. Preg. Court. Is 29,58115 29,8181s 39,0001s 2,25815 14,1721s 15,800 15,873 16,068. 16,800 1,000 15,800 13,708 13,750 22,200 1,258 14,172 190,943I 99,509I 90700j 4,798I '1 31,205 13,903 - 94,200 83,100 88,200 4,648 2,441 2,506 2,500 150 63,097 347,6591 492,3001 559,8001 29~6111 22,6751 302,796 418,000 471,300 24,835 44,863 74,300 88,500 4,776 22,675 IS 48,593I 2,846 45,747 900 900 49,457l 51,8001 2,759 1,281 1,~00 83 48,176 50,300 2,676 678 8OO 48 678 800 48 588 500 500 26 588 500 500 26 9,353I 1,417 7,936 618,26415 672,262 I $ 742,60015 39,500 $ 46,200,1 $ 15,800 -290- -3- AGENCY LUTHERAN SOCIAL SERVICE OF IOWA INCOME DETAIL (continued) 1," Local FU'nding Sources a. Johnson County b. City of Iowa City c. United Way d. City of Coralville e, 2. *-Grants-State, Federal, Foundations a. Johnson County DHS (Se~(ual Abuse Coun.) - b.' Washin-gton Co~ity (Mental Hlth. Coun.) c. Foreman Fund (Sexual Abuse Counseling) d. Catholic Diocese of Dvnpt. (Flood Advocacy) 3. Net Sales of Services (~ources) a. Iowa Dept. of Human Services (P.O.S.) b. Program Service Fees .. Net Sales of Materials (SOUroes) a. 5. Contributions/Donations a.' United Way Designated Giving b. Other Contributions 6. Special Events a. Iowa City Road Races b. C. 7. Interest'Income - 8. Other- List Below Including Miscellaneous a. Miscellaneous Income: b. C. TOTAL INCOME (shown also on page 2, line lb) ~Notes and Comments: PROGRAM PROGRAM PROGRAM PROGRAM PROGRAM PROGRAM 3 4 $ 6 7 8 Sexual Abuse Other Prog's - I~ 6,7701 $ -I I I I 6,770 83,552 2,350 446,465 6,958 54,091 470 39,218 752 474 I$ 47,300 I* 623,8o01III -4- PROGRAM EXPENDITURE DETAIL 1. Salaries 2. Employee Benef~s and Taxes 3. Staff Development 4. Professional Consultation 5. Publications and Subscriptions · 6, .':Dues and Memberships -7.-- Mortgage, Rent, and Property Tax -- 8=-..--Building Maintenance 9. Equipment Purchase/Rental Maintenance 10.--- Utilities- 11. Telephone 12.-~ Office Supplies and Postage 131' Prin{in~ ~nd Pu61icity 14. LocaITransport~tion 15. Insurance 16. Audit 17. Interest 18. Other (Specify): 19. Specifice Assistance To Individuals 20. Temporary Help 21. Staff Recruitment 22. Miscellaneous 23... Depreciation 24.- 25. TOTAL EXPENSES (shown also on page 2, line 2) Notes and Comments: AGENCY LUTHERAN SOCIAL SERVICE OF IOWA ACTUAL THIS YEAR BUDGETED NON- PROGRAM PROGRAMME.. LAST YEAR PROJECTED NEXT YEAR DIRECTED 1 2 FUNDING Fam. Court, Preg. Coun. $ 394,235 $ 414,700 $ 461,400 $ 22,400 $ 32,650 $ 11,100 79,043 .86,400 101,500 4,930 7,200 2,440 4,227 3,000 3,200 700 570 ~ 13,208 12,000 18,900 800 165 60 615 720 720 20 30 10 562 570 650 400 25 10 35,606 82,860 .... 84,780 - 2,775 1,030 4,185 2,900 3,400 ..... 70'0 300 100 3,386 4,700 5,400 800 210 80 3,044 1,000 600 600 210 80 10,592 13,500 11,600 600 675 360 5,865 5,34~ 5,800 1,000 480 90 1,752 500 1,450 450 160 40 27,839 25,500 30,000 600 360 260~ 1,813 1,850 1,900 500 120 4C 437 500 600 600 42,138 3,800 ._ 10,500 - - 7,948 7,800 1,000 .... 200 956 560 600 100 20 10 2,423 3,600 '3,600 - 2,400 10 - 4,513 4,000 4,100 1,700 240 90 $ 644,387 $ 675,800 $ 751,700. $ . 39,50~. $ 46,200 $ 15,800 -292- -5- PROGRAM EXPENDITURE DETAIL (continued) 1. Salaries 2. Employee Beneffis and Taxes 3. Staff Development 4.. Professional-Consultation 5. Publications and Subscriptions 6. Dues and Memberships 7. Mortgage, Rent, and Property Tax 8. Building Maintenance 9. Equipment Purchase/Rental Maintenance 11. Telephone ;12~ Office Supplies and Postage 13. Printing and Publicity "'~14. Local Transportation 15. 'Insurance 16. Audit ~17. Interest __ 18. Other (Specify): 19. ~ _Specifice Assistance.To Individuals 20.. Temporary Help 21 .- Staff Recruitment 22. ' Miscellaneous 23. Depreciation 24. 25. TOTAL EXPENSES (shown also on page 2, line 2b) Notes and Comments: AGENCY PROGRAM PROGRAM 3 4 Sexual Abuse Other Prog's $ 12,020 $ 383,230 2,640 .-84,290 110 1,820 140 17,735 10 650 10 205 1,680 79,295 5O 2,25O 100 4,210 - (290) 250 9, 715 90 4,140 800 80 28,700 30 1,210 10,500 20 780 - 47O 2O 1,170 5O 2,O2O $ 17,300 $ 632,900 LUTHERAN SOCIAL SERVICE OF IOWA PROGRAM PROGRAM PROGRAM PROGRAM $ 6 7 8 -6- -293- AGENCY LUTHERAN SOCIAL SERVICE OF IOWA RESTRICTED FUNDS ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR Restricted by: Restricted for: Total Restricted Funds (also shown p~ge 2, line 4) MATCHING GRANTS Grantor/Matched by: Total Matching Grants (also shown on page 3, line 2) IN-KIND SUPPORT DETAIL ServicesNolunteers Material Goods Space, L~iilitie's, etc. :'~-' Other:. (Please specify) TOTAL IN-KIND SUPPORT (Shown also on page 2, line 4) Notes and Comments: -7- POSITIONS AGENCY LUTHERAN SOCIAL SERVICE OF IOWA "X" all that apply FTE* ACTUAL THIS YEAR BUDGETED Position Paid Health Retire % Last This Next LAST PROJECT- NEXT Lve Ins. Plan Benefits Year Year Year YEAR ED YEAR Center Director 44 X X 22,0% 1.00. 1.00 1.00 $ 32,495 $ 33,700 $ 34,700 MSW Caseworkers 44 X X 22.0% 6,64 6,85 7.00 171,905 182,300 194,700 BACa~eworkers 44 X X 22.0% 6.60 7.02 8.00 131,687 141,200 163,300 Secretarial Staff 37 X X 22.0% 2.22 2.15 2.52 39,078 37,600 46,300 State Office Support Staff AIIoca, N/A N/A N/A 19,070 19,900 22,400 % CHANGE 2.97% 6.80% 15.65% 23.14% Total Salaries & FTE 16.46 17.02 18.52 $394,235 $414,700 $ 461,400 11.26% *Full-time equivalent: 1.0 .= full-time; 0.5 = half-time; etc. -- 3tes and Comments: 1. In the L~S.S. accounting system, employee benefits are allocated on the basis of an overall state-wide average rather than on a position-by-position basis. For 1997, health, retirement and payroll taxes are projected at 22% of gross salaries. -8- -295- AGENCY Lutheran Social Service ACCOUNTABILITY QUESTIONNAIRE A. Agency's Mission Statement or Primary Purpose The mission of Lutheran Social Service is to join and assist people in their struggle towards wholeness and empower them to achieve an improved quality of life. The provision of services to families and individuals focuses on treatment and prevention of social and psychological problems. Board of Directors: Please attach a list of your agency's Board of Directors Frequency of meetings: Iowa City-Monthly/Statewide-Quarterly Briefly describe board orientation and ongoing training opportunities: Orientation includes members' responsibilities, structure, meetings, reports, and agency tour. Members are informed of LSS goals, program services, staff and qualifications, consumer groups, funding sources and procurement, governmental laws relevant to LSS, relationships with other providers and funders. Orientation is viewed as a continuous process. Go Finances: I. If your agency charges a fee, describe your fee structure. ..... : ' ;;~ -.2.,, i' ~- . .Does your agency have: internal audit Frequency Annually There is no fee for Pregnancy Counseling~ Family Counseling and Sexual Abuse Treatment. clients are assessed a fee based on ability to pay and number of dependents. See attached Fee Schedule. MERIT and insurance are accessed when applicable. external audit X f'mancial review Has your agency filed the Annual Report with the Secretary of State? Yes X ' No ~- Has your agency filed Form 990 with the IRS Yes No Please discuss your agency's fundraising efforts, if applicable. X (Exempt) The agency participates in the Hospice Road Race. Advisory Board is being reactivated and restructured to assist with programming and fund raising. Director pursues grant opportunities. Statewides the agency conducts direct mail campaigns and promotes planned giving. Management: Does each professional staff have a written job description? Yes X Is the agency Director's performance evaluated at least yearly? Yes X No By Whom? Eastern Region Vice-President No -296- AGENCY Lutheran Social Service Program/Services: Please define your agency's units of service (service definition, length of time, cost per unit of service, number of units provide, direct or indirect.) Unit of Service is a case hour = duration of one hour.~ Represented by all time identified to an established case. Includes direct contact with clients, supervision~ collateral contacts and recording. Applies to Family/Individual Counseling (FIC), Pregnancy Counseling (PC). FIC - cost = $31.80/hour '94 - 1500 hours provided '95 - 1613 hours provided PC - cost = $27.90/hour '94 - 694 hours provided '95 - 570 hours provided Please supply information about clients served by your agency during the last two complete budget years. Refer to form instructions for definition of duplicated ahd unduplicated. 1. How many Johnson County residents (including Iowa City and Coralville) did your agency serve 2. How many Iowa City residents did your agency serve? Enter Years- 1994-'95 1995-'96 la. Duplicated count NA NA lb. Unduplicated count NA NA Johnson County 271 Agency Total 490 2a. Duplicated count NA NA 2b. Unduplicated count NA NA 3. How many Coralville residents did your agency serve? 3a. Duplicated count NA NA 3b. Unduplicated count NA NA 4. How many units of service did your agency provide? 4a. Total 8,806 10,343 4b. To Johnson County 5,244 5,878 Residents Other areas served: Do you provide service to areas outside 0f Johnson County? Area(s) served: Washington, Iowa, Cedar, Henry, Keokuk, Muscatine Counties Services provided: Community Counseling Center in Washington County Contracted Family and Children services in all counties above. Funding Sources: Washington Counseling - Contracted with Washington County Family and Children services - Iowa Department of Human Services. 10 -297- AGENCY Lutheran Social Service Client Profile (for last complete year, if available): J=Johnson T=Total O- 5 ., 6-17 18 -. 29 30 -61 62 - 75 .I-31 I.'emale .I-80 Male T-154 -60 -99 1'-184 J-! '1'-215 I'- I (II Asian J.-(i I. llll i $p~.!lll i C (l ;auc:lsian,. ,~on.tllisp;u,fic 75+ i J-O i i '1 MUhli-raci:d !l-[} .I-_..~3 .I-6 'l'-I I Evaluation and Review: ho Please discuss how your agency measures the success of it's programs. Lutheran Social Service measures success of its counseling programs with a newly revised two-page client satisfaction questionnaire. It is an indicator of the level of appropriate services provided. Terminating clients are asked to rate the individual counselor, the agency, and outcome of their counseling. Quarterly reports of the results are distributed. Does your agency have performance objectives? (give several examples.) Lutheran Social Service is a statewide accredited mental health provider. The primary standard is compliance in all areas of accreditation guidelines. Each office is audited and rated in its counseling programs. An LSS Quality Assurance Team randomly checks files in all programs on a quarterly basis. What plans does your agency have to increase efficiency and effectiveness? Standardized forms and procedures are used to comply with question 7.B. All counselors are Licensed Independent Social Workers (LISW). As a result, individual supervision is being decreased and more LISW group clinical supervision is being utilized. The office is working diligently to increase direct hours. More volunteer services are being used and we are looking for more areas in which volunteers can be of help. In what ways will the needs of your service population change in the next five years: The majority of the clients we serve in the three programs for which we are seeking funding are low income citizens. It is our fear that as more government cuts are made their stress will increase as their lives become more difficult; we anticipate increased requests for service. -298- 11 AGENCY Lutheran Social Service Please discuss any other problems or factors relevant to your agency's programs, funding or service delivery: The primary funding for our Sexual Abuse Treatment program has been eliminated. We are seeking additional United Way Funds to enable us to continue to service these victims and their families. We are also actively pursuing other funding sources. o 10. ll. 12. 13. List complaints about your services of which you are aware: The waiting list for Family and Individual Counseling. Do you have a waiting list or have you had to turn people away for lack of ability to service them? What measures do you feel can be taken to resolve this problem: Pregnancy Counseling has no waiting list and people are seen almost immediately. The Sexual Abuse Treatment program did not have a waiting list but now that it is no longer DECAT funded, some have to wait. We make every effort to see these young victims as soon as possible because of the nature of their trauma. Family and Individual Counseling has a waiting list. It has been shortened through periodic reviews and increased part-time counseling hours. How many people are currently on your waiting list? 8 In what way(s) are your agency's services publicized? United Way membership Word of mouth Brochures Advertisements Telephone Books Presentations to Churches, other providers, professionals News Releases Community listings United way involvement by your agency: ("X" if agency participates) g. h. i. Agency Directors Meetings Agencies Representative to Funding Hearings Business Blitz Day of Caring Executive Development Seminars Kick Off Victory Reception Volunteer Action Center Other Road Race X X X X X X 12 -299- AGENCY Lutheran Social Service AGENCY HISTORY Lutheran Social Service was organized in 1939 as a non-profit statewide family and children's service agency. The purpose was to provide social case work and treatment of dependent, neglected, orphaned, delinquent, and handicapped children by providing services to met their needs in other than institutional care facilities. LSS is now accredited statewide by the Iowa MH/MR/DD Commission as a Mental Health Provider. LSS is also licensed by the Department of Human Services (DHS) as a child-placing and child caring agency. DHS (Licensing, Purchase of Service, and MH/M1UDD) make regular on-site visits and evaluations. We are also accredited by the Council on Accreditation o£ Services for Families and Children. The history of service to Johnson County residents began in 1947 with the opening of the Iowa City Center. Presently, the continuum of care for children and families of Johnson County includes Family and Individual Counseling, Pregnancy Counseling, Sexual Abuse Counseling, Family Centered Services, Foster Care Services and Adoption Counseling. Family and Individual Counseling is available to individuals and families experiencing difficulties in relationships. Problems frequently dealt with include marital discord, parent/child relationships, and individual difficulties. The focus of Pregnancy Counseling is to assist expectant mothers and/or couples to make responsible decisions and carry out a plan which is in their and the ehild's best interest. Counseling provides an environment for examining options for parenting, medical concerns, and birthing facilities, as well as information regarding financial resources. For twelve years, Lutheran Social Service has provided counseling services to 'victims of child sexual abuse and their family members within the Johnson County' area. Johnson County funded this program until the last fiscal year. It was supported in 1995-1996 by Johnson County Decategorization funds. As of July, 1996, because of budgetary factors, DECAT funding was not renewed. Presently, support is received from Johnson County Department of Human Services Purchase of Service, some MERIT, and Crime Victim Assistance° Individual, family, and group counseling are utilized in the Sexual Abuse Treatment Program. Individual counseling with the child victim assesses the child's mental health status and intervenes in post-traumatic stress symptomology. Family eounse!ing helps parents and caretakers to keep the child safe, assists with behavior associated with the trauma, and enhances the child's coping. Groups help parents feel less isolated and drawn apart during and after the trauma that a molestation can cause. Children's groups supplement individual and family counseling. They discover strength in affirming each other, instead of living in isolation and fear. Other services such as adoption services, family-based services, foster care, and therapeutic foster care, are also available to Johnson County residents. These are essentially supported by client fees, contractual agreements with the Department of Human Services, and church funds. Future plans include facilitation of more groups. We have identified a strong need and have experienced numerous requests for groups addressing parenting for specific age levels and men's issues. Lutheran Social Service is committed to providing services to families and individuals and is enabled to do so through the support of Johnson County United Way since 1970. -300- 13 AGENCY Lutheran Social Service AGENCY PROGRAM GOALS AND OBJECTIVES Name Of Program: Family and Individual Counseling Goali To provide counseling services to families, co..uples, and individuals in Johnson County. Objective A: During 1997-1998, provide 1500 units of counseling intervention to troubled individuals, families, and couples in Johnson County. Tasks: 1. Maintain present counseling staff and Iowa City Center. 2. Allocate approximately 29 case hours of staff time weekly for the purpose of counseling Johnson County residents. 3. Provide one evening per week of counseling services. 4. Provide information and referral services to families requiring service not offered by the agency. 5. Provide casework supervision and group clinical meetings to counseling staff. 6. Provide scheduled in-service training sessions for counseling staff. R~'sources: 1. Allocate 125 case hours of staff time per month. 2. Make available necessary office space, phone, supplies, and equipment to staff. Cost of Program: 1500 units ~ $32.60/unit = $48,900* *Includes only services to Johnson County residents and includes administrative costs. 14 -301- AGENCY Lutheran Social Service Name of Program,; Pregnancy Counseling Goal: To provide counseling, support, environmental assistance, parenting skills training and, if requested, placement planning to individuals facing unplanned pregnancies and/or parenthood. Objective A: During 1997-1998, provide 570 units of staff time for the purpose of providing counseling, support and, when indicated, placement service to single individuals facing unplanned pregnancies. ~ 1. Maintain counseling staff at Iowa City Center. 2. Allocate approximately 11 hours of staff time weekly for purpose of counseling Johnson County expectant single parents. 3. Provide casework supervision to service staff. 4. Provide scheduled in-service training sessions for counseling staff. 5. Provide information and referral services to families requiring assistance not offered by the agency. Resources: 1. Allocate approximately 48 case hours of staff time per month. 2. Make available necessary office space, phone, supplies, and equipment to staff. Cost of Prograrm, 570 units ~ $29.47/unit = $16,800 * · Includes only services to Johnson County residents and includes administrative costs: 15 -302- AGENCY Lutheran Social Service Name of Program: Sexual Abuse Treatment Program Goal: To provide professional counseling services to Johnson County child victims of sexual abuse. Objective A: During 1997-1998, provide 504 units ~f counseling intervention to children and their families. Tasks: 1. Maintain present counseling staff at Iowa City Center. 2. Allocate approximately 10 case hours of staff time weekly for the purpose of counseling child victims and their families. 3. Facilitate two support/educational groups for parents and.caregivers of sexually abused children. 4. Provide two therapeutic groups for sexually abused children as continuation of their individual and family counseling. 5. Provide one evening per week of counseling services. 6. Provide information and referral services to families requiring service not offered by the agency. 7. Provide casework supervision to counseling staff. 8.Provide scheduled in-service training sessions for counseling staff. Resources: 1. Allocate 42 case hours of staff time per month. 2. Make available necessary ,office space, phone, supplies, and equipment to staff. Cost of Program: 504 units ~ $36.51/unit = $18,400' *Includes only services to Johnson County residents and includes administrative costs. 16 -303- Name Gene Brawnet Don Carstensen Henry Herwig Anne Hesse Anne Lahey Richard Nelson Verne Nelson _ Clayton Ringgenberg. Consumer to be named Consumer to b~inamed Community member to be named Community member to be named 09/96 -304- -~7- LUTHERAN SOCIAL SERVICE OF IOWA BOARD OF DIRECTORS 1995-1996 Northeastern Synod Bishop Steven Ullestad Senator Merlin Bartz Ms. Na6r//i SYCraft Dr. Mary Franken Roger Olesea Sue Orton Rev. William P. Thalacker Southeastern Synod Bishop Paul Werger Rev..David Aanonson Mr. Matthew Fardai Joanne Frederiksen Mr. Richard Gonzalez Rev. Walter May Mr. Charles Sail-is Karla Tillotson We~.stern Synod Bi p Curtis Miller Rev. Tom Dettmer Ms. Linda K. Krei Rev. Eric Kutzli Carole Peterson - Elfrieda Saylor Fiordeliza Zerzaso Johnsen -18- -305- LUTHE~:N:i SOCI AL.'!SERV1CE OEIOWA .... N,am~ ....... Address Gene Brawner Don Carstensen Henry Hem, ig Anne Hesse 4 Crestwood Circle Iowa City, IA 52245 11 Westview Acres, NE Iowa City, IA 52240 2461 Tenth Street Coralville, IA 52241 353 Lexington Avenue Iowa City, IA 52246 Anne Lahey 333 Finkbine Lane iowa City, IA 52240 R/chard Nelson University of Iowa MAB 218 -- Iowa City, IA 52242 Verne Nelson' 3414 E. Court Street, #3 Iowa City, IA 52245 C ia7!:_ ¢~.._Pd'~ngge~berg~ _ 822 Juniper Drive Iowa City, IA 52245 Telephone No. 338-5816 (home) 354-5000 (work) 354-1876 (home) 337-1056 (work) 351-7214 (work) 337-3796 (work) 354-5874 (home) 339-6100 (work) 337-6574 (home) 335~8066 (work) 351-4550 (home) 354-1500 (work) 351-3103 (home) O9/96' -306- -3.9- "",, Annual Financial ~ , ' Resintree Base t S1.1,000 & UN!)ER 11,001 - 12,000 12,001 - 13,000 13,001 - 14,000 14,001 - 15,000 -' 15,001 ' - 16,000 ' !6i001 - 17,000 17,001 ""~i8,000 18,001 - '19,000 19,001 - 20,000 20,001 - 21,000 21,001 - 22,000 22,001 - 23,000 23,001 - 24,000 24,001 -- 25,000 25,001 .... .-~ ~-.- :~26,000 26,001 .... 27,000 .~ 27,001 ~ 28,000 28,001 ..-....29,000 29,001 - _ .3_0,000 30,001 - 31,000 31,001 o 32,000 32,001 o 33,000 33,001 - '34,000 34,001 - ~' 35,000 35,001 - 36,000 36,001 - 37,000 37,001 - 38,000 38,001 - 39,000 39,001 ·- 40,000 40,001 - 41,000 4L 001 '- 42,000 42.001 - 43,000 43. 001 - 44,000 44.001 45,000 45. 001 46,000 46.001 47,000 47.001 48,000 48 001 49,000 49 001 50,000 50 001 & OVER LUTHERAN SOCIAL SERVICE OF IOWA Mental Health Counseling Fee Scale [' ' ' 'N u.,,n her ()!' I'enqons Liv]ng i n ~ 1 . :2 3 $1 (').(,)(1 510.00 $1().00 510.0() 12.00 10.00 10.00 10.00 14.00 10.00 10.00 10.00 .16.00 12.00 10.00 10.00 18.00 14.00 10.00 10.00 20.00 16.00 12.00 10.00 22.00 20.00 14.00 10.00 25.00 22.00 17.00 13.00 28.00 24.00 20.00 16.00 30.00 26.00 22.00 18.00 33.00 29.00 25.00 21.00 36.00 32.00 28.00 24.00 39.00 35.00 31.00 27.00 42.00 38.00 34.00 30.00 45.00 41.00 37.00 33.00 48.00 44.00 40.00 36.00 51.00 47.00 43.00 39.00 54.00 50.00 46.00 42.00 57.00 53.00 49.00 45.00 60.00 56.00 52.00 48.00 63.00 59.00 55.00 51.00 65.00 61.00 57.00 53.00 67.00 63.00 59.00 55.00 69.00 65.00 61.00 57.00 71.00 67.00 63.00 59.00 73.00 69.00 65.00 61.00 75.00 71.00 66.00 63.00 77.00 73.00 68.00 65.00 78.00 75.00 70.00 67.00 80.00 77.00 72.00 68.00 80.00 80.00 74.00 70.00 80.00 80.00 76.00 72.00 80.00 80.00 78.00 74.00 80.00 80.00 80.00 76.00 80.00 80.00 80.00 78.00 80.00 80.00 80.00 80.00 80.00 80.00 80.00 80.00 80.00 80.00 80.00 80.00 80.00 80.00 80.00 80.00 80.00 80.00 80.00 80.00 80.00 80.00 80.00 80.00 I.:nit 5 ..% I 0.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 12.00 14.00 17.00 20.00 23.00 26.00 29.00 32.00 35.00 38.00 41.00 45.00 48.00 51.00 53.00 55.00 57.00 59.00 61.00 63.00 65.00 67.00 68.00 70.00 72.00 74.00 76.00 78.00 80.00 80.00 80.00 80.00 6 ,%10.oi) 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 14.00 18.00 22.00 25.00 28.00 31.00 34.00 37.00 40.00 44.00 46.00 48.00 50.00 52.00 54.00 56.00 58.00 60.00 62.00 64.00 66.00 68.00 70.00 72.00 74.00 76.00 78.00 80.00 80.00 -307- HUMAN SERVICE AGENCY BUDGET FORM City of Coralville Johnson County City of Iowa City United Way of Johnson County CHECK .YOUR AGENCY'S BUDGET YEAR 1/1/97- 12i31/97 4/1/97- 3/31/98 .~7/1/97- 6130/98 X 10/1/97- 9/30/98 Director: Diane L. Hagarty Agency Name: Mayor's Youth Employment P Address: 410 Iowa Avenue, Iowa City, IA Phone: 319-341-0060 Completed by · Diane L. HagaL3¥ . Approved by Chair Board: ._~q,) '~9~ ~ 9/17/96 (date) COVER PAGE Program Summary: (Please number programs to correspond to Income & Expense Detail, i.e., Program 1, 2, 3, etc.) PROGRAM 1 - Youth Employment: Includes transition funding from the Department of Human Services; Pregnant and Parenting Teegs f-unded by.the Iowa Dept. of Education through the school district; homeless services funded by Youth Homes; and Outreach Tracker funded by Juvenile Court Services and the Dept. of Human Services. PROGRAM 2 - Corps: Includes the Iowa Conservation Corps and the In-School Program. Both funded by the Dept. of Economic Development. PROGRAM 3- Entrepreneurial: Includes the popcorn wagon funded by a Community Deve10p'm~nt Block Grant; and a C~ime¥1'e'W'fiti~n'~ehiele restoration/bicycle repair project funded by a grant from the Dept. of Human Rights, Juvenile Justice Division. -308- Local Funding Summary · United Way of Johnson County - - Does Not Include Designated Gvg. City of Iowa City Johnson County City of Coralville 4/1/95 - 4/1/96 - 4/1/97 - 3/31/96 3/31/97 3/31/98 8,000 8,000 10,000 FY96 FY97 FY98 35,000 36,000 40,000 2,000 2,000 3,000 2,100 2,100 3,000 1- % of Total Budget 3.30% 13.2~ 0.99% 0.99% AGENCY: Mayor's Youth Employment Program -'IUDGET SUMMARY Enter Your Agency's'Budget Year = = > 1. TOTAL OPERATING BUDGET (total a+b) a. CarryoverBalance (Cash from line 3, previous column) b. Income (Cash)-. 2. TOTAL EXPENDITUREs (Total a+b) a. Administration b. Program Total (List Progs. Below) 1 Youth Employment 2 Corps 3 EntrelSreneurial 3. ENDING OPERATING BALANCE (Subtract 2 - 1 ) 4. RESTRICTED FUND BALANCE (Total from page 7) . 5. IN-KIND SUPPORT (Total from Page 7) 6. NON-CASH ASSETS* Notes and Comments: * Popcorn Wagon - valued at $15,000 less loan balance outstanding. ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR 711195~130196 711196~130/97 7/1197~130198 347,127 242,549 303,126 7,669 9,659 3,126 339,458 232,89£ 300,00C 337,468 239,423 301,040 30,620 62,951 71,192 306,848 176,472 229,848 167,506 54,081 51,000 61,996 57,301 60,548 77,346 65,090 118,300 800 7,500 80O 7,500 2,086I 0 800 10,000 2 -309- INCOME DETAIL 1. Local Funding Sources a. Johnson County b. City of Iowa City . ¢. United Way of Johnson County d. City of Coralville e. Iowa City Community Schools fi 2. Grants - State, Federal, Foundations a. State -Dept. of Economic Development b. state - Dept. of Human Rights c. CDBG d. State- Dept. of Education 3. Net Sales Of Services (sources) a. Youth Homes b. Dept. of.Human Services - Transition e. United Action for Youth - Tracker 4. Net Sales of MarSHals (sources) a. Popcorn Wagon b. Bike/Truck Program C. 5. Contributions/Donations a. United Way Designated Giving b]~ 'Other Cohtributions 6. Special Events"' a. Iowa-City R6ad Races - b. Miscellaneous ¢. 7. Interest Income 8. Other - List Below a. Fees for In-School b. City of Iowa City - ICC Match c. City of Coralville - ICC Match d. Corps of Engineers - ICC TOTAL INCOME (same as p 2, line lb) Notes and Comments: SEE ATTACHED PAGE 4a AGENCY Mayor's Youth Employment Program ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEA 7/1/95-6/30/90'7/1/96-6/30/97'7/1/97-6/30/98 47,100 I 55,6091 66,000 2,000 2,000 3,000 35,000 36,00,0 40,000 8,000 8,500 10,000 2,100 2,100 3,000 0 7,009 10,000 NON- PROGRAM PROGRAM DIRECTED 1 2.... FUNDING Employment Corp. 53,oool o l lO,O0O 3,000 0 0 40,000 0 0 7,000 0 0 3,000 0 0 0 0 10,000 116,476 I 114,144 I 160,000 32,058 37,696 38,000 42,568 43,913 40,000 19,350 8,463 62,000 22,500 24,072 20,000 0 1 20,0001 38,000 0 0 38,000 0 0 0 0 0 0 0 20,000 0 145,0491 30,000! 30,000 36,000 12,000 12,000 97,465 18,000 18,000 11,584 0 0 3,018 I 7,863 , 13,000 566 5,000 10,000 2,452 2,863 3,000 2,171 1,186 985 13,379 0 13,379 2,624I 3,000 624 1,000 2,000 ' 2,000 11,000 I' 16,000 5,000 10,000 6,000 6,000 o Ol o 12,265 11,650I 12,000 4,565 0 0 3,950 3,950 4,000 3,750 3,750 4,000 0 3,950 4,000 30,000 12,000 18,000 0 o 0 0 3,oool 1,000 2,000 '16,000 I 10,000 .6,000 Ol o o] o 0 0 0 0 0 0 0 0 339,458 232,890 300,000 72,000 50,000 0 0 0 0 0 I ol 0 0 0 0 0 Ol 12,000 0 4,OOO 4,000 4,OOO 60,000 -310- - 3 - INCOME DETAIL (cont) 1. Local Funding Sources a. Johnson County b. City of Iowa City c. United Way of Johnson County d. Cit)~ of Coralville 2. Grants - State, Federal, Foundations a. State -Dept. of Economic Development b~ State - Dept. of Human Rights c. CDBG d. Staie- Dept. of Education e. f. 3. Net Sales Of Services (sources) a. Youth Homes b. Dept. of Human Services - Transition c. United Action for Youth - Tracker /~ ,t Sales of Mateddais (sources) a.-' Popcbrn Wag0n b. Bike/Truck Program C. 5. Contddbutions/Donations a. United Way Designated Giving b. Other Contributions 6. Special'Events '~." r0~/a'Cif?'R0ad R'/iees b. Miscellaneous - Raffle .... ¢. 7. Interest Income 8. Other - List Below a. Fees for In-School _ b. City of Iowa City - ICC Match c. City of Coralville - ICC Match d. Corps of Engineers - ICC TOTAL INCOME (same as p. 2, linelb) )'--es and Comments: PROGRAM 3 Entr~pron~udal 3,000 I 0 0 3,000 0 102,000[ 0 40,000 62,000 0 AGENCY PROGRAM 4 Mayor's Youth Employment Program PROGRAM PROGRAM PROGRAM PROGRAM 5 6 7 8 ol ol ol ol o ol ol ol ol o ol ol o{ o{ ol o 0 0 0 13,ooo I o l o l o{ o{ o 10,000 3,000 ol Ol 0 0 0 0 ol ol ol o{ol o o'1 ............ololo { I { I ol ol ol ol 0 118,000 0 0 0 0 0 -4- -3~.~- AGENCY Mayor's Youth Employment Proqram Notes re: Page 3 and 4: 2C. 3b. 3Co 4ao Increase due to entrepreneurial venture planned to begin in FY98 Decrease due to Youth Homes losing a gran~ through which they contracted for employment services through MYEPo Decrease due to Department of Human Services eliminating youth wages and reducing the dollar amoun~ available for contracted services available through MYEP. Decrease due to United Action for Youth no longer contracting with MYEP for tracker services. Increase due to better marketing and management of the popcorn wagon - leading to increased sales. Increase due to increased participation by MYEP in the Iowa City Road Races. a4a-- -312- PROGRAM EXPENDITURE DETAIL 1. Salaries 14. 16. 17. 18. 19. 20. 21. 2. Employee Benefits & Taxes 3. Staff Development 4. Professional Consultation 5. Publications & Subscriptions 6. Dues.and Memberships 7. Mortgage, Rent and Property Tax 8. Building Maintenance 9. Equip. Purchase/Rental/Maint. 10. Utilities 11. Telephone 12. Office Supplies & Postage 13. Printing and Publicity Local Transportation Insurance Audit Interest Other (Specify): .. Payment on Popcorn Wagon Program Supplies Cash Match 22. Youth W. ages 23. Youth Fringe Benefits 24. Youth Recreation 25. Youth Stipends TOTAL EXPENSES ( p 2, line 2) Notes and Comments: AGENCY Mayor's Youth Employment Program ACTUAL THIS YEAR BUDGETED ADMINISTRA- PROGRAM LAST YEAR PROJECTED NEXT YEAR TION 1 7 /1/95-6/30/9fl,q /1/96-6/30/9T7 /1/97-6/30/9~, Employment 151,654 98,244 122,048 20,000 47,500 40,452 23,170 31,732 18,732 0 1,188 2,500 2,500 0 1,000 565 8,000 8,000 8,000 0 0 400 400 400 0 905 1,000 1,000 1,000 0 8,160 8,160 23,160 8,160 0 0 0 0 0 0 673 100 10,000 0 0 281 480 600 600 0 2,088 1,500 1,800_ 1,800 0 1,859 1,860 2,000 2,000 0 1,926 1,520 1,800 1,800 0 2,631 2,645 2,700 2,700 0 '9,088 2,554 3,000 3,000 0 0 3,000 3,000 3,000 0 97 0 .... 300~ . 0 0 0 0 _ .__0~ ..0 0 0 5,000 2,500 0 0 13,789 11,640 15 ;000 '" 0 500 0 3,000 3,000 0 0 92,343 53,563. .55,000, 0 0 0 7,269 7,500 ~ O. 0 1,526 3,818 4,000 0 2,000 8,243 0 0 0 0 337,468 239,423 301,040 71,192 51,000 SEE' ATTACHED PAGE 6a PROGRAM 2 Corps 12,048 3,000 50O 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1,500 0 35,000 7,500 1,000 0 60,548 5 -313- PROGRAM EXPENDITURE DETAIL (continued) PROGRAM 3 Entrepreneurial AGENCY PROGRAM 4 1. Salaries 42,500 2. Employee Benefits & Taxes 10,000 3. Staff Development 1,000 4. Professional Consultation 0 5. Publications & Subscriptions 0 6. Dues and Memberships 0 7. Mortgage, Rent and Property Tax 15,000 8. Building Maintenance 0 9. Equipment Purchase/Rental/Maint. 10,000 10.Utilities 0 11. Telephone 0 12. Office Supplies & Postage 0 13. Printing and Publicity 0 14. Local Transportation 0 15. Insurance 0 16. Audit 0 17. Interest 300 18. Other (Specify): 0 19. Payment on Popcorn Wagon 2,500 20. Program Supplies 13,000 21. Cash Match 3,000 22. Youth Wages 20,000 23. Youth Fringe Benefits 0 24. Youth Recreation 1,000 25. Youth Stipends 0 TOTAL EXPENSES (p. 2, line 2) 118,300 0 Notes and Comments: SEE ATTACHED PAGE 6a Mayor's Youth Employment Program PROGRAM PROGRAM PROGRAM 5 6 7 PROGRAM 8 0 0 0 0 -314- - 6 - AGENCY Mayor's Youth Employment Procram Notes re: Page 5 and 6 Increase due to contracted labor for accounting to replace a full-time employee previously paid out of salaries Increase due to additional space required for entrepreneurial venture planned to begin in FY98 Increase due to equipment needed in entrepreneurial venture to begin in FY98 22° Decrease due to Department of Human Services ho longer funding subsidized youth wages on a contracted basis~ 25. Decrease due to Community Development Block Grant no longer funding youth stipends. -6a - AGENCY Mayor's Youth Employment Program RESTRICTF~D FUNDS: Restricted by: N/A Restricted for: ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR 7/1/95-6/30/96 7/1/96-6/30/977/1/97-6/30/98 TOTAL RESTRICTED FUND (also shown page 2, line 4) MATCHING GRANTS Grantor/Matched by N/A IN-KIND SUPPORT DETAIL Services/Volunteers Material Goods Space, Utilities, etc. Other: Iowa City Schools - Sex Equity TOTAL IN-KIND SU?PORT (also shown on page 2, line 4) Notes and Comments: 800 800 800 I 8001 800 800 7 'SALARIED POSITIONS Position that apply Executive Director Program Coordinator Caseworker Caseworker Caseworker/Tracker Administrative Assistant Crime Prevention Specialist Entrepreneurial specialist part-time temporary staff (ICC Crew Leaders) 41 X X 19.5 41 X X 21.4 41 X X 31.5 Last Year 1.00 1.00 1.00 1.00 0.75 1.00 0.55 0.00 0.00 AGENCY Mayor's Youth Employment Program FTE* Salary This Year 1.00 6.00 1.00 1.00 0.00 0.00 0.75 0.00 0.13 Next Actual Year Last Year 1.00 31,227 0.00 28,630 1.00 24,229 1.00 24,229 0.00 14,456 0.00 18,611 0.75 10,272 1.00 0 0.15 0 This Budgeted % Year Next Year Change 33,000 34,000 3% 0 0 24,274 25,274 4% 24,274 25,274 4% 0 0 0 0 14,040 14,500 3% 0 20,000 100% 2,656 3,000 13% TOTAL FTE's and SALARIES * Full-time equivalent: 1.0=full-time; 0.5=half-time; etc. SEE ATTACHED PAGE 8a 6.30 -8- 3.88 4.90 151,654 98,244 122,048 24% -317- AGENCY Mayor's Youth EmDloyment Procram Notes re: Page 8 Executive Director position only funded 10 months in FY96 due to resignation and re-hire o~ this position° Entrepreneurial Specialist position to be added in FY98 due to start-up of new entrepreneurial venture to begin at that time° Part-time temporary staff consists of two ICC summer crew leaders who work exclusively with that program during a six- week time period in the summer. -8a- -318- AGENCY Mayor's Youth Employment Program ACCOUNTABILITY OUESTIONNAIRE A.' Agency's Mission Statement or Primary Purpose: SEE ATTACHED PAGE 9a Board of Directors: Please attach a list of your agency's Board of Directors Frequency of meetings: monthly Briefly describe board orientation and ongoing training opportunities: SEE ATTACHED PAGE 9a Finances: If your agency charges a fee, describe your fee structure: MYEP does not charge a fee to individual clients, however, MYEP does contract with other agencies such as DHS and Youth Homes for a fee. Does your agency have: internal audit X Frequency annual external audit X financial review Has your agency filed the Annual Report with the Secretary of State? Yes No X Did not become 501(c)(3) until 1996 Has your agency filed Form 990 with the IP, S? Yes No X Did not become 501(c)(3) until 1996 Please discuss your agency's fundraising efforts, if applicable. SEE ATTACHED PAGE 9a Management: 1. Does each professional staff have a written job description? Yes 2. Is the agency Director's performance evaluated at least yearly? Yes X No By Whom? Board, staft & peers X No -319- AGENCY Mayor's Youth EmDloyment Procram Notes re: Page 9 9A. The mission of Mayor's Youth Employment Program is to assist youth and young adults in Johnson County overcome barriers to employment by providing employment training and supervised work experience. 9B. Current board members of MYEP: President - Julie Pulkrabek, Attorney Vo Preso - Dave Jacoby, JoT.P.A. Secretary - Pat Schnack, Teacher Treaso Members - Terrence Neuzil, Radio Station - Jean McCarty, Uof I Hospitals - Pat Highland, Area Education Agency - Jackie Jensen, Mercy Hospital, CoP.Ao - Beth Clemmons, A.C.To --Sydney Gussman, U of I Library - Leah Cohen, Business Owner 9B. Orientation and training for board members consists of Director meeting with each prospective board member and reviewing MYEP programs, budget, and staff positions° Discussing the role of the Board Member using publications on non-profit board responsibilities. On-going training is provided by attending seminars and workshops and having guest speakers attend meetings as needed on specific topics of interest to board members. 9c~ Increased participation in Iowa City Road Races Raffle to be held Increased requests to private foundations Greater responsibility and cooperation. with Board Members -9a- -320- Eo AGENCY Mayor's Youth Employment Program Program/Services: Please define your agency's units of service (service definition, length of time, cost per unit of service, number of units provide, direct or indirect.) One unit equals one-half hour of staff (direqt or indirect) youth advocacy. One unit equals one-half hour of youth job site training. Please supply information about clients served by your agency during the last two complete budget years. Refer to form instructions for definition of duplicated and unduplicated. 1. How many Johnson County residents (including Iowa City and Coralville) did your agency serve Enter Years- 1995 1996 la. Duplicated count 242 274 lb. Unduplicated count. 217 236 2. How many Iowa City residents did your agency serve? 2a. Duplicated count 2b. Unduplicated count 192 194 165 181 3. How many Coralville residents did your agency serve? 3a. Duplicated count 36 3b. Unduplicated count . 27 26 19 4. How many units of service did your agency provide? 4a. Total 33,133 35,423 .':' : 4b. To Johnson County 33,133 35,189 Residents Other areas served: Do you provide service to areas outside of Johnson County? Not usually, however, in FY96 one young person who lived in Washington County was allowed to participate in the Corps Program because they were genuinely interested in that field and Washington County does not offer a comparable opportunity. Area(s) served: "-Sei-vi&s providedi' Funding sources: Paid out of state grant. 10 -321- AGENCY Mayor's Youth Employment Program Client Profile (for last complete year, if available): 0 ...5 ~ 0 Female { 97 6- 17 183 .,_ Male j 140 18 - 29 54 30 -, 6t 0 62 .. 75 0 754 0 .,.Mi'ican American i _3 Native :\me:'ican ! 0 Ashm ~ 6 1 Ilspanic ~ 6 Caucasian/Non-Hispanic i 198 .............. ~ ..................... Multi-raehd I ,1 Evaluation and Review: ho Please discuss how your agency measures the success of it's programs. Annual evaluations are conducted with all job site supervisors, clients, and referring agents. Success is also evaluated by the number of youth who retain their jobs after funding for subsidized wages runs out. B. Does your agency have performance objectives? (give several examples) Each program has performance objectives detailed in the grant award or contract agreement. C. What plans does your agency have to increase efficiency and effectiveness? On-going board review and expanded collaboration with other organizations. In what ways will the needs of your service population change in the next five years? The past several years have seen several trends - younger clients, clients doing poorly in .school, lower incomes, increased single parept families, increased homelesshess, and more juvenile court referrals. If these trends continue, there will be a greater number of young people needing pre-employment training and work experience than ever before. Additional monies will be needed to expand current services and develop new programs to meet the-changing needs. Due to the increase in clients with multiple needs, subsidized wages are a real key to allowing these clients the opportunity to participate in a successful employment setting. Without the subsidized wages, these clients are highly unlikely to develop the skills needed to become competitively employed. -322- I1 AGENCY Mayor's Youth Employment Program Please discuss any other problems or factors relevant to your agency's programs, funding or service delivery: During the summer months there is a tremendous increase in the need for youth employment. Unfortunately, our agency has very limited resources and programs available for this time period. Secondly, there is an increased need for subsidized youth wages at the same time that subsidf~ed youth wages have been decreased or eliminated by our funding sources. Society needs to accept responsibility for helping youth and young adults develop good employability skills. By not investing in these young people at this crucial point in their lives, society is perpetuating the long term need for social assistance. Crimes committed by young people are at an all time high. How ironic that funds available for employment training and subsidized wages are at an all time low. 10. List complaints about your services of which you are aware: Lack of subsidized wages and limited summer program opportunities. 11. Do you have a waiting list or have you had to turn people away for lack of ability to service them? What measures do you feel can be taken to resolve this problem? Yes. Please see #8 and #9 above. How many people are currently on your waiting list? 35 eligible potential clients. In addition, potential clients are turned away due to -..~ ineligibility. ~ 12. In what way(s) are your agency's services publicized? Program information updates are given to 'school counselors, Grant Wood AEA Work Experience Instructors, school teachers and administrators, human service and other youth serving agencies, including pediatric health.care and treatment facilities. Periodic news releases and requests for coverage from local and county newspapers have been excellent. Job Service of Iowa regularly posts information concerning our programs. · . Our program is listed in the Johnson County Human Services Index. 13. United Way involvement by your agency: ("X" if agency participates) a. Agency Directors Meetings X b. Agencies Representative to Funding Hearings X c. Business Blitz X d. Day of Caring X e. Executive Development Seminars X f. Kick Off X g. Victory Reception X h. Volunteer Action Center X i. Other 12 -323 - AGENCY Mayor's Youth Employment Program AGENCY HISTORY (Using one page ONLY, please summarize the history of your agency, emphasizing Johnson County, telling of your purpose and goals, past and current activities and future plans. Please update annually.) '~ Since 1968 Mayor's Youth Employment Program has provided subsidized employment and employment training for disadvantaged youth in Johnson County. Young people between the ages 12 through 24, who meet the eligibility guidelines, gain supervised work experience designed to assist them in completing their education and in preparing for serf-sufficiency as adults. Empl?v~ent Program: The employment program has been comprised of the outreach-tracker program, transition program from DHS and Juvenile Court Services, Youth Homes homeless program, and the pregnant and parenting teen program. Services provided include subsidized employment, vocational training, career exploration, advocacy, education completion, truancy monitoring, recreational activities, and job coaching. This program focuses on at-risk youth from the ages of 14-21, Corps Program: The Conservation Corps component has consisted of the Iowa Conservation Corps for youth ages 15 - 18; the Young Adult Conservation Corps for youth 18 - 24; the In-School Program for youth completing junior and/or senior high school; and the Mississippi River Conservation Corps for youth 18 - 24. ICC participants are randomly selected by the IDED to work 32 hours per week at minimum wage. YACC has provided full time summer employment at a variety of University of Iowa conservation sites. The In-School Program serves low income.y~uth who a~e, stiH in school and runs in conjunction with the school year. The Mississippi River Corps was 0ff~l"~ag'a:gu~'~'t'program in response to the flooding in 1993. Youth participating were underemployed for 14 days prior to enrollment. Entrepreneurial: MYEP has developed 2 entrepreneurial projects in the past. The popcorn wagon in the pedestrian mall provides~direct supervised employment. The wagon operates weather permitting from April tlu'ough November. MYEP has also begun a vehicle restoration project and a.bicycle repair project aimed at introducing youth ages 10 - 14 to the responsibilities of work, as well as giving them a positive activity to part~.~cipa~te in. Youth p..articipating in the project are not cempensated at an hourly rate but will receive a percentage of the funds generated through the sale or raffle of the vehicle/bicycles upon completion. Our purpose and goal is !to p~ovide :employment training, career exploration, and job placement to the greatest number of Johnson County youth_ar~.d young adults possible while enhancing their self-esteem and encouraging educational success. Low income, delinquent, and at-risk youth, as well as teen parents and youth in recovery, are the primary recipients .of our services and funding. -324- 13 AGENCY Mayor's Youth Em¢o.vment Pro._mram ..;_~L.~.~:~a: r_~ ,:::~..AGENCY PROGRAM GOALS AND OBJECTIVES (several pages are provided, please add any additional pages you may need with ~,our agency name as a header) AGENCY GOALS FY 98: PROGRAM 1 EMPLOYMENT TRAINING; 'GOAL: To increase the number ofjobsites available to youth participating in MYEP programs. · OBJ, A: In 1998, maintain all existing jobsites presently available to participating youth. " TASKS: contact existing jobsites to ensure continued participation. · Recruit 10 new jobsites for youth during the year. Provide weekly contacts with jobsite supervisors to address issues .a,.nd concerns they may have. OBJ. B: :. in ,1998, review appropriateness of present jobsites and evaluate ...; ..... potential jobsites. ., TASKS; .... .Conduct evaluations of all jobsites including input from jobsite supervisor and youth enrollee .. , Visit jobsite to monitor the effectiveness of the jabsite supervisor. Provide an orientation to each jobsite supervisor. Make pedodic visits to discuss employerl~mpioyee satisfaction. GOAL: Contact area social service agencies and evaluate their potential '--as. future jobsites ., .,., ~. '." o To increase the number of youth participating in MYEP employment programs. OBJ. A: In 1998, increase the number of youth participating in MYEP employment programs by ten percent. TASKS: Increase the amount of youth employment wages submitted with grant proposals to increase the number of youth served, 14 -325- AGENCYMavor,s Youth Employment Program GOAL: OBJ. A.: TASKS: Develop an additional entrepreneurial project allowing MYEP to employ a greater number of youth. : To develop a prHmpioyment training program addressing employment ski!Is deficiencies prior to jobsite placement. .In 1998, provide pro-employment training tO all youth participating in MYEP programs. Develop curriculum for use in pre-employment classes. Recruit local employment specialists to be guest speakers at ·classes. OBJ~ B: TASKS: In 1998, secure additional funding to begin this project. Re-apply for Youthbuild grant through the Department of Housing and Urban Development. ' Identify private foundations and apply for grant assistance. ~' ...' ~oniact.the. Department of Labor for available grant information. GOAL:' To increase the public's awareness of MYEP, · ¢.B.J,._A;._.'..-: ....In 1998, the Executive Director will seek~.~t~'~pportuniti.es tg ,. educate the' public on MYEP programming. - TASKS: Develp presentation on programming and agency purpose. Increase the number of presentations to service clubs in the . community° Respond to articles and opinions in community newspapers when issues of youth employment or youth in general are discussed. Take part in community discussion and planning regarding approaches to youth-related issues. -326- t5 AGENCY Mayor's Youth ~mp!ovment Program Maintain membership in the Downt~own Association and the Chamber of Commerce. GOAL: TASKS: To increase collaborative efforts with community agencies. In 1998 create more jobsites at community social service agencies. Make available information explaining MYEP jobsite placement to area agencies that may be interested in participating. Recruit youth with the intention of placing them at human service agencies. Increase opportunities to serve clientele from other agencies. ..... PROGRAM 2 CORPS: GOAL: To increase the number of Corps programs offered. OBJ. A: In 1998, MYEP will apply far additional Corps programs to provide -- -~']'~]']'.'i":-;.. i-" "e]~(p~hded Corps opportunities for young adults. ._ TASKS: - MYEP wili'subrfiit'a YACC grant application. .... .~.. -- MYEP will secure the match required forIhe:YACC grant from an ' external soiJrce. MYEP will develop five conservation training seminars for project participants. PROGRAM 3: ENTREPRENEURIAL: GOAL: To continue the bicycle repair project in conjunction with the Iowa City Police Department. OBJ. A: in 1998, rebuild a minimum of 75 bicycles for sale or auction. ]6 -327- AGENCY Hayor's Youth EmDloyment Program TASKS: Coordinate with the Iowa City Police Department to receive bicycles they've confiscated and have not~een claimed. Maintain part-time staff with knowledge of bicycle repair to. oversee the project. , . Recruit youth to participate in the prpject. . OBJ. B: in 1998, hold an auction of sale of the bicycles.. -" TASKS: ~ Assist the youth participants in developing a method for marketing the bicycles, Provide entrepreneurial training to youth to better equip them to develop the method of sale. OBJ. C: TASKS: GOAL: TASKS: Be able to offer the bicycle project year round. - · ~Locate a heated garage to hold the project during the winter -' months. To operate the popcorn business year-round. - ~'-~" ,'. -' In 1998, expand the popcorn business to operate year-round. Locate a location which would house the popcorn. business. "--':'= i..=~' -' staff.attend business training to learn more about business operations. ...... Streamline operating .costs to allow the wagon to pay for itself without additional funding. GOAL: OBJ. A: To expand the product line, offering other it-ems f0? Sale. · In 1998, add products to the existing product line. TASKS: Do a marketing survey to determine products to offer. Purchase any additional equipment/supplies needed to offer these products. -328- t7 -'~UMAN SERVICE AGENCY BUDGET FORM City of Coralville Johnson County City of Iowa City : United Way of Johnson County CHECKyOUR.AGEHCY'SBUDGETYEAR 01/1197- 12/31197 '.' 04/1/97 - 03/3!!98_ 07/1/97706130/98 ..... 3( Director: Arthur J. Schut Agency Name: Mid-Eastern Council on Chemical Abuse Address: 430 Southgate, Iowa City IA 52240 Phone: 319/351-4357 Completed by: Ron Berg Approved by Board Chai on I ,0 1011197 - 9/30/98 (date) COVER!PAGE.?' '. Program Summa~: (Please number programs to correspond to Income & Expense'Detail, i.e. Program 1,2, 3, etc.) 1. Outpatient Treatment Services: 1 ) Less structured regimen of treatment involvement for the substance abuser intended as a continuation of the residential treatment experience, or when appropriate, as the primary treatment experience. 2) Intake and Assessment - evaluation of the need for and appropriate level of treatment required to address substance abuse issues. 3) Adolescent services - services provided to youth aged 13 -18 and include evaluation, family counseling and education classes, individual and group counseling. 4) Information and Referrak provision of .information, crisis intervention, and resource coordination to substance abusers, their families, significant others, and concerned others. 2. Residential Treatment Services: 1) Intensive 2-3 week inpatient treatment experience. 2) Halfway program: A transitional care program for residential clients designed to offer additional support beyond the residential treatment experience. 3) Social Detoxification/Cfisis Stabilization: Social Detoxification is ~,.;pervised pr0g!;am of managing the detoxificafion of an individual from drugs and/or alcohol using social support rather than ps..oactive drugs. Crisis Stabilization is a safe environment for Community Mental Health Center and Hillcrest Family Services in lieu of hospitalization. · 3. EAPIPrevention Services: 1) Prevention services include a wide range of programs intended to prevent instances of substance abuse, for example student assistance training. Progams developed by the prevention staff have impacted: the general community; public policy; schools; adult children of alcoholics; women; parents; and adolescents. 2) Employee Assistance, .Programs, an early intervention and referral servic6"i§ bffere~l to employers on a contract basis. 4. OWlllMCCP, r~gram: The OWl Program is housed as the Hope H~)usefacility and staffed by MECCA personnel. The treatment program is provided to persons convicted.0f. multiple.~ffense drunk driving who are sentenced to the program in'lieu of p[ison. IMCC program is a Department of Corrections funded assessment program intended to determine the appropriate levels and type of substance abuse treatment necessary-for inma.tes entering the Iowa prison system. . 5. ISAPDA Training Grant: This is a grant to the Iowa Substance Abuse Program Directors Association and ~0..ntract. edto MECCA. The purpose of the grant is to provide professional training opportunities to substance abuse counselors across the state. Local Funding Summary: United Way of Johnson County - Does not include Designated Gv~g. City of Iowa City J c~--~son County C~ of Coralville 04/1/95 - 04/1/96- 04101197 - % of Total 03-31-1996 03-31-1997 03-31-1998 Budget $23,300 $23,300 $35,000 1.2% FY96 FY97 FY98 $24,500 $25,235 $26,500 0.9% $262,444 $270,317 $278,425 9.6% $800 $1,000 $1,500 0.1% -329- AGENCY Mid-Eastern Council on Chemical Abuse BUDGET SUMMARY Enter Your Agency's Budget Year 1 TOTAL OPERATING BUDGET ' ('rotal A+B)' a Carryover Balance (Cash from line 3, previous C01ti'mn) b. Income (cash)~ 2 TOTAL EXPENDITURES (Total a + b) a Administration ~ b Program Total (List below) 1 Outpatient 2 Residential 3 EAP/Prevention 40WI/IMCC 5 ISAPDA 8 3 ENDING OPERATING BALANCE (Subtract 2 - 1) 4 RESTRICTED FUND BALANCE (Total from page 7) 5 IN-KIND SUPPORT (Total from p. 7) 6 NON-CASH ASSETS ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR 7-1-95 thru 7-1-96 thru 7-1-97 thru 6.30-96 6-30-97 6-30-98 · 2,660,183 2,823,719 2,894,823 148,821 213,092 264,045_ 2,511,362 2,610,627 2,630,779 2,447,091 2,559,674 2,656,986 323,228 332,687 352,002 2,123,863 2,226,987 2,304,984 558,073 585,578 591,491 665,684 701,926 759,168 480,612 503,989 510,082 224,160 234,444 238,683 195,334 201,050 205,560 0 0 0 0 0 0 50,370 1,160,000 1,173,000 IL. Notes and Comments: June 30, 1996 total assets were $1,210,290 and total'i'i~iiS'i'l~ties were $909,361 Included in those liabilities were real estate mortgages of $467,337 owed to commercial banks, $100,197 owed under a real estate contract, $111,382 in short term notes, $14,400 in deferred revenue and $216,045 in miscellaneous liabilities. The net asset value of the agency at June 30, 1996 was $300,929. -330- INCOME DETAIL a Johnson County ;. b City of Iowa City c United Way d City of Coralville e Iowa County f Cedar County . g DHS- Child & Family Services . . h ....Iowa C.ity Schools ..... 2 Grants - Sta{~,' Fe'~J~ral, Foundations IDPH- Treatment IDPH- Prevention ISAPDA- Training Grants IMCC (la Med CI Ctr) UI Student Health UI Rural Drug Abuse Project County Match - IDPH Corrections - OWl IDPH Flood Grants Juvenile Justice Grant Medicaid Managed Care , 15 564 3 Net Sales of Services (sources) 401,289 a Client Fees 274,674 b EAP & Prevention Contracts 110,880 AGENCY ACTUAL THIS YEAR BUDGETED NON- LAST YEAR PROJECTED NEXT YEAR DIRECTED FUNDING 262,444 270,317 283,833 28,099 24,500 25,235 26,497 2,120 23,300 26,225 36,250 2,294 800 2,000 2,000 126 25,000 25,000 25,000 3,500 1,200 1,200 1,200 0 7,143 10,000 0 0 20,000 25,000 25,000 0 1,726,292 1,807,030 1,807,812 210,453 144,683 0 0 0 217,755 200,212 186,035 25,971 228,778 221,893 244,082 32,291 171,360 200,000 214,000 32,100 36,633 38,383 40,302 6,044 12,650 14,041 14,602 2,190 18,333 18,333 18,333 2,750 62,114 85,216 85,216 12,783 19,844 0 0 0 37,130 41,579 0 0 143,591 124,000 130,200 8,820 617,857 833,373 875,042 87,504 3O,O0O 0 0 278,674 281,325 102,000 111,500 112,300 0 c UA/BATs 15 735 16 000 16 480 0 4 Net Sales of Materials (sources) 32 a Literature Sales 32 Contributions/Donations a United Way Designated Giving b Other Contributions 5,421 1,066 4,355 596 6 Special Events - List Below a Iowa C Road Races ...................... J .........5.96 7 Interest Income 1,575 8 Other- List below including miscellaneous 11,770 a Miscellaneous 5,329 b Vending 1,641 C ....~itY Of IC.-CDBG,. ........... 4,800 TOTAL.INCOME (Show also on page 2 .line 2,511,3621 Notes and Comments: 35 50 50 35 50 50 4,182 4,391 202 1,916 2,012 202 2,266 2,379 0 2,144 ...... 2,25! 0 2,1441 2,251 0 1,236.1 4,8491 3,142 1,707 0 . 2,610,627 1,298 1,298 5,091 5,091 3,299 '3,299 1,792 1,792 0 0 Mid-Eastern Council on Chemical Abuse PROGRAM PROGRAM 1 2 50,6131 156,950 28,995 134,760 7,950 12,613 7,551 9,077 417 501 4,900 0 800 0 0 0 0 0 478,9801 485,284 0 0 0 0 0 0 0 5,194 34,258 0 12,412 0 3,483. 0 0 0 0 0 0 0 22,050 99,330 406,777 380,760 0 0 67,1561 112,169 67,156 112,169 0 0 0 0 ol o ol o 202 3,586 202 1,206 0 2,379 0 0 ol o o{ o ol o 0 0 0 0 0 0 596,9501 757,989. -331- INCOME DETAIL (continued) 1 Local Funding Sources a Johnson County b City of Iowa City c United Way d City of Coralville e Iowa County f Cedar County DHS h Iowa City Schools 2 Grants' statel Federal, ~=o~ndations a IDPH- Treatment b IDPH- Prevention c ISAPDA- Training Grants d IMCC (la Med Cl Ctr) e UI Student Health f UI Rural Drug Abuse Project g County Match - DSA h Corrections - OWl IDPH Flood Grants Juvenile Justice Grant k Medicaid Managed Care m ECI SAFE 3 Net Sales ofServices i(sources) a 'Client Fees b EAP & Prevention Contracts c UNBATs 4 Net Sales of Materials (sources) a Literature Sales AGENCY PROGRAM PROGRAM 3 4 156,077 0 91,979 0 3,815 0 17,328 0 956 16,600 0 400 0 0 0 25,000 0 172,164 249,1.39. 0 0 160,064 0 0 0 0 176,706 0 0 0 0 12,100 0 0 72,433 0 0 0 0 0 0 0 0 0 0 128,780 0 · 0 0 112,300 0 16,480 -: 0 0 I PROGRAM 5 0 0 0 0 0 0 0 0 0 211,792 0 0 211,792 0 0 0 0 0 0 0 0 0 0 0 Contributions/Donations.~." 4011 0 0 a United Way Designated Giv!ng " 4'0'I 0' ~ b Other Contributions 0 0 0 Special Events-..List Below, . . .... 2,251 J . . 0 ....... 0 .... a ........!.°_wa...~C ~. R .o_~d._Ra_c_ ~S. ~,25!1 .._lnt~re_st.!~c0m~ 01 ........... 0 .....: ................(~ ............................... Other- List below including miscellaneous 01 0 0 a Miscellaneous 0 0 0 b Vending 0 0 0 _d.., City of .IC: CD. BG ........................................0 ~) ...............~ TO~l~.!N_C.O_M.E~(S~.ow..a_ls.o..o.n..J3ag~.~ !i__n~:.!b~ ............45_~).~.6..~1.2.4~39..L ......2_.1_1~,~9~21 .i.' .....' ........., Mid-Eastern Council on Chemical Abuse PROGRAM PROGRAM 6 7 I PROGRAM 8 Notes and Comments: -332- PROGRAM EXPENDITURE DETAIL ~alaries Employee Benefits & Taxes Staff Development Professional Consultation Publications & Subscripti(~ns Dues & Memberships Mortgage, Rent, and Property Tax Building and Maintenance Equipment Purchase/Rental Maint Utilities Telephone Office Supplies and Postage 13 Printing and Publicity 14 Local Transportation 15 Insurance __l~--A_udlt 1 / interest 18 Other (Specify): Program Supplies 19 Miscellaneous 20 Service Contracts ** 21 Assets Expensed 22 TOTAL EXPENSES (Show also on Page 2, line 2, 2a, 2b) No~es and Comments: ACTUAL LAST YEAR 1,498,123 272,064 6,550 2,418 4,235 3,463 10,646 25,885 12,884 27,769 27,485 67,645 7,874 32,786 25,320 12,705 66,O00 177,977 6,701 78,519 80,042 2,447,091 THIS YEAR PROJECTED 1,533,584 287,888 14,563 13,390' 5,888 2,966 3,683 28,477 21,650 27,394 25,475 71,221 14,215 38,001 39,850 12,361 67,208 182,511 3,363 54,000 111,986 AGENCY BUDGETED NEXT YEAR 1,579,591 302,282 15,291 14,060 6,182 3,114 3,867 29,901 22,733 28,764 26,749 74,782 14 ~926 39,901 41,843 12,979 70,568 191,637 3,531 56,700 117,585 Mid-Eastern Council on Chemical Abuse PROGRAM PROGRAM ADMIN 1 2 247,900 352,214 399,416 47,440 62,585 79,588 2,400 3,065 5,431 2,207 2,820 2,102 1,011 1,374 2,135 489 624 1,105 182 3,503 0 2,093 8,372 14,950 546 12,191 7,916 2,347 7,746 14,049 1,944 7,282 8,680 16,903 16,848 28,031 151 8,603 5,303 4,517 12,324 3,826 4,216 11,388 17,065 1,470 3,096 4,494 6,178 17,282 34,046 1,025 26,261 71,254 847 989 1,131 0 0 0 8,136 32,924 58,646 -333- PROGRAM EXPENDITURE DETAIL (continued) 1 Salaries 2 Employee Benefits & Taxes 3 Staff Development 4 Professional ConsultaUon 5 Publications & Subscriptions 6 Dues & Memberships 7 Mortgage, Rent, and Property Tax 8 Building and Maintenance 9 Equipment P~":r(~hase/Rental Maint 10 UUliUes 11 Telephone 12 Office Supplies and Postage 13 Printing and Publicity 14 Local Transportation 15 Insurance ; 16 Audit 17 Interest 18 Other (Specify): Program Supplies 19 Miscellaneous 20 Service Contracts ** 21 Assets Expensed 22 TOTAL EXPENSES (Show also on Page 2, line 2, 2a, 2b) Notes and Comments: PROGRAM 3 329,143 65,O95 2,656 5,332 1,123 541 182 3,887 1,180 3,887 4,053 8,320 869 11,888 5,882 2,071 10,412 13,052 282 24,675 15,552 510,082 PROGRAM 4 182,664 35,058 1,1 O8 1,017' 239 226 0 0 0 0 2,067 3,166 0 3,025 3,092 926 1,944 2,702 0 0 1,449 238,6831 AGENCY Mid-Eastern Council on Chemical Abuse PROGRAM PROGRAM PROGRAM PROGRAM 5 6 7 8 68,254 12,516 631 582 300 129 0 599 900 735 2,723 1,514 0 4,321 200 922 706 ~77,343 282 32,025 878 205,5601 6 -334- AGENCY Mid-Eastern Council on Chemical Abuse RESTRICTED FUNDS Restricted by: · Restricted for: ACTUAL THIS YEAR BUDGETED LASTYEAR PROJECTED NEXT YEAR Total Restricted Funds (also shown on page 2, line 4) MATCHING GRANTS Grantor/Matched bY: Juvenile Crime Prevention Grant/United Way /Johnson County /Decat IDPH,Drug and Violence Prevention/Johnson County. /Iowa County /United Way of East Central Iowa IDPH, State Reimbursement to Counties for Substance Abuse Costs/Johnson County IDPH, State Reimbursement to Counties for Substance Abuse Costs/Iowa County Total Matching Grants (also shown on page 3, line 2) 0 0 0 FY96 FY97 37,130111,000 27,479/11,000 10 /3,100 /2,622 /0 23,720/2,635 45,000/5,000 /0 /4,992 /0 /2,200 10,000140,000 . 10,000/40,000 8,333/25,000 8,333/25,000 79,183/81,257 90,812/91,292 FY98 0/0 0/0 0/0 45,000/5,000 /5,000 /0 10,000/40,000 8,333~25,000 63,333/75,000 IN-KIND SUPPORT DETAIL ServicesNolunteers Material Goods Space, Utilities, etc. Other: (Please specify) TOTAL IN-KIND SUPPORT (Shown also on page 2, line 5) Notes and Comments: 7 -335- SALARIED POSITIONS Position Executive Director Associate Director Clinical Director Medical Director Physician's Assistant Fiscal Officer Accounting Clerks Secretaries Nume Manager Residential Supervisor Intake Supe~sor Prevention Supervisor EAP Manager Registered Numes Techs/LPN/Misc PT ' Cook Chaplain Counselors Prevention Specialist Janitorial Training Coordinator ISAPDA Clerk Media Specialist Paid Lye 2O 2O 2O 5 5 2O 2O 15 2O 2O 2O 20 10 0' 20 0 15 10 0 15 0 "X" all that apply Health Relim % Last Ins Plan Benefits Year X X 13.5 X X 16.6 X X 17.6 X 13.6 7.7 X 9.2 X X 17.1 X 14.4 X X 11.6 X 18.0 X X 16.3 X X 18.0 X 12.0 X 11.2 11.3 X X 28.1 7,7 X X 17.2 X X 16.9 7.7 X X 18.3 X 15.1 X X ' i4.7 FTE* This Nexl Year Year 1.00 1.00 1.00 1.00 1.00 1:00 1.00 1.00 1.00 0.50 0.50 0.50 0.50 0.50 0.50 1.00 1.00 1.00 3.00 3.00 3.00 5.00 5.50 5.50 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 5.00 5.00 5.00 10.50 8.50 8.50 1.00 1.00 1.00 0.25 0.25 0.25 18.00 20.33 20.33 4.00 5.00 5.00 1.00 1.00 1.00 1.00 1.00 1.00 0.50 1.00 1.00 0.50 0.00 0.00 AGENCY Mid-Eastern Council on Chemical Abuse ACTUAL THIS YEAR BUDGETED % LAST PROJECT- NEXT CHANGE YEAR ED YEAR 51,854 52,948 40,859 41,721 39,389 40,220 50,837 51,910 22,047 22,512 - 34,856 35,591 62,809 64,134 95,206 97,215 32,522 33,208 29,201 29,817 27,417 27,995 31,375 32,037 29,409 30,030 134,675 137,517 175,448 142,029 16,829 17,184 2,O4O 2,O83 428,799~ 478,820 '1061467 108,713 20,350 20,779 39,385 40,216 17,204 17,567 9,145 9,338 54,536 42,973 41,427 53,467 23,187 36,659 66 058 100131 34 2O4 30 712 28 835 32.998 30,931 141,643 146,290 17,700 2,145 493,185 111,974 21,402 41,422 18,094 9,618 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 TOTALS * Full-time equivalent: 1.0 = full-time; 0.5 = half-time; etc. 59.75 61.58 61.58 1,498,123 1,533,584 1,579,591 3.00 -336- ao So AGENCY: Mid-Eastem Council on Chemical Abuse ACCOUNTABILITY QUESTIONNAIRE Agency's Mission Statement or Pdmary Purpose: Mid-Eastern Council on Chemical Abuse (MECCA) is organized to provide comprehensive services related to chemical abuse and dependency, to prevent substance abuse, to promote the eady detection and interruption of substance abuse careers and to reintegrate the'broblem substance abuser into the productive life of the community. Board of Directors: 1. Please attach a list of your agency's Board of Directors 2. Frequency of meetings: minimum four meetings per year with one meeting in each fiscal quarter; usually meet 8 to 10 time per year. 3. Bdefly descdbe board orientation and ongoing training opportunities: Board members are nominated to serve on the Board of Directors by the Personnel Committee of the Board. Members are nominated to serve on the board based personal attributes of the prospective nominee and the current board membership. Our goal is to maintain board membership that is representative of the communities we serve in terms of race, gender, professional background, and needs of MECCA. Beyond the nomination process, newly elected board members participate in an orientation to MECCA services .: through meetings with the Executive Director and other staff members based on the personal interest of the board members. As part of their membership on the board, members receive ongoing orientation and updates regarding pertinent substance policy issues and the impact on our communities and MECCA. Finances: 1. If your agency charges a fee for services, describe your fee structure. All clients are assessed a fee based on their income, expenses~ and number of dependents and are expected to contribute financially to help defray the cost of their involvement. The sliding fee scale used to determine the client's personal cost of receiving'treatment is a standardized scale used in all substance abuse treatment facilities licensed by and receiving funding from the Iowa Department of Public Health. In addition to client fees, MECCA'has'negotiated two contracts with the Department of Corrections to provide substance abuse treatment services, and we currently have 25 contracts to provide EAPservices. Also, we provide drug screening services to area employers interested in pre-employment drug screening and post.:accident 'screening. 2. Does your agency have an intemal audit, e~t-emal audi~r a financial review? (circle one) Frequency: Annual external audit 3. Has your agency filed the Annual Report with the Secretary of State? Yes X No 4. Has your agency filed Form 990 with the IRS? Yes X .. No 5. Please discuss your agency's fundraising efforts, if applicable. (e.g., events, direct mail campaign, planned giving, etc.) Our fund raising efforts have been limited to direct solicitation of current board members and supporting fund raising by United Way. Management: 1. Does each professional staff have a written job description? Yes .. X No__ 2. Is the agency Director's performance evaluated at least yearly? Yes X No__ By Whom? Board of Directors 9 -337- AGENCY: Mid-Eastern Council on Chemical Abuse E. Program/Services: Please define your agency's units of service (service definition, length of time, cost per unit of service, number of units provided, direct or indirect.) Individual Counseling: Group Counseling: Residential Services: Prevention Services: one hour of face to face contact one unit = one hour per client, of face to face group time one unit = one day of residence in the facility one unit = one hour per participant of face to face activities Please supply information about clients served by your agency dudng last two complete budget years. Refer to form instructions for definition of duplicated and unduplicated. 1. How many Johnson County residents (including Iowa City and Coralville) did your agency serve? 2. How many Iowa City residents did your agency serve? 3. How many Coralville residents did your agency serve? 3b. How many units of service did your 4a. agency provide? Enter Years --> 95 96 la. Duplicated Count 15,965 38,007 lb. Unduplicated Count 10,716 14,126 2a. Duplicated ~.- 3,365 6,256 Count 2b. Unduplicated Count 2,279 2,749 3a. Duplicated 425 399 Count Unduplicated Count 277 265 Total 112,357 107,010 To Johnson County 70,235 62,682 Residents 5. Other Areas Served: Do you provide services to areas outside of Johnson County? Area(s) served: Cedar, Iowa, Johnson, and Washington counties are the pdmary catchment area of MECCA. However, residential services are provided to clients from across the state per our treatment contract with the Iowa Department of Public Health. Services provided: Residential treatment services including halfway house services. Detoxification services and Court Ordered Substance Abuse Committal evaluations are performed for residents of other counties on a contract basis. Funding Sources: State block grant funds, medicaid, pdvate insurance, county contract payments. 10 -338- AGENCY: Mid-Eastern Council on Chemical Abuse o Client Profile (for last complete year, if available): This data relates only to treatment clients seen in either our comprehensive treatment program, IMCC program, Hope House OWl program, or University of Iowa Student Health Services. Excluded are statistics for prevention and EAP participants. Age Gender Ethnicity 0-5 311 M 4,616' African American 746 '~.-: ':'~.,6-17 F 1,272 Native American 90 18-29 3,520 Asian 22 30-61 1,448 Hispanic 160 62-75 23 White 4,283 75 + Multi-racial 160 Evaluation and Review: A. Please discuss how your agency measures the success of its programs. The success of our programs is measured in several ways. We are obviously very concerned about the ability of our clients to maintain their sobdety following involvement with our treatment programs. We are also concerned about the impact our prevention programs have on the participants, whether they are very young children, parents, or senior citizens. Unfortunately, to completely understand the impact of our treatment and prevention efforts a longitudinal study is the purest answer; an answer that is not currently funded. Therefore, our evaluations of programming are much shorter term and involve client questionnaires to receive feedback about what was and was not helpful, how our staff is treating them, about our facility, food, and so on. We also monitor types of discharges, (successful completion vs. disciplinary discharge); length of treatment involvement; telephone follow-up six months post-discharge; diversity of clients; referral sources. In addition to program review and evaluation, we evaluate each year's financial performance, numbers of clients served, staff turnover and training needs, and evaluate on an ongoing basis MECCA's relationship with the larger substance abuse treatment field to ensure we remain abreast of new treatment and funding developments. B.:. Does your agency have performance objectives? Performance objectives are developed with individual staff members, including the Executive Director which translate where appropriate into agency objectives. C. What plans does your agency have to increase efficiency and effectiveness? MECCA has madea major-investment in computerizing all facets of our agency services from internal E-mail, scheduling, billing, progress notes, quality assurance, and cost accounting. 8. In what ways will the needs of your service population change in the next five years? In the next five years we expect to see an ever increasing demand placed on clients to pay a larger portion of the cost of treatment. This includes public funding sources as well as private insurance carders reliance on managed care providers to reduce the costs of substance abuse treatment...rationing of care will be a greater issue for MECCA as we attempt to serve a consistent number of. clients with a decreasing amount of funds. It also seems reasonable to expect that the healthcare needs of our clients will increase. In the last 5-10 years we have witnessed the impact of HIV, HBV, and TB on our clients and continue to struggle with how best to provide for their specific needs. 11 -339- o 10. 11. 12. 13. AGENCY: Mid-Eastern Council on Chemical Abuse Please discuss any other problems or factors relevant to your agency's programs, funding or service delivery: Meeting the request of referral sources such as probation, clergy, schools, police, health care professionals, family members, and other concerned individuals with a decreasing amount of support for services such as MECCA's will be a major concern in the coming years. List complaints about your services of which you are aware: We continue to receive complaints regarding interaction with clients, billing and collection procedures, and program schedules. However, it should be noted that we also receive compliments regarding each of these portions of our operations. Do you have a waiting list or have you had to rum people away for lack of ability to serve them? What measures do you feel can be taken to resolve this problem: We always have a waiting list for services. We attempt to respond to emergency situations in creative ways, we have shortened the length of stays for our clients, and we have enlarged and added groups to our programming in efforts to serve the maximum number of clients possible at any given time. How many people are currently on your waiting list? 12 In what way(s) are your agency's services publicized: We rely mainly on yellow page advertising and notifying potential referral sources of our services. The prevention unit maintains an awareness of MECCA services among the individuals with whom they are involved, primarily the schools and other community organizations. United Way involvement by your agency: (Check if agency participates) ao Agency Directors Meetings X Agencies Representative to Funding Headngs ~X Business Blitz X Day of Cadng ~ Executive Development Seminars ~ ... ~ Kick Off ~ Victory Reception Volunteer Action Center Other: health insurance committee ]2 -340- AGENCY: Mid-Eastern Council on Chemical Abuse AGENCY HISTORY (Using this page ONLY, please summarize the history of your agency, emphasizing Johnson County, past and current activities and future plans. Please update annually.) The parent group of the Mid-Eastern Council on Chemical Abuse (MECCA) was founded in 1964 by a group of concerned Johnson County residents and named the Johnson County Citizens' Committee on Alcoholism. The pdmary purpose of the Committee was to serve as a community resource to alcohol abusers, their families, employers, schools, jails, court system, and other community agencies who came in contact with alcoholics. Today MECCA is a pdvate not-for-profit corporation providing comprehensive substance abuse treatment and prevention services to a four county area in Iowa. In 1986 construction was completed on a new facility designed to meet our clients' and the communities' specific needs regarding substance abuse treatment. Today we continue our mission of providing area residents with the best possible substance abuse treatment and prevention services. As funding sources at federal, state and local levels altered their view of substance abuse, and as treatment of substance abuse has evolved, MECCA has developed into a comprehensive substance abuse treatment agency. Some of the changes in the mid 1980's included: moving to outpatient programs which utilize group services allowing greater access for the public to MECCA's programs and in a more defined manner; residential services growing from being limited to half-way house services for men to include residential and half-way house services for men and women; finally, a "free-standing (non-hospital) detoxification and mental health crisis stabilization unit was opened to fill a void in the continuum of substance abuse and mental health services available to area residents and reduce costs of hospitalization. In addition, prevention services have grown since first organized at MECCA in 1981. Today there are five prevention staff offering comprehensive prevention services to area youths and adults regarding substance abuse issues. Short and long range plans center around adjusting to monumental changes brought about by health care reform. We plan to radically redesign how we deliver services, moving away from set "packages" of treatment schedules and instead offedng loosely defined schedules but clearly defined treatment objectives. We need to restructure our financial operations to move from an orientation towards grant an contracts administration to billing for services. We plan to participate in a strategic planning exercise to better define how and where we will fit into heath care reform, and along with this we need to reassess our mission. 13 -341- AGENCY: Mid-Eastern Council on Chemical Abuse AGENCY PROGRAM GOALS AND OBJECTIVES (Several pages are provided, please add any additional pages you may need with your agency name as a header) .~ Treatment Pro,ram Goal: Substance abuse treatment programs of MECCA exist to rehabilitate individuals with substance abuse problems so that they may resume a socially acceptable and productive role in society. Objective A: Provide treatment services to 2,800 individuals between July 1, 1997 and June 30, 1998 in such a manner that they experience treatment at MECCA as a seamless transition from one level of care to another. Tasks: 1. Establish treatment teams within MECCA that will have responsibility for all levels of treatment provided to a client. Each treatment team will have the ability to provide inpatient, outpatient, day treatment, and family support activities. 2. Develop, or hire, specific areas of specialty within each treatment team so that each team has a family, vocational, relapse prevention, and case management specialist. 3. Based on a review of commonly expressed client needs and resources available to MECCA, develop a formal network of treatment providers in Johnson County that will supplement the treatment services provided at MECCA. 4. Develop a coordinated marketing plan that will recruit clients to attend MECCA's program. Detoxification/Cdsis Stabilization Goal: To preserve the health of persons withdrawing from alcohol and other drugs and to provide for the stabilization of crisis for persons experiencing mental health problems, without resorting to hospitalization. Objective A: Provide detoxification and crisis stabilization services to 156 persons between July 1, 1997 and June 30, 1998. Tasks: 1. Maintain the current staffing level. P~'evention Promram Goal: To promote total community awareness of alcohol, tobacco, and other drug abuse/use issues and promote an attitude of responsibility regarding alcohol, tobacco and other drug use. 14 -342- AGENCY: Mid-Eastern Council on Chemical Abuse · Objective A: Provide 18000 hours of formal substance abuse prevention programming to Johnson County residents. Tasks: 1. Provide informational and educational services to youths in and out of school, parent groups, community professionals, general community, and school personnel. 2. Continue providing the Student Assistance Team training to all levels of local school districts. '- 3. Deliver programming to employee groups. Objective B: Decrease the incidence of substance related public health problems in Johnson County, Tasks: 1. Advertise service through flyers, brochures, posters, and media. 2. Contract and collaborate with community groups that may benefit from, or be interested in, substance abuse Prevention and social policy changes. Goal: .To provide treatment services in a work release incarceration setting for third and subsequent drunk driving offenders. Objective A: Meet all requirements of contract with Sixth Judicial District, Department of Correctional Services allowing the treatment program to be maintained at the Stratton Center in Coralville. Tasks: 1. Staff the program with two and one-half certified counselors to provide the required hours of treatment. 2, Provide opportunities for family members and other concerned individuals to participate in the treatment program of the clients, Objective B: Provide aftercare programming for clients who choose to remain in the Iowa City area upon their discharge from the treatment program. Tasks: 1, Coordinate the aftercare service with other MECCA aftercare programs and incorporate Hope House clients into existing groups when possible. ISAPDA Training Sub-Contract Goal: Provide quality training at a reasonable cost for substance abuse professionals and other helping professionals. 15 -343- AGENCY: Mid-Eastern Council on Chemical Abuse Objective A: Provide twenty-four training opportunities across the state during fiscal year 1998. Tasks: 1. Based on the findings of the needs assessment, schedule speakers, reserve rooms, and make all necessary arrangements to accommodate the training. 2. Publish a calendar of training events and distribute across the state to interested individuals. .... ~ 0.bjective B: Conduct an outcome evaluation of the training program to determine its ..... "'- usefulness to the field of substance abuse. Tasks: 1. Design a written evaluation instrument, '2; Distribute the evaluation instrument to all participants in training programs. 3. 'Compile the results of the evaluation to the Iowa Substance Abuse Program Director's Association and the Iowa Department of Public Health, Division of Substance Abuse and Health Promotion. ]6 -344- AGENCY: Mid-Eastern Council on Chemical Abuse P. 9 (B) Accountability Questionnaire Board of Directors Mid-Eastern Council on Chemical Abuse 1996 Board of Directors Jean Bartley, President Tom Kfiz, Vice-President W.H. (Joe)Knight, Treasurer Paul Crock, Secretary Joe Bolkcom Ken Caes Jeffrey Edberg Susan Frye Raymond Lasek W. Fred Mires Karen Moline Richard Myers Polly Pagliai Anne Vandenberg 1kJ. Winkelhake 17 -345- .6 i N SERVICE AGENCY 8uo= r FORM ~' "~ Ci=t~ 6f Coralville Johnaon County City of Iowa City United Way of Johnaon County CHECK YOUR AGENCY'S BUDGET YEAR 1/1/97 - 12/31/9'7 4tl/97 - 3/31/9'8 10/1/97 - 7/i)~'7 -. 6/30/98 .. X - Director: Ro%P~-. A. ,Tac-]c~ --~ Agency Name: Mid-Easte~n IA CHEC Address: 507 East College S~', Phone: (319) 338-38~3 Completed by: Rebecca Woodhouse /~pproved by Board Chair:~ ~ ~_~ ;. ~ on 9/20/96 9/30/98 (date) COVER PAGE Program Summary:(Pl~asenumberprogramstocorrespondtolncome& Expense Detail, i.e. Program 1,2,3, etc.) 1. Psychiatry Services: Evaluation and Treatment 2o Psycho-Social Rehabilitation:Life ~n. agement skill training in a structured environment 3. Day Treatment: Structured Treatment Program for CSP Clients 4. Clubhouse: Pre-vocational and client driven programming Homeless: Persons with Mental Disorders - Outreach and .'Coordination ~ ' 6o Family Support Services: In-home personal and system supports Y.-- Psychotherapy Services: Evaluation and Treatment ~ 8,- Senior Peer Counseling: Outreach Peer Counseling to Seniors 9. Consultation and Education: Planning, Advising, and Education of Public and of Service Providers; A Prevention Program Local Funding Summary: United Way of Johnson County -- Does Not Include Designated Gvg. City of Iowa City Johnson County City of Coralville 4/1/95 - 4/1/96 - 4/1/97 - % of Total 3/31/96 3/31/97 3/31/98 Budget $ 12,750 $ 13,400 $ 20,000 1.0% FY96 FY97 FY98 $ 823,779 $ 823,779 $ 864,968 ~0.0% $ 9__ -346- AGENCY: Mid-Eastern Iowa Community Mental Health Center -~UDGET SUMMARY Enter Your Agency's Budget Year = = > 1. TOTAL OPERATING BUDGET (total a+b) ACTUAL LAST YEAR THIS YEAR PROJECTED BUDGETED NEXT YEAR 7/95 - 6/96 7/96 - 6/97 7/97 - 6/98 2,578,626 2, 818,210 3,057,485 a. Carryover Balance (Cash from line 3, previous column)* b. Income (Cash) 2. T(~TAL EXPENDITURES (Total a+b) a. Administration b. Program Total (List Progs. Below) 1 Psychiatry 2:- Psychosoeial Rehabilitation 3 _ ._ Day Treatment 4- Clubhous;'-- .~ Homeless .6 .... Family Support Services :.7 Psychotherapy 8 ~ ' .~:, Senior Peer Counseling-- 9 '~ Consultation & Education 3. ENDING OPERATING BALANCE (Subtract 1 - 2 ) 4. RESTRICTED FUND BALANCE (Total from page 7) 5. IN-KIND SUPPORT (Total from Page 7) 6. NON-CASH ASSETS Notes and Comments: Line 3: Add Back Capitol Expenditures Subtract Depreciation Equity at Year End (Carded Forward to Line la next column) ~ Cash, Receivables & Prepaids Property & Equipment Less Payables $892,598 66,677 (49,351) $909,924 $381,403 564,326 (35,805) $9O9,924 $901,419 47,235 (50,000) $898,654 -2- 802,560 909,924 898,654 1,776,066 1,908,286 2,158,831 1,686,028 1,916,791 2,134,273 451,884 447,316 506,606 1,234,144 1,469,475 1,627,667 379,931 471,061 566,541 165,391 176,716 184,946 11,099 11,830 12,654 55,673 58,373 60,137 40,814 40,619 42,324 52,814 74,872 76,655 495,640 602,695 650,515 20,030 21,225 21,526 12,752 12,084 12,369 0 0 0 28,344 23,936 23,936 564,326 561,561 565,661 $923,212 54,100 (50,000) $927,312 *Reflects retroactive increase to comply with new accounting standards: 6/30/95 Balance Recognize UW Funding Recognize Balance of CDBG $737,780 $10,148 $54,632 $802,560 -347- AGENCY Mid-Eastern Iowa Community Mental Health Center -348- INCOME DETAIL a. ]ohnso~ County~ b. * Iowa County c. ****United Way of Johnson County d. Cedar County e. Cedar Co. Supp. Emp. £. New Hrizon Res. (Cedar Co.) 2.'Grants · State, Federal, Foundations ~[. Jolinson County Comm. Service b. Johsnon,County Deeategorization e. * CMHS Block Grant d. ** PATH Grant e. *** Heritage f. Federal Work'Study 2:..N,~t.S~!.~. 0t S??~ (souses) a. Client Fees a. Medicaid .. b. Medicare e. Private Ins. 4. Net Sales Of Materials (sources) b. 5. Contributions/Donations '-a. Ufiited'W~t'~'D'eilfghated Oivi.ng "'b. Other Conttlbutttms 6. Special Events ............... -- -.a7-1owa-City Road Races b. SilentAuction-Clubhouse 7. Interest Income 8. Other - List Below a. Reports/Records b. Consultation e. Other Income ACTUAL LAST YEAR 7/95-6/96 960,669 823,779 38,599 13,400 80,800 1,899 2,192 248,544 95,020 61,603 61,404 26,388 1,432 2,697 535,863 92,582 202,832 62,676 177,773 o THIS YEAR BUDGETED NON- PROGRAM PROJECTED NEXT YEAR DIRECTED 1 7/96-6/97 7/97-6/98 FUNDING Psychiatry 966,878 1 1,008,86~I 87,381J 329,716 823,779 864,968 68,735 317,516 38,599 38,599 8,516 5,000 20,000 20,800 80,800 80,800 10,130 5,000 1,500 1,500 2,200 2,200 2,200 269,853 I 269,781 ] 0 I 81,825 110,973 110,973 70,841 72,233 72,233 60,187 60,187 10,984 26,388 26,388 72 ] 646,155 ] 853,183 ] 432,783 I 155,000 ! 29,229 223,051 157,051 40,000 224,230 235,442 56,042 40,000 69,288 72,753 27,753 20,000 223,408 321,937 191,937 55,000 9,o681 4,4001 4,7001 o 8,161 3,400 3,600 4,863 1 3,0001 3,5001 3,500 ~2,635 3,000 3,500 3,500 2,228 6,5311 7,oool 7,400 4,508 4,750 5,000 3,595 3,750 3,900 2,425 2,500 2,500 PROGRAM 2 Psyeh Rehab--~ 109,852 78,352 30,000 1,500 30,094 30,094 ol 45,000 45,000 I 2,5001 I I 5,ooo I o I 5,000 TOTAL INCOME (same as p. 2, line lb) 1,776,066 1,908,286 2,158,831 531,164 566,541 184,946 Notes and Comments: * Community Mental Health Services Block Grant funded through the U.S. Dept. of Health & Human Services (Community Support Programming for Adults & Comprehensive Services to Children & Adolescents) ** Formula Grant Funded through the Federal Steward B. MeKinney Projects for Assistance in Transition from -- Homelesshess (PATH) ***Heritage Area Agency on Aging. ****UW funding is now recognized in the year pledged rather than in the year received to comply with new accounting standards. INCOME DETAIL (cont) 1. Local Funding Sources- a. Johnson County b. Iowa County c. United Way of Johnson County d. Cedai County e.' 'Cedar C6. Supp. Emp. f. New Horizon Res (Cedar Co.) 2. Grants - State, Federal, Foundations a. Johnson Co. Comm. Service b.Johnson Co. Decatergorization c. CMHS Block Grant &PATH Grant e. Heritage f. 3. Net Sales Of Services (sources) a. Client'Fees a. Medicaid b. Medicare '- Private Insurance 4. Net Sales of Materials (sources) a. c. 5. Contributions/Donations a. United Way Designated Giving b. Other Contributions 6. Special l.~vents .... a. Iowa City Road Rac~ ¢. 7. Interest Income 8. Other - List Below a. Reports/Records b. Consultation c.$ilent Auction c. Other Income TOTAL INCOME (same as p. 2, line l~otes and Comments: PROGRAM 3 Day Treatment 1,654 AGENCY Mid-Eastern Iowa Community Mental Health Center PROGRAM PROGRAM PROGRAM PROGRAM 4 5 6 7 Clubhouse Homeless ~. Family Supp Psychotherapy 39,363 I 15,936 4,422 I 391,274 [ 34,363 15,936 4,422 336,274 25,000 PROGRAM PROGRAM 8 SPC 20,800 20,800 9 C&E 8,469 7,716 83 5,000 30,000 670 0l 26,388] 72,233[ 59,241I 40,132 26,388 72,233 19,109 11,0001 9,4001 01 o l 200,0001 1,000 25,000 10,000 9,400 75,000 25,000 75,000 ol ol ol o1' ol 12,654 ol 3,974 600 3,374 ol ol ol ol ol ol 726] 50O 226 ol I 4,9001 o l 2,5ool o l o l o l o l 0 0 2,500 60,137 42,324 76,655 650,515 21,526 3,900 3,900 12,369 4 -349- PROGRAM EXPENDITURE DETAIL AGENCY Mid-Eastern Iowa Community Mental Health Center ACTUAL THIS YEAR BUDGETED PROGRAM PROGRAM LAST YEAR PROJECTED NEXT YEAR ADMINISTRA- 1 2 7/95-6/96 7D6-6/97 7/97-6/98 TION Psychiatry Psych Rehab. 1. Salaries 1,049,958 1,218,607 1,381,315 320,824 359,366 115,872 2, Employee Benefits & Taxes 220,452 261,729 298,481 77,161 63,911 26,603 3. Staff Development ~ 12,610 20,223 21,886 4,589 2,660 2,891 4. Professional Consultation 16,686 19,069 19,817 19,453 5. Publications & Subscriptions 3,079 3,145 3,271 1,417 123 486 6. Dues and Memberships 4,445 4,541 4,723 1,350 841 7. Rent* - 5,337 10,800 14,772 4,854 4,521 8. Building and Equip. Maint. 46,556 51,719 58,332 17,819 6,162 4,885 9. Equipment, Bldg., & Major Repairs 66,677 47,235 54,100 25,800 6,010 6,460 10. Utilities 17,388 19,327 20,665 4,383 2,040 3,759 11. Telephone 14,069 15,638 16,721 3,579 1,651 3,041 12. Office Supplies & Postage 35,515 38,111 39,750 13,135 3,659 3,933 13. Printing and Publicity** 5,469 ' 12,059 8,066 1,151 917 14. Local Transportation 7,713 10,239 16,022 1,632 3,831 3,902 15. Insurance **** 26,703 39,698 31,630 5,518 8,632 3,738 16. Audit 11,600 6,300 6,500 6,500 17. Collection Fees 1,650 800 800 800 18. Other (Spe¢ify):Medical Supp. 542 563 585 402 153 19 Prog. AcfivitierdSupplies 7,723 7,923 8,240 333 159 20 Food 11,218 11,841 12,314 2,001.- 121 1,365 21 Pharmacy Charges 83,837 90,629 94,254' 94,254 22 Emergency Agreement *** 14,000 14,000 14,000.. 6,558 1,163 23 Recruitment 15,065 4,675 24 Facilitaters-Batterers' Groups 4,700 4,700 4,700 ~ 25 Other Expenses 3,036 3,220 3,329 1,260 208 257 TOTAL EXPENSES (p. 2, line 1,686,028 1,916,791 2,134~273 506,606. 566,541 184,946 Notes and Comments: Reflects rental of space in Muscatine, IA beginning 12/1/96. Includes $5,000 for brochures in the 96-97 fu;cal year *** Agreement is with the Crisis Center. **** Includes approximately $10,000 reporting endorsements (tail insurance) for two psychiatrists who have left or will leave employment (tail insurance covers future claims relating to past employment at the Center) -5- -350- PROGRAM EXPENDITURE DETAIL (continued) Salaries 2. Employee Benefits & Taxes 3. Staff Development 4. Pwfessional Consultation 5. Publications & Subscriptions 6. Dues and Memberships 7. Rent 8. Building and Equip. Maint. 9. Equipmeat, Bldg., & Major Repair 10.Utilities 11. Telephone 12. Office Supplies & Postage 13. Printing and Publicity 14. Local Transportation 16. Audit 17. Collection Fees 18. Other ($pecify):Medical Supplies ~- Prog. Activities/Supplies 21 Pharmacy Charges 22 Emergency Agreement 23 Recruitment 24 Facilitators-Batterers Groups 25 Other Expenses AGENC PROGRAM PROGRA 3 4 Day Treatm6nt Clubhouse 7,568 30,307 1,787 6,004 175 931 15 28 31 175 520 2,102 1,090 300 191 1,832 123 1,482 293 1,553 33 410 5 53 324 1,635 146 5,215 16 7,552 Mid-Eastern Iowa Community Mental Health Center PROGRA ROGRA 'PROGRA PROGRA 5 6 7 8 Ho.meless Family Supp. Psychotherap SPC 30,001 54,390 440,050 13,136 6,759 12,749 98,236 3,187 560 1,050 8,680 350 364 TOTAL EXPENSES (p. 2, line Notes and Comments: PROGRAM 9 C&E 9,801 2,084 12 186 1,004 135 242 1,903 8 38 141 5,032 445 1,022 24,331 1,046 940 525 12,750 225 248 492 7,240 431 49 200 398 5,859 348 40 990 3,564 11,585 812 226 170 260 4,980 102 43 191 1,249 4,882 225 52 728 41 10,471 543 30 238 137 1,947 59 6 51 260 843 91 14 90 200 375 5,125 489 247 134 4,700 140 90 867 110 16 42,324 76,655 650,515 21,526 12,369 12,654 60,137 -6- -351- AGENCY Mid-Eaatern Iowa Community Mental Health Center No board restrictions at this time. Restricted for:. ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR i'~'11}TAL 11KSTRICTED FUNO (also shown page 2, line 4) · ~,*,..~_~ . : .... ~ MATCIIING GRANTS Grantor/Matched by ~I Wo~ Study/Johnson ~unty U.S. Stewart B. McKinn~y PATH (Homely) Grant $2,697/$1,506 $'72 / $40 $0 / $0 $26,388 / $14,426 $26,388 / $14,_2:3.1 $26,388 / $16,049 Xcm a amu rs sho 2) IN-KIND SUPPORT DETAIL Services/Volunteers' * Senior Peer Counselors Material Goods ** Space,. Utilities, etc. Senior Center Other:. (Please specify) Senior Center Staff (104 hours at $9/hr) Space, Utilities, etc. Iowa C0unF Courthouse I'OTAL IN-KIND suPpORT (also shown on page 2, line 4) Not~ and Commenls: · FY1996i' 1,968 hours @ $11.00/hour FY1997 & FY1998:2,000 hours @ $11.00/hr * Donations for 10/95 Silent Auction $~,728 Art work donated 925 Typewriter 75 Book~ 32 $4,760 -352- -7- $21,648 $22,000 $22,000 $4,760 $0 $0 $280 $280 $280 $936 $936 $936 $720 $720 $720 $28,344 I $2.3,9~t6 ] $23,936 POSITIONS Position lhos~ apply i Executive Director 49 X X ~, 19.8 Coord. Psychoth. Clinical Social Workers Clinical Psychologist Psych. Nurse Social Workers Dir~tor CSP Psych. Nurse Counselors Counselors Psychiatrists ~ ',chiatfists-Contractual Physicians' Ass't. Last Year 1.00 AGENCY This Next Year Year 1.00, 1.00 1.00 1.00 8.55 9.40 1.00 1.00 2.00 2.00 1.00 1.00 1.00 1.00 3.80 3.80 0.38 0.38 1.76 2.80 0.33 1.oo 1.0o 1.00 1.00 0.02 0.95 1.00 1.00 1.00 0.94 . .0.94 1.02 1.00 1.00 1.00 0.96 1.00 49 X X 20.5 1.00 49 X X 22.6 6.82 49 X X 20.9 1.00 49 X X 0.O9 49 X X 24.0 1.52 49 X X 20.9 1.00 49 X X 22.3 0.94 49 X X 24.2 3.53 7.7 0.35 49 X X 18.6 1.73 49 X X 20.3 0.17. Business Manager- .- 49 X X 22.0 1.00 Bookkeeper 49 X X 24.3 1.02 Accountant 49 X X 23.5 Insurance Specialist 49 X X '23.6 0.30 Intake Coord. 49 X X 23.1 0.94 Billing Clerk 49 X X 24.9 1.13 Medical Records 49 X X 27.3 0.01 Insurance Ass't. 49 X X 27.3 Office Manager 49 X X 24.3 0.43 1.00 Secretaries 49 X X 28.4 4.89 3.69 Secretaries 7.7 0.14 0.58 Work-Study/Office 0.34 0.01 Clerical Tem~p O. 17 0.22 l .oral Salaries & FIE 29.52 35.21 * Full-time equivalent: 1.0--full-time; 0.5=half-time; etc. ** Percentage shown is based on rate of pay - note change in FT~E_8 _ Mid-Eastern Iowa Community Mental Health Center Salary Actual This Budgeted % Last Year Year Next Year Change 59,698 61,489 63,949 4% 46,071 47,223 49,112 4% 237,557 293,289 335,498 4% ** 42,560 43,911 45,667 4% 3,871 36,240 49,903 51,900 4% 41,671 42,713 44,422 4% 30,355 33,259 34,589 4% 87,511 94,126 97,891 4% 7,532 8,315 8,648 4% 226,530 184,153 306,400 ~ 4% ** 41,016 -100% 8,333 50,000 52,000 4% 33,384 34,386 35,761 4% 21,490 823 -100% 24,587 27,040 4% ** 7,841 26,000 27,040 4% 27,903 28,461 . 29,599 4% 24,863 22,004 22,231 . 4% ** 135 16,250 16,900 4% 15,581 16,900 4% ** 1.00 12,987 23,000 23,920 4% 4.68 83,967 65,664 84,819. 4% 0.39 1,644 7,842 5,029 -36% 4,203 112 -100% 0.10 3,612 4,500 2,000 -56% 37.49 1,049,958 1,218,607 1,381.315[ 4% -353- Mid-Eastern Iowa Community Mental Health Center ACCOUNTABILITY QUESTIONNAIRE A. Agency's Mission Statement or Primary Purpose: The mission of the Community Mental Health Center is to promote and provide quality and accessible mental health care through an array of accredited community mental health services and to work collaboratively with other community entities in the development of services to meet community mental health needs'. B. Board of Directors= 1. Please attach a list of your agency's Board of Directors 2. Frequency of .meetings~ Once every two months-six meetings annually. Briefly describe board orientation and ongoing training opportunities: ..... Board ..orientation typically occurs in November for all new board members. Notebooks containing background information about the agency and about the field are 'given to all members. Staff presentations are made on occasion at board meetings highlighting Center programs. Board members are encouraged to attend special in-services and sometimes presenta.t, ions put on by outside agencies. Co Finances: 1.~" If your agency charges a fee for services, describe your fee structure. · We have a sliding fee scale based on family size and family income° Our minimum fee for psychotherapy, psychiatry, and psychosocial rehabilitation is $5/ visit and our maximum fee is full charge° Fees for day-treatment· range from $2/ day to $25/ day° Some programs are available to clients at no charge. These inc-lude Clubhouse, Homeless, Family Support Services and Senior Peer Counselings---Fees for Consultation and ~.ducation vary from no charge to as high as $85 per hour. ....... 2 .... Does your agency have an internal audit, te~nal au or a financial revie~ .... (circle one) Frequency:. annually Has your agency filed the Annual Report with the Secretary of State? Yes X No 4. Has your agency filed Form 990 with the IRS? Yes FY9~ No FY96 5. Please discuss'your· ~ggncy,s fundraising.~efi~% .if. ap~!iqable. · (eog. events, 'direct mail campaign, planhed~'~'ivlng~ etC'o~) · ~.~...Our Clubhouse program.organized and held a silent auction.in October, 1995. Each year some staff and board members participate in the Hospice Road Races to raise money for the Center. At times small grants are received as a result of program directors' efforts at contacting grantors directly. Do Management: Does each professional staff person have a written job description? Yes X No Is the agency Director's performance evaluated at least yearly? Yes X No__ By Whom? The Personnel Committee of the Board of Directors. -354- MID-EASTERN IOWA COMMUNITY MENTAL HEALTH CENTER BOARD MEMBERS September, 1996 EDAR COUNTY Alma Chapman 1543 290th Street Tipt6n, Iowa 52772-9345 PHONE POSITION TERM H (319) 732-2562 Member 1997 O (319) 263-2020 Charles Hubble 205 E. 8th Street Tipton, Ia. 52772 H (319) 886-6909 0 (319) 886-2070 YEAR JOINED 1987 Member 1998 1992 Mary Eggefiing Trinity Evangelical Lutheran Church 120 W. 7th Tipton, Iowa 52772 H (319) 886-1209 H (319) 668-2390 0 (319) 886-2991 Member 1998 1995 Julie Cowley 200 9th Avenue Durant, Iowa 52747 Ed Compton 114 1/2 W. Fifth St. __Tipton, Iowa 52772 IOWA COUNTY H (319) 785-4908 O (319) 785-4433 H (319) 886-2637 O (319) 886-3168 At-Large 1999 1993 Member * 1994 William L. Jindrich, Jr. 1801 G Avenue Ladora, IA 52251 H (319) 623-3176 O (319) 664-3535 Member * 1995 James Ragland O (319) 642-5543 Marengo Memorial Hospital Box 228 Marengo, Iowa 52301 Secretary- 1998 Treasure~ ' ' ~ ?: 1993 Vivian Kalambaheti 206 Washington St. Box J Victor, Iowa 52347 H (319) 647-2261 O (319) 647-2151 Member 1999 1993 Schael Engel 1207 W. State Street Williamsburg, Iowa 52361 H (319) 668-1228 W (319) 356-2207 President 1999 1993 Bonnie Lindenmayer -750 W. Washington Aarengo, Ia. 52301 H (319) 642-5467 O:\WPDATA\BOARD\96-97MEM.LST Member 1998 1992 9A -355- Mid-Eastern Iowa Community Mental Health Center Board Members September, 1996 JOHNSON COUNTY Sally Stutsman 3714 500 St. S.W. Rive/side, IA 52327 Ed Zastrow 9 South Mt. Vernon Drive Iowa City, Ia 52245 Emilie Rubright 3742 Forest Gate Dr. NE Iowa City, Iowa 52240 Brenda Hollingsworth 736 14th Ave. Coralville, Ia..52241 Joyce Left' . 12 Lakeview Knoll Iowa City, Ia 52240 * Board~of Supervisors PHONE POSITION TERM H (319) 679-2347 O (319) 356-6000 H(319) 337-2650 H (319) 351-1818 YEAR JOINED Member * 1995 Immediate Past 1997 President Vice- 1998 President H (319) 351-4378 Member 1998 Member · 1999 (319) 351-8220 1991 1992 1992 1993 Updated 9/19/96 9B -356- G:\WPDATA\BOARD\96-97M EM.LST AGENCY Mid-Eastern Iowa Community Mental Health Center Program/Services, Please define your agency's units of service (service definition, length of time, cost per unit of service, number of units provided, direct or indirect). 1. Psychiatry Services Medication Management and Psychotherapy Unit of Service/Cost: 15 minutes-S56.66 per 15 minute unit FY 1996 - 7,509 fifteen minute units provided. Direct Service Psychosocial Rehabilitation Service~ Individual Support Services, Group Support Services, and Supported Employment Unit of Service/Cost: 15 minutes-S14.82 per 15 minute unit FY 1996 - 16,824 fifteen minute units provided. Direct Service 3. Day Treatment Services Intensive Day Programming for persons with a Chronic Mental Illness ..~,~,~.- Unit of Service/Cost: 1/2 day-S22.78 per half day unit FY 1996 - 776 half day units provided. Direct Service 4.-'~.¢l~house Services Pre-Vocational Program for persons with a Chronic Mental Illness Unit of Service/Cost: 1/2 day-S14.42 per half day unit F¥ 1996 - 5,872 half day units provided. Direct Service 5. Homeless Services Outreach and Support Services for persons with a Chronic Mental Illness who are homeless or at risk of homelessness (Johnson County). Unit of Service/Cost: 15 minutes-$49.47~per 15 minute unit FY 1996 - 1,208 fifteen minute units provided. Direct Service 6o .- Family, S~pport-Services Outreach and support to families where one or both parents have a Chronic Mental Illness (Johnson County). Unit of Service/Cost: 15 minutes-S40.57 per 15 minute unit .FY 1996 - 2,096 fifteen minute units provided. Direct Service Psychotherapy Services Individual, Couples, Family and Group Psychotherapy for persons with or without a Chronic Mental Illness. Unit of Service/Cost: 15 minutes-S21.07 per 15 minute unit FY 1996-- 33,720 fifteen minute units provided. Direct Service Senior Peer Counseling Services .Tr~inud.~ni~r ~ul~n~rs provide peer ~ounseling to senior citizens in Johnson Count~0 Unit of Service/Cost= 15 minutes-S4.14 per 15 minute unit F¥ 1996 - 7,872 fifteen minute volunteer units provided. Direct Services 10 -357- AGENCY Mid-Eastern Iowa Community Mental Health Center Please supply information about clients serviced by your agency during last two complete budget years. Refer to form instructions for definition of duplicated a. unduplicated. m Enter Years FY 95 FY 96 How. many Johnson County residents (including Iowa City and Coralville) did your agency serve? lao Duplicated 2,011 1,991 Count lbo Unduplicated .1,596 1,644 Count How~many Iowa City residents did your Agency serve? 2a. Duplicated Not Not Count Avail. Avail. 2b. Unduplicated 1,202 1,209 Count How many Coralville residents did your agency serve? 3ao Duplicated Not Not Count Avail° Avail. 3b. Unduplicated 182 206 Count. How many units of service 4a. did your agency provide? Total 133f550 * 137,202 * ~ 15 minute units 4b. To Johnson County Residents 105,767 ~ 104,339 Other Areas Served: Do you provide services to areas outside of Johnson County? Area(s): cedar-and Iowa counties Services provided: Psychotherapy, Psychiatry, & Support services, including Day Treatment; Psychosocial:Rehab and Clubhouse. Funding Sources: County MH-DD dollars, insurance, and fee for service.. 10-A -358- AGENCY Mid-Eastern Iowa Community Mental Health Center 6o client Profile (for last complete year, if available): April 1996 - June 1996 Age Gender Ethnicity 0 - 5 18 M 557 African American 34 6 - 17 207 F 867 Native American 7 18 - 29 348 Figures do not include Asian 5 70 30 - 61 798 the following programs: Hispanic 19 62 - 75 40 Family Support Services White 1347 75 + 13 Senior Peer Counseling Multi-racial/unk 12 Evaluation and Review: A. Please discuss how your agency measures the success of its programs° Every three years, our programs, clinical records and Quality Assurance activities are reviewed for re accreditation by the MH-DD division of the State Department of Human Services. We conduct client satisfaction surveys and beginning in July, 1996 we began implementation of a clinical outcomes measurement system. We measure problem resolution, overall center satisfaction, client satisfaction, provider-profiles and client ratings of functioning. B. Does your agency.have performance objectives? (Give several examples) On a monthly basis we measure monthly and year to date activity or productivity including percent of direct client contacts per clinician (with a minimum standard required), consultation and education provided, percent of no shows and cancellations. We have a standard of seeing clients for their first interview within two weeks° We are in the process of more clearly describing our clinical protocols for determining appropriateness of treatment recommendations° What plans does your agency have to increase efficiency and effectiveness? We must upgrade our management information system in order to increase clinical, business and statistical efficiencies. 8. In what ways will the needs of your service population change in the next five years: The needs of children and families will increase dramatically. This, in part, due to the radical changes connected to welfare reform as well as changes occurring in the SSI program. It is also due to the increased stresses on families living in the midst of dramatic economic'and social changes at all levels° We will see an increase in poverty in our service population. The need for enhanced community based services will be required because of the shift away from intensive hospital based health care. 11 -359- AGENCY~ Mid-Eastern Iowa Community Mental Health Center ® Please discuss any other problems or factors relevant to your agency's programs, funding or service delivery: Increased administrative costs, while trying to gain approval to provie the necessary services to clients and the dramatic changes in how services will be funded and/or who will pay° 10. List complaints about your services of which you are aware: Waiting too long for services has been a complaint and inadequate availability of parking has been a concern expressed by clients. Do you have a waiting list or have you had to turn people away for lack of ability to serve them? What measures do you feel can be taken to resolve this problem? Historically, we have always operated with waiting lists in our psychotherapy services program and psychiatry. We have not had to turn people away. We have added additional staff in both of these programs and have made progress in reducing the period of time that a person waits for their first appointment° How many people are currently on your waiting list? 35 12o In what way(s) are your agency's services publicized? Telephone books Brochures Consultation and Education Publicity in newspapers 13o United Wayinvolvement by your agency:m (Check if agency participates) ao go h. io Agency Directors Meetings X Agencies Representative to Funding Hearings Business Blitz X Day of Caring X Executive Development Seminars..,~.~~ ~ Kick Off X ...... Victory Reception X Volunteer Action Center Other -360- 12 AGENCY Mid-Eastern Iowa Community Mental Health Center AGENCY HISTORY ~'lsing this page ONLY, please summarize the history of your agency, emphasizing Johnson ~unty. past and current activities and future plans. Please update annually.) The Board of Directors is the policy-making body of the Center. From each county served by the Center (Cedar, Iowa, and Johnson counties), five persons represent their county on the Board. The Center opened in 1969, offering Outparish} Psychotherapy and Psychiatry Services, Consultation, Education and Evaluation Services. In addition, we now provide Community Support Program Services, Emergency Services, Senior Peer Counseling Services, Homeless Outreach Services, and Family Support Services. Our Community Support Program Services includes Day Treatment, Psycho-Social Rehabilitation Services and Clubhouse. The Psycho- Social Rehabilitation Services includes five support services. These are Community Living Skills and Social Skills Training; Personal Support, Functional Assessments, and Medication Support Services. The Center also strives for community involvement, with our staff serving on boards and consulting with local agencies. During this past year, we developed and implemented a Family Support Services program in Johnson County. The program was designed in concert with the area office of the Department of Human. Services and the local planning committee responsible for planning for decategorization services° The program is designed to serve, in home, those families where there is a parent or parents with a severe and persistent mental illness with minor children in the home. The goal is to reduce out-of-home placement of both the adults and the children who often must go into foster care if the parent is hospitalized. This program requires that our staff be available twenty-four hours a day, seven days a week. In September, we received certification by the State of Iowa as a Rehabilitative Treatment Services provider and beginning October 1, 1996 will be providing Family-Centered services. Additionally, we will complete, by September 24 of this year a state of the art play therapy room, that will allow us to continue our development as a more comprehensive family services provider. e remain involved with University Hospitals Psychiatry Department, as they develop IMPACT, an assertive community outreach team approach to working with some high utilizers of hospital services here in Johnson County° This project is being launched in cooperation with Merit Behavioral Care, the company managing the mental health and substance abuse Medicaid plan in the State of IOWao We are also seeking a contract with Merit to provide mobile crisis, mobile counseling and respite care services. The latter out-of-home-respite program, we would do in cooperation with MECCA, here in Iowa City. With the county MH-MR-DD dollars now going into a managed system, and a universal application process being implemented as well as a fee-for-service reimbursement system for those of us who have been on a capitation/block grant system, the requirements of managed care will become even.more.~9~andingo Managing our increased costs will be very difficult. Current activities as well as future plans will involveour need to both influence and respond to a health-care reform environment. Clearer and more stringent utilization management procedures will be a requirement in this new health care environment. This, in turn, will place new demands both on clinical, administrative, and support staff. It will be imperative that we become even more proficient in our tracking of clients. Thus, our management information systems will have to be improved and putting new systems in place in a more timely fashion will be required. 13 -361- AGENCY Mid-Eastern Iowa Community Mental Health Center AGENCY PROGRAM GOALS AND OBJECTIVES Overall Goal, Objectives and Tasks of Each Service to be Provided FY-1998 Overall Goal: To promote mental health, to provide a comprehensive range of accredited community mental health services, and to participate with other helping agencies in serving community human needs. Objective A: To provide psychotherapy and psychiatry services to an.estimated 1,300 client systems in Johnson County, 140 client systems in Cedar County, 125 client systems in Iowa County, as well as serving 100'seniors through our Senior Peer Counseling program. Task: To increase productivity. To increase utilization management capabilities. 3. To Continue our efforts of providing senior peer counseling services to seniors° 4.- To increase our efforts to create affiliation _.~u,.~ ...... relationships with other providers. Objective B: To provide up to 400 hours of consultation and education services in Johnson County, 40 hours in Cedar County and ...... ~_h_o~_s__~n_ _~_o_?~__C_ ounty~ Tasks: ~.--~l. TO more clearly determine how consultation and education a~tivities will be paid for° 2o .~ TQ mee~equests for consultation from community agencies and-groups. 3. To participate in coordinated planning with local groups. To contribute to the development of mental health professions through conducting research, presenting papers at professional meetings, and publishing articles in scholarly journals. Objective C: To provide evaluation services for persons in Cedar, Iowa, and Johnson counties. Tasks: Pre-screen all persons seeking voluntary admission for psychiatric care at a state mental health institute° e Coordinate with judicial magistrates concerning people who are in need of voluntary commitment. 14 -362- AGENCY Mid-Eastern Iowa Community Mental Health Center 3. Coordinate admissions with staff at mental health institutes. Objective D: To provide community support program services for about 150 persons in Johnson County and for about 20 persons in Cedar. County. To provide outreach services to 85 chronically mentally ill homeless persons. Tasks: To offer psycho-social rehabilitation services including community living and social skills training, personal support, functional assessments and medication support services° - To increase clubhouse capabilities for providing care to the chronically mentally ill. 3o To provide day treatment services. ~b 4~ To review with other community providers the need for enhanced crisis stabilization° ~ To refine and/or identify additional alternative services for persons with a severe and persistent mental illness with a particular eye toward further development of alternative support services° 6. To continue our outreach efforts to homeless persons. Objective E: To provide emergency services to about 200 persons a year in face-to-face interviews and about 3,000 telephone calls a year. . ._ Tasks: Contract with the Crisis Center to answer and refer calls made during nights and on weekends when the Center is closed o ® Allow for times each day to respond to people needing immediate care. To review in concert with .the Crisis Center and the department of MH-DD services, our after hour crisis services, information sharing procedures and planning for the future° To review and upgrade our crisis stabilization services in light of managed care requirements. 15 -363- AGENCY Mid-Eastern Iowa Community Mental Health Center Objective F: To provide up to 480 hours of practicum training for students in mental health professions. '~'~:Tasks: To provide at least weekly supervision of students. To serve as adjunct faculty and teach ~ourses in mental health services. To participate accreditation. in education planning and social work Objective G: To continue our progress in providing efficient and"~ff~ct-ive administrative, statistical, and office services in order to support and coordinate programs and services. Tasks: To provide and/or make necessary training available to all business and support staff so that upgrading of office operations will continue to occur. Provide administrative facilitation and guidance. upgrade and/or increase our management information s~stem capabilities. To consolidate all business functions within the business ~officeo ~' ..... 5o --~Create a central file system for all clinical records° Objective H: To continue our level of involvement in planning for the..on7.going implementation of the county MH-MR-DD management Tasks: To be involved in the counties work group in revising the county management plan for the~ ~e~t fiscal year. To make known the needs of the MI and CMI populations. 3. To work effectively with the Department of MH-DD services° Resources Needed to Accomplish Program Objectives and Tasks: 1. 'A budget of $2,158,231 to cover program and administrative costs for all programming° 16 -364- ~AN SERVICE AGENCY BUDGET FORM City of Coralville Johnson County City of Iowa City United Way of Johnson County CHECK YOUR AGENCY'S BUDGET YEAR Director: Brian Loring Agency Name: Neighborhood Centers of Johnson County Address: P.o. Box2?94. Iowa City IA 52244 Phone: (319) 358-0438 ~ Completed by: Brian Loring Approved by Chair Board: 1/1/97 - 12/31/97 ' ' C~ __ 4/1/97 - 3/31/98 .- 7/1/97 z- 6/30/98 .... X COVER PAGE Prbgram Su-n:tfn/~-~7-~Please number programs to correspond to Income &Expense Detail, ........ i.e., Program 1, 2, 3, etc.) (date) 1. Education Programs en~ourage positive family interaction which assists children in reaching their full potential. Working together with parents and.children birth through seven, actMties include; child cooperatives, English as Second Language Classes, Adult Basic Education classes, Parents as Partners Four-Year Old Preschool, family computer labs, financial management and nutrition workshops, parent education and support sessions, breakfast programs and school-based literacy events. Education Programs are partially funded through the state Department of Education departments o£Even Start Literat3', At-Risk Four Year Q~'~" and Support Programs for Parents of At-Risk Children Birth through Three. 2'. ,'evention Pro,,rams facilitates the indMdual, family and neighborhood cooperafi~;~Iy isreventing young people in becoming involyed.i.E _crime. drug abuse and yipl_en.t behavior. Activities include; cultural alliance after school programs, community service programs, summer intensive supervision, pre-vocational training, in-school mentors, tutoring, young black men's group and neighborhood councils: A satellite.center in the Clear Creek community coordinates programs for newborns and their families, pregnant women and after school find teen programs... Prevention Programs are partially funded through the state Department of Human Rights and Family Preservation and the Department of Human Service Decategorization Project. 3. Ne&,hborhood $ut~t~ort Services Pro~rams build and create cooperative efforts within the neighborhoods. Programs include child care, transportation to school and community events, direct assistance, grocery shopping, neighborhood surveys, board membership, outreach and referrals. Child Care programs are funded through child care payments from Title 20, Promise Jobs and parent fees. 4. Pheasant Rid~e Buildin~ Project will be complete during Fiscal Year 97. Neighborhood Centers occupied the building on June 28,1996. Final projects such as the playground and landscaping are ongoing. The Pheasant Ridge Project is supported through funds from the Iowa .Ci.t3~'._Com~mu_niB, Development Block Grant, Proctor and Gamble, General Mills, the Carver Foundation, Mid American Energy, and a local capiial campaign. Local Funding Summary · United Way of Johnson County - - Does Not Include Designated Gvg. l_ of Iowa City Johnson County City of Coralville 4/1/95 - 4/1/96 - 4/1/97 - % of Total 3/31/96 3/31/97 3/31/98 Budget $ 51,750 $ 52,400 $ 65,600 7.5% FY96 FY97 FY98 $ 47,250 $ 49,000 $ 68,290 $ 32,672 $ 33,652 $ 58,500 7.8% 6.7% AGENCY: Neighborhood Centers of Johnson County BUDGET SUMMARY Enter Your Agency's Budget Year --=-> 1. TOTAL OPERATING BUDGET (total a+b) a. Carryover Balance (Cash from line 3, previous column) b. Income (Cash) 2. TOTAL EXPENDITURES (Total a+b) a. Administration b. Program Total (List Progs. Below) 1 Prevention 2 Education 3 Support 4 Pheasant Ridge Project 5 6 3. ENDING OPERATING BALANCE (Subtract 2 - 1 ) 4. RESTRICTED FUND BALANCE (Total from. page 7) 5. IN-kIND.SL1PPORT (Total from Page 7) 6. NON-CASH ASSETS _. ACTUAL THISYEAR LASTYEAR PROJECTED 1996 1997 1,116,814 1,036,529 162,062 58,857 954,752 977,672 1,057,957 1,029,103 74,938 66,586 983,019 962,517 244,393 314,771 2951694 311,350 87,502 111,072 355,430 225,324 BUDGETE~-')' NEXTYEAR 1998 872,219 7,426 864,793 864,793 72,730 792,063 362,578 309,914 113,571 6,000 751}551 758,503 579,096 105,006 109,902 123,761 825,767** 804,190 782,613 Notes and Comments: 1 a. The carryover balance from FY95 includes $131,775 restricted for the construction of a new facility at Pheasant Ridge and $10,000 for a board restricted building/emergency fund. 2a. The eanyover balance for FY96 includes $10,000 funds Board restricted for a building/emergency fund. It also includes restricted program funds carried forward to FY97: YCA Decat $7,399, Clear Creek $15,372, Summer Intensive Supervision $14, 832, ICCSD Twain $1,063, The Nest-March of Dimes $2,000, and the Pheasant Ridge Capital Ca~npaign $17,983. 6. Non-cash assets include the Broadway Street and Pheasant Ridge Neighborhood Centers, 4 Vans, office computers and copier and 2 Computer Learning Centers. This figure is supplied by Greenwood and Crim. Accounts payable for the Pheasant Ridge building at the close of FY96 equal $193,556. -366- -2- INCOME DETAIL ACTUAL LAST YEAR 1996 if,'. -Locai' Funding Sources- [ 131,835 a. Johnson County 32,672 b. City o£inwa City 47,250 ¢. United Way of Johnson County 51,913 d. City of Coralville 0 2. Grants - State, Fefferal, Foundations 632,432 - a. Iowa Dept of Public Health 44,835 b. Dept of Education 237,336 c. IA Dept of Human Rights 24,854 d. ICCSD/NL & Twain 26,000 .. e. Iowa Chapter/NCPCA 4,451 f. Community Juvenile Justice 57,146 g Iowa State University/Nest 7,844 h..USDA Food Program 12,049 I. Clear Creek Project/Decat 58,034 J. Family Preservation Grant 0 K. Nest/Decat 5,579 L: Summer Intensive Supervision/Decat 17,848 M. Youth Cultural Alliance 13,818 N. City of Iowa City CDB(3 122,638 3. Net Sales Of Services (sources) [ 55,742 a. HUD/HACAP 44,099 · b. Parent Child Care Fees 3,362 c. Title 20 ChildCare-Fees/Promise 'Jobs ....... 8,281 4. NetSales of Materials (sources) .. [ 298 a. Cards I '298 5. Contributions/Donations a. United Way Designated Giving b. ~Other Contributions 6. Special Events ' · _ a. Iowa City Road Races 'b. ~hea~ant Ridge Capital Campaign c. NCJC Fundraiser '~ 7. Interest Income ' 8. Oth-~- List Below a. Hacap Rental Agrement b. Case Management 1,885 583 1,302 109, i19 12,912 210 AGENCY Neighborhood Centers of Johnson Count3, THISYEAR BUDOETED PROJECTED NEXTYEAR 1997 1998 138,352 [ 192,390 33,652 58,500 49,000 68,290 55,700 65,600 0 0 717,503 563,096 4,392 45,000 238,733 225,341 25,257 26,250 21,000 0 0 0 48,824 48,824 0 0 25,000 25,000 42,663 58,034 101,505 104,695 14,853 0 16,624 16,624 13,328 13,328 165,324 0 68,801. I .54,550 18,000 4,800 46,001 100 100 2,112 612 1,500 32,500 1,500 31,000 4,500 13,804 13,5 54 250 0 4,800 49,750 2,225 I - 650 [ 1,575, 33,500 [ 2,000 6,000 25,500 4,5OOl 14,5321 14,232 300 NON- DIRECTED FUNDING 38,478 11,700 13,658 13,120 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ol 0 0 0 ol ol 2,225 650 1;575 13,295 2,O00 0 11,295 4,500 14,232 14,232 0 PROGRAM PROGRAM I 2 PREVENTION EDUCATION 48,0981 61,950 14,625 18,837 17,073 21,989 16,400 21,124 0 0 312,755 244,341 45,000 0 225,341 26,250 0 0 0 0 48,824 0 0 0 19,000 58,034 0 104,695 0 0 0 16,624 0 13,328 0 0 0 o[ o 0 0 0 0 0 0 0 0 0 0 0 0 1,725 3,623 0 0 1,725 3,623 0 0 0 0 TOTAL INCOME (same as p. 2, line lb) 954,752 977,672 864,793 72,730 362,578 309,914 Notes and Comments: 2d. The contract with the ICCSD ends on June 30, ! 996. 2g. and 2k. NCJC currently acts as fiscal agents for the Nest. The Nest anticipates Incorporation which would discontinue our roll as fiscal agents. 3. The HUD grant ended in August at Broadway. We have continued to provide child care services at the Broadway Neighborhood Center by converting the slots to Title 20fPromise Jobs slots. In addition, the new Pheasant Ridge Neighborhood Center is open and also provides Title 20/Promise Jobs child care services. ol -3 - -367- INCOME DETAIL (cont) PROGRAM 3 SLIPPORT 43,864 13,338 15,570 14,956 !: ~a!.Wun~S.our~es-. a. Johnson County b. City of Iowa City ¢. United Way of Johnson County d. City of Coralville 2:, .Chants r.State, .Federal? F.oug,~ti0ns . . I 6,000 a. Iowa Dept of Public Health b. Dept of Education d. ICCSD/NL & Twain e. Iowa Chapter/NCPCA f. 'Community Juvenile Justice g. Iowa State University/Nest h. USDA Food Program 6,000 I. Clear Creek Project/Decat J. Family Preservation Grant K. Nest/Deeat L. Summer Intensive Supervisien/Decat M. Youth Cultural Alliance N. City of Iowa City CDBG 3. Net Sales Of Services (sources) , [ 54,550 b. Parent Child Care Fees 4,800 c. Title 20 Child Care Fees/JTPA 49,750 4. Net Sales of Materiais.(Sources)., . . ..... [ ...... ......0. a. Cards b. C. 5.. Contributions/Donations 0 a. United Way Designated Giving I b. Other Contributions 6. Special Events I 8,857 I 0 8,857 3ool 3OO a. Iowa City Road Races b. Pheasant Ridge Capital Campaign c. NCJC Fundraiser 7. Interest Income 8. Other - List Below a. Hacap Rental Agrement b. Case Management TOTAL INCOME (same as p. 2, linelb) Notes and Comments: AGENCY Neighborhood Centers of Johnson County PROGRAM PROGRAM PROGRAM PROGRAM 4 5 6 7 BUILDING 0l ol 01 0l PROGRAM 8 ol ol o{ ol 0 0 ol o ol "O] ol 6,ooo I o o l 6,000 ol 0 ol ol 113,571 6,000 0 0 0 0 0{ I -368- -4- PROGRAM EXPENDITURE DETAIL ACTUAL LAST YEAR 1. Salaries 447,090 2. Employee Benefits & Taxes 3. Staff Development 4. Professional Consultation 5. Publications & Subscriptions 6. Dues and Memberships 7. Mortgage~ Rent and Property Tax 8. Building Maintenance 9. Equipment Purchase/Rental/Maint. 10. Utilities 11. Telephone 12. Office Supplies & Postage 13. Printing and Publicity 14. Local Transportation ~--q. Insurance ~t~i Audit 17. Interest 18. Other (Specify): Food & Supplies 19 Van Expenses 20 Youth program Recreation 21 Youth and Nest Incentives 22 Educational Materials 23 Building Construction 24 TOTAL EXPENSES ( p. 2, line 2) Notes and Comments: AGENCY Neighborhood Centers of Johnson County THIS YEAR BUDGETED NON PROGRAM PROGRAM PROJECTED NEXT YEAR DIRECTED 1 2 FUNDING PREVENTION EDUCATION 519,393 555,506 50,794 244,567 204,059 58,189 77,774 85,783 6,478 38,940 31,617 9,079 9,433 10,362 969 3,953 4,200 25,126 25,315 24,875 0 5,320 19,375 1,057 1,700 1,785 335 550 800 1,095 1,100 1,155 305 375 375 14,509 16,700 14,300 500 5,800 1,455 7,550 10,500 11,026 1,103 3,859 3,859 53,701 12,710 14,725 1,280 2,560 4,480 '8,175 14,500 15,541 1,523 5,329 5,329 5,912 5,000 4,800 960 1,560 1,560 4,087 4,403 4,503 1,126 1,351 1,351 5,904 4,500 4,726 945 945 1,418 2,013 5,163 5,409 550 2,861 1,518 13,885 14,300 15,015 1,502 5,255 5,255 2,715 3,200 3,360 3,360 0 0 29,055 36,235 40,083 500 8,500 9,330 9,871 15,507 16,877 500 9,307 5,200 5,095 6,489 7,641 0 4,557 1,334 7,782 11,857 13,539 0 13,539 0 3,576 8,000 13,782 0 3,450 7,399 342,491 225,324 0 1,057,957 1,029,103 864,793 72,730 362,578 309,914 9. FY96 includes equipment purchases for the new Pheasant Ridge facilities as well as equipment for programs. A Handicapped accessible playground was purchased for Pheasant Ridge, a Van for the Clear Creek Program, and new compmers for the Learning Centers at Broadway and Pheasant Ridge. 9. FY98 Includes $3,000 budgeted for a copier for Broadway. $800 budgeted for a new Fridge for Broadway. $10,000 budgeted for a new playground and a new retaining wall for Broadway. $925 is budgeted for equipment repairs and maintenance. 13. Printing costs are projected to decline based on purchase era new copier at,Pheasant Ridge, and the movement of administrative offices into Pheasant Ridge. Copy costs at Colonial Park, the previous site of our administrative offices, were $.i0 per copy. 14. Local transportation costs are projected to increase substantially with the addition of the Healthy Homes program at Clear Creek. '. Food and supply expenses are projected to increase due to opening child care facilitiess at Pheasant Ridge in early FY97. _ J,. Van expenses are projected to increase bases on the addition of one van in late FY96, and the addition of another Sunshine van in FY97. Maintenace costs are projected to increase based on the age of the vans. 26. Telephone expenses are projected to decline due to opening of Clear Creek offices, and elimination of their Cellular Phone which was previously necessary. 5 -369- PROGRAM EXPENDITURE DETAIL (continued) 1. Salaries 2. Employee Benefits & Taxes 3. Staff Development 4. Professional Consultation 5. Publications & Subscriptions 6. Dues and Mem~rships 7. Mortgage, Rent and Property Tax 8. Building Maintenance 9. Equipment Purchase/Rental/M~nt. 10.Utilities 11. Telephone 12. Office Supplies & Postage 13. Printing and Publicity 14. Local Transportation 15. Insurance 16. Audit 17. Interest 18. Other (Specify): Food &,Supplies 19 Van Expenses 20 Youth program Recreation 21 Youth and Nest Incentives 22 Educational Materials 23 24 TOTAL EXPENSES (p. 2, line 2) Notes and Comments: PROGRAM 3 SUPPORT 56,086 8,748 1,240 180 100 100 545 2,205 6,405 3,360 720 675 1,418 480 3,003 0 21,753 1,870 1,750 0 2,933 AGENCY Neighborhood Centers of Johnson County PROGRAM PROGRAM PROGRAM PROGRAM 4 5 6 7 BUILDING PROGRAM 8 6,000 113,571 6,000 0 0 0 0 -37o- -6- AGENCY {R~ESTRICTg. D FUNDS: Restricted by: a. 1owa Dopt ofPubliu Hoa{th b. IX'pt of Eduoation u. IA 13~t of Human Rights d. ICCSDfNL & Twain c. Iowa Chapt~r/NCPCA f. Community Juw'nilc Justioc g. Iowa Stat~ Uniwrsity/N~t h. USDA Food Program l. Clcar Cre~k ProjcutYDeoat J. Family Pr~urvation C~t K. N~st/D~at Restricted for: Grant Purposes Grant Purposes Grant Purposes Grant Purposes Grant Purposes Grant Purposes Grant Purposes Grant Purposes Grant Purposes Grant Purposes Grant Purposes L. Summer Intensive Supervision/D~ Grant Purposes M. Youth Cultural Alliance Grant Purposes City of Iowa City -CDBG Pheasant Ridge Construction NCJC Board of Dimutors Pheasant Ridge Construction NCJC Board 0f Direato~ ............ Building. Expenses & Emergency Fund TOTAL RESTRICTED FUND (also shown page 2, line 4) ATCHING GRA~S Grantor/Matched by University of Iowa work Study/Various Grants and United Way TOTAL MATC!-IING GRANTS (also shown pg. 3, line 2) Neighborhood Centers of Johnson County ACTUAL Tills YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR 44,835 4,392 237,336 238,733 24,854 25,257 26,000 21,000 4,451 0 57,146 48,824 7,844 0 12,049 25,000 58,034 42,663 0 101,505 5,579 14,853 17,848 16,624 13,818 13,328 122,638 165,324 109,119 31,000 10.000 10,000 751,551 I $ 758,503 45,000 225,341 26,250 0 0 48,824 0 25,000 58,034 104,695 0 16,624 13,328 0 6,000 10,000 $ 579,096 $10.533/.$4514' $30,576/$13,1~, $30,576;$13.105 IN-KIND SUPPQ~T_DET&I], Services/Volunteers (Detailed Below) Material Goods (3 Microwaves and 1 Refridgerator, fo~d and educational materials) Space, Utilitids~ etc. (FY96 Apt at Pheasant Ridge and Clear Creek Space) Other: (Please specify) Staff funded through MYEP, JTPA TOTAL IN-KIND SlIPPORT (also shown on page 2, line 4) Notes and Comments: Hours Value Total Board Members 750 $ 16 $12,000 Staff Donated Hours 763 10 $ 7,630 Program Volunteers 7803 6 $46,818 Volunteers (Nursing) 1376 8 $11,008 Volunteers (Legal) 30 75 $ 2,250 ---X~olunteers (Educational) 75 20 $ 1,500 ~tals 10797 $ 81,206 81,206 93,387 107,395 5,000 5,250 5,513 ' 9,500 1,500 600 9,300 9,765 10,253 i05,'0061 109,902{ 123,761 -7- -371- SALARIED POSITIONS Position "X" those that~ply Executive Director Associate Director Broadway Coordinator Pheasant Ridge Coord Volunteer Coordinator~' Fiscal Manager PR Site Director & 4yr Lead Family Outreach Coordinator Youth Program Coord. Preschool Teacher BW Daycare Site Director Child Advocates Literacy Mentor Even Start Coord. Nest Program Coord. Clear Creek Coordinator Clear Creek Project Asst DOE4 Asst Teacher Healthy Homes Home Visitors' Healthy Homes Coordinator Healthy Homes Nurse 38 43 . 43 38 '~- 38 38 38 33 38 33 38 23 23 33 38 38 23 33 23 33 II DVP Project Coord 33 Youth Program Asst 33 UI Workstudy 0 Clerical Support 23 X X X X X X 11.40% X X 11.81% X X 12.74% X X 13.79% X X 15.16% X X 13.84% X X 13.66% X X 14.87% X X 14.89% X X 14.59% ~ X X 15.77% X 17.64% X 14.31% X ! 3.79% X ! 3.06% X 12.85% X 7.65% X 16.89% X 7.65% X~ X 13.52% X X 7.65% X X 15.16% X X 15.91% 0.00% X 7.65% TOTAL FTE's and SALARIES * Full-time equivalent: 1.0=full-time; 0.5=half-time; etc. AGENCY FTE* Neighborhood Centers of Johnson County Salary Last This Next Actual Year Year Year Last Year 1.00 1.00 1.00 .. 34,000 1.00 1.00 1.00 29,497 1.00 1.00 1.00 25,498 1.00 1.00 1.00 19,790 ! .00 1.00 1.00 17,305 0.67 0.75 0.75 11,098 1.00 1.00 1.00 12,307 2.00 1.56 1.75 38,350 1.00 1.00 1.00 18,720 0.31 1.00 1.00 4,516 1.00 1.00 1.00 2 !,632 3.88 3.00 3.00 52,494 i .48 1.50 1.00 26,874 1.76 1.00 1.00 36,910 1.00 1.00 0.75 19,647 0.66 1.00 1 i00 16,385 0.30 0.50 0.50 4,422 0.61 0.83 0.83 8,261 0.00 0.75 1.00 0 0.00 0.85 1.00 0 0.00 0.19 0.25 0 1.00 0.17 1.00 22,3 ! 9 i .40 1.92 2.00 20,478 1.40 4.00 4.00 4,514 0.17 0'.60 0.60 2,073 24.64 28.62 29.43 447,090 Paid Leave: equals the number of FTE Equivalent days per year. This Budgeted % Year Next Year Change Note 36,000 37,440 4% 32,500 33,800 4% 26,520 27,581 4% 22,000 22,880 4% 17,998 18,718 4% 16,380 17,035 4% 22,497 23,397 4% 29,250 34,071 16% D 18,658 ! 9,404 4% 19,469 20,248 4% 16,640 17,306 4% 40,560 42,182 4% 30,160 21,091 -30% E 22,000 22,880 4% 25,000 19,500 -22% A 26,000 27,040 4% 7,478 7,777 4% 12,133 12,618 4% 15,600 21,632 39% B 19,609 23,920 22% B 6,650 8,750 32% B 4,001 18,720 368% C 29,203 34,029 17% D 13,104 13,104 0% 9,983 10,383 4% 519,393 555,506 7%1 D Paid Leave: Employees paid leave is based on their FTE status. All employees recieve Holiday Pay, however, they recieve it for their scheduled hours. So a .5 FTE employee schedulaed to work a 4 hour day reeieves 4 hours of Holiday Pay. A 1.0 FTE employee would recieve 8 hours Holiday Pay. Employees who work .5 FTE and greater recieve Sick Pay, and .75 FTE and greater recieve vacation pay. Retirement Plan: All employees are eligible for a self-contributing 403B retirement plan. -372 A. Represents a 4% increase in pay and a 25% decrease in hours..25 of this position was the Nest Coordinator The nest is incorporating to form its own agency. B. These positions will be vacant the first part of FY97 as we start up the Healthy Homes program. C. This grant is not in our budget for FY97, however, we plan to apply for FY98. D. lncrease in FTE projected for FY98. 4% increase in rate of pay. E. Decline in FTE projected for FY98. 4% increase in rate &pay. AGENCY Neighborhood Centers of Johnson County ACCOUNTABILITY QUESTIONNAIRE A. :: .Agency's Mission Statement or Primary Purpose Neighborhood Centers of Johnson County is dedicated to building a better future for people in low-income neighborhoods through programs that educate, foster self-6steem, strengthen families and create a sense of community. B. Board of Directors: Please attach a list of your agency's Board of Directors Frequency of meetings: Monthly Meetings Briefly describe board orientation and ongoing training opportunities: Board Orientation is provided by the Board President and Executive Director. Additional materials and support are provided by United Neighborhood Centers of America. Finances: 1. If your agency charges a fee, describe your fee structure. Neighborhood Centers of Johnson County only charges fees for families in our full day child care program who are unable to obtain other child care subsidies. The child care fees are on a sliding scale based on USDA Food Program/School Lunch eligibility. Does your agency have: internal audit .... external audit Frequency Annual Complete Audit X financial review Has your agency filed the Annual Report with the Secretary of State? Yes X No 4. ' Yes X No Has your agency filed Form 990 with the IRS Please discuss your agency's fundraising efforts, if applicable. The Primary source of fundraising continues to be grant writing through local, state and federal sources. Other efforts include the Hospice Road Race and the Capital Campaign for the Pheasant Ridge building. Neighborhood Families hold events (garage sales, car washes, fiestas, etc.) which raise dollars for programs. Neighborhood Centers is planning a fund-miser for May 1997. Management: 1. Does each professional staff have a written job Yes description? Is the agency Director's performance evaluated at least yearly? Yes X No By Board of Directors Whom.9 X No -373- Program/Services: AGENCY Neighborhood Centers of Johnson Count)' Please define your agency's units of service (service definition, length of time, cost per unit of service, number of units provide, direct or indirect.) In FY96, we have defined a service unit to be one hour in length for education, prevention and neighborhood support programs, and we have recorded 73,987 direct service units. The agency cost per direct service unit was $9.50. 1. Education Programs: 26,900 Units of Service infant/toddler cooperative, preschool, group and individual parent education, child care during adult programs, ESL/GED classes, special events, information and referral, outreach, counseling, direct assistance 2. Prevention Programs: 28,117 Units of Service after school youthiprograms, teen groups, tutoring, work experience, community service, group and individual parent education, special events, information and referral, outreach, counseling, direct assistance 3. Neighborhood Support Programs: 18,970 Units of Service infant/toddler day care, after school care, adult groups and committees, special events, information and referral, outreach, counseling, direct assistance Please supply information about clients served by your agency during the last two complete budget years. Refer to form instructions for definition of duplicated and unduplicated. 1. How many Johnson County residents (including Iowa City and Coralville) did your agency serve? Enter Years- 1995 1996 la. Duplicated count 62,650 56,495* lb. Unduplicated count 1,453 1,348 2. How many Iowa City residents did your agency 2a. Duplicated count N/A N/A serve? ~ ~' ~ ~' ~ ' ' · -' 2b. Unduplicated count 1,262 1,157 3. How many Coralville residents did your agency 3a. Duplicated count N/A N/A serve? 3b. Unduplicated count N/A N/A 4. How many units of service did your agency provide? 4a. Total 62,650 73,987 Note: 4b. To Johnson County 62,650 73,987 Residents *The agency has updated our system of keeping statistical data, and no longer records contacts that are less meaningful for tracking activities within programs. In terms of unduplicated contacts, the numbers now reflect participants who regularly attend formal programs. Other areas served: . . Do you provide service to areas outside of Johnson County? No Area(s) served: N/A Services provided: N/A -374- Funding Sources: N/A 10 AGENCY Neighborhood Centers of Johnson County. Client Profile (for last complete year, if available): 0 5 151 6,-17 482 18-29 301 30-61 408 62-75 6 75+ 0 .... II (;ehd,.. Female 821 Male 547 ._][.. Etl.!icity African American 278 Native American 4 .Asian 74 Hispanic 111 Caucasian/Non-Hispanic 796 Multi-racial 85 7. Evaluation and Review: Please discuss Describe how your agency measures the success of its programs. It is the goal of each program to develop and implement measures of assessment that; 1) track individual and group success, 2) help plan and implement effective programs that best fit the needs of the families, and 3) encourage goal setting by participants. Evaluation tools include participation records, pre and post tests, and surveys. In addition, statistics on child abuse reports, juvenile crime and police reports are indicators of what is happening within the neighborhood and guides the progranuning. Neighborhood Centers is also currently participating in a four year federal evaluation through the Department of Education Even Start Family Literacy Program. B. Does your agency have performance objectives? (give several examples.) Performance objectives are both agency and individual program driven. Education programs track academic successes of school-aged children, graduation rates of adults, .level of English proficiency achieved, birth weight and pre-term newborns. Prevention programs follow juvenile court records, truancy reduction and academic achievement. Neighborhood Support programs record child abuse reports and police calls within the neighborhood. C. What plans does your agency have to' increase efficiency and effectiveness? As the agency grows, it is important to implement management patterns that accommodate the changing needs of staff while maintaining effective and quality programs(i.e. site coordinators, grant managers, team leaders, etc.). It is also our goal to always increase neighborhood involvement, through advisory committees and volunteer oppommities, as a way to retain effective and efficient neighborhood programs. 8. In what ways will the needs of your service population change in the next five years: As the "welfare to work" initiatives impact a greater number of families in the neighborhoods, child care will become an ever in,creasing need. Increased support for after school and teen aged children will be needed, as they will take on more of the family responsibilities and with less adult supervision. 11 -375- AGENCY Neighborhood Centers of Johnson County 9. Please discuss any other problems or factors relevant to your agency's programs, funding or service delivery: Maintaining continuity of service is an on-going challenge. We have been successful at continuing programs through grants, however, transitions are difficult for staff and program participants. Also, it is sometimes difficult to match grant and other funding dollars to the important issues that ~ve have identified within the neighborhoods. Some sources of funding have voiced concern with the large amount of"soft money" in our agency." ~ 10. List complaints about your services of which you are aware: Families living outside of the Neighborhood Center's service delivery area are unable to participate in programs. Parents in both Pheasant Ridge and Broadway Street neighborhoods would prefer to have the afterschool program, currently offered one time each week, be expanded and/or become an after school day care program (In FY96, a grant did provide day care to after school children at B. St.). This would give working parents a neighborhood.option for after school care. At Pheasant Ridge, where there is a significant elderly and disabled population, current staff does not begin to address program options for adults. 11. Do you have a waiting list or have you had to turn people away for lack of ability to service them? What measures do you feel can be taken to resolve this problem: As anticipated, the .move .to the Pheasant Ridge building almost eliminated any waiting list. Due to limited space in the full day care program at both Broadway Street and Pheasant Ridge, we currently have a list for infant/toddler care. It is not possible at this time for Neighborhood Centers to serve families living outside of our target areas, and we do not create waiting lists :for those families, (We do try, however, to refer those families to appropriate area resources.) How many people are currently on your waiting list? 11 . ~.: .. 12.. In what way(s) are your agency's services publicized? Personal outreach contacts in the neighborhood, monthly neighborhood newsletter, quarterly community newsletter, articles and press releases in local newspapers, Johnson County Services Directory, United Way brochure, speaking engagements, television and radio 13.~., United Way inv~olvement by your agency: ("X" if agency participates) a. Agency Directors Meetings X b. Agencies Representative to Funding Hearings ~ c. Business Blitz X d. Day of Caring X ¢. Executive Development Seminars X f. Kick Off X g. Victory Reception X h. Volunteer Action Center X i. Other 12 -376- AGENCY: Neighborhood Centers of Johnson Coun .ty AGENCY HISTORY In 1973 the management and residents of the Pheasant Ridge Apartments approached the School of Social Work to develop a program because of the problems they were experieficing in the neighborhood. Child abuse, police reports, vandalism and disputes among neighbors all contributed to a diminished quality of life in the complex. The Pheasant Ridge Neighborhood Center was established in a three bedroom apartment with the goal of enhancing the quality of life in the neighborhood. For the past 22 years the Pheasant Ridge Center has offered site educational and recreational opportunities, connected people to resources in the community, and encouraged a sense of community. Despite the limited space available for programs, conditions in the neighborhood have improved significantly over the years. The success of the Pheasant Ridge center prompted the Iowa City. community to support the expansion of the agency in 1988 to a second low-income neighborhood in Iowa City: Broadway Street. Like Pheasant Ridge in 1973, the need for prevention programs was evident in the disproportionate number of child abuse and police reports and juveniles on probation. Neighborhood Centers joined forces with Head Start and built a 6,000 square foot facility in 1990. Since the Broadway Street Neighborhood Center has been in operation, the qualit3' of life in the neighborhood has improved, as seen by the decrease in child abuse reports. The Neighborhood Center concept is unique in that we bring programs to the people who would otherwise have difficulty accessing services either because of transportation, child care, financial constraints or a lack of knowledge of what resources are available. In addition to neighborhood based services, an important function of our agency is to connect our neighbors to other resources in the community:: 'Our agency works closely with 22 United Way agencies. The Neighborhood Center has also developed successful pannerships with the Iowa City schools and the Iowa City Police Department. Our collaborative efforts have decreased the number of drug dealers and gang members in the area and have reduced the overall number of police reports. Our work with the schools has helped parents become more involved in their children's education and has increased the academic skills of participating youth. _: Our agency strives to meet the changing needs of our neighborhoods and our community. With the recent welfare reform initiatives we have seen less demand for respite child care and a greater demand for full-day child care. In collaboration with Head Start and the 4-Cs, Neighborhood Centers initiated a day care program at Broadway Street in October of 1994 for familiesliving in public housing. More recently, we added a full<lay preschool for twelve 4 year-olds at Pheasant Ridge. This preschool opportunity will help bridge the continuum between our existing preschool educational programs for 0-3 year olds and the child's first experience with ldndergarten. This past year, w.e ?.cached out to areas outside of Iowa City as we began new prevention programs in the Clear Creek area of western Johnson Count3,. With the help of individuals, businesses, churches and the Clear Creek Amana schools, we established a Family Resource Center in the community of Tiffin. Furthermore, in September we started the Healthy Homes home visitation program in the communities of Tiffin and Oxford. In collaboration with UI College of Nursing, VNA, Mercy Hospital, University Hospitals and Clinics, and the Nest. Healthy Homes will offer direct support to pregnant women and women with newborns. In addition to providing direct support with health and human services, the Healthy Homes project will create opportunities for new mothers and their families to strengthen their informal support networks. By creating opportunities for families to come together we will reduce isolation, strengthen community and diminish risk for children and parents. This past July, we moved into the new Pheasant Ridge Neighborhood Center after 23 years in the 3-bedroom apartment. With the new facility, we have added a child development daycare and a pre-sehool. Along with this growth will come challenges. the dollars we receive locally are vital to the success our programs. We are requesting significant increases from the City, County. and United Way which will allow us to maintain program continuity and strengthqn our administration. 13 -377- AGENCY Neighborhood Centers of Johnson County AGENCY PROGRAM GOALS AND OBJECTIVES (several pages are provided, please add any additional pages you may need with your agency name as a header) .- GOAL I: Create educational opportunities for individuals and families to realize their full potential in school, family, community and the world of work. OBJECTIVE A: Provide educational support for children to enhance their self-esteem, self- awareness and build academic and commtmication skills. TASKS:' Conduct child development activities three times each ~veek for 75 children ages 5-7 while their parents attend adult education classes. Provide tutoring and weekly access to Broadway and Pheasant Ridge computer lab for 75 children and their parents. 40 children birth-3 will participate in child-centered, developmental activities 4-5 times each week for 20 to 60 hours per week. Provide all-day preschool program for 12 at-risk 4 year-olds at the pheasant Ridge Center. OBJECTIVE B: Create an environment where Center staff and neighborhood parents work in parmership, communicating regularly to build mutual understanding and greater consistency for children; and facilitate the active involvement of parents as the first teacher of their children. TASKS: Provide educational and parenting skills training for 100 parents from Broadway, Pheasant Ridge Neighborhood Centers, Clear Creek Family Resource Center and MECCA to prepare their 150 children for school success. Facilitate 30 weekly parent / child in-home visits to promote literacy activities through client directed reading themes Conduct monthly group activities focused on reading/literacy with 25 parents at Neighborhood Centers, neighborhood schools, or and community resources. Transport and coordinate bi-monthly parent / child activities for 35 families at Roosevelt or Twain literacy labs. -378- 14 AGENCY Neighborhood Centers of Johnson County Facilitate the participation of 50 parents in school events and to volunteer in their child's classroom. Provide access for 25 parents from Pheasant Ridge to literacy mini-lab at Roosevelt during the school day. '~ Offer English as a Second Language classes for 16 adults. at Pheasant Ridge and Broadway 2 times per week. Provide adult Basic Education and GED to 35 parents from Broadway and Pheasant Ridge. Provide tutoring and weekly access to Broadway and Pheasant Ridge computer lab for 25 parents and their children. Provide 50 households in group or home-based "life skills" learning oppommities that will include parent education and support, financial management, nutrition counseling and referral to appropriate resources. Parents will be actively involved in the growth and development of their young children by volunteering time in related child-centered experiences at the Neighborhood Centers. Create a Parent Advisory Committee made up of 8 parents with children in the 4 year old preschool. GOAL II: Increase oppommities for youth and adults to become positively involved in their neighborhood, school, and community and maximize their quality of life. OBJECTIVE A: Cominue to expand outreach efforts in early intervention programming to prevent drag abuse, violence and criminal activity in the Broadway and Pheasant Ridge Neighborhoods. TASKS: Continue the Youth Cultural Alliance project for 60 children ages 5-12 at the Pheasant Ridge Neighborhood Center. Carry out education, recreation and cultural components for the 60 youth participating in the Youth Cultural Alliance project. Organize and conduct a Wednesday and Sunday night tutoring program to reach 60 youth. Conduct drag and violence prevention program for 15 youth ages 13-17 at Broadxvay and Pheasant Ridge. 15 -379- AGENCY Neighborhood Centers of Johnson County Provide a minimum of 30 hours of training/workshops to 25 teens on drug abuse and violence prevention. Provide 30 hours of recreational and team building activities to 40 teens from Clear Creek, Broadway and Pheasant Ridge neighborhoods. Provide 15-100 hours of work experience and community service to 75 youth ages 5-15. Provide after school programming for 24 youth from Clear Creek area. Conduct outreach and home visits to 50 new mothers in the Clear Creek area. Coordinate Nest and 12 health/well-baby clinics in the Clear Creek area. OBJECTIVE B: Promote a sense of'community and reduce isolation in areas served by 'Neighborhood Centers. TASKS: Provide monthly newsletter to 700 families in the Broadway, Pheasant Ridge and Clear Creek neighborhoods. · Outreach to 50 per families week to follow up on pmgr...am participation and encourage new program participation. . .~. Continue to expand participation of residents in the Neighborhood C'ouncil at both Centers to ~ provide input on programming and address larger neighborhood and community issues. .. , Conduct monthly meetings of the Neighborhood Councils. at both Centers. Continue parent and consumer program advisory groups at Broadway, Pheasant Ridge and .,Clear Creek. Organize 24 special events for families creating opportunities for families to meet and receive support. Continue to encourage "ovmership" of the Center through resident initiated groups (such as the neighborhood crime prevention steering committee, neighborhood council and advisory groups) and volunteer opportunities. Organize and continue focus group in Clear Creek area to identify strengths and define problems and set work plan for Clear Creek Coordinator. 16 -380- AGENCY Neighborhood Centers of Johnson Coun~ Employ adults and 30 youth from the neighborhoods in center programs. OBJECTIVE C: Assist families '.m meeting fundamental needs. TASKS: Provide informational, referral and advocacy to families in need of emergency assistance or .. · Distribute Clothing and food to 125 families. Provide transportation to 35 adults and 50 children to attend adult education and summer school classes. Provide access to telephone and deliver phone messages. OBJECTIVE D: To provide child care for families that w511 enable them to seek, retrain and/or train for employment. TASKS: · Provide full-time and part time, licensed day care/child development classes for 40 children .......... aged 6 weeks --3 years. Coordinate' child ~m:e'foi-'youth while parents attend parenting groups, advisory meetings and Neighborhood Council meetings. o Provide child care during other adult center activities. - · Con'duct 'child development activities 3 times each week for 75 children birth-5 years while -" : '" theirS parents attend adult education classes. Pro'vide "Par'ents as Partners Pre-School for 5 days per week for 12 4 year-olds in the Pheasant .Ridge Neighborhood. RESOURCES NEEDED TO ACCOMPLISH TASKS: * 40.5 paid professional staff(part time and full time) . 5 paid administrative staff 17 -381- AGENCY Neighborhood Centers of Johnson County 0 ... *._..Telephone system at each Center · .. 3 photocopy machines o C0mPU. ter system for each Center - o.- 4 passenger vans with full insurance · Professional liability insurance Educational materials Expendable supplies and food 1 maintenance staff 90 volunteers 3 neighborhood centers, fully furnished and insured, at Broadway, Clear Creek and Pheasant COST OF PROGRAM FY 96:$702,527 FY 97:$811,205 FY98:$858,793 -382- 18 NEIGHBORHOOD CENTERS OF JOHNSON COUNTY BOARD OF DIRECTORS, 1996 10/28/96 PRESIDENT: VICE-PRESIDENT: SECRETARY/ TREASURER: Sue Dulek -' Legal Services Corporation of Iowa 430 Iowa Avenue Iowa City, Iowa 52240 351-6570; fax: 351-0079 Paula Kasper-Lundahl 21 Fairview Knoll NE Iowa City, Iowa 52240 338-2475 Lisa Pauley 2532 Bartelt Road, Apt. 1C Iowa City, Iowa 52246 339-8841 DIRECTORS: Harry Wolf Southgate Development Co. 325 E. Washington St. Iowa City, Iowa 52240 337-4195; fax: 337-9823 Karin Franklin City of Iowa City 1618 Wilson Street Iowa City., Iowa 52240 356-5232; fax: 356-5009 Vicki Huff 2110 Broadway St #F Iowa City, Iowa 52240 338-2629 Jim Magera Proctor & Gamble 1060 Jensen St. Iowa City, Iowa 52246 339-2547 Stephen Trefz Community Mental Health 505 East College Street Iowa Cit~-, Iowa 52240 338-7884; fax: 338-7006 Kathy Bachmeier Maxie's 1920 Keokuk Street Iowa City, Iowa 52240 354-7117 John Barthel 2650 Roberts Rd. Iowa City, Iowa 52246 354-9640 19 -383- HUMAN SERVICE AGENCY BUDGET FORM Director: Christie Munson City of Coralville Johnson County City of Iowa City United Way of Johnson County CHECKs YOUR AGENCY'S BUDGET YEAR 4/1/97- 3/31/98 7/1/97 --6/30/98 Agency Name: Rape Victim Advocacy Program Address: 17 West prentiss, Iowa City Phone: 335-6001 Completed by: Christ~ Munson Approved by Chair Board: d~~ '~ ~ TdrnE~e, Treasurer t (date) COVER PAGE .Program Summary: (Please number programs to correspond to Income & Expense Detail, i.e., Program 1, 2, 3, etc.) 1o Rape Crisis Services 24-hour Rape Crisis Line, 24-hour in-person medical and legal advocacy, counseling, ...... systems advocacy, court advocacy, support groups and other direct services for victim/survivors of sexual abuse and their partners, friends and family members in Johnson County. - ' ' 2.' Education - . Present programs on topics related to sexual violence to civic, community, cgur..c_h_.an.d__s__c_h9 l groups. Provide training for professionals and volunteers 'working with survivors. Provide free self-defense classes for women. Operate information bureau and lending library. 3~ Rape Crisis Services for Washington, Cedar and Iowa Counties ' 24-hour Rape Crisis Line, 24-hour in-person medical and iegal advocacy, counseling, court advocacy, support groups'and other direct services'for'vie 'tm~survivors ............. of sexual abuse and their partners, friends and family members in-Washington, ~ Cedar and Iowa Counties. Also provide education programs and serf-defense '- ...... classes for these communities. Local Funding Summary · United Way of Johnson County - - Does Not Include Designated Gvg. City of Iowa City Johnson County City of Coralville 4/1/95 - 4/1/96 - 4/1/97 - 3/31/96 3/31/97 3/31/98 $15,750 $16,125 $16,125 FY96 FY97 FY98 $12,000 $12,500 $12,500 $12,000 $12,300 $12,300 $2,400 $2,400 $2,400 % of Total Budget 7% 6% 6% -384- -1- AGENCY: Rape Victim Advocacy Program BUDGET SUMMARY Enter Your Agen~y's'Budget Year ==> 1. TOTAL OPERATING BUDGET (total a+b) a. Carryover Balance (Cash from line 3, previous column) b. Income (Cash) 2. TOTAL EXPENDITURES (Total a+b) a. Administration 'b. Program Total (List Progs. Below) 1 Rape Crisis Services 2 Education 3 Rape Crisis Services in Washington, Cedar, Iowa Co. 4 5 6 7. 8 ACTUAL THIS YEAR BUDGETED LAST YEAI~ PROJECTE£ NEXT YEAR 7/1/95 to 7/1/96 to 7/1/97 to 6/30/96 6/30/97 6/30/98 162,704 226,479 226,834 5,842 21,179 10,409 156,862 205,300 216,425 141,525 216,070 216,425 35,525 54,000 44,240 106,000 162,070 172,185 70,000 82,000 84,282 36,000 48,000 51,833 32,070 36,070 3. ENDING OPERATING BALANCE (Subtract 1 - 2 )* 4. RESTRICTED FUND BALANCE (Total from .page 7) 21,179 tl 10,409 [[ 10.,409 I 46,318 48,000 50,000 273,702 314,080 470,100 5. IN-KIND SUPPORT (Total from Page 7) 6. NON-CASH ASSETS 4,875 ** Notes and Comments: *This ending balance reflects an influx of resources in FY96 (see narrative). Some of this will be spent on equipment and additional staff in FY97. We hope to keep an ending balance of at least $10,000 in anticipation of the expense of moving to a new location in 1998, and as a reserve in case of a decrease in grant funding. **This number is difficult to estimate as we will be purchasing a new copier and other equipment in FY97. The number in last year's (FY96) colunto is net assets (less depreciation) taken from our FY95 audit. -2- -385- AGENCY Rape Victim Advocacy Program INCOME DETAIL ACTUAL THIS YEAR BUDGETED , LAST YEAR PROJECTED NEXT YEAR 1. Local Funcling Sources- 71,392 73,325 [ 74,325 · . ]ohmon County 12,000 12,300 12,300 b. City of Iowa City 12,000 12,500 12,500 c. United Way of ]0hnson County 15,844 16,125 1&125 d. City of Coralville 2,400 2,400 2,400 e. University of Iowa Student Govt. 29,148 30,000 31,000 L 2. Chares - State, F~eral, Foundations 62,246 ~ .1 !2,325 122,050 ~. Vi¢itn~ of Ctin~ Act 35,390 60,337 60,000 b. Soxual Abuse Grant 25,220 35,000 36,000 e. GASA/Violenee Against Women 1,636 11,588 15,950 d. Iowa CASA* 0 5,400 10,100 f. 3. Net Sales Of Services (sources) 0~ 0 0 b. ¢. 4. ....................... ' ........................ .........0 ..........0 Net Sales of Matexials (sources) a. bo - 5.' ..................................... ....................· ....i~062 ' 9,850 Conlxibmions/Donafi ons a. United Way Dosignaled Giving , 844 [ '850 b. Other Contributions 11,218 9,000 6. Special Events 2,399 2,550 a. Iowa City Road Races 1,504 1,600 b. A Night Out With the RVAP 895 950 C. 7. Intotest Income** . 578 .... 0 8. Other - List Boiow ~. Misc. 578 b. Clothesline Project ¢. NON- " PROGRAM PROGRAM DIRECTED I 2 FUNDING 33,400] 13,625 I 27,300 6,000 1,000 5,300 6,000 1,000 5,500 15,000 1,125 1,400 500 500 5,000 10,000 16,000 0 ] 70,200. 19,900 25,000 11,ooo o o o{ o o{ Ol o{ 9,950 3,.950 I 01 1,SS0 I 850 9,100 { 850 2,6001 1,ooo { o 1,6oo. 1,600 1,000 600 1,000 1,000 '7,5~,{ o{ TOTAL INCOME (same-p. 2, lb) 156,862 205,300 216,425 44,240 84,282 51,833 Notes and Comments: *This funcling will not be awarded until mid-October, 1996 **This figure includes interest from our permanent endowment, which rose from $2,119 in FY95 to $~1683 in FY96. PROGRAM 3 0 31,950 16,000 15,950 o{ 4,1201 4,120 t ol 36,070 -386- -3- PROGRAM EXPENDITURE DETAIL AGENCY Rape Victim Advocacy Program ACTUAL THIS YEAR BUDGETED qON-DIRECTEI PROGRAM PROGRAM PROGRAM · . LAST YEAR PROJECTED NEXT YEAR FUNDING 1 2 3 '1. Salari~ ~ 82,153 119,480 131,756 25,130 51,413 33,213 22,000 2. Employee Benefits & Taxes 22,973 30,540 32,436 7,160 12,026 6,980 6,270 3. Staff Development 2,275 4,500 3,500 250 2,000 750 500 4. Professional Consultation 2,815 4,500 3~,.300 2,000 1,300 5. Publications & Subscriptions 836 1,200 1,200 750 200 250 6. Dues and Memberships 463 550 550 : 400 100 50 7. Mortgage, Rent and Property Tax 0 0 0 8. Building Maintenance 0 0 0 9. Equipment Purehase/RenffMaint.* 1,259 14,000 3,030 1,000 530 1,400 100 10. Utilities 0 0 0 11. Telephone 6,683 8,000 8,200 1,700 5,000 500 1,000 12. Office Supplies & Postage 6,051 8,000 8,300 1,400 3,000 3,000 900 13. Printing and Publicity 4,912 9,500 7,613 5,813 1,300 500 14. Local Transportation 1,701 4,600 4,800 1,000 250 250 3,300 15. Insurance 0 0 0 16. Audit 2,055 2,100 2,100 2,100 ~7. Interest 18. Other (Specify): Fundraising 1,581 1,600 1,700 1,700 Staff Program Expenses 524 800 800 800 20. Crisis Services Prog. Expenses . 1,143 1,700 1,800 1,800 21. Education Prog. Expenses 1,045 1,600 1,740 "' 1,740 22. Self-defense Prog. Ex. 2,906 2,200 2,300 2,300 23. Wash/Cedar/iowa Co. Prog. Exp. 0 1,100 1,200 1,200 '24. Clothesline Project 115 100 100 100 25. Misc. 35 TOTAL EXPENSES (p. 2, L 2) 141,525 216,070 216,425 44,240 84,282 51,833 36,070 I Notes and Commentsi * Ad..difional State Sexual Abuse Grant funds, increased fundraising and higher interest income made it possible for us to purchase a new, long-awaited, photocopier in FY97, as well as upgraded computers and additional printers. -4- -387- AGENCY Rape Victim Advocacy Program RESTRICTED FUNDS: ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR Restricted by: Restricted for: Donor Permanent Endowment .- 46, 318 48,000 (part of the interest accrued is reinvested, and part of it is available to us and listed in our operating exPenses budget under interest income. FY. 97 and FY98 figures .are estimates.) TOTAL RESTRICTED FUND (also shown P2, IA) ] 46,3181 48,0001 50,000 MATCHING GRANTS Grantor/Matched by Victims of Crime Act matched by State Sexual Abuse Grant GASA - VAWA matched by State Sexual Abuse Grant State of Iowa Sexual Abuse Grant Iowa..Co_..~ition .Asain. s~_S'exu./d .As?au!~t ............. ITOTAL MATCHING GRANTS (also shown P3, L2) 35390 / 8847 /60337 / 15084 .60000 / 15000 1636 / 545 11588 / 3863 15950 / 5316 25220 35000 36000 0 5400 10100 -'62,~461'' 112,3251 122,050[ IN-KIND SUPPORT. DETAIL . Volunteers: . . Crisis Services Volunteers (14,784 hours in FY96)* P.O.W.E.R. Peer Educatora '(972 Hours in'FY96) Serf-defense Instructors (770 hours in FY96) UI Pracficum Students (410 hours inFY96) Board Members (950 hours in FY96), Subtotal volunteer support at $!2.96/hr Provided in kind by' the Uniyersi.ty of Iowa Administration Space Utilities .... --, .. ,. Professional Liability Coverage Payroll Accounting Work-study Publicity/Marketing Assistant Repairs, Maintenance and Cleaning services Subtotal University of Iowa, Support 191,601 230,480 386,000 12,597 12,600, 13,000 9,979 11,000 11,000 5,313 5,000 5,000 12,312 13,000 13,000 231,802 272,080 428,000 ~,000 20,000 20,000 3,300 3,300 3,300 7,500 7,500 7,500 1,200 1,200 1,200 1,500 1,500 1,500 4,000 4,000 4,000 37,500 37,500 37,500 Support from within Washington, Cedar and Iowa Counties 4,400 4,500 4,600 ITOTAL IN'-KIND SUPPORT (also shown on P2, L5) i 273,702[ 314,080] 470,100 Notes and Comments: * increases each year reflect 24-hour volunteer coverage in Washington Co. in FY97 and Cedar and Iowa County in FY98-- -388- -5- Agency: Rape Victim Advocacy Progrmn S.__ALARIED POSITIONS FTE Actual This year Budgeted % Paid Health Ream % Last This Next Last Year Projected Next yr. Change Leave Ira. Plan Benefits Year, Year Year Agency Director 51 x x 25% 1 I 1 30,200 31,500 32,500 plus 3% Dir. of Crisis Services 51 x x 28% 1 1 1 22,500 24,000 25,500 plus 6% Dir. of Education · 51 x x 28% 1 '~ 1 I 20,000 21,500 23,000 plus 7% Outreach Counselor- 51 x x 28% 0.17 1 1 3,417 20,500 22,000 plus 7% Office Manager 25.5 x x 48% 0.42 0.5 0.5 6,036 8,820 9,296 plus 5% Student Employees: Crisis Services Asst,* 0 0 0 0.31 0.42 0 4,480 5,880 plus 31% Education Asst.* 0 0 0 0.31 0.42 0 4,480 5,880 plus 31% Youth Oulreach** 0 0 0 0.28 0.55 ....... 0 4,200 7,700 plus 83% Publicity Assistant*** 0 0 0.15 0.2 0.2 a'o Sai esandFT [ I I I I 3.74l 5.61 6.091 82,1531 119,4801 131,7561pluslO%l *New student employee positions in FY97. Funded by an increase in grant funds and fundraising efforts. **Anticipated through funding from Iowa CASA to be awarded in October. ***This is a work-study position funded by the University of Iowa Administration. Listed as an in-kind contribution. -6- -389- AGENCY Ra~ Victim Advocacy Program ACCOUNTABILITY QUESTIONNAIRE A. Agency's Mission Statement or Primary Purpose --' Attached. B. ,Board of Directors: 1: Please attach a list of your agency's Board of Directors: Co. Chairs: Michelle Hogue and Theresa Uiierich Secretary: Janet Lyness Treasurer: Kim Edge ,. Shannon Cooper, Esther Materon-Arum, and Celine Hartwig Several Board members resigned throughout the course of the summer because of other commitments or because they were leaving the area. Ten new members have been · recruited and will be joining the Board in October. - Frequency of meetings: ..... Monthly Briefly describe board orientation and ongoing training opportunities: .... An~ orientation session is offered to Board members sometime within the first few months of their tenure. Board members are always invited to attend various sessions of volunteer training, as well. Board members can take advantage of educational opportunities as they come up. In FY96 board members attended a Kirkwood class on board organization and the Peter C. Brinkerhoff seminar in Cedar Rapids., C. Finances: 1'. ~.' If your agency charges a fee, describe your fee structure. No fees are charged for direct services. We accept donations and honorariums for programs and self-defense classes, but they are not required. 2. Does your agency have: internal audit external audit Yes financial review Yes Frequency Annual ,.~ ~: 3. Has your agency filed the Annual Report with the S~:~tary of State? Yes No X .'(No[applicable because of our connection with the University of Iowa) 4o Has your agency filed Form 990 with the IRS? Yes No X (Not applicable because of our connection with the University of Iowa.) 5. Please discuss your agency's fundraising efforts, if appli'cable. We have several annual fundraising events, including: "A Night Out With the RVAP"; a garage sale, and a direct mail campaign. Our Board of Directors sets an annual fundraising goal and has an active development committee. Members of the development committee are also active in soliciting funds from individual donors. We currently have an endowment fund that provides interest to be used for operating expenses. We anticipate a move to a different location in the near future and we are engaged in fiscal planning with that in mind. As we establish our services in Washington, Cedar and Iowa Counties, we will be soliciting donations from within those counties to supplement our grant funding for that program. Our state and federal grant funding has increased over the last two years. Our fundraising and interest income increased considerably in FY96. In FY95 the total was $13,986 and in FY97 it was $22,646. In our budget we have been conservative in estimating income in this category for the next two years, as both the success of fundraising efforts and interest rates are less predictable than some of our other sources of funding. ... Do Management: 1. Does each professional staff have a written job description? Yes X No 2. Is the agency Director's performance evaluated at least yearly? Yes X No By whom? Board Personnel Committee -7- -390- Rape Victim Advocacy Program Statement of Mission, Philosophy and Vision MISSION' ~'he Rape Victim Advocacy Program provides Johnson County with crisis- intervention services for survivors of sexual violence and their significant others. As funding becomes available, the RVAP is committed to extending services into Washington, Cedar and Iowa Counties. The RVAP is also dedicated to providing education and information on sexual violence and related topics to the communities in the four-county area. Confidential crisis-intervention services include: supportive listening on a 24-hour crisis line; 24-hour, in-person advocacy at a hospital or a law enforcement agency; advocacy in other legal, administrative or medical settings; individual, short-term, peer-counseling; and support groups. Education and information services include: awareness campaigns; peer-education programs on topics including sexual assault awareness, risk reduction, the impact of sexual assault, gender issues, oppression, self-defense for women, and other issues related to sexual violence; an information bureau and a lending library that are available to the public; training on sexual violence issues for others in our community who work with survivors; and other programs, as needed, to fit the needs of individual communities. PHILOSOPHY The Rape Victim Advocacy Program is a feminist, grass-roots organization. A large portion of our services are provided by volunteers. Our services are peer-based. Because the majority of victim/survivors of sexual assault are women and the majority of offenders are men, most of our crisis services are provided by women volunteers, for the comfort and safety of the women and men who use our services. Rape crisis services are provided by women who have been victims of sexual violence and women who have not. Women and men act ~ partnership to provide our educational services, with women modeling leadership roles in these efforts. We serve persons of every gender, race, religion, ethnic origin, ability status, economic status, and sexual orientation. We do not provide services to offenders. All of our crisis-intervention services are provided free of charge, and are confidential. Our role is to provide supportive listening and information, and to support the survivor in making her or his own choices. Sexual assault survivors have the right to choose whether or not to use our services, as well as whether or not to seek physical or mental health treatment or report to the police. VISION The vision of the Rape Victim Advocacy Program is to help create a community free of sexual violence, violence against women, other forms of violence and abuses of power and control, and all forms of oppression. -8- -391- AGENCY Rape Victim Advocacy Program E. Program/Services: ' ~' ~'~' '~31e 'ase define your agency's units of service (service definition, length of time, cost per unit of service, number .of units provided, direct or indirect.) Our units of service include: a crisis call, a peer counseling session, one instance of medical or legal advocacy for a survivor (such as one hospital call or court hearing), one survivor attending one session of a support group, one person in attendance at an educational program or self-defense class. Our out-of-county numbers reflect the hundreds of parents of entering UI students we speak to at orientation sessions throughout the summer. The number of service-users we have in Washington, Cedar and Iowa County is still very small: for instance, only 23 people told us they were from those counties when they used our crisis services in FY96. We keep careful track of what callers tell us about their place of residence, but we do not require them to tell us where they live (or any other specific information). Therefore, the split between Iowa City, Coralville, Johnson County and out, of-county is a proportional estimate. · ., :,. Number of Crisis Service Number Attending Ed. ., .. Users Programs FY95 425 11,339 FY96 407 9,938 .The cost per unit of service was derived by dividing last year's estimated program budget by the units of service. This is not a figure we use in applying for federal or state grants or in our own accounting system. None of our funding is based on purchase of service or any similar system. Our funding is based on having a free service available to the community, regardless of the number of service-users. FY96 Units of Service Estimated Cost per Unit of Service Crisis Services 1,163 $63.00 Education 9,938 $ 3.74 1. How many Johnson County residents (including Iowa City and Coralville) did your agency serve' ~ ...... Please supply information about clients served by your agency during the last Refer to form instructions for def'mition of duplicated and unduplicated. Enter Years- FY95 la. Duplicated count 7,412 2. How many iowa City residents did your agency serve? '. 3. How many Coralville residents did your agency serve?' 4. How many units of service did your agency provide? ~' o two complete budget years FY96 6,468 lb. Unduplicated count 7,407 6,465 2a. Duplicated count 6,01~8 5,120 2b. Unduplicated count ' 6,011 · 3a. Duplicated count' 586 5,117 722 3b. Unduplicated count .583 722 4a. Total 12,809 1i,101 4b. To Johnson County 8,514 8,091 Residents Other areas served: Do you provide service to areas outside of Johnson County? Yes Area(s) served: Washington, Cedar and Iowa Counties Services Eventually we will provide 24-hour rape crisis intervention, in-pei:son provided: peer counseling one day per week, support groups, education programs and self-defense classes in each county. See Goals and Objectives for more information. Funding Federal grants from the Victims of Crime Act and the Violence Against Sources: Women Act, and donations. After services are well established we will seek private donations and direct funding from the C. ounfies. -392- -9- AGENCY Rape Victim Advocacy Program Client Profile (for last complete year, if available): FY96 This profile is for our 407 crisis service users. This information is not available for the people who attended our education programs. 0 - 5 1 Female 321' African American 12 6 - 17 23 Male 86 Native American .: 0 18 - 29 204 Asian 7 30 - 61 158 Hispanic 3 62 - 75 0 Caucasian/NonrHispanic 313 UNK. 19 Multi-racial Other 5 Unknown 249 .Evaluation and Review: ho Please discuss how your agency measures the success of its programs. We measure our success by feedback from service-users, and periodic program reviews. This fall we will be conducting a program evaluation, as well as a special marketing survey using focus groups. A group of MBA students will be helping us with this project~ go Does your agency have performance objectives? (give several examples.) ~ ..~, Each staff person is responsible for producing annual goals within their area of.responsibility and a timdt~ble for completion of those goals. Staff is responsible for an overall annual plan hnd calendar, and the Board has created a set of goals for FY97, as well. What plans does your agency have to increase efficiency and ~ffe~five'n~ss? .... We plan to use some of the increased funding we have received this year to hire additional part-time staff. We hope to reduce the number of hours worked by full-time staff to 40 per week. Currently full-time salaried staff members work between 45 and 60 hours a week. ' ' In what ways will the n.eeds of your service poPUlation change in the next five years: The needs of our%e'rvice population remain relatively constant. Each year survivors experience increasing difficulty accessing mental health resources, and we keep planning for an increase in persons seeking to use our counseling services. We are currently exploring new models for healing support, including a weekend healing retreat for survivors of childhood sexual abuse, and a group called Survivors in Action specifically for sexual violence survivors who want to work for social change. We received grant funds to organize our first healing retreat, which will take place in April. We are applying for grant funds from the Iowa Coalition Against Sexual Assault to hire a half-time educator specifically to concentrate on presenting sexual assault awareness programs to teenagers. -10- -393- AGENCY Ral~e Victim Advocacy Program Please discuss any other problems or factors relevant to your agency's programs, funding or service delivery: In FY96, although we experienced an increase in the number of incidents reported to the RVAP, we had fewer crisis service users and we had a sharp drop in the number of people who used our counseling services (from 414 counseling sessions in FY95 to 291 in FY96). We will be addressing this problem through an increase in resoumes devoted to publicizing this service. We'll also a.ddress it in our program evaluation and in the focus groups we are planning for the fall of 1996. This spring we were notified by the University that our building is scheduled to be torn down. The earliest this would happen is sometime in 1998. Our Board has formed a committee to explore alternatives for new space either within or outside of the University. We will be formulating plans for our move throughout the next year. We'll also establish a cash reserve in anticipation of increased or additional expenses associated with these changes. Right now, we don't have a clue what will happen. We anticipate continued University support throughout this process. More news may be available at the time of the funding hearings this year. 10. List complaints about your services of which you are'~tware: Many people are unaware that our services are free. Questions about fees have increased. We are concerned that anxiety about cost might keep some p .eople from attempting to access our services, so we will begin to put greater emphasis on the fact that the services are free in our advertising. Do you have a waiting list or have you had to turn people away for lack of ability to service them? What measures do you feel cad be taken to resolve this problem: We do not have a waiting list. How many people are currently on your waiting list? 0 12. In wh'a~ '~vay(s)' are your agency's services publ{eiz~d? We use press releases, public services announcements, posters, newspaper ads, handouts, direct mailings, and the phone book to advertise our services. Each fall we conduct a week-long awareness campaign on the University campus at the beginning of the semester, and every April we conduct a month-long awareness campaign targeted toward the entire Johnson County community (April is Sexual Assault Awareness Month). 13. United Way involvement by your agency: ("X"'~f agency participates) a. Agency Directors Meetings x b. Agencies Representative to Funding' Hearings x c. Business Blitz d. Day of Caring x ' e. Executive Development Seminars x f. Kick Off x g. Victory Reception x h. Volunteer Action Center x i. Other -394- -11- AGENCY Ra~e Victim Advocacy Program AGENCY HISTORY (Using one page ONLY, please summarize the history of your agency, emphasizing Johnson County, telling of your purpose and goals, past and current activities and future plans. Please update annually.) Sexual violence touches everyone in our society. 1.3 rapes occur every minute, according to the latest research. It is estimated that one in three women will become.a victim of sexual violence at some time in her life, and perhaps as many as one in six men may be sexually victimized. Sexual abuse is not a topic that is easy to talk about in our culture; some survivors may not tell anyone about their experience for years. The free, confidential services provided by RVAP for sexual assault survivors and their partners, friends and family members are an indispensable part of our community's coordinated response to violent crime. We share our expertise with local law enforcement officers, prosecutors, hospitals and mental health providers to cultivate a cooperative, survivor- oriented response to sexual violence. The Rape Victim Advocacy Program has been providing advocacy, counseling and support for rape victims in our community since 1973. Volunteers founded the program and one hundred dedicated volunteers continue to provide most of the services. Over the last four years the number of rapes reported to the RVAP has increased dramatically. In FY95 we had our most active year ever, delivering a record number of crisis services and education programs. We presented fewer education programs in FY96 because of turnover in the position of Director of Education, however, we expect to surpass the FY95 Education numbers in FY97. Although reports of incidents were up in FY96, we experienced a drop in requests for counseling and support groups. We will address this in FY97, as we have more resources available for advertising this year. We will also explore possible reasons for the drop-off in our program evaluation (to be completed early next year), and through the focus groups we'll convene in the fall with the help of marketing students from the UI Business School. Rapes Total Crisis Total Total Reported Services Programs Attendance FY92 176 1,016 80 2,048 FY93 190 921 138 5,023 FY94 200 1,182 216 9,524 FY95 '~ 225 1,476 241 11,339 FY96 242 1,163 183 9,938 In FY96 and FY97 we are experiencing a rise in federal and state resources available to us. We have finally been able to increase our staffing to meet present needs. This year we plan to add three part-thne student employees to our staff. The Crisis Services Assistant will help the Director of Crisis Services, and assist us with answering the Rape Crisis Line and delivering direct services during the day. The Education Assistant will work with the Director of Education the P.O.W.E.R. (People Out Working to End Rape) peer educators in designing and presenting programs. These two positions will add to the services we provide in Johnson County. We are delighted to f'mally be able to increase our staff and relieve some of the burden on the full-time employees. The third additional part-time student employee we hope to add this year will be a Youth Educator. With this position we will be able to increase the amount of programming we do for junior high and high school age students. We also experienced an increase in fundraising and interest income in FY96, so we were able to fill our current equipment needs. We obtained extra state grant funds to purchase a new copier,which we have needed for some time. We have also been able to purchase a portable notebook computer and printer for our new full-time counselor who serves Washington, Cedar and Iowa Counties. This year we have enough funds to meet the needs we have right now and keep a small emergency fund. We are attempting to hold some of our fundraising and interest income ($10,000) as a reserve because of our move to a new location, anticipated in 1998. At this time, we have no idea where we will be moving or how much it will cost to move. However, like everyone, our federal and state funding is based on the current political climate. It is difficult to predict what our resources will look like in a year or two. We are not requesting any increases in local funding this year. We must to keep our funding at the current level however. Local funding pays for our administrative staff and operating expenses, and most of our other funding is designated to meet specific needs, purposes and/or populations. -12- -395- AGENCY Rape Victim Advocacy Program AGENCY PROGRAM GOALS AND OBJECTIVES (several pages are provided, please add any additional pages you may need with your agency name as a header) PROGRAM 1: RAPE CRISIS SERVICES Goal:: To provide free, confidential crisis intervention services to residents of Johnson County who have been raped, sexually abused, sexually harassed, stalked or sexually~victimized in any way; and to provide support for friends, partners and family members of survivors of sexual violence. Objective A; To Rape Crisis Line hours a day, 365 Tasks: 1. 2. provide 24-hour telephone crisis intervention to an estimated 350 to 500 people who will call the next year, and to provide emergency advocacy at hospitals and law enforcement agencies 24 days a year. Recruit and train volunteer staff. Conduct two or three 52-hour volunteer training sessions per year. Schedule volunteer advocates to staff the crisis line from 5 p.m. to 8 a.m. throughout the week and continuously over weekends and holidays. Schedule paid staff and volunteers to provide crisis intervention and counseling services during the business day. Hold monthly meetings and periodic in-service trainings for volunteer staff. Provide on-going supervision for volunteer staff. Schedule paid staff to be available to on-call volunteer staff for consultation and support on a 24-hour basis. Objective B: To provide follow-up advocacy, information and support to 60 to 100 victims/survivors per year. Advocacy includes accompanying survivors to court, police interviews, and medical appointments, as well as pr6viding support and assistance in communicating with bosses, landlords, professors and others about issues a survivor is facing. Tasks: 1. Train paid staff and volunteers in how to provide these services. 2. Schedule and supervise staff who provide .these services. 3. Network with local law-enforcement, hospital personnel, other agencies and University departments to enhance the quality of treatment survivors receive within various systems. . ,:. ~. :,- ~:'. ~ 4. Network within the Iowa Coalition Against Sexual Assault to enhance the quality of our services and information. Objective,C:: - To provide short-term individual peer counseling to 50 to t00 sexual ~/iolence survivors and their significant others. Tasks: 1. · :Provide entire counseling staff with supervision and on-going training. 2. Provide paid staff with access to professional consultation with a person who does similar work with survivors outside the agency. Objective D: To provide support groups to approximately 20 to 50 sexual assault survivors, and their partners, friends and family members, each year. Tasks: 1. Operate an on-going drop-in support group'for women survivors, facilitated by paid staff or volunteers. 2. Provide 30 hours of advanced training for volunteer facilitators. 3. Provide supervision and support for group facilitators. 4. As resources permit, organize groups for: women who were raped as adults or adolescents, women who are survivors of childhood sexual abuse, men who are survivors, and parmers, friends and family members of survivors. -396- -13- RAPE VICTIM ADVOCACY PROGRAM PROGRAM 2: EDUCATION .ml: To provide educational programs and materials on a wide variety of issues related to sexual abuse. Programs are designed to increase awareness of the problem of sexual violence, inform people about available resources, dispel myths about sexual violence, and teach groups and individuals .how to offer support to survivors. Objective A: Provide 200-500 educational programs to area schools, churches, service clubs and other groups which request them through the P.O.W.E.R. (People Out Working to End Rape) Peer Education Program. Tasks: 1. 2. Objective B: brochures. Prioritize requests and schedule speakers. Recruit new peer educators and hold 52-hour trainings two to three times per year. Hold monthly meetings and trainings for peer educators. Provide supervision and evaluation for the peer educators. Design and update presentations. Maintain a resource library of books and videos, and a free information bureau of handouts and Tasks: 2. 3. 4. Purchase and categorize materials. Design materials specific to our agency. Maintain lending library. Increase the diversity of materials designed for specific groups, such as taped materials available for the visually impaired, or materials specific to particular cultures. -qbjective C: Conduct fall and spring Sexual Violence Awareness campaigns. Tasks: Design, organize and implement programs specific to the awareness campaigns. Design and implement a publicity strategy for each campaign. Objective D: Provide training in sexual violence issues and in working with survivors, for various groups, such as paramedics, clergy, medical personnel, and law enforcemen[ Tasks: Design presentations. Schedule staff to present as requests for training are received. Evaluate the presentations. Objective E: Provide free, safe, and supportive self-defense training for women. Tasks: 1. Organize Rape Aggression Defense Systems training for self-defense instructors on a regular basis. 2. Schedule, publicize and present periodic nine- and twelve-hour seminars. 3. Supervise volunteer and paid staff who are self-defense instructors. -14- -397- Rape Victim Advocacy Program PROGRAM 3. RAPE CRISIS SERVICES IN WASHINGTON, CEDAR AND IOWA COUNTIES ~ Goal: To provide. free, confidential crisis intervention services to residents of Washington, Cedar and Iowa Counties who have been raped, sexually abused, sexually harassed, stalked or sexually victimized in any way; and to provide support for friends, partners and family members of survivors of sexual violence. Objective A: To law enforcement Tasks: 1. 2. 5. provide 24-hour telephone crisis intervention and 24ohour emergency advocacy at hospitals and agencies in Washington, Cedar and Iowa Counties. Recruit and train volunteer staff. Conduct one 44-hour volunteer training each year in each'county. Schedule volunteer advocates to staff the crisis line from 5 p.m. to 8 a.m. throughout the week and continuously over weekends and holidays. Hold monthly meetings and periodic in-service trainings for volunteer staff. Provide on-going supervision for volunteer staff. Schedule paid staff to be available to on-call volunteer staff for consultation and support on a 24-hour basis. Participate in monthly meetings of the Washington County Area Agency Meetings, the Iowa County Human Resource Council, and the Cedar County Human Relations Consortium. Objective B: To provide short-term individual peer counseling sexual violence survivors and their significant others one day per week in each county.. Tasks: 1. Staff an office in donated space in each county one day a week for counseling appointments and walk-ins. -..~ Objective C: To offer at least one support group per county each year. Tasks: 1. Provide supervision and support for group facilitators. ~ '- 2. As resources permit, organize groups for: women who were raped as adults or ~ adolescents, women who are survivors of childhood sexual abuse, men who are survivors, and partners, friends and family members of survivors. Objective-D: Provide educational programs to area schools, churches, service clubs and other groups in each county. ~" Tasks: 1. Prioritize requests and schedule speakers. ...... ........ 2. Recruit new peer educators and hold 52-hour_trainings two to three times per year. -..-. 3 ....Hold monthly meetings and trainings for peer educators. 4. Provide supervision and evaluation fo.r the peer educators. 5.: .......Design and update presentations. , ........... Objective E: '- Provide training in sexual violence issues and in working with survivors, for various groups, such as paramedics, clergy, medical personnel, and law enforcement in each county. Task: 1. 2. Schedule staff to present as requests for training are received. Evaluate the presentations. -398- -15- RAPE VICTIM ADVOCACY PROGRAM AGENCY ADMINISTRATION Goal: To ensure 'the smooth operation of all agency functions, to oversee the dispersal of resources, to ensure the continuation of existing resources, and to secure additional resources for the agency. Objective A: Tasks: Provide a supportive, productive work environment for paid and volunteer staff. 1. Provide an orderly place in which to w. ork. 2. Provide the equipment necessary to do the work. Objective B: Tasks:. ~_~ - Monitor use of financial resources. 1 .... Maintain daily, monthly, quarterly and annual fiscal records. 2.- Arrange for annual audit. 3. Budget anticipated expenditures. Objective C: Maintain regular sources of funding, and secure new ones. Tasks: 1. Reapply for current funding on an annual basis. :: 2. Comply with funding requirements. Obj~tive D: Gather statistics about our services to be used in educational programs and for reporting to funders. Tasks: 1. Prepare quarterly and year-end reports. ' ' 2. Make reports available to the public through direct distribution ..... .. :.~ ~an_d_p_reSS releases. Objective E: Provide for the functioning of a Board of Directors to assist with fundraising and maintaining the long term stability of the agency. Tasks: 1. Recruit and provide training for Board members. - 2. Provide information about agency activities to the Board. ...... 3. Work with the Board to raise funds. .4. Work with the Board on matters of agency..p.o_licy._z__ ..... RESOURCES NEEDED Resources needed for the administration of the agency in general: (Underlining in:dicates resources which we need, but currently do not have.) Four full-time. pair}. staff persons: Agency Director (50% administrative, 40% direct services, 10% education) · " Director of Rape Crisis Services (60% coordination of Rape Crisis Services, 30% direct services, 10% education) ...... -' D'fi'ector of Education (60% coordination of education, 40% direct services) Outreach Rape Crisis Counselor (90% direct services, 10% education Four part time paid staff persons: · Office Manager, .5 FIE (I00% administrative) Crisis Services Assistant, .4 FrE (75% direct service, 25% administrative) Education Assistant, .4 FTE (75% education, 25% administrative) Youth Outreach Educator, .5 FTE (90% education, 10% direct service) Publicity/Marketing Assistant, .2 FTE (100% administrative) -16- -399- RESOURCES NEEDED, cont. RAPE VICTIM ADVOCACY PROGRAM Funds to pay for consultation, bookkeeping and the annual audit Funding for staff development 8 to 12 volunteer members of the Board of Directors Facility and equipment: Building or location with counseling and office space .... Computers, software, printers, and photocopier Office furniture and miscellaneous equipment TV and VCR Video camera and tripod (for training and recording presentations Wheelchair access to building, and to counseling space within the building Wheelchair access to a bathroom within the building 5 Business phone lines, voice mail for business lines, fax/modem, and e-mail Resources needed to operate Rape Crisis Services: 60 to 75 volunteer_rape victim advocates; 5 to 8 advocates to facilitate-support groups Rape Crisis Line phone line Five pager~'-With'/nonthly service 'SerC4ces of answering service to answer line and page advocates - Books, training manuals and videotapes for training ': BOOks and printed information specific to healing issues .... Fumimre for counseling areas Space to conduct training and meetings .... Professional liability insurance (through our association with the University) .... Funds for publicizing services Resources Sp~ifi_c.~..to...._E.d_ucafion Program: Resources 15<to 30 volunteer P.O.W.E.R. (People Out Working to End Rape) peer educators Computer software for design of informational materials Paper for copying informational materials, as well as printing services for mass quantifies of information Funds to support local travel expenses of peer educators - Vide0t~pes for use in presentations · Safety equipment and training manuals for self-defense progmms~: ... .... Padded-attacker suit and related materials for self-defense programs '; Funds___,for publicizing.education programs Funds for developing multi-media education programs ........... Traifiing materials for peer educators ..... ~:-. Lending library of books related to sexual violence issues - Information bureau of free handouts and brochures Self defense training liability insurance (provided by association with Rape Aggression Defense Systems) necessary for providing services in Washington, Cedar and Iowa Counties Eight to twelve volunteers in each county Office space and a phone line in each county Portable computer, printer and cell-phone for counselor Funds to-~payfor local travel expenses to each county -400- -17- HUMAN SERVICE AGENCY BUDGET FORM City of Coralville Johnson County City of Iowa City United Way of Johnson County CHECK YOUR AGENCY'S BUDGET YEAR Betty L. Hargraves Executive Director Director: Betsy Tatro Site Director Agency Name: American Red Cross Address: 328 S. Clinton, Suite 6 Phone: 319-337~2119 Completed by: Betsy Tatro Apprqved by Chair Board.//~/~?'~..,~./?¥/.: /~..? 1/1/97- 1 /31/97 x 10/1/97- 9/30/98 ~/ ~///c~/~'~/~ / 4/1/97 - 3/31/98 __ ~ (date) 7/1/97- 6/30/98 COVER PAGE Program Summary: 1 Emergency Services: (Please number programs to correspond to Income & Expense Detail, i.e., Program 1, 2, 3, etc.) Emergency Services has two aspects to its program, Disaster Services ........ and Emergency Family Services. The American Red Cross is mandated by Congress to .provide disaster relief and recovery assistance. No federal aid is received by the American Red Cross. Disaster Services provides emergency, disaster-related needs of food, clothing, and shelter. Besides meeting the disaster-related basic needs of people, Red Cross must provide · disaster preparedness education. Emergency Family Services helps support families during time of crisis. The Red Cross provides communication and reunification assistance to military families. We also help families who have been separated due to disaster, · war, and other hardships. 2. Health Services: The American Red Cross Health Services provides health education' and prevention to help people prevent, prepare for, and respond to emergencies. The purpose is accomplished by offering prevention education courses in Cardiopulmonary Resuscitation (CPK), First.Aid, Water Safety, an HIV/AIDS education. Health Services volunteers also assist at local bloodmobiles and provide first aid at community events. Local Funding Summary ' United Way of Johnson County Does Not Include Designated Gvg. City of Iowa City Johnson County City of Coralville 4/1/95 - 4/1/96 - 4/1/97 - 3/31/96 3/31/97 3/31/98 $13,250 $13,250 $13,920 FY96 FY97 FY98 4410 4510 4740 5356 5517 5800 0 5O0 50O % of Total Budget 0.087 0.029 0.036 0.003 - 1 - BUDGET SUMMARY AGENCY: American Red Cross Grant Wood Area Chapter Johnson Cottory Office Enter Your ...Agencafs Budget Year --) 1. TOTAL OPERATING BUDGET (total a+b) 168,482 a, Carryover Balance (Cash from line :3, previous column) 33,000 b. Income (Cash.) 135,482 TOTAL EXPelS (Total a+b) a:. Administration b, Program Total (List Pr0gs. Below) Health S ervic~..s ACTUAL THIS YEAR BUDGETED LAST YEAR. PROJECTED NEXT YEAR 117,745 _.12,659 105,086 ~3,807 53,279 ...... 191,841 208,979 50,737 50,737 14.1,104 158,242 141,I04 158,242 13,291 16,560 62,086 70,162 65,727 7!,520 1 2 3 4 5 6 7 :3, ENDIN(~ oP....m~.~ _TINGIaALA_WCE (Subtract 2-1 )~50,737 1 50,737 1 .50,737.1 4. ~S~C~ ~ BAr.~CE ~M ~om p~e ~ 0 .. 0 0 5, ~-~ S~PORT ~o~ ~om Page ~ 45,151 4~686 46,219 6. NON-C~H ~TS __ 1,400 1,200 1,000 Notes ~d Co~ts: The largo carry-owr cash is ncc~ssaxy Ix:cause according to National policy w~ must now have a 180 day c~sh reserve. D~c~ase in the ~aou-cash ass~s is dug Io aging of computer, printer, and fax machine at the l~va City office. -402- -2- INCOME DETAIL 1. Local Funding Sources- b. city ufIuwa City e. Unitexl Way uf J'nh~m~n County d_ City of Co~Iv~c 2. 6ranm - Sram, ~mtcr~, ~oundations [ 1,000 a. FEMA 1,000 b. 1Vfnnildn Cff'a331 0 d. a. Cla~ ~ 26,82I b. b. b. b, AGENCY Amerimn Red Cross Grant Wood Area Chapter John-~on County Office ACTUAL THIS YEAR BUDGElED NON- PROGRA~ PROGRAM LAST YEAR PROJECTi~ NEXTYEAK DIRECTED 1 2 FUNDING 22,671 'l 23,646 .! 24,535 1,100I I2,965 I 10,4~0 5,178 5,436 5,658 0 3,282 2,376 4,305 4,460. 4,625 0 2,682 1,943 13,188 13,250 13,752 J,100 6,601 6,051 0 500 500 0 400 100 3,268 o l 0 0 3,268 0 o ol o b- o o 0 0 0 30,307 ] .36,267 30,307 '36,267 16,468 [ 18,400 16,468 18,400 36,267 ls,4oo 18,400 62,2631 .. 72,94o I'1_~2-nls5,337' I5,363 I .4,216I 5,000 [I , 400, - 3,000I 1.600 58,047 67,940 11.812 52,337 3,791 2,337 1 3.1001 248 1,8.60[ 902 2}'337 3,100 - '248 1,860 9~2 2,815 i 3,oool 3,00-0 I 0.1 01 o'1 ol ol ol o TOTAL INCOME (same as p.2, line 135,482 ~'otes nnd Comments: 141,104 158,242 16,560 70,162 71,520 -3- -403 - ~ROGRAM EXPENDITURE DETAIL 1. Salaries 2. Employee Benefits &Taxes 3. Staff Development 4. Professional Consultation 5. Publications & Subscriptions 6. Dues and Memberships 7. Mortgage, Rent and Property Tax 8. Building Maintenance 9. Equipment Purchase/Rental/Maim. 10. Utilities 11. Telephone 12. Office Sup151ies & Postage 13. Printing and Publicity 14. Local Transportation 15. Insurance-' 16. Audit .......... 17. Interest 18. Other (Specify): Vehicle Exp. 19. Support Allocaiior/'.'At?y.- --, 20. Chapter Assessment 21. Client Assistance 22. Bloodmobile/Disaster Supplies 23. Instructional Materials 24. Volunteer Recognition/Supplies 25 ACTUAL LAST YEAR 40,884 6,728 108 178 15 242 5,640 0 569 0 3,568 1,966 513 · . 106 0 605 0 421 21,821 .... t0i893 12,319 0 10,670 499 AGENCY American Red Cross Grant Wood Area Chapter Johnson County Office THIS YEAR PROJECTED 46,212 7,501 787 195 255 250 5,640 0 4,057 0 3,444 1,525 275 125 0- 655 0 425 28,486 11,744 15,577 525 12,801 625 BUDGETED ADMINISTRA- PROGRAM PROGRAM NEXT YEAR ~ON 1 2 ES HS 53,909 8,625 19,407 25,8?. 8,316 1,330 2,994 3,992 1,000 150 650 200 225 36 81 108 325 75 150 100 550 137 138 275 8,940 715 2,861 5,364 0 0 0 0 1,650 132 446 1,072 _0 0 0 0 3,620 289 1,919 1,412 1,800 144 486 1,170 600 75 325 200 250 30 150 70 :- ............0 O- 0 0 655 52 210 3~ 0 0 0 0 500 235 115 150 31,355 3,449 14,423 13,483' 12,919 1,034 8,785 3,100 -.. 1~000 0 16,000 0 800 0 700 100 14,178 0 75 14,103 650 52 247 351 TOTAL EXPENSES ( p. 2, line 2) 117,745 14-1,104 158,242 16,560 70,162 Notes and Comment 1. Increase in salaries due to intensive survey and evaluation of staff compensation. 3. Increase due to the need to train additional disaster volunteers and train current volunteers in more advanced response programs. 71,520 5. Funding for the Iowa City Press Citizen and Fire Safety Education Magazine 6. Membership and Dues include Iowa City Chamber of Commerce and Rotary. 7, Rent increase due to need to expand our current office space either at present location or new location. 9. Decrease due to no new manikins are needed this year. -404- -4- AGENCY American Red Cross Gram Wood Area Chapter Johnson County Office RESTRICTED FUNDS: ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR Restricted by: No restriceted funds Restricted for: TOTAL RESTRICTED FUND (also shown_page 2, line 4) [ 01 0 MATCHING GRANTS Grantor/Matched by No matching grants TOTAL MATCHING GRANTS (also shown pg. 3, line 2) !N-KIND_$_UP. PORT DETAIL S errices/Volunteers Material Goods 43,331 40,716 42,779 500 650 800 Space, Utilities, etc. 1,320 1,320 2,640 Other: (Please specify) TOTAL IN-KIND SUPPORT (also shown on page 2, line 4) 45,151[ 42,686[ 46,219 N~esand Comments: The decrease in 1996 volunteer in-kind support is due to the decrease in major disasters. The increase in space and utilities in-kind is due to the projected expansion of our facilities. ~A volunteer in-kind services were figured at $5 per hour for clerical assistance~ $8 p=£ hour for disaster volunteers and CPR and First Aid instructors, and $15 per hour for bloodmobile volunteers. -5- -405- SALARIED POSITION~ Position Site Director Asst. Health Services Director Comm. Outreach Coordinator Executive Director Public Relations Director Fin. Admin/Info Svs.Dircctor Emergency Services Director Volunteer Director Asst. Emergency Services Dir. Secretary Admin Asst. Safety Specialist Workplace Inst Workplace Inst AGENCY "X" thos~ that apply FTE* '~ ~ ~ Last This Next Year Year Year 52 x x 17% 0.45 0.40 0.40 42 x x : 25% 0.15 0~.15 0.15 34 x x 32% 1.00 1.00 1.00 52 x x 11% 0.10 0.10 0.10 34 x x 25% 0.03 0.10 0.10 52 x x 22% 0.15 0.10 0.10 40 x x 19% 0.15 0.15 0.15 34 x x 24% 0.10 0.10 0.10 36 x x 35% 0.08 0.05 0.05 34 x x 61% 0.00 0.05 0.05 34 x x 58% 0.00 0.20 0.20 34 x x 52% 0.00 0.05 0.05 0 x 4% 0.06 0.15 0.15 0 x 4% 0.06 0.15 0.15 American Red Cross Johnson County Office Salary Actual This Budgeted % Last Year Year Next Year Change 11,063 11,733 13,755 17% 1,504 2,651 3,366 27% 11,193 12,681 15,632 23% 5,088 5,590 6,109 9% 1,475 1,763 2,100 19% 2,011 2,074 2,223 7% 3,463 3,628 3,887 7% 1,761 1,852 1,945 5% 527 573 620 8% 318 312 328 5% 548 1,304 1,398 7% 463 486 819 68% 1,350 1,230 1,357 10% 120 335 370 10% TOTAL FTE's and SALARIES * Full-time equivalent: 1.0=full-time; 0.5=half-time; etc. 3 40,884 46,212 53,.909 -406- AGENCY: American Red Cross Grant Wood Area Chapter Johnson County Office ACCOUNTABILITY QUESTIONNAIRE A. Agency's Mission Statement or Primary Purpose: The American Red Cross a humanitarian org~ization led by volunteers and guided by its Congressional Charter and the Fundamental Principles of the International Red Cross Movement, will provide relief to victims of disaster and help people prevent, prepare for, and respond to emergencies. Bo Board of Directors: 1. Please attach a list of your agency's Board of Directors 2. Frequency of meetings: monthly 3. Briefly describe board orientation and ongoing training opportunities: Each board member has an initial one on one orientation with a current board member. This is followed by a three-hour group orientation that includes information on the scope of all Red Cross services, the roles and responsibilities of board members, chapter administrative procedures, and fiscal accountability. Board members are offered at least three ongoing training opportunities each year. Board members can attend both the State and National Red Cross conventions and the other leadership trainings including a yearly fund-raising workshop. C. Finances: 1. If your agency charges a fee for services, describe your fee structure. The Red Cross has fees for health and safety classes. Each year the chapter conducts a cost analysis of our classes to insure the appropriated fee is charged for each course. Scholarships are offered to individuals who cannot pay. 2. Does your agency have an internal audit, e~..e. rn~al aud_~; of a financial review? (circle one) Frequency yearly 3. Has you agency filed the Annual Report with the Secretary of State? Yes x No 4. Has you agency filed Form 990 with the IRS? Yes x No 5. Please discuss your agency's fundraising efforts, if applicable. (e.g. events, direct mail campaign, planned giving, etc.) The Red Cross each year has three targeted direct mail solicitations and people have an opportunity to donate each quarterly newsletter. We participate in the Hospice Road Race. A Planned Giving Chair and committee have been established and are implementing the new strategic plan. Do Management: 1. Does each professional staff have a written job description? Yes x No 2. Is the agency Director's performance evaluated at least yearly? Yes x No~ By Whom? Site Director evaluated by Executive Director Executive Director evaluated by Board of Directors -7- -407- AGENCY: American Red Cross Grant Wood Area Chapt;--,. Johnson County Office E. Programs/Services: Please define your ageney's units of service (service definition, length of time, cost per unit of service, number of units provided, direct or indirect.) One unit of service is one person served. Thi§ person can be a Red Cross health and safety class participant, a victim of a disaster, a family member of a military person, a person seeking a family member that they lost contact with due to war and/or disaster, or a person in need of infbrmation and referral. Please supply information about clients served by your agency during the last two complete budget years. Refer to form instructions for definition of duplicated and unduplicated. Enter Years 1994 1995 1. How many Johnson County residents (including Iowa City and Coralville did your agency serve? la. Duplicated Count 105' 29* lb. Unduplicated Count 105' 29* 2. How many Iowa City residents did your agency serve? 2a. Duplicated Count 46*' 8* 2b. Unduplicated Count 46* 3. How many Coralville residents did your agency serve? 3a. Duplicated Count 7' 3* 3b. Unduplicated Count 7* 3* 4. How many units of service did your agency 4a. Total 6,180' 5,692* provide? 4b. To Johnson County Residents 6,180' 5,692* * The numbers in areas 1,2, and 3 indicate the number of disaster victims served. This is the only program at this time that we can track the actual place of residence of each client. We are concluding the first year of implementation of a system that will allow us to track health and safety clients. The decrease in total clients served is due to fewer individuals trained in water safety classes. 5. Other Areas Served: Do you provide services to areas outside of Johnson County? Area(s) served: Linn. Jones. Delaware, and Iowa counties Services provided: All Red Cross services: Health and Safety courses, Disaster relief and preparedness. Emergency Communications for military families. and International Tracing. -. Funding Sources: Funding is provided for these counties from the UnitedWay of East Centra. Iowa and Delaware County United Way. Additional funding comes from donors in these counties and class fees generated from participants living in the four counties. -408- -8- D AGENCY: American Red Cross Grant Wood Area Chapter Johnson County Office Client Profile (for last complete year, if available): This information is not available Age Gender Ethincity 0 - $ M African American 6 o 17 F Native American 18 - 29 Asian 30 - 61 Hispanic 62 - 75 White 75+ Multi-racial 7. Evaluation and Review: A. Please discuss how your agency measures the success of its programs. A strategic plan is developed for 18 months to three years in advance. Objectives are developed to reach the goals of the strategic plan. The objectives are evaluated on a quarterly basis by the service committees and the Board of Directors. Evaluation is based on completing the objectives by the stated time and meeting the measurement stated of reach objective. We are also evaluated by National each year using the Standards of Excellence for chapters. B. Does your agency have performance objectives? (Give several examples) The chapter must train five percent of the population in first aid and CPR. The Disaster Plan must be updated annually. We must develop and implement a client and customer feedback system and 90 percent of customers must be very satisfied. C. What plans does your agency have to increase efficiency and effectiveness? The Red Cross started a second phase of strategic planning during March 1996. The strategic plan is developed with a parmership between the chapter program directors and the Board of Directors. 8. In what ways will the needs of your service population change in the next five years: Increasing aging population that will impact both Disaster Services and Health and Safety programs. There will also be an increased need for affordable housing. This will impact Disaster Services by requiring longer temporary shelter stays for disaster victims. -409- AGENCY: American Red Cross Grant Wood Area Chapt~, Johnson County Office Please discuss any other problems or factors relevant to your agency's programs, funding or service delivery: We have outgrown our current location. To continue to serve our clients we need to either expand within our existing building or relocate. Additional space is necessary for health and safety courses and for storage of necessary disaster relief supplies. 10. List complaints about your services of which you are aware: Training room too small and classes not available when needed. 11o Do you have a waiting list or have you had to turn people away for lack of ability to serve them? What measures do you feel can be taken to resolve this problem: Yes, we have a waiting list for health and safety classes. With expanded facilities we will~be able to have more participants in each class and be able to schedule classes during the workday. 12. 13. How many people are currently on your waiting list? 69 In what way(s) are your agency's services publicized: Speakers Bureau Press Releases Public Service Announcements Class listing brochure Newsletters Public Displays United Way involvement by your agency: (Check if agency participates) g. h. i. Agency Directors Meeting x Agencies Representative to Funding Hearings Business Blitz x Day of Caring __ Executive Development Seminars x Kick Off x Victory Reception x Volunteer Action Center x Other -410- -~.0- AGENCY: American Red Cross Grant Wood Area Chapter Johnson County Office AGENCY HISTORY (Using this age ONLY, please summarize the history of your agency, emphasizing Johnson County, past and current activities and future plans. Please update annually.) The mission of the American Red Cross is to provide relief to disaster victims and help individuals prevent, prepare for, and respond to emergencies. Since 1881, people have turned to the American Red Cross for emergency services. Although the Red Cross is not a government agency and receives no direct government funding, it is chartered by the Congress to provide services to members of the U.S. Armed Forces and to disaster victims. In 1917 the American Red Cross began providing humanitarian services relating to meeting emergency needs and health and safety programs to the people in Johnson County. In March of 1993 the Grant Wood Area and Johnson County chapters merged. This merger has allowed the Johnson County volunteer and paid staff to focus on improving and expanding services and eliminating administrative redundancies. The Johnson County office plays a vital role in the county's emergency response. During the past several years we have seen an increase in the number of single family disasters and the recurrence of multi-unit family fires. This has tested the response of our Disaster Action Team. During 1997, we will work to enhance the disaster team's capacity to independently respond to a small disaster operation affecting up to 30 families. This will include the purchase of additional disaster relief supplies and training more disaster action team members. Health Services continues to meet an ongoing need in the community. The number of classes and participants grows each year. Through a partnership with the University of Iowa College of Nursing, we train all of their nursing students in CPR and First Aid skills prior to the start of each semester. We also continue to strengthen our partnerships with the local parks and recreations programs to offer water safety programs to area residents. For 1997, the Health Services program will continue to provide the quality health and safety programs we have in the past, and we will look for ways to expand and outreach to the community in providing this lifesaving information. Our goals and objectives for 1997 will focus on maintaining the high standards of our current programs and expanding to better meet the needs of the clients. We will initiate a public awareness effort to increase information about available Red Cross programs and services. Disaster volunteers and staff will provide additional education and preparedness activities for Johnson County citizens, and Health Services training will offer more classes to reduce the waiting time for training. -11- -411- AGENCY: American Red Cross Grant Wood Area Char~' Johnson County Office AGENCY PROGRAM GOALS AND OBJECTIVES (Several pages are provided, please add any additional pages you may need with you agency name as a header) EMERGENCY SERVICES 1997 OBJECTIVES Goal: To assist people in Johnson County in preparing for, preventing, and responding to emergency situations through disaster education and response, by providing 24-hour emergency communications and assistance to active-duty military members and their families, and by reestablishing communication between family members, who have been separated due to war, political unrest or disaster. Objective: Construct a strategic plan for Johnson County Emergency Service programming in the next decade. Tasks: 1. Inventory all resources in the Johnson County (human, material, etc.) by January 30, 1997. ~ Survey former clients both disaster and military to assess service and unmet needs by February 15, 1997. Inventory services to clients for a prospectus on effectiveness, efficiency, and cost by April. 30, 1997. Initiate priority recommendations made by task force in Disaster Services by June 1, 1997. Objective: Tasks: Increase disaster volunteer development in Johnson County. 1. Develop a plan for recruitment of non-Caucasian people for disaster services by April 1, 1997. 2. Create a minimum of two partnerships with organizations/businesses to expand human resources for major disaster events by June 30, 1997. 3. Establish a second monthly meeting time for disaster volunteers to promote mo~,~, residential adult participation by November 1, 1997. -412- -12- AGENCY: American Red Cross Grant Wood Area Chapter Johnson County Office Objective: Enrich Tasks: 1. o education activity in Disaster Community Education. Establish at least one new education partnership to assist an at-risk population in safety awareness/intervention by March 15, 1997. Assess areas in Johnson County in which Red Cross could promote hazard/disaster mitigation by February 1, 1997. Continue to expand Battery Up and safety presentations within Johnson County to include at least one more community and two more elementary schools by August 1, 1997. Resources Needed to 2. 3. 4. 5. 6. Accomplish Program Tasks: 15 new Disaster Volunteers Two cellular phones Training materials Brochures and community education materials · Subscription to Public Fire Education:Digest Identification materials for disaster volunteers Cost of Emergency Services: 1995:$51,807 1996:$62,086 1997:$709162 -3.3- -413- Goal: Objectives: Tasks: Objective: Tasks: AGENCY: American Red Cross Grant Wood Area Chapt~, Johnson County Office HEALTH SERVICES 1997 OBJECTIVES To reduce the number of deaths in our community due to accidents and heart attacks and to help people prevent, prepare for, and respond to emergency situations. Instruct a minimum of 2,195 individuals in Johnson County in CPR and First Aid techniques. Develop, print, and distribute a CPR and First Aid course schedule by January 1, 1997. o Identify and recruit three volunteers to serve as a planning committee for a community-wide CPR training day (CPR Saturday) by January 30, 1997. Receive sponsorship for CPR Saturday by February 15, '1997. Conduct a CPR Saturday in Johnsi)n County with a minimum of 75 participants by March 30, 1997. Implement a peer evaluation program for volunteer instructors by August 1, 1997. Recruit and train at least ten new CPR and First Aid instructors by December 31, 1997. Conduct CPR and First Aid classes to at least fifteen new businesses by December 31, 1997. Instruct a minimum of 3,700 individuals in Johnson County in water safety and lifeguarding skills in partnership with local water safety organizations. Meet with local aquatic directors to identify needs for 1997 water safety and lifeguarding instructor classes by January 1, 1997. 2. Schedule 1997 Water Safety and Lifeguarding courses by January 15, 1997. Work with aquatic directors to promote water safety classes and programs to Johnson County residents by May 15, 1997. -414- Objective: Serve as an AIDS information resource to local AIDS organizations, schools, and other social services agencies. Survey the local agencies for the information and training needs by January 31, 1997. Continue to partnership on AIDS awareness activities for AIDS awareness month and World AIDS Day by December 1, 1997. 3. Train at least 10 new AIDS education instructors by December 31, 1997. Resources Needed to Accomplish Program Tasks: 2. 3. 4. Update equipment for baby and child manikins Marketing materials, class schedule brochure 10 new CPR and First Aid instructors Community Outreach Coordinator Cost of Program: 1995: 1996: 1997: $53,279 $65,727 $71,520 -15- -415- Dennis Braksiek Dr. Lon Butikofer Jane Carson T. J. Croco Tammy Danover Dana Fritz Allison Heffern Kay Henry Jack Laugen Mary Lundby Dr. James Manville Paul Maske Harold Miller Denise Piper, RN Eldon Pugh Ron Ricklefs Charles Rohde, Jr. Nancylee , Siebenmann Clare Slattery 1tenry S~nall Dr. Sherry Strong Peter Teahen Jim Thomson Dale Todd Annie Tutlle 9/20196 BOARD OF DIRECTORS GRANT WOOD AREA CIIAPTER AMERICAN RED CROSS FY 1996-1997 Audit Chair Vice Chair/Volunteers . Board Member Health Services Chair Board Member Board Member Planned Giving Chair Board Member Board Member Board Member Board Member Board Member Board Member International Services Chair Financial Development Chair Secrectary & Bylaws/Human Resources Chair Chair of Service Delivery Chair Facilities Chair Board Member Nominating Committee Chair Disaster Services Chair Goverment Relations Chair Board Member Treasurer & Finance Conunittee Chair Senior Vice President, Firsl Trust & Savings Bank Administrator, Delaware Counly Memorial Ilosp. Retired Counselor, Amana Schools President, Ileritage Bank Comm. Relations Director, Mercy Medical Center AItorney, White & Johnson P. C. Commuuity Volunteer Semi-retired Dcvcl. Cousultant, Coe College Iowa State Senalor Semi-retired Optometrist, Optometric Associates Retired Retired IIospice, St. Luke's IIospital Retired Attorney President, King's Material, Inc. Chair, State Service Council Exec. V.P., lleritage Property Managcmenl Princil)al, IIoover Elementary School Asst. Professor, U of I and Coe College Directt)r, Tea hen Funeral lIome ' l)istrict Director, Small Business Administration Iowa State Lottery Association Public Affairs Specialist, Veterans Affairs Medical Center -416- -16 - '""'MAN SERVICE AGENCY BUDGET FORM City of Coralville Johnson County City of Iowa City United Way of Johnson County CHECK YOUR AGENCY'S BUDGET YEAR X. 1/1/97 - 12/31/97 4/1/97 - 3/31/98 7/1/97 - 6/30/98 Director: ~Jancy S.~al j/Joann Duxton Agency Name: Sct~0ol Children's Aid Address:SUU 5 L)ubuque Street, ]~a Cit2 Phone: $19- 33:9-L6~JU Completed by: ..Joan uuxton 9/18/96 (date) 10/1/97 - 9/30/98 COVER PAGE Program Summary:(Please number programsto correspond tolncome & Expense Detail, i.e. Program 1, 2, 3, etc.) 1. Glasses - provided for school age children in Johnson County in need of financial assistance. 2. Clothing for individuals - provided for school age children in Johnson County in need of financial assistance. 3. Medical - provided for school age children in Johnson County in need of financial assistance. 4. Dental - provided for school age children in Johnson County in need of financial assistance, ~" Medication - provided for school age children in Johnson County in need of financial assistance, 6. Clothing for school emergencies - supplies of clothing to be kept in each school building. 7. Miscellaneous - payment for needed x-rays, supplies, etc. 8. School supplies - supplies of paper, pencils, scissors, paints, etc. 9. Classes - registration for classes to meet.students' needs. Local Funding Summary: United Way of Johnson County -- Does Not Include Designated Gvg. .~City of Iowa City _,~hnson County City of Coralville 4/1/95 - 4/1/96 - 4/1/97 - 3/31/96 3/31/97 3/31/98 6641 7016 7016 FY96 FY97 FY98 % of Total Budget 42.5% -1 - -43.7- AGENCY School Children's Aid BUDGET SUMMARY Enter Your Agency's Budget Year -~ 1. TOTAL OPERATING BUDGET (Total a + b) a. Carryover Balance (Cash from line 3, previous column) b. Income (Cash) 2. TOTAL EXPENDITURES (Total a + b) a. Non-directed funding b. Program total (List Programs below) 1. ~lasses 2. clothin~ for individuals 3. reed ical 4. dental 5. medication 6. clothinN for emer,~.encies 7. miscellaneous 8. school supplies 9. class registration 3. ENDING OPERATING BALANCE (Subtract 2 - 1) 4. RESTRICTED FUND BALANCE (Total from page 7) 5. IN-KIND SUPPORT (To~al from page 7) 6. NON-CASH ASSETS Notes and Comments: 1 All funds are ~eneral operating funds. ACTUAL THIS YEAR BUDGETED J LAST YEAR PROJECTED NEXT YEAR 15,542 17,o7§ 16,571 355 ~-, 593 2,505 1.. 5,1 R7 1.. 5,4q2 1. Ll., 066 1 3,949 1.~4., f?O 1,~., 900 t 3,9L~9 14,570 % ~76 3,500 3,999 3,_500 2,351 2,700 0 200 2,5~5 2,500 6~7 750 132 12o 518 1 , 200 151 lOO 14., 900 3,5oo 2,900 200 2,700 75o 15o I , 200 100 1,6 711 I 6, ~38. 7,050 7,208 -2- AGENCY School Children's Aid INCOME DETAIL 1. Local Funding Sources a. Johnson County City of Iowa City c. United Way City of Coralville f. 2. Grants -State, Federal. Foundations a. b. C, d, 3. Net Sales of Service~ (sources) a. b. c. 4, Net Sales o.f Materials (sourcesl a. b, C. 5. ContributionsIDonations a. United Way Designated Giving b. Other Contributions 6. SDecial Events a. Iowa City Road Races b. C. 7. Interest Income 8. Other · List Below Including Miscellaneous a. Donated Credit b. Parent Pa.vment c.;L iscellaneous .~'"'~AL INCOME Ishown also on gage 2. line lb) Notes and Comments: ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR 16,LI. 3'J.I6,92217,016- ~,</A ~'.;/A ~'~/A ~,VA i,;/~ rVA 6,43! 6,922 7,016 J~/A ~..VA ~/A ;'~/A I ~V.A I ~'/A I 7,241 i, 994' 5,247 713 .:'~/^ I F02 I 39o 2~b- ~,~? I ~/A I r~/A I !~/A I 6,6s2 I~,sool 682 2,000 L~, 0003,500 ,~o~ I~,ooo I ~o~ --~,ooo ~.751 3OO 3OO ~50 25 !oo NON- DIRECTED FUNDING I PROGRAM 1 slasses 3, 5OO 3,500 PROGRAM 2 ind,clothin I I 3,2oo 3,200 I I I I I ~oo $oo I .~,5oo [ ?,5oo -3- -419- INCOME DETAIL (continued) Local Funding Sources a. Johnson County b. City of Iowa City c. United Way d. City of Coralville e. f. 2. Grants - State, Federal, Foundations a, b. C, d. 3. Net Sales of Services (sources) ao b. C. 4. Net Sales of Materials (sources) a. b. C. 5. Contributions/Donations a. United Way Desiqnated Givinq b. Other Contributions Special Events - List Below a. Iowa City Road Races b. C. 7. Interest Income Other · List Below Includinfi Miscellaneous a. Donated Credit b. Parent Payment c. Miscellaneous TOTAL INCOME (shown also on pa.qe 2, line lb) PROGRAM f,led ~cal 1 , 700 1,700 AGENCY School Children's Aid 1,816 Notes and Comments: 100 tO0 1,000 1,000 2.800 I I I I 200 ,_~s~ I ~.~o I ~o 200 884 1 50 1 50 3oo 2oo I 2.7oo I ~,~o I '~so I 1.50 ~0 100 -420- -4- INCOME DETAIL {continued) 1. Local Fundin~l Sources a. Johnson County b. City of Iowa City c. United Way d. City of Coralville e. f. 2. Grants - State, Federal, Foundations a. b. C. d. 3. Net Sales of Services (sources) a. b. /~ C, 4. Net Sales of Materials {sources) ao b. C. §. Contributions/Donations a. United Way Desiqnated Givinq b. Other Contributions 6. Special Events · List Below a. Iowa City Road Races b. C, 7. Interest Income 8. Other - List Below Ificludinq Miscellaneous a. 1-)o~q~ t e..d Credi ~ c. I¥~isce 11aneous , dTAL INCOME (shown also on paqe 2, line lb) Notes and Comments: AGENCY ~chool Children's AiU PROGRAM PROGRAM PROGRAM 4 5 6 I I I I I I I I I 100 100 100 I I I I I I I PROGRAM 7 PROGRAM 8 -4 a- -421- PROGRAM EXPENDITURE DETAIL 1. Salaries 2. Employee Benefits and Taxes 3. Staff Development 4. Professional Consultation 5. Publications and Subscriptions 6. Dues and Memberships 7. Mortgage, Rent, and Property Tax 8. Building and Maintenance 6. Equipment Purchase/Rental Maintenance 10. Utilities 11. Telephone 12. Office Suppries and Postage 13. Printing and Publicity.- 14. Local Transportation 15. Insurance 16. Audit 17. Interest 18. Other (Specify): 19. Financial Assist 20. Miscellaneous 21. School Supplies 22. 23. 24. 2§. TOTAL EXPENSES (shown also on page 2, line 2) Notes and Comments: 1 Professional consultation consultation. AGENCY q~,hnn'l ~h'~'ld~',=n'~ A~r~ ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR 1 995 1 qo, 6 1 get N/A ;</A N/A N/A N/A N/A ,~/^ ,~:/^ ~'.,;/a 2,~511 2,~oo1 ~,ooo1 ~A ,~A ",'/~ ~/~ ~/A i~/A ~/A N/A N/A N/A ~/A ~/~ ~'..~/A :,~/~ ~/A ~/a ~.;/A?.:/A ~/A ~',:/~ ~'.~/A :'~/A~/i ~/X ~/A ~/A ~</A r~/A r~/A N/~ ~'~/X~/A lo,948 lo, .35o lo,55o 1 '3,2 120 1 50 518 1,200 1 , 200 13,949 incluSes NON- DIRECTED FUNDING 14,570 14,900 fees for medical and PROGRAM 1 glas.~e~ 3,500 3,500 dental PROGRAU.,, 2 .cloth ir 3,500 3,500 -422- -5- PROGRAM EXPENDITURE DETAIL (continued) 1. Salaries , 2. Employee Benefits and Taxes 3. Staff. Development 4. Professional Consultation 5. Publications and Subscriptions 6. Dues and Memberships 7. Mortgage, Rent and Property Tax 8. Building Maintenance 9. Equipment Purchase/Rental Maintenance 10. Utilities 11. Telephone 12. Office Supplies and Postage 13. Printing and Publicity 14. Local Transportation ~ 5. Insurance 16. Audit 17. Interest 18. Other (Specify): 19. Financial Assist 20. P:iscellaneous 21. School Su~,~lies 22. 23. 24. 25. TOTAL EXPENSES (Show also on page 2, line 2b) Notes and Comments: PROGRAM medical 2,800 2, AGENCY School Children's Aid PROGRAM dental PROGRAM PROGRAM PROGRAM Rx 5 clct~hin~ mis~, 200 2,700 750 t5o 200 2,700 ?50 150 suD%lie~ 1,200 !,200 -6- -423 - PROGRAM EXPENDITURE DETAIL (continued) 1. Salaries 2. Employee Benefits and Taxes 3. Staff Development 4. Professional Consultation 5. Publications and Subscriptions 6. Dues and Memberships 7. Mortgage, Rent and Property Tax 8. Building Maintenance 9. Equipment Purchase/Rental Maintenance 10. Utilities 11. Telephone 12. Office Supplies and Postage 13. Printing and Publicity 14. Local Transportation 15. Insurance 16. Audit 17. Interest 18. Other (Specify): 19. Financial Assist 20. i-iscellaneous 21. School Supplies 22. 23. 24. 25. TOTAL EXPENSES (Show also on page 2, line 2b) Notes and Comments: regis. ~ !oo AGENCY ~-c,,oo! Children's Aid PROGRAM PROGRAM PROGRAM PROGRAM 4 5 6 7 PROGRAI~ 8 -424- -6 a- AGENCY School Children's Aid RESTRICTED FUNDS Restricted by: r'~/A Restricted for: ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR 1995 1996 1997 Total Restricted Funds (also shown page 2, line 4) MATCHING GRANTS Grantor/Matched by: ,~/A Total Matching Grants (also shown on page 3, line 2) IN.KIND SUPPORT DETAIL Services/Volunteers Material Goods Donated Used Clothing Space, Utilities, etc. secretary, postage, supplies, phone Other: (Pleas~ specify) 4.~mile s/we~k mila~e ~ 28¢/mi~, 31¢~mi~ 472 523 aedudtlon of c,har~es fo~' glasses and professional consultation fees 5664' ?9?5 TOTAL IN-KIND SUPPORT (Shown also on page 2, line 4) 6,838 7 ~ 05_C, Notes and Comments: 1 125 volunteer hours @ ~22.50/hour 4-includes 12 free eye exams ~ ~35 each 5 includes 14, free eye exams at ~35 each 6 includes 20 free eye exams ~ $35 each 2,8~. 2~- 2, ~. 21 2,8~_ 2~- 390 300 300 3,023 3,o89 3,144, 523 9006 7,20~, -7- -,~25- AGENCY .gnhonl (l, hild'r'e,~'~ Ai(!. SALARIED POSITIONS Paid Position Lye N/A "X" all that apply Health Retire ins Plan % Benefits Last This Next Year Year Year ACTUAL THIS YEAR BUDGETED % LAST PROJECT- NEXT CHAN( YEAR ED YEAR Total Salaries & FTE "Full-time equivalent: i.0 - full-time; 0.5 - half,time; etc. icc~hdb(Jd~i12.frm -426- -8- Ao AGENCY: School Ch.~ldre~"~id ACCOUNTABILITY QUESTIONNAIRE Agency's Mission Statement or Pdmary Purpose: To provide assistance (medical, dental, classes, clothinc) needy school children that will. result in the student's successful participation in the school program. for more Bo Board of Directors: Please attach a list of your agency's Board of Directors i'.;/A Frequency of meetings: ~/A uefiy descdbe board orientation and ongoing training opportunities: r staff consists of Nancy Spalj, Joan Buxton, and Sue Dom. broski. We communicate every day and share information and responsibilities Finances: 1. If your agency charges a fee for services, descdbe your fee structure. ~'.;o fees charged Does your agency have an intemal audit, external audit or ~'~mancial revie~y.2 (circle one) Frequency RnnuR'l'l ¥ Has your agency filed the Annual Report with the Secretary of State? Yes No. X Has your agency filed Form 990 with the IRS? Yes X No. Please discuss youragency's ~ndraising efforts, ifapplicable. (e.g. events, di~ct mailcampaign/planned giving, etc.) Oommunication.with faculty throuch in-district We also send requests to local churches, newsletter, Management: Does each professional staff have a wdtten job description? Yes X No 2. Is the agency Director's performance evaluated at least yearly? Yes No X By Whom? Director is evaluated every three years by for over all job performance. -9- superientendant -427- AGENCY: School Children's Aid Program/Services: Please define youragency's units ofservice (service definition, length oftime, costper unitofservice, numberofunits pmvided, dire~ orindirect.) k unit of service is defined as an interaction with a student and the family that orovides ~ specific service and/or material oroducts to help the student become more successful in school. Please supply information about clients served by your agency dudng last two complete budget years. Refer to form instructions for definition of duplicated and unduplicated. How many Johnson County residents (including Iowa City and Coral- ville) did your agency serve? Enter Years -----~ :199b. 1 995 la. Duplicated Count 35~ 4.27 lb. Unduplicated Count 33! 336 How many Iowa City resider:~ts did your agency serve? 2a. Duplicated Count 21. 5 27? 2b. Unduplicated Count 1 6 '~ 21_ 0 How many Coralville residents did your agency serve? 3a. Duplicated Count {? ? 1 3 9 3b. Unduplicated Count How many units of service did your age- ncy provide? 4a. Total 4b. To Johnson County Residents 5. Other Areas Served: Do you provide services to areas outside of Johnson County? Area(s) served: Services provided: 4.2'7 35° Funding Sources: -428- -10- AGENCY: School ChilOren's Aid Client Profile (for last complete year, if available): ',"/e use our equity s~te.,,.en~ which is enclosed We do not keep data or ask individuals what their _~ender or ethnicity is but our funds are available Age Gender Ethnicity to all students. : We do require 0 - 5 M Afdcan Amedcan that they be 6-17 F Native American of school ag_e. 18 - 29 Asian 30 - 61 Hispanic 62 - 75 White 75 + Multi-racial 7. Evaluation and Review: Please discuss how youragency measumsthe success ofits programs. The success of our program is measured in small ways. A student is more comfortable in school because they have shoes that fit, or a coat that keeps them warm. They can see a blackboard or read better because of glasses° B. Does youragency have peNormance o~ectives? [Give sevemlexamples] The criteria used to determine eligibility for School Children's Aid funding is the same as that used to determine free or reduced lunch. There is some limit to the amount allowed for each family i.e. $25.00 per child for clothes or shoesi'$I00 for glasses. C. Whatplansdoesyouragency havetoincmase efficiency and effectiveness? ~,';e have set some time constraints so clients can utilize other opportunities in the community i.e. church clothing distribution. Parents are given permission to shoo at used clothing stores. We call ahead anf give permission for a set amount and are billed directly. A great deal of our time is after our reMular work hours. In what ways willthe needs ofyour sewice population change in the nextfive years: We expect an increase in need because of chan~es in our population and the decline in federal funds. Our school district is increasin~ in size which means we will have an increase in nee~ due to the number of students we serve° -11- -429- Agency: School Children's Aid EQUITY STATEMENT It is the policy of the Iowa City Community School District not to discriminate on the basis of race, creed, color, gender, national origin, religion, age, marital status, sexual orientation, veteran status, or disability, in its educational programs, activities or employment practices. If you believe you have (or your child has) been discriminated against or treated unjustly at school, please contact Equity Director Marian Coleman at 509 S. Dubuque Street, 339-6800 or 339-6884. She will discuss the situation with you and if you wish, help you file a grievance. -11a- -430- AGENCY: School Children's Aid Please discuss anyotherpmblems or~ctom mlevantto youragency's programs, ~nding orservice delivery: The number of requests is especially high the first thina in the fall when we. are'very busy, We are working to set some more efficient procedures to effectively meet these demands, 10, Listcomplaints aboutyourservices ofwhich you am awam: Not aware of any complaints. 11. Do you have a waiting list or have you had to turn people away for lack of ability to serve them? What measures do you feel can be taken to resolve this problem: Yot this year. Last year, due to lack of funds, we had a moratorium of spendin.~. of funds. 12. How many people are currently on your waiting list? In whatway(s) are youragency'sservices publicized: 1) word of mouth 2) communication within district 13. United Way involvement by your agency: (Check if agency participates) a. Agency Directors Meetings ~ b. Agencies Representative to Funding Headngs ~ c. Business Blitz d. Day of Caring ~ e. Executive Development Seminars ~ f. Kick Off g. Victory Reception__ h. Volunteer Action Center i. Other ~?;e ~ive of our time az ~er hours, makin_~ to our agency by shov~in~ home visits, etc. -12- -431- AGENCY: School Children's AiU AGENCY HISTORY (Using this page ONLY~ please summarize the history of your agency, emphasizing Johnson County, past and current activities and future plans. Please update annually.) School Children's Aid was established as a ~rivate corporation in 1959 by Frank Bates, director of health and physical education, for the Iowa City C'ommunity School District. With the school nurses serving as case finders, health services such as dental care, glasses and clothing were provided to students in need of financial assistance. In August of'1971, School Children's Aid became a member agency of United Way of Johnson County. Our purpose remains to provide financial assistance for the ourchase of health services (medical, dental, glasses, clothing) for 'identified school children who have health problems that would interfere with the successful participation in the school ~ro~ram. See Agency Program Goals and Objectives Statement, page 14. -432- -13- School $hilCren's Aid AGENCY: AGENCY PROGRAM GOALS AND OBJECTIVES (Several pages are provided, please add any additional pages you may need with your agency nam as a header) ' Year 19.97 To provide financial assistance for purchase of health services f6r identified school children who have health problems that would interfere with full participation in the 'school orcaram. Objective A: In 1997 provide for the health needs of at least 125 school-age children in Johnson County. In addition School Children's Aid fund will provide needed " clot'hina'for at least 150 school-age children. Task 1: Increase knowledge of school personnel and students of School Children's Aid and its purpose by both formal and informal contacts° Task 2: Continue to provide to all school oersonnel a listing of health problems that would impact a child's o..otimal functioning in school. Objective B: In 2997 'to work with the Iowa City Community School District volunteer coordinator to continue to develop volunteer involvement with our program. Objective C: In %997, increase alternative fundin~ from Outside resources. -,, Task l: En~ourage Hospice Race oarticioation by more .... Iowa City Communit,¥ School District staff. Task 2: Continue to apply for-funds from churches and other proqrams. jccogt~s ~forms~agcyacct .doc -14- -A33- HUMAN SERVICE AGENCY BUDGET FORM Director: Dr. Howard Cowen City of Coralville Johnson County City of Iowa City United Way of Johnson County CHECK YOUR AGENCY'S BUDGET YEAR 1/1/97 - 12/31/97 4/1/97- 3/31/98 7/1/97- 6/30/98 Agency Name: Special Care Dental Program Address: s251 DSB, U of Iowa Phone: 335-7373 Completed by ' Dr. How/ard C. ow,)ffi Approved by Chair Board: 10/1/97 - 9/30/98 9/19/96 - (date) X COVER PAGE Program Summary: (Please number programs to correspond to Income & Expense Detail, i.e., Program 1, 2, 3, etc.) Our agency has traditionally been composed of two programs that work together to provide dental services. The Geriatric Mobile Dental Program provides comprehensive dental care to residents of 10 long-term care facilities in five counties surrounding and including Johnson County. The program now serves four nursing homes in Johnson County. The Mobile Dental Program operates on a rotational schedule with approximately 12 months elapsing between a visit to Johnson County facilities. To maintain continuity of care, a preventive maintenance program (i.e., cleaning and fluoride treatments, etc.) is offered to participating nursing home residents every 6 months. The Portable Outreach Program will continue as 'aii '~tension of our mobile dental program to se6various populations whose access to dental care is difficult. This may include the homebound, nursing home residents needing care in-between GMU visits, hospice patients and the homeless. The Special Care Clinic (SCC) provides complete dental services by specially trained staff at the University of Iowa College of Dentistry. It is designed especially for the care of the elderly and medically and mentally complex adult. Assistance is provided in arranging transportation and financial support for the patients if needed. We are requesting United Way funds to provide dental care to the residents of the 4 participating Johnson County nursing homes, patients seen in the Special Care Clinic and patients seen in the Portable Outreach Program who could not otherwise afford to have needed dental treatment, including the homebound and hospice patients. Local Funding Summary : United Way of Johnson County - - Does Not Include Designated Gvg. City of Iowa City Johnson County City of Coralville -434- 4/1/95 - 4/1/96 - 4/1/97 - % of Total 3/31/96 3/31/97 3/31/98 Budget $10,000 $10,000 $14,000 0.52 FY96 FY97 FY98 ~-~__ -1- AGENCY: Special Care Program "" UDGET SUMMARY Enter Your Agency's Budget Year --=-> 1. TOTAL OPERATING BUDGET (total a+b) a. Carryover Balance (Cash from line 3, previous column) b. Income (Cash) 2. TOTAL EXPENDITURES (Total a+b) a. Administration b. Program Total (List Progs. Below) 1 2 3 4 6 7 8 3. ENDING OPERATING BALANCE (Subtract 2 - I ) 4. RESTRICTED FUND BALANCE (Total from page 7) 5. IN-KIND SUPPORT (Total from Page 7) 6. NON-CASH ASSETS Notes and Comments: ACTUAL LAST YEAR FY96 19,310 1,321 17,989 18,140'* THIS YEAR PROJECTED FY97 15,970 1,170 14,800 15,500 18,140 18,140 15,500 15,500 BUDGETED NEXT YEAR FY98 19,270 470 18,800 16,500 16,500 16,500 25,200 -2- -435- INCOME DETAIL ACTUAL LAST YEAR 1. Local Funding Sources- [ 17,000 [ a. Johnson County b. City of Iowa City c. United Way of Johnson County 10,000 d. City of Coralville e. Johnson County DHS 3,000 f. Heritage Agency on Aging 4,000 2. Grants - State, Federal, Foundations [ 0 [ a. b. C. d. f. 3. Net Sales Of Services (sources) I o I a. b. C. 4. Net Sales of Materials (sources) I 0 [ a. b. C. 5. Contributions/Donations [ 301 [ a. United Way Designated Giving 301 b. Other Contributions 6. Special Events ] 688 ] a. Iowa City Road Races 688 b. C. 7. Interest Income [ [ 8. Other - List Below [ 0 ] a. b. C. TOTAL INCOME (same as p. 2, line 17,989 Notes and Comments: AGENCY Special Care Program THIS YEAR BUDGETED PROJECTED NEXT YEAR 14,000 I 18,000 NON- DIRECTED FUNDING ol 11,000: 14,000 3,000 4,000 3ool 3ool 300 300 5ool 5ool 500 500 I ol ol 14,800 18,800 ol ol ol ol ol I ol 0 PROGRAM 1 18,000 [ 14,000 4,000 ol ol ol 300 [ 300 500[ 500 I ol 18,800 PROGRAM 2 0 0 0 -436- -3- PROGRAM EXPENDITURE DETAIL '~i Salaries 2. Employee Benefits & Taxes 3. Staff Development 4. Professional Consultation 5. Publications & Subscriptions 6. Dues and Memberships 7. Mortgage, Rent and Property Tax 8. Building Maintenance 9. Equipment Purchase/Rental/Maint. i 0. Utilities 11. Telephone 12. Office Supplies & Postage 13. Printing and Publicity 14. Local Transportation '-~ Insurance 16. Audit 17. Interest 18. Other (Specify): 19 Direct Assist. to qualified patients 20 21 22 23 24 25 TOTAL EXPENSES ( p. 2, line Notes and Comments: ACTUAL LAST YEAR 18,140 15,500 16,500 18,140 15,500 16,500 AGENCY Special Care Program THIS YEAR BUDGETED ADMINISTRA- PROJECTED NEXT YEAR TION PROGRAM 1 16,50~ 15,500 PROGRAM 2 -4- -437- AGENCY Special C~.re Program RESTRICTED FUNDS: Restricted by: Restricted for: ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR I TOTAL RESTRICTED FUND (also shown page 2, line 4) . MATCHING GRANTS Grantor/Matched by I TOTAL MATCHING GRANTS (als0.shown pg. 3, line.2) IN-KIND SUPPORT DETAIL Services/Volunteers Material Goods Space, Utilities, etc. Other: (Please specify) Faculty Salary TOTAL IN-KIND SUPPORT (also shown on page 2, line 4) Notes and Comments: 3,000 5,600 9,000 17,600 4,100 4,500 7,800 8,250 13,200 14,000 25,100[ 26,750 -438- -5- SALARIED POSITIONS _1 Position "X" those that apply AGENCY FTE* Last This Next Year Year Year Special Care Program Salary Actual This Last Year Year Budgeted % Next Year Change TOTAL FTE's and SALARIES * Full-time equivalent: 1.0=full-time; 0.5=half-time; etc. 0 0 0 0 0 0 -6- -439- AGENCY Special Care Program ACCOUNTABILITY QUESTIONNAIRE A. Ageney's Mission Statement or Primary Purpose The primary purpose of the Special Care Program is to provide dental care to nursing home residents, frail elderly and medically compromised adults, and indigent populations who are otherwise "isolated" from regular dental care, including homeless, hospice and homebound. B. Board of Directors: Please attach a list of your agency's Board of Directors N/A Frequency of meetings: Briefly describe board orientation and ongoing training opportunities: C. Finances: If your agency charges a fee, describe your fee structure. Fees for each individual dental services are charged using the College of Dentistry undergraduate fee schedule. Does your agency have: internal audit X Frequency external audit financial review Has your agency filed the Annual Report with the Secretary of State? Yes No 4. Has your agency filed Form 990 with the IRS Yes No Do 5. Please discuss your agency's fundraising efforts, if applicable. We actively campaign for funds through the Hospice Road Races and apply for various grants when available. This past year we received a $4,000 grant from the Heritage Agency on Aging. Management: 1. Does each professional staff have a written job description? Yes X No 2. Is the agency Director's performance evaluated at least yearly? Yes No By Whom? Department Head -7- -440- AGENCY Special Care Program Program/Services: Please def'me your agency's units of service (service definition, length of time, cost per unit of service, number of units provide, direct or indirect.) A unit of service for our agency is defined as a specific. xtental procedure (i.e. examination, filling, cleaning, extraction, full denture, root canal, partial denture). We also provide an oral cancer screening for all residents of nursing homes, as well as an annual inservice and cleaning and marking of all resident's dentures. Please supply information about clients served by your agency during the last two complete budget years. Refer to form instructions for definition of duplicated and unduplicated. 1. How many Johnson County residents (including Iowa City and Coralville) did your agency serve Enter Years- FY95 FY96 la. Duplicated count 279 298 lb. Unduplicated count 88 90 2. How many Iowa City residents did your agency serve? 2a. Duplicated count 158 2b. Unduplicated count 41 248* 70 3. How many Coralville residents did your agency 3a. Duplicated count 41 50 serve? 3b. Unduplicated count 15 20 4. How many units of service did your agency provide? 4a. Total 9292 9426 4b. To Johnson County 602 646 Residents * Includes 20 homeless residents with 46 visits 5. Other areas served: Do you provide service to areas outside of Johnson County? Yes Area(s) served: 7 counties (Cedar, Johnson, Linn, Washington, Iowa, Benton, Jones) Services provided: Same Funding Sources: Heritage Area Agency on Aging -8- -44~.- AGENCY Special Care Program Client Profile (for last complete year, if available): 6 - 17 ] M.',d'~ 18 - 29 ' 6% 62-75 ['35% -' ' '?5*' ! 19% 47% Nat,ix'e ,.~,mcrican C'aucasian/Non-I Ilspanic MuM-racial. Evaluation and Review: Please discuss how your agency measures the success of it's programs. The success of our agency's efforts is measured in 2 ways: I) the number of Johnson County residents served, which has been up dramatically the past 2 years and 2) the total units of service provided which has increased in concert with the increased number of residents served. We served a record high number (90) of Johnson County residents this year, including a continued high number of homeless persons (20). This followed with a record high number (646) of units of services provided. ao Does your agency have performance objectives? (give several examples.) NO. Go what plans does your agency have to increase efficiency and effectiveness? We have moved to a new clinical area providing improved handicapped access and a more comfortable waiting room. In what ways will the needs of your service population change in the next five years: The future outlook for dental services of the institutionalized and medically complex adult is expanding rapidly. In order to satisfy this growing need, the dental school has made it mandatory for senior dental students to participate in this program. The tremendous increase in demand for our services have made it imperative that United Way understand not only the need, but the importance of oral health care to people in need. In Iowa the demand for dental services from those underpriviledged populations will mushroom with the coming of manged health care. Essentially Medicaid will be eliminated and along with it the dental services that are so desperately needed. we will continue to apply for other grants and keep our eyes open for all possible avenues of fund raising. -442- -9- 10. 11. 12. 13. AGENCY Special Care Program Please discuss any other problems or factors relevant to your agency's programs, funding or service delivery: The increased demand for dental services in our elderly population and the recently established need in the homeless and medically disabled populations have caused a real strain on our fiscal ability to help these people. The future only..paints a picture of even greater need. The development of Free Dental Clinic has increased the demand for our services as well since many procedures are not provided (i.e. dentures, partial dentures, complicated extractions and root canals). List complaints about your services of which you are aware: Many patients wish services were available to those who live outside Johnson County. Do you have a waiting list or have you had to turn people away for lack of ability to service them? What measures do you feel can be taken to resolve this problem: We have not had to turn people away in the past. Our United Way fund is now at a minimum level, causing us to make tougher decisions about treatment options. We are now limiting services and limiting some care we have routinely provided in the past. Without United Way's support, more services might be denied and some people could be turned away. How many people are currently on your waiting list? 0 In what way(s) are your agency's services publicized? a) Through written and oral contact of long-term care facilities within our service area b) Several articles have been published in local newspapers concerning this program. e) A brochure is used to explain the program to patients, their families and their financially responsible parties. d)r 'Our brochures are available in the Family Practice department of the University of Iowa and the Special Support Services office at the University of Iowa and at the Senior Center. e) We provide a dental screening at the Johnson County Senior Center during their annual . Health Fair. United way involvement by your agency: ("X" if agency participates) a. Agency Directors Meetings b. Agencies Representative to Funding Hearings c. Business Blitz Day of Caring e. Executive Development Seminars f, Kick Off g. Victory Reception h. Volunteer Action Center i. Other X X -10- -443 - AGENCY HISTORY AGENCY (Using this page ONLY, please summarize the history of your agency, emphasizing Johnson County, telling of your purpose and goals, past and current activities and future plans. Please update annually.) The Geriatric Mobile Dental Program began providing dental care to the residents of nursing homes and county care facilities in 1980. The program was developed to meet an unidentified need for routine and preventive dental care for elderly institutionalized persons. One major advantage of the Mobile Dental Program is that it takes dental care to the patient, thus avoiding the problem of transporting patients to a dentist's office. The program currently serves l0 long term care facilities (LTC) in the 5 counties surrounding and including Johnson County. The program serves 4 nursing homes in Johnson County. The Geriatric Mobile Dental Program operates on a rotational schedule and usually remains at each facility fpr approximately 5 weeks. In the past the GMU has visited the nursing homes in Johnson County only every other year, but due to new federal regulations and our decision to provide a more frequent level of service, we will now be visiting the homes in Johnson County ever_vyear. This will put an obvious increased demand on funds for the residents of these local nursing homes. During the past year, we provided services to the residents of all four nursing homes in Johnson County. All 4 homes will again receive care from the GMU this fiscal year (FY96). Residents of LTC facilities pay for their care from various sources. In Johnson County, 57% are private pay, with the remaining 43% supported by Title XIX funds. The dollars allocated to the GMU from United Way are for those private pay residents whose resources are unable to afford their necessary dental care. The Special Care Clinic (SCC) is available at the College of Dentistry. It is a special dental clinic established to care for the complicated needs of the older or medically compromised adult This clinic is also available for any patients from the Geria[ric Mobile Unit (GMU) in need of emergency care during the interim period if the GMU staff would be unable to deliver individual attention to these special adults. In addition, we coordinate transportation, work with social workers and agencies to coordinate services for our patients. This past year United Way funds assisted 90 of our patients residing in Johnson County. This reflects a similar number of patients who were funded last year (90) and in fact is more than we .have ever provided service for in a fiscal year. This rise is due to the continuing dental needs of the medically, physically, and cognitively handicapped adult, and to the ongoing services rendered to the homeless population. This is the fifth year we have provided care for the homeless population of Johnson County, providing care to 20 people. This compares to 32 last year an~ 34 the year before. We have also maintained treatment of patients with HIV/AIDS (3), hospice (8) and homebound (12). This increasing need for dental health care services is only the tip of the iceberg with the coming of managed health care and the demise of Medicaid. Dental services are not expected to be implemented until the year 2000, leaving an incredible void in access of dental services in Iowa. We have provided a wide variety of services to our patients including exams, x-rays, fillings (amalgam and composite), root canal treatment, extractions, full dentures, partial dentures and an ~ccasional crown. We have not provided any bridgework and only provide partial dentures when esthetics or function are severely compromised. The request for funding from Johnson County' DHS is for the dental health needs of Johnson County's indigent population. This past year we treated 22 patients. Most of these people were referred by DHS and local agencies. These are people who cannot afford dental care but are really trying to 9et back into the mainstream of society. Their mouths have become unsightly and a little dental care has provided some smiling faces, increased self-esteem and even new jobs for many. This is a very worthwhile service to potentially valuable me~d3ers of our local community. -444- AOENCY Special Care Program AGENCY PROGRAM GOALS AND OBJECTIVES (several pages are provided, please add any additional pages you may need with your agency name as a header) Goals: The major goals of the Geriatric Mobile ~ental Program are: to provide comprehensive dental treatment to frail elderly, various indigent populations and medically complex residents of Johnson County and to the residents of long-term care facilities who have an accumulation of dental problems because of their inability to seek and receive regular dental care. 2) to educate senior dental students to provide dental treatment to institutionalized elderly persons who have multiple medical disorders and physical mobility problems. Objectives: 1) To improve the oral health of an underserved population. 2) The long-term benefits of this program are to produce a generation of dentists who - will be experienced in dealing with the oral health problems of nursing home residents and medically complex adults. The mobility of the dental u~it itself allows dental care to be taken directly to the patient, rather than transporting the patient to the College of Dentistry or a private office~ 4) 5) Since portable dental equipment is utilized inside the nursing home, the residents can avoid exposure to cold weather and other problems associated with transportation. In addition, the dental students will learn to utilize the mobile/portable equipment to provide dental care to patients who are unable to receive treatment in a traditional office setting° The dental student will gain experience in treatment plannin~ for patients with multiple medical disorders and associated drug therapy° 6) ?) Students will learn to develop "rational"~ (rs. ideal) treatment plans based on the individual needs of the geriatric and medically complex patient. The student will become aware of the operation of nursing homes so that he/she can provide treatment without disrupting the day-to-day routine in the facility. 8) The dental students will learn to consider the patient's motor abilities, cognitive state and drug therapies in sequencing and length of appointments° 9) Students will become accustomed to delivering dental care outside of private office under less than ideal conditions. ~.asks: The facilities and equipment in the Geriatric Mobile Dental Unit/Special Care Clinic allows the provision of all dental treatment procedures. Examinationsa x-rays~ preventive dental care,.routine fillings~ crowns, root canal therapy, minor oral surgery, construction of dentures and denture repairs are provided to nursin~ home residents, homebound elderly, frail elderly, and the medically and mentally complex residents of Johnson County. -12- -445- A~ency Goal Form. continued Name of Program: Special Care Dental Program Resources: Personnel: 2.5 full-time dentists with faculty appointments in College of Dentistry to supervise the senior dental students 3 full-time dental assistants I full-time dental hygienist 1 full-time clinic clerk 7 senior dental students are assigned to the program for 4-5 week rotations 2 senior dental hygiene students are assigned to the program for approximately 8 weeks per semester. Facilities and Equipment: Geriatric Mobile Unit One 2~_.f0ot trailer with wheelchair ramp which contains one dental operatory, panoramic-type X-ray machine, and a small prosthetic laboratory. Three portable dental units and chairs assembled within each facility. Special Care Clinic Eight dental-operatories, X-ray facilities, a prosthetic laboratory and a waiting room with the support of all specialty departments in the dental school. -446- -13- HUMAN SERVICE AGENCY BUDGET FORM City of Coralville Johnson County City of Iowa City United Way of Johnson County CHECK YOUR AGENCY'$ BUDGET YEAR 1/1/97- 12/31/97 4/1/97- 3/31/98 7/1/97- 6/30/98 X Director: Agency Name: Address: Phone: Completed by: Approved by Chair Board: 10/1/97- 9/30/98 United Action for Youth 410 Iowa Avenue, Iowa City 319-338-7518 Jim Swaim ?. September 10, 1996 (date) COVER PAGE Program Sununary: (Please number programs to correspond to Income & Expense Detail, i.e., Program 1, 2, 3, etc.) 1) Counseling/Intervention: Provides counseling, intentenrich, and related services to youth in Johnson County for the purpose of preventing or reducing delinquency and assisting victims of abuse and maltreatment. Professional outreach counselors and volunteers maintain trusting relationships with at-risk youth in the community, helping them develop the skills to address problem situations without becoming involved in juvenile delinquency. Staff are ~ on call 24 hours a day to provide in-person response to runaways and youth in crisis. UAY also acts as a resource to :he court to provide in-home service to families. UAY's family counseling and assistance to teen parents has increased in the past three years as UAY offered parent skill training. A nurse practitioner is on staff to assist pregnant and parenting teens and their children 2) Prevention/Youth Development: Provides programs to reduce/prevent delinqu~ncy,'substance abuse, unplanned teen pregnancy, and child maltreaUnent by engaging youth in positive youth development activities. It includes Synthesis, an innovative arts environment for youth to become involved in communication arts and the use of electronic media as'-a compelling alternative to inappropriate or illegal behavior. Professional youth workers provide Support and counseling in addition to instruction in various arts activities. The program's drop-in component has had steadily increasing use for the last few years. UAY's prevention has more than doubled. The . development of a teen line has enhanced the overall program and helped us increase the use of both teen and adult volunteers. Youth volunteers provided over 2,000 hours of assistance to peers in the program this year. We are involved in a comprehensive juvenile crime prevention program with several other agencies. School based centers are used, as in counseling, to provide outreach and afterschool activities in the community. Local Funding Summary · United Way of Johnson County - - Does Not Include Designated Gvg. ;ity of Iowa City Johnson County. City'. of Coralville 4/1/95 - 4/1/96- 4/1/97- % of Total 3/31/96 3/31/97 3/31/98 Budget 27,300 27,675 39,000 4.9 % FY96 FY97 FY98 53,000 55,000 58,000 7.3% 74,984 77,230 89,000 11.2% 1,050 1,500 7,500 0.9% -1- -447- AGENCY: United Action for Youth BUDGET SUMMARY Enter Your Agency's Budget Year == July 1-June 30 1. TOTAL OPERATING BUDGET (total a+b) a. Carryowr Balance (Cash from line 3, previous column) b. Income (Cash) 2. TOTAL EXPENDITUP~ES (Total a+b) a. Administration b. Program Total (List Progs. Below) 1. Counseling and Intervention 2. Prevention and Youth Development 3 4 5 6 7 8 3. ENDING OPERATING BALANCE (Subtract 1-2 ) 4. RESTRICTED FUND BALANCE (Total from page 5) 5. IN-KIND SUPPORT (Total from Page 5) 6. NON-CASH ASSETS Notes and Comments: ACTUAL THIS YEAR LAST YEAR PROJECTED 7/1/95-6/30/96 7/1/96-6/30/97 737,483 736,090 6,821 (3,630) 730,662 739,720 741,113 735,723 78,268 77,699 662,845 658,024 317,943 315,631 344,902 342,393 BUDGETED NEXT YEAR 7/1/97-6/30/98 797,767 367 797,400 803,647 84,872 718,775 344,771 374,004 4,160 3,980 4,110 98,000 161,300 149,300 366,575 362,585 361,525 -2- =448- Agency: United Action for Youth UNITED WAY BUDGET FY 98:REVISED 9/10/96 FY 96 FY 97 FY 98 Last Year Projected Next Year 1. LocalFunding Sources I 204,7791 241,340.1 , 247,5001 a. Johnson County 74,984 77,234 89,000 b. City of Iowa City 53,000 54,900 58,000 e. United Way 27,394 30,506 39,000 d. City. of Comlville 1,050 1,500 7,500 e. Johnson County deeat 39,959 61,200 37,000 f. Johnson County Child Care 8,392 16,000 17,000 2. State, Federal, Foundations ] 400,3691 368,4801 404,300[ a. Ia Dept of Criminal Justice 95,224 106,780 110,000 b. Federal HI-IS, Adm. Ch. & Fam. 166,245 116,400 133,000 c. Ia Dept of Hum Ser/EddHealth 121,848 125,300 132,800 d. Foundations 17,052 20,000 28,500 3. Net Sales of Services I 108,7101 108,0001 116,0001 a. Medicaid 35,446 32,000 42,000 b. Juvenile Court 44,064 36,000 38,000 c. Iowa City Schools 29,200 40,000 36,000 S. Contributions/Donations J 4,188[ 7,0001 14,0001 a. United Way Designated Giving 1,036 2,000 2,000 b. Other Contributions 3,152 5,000 12,000 6. Special Events '1 1,8091 3,3001 4,0001 a. Iowa City Road Races 1,472 1,800 2,000 b. Concerts 0 1,000 1,000 c. Small events 337 500 1,000 7. Interest Income ] 2421 5001 500 8. Other- Including Misc. I 10,565 11,1001 11,100 a. Work Study 716 1,200 1,200 b. Maintenance fees/MYEP,~SHSI 9,849 9,900 9,900 Total Income (show on pg 2, line lb>l $730,6621 $739,720 1 $797,400 1 Notes and Comments: Maintenance fees are for parking lot and use of Youth Center INon-directedl Program 1 I Program 2 Funding I Counseling Prevention 35,1851 100,8701 111,445 16,020 36,490 36,490 10,440 23,780 23,780 3,900 17,550 17,550 1,125 3,000 3,375 3,700 16,650 16,650 0 3,400 13,600 34,3301 141,5501 228,420 0 42,000 68,000 20,050 78,550 34,400 4,200 37,800 0 3,800 34,200 0 3,600. 10,800 21,600 2O0 800 1,000 1,200 5,400 5,400 01 3,2501 750 0 1,500 500 0 750 250 0 1,000 0 01 2501 250 1,9801 4,5601 4,560 0 600 600 1,980 3,960 3,960 $84,495[ $339,480I $373,425 -3- -449- PROGRAM EXPENDITURE DETAIL AGENCY United Action for Youth 1. Salaries 2. Employee Benefits & Taxes 3. St~f Development 4. Professional Consuit~tion 5. Publications & Subscriptions 6. Dues and Memberships ~7. Mortgage, Rent and Property Tax 8. Building Maintenance ' 9. Equip. Pure. hase/Rental/Maint 10. Utilities 11. Telephone 12. Office Supplies & Postage 13. Printing and Publicity i4. Local Transportation 15. Insurance 16. Audit 17. Interest 18. Program Activities and Supplies 19. Contract Services . 20. Teen Morns $1/day and Food 21. Miscellaneous TOTAL EXPENSES ( p. 2, nne 2) Notes and Comments: ACTUAL THIS YEAR BUDGETED NON- LAST YEAR PROJE .C?ED NEXT YEAR DI1EECTED FUNDING 503,247 526,848 580,926 58,093 87,700 100,855 110,941 11,094 2,359 3,600 4,000 400 0 0 780 380 133 660 800 0 1,083 1,000 1,200 400 7,457 8,000 8,400 1,260 6,017 7,800 8,000 1,200 5,862 7,000 6,500 975 7,462 7,500 7,600 1,140 5,378 5,400 6,000 900 4~390 4,400 4,400 660 4,440 4,000 4,200 630 4,481 5,000 6,200 620 13,440 13,500 13,800 2,070 2,865 3,100 3,200 3,200 17,030 18,000 17,500 1,750 6,560 7,000 12,000 0 57,141 8,200 3,000 0 4,047 3,760 3,800 0 ~ 21 100 400 100 PROGRAM PROGRAM 1 2 Counseling Prevention · ' 255,607 267,226 48,814 51,033 1,600 2,000 200 200 400 400 400 400 2,520 4,620 3,600 3,200 2,925 2,600 3,420 3,040 2,700 2,400 1,980 1,760 1,890 1,680 2,480 3,100 6,210 5,520 --. 0 0 7,875 7,875 2,000 10,000 0 3,000 0 3,800 150 150 741,113 735,723 '803,647 84,872 344,771 374,004 -4- -450- AGENCY United Action for Youth 1 iRv. STRICTED FUNDS: Resta'icted by: Restricted for: '.UAY Board Health Benefits ;All State and Federal Grants* Grant Objectives !Contracts* Contracted Services J *these funds always have a zero balance at vear end ~OTAL RESTRICTED FUND (also shown page 2, line 4) ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED' NEXT YEAR 4,160 3,980 4,110 400,369 368,480 404,300 108,710 108,000 116,000 4160 t 3980 { 4110 I IMATCH'ING GRANTS Grantor/Matched by Criminal Justice / City., County., United Way, Decat U.S. Dept. of Health & Human Services / City, County., United Way Iowa Depts. of Health, Human Services, Education / Ci .ty, Corm .ty, United Way, Decat, West Liberty Schools 95,224/$3,000 106,780/35,000 110,000/36.500 166~45/29,800 116,400/16~300 133,000/18,600 121,848/8,000 125.300/8,200 132,800/9200 IN-.KIND _.~Lr~POR .T,_r! .ETAIT. Services/Volunteers 72,000 Material Goods 14,000 Space, Uffiities, etc. 12,000 Other: (Please specify) 0 · !ITOTAL IN-KIND SUPPORT.(also shown on page 2, line 4){ 98,000.I Notes and Comments: 134,300 119,300 15,000 18,000 12,000 12,000 0 0 161,3001 149,300 -5- -45l- SALARIED POSITIONS AGENCY United Action for Youth "X" those that apply IvrE* Salary Position ~. ~: a: o~ Last This Next Actual *** Year Year Year Last Year Exe¢ Director 26 X X 10% 1.00 1.00 1.00 42,146 Associate Director 26 X X 11% 0.50 0.66 1.00 19,077 Pediatric Nurse Practioner 18 X 7% 0.75 0.80 1.00 25,973 Family Counselor 21 X X 1 I% 1.00 1.00 1.00 27,314 Youth & Family Counselor 21 X 8% 1.00 1.00 1.00 26,591 Youth Counselor 21 ~ X 11% 1.00 1.00 1.00 26,061 Youth Counselor 18 X 7% 1.00 1.00 1.00 20,249 Youth Counselor 21 X 7% 1.00 1.00 1.00 25,318 Youth Center Coordinator 21 X X 10% 1.00 1.00 1.00 26,544 Basic Center Coordinator 21 X X 11% 1.00 1.00 1.00 28,021 Youth Counselor 21 X X 10% 1.00 1.00 1.00 27,493 Youth Counselor 21 X 7% 1.00 0.50 1.00 20,819 Teen Parents Coordinator 21 X X 9% 1.00 1.00 1.00 21,228 Youth Counselor 21 X 8% 1.00 1.00 1.00 22,111 Studio Aide ' ' · -- 2 0% 0.10 0.10 0.20 1,144 Youth Aide ........... 2 0% 0.00 0.10 -- 0.20 -- 0 Business Director 21 X X 10% 1.00 1.00 1.00 28,777 Office Manager 21 X X 9% 1.00 1.00 1.00 23,278 Data/Youth Center 21 X X 9% 1.00 1.00 1.00 18,705 Custodian 18 0% 0.40 0.50 0.50 5,510 Respite Care/Child Care 18 X 7% 0.70 1.00 1.00 13,262 Youth & Family Counselor 21 X X 11% 1.00 1.00 1.00 22,247 Child CareWorker (wrk stdy) 2 0% 0.15 0.25 0.25 2,287 Volunteer Coordinator 21 X X 10% 1.00 1.00 1.00 - 21,619 Youth Worker/Tracker 15 X 0% 0.50 0.50 0.50 7,079 Interns 0% 394 VISTAs X X ** 0% 1.00 7.00 5.00 0 TOTAL FTE's and SALARIES 21.10] 27.41[ 26.65 $503,247 * Full-time equivalent: 1.0=full-time; 0.5=half-time; etc. **Based on years of employment, not job class VISTAs receive an educational award at the end of service **** UAY health benefits vary, based on family and flexible spending plan options. Retirement is provided to all employees who have worked at UAY three of the last five years. This Year 42,250 24,000 28,000 28,133 27,389 26,843 20,856 26,078 27,340 28,862 28,318 10,000 27,340 22,774 1,200 1,200 29,640 23,976 19,266 7,000 19,000 22,914 4,000 22,269 7,200 1,000 0 $526,848 Budgeted Next Year 43,095 39,600 34,000 29,259 28,484 27,917 21,691 27,121 28,434 30,016 29,451 21,000 28,434 23,685 2,400 2,400 30,826 24,935 20,422 7,280 19,760 23,831 4,240 23,157 7,488 2,000 0 $580,926 % Change 2% 4% 4% 4% 4% 4% 4% 4% 4% 4% 4% 5% 4% 4% 0% 0% 4% 4% 6% 4% 4% 4% 6% 4% 40/0 0% 0% 10% -452- ,6- AGENCY ·United Action for Youth ACCOUNTABILITY QUESTIONNAIRE A. Agency's Mission Statement or Primary. Purpose: The primary purpose of UAY is to assist youth & families by offering counseling and intervention programs that assist them in resolving problems they encounter; and to provide prevention and youth development programs that make use of young peoples' talents and energies in helping themseN'es to a healthy future. Board of Directors: 1. 2. .3. Please attach a list of your agency's Board of Directors Frequency of meetings: mouthly Briefly describe board orientation and ongoing ming opportunities: Prior to nomination potential board members review the responsibilities and expectations with the board Chair and UAY Director. Subsequently the Director reviews fiscal and program reports with the member. Periodically training at outside conferences is offered, including attendance by youth board members at Youth Worker conferences. C. Finances: If your ~ency charges a fee, describe your fee structure.N/A Does your agency have: internal audit Frequency annually external audit X financial review o Has your agency filed the Annual Report with the Secretary of State? Yes X No Has your agency filed Form 990 with the IlLS Yes X No Please discuss your agency's fundraising efforts, if applicable. For the past several years youth have put on concerts to raise funds for instruments used in our music studio. We conduct periodic sraall events. We hope to expand our concerts and other fundraising. Management: 1. Does each professional staff have a written job description? 2. Is the agency Director's performance evaluated at least yearly? Yes X No By Whom? by the board Yes X No -7- -453 - AGENCY: United Action for Youth BOYD, BETSY VICE CHAIR 508 RIVER ST IOWA CITY, IA 52246 HM: 354-9136 EXPIRES 6130/98 BRAVERMAN, CORDELL TREASURER 1015 OAKCREST ST Iowa CrTY, IA 52244 HM: 338,7826 WK: 338-7058 EXPIRES 6/3O/96 GRADY, PAT 597 LINDER RD NE IOWA CITY, IA 52240 HM: 337-9813 EXPIRES 6/30/98 JONES, JO 3201 MUSCATINE AVE #1 IOWA CITY, IA 52240 . HM: 351-1333 WK: 335-1723 EXPIRES 6/30/96 KUDSK, ELIZABETH 1607 E COURT ST IOWA CITY, IA 52240 WK: 335.8471" HM: 338-3132 EXPIRES 6/30/98 LENSING, MIKE 605 KIRKWOOD AVE IOWA CITY, Ia 52240 HM: 358-9630 WK: 338.8171 FAX:338-2328 EXPIRES 6/30/97 UAY BOARD MEMBER LIST JESSE PELKEY YOUTH MEMBER 719 WALNUT ST IOWA CITY, IOWA 52240 HM: 351-1391 QUIGLEY, MARY CHAIR 526 TERRACE RD IOWA CITY, IA 52245 HM: 337-3817 WK: 356-4402 EXPIRES: 6/30/97 ROGERS WESTON, KAY SECRETARY 730 KIRKWOOD AVE IOWA CITY, IA 52240 HM: 338-3066 WK: 351.8811 EXPIRES 6/30/97 WILLMAN, JULIE 4654 RAPID CREEK TRAIL NE IOWA CITY, IA 52240 HM: 351-3689 WK: 337-1145 NO EXPIRATION DATE YET -8- -454- Eo AGENCY United Action for Youth Program/Services: Please define your agency's units of service. UAY's unit of service reflects that our primary activity. is directed toward youth & families. Personal contacts with clients are broken down into the following categories of service: one-to-one or group counseling, consultation, crisis intervention, follow-up, information and referral, advocacy, respite care, community support, prevention, drop-ins, lessons, workshops, activities with groups. One unit of service equals one contact with individuals in any of the above categories. Additional units reported in previous years included volunteer contacts and large group presentations. This year we are only reporting clients for whom we complete an intake and the units provided to them. Please supply information about clients served by your agency during the last two complete budget years. Refer to form instructions for definition of duplicated and unduplicated. 1. How many Johnson County residents (including Iowa City and Coralville) did your agency serve? 2. How many Iowa City residents did your agency serve? 3. How many Coralville residents did your agency serve? 4. How many units of service did your agency provide? Enter Years- 7/1/94 - 7/1/95 - 6/30/95 6/30/96 la. Duplicated count lb. Unduplicated count 1,671 1,473 2a. Duplicated count 2b. Unduplicated count 1,233 1,078 3a. Duplicated count 3b. Unduplicated count 216 228 4m Total 21,982 20,897 4b. To Johnson County Residents 21,083 19,968 Other areas served: Do you provide service to areas outside of Johmon County? yes Area(s) served: Iowa, Cedar, Washington and Muscatine counties Services provided: counseling and prevention; in West Liberty, a prevention program focused on Hispanic and minority youth and families' Funding Sources: Iowa Department of Public Health (West Liberty), Juvenile Court (Iowa County), and Iowa Department of Human Services (all 5 counties) -9- -455- AGENCY United Action for Youth 6. Client Profile (for last complete year, if available): youth only .. - under10 '[":. 54." : .Female ['.:. 86i Af~canAmcxi.~an '~ ..t04 :.'0-12i 184. ,, Ma[e .[.. 789--' 'Native Areeric:,,{' ,, 17 , 13-1.5 [ .'642 i... "/.' . ]" .:' ~Asian. ., " 56 1'6-! 8 ,[ 630,,' (." ,' ', ', } "' ......-- .... 2t,§ ' i ..... I ""':,' , '1255 18 +:"" .....' 140',:;, ..... .....',: ,.,' :', ' , t~any Hispanic. ,,, , ' Caucasian.~on-Hisp-~ic ' ~ Multi-racial ': Evaluation and Review: A. Please discuss how your agency measures the success of its programs: Besides self evaluation, UAY uses the U ofl College of Nursing, HHS peer reviews, Dept. of Substance Abuse site visits, and review by DHS to evaluate programs. We have also been evaluated twice in the last 6 years by organizations researching national program models. We participated in the Crime Prevention evaluation conducted by the state Criminal and Juvenile Justice Planning Agency this year. Self evaluation reviews stated goals and objectives against actual achievement. Clients also complete anonymous evaluations. UAY is pan of a national research project to evaluate its impact on teen pregnancy and child development. Bo Does your agency have performance objectives? (give several examples) (Teen Parenting Class) Objective #I: To improve parenting skills in high school classes using the Nurturing Program and other home economics curriculums. Classes will occur between September and May. The evaluation will be based upon successful completion of bigh school.. (Individual Parenting) Objective #2: During counseling meetings positive parenting techniques are shared and practiced. Services are available July through June. The evaluation will be based upon pre/post tests for parenting s~'ess. (Runaway Project) Objective #3: Provide crisis intervention to 125 youth who are runaway or homeless. The evaluation will be based upon intake data and case notes. What plans does your agency have to increase efficiency and effectiveness9. -456- UAY's youth and family service teams review on a regular basis how to improve effectiveness and efficiency. This year the teen parent program effectively planned service revisions after the loss of a $100,000 federal grant. Our business office is also trying to keep up with the growth of funding requirements. We are currently engaged in more collaborafive efforts with other agencies than at any other time in our past, in an effort to parmer with other providers to improve services and more effectively use limited resources. In what ways will the needs of your service population change in the next five years? The needs of teen parents are expected to change in response to welfare reform passed this year. We have been unable to determine the exact requirements they will face this fall. The Johnson County area continues to grow and we are seeing a mini-baby boom amongst younger teens. - 10 - AGENCY United Action for Youth Please discuss any other problems or factors relevant to your agency's programs, funding or service delivery: The federal budget crisis has been devastating and it is difficult to anticipate what state and federal funds will be available to support UAY programs. Grant administration requirem~ents continue to be complex at a time when they are also more disorganized. The child welfare Medicaid Initiative changed the way family services are paid for by DHS. We have had a large increase in prevention and youth development activity. As with many other human service workers, UAY staff meet challenging demands for less than adequate compensation. 10. List complaints about your services of which you are aware: I am not aware of service complaints. Some parents and youth, fia~strated in conflict, express anger at a particular suggestion or event, such as reporting abuse. UAY still needs to knpreve its fundraising activities. 11. Do you have a waiting list or have you had to turn people away for lack of ability to service them? What measures do you feel can be taken to resolve this problem? Yes: We have a waiting list for families wanting family counseling. We provided other services to individual youth on the waiting list and have increased staffing and expanded the schedule for parent education classes. There is no waiting list for general services. We have had as many as four families on the waiting list at peak times in spring and winter. How many people are currently on your waiting list? 5 12. In what way(s) are your a=ency s services publicized? Through fliers, paid advertisements, public service announcements, posters, speaking engagements, interviews, open houses, referral sources, runaway hotline, significant visibiliw in the community, and word of mouth. We expect an increase in awareness as a result of our Teen Rap Line. We also promote our programs in Spanish. 13. United Way involvement by your agency: (~X.n if agency participates) ao g. h. i. Agency Directors Meetings X Agencies Representative to Funding Hearings X Business Blitz X Day of Caring X Executive Development Seminars Kick Off Victory Reception X Volunteer Action Center X Other Coordinating VISTA grants - 3.1 - -457- AGENCY United Action for Youth AGENCY HISTORY United Action for Youth is a community-based service agency which offers crisis intervention, confidential counseling, creative activities, and other helping services to youth and families in Johnson County and surrounding communities. Supported with funds from the Board of Supervisors, Iowa City, United Way, and other public and private sources, UAY charges no fees for its services. Incorporated in 1970 and governed by a community- representative Board of Directors, UAY is recognized by the IRS as a non-profit tax-exempt organization. The primary purpose of UAY is to assist youth and families by offering counseling and intervention programs that assist them in resolving problems they encounter;, and to provide prevention and youth development programs that make use of young peoples' talent and energies in helping themselves to a healthy fluurn. UAY receives funds, in addition to its local support, fi'om grants and under contracts or subcontracts with other state and federal agencies to provide the following: 24-hour in-person crisis intervention to adolescents; outreach aftercare, follow-up, referral, and prevention to runaways, their families, homeless young persons, or those in jeopardy of becoming homeless; in-home counseling; coordinated substance abuse prevention and pregnancy prevention services; and specific intervention programs to respond to adolescent victims of maltreatment. UAY has staff persons on call at all times, 365 days of the year. UAY will respond immediately to parents' requests for counseling or assistance and works closely with other agencies to coordinate its intervention and other activities. UAY makes a special effort to respond to requests from the police, court, Youth Homes, DHS, Crisis Center, Emergency Housing Project, DVIP, KVAP, and school counselors. UAY is a member of the National Network of Runaway and Youth Services. UAY concluded a national demonstration and research project to study the impact of its programs on teenpregnancy and teen parenting. It is a current participant in the national Community. Youth Development (CYD) project sponsored by the DeWitc Wallace Foundation. It has secured five VISTA volunteers to assist in using CYD in the community. this year. UAY's services are provided in a variety of settings; chiefly its Youth Center and adjacent Family Service Center. Besides the Youth Center location at 410 Iowa Avenue, the settings include schools, individual homes; and places young people frequent. In addition to im professional staff, UAY relies on community volunteers and trained peer helpers to help meet the growing needs of young people. UAY's program components include an outreach counseling program, a creative arts workshop, a family assistance program, and a growing volunteer program. Programs are also offered in Spanish for non-English speaking clients. UAY sponsors a sitnational drama troupe composed of area youth to help educate and provide information to adolescents about a variety'of issues, including sexual abuse, dating violence, children of divorce, substance abuse, children of alcoholics, and peer pressure. UAY statistics indicate continued increase in prevention and youth development programs. Counseling services have leveled off after several years of continued increase; we believe as a result of improved prevention. UAY's Synthesis program has significant drop-ins and use of the studio which is expected to continue. The agency has had increased requests for service from surrounding non-Johnson County towns and has received grant funds to serve them. UAY has helped develop the Youth Leadership Program for younger children in Johnson County, in collaboration with the U of I Athletic Department. -458- -12- United Action for Youth AGENCY GOALS For the Year 1997/1998 Name of Programs: COUNSELING/INTERVENTION AND PREVENTION Note: United Action for Youth's Prevention, Counseling/Intervention and other programs ovedap in meeting the objectives of specific grants. COUNSI=LING/INTERVENTION PROGRAM (Goals I and I1~ Goal I: To conduct an outreach program that will identify and assist youth and families in stressful situations and respond to their needs and requests for counseling and intervention. Objective A: To provide assistance and appropriate intervention to youth identified by UAY or others as being involved in delinquent behavior or at dsk. 1. Maintain significant contact with an estimated 1200 young people in their own environment (see youth development). 2. Provide counseling to individuals and families in Johnson County (an estimated 2000 counseling contacts with 300 individuals will occur. 3. Provide an eslJmated 300 direct cdsis interventions to individuals as needed. 4. Maintain one-to-one and group interaction with 500 youth directed at individual problem - solving and improved self-esteem. 5. Facilitate support groups during the year, especially in areas in which youth share a common interest (at least 4 ongoing groups). 6. Maintain an outreach office that is an accessible, comfortable atmosphere where young people can drop in for assistance. 7. Act as an advocate for youth when requested or appropriate. 8. On a 24-hour basis, be directly available to. parents, youth, law enforcement, and other agencies to respond in person to runaway, homeless, or other youth in need of immediate assistance (an estimated 150 requests for assistance alter regular hours). .Objective B: To provide accurate information to youth and 'families in response to their concerns and interests, referring them to resources in the community to help meet their identified needs. 1. In conjunction with MECCA and area school personnel, law enforcement, as well as for other groups in. Johnson County, offer assistance as part of intervention teams, especially responsive to requests from schools. 2. In cooperation with DVIP, RVAP and other agencies, conduct workshops which are directed at the prevention of sexual abuse of children and adolescents. 3. In cooperation w~ Crisis Center, Community Mental Health, and other agencies facilitate public awareness aimed at preventing teen suicide (5 workshops reaching 100 individuals). 4. Maintain an up-to-date resource file of helpful information at the outreach office which includes materials for distribution. 5. Facilitate workshops in other areas of interest to' young people (75 workshops. reaching 2000 individuals). 6. Refer individuals to other agencies or resources to meet needs unmet by UAY (500 referrals of 150' individuals and families). 7. Conduct public awareness campaigns and participate in other forums that improve public knowledge of problems that affect teenagers (including Sexual Abuse Prevention Week, Child Abuse Prevention Week, Victims Rights Week, etc.). -13- -459- AGENCY: United Action for Youth Goal I1: To provide for the primary prevention of delinquency, drug abuse, child abuse and pregnancy by organizing activites and projects that enhance and contribute to the health and development of young people and their families. Objective A: To organize activ~es, initiate and otherwise make available opportunities for. youth which help them develop improved social skills, self-esteem, individual talents, and greater participation in the community. '~ Provide or assist others in maintaining peer helper training programs for adolescents in John~n C~unty (at least 5 in area schools and 2 in non-school settings). Coordinate recreationa~eisure activities for youth which encourage the choice of positive alternatives to delinquency, substance abuse, and other socially defeating behavior (at least 100 activities with 800 participants). Utilize young people as staff, volunteers and board members of UnitecLAction for Youth (at least 2 youth staff, 60 volunteers and 2 board members). Qpere~ a peer counsermg phone line utr~ng 40 ff'ained teen volunteers to confidentially respond to the concerns of young people. Encourage and help develop posi~ons of respensibir~ within other community groups for young people including pos~ons on agency boards and public service committees. Objective B: To improve general awareness of and professional response to the maltreatment of chEdren, especially adolescents, in Johnson County. Actively par'dcipate in efforts with other agencies to coordinate intervention, treatment and follow-up for victims of maltreatment. Respond to immediate intervention needs of adolescent victims of maltreatment Provide training and education to parents, youth and other professionals that will ehabl~~ them to recognize child maltreatment and respond appropriately. Continue the development and use of situatonal drama with young pecple which emphasizes issues related to adolescent maltreatment and delinquenc7 proven[ion. Provide skills training and assistance to teen parents using the Nurturing and Bavclek programs.. ObjeCtive C:' Act as a resource to other agencies in meeting the needs of young people accepting referrals .to,provide UAY's sen/ices to individuals, groups and families. 3. Provide in-home services to families referred by the court to prevent out of home placement. Consultwith and coordinate UAY's services w~ other agencies in Johnson County. Accept an estimated 500 referrals from other agencies, schools and individuals for counseling and intervention. Respond to requests for UAY services or assistance in projects that benefit youth. Work with multi-disciplinary team. Sub-contract with MECCA and Youth Homes to provide substance abuse prevention for high dsk youth. Sub-contract with funding sources to work with victims. Actively participate in MINK (a network of services for runaway and homeless youth) and the National Network of Runaway and Youth Services. -460- -14- AGENCY: United Action for Youth Objective D: To organize activities, initiate and otherwise make available opportunities for parents which help tham improve their parenting skills, communication with their children, and general wetl being 1. Conduct outreach to families using school'~nd neighborhood based se~ngs and in- home visits to reach parents asking for help. (at least 400 parents contacted) 2. Organize four parent skill training workshops annually to provide parents skill training. (at least 30 families participating) 3. Facilitate regular parent par'dcipaticn in area forums for youth and family services, including the community crime prevention program and teen parent program. 4. - Conduct, at least two family service retreats to enhance parent skill and family functioning. (at least 12 families paidparing. 5. Provide in-home counseling to families seeking assistance pdor to needed intervention ,by .the juvenile court and child welfare system. (at least 50 families) PR~-VI=NTION PROGRAM (goals II and 1!1) Goaiilll: 'T0~conduct a program that will involve young people in communication arts, the use of electronic media, and other creative arts; providing them with improved skills, enhanced personal development and greater opportunity for participation in community affairs. i' ':.~D-~jective A: Provide creatNe learning environments in which young people can lesm about e!e~'~a'onic media, communication arcs, and t~aditiona[ fen'ns of artistic expression, as well as · - team building and adventure based self esteem enhancemenL I. Maintain a sound and music studio which is equipped for ins~'ucticnal use by young for multi-channel recording and sound reproduction. - 2. Maintain a video and film studio which is equipped for instructional use by young people for production of video tapes, 8 mm films and cable-cast programs. 3. Identify pa~dpants who may be in need of outreach or other services described in goals and II and facir~cate their use of such services. 4. Provide space ~r other arts related activities as it is available and arranged for use by -_~5. Provide individual and group inst~ctJon in the use of studio equipment and' facilities. 6. Involve artists, student interns, and other volunteers as resources to participants. 7. Operate and staff the studio and Youth Center so that they are convenient for use by drop- ins (open afternoons, evenings, and weekends). 8. Coordinate adventure based learning activities for youth and families using the ropes course and outdoor events. Objective 0: Facilitate the active participation by youth in community events and programs which allow them to demonstrate their talents and concerns for others. 1. Organize workshops and projects that involve youth with other populations, including persons with disabilities, other cultures, older persons, and younger children. 2. Help facilitate the active use of public access opportunities available to youth, including those at the public library and recreational center. 3. Help facilitate the organization of performances and exhibitions by young people in order to display their talents to others in the community. 4. Organize projects in cooperation with other groups in which young people can act as media resources to others in the community, or demonstrate helpful skills. -15- -461- HUMAN SERVICE AGENCY BUDGET FORM City of Coralville Johnson County City of Iowa City United Way of Johnson County CHECK YOUR AGENCY'S BUDGET YEAR 1/1/97 - 12/31/97 4/1/97 - 3/31/98 7/1/97- 6/30/98 Director: Rosalie Rose Agency Name: Visitihg'Nurse Association Address: 485 Highway 1 West Phone: 319-337-9686 Completed by' Rosalie Rose App~:oved by Chair Board: u~ __ x 10/1/97 - 9/30/98 September 26, 1996 - (date) COVER PAGE Program Summary: (Please number programs to correspond to Income & Expense Detail, i.e., Program 1, 2, 3, etc.) 1. SKILLED HOME CARE - Home visits to provide physician-directed health care to individuals with diagnosed health problems. Services are reimbursable through insurances and private pay with a sliding scale. 2. HEALTH PROMOTION -Home visits for promotion of health and prevention of health problems. ' 3. HOME CARE AIDE SERVICES o Services provided in the home for the purpose of maintaining individualsat'home; includes personal care assistance, housekeeping, grocery shopping, laundry, errands, etc. ........ 4. ELDERCARE - Health care for Seniors provided at housing and meal sites; services include screening, counseling, direct care and education. 5. COMMUNITY SERVICE - Case Management services, health consultation with other human - P- service agencies; and preventive health services, screening and education for the general public, businesses and schools. 6. SENIOR HEALTH PROGRAM - Health care for "well*' elderly who are not under the care of a physician for specific health concerns. Includes physical assessment, screening, education and referral. ' 7. FAMILY INVESTMENT PROGRAM - Follow-up services for potentially vulnerable families who are ineligible for financial assistance through DHS (as a result of declining to enroll in the program). . · -462- Local Funding Summary · United Way of Johnson County - - Does Not Include Designated Gvg. City of Iowa City Johnson County City of Coralville 4/1/95 - 4/1/96 - 4/1/97 - 3/31/96 3/31/97 3/31/98 $59,500 $59,500 $61,285 FY96 FY97 FY98 $' 124,340 $ 124,340 $ 128,070 -1- % of Total Budget 2.59% 5.4i-/o -~UDGET SUMMARY AGENCY: Enter Your Agency's Budget Year --> 1. TOTAL OPERATING BUDGET (total a+b) a. Carryover Bahnee (Cash from line 3, previous column) b. Income (Cash) 2. TOTAL EXPENDITURES (Total a+b) a. Administration b. Program Total (List Progs. Below) 1. SKII,LED HOME CARE 2. HEALTH PROMOTION 3. HOME CARE AIDE SERVICES 4. ELDERCARE.. COMMUNITY PROGRAM 6. 'SENIOR HEALTH PROGRAM 7. FAMILY INVESTMENT PROGRAM 8 3. ENDING OPERATING BALANCE (Subtract 2 - 1 ) 4. RESTRICTED FUND BALANCE (Total from page 7) 5. IN-KIND SUPPORT 6. NON-CASH ASSETS (Total from Page 7) Notes and Comments: Assets: Cash Accts Rec less allowance for bad debt Contract Adjustments Receivable Prepaid Expenses Equipment Total Assets la. Adjust from 1994 to correct error $ 85.546.00 $ 203,018.00 $ 26,361.00 $ 12,323.00 $ 17,776.00 $ 345,014.00 -2- Visiting Nurse Association ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR DEC 31, 1995 DEC 31, 1996 DEC 31, 1997 2,385,687 2,526,067 2,620,194 260,579. 221,188 250,346 2,125,108 2,304,879 2,369,848 2,164,499 2,275,721 2,367,328 352,672 370,943 385,873 1,811,827 1,904,778 1,981,455 1,413,416 1,523,822 1,583,070 95,981 85,715 91,760 242,669 228,574 237,275 39,841 41,905 43,590 7,242 11,429 11,890 7,245 7,619 7,925 5,433 5,714 5,945 221,188 II. 250,346 II 252,866 0 0 0 84,170 81,464 56,386 17,766 14,385 16,500 5. In-kind Support - 1997 Grad Student Project Completed Liabilities: Accounts Payable $ 19,324.00 Contract Adjustments Payable $ 47,694.00 Accrued Wages $ 56,808.00 Total Liabilities $ 123,826.00 Fund Balance $ 221,188.00 Total $ 345,014.00 -463 - INCOME DETAIL AGENCY ACTUAL THIS YEAR LAST YEAR PROJECTED 1. Local Funding Sourc¢s- a. Johnson County. b. City of Iowa City c. United Way of Johnson County d. City of Coralville e. Dept of Human Services/DECAT f. 2. Gnmts - ~tate, Federal, Foundations a. Medicare Home Care & FluYax b. Medicaid Home Care & Waiver e. Iowa Delmrtment of Public Health d. Heritage Area Agency on Aging e. Flood Grant & Work Study Match Grant £. BreasffCervical Cancer Early Detection 3. Net Sales Of Services (sources) a. Home Care Services b. Community Services - c. Eldercare Services 4. Net Sales of Materials (sources) b. C. 5. Contributions/Donations a. United Way Designated Giving. b. Other Contributions 6. Special Events a. Iowa City Road Races. b. Direct Mail Fundraising ¢. 7. Interest Income 8. Other - List Below a. Commercial Insurance ¢. 178,485 .[ 184,240 115,670 124,340 Visiting Nurse Association BUDGETED NON- NEXT YEAR DIRECTED FUNDING 189,544[ 0[ 126,205 0 58,250 59,500 60,839 4,565 400 1,707,628I 1,840,284~ 1,077,328 1,097,014 412,872 487,488 208,255 248,782 331 0 8,842 0 0 7,000 60,735 I 67,900 42,165 48,000 8,120 8,900 10,450 11,000 el o 9,831 I 7,751 3,668 [ 3,112 6,163 4,639 19,452 I 17,639 6,122 4,639 13,330 13,000 PROGRAM 1 Sk Home Care 55,8391 0 0 55,839 PROGRAM 2 Health Prpm 75,000 75,000 4,312I 2,500 144,665I 184,565 144,665 184,000 565 TOTAL INCOME (same as p. 2, line lb) 2,125,108 2,304,879 Notes and Comments: le. Dopt of Human S~vi¢~ - Funding for Home Cam Aid* sotMe~s whm grant funds have be. on d~pletext 2o. Iowa D~axtm~nt of Publie Health - Funds me~wd for Public Health Nursing, Home Care Aide S~vie~s, Senior Health Program and Fanfly Invmlm,nt Program. 2e. Flood Grant 117,786 and Work Study Matching Grant $1,056. 3a. Private pay for services provided in the home. 3b. Private pay for services provided in the oommunity setling, e.g. Hinorest, Hope House 3e. Private pay for services provided at Senior homing and meal sites. 5b. Unsolicited donations and memorials. - 3 - 2,500 0 0 0 I !,8.s9,0791272,!43..{ 1,391;074.101 1,108,4!3 .. 180,673 911,420 0 552,884 90,120 437,654 0 218,782 0 42,000 0 0 0 0 0 0 0 0 0 9,000 1,350 0 0 71,000 I 4,000 1 17,5001 2,500 50,000 0 17,500 2,500 9,500 4,000 0 0 11,500 0 0 0 ol ol ol o 7,ooolo l 3,000 I 3,ooo ]3.000 4,000 [ 0 , 0 0 19,oool o l 7,oool 5,000 0 5,000 14,000 0 2,000 2,825 0 2,825 12,000 0 12,000 2,5oo I 2,3OOl el 191,725' 31,755.11 159;.9701 0 191,i25 3'1,155 159,970 0 600 600 0 0 2,369,848 310,398 1,634,383 92,325 8b. iVfisccllaneous - Reimbursement for salary expc'Imcs incurred v&en RN supervised student nurses. -464- INCOME DETAH~ (cont) 1. Local Funding Sources- a. Johnson County. b. City of Iowa City c. United Way of Johnson County cL City of Coralville e. Dept of Human Services/DECAT f. 2. Grants - State, Federal, Foundations a. Medicare Home Cam & Flu Vax b. Medicaid Home Care & Waiver c. Iowa Department of Public Health c[ Heritage Area Agency. on Aging e. Flood Grant f. Breast/Cervical Cancer Early Detection 3. Net Sales Of Services (sources) a. Home Care Services b. Community Services c. Eldercare Services 4_.: l~t Sales of Materials (sources) ~.. b. C. 5. Contributions/Donations a. United Way Designated Giving b. Other Contributions 6. Special Events a. Iowa City Road Races b. Direct Mail Fundraising ¢. 7. Interest Income 8. Other - List Below a. Commemial Insurance b. Miscellaneous ¢. TOTAL INCOME (same as p. 2, linelb) Notes and Comments: AGENCY Visiting Nurse Association PROGRAM PROGRAM 3 4 HCA Services Eldercare 30,0001 25,2051 22,500 25,205 5,000 PROGRAM PROGRAM 5 6 Community Senior Health 2,500 I1,000 2,500 1,000 PROGRAM 7 Fam Im,est ol 0 0 0 0 2,500 0 0 0 191,1101 16,3201 0 16,320 25,110 0 166,000 0 0 0 0 0 0 0 30,000I 10,500 .1 30,000 0 0 0 0 10,500 ol ol ol ol 7,6501 5,0001 0 0 0 0 0 5,000 0 0 7,650 0 5,5ool 1,oool 0 0 5,500 0 0 1,000 ol 1,000 [ 1,000 ol 5,782 0 0 5,782 0 ol 0 0 0 O[ 175 I 175 ol PROGRAM 8 0 0 251,110 1 ol ol ol ol ol ol o 5,957 8,000 52,025 15,650 0 -4- -465- PROGRAM EXPENDITURE DETAIL ACTUAL LAST YEAR 1. Salaries 1,583,268 2. Employee Benefits & Taxes 271,857 3. Staff Development 4,320 4. Professional Consultation 3,750 5. Publications & Subscriptions 3,059 6. Dues and Memberships 9,177 7. Mortgage, Rent and Property Tax 35,900 8. Building Maintenance 672 9. Equipment Purehase/Rental/Maint 11,019 lO. Utilities 5,626 11. Telephone 20,911 12. Office Supplies & Postage 21,673 13. Printing and Publicity 15,460 14. Local Transportation 83,091 15. Insurance (General and PrelLlab) 8,045 16. Audit 4,800 17. Interest 0 18. Other (specify) Recruitment 2,808 19. Contract Services 1,425 20. Medical Supplies 35,439 21. Community Service Expenses 7,788 22. Professional ServPT, OT, SP 17,913 23. Miscellaneous 5,090 24. Depreciation 11,408 25 TOTAL EXPENSES ( p. 2, !me 2) Notes and Comments: AGENCY Visiting Nurse Association THIS YEAR BUDOETED ADMINISTRA- PROGRAM PROGRAM PROJECTED NEXT YEAR nON 1 2 Sk Home Care Hml~ Prom 1,634,120 1,704,722 277,876 1,140,665 67,586 285,971 297,906 48,627 199,400 11,629 6,000 6,000 600 3,890 600 9,750 4,000 800 2,520 160 3,400 6,500 1,300 4,105 260 5,750 5,800 1,160 3,660 235 37,580 41,500 '6,765 27,840 1,650 1,500 1,200 195' 800 50 18,900 19,000 3,800 11,985 760 6,175 6,400 1,025 4,290 240 15,000 21,000 4,200 13,940 835 23,745 24,000 6,000 14,250 960 20,875 21,000 2,100 15,660 835 94,200 97,500 15,900 63,180 3,900 12,300 13,000 4,125 6,690 520 5,600 5,800 580 4,245 230 0 0 0 0 0 3,625 3,500 350 400 90 1,900 2,000 500 1,155 80 42,500 40,000 3,750 34,265 300 7,800 8,000 800 0 100 22,700 20,000 2,000 18,000 0 5,330 5,500 1,300 3,280 220 11,000 .13,000 2,120 8,850 520 2,164,499 2,275,721 Benefits - include FICA, Workers Conap Ins, Health Ins, Long-term Ins, ~SA, Cent Ed, etc. Professional Consultation - 96 Accreditation Expemes Publications/Subscriptions - Ptwohase of Standardized Outcome Measurements Dues - Did not renew membership in Nail Aasoo for Home Care in 96 Mortgage/Rent/Tax - Rented larger second office Equipment Pm'chase/RenffMaint - Purchase of computer hardware, software, printers, etc. Telephone - Received three months service flee 2,367,328. 385,873 1,583,070 91,760 Transportation - Increased mileage rate in 96 to 0.29 and 0.30 in 97 Medical Supplies - Expense is dependent on patient need Miscellaneous - non-recurring expenses e.g. Volunteer r~cognition, name ta!~s, and items suoh as paper supplies Recruitment - Fraqmmt turnover h~ Home Care Aide positions -466- -5- PROGRAM EXPENDITURE DETAIL (continued) AGENCY Visking Nurse Association PROGRAM PROGRAM 5 6 Community Senior Health 8,825 5,965 1,545 1,035 30 25 20 15 30 20 30 20 205 125 5 5 95 65 45 25 25 25 100 80 95 70 480 255 65 40 30 20 0 0 0 0 10 10 65 100 100 0 0 0 25 15 65 10 PROGRAM PROGRAM 3 4 -- HCA Services Eldercare 1. Salaries 171,500 27,790 2. Employee Benefits & Taxes 30,015 4,865 3. Staff Development 720 110 4. Professional Consultation 400 75 5. Publications & Subscriptions 650 120 6. Dues and Memberships 580 105 7. Mortgage, Rent and Property Tax 4,150 650 8. Building Maintenance 115 25 9. Equipment Pm'chase/Rental/Ma~t. 1,900 350 10.Utilities 640 115 11. Telephone 1,800 125 12. Office Supplies & Postage 2,400 150 13. Printing and Publicity 2,100 110 14. Local Transportation 12,750 850 15. Insurance (General and ProfLIab) 1,300 230 ~a. Audit 580 100 1~. Interest 0 0 18. Other (Specify) Recruitment 2,625 35 19. Contract Services 200 35 20. Medical Supplies 1,000 520 21. Community Service Expense 0 7,000 22. Professional Serv PT, OT, SP 0 0 23. Miscellaneous 550 100 24. Depreciation 1,300 130 25 TOTAL EXPENSES (p. 2, line 2) Notes and Comments: PROGRAM 7 Fam Invest 4,515 790 25 10 15 10 115 5 45 20 50 60 30 185 30 15 0 0 10 0 0 0 10 5 237,275 43,590 11,890 7,925 5,945 21. Community Service Expense - Infimmza and Pneumonia Vaccines PROGRAM 8 -6- -467- AGENCY Visiting Nurse Association RESTRICTED FUNDS: Restricted by: Restricted for: ACTUAL ~ THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR 1995 1996 1997 TOTAL RESTRICTED FUND (also shown page 2, line 4) MATCHING GRANTS. Grantor/Matched by Work Study - VNA pays 25% up to $5.50/hr and 100% above $5.50 1056/866 0 0 ITOTAL MATCHING GRANTS (also shown pg. 3, line 2) 1056/866 ol IN-KIND SUPPORT DETAIL Services/Volunteers Material Goods Printing Space, Utilities, etc. Other (Please specify) Students TOTAL IN-KIND SUPPORT (also shown on page 2, line 5) Notes and Comments: 41,200 3O0 10,494 32,176 84,17ol 33,350 350 10,692 37,072 81,4641 37,400 400 10,890 7,696 56,386 -7- -468 - SALARIED POSITIONS Position Executive Director 47 x x 16.4 Home Care Manager NA NA NA NA Assistant Home Care M,n,gers 42 x x 15.8 Home Care Aide Managers 42 x x 18.5 Clinical Service Specialist 47 x x 12.7' Administrative Associate 37 x x 7.7 Staff and Attxiliarv Nurses 47 x x 15.1 RN Overtimefmcl in 95/96 sal NA NA NA NA Physical Therapists 37 x x 14.8 Medical Social Workers 18 x x 10.5 Occupational Therapist hie NE NE 7.6 Information System Coord 42 x x 20.9 Communi.ty Program Coord 28 x x 9.2 I & R Coordinator 47 x x 19.4 Patient Billing Coordinator 28 x x 9.3 Transeriptionists 11 ' x 7.7 Administrative Assistant 47 x x 18.8 Information System Asst 11 NE x 7.4 Volunteer Coordinator 16 x x 17.5 Bookkeeper 34 x x 12.4 Scheduling Coordinators 32 x x. 13.5 Human Resource Specialist 32 x x 20.2 Secreta~ 42 x x 22.7 OfficeA~sistants 37 x x 18.1 File Clerk 18 x x 13.4 Nutritionist NE NE NE 7.7 Team Assistant 32 x x 7.7 Maintenance NE NE NE 7.7 Home Care Aides 42 x x 17.1 HCA Overtime/incl 95/96 Sal NA NA NA NA Home Care Aide Qualiv,' Coord 42 x x 19.9 Work Study- Agency portion NE NE NE NE Last Year 1.00 1.00 1.70 1.28 1.00 0.00 16.59 0.00 1.12 1.06 0.00 0.77 0.71 1.00 0.76 1.37 1.00 0.63 0.45 0.86 2.95 1.00 1.00 1.59 0.51 0.00 0.00 0.15 21.95 0.00 1.00 0.08 AGENCY Visiting Nurse Association Salary. This Next Actual Tkis Year Year Last Year Year 1.00 1.00 53,566 52,343 0.48 0.00 38,246 16,657 2.00 2.00 59,161 70,061 1.50 1.50 43,106 48,168 1.00 1.00 41,560 44,260 0.25 1.00 0 9,000 15.67 17.35 545,541 0.00. 0.05 0 0 1.48 1.60 62,127 75,230 1.09 1.00 26,227 26,142 0.15 0.25 0 5,037 0.93 1.00 17,388 22,941 0.78 0.75 24,992 24,119 1.00 1.00 28,275 29,389 0.75 0.75 14,548 14,810 1.53 1.55 17,865 23,261 1.00 1.00 30,045 31,391 0.32 0.25 12,650 7,772 0.48 0.50 8,444 9,070 0.80 0.80 20,985 21,613 3,00 3.00 53,690 56,917 1.00 1.00 24,086 25,041 1.00 1.00 18,551 19,337 1.57 1.50 25,483 25,829 0.51 0.50 7,874 8,073 0.04 0.10 0 :~ 1,000 0.33 1.00 0 6,240 0.16 0.10 3,436 3,573 23.49 21.00 378,720 0.00 0.65 0 1.00 1.00 25,836 0.00 0.00 866 Budgeted % Next Year, Change 53,903 3.0% 0 -100.0% 73,336 4.7% 50,365 4.6% 47,333 6.9% 38,167 324.1% 550,423 593,820 7.9% 3,000 100.0% 77,946 3.6% 26,501 1.4% 8,880 76.3% 24,666 7.5% 24,706 2.4% 30,047 2.2% 15,042 1.6% 23,345 0.4% 31,893 1.6% 5,567 -28.4% 9,991 10.2% 20,941 -3.1% 56,178 -1.3% 25,938 3.6% 19,717 2.0% 25,795 -0.1% 8,127 0.7% 3,000 200.0% 19,982 220.2% 3,720 4.1% 379,996 340,436 -10.4% 0 15,000 100.0% 26,427 27,380 3.6% 0 0 0.0% TOTALFTE's and SALARIES [ 62.53 64.31 65.20. 1,583,268 1,634,120 1,7.04,722 ' 4.3% * Full-time equivalent: 1.0=fifil-time; 0.5=half-time; etc. - 8 - NE = Not Eligible NA = Not Applioable -469- Ao Go AGENCY: VISITING NURSE ASSOCIATION ACCOUNTABILITY QUESTIONNAIRE Agency's Mission Statement or Primary Purpose: The mission of the Visiting Nurse Association is .to improve the quality of life to persons in our service area by assisting individuals and families to achieve the highest level of health and independent living appropriate to the persons involved. Board of Directors: Please attach a list of your agency's Board of Directors Frequency of Meetings: Monthly with the exception of July and December Bdefiy describe beard orientation and ongoing training opportunities: Provided a Board Manual containing Bylaws, Articles of Incorporation, Director responsibilities, Committee descriptions/responsibilities, Funding Sources, SWOT Analysis, Strategic Plan, etc. New members meet with Executive Director Currently forming Educational Subcommittee of Nominating Committee Finances: If your agency charges a fee for services, describe your fee structure. Skilled home care and Home Care Aide services - sliding fee scale available for patients ineligible for 3rd party coverage. Slidirig fee based on income, liquid assets, dependents, unusual circumstances. Community services - fiat fees, e.g. Foot Clinic, Massage Therapy. Does your agency have a internal audit, external audit or a financial review? (circle one) Frequency: annual audit Has your agency filed the Annual Report with the Secretary of State? Yes__x..__ No Has your agency filed Form 990 with the IRS? Yes x No Please discuss your agency's fundraising efforts, if applicable, (e.g. events, direct mail campaign, planned giving, etc.) · Fundraising activities include Direct Mail campaign to "Fdends of VNA" in the month of May and participation in the Hospice Road Race annually, Agency receives unsolicited donations and memorials, Management Does each professional staff have a written job description? Yes x No Is the agency Director's performance evaluated at least yeady? Yes x No By Whom? Executive Committee of Board 9 -470- AGENCY: VISITING NURSE ASSOCIATION Program/Services: Please define your agency's units of service (service definition, length of time, cost per unit of service, number of units provided, direct or indirect.) Visit o Visits to home of patient admitted for service, length vades from thirty minutes to two hours. Cost per visit depends on discipline and program - from $82 per visit for a skilled home care visit to $36 per visit for a health promotion visit. Direct service is provided in the home and indirect service includes pre and post follow-up to a visit (coordination with physicians, community agencies, recording). Session - Unit of time for Eldercare services, provided at meal and housing sites, 1 to 4 hours. Hour - Unit of time spent in Community Services and Home Care Aide Services. Charges are for direct service and vary from $25 per hour for Community Service to $22 per hour for HCA service. Contact - Duplicated number of individuals attending Eidercare, Senior Health Program and other community services. Please supply information about clients served by your agency dudng last two complete budget years. Refer to form instructions for definition of duplicated and unduplicated. 1. How many Johnson county residents (including Iowa City and Coralville) did your agency serve? J Home Care only j 2. How many Iowa City residents did your agincy serve?, 3. How many Coralville residents did your agency serve? 4. How many units of service did your agency provide? Home Care only I Enter Years 1994 1995 la. Duplicated Countl 2146 1826 lb. Unduplicated Countl 1230 989 2a. Duplicated Not Avail Not Avail count I 2b. Unduplicated 687 678 count [ 3a. Duplicated Not Avail Not Avail count[ 3b. Unduplicated 160 131 count I 4a. Total I 53037 48762 4b. To Johnson County Residents 53037 48762 Other Areas Served: Do you provide services to areas outside of Johnson County? On occasion, upon request Area(s) served: Cedar, Iowa, Linn, Louisa, Muscatine and Washington counties. Services provided: Nursing, Therapy, Social Services and Home Care Aide Services Funding Sources: Third-party reimbursement, e.g. Medicare, Medicaid and Commercial Insurance 10 -471- AGENCY: VISITING NURSE ASSOCIATION Client Profile (for last complete year, if available): Not a~ailable with our current system Age Gender Ethnicity 0 - 5 M African American 6 - 17 F Native Amedcan 18 - 29 .~ Asian 30 - 61 Hispanic 62 - 75 White 75 + Multi-racial Evaluation and Review: Please discuss how your agency measures the success of its programs. Results of Consumer questionnaires/telephone surveys and physician surveys Comparison of annual statistics to goals Complaints vs compliments Unsolicited comments from community, patients Fundraising success Continued referrals from vadous sources Performance Improvement Activities Does your agency have performance objectives? (Give several examples) The VNA measures performance in a number of ways. These include measuring the productivity of field staff through visits and internal benchmarking with visit and referral comparisons using prior years as a baseline. Performance is also measured by tracking employee absenteeism, exposure to infection, turnover, continuing education and insetvice attendance and supplemental competency training of paraprofessional staff. C. What plans does your agency have to increase efficiency and effectiveness? Continuous improvement in efficiency and effectiveness is an integral part of all aspects of agency operations. Open communication between all employees and a flat organizational structure fosters an atmosphere of creativity and innovative approaches to problem solving. Productivity is 'discussed and measured with the field staff; monthly meetings are held with support staff and management staff to discuss ways to improve performance, including ways to promote efficiency. Currently VNA is involved in a project with Mercy Home Health which monitors efficiency in the referral/admission process. In what ways will the needs of your service population change in the next five years: VNA's average patient will continue to age, will require more services to stay at home, funds to assist in their care will be limited; patients' health care needs will be managed by a 3rd party, e.g. HMO with coverage for services becoming more stringent; fewer services will be provided. VNA will have an increased patient population with psychiatric needs; this population is without resources for payment of services. 11 -472- 10. 11. 12. 13. AGENCY: VISITING NURSE ASSOCIATION Please discuss any other problems or factors relevant to your agency's programs, funding or service delivery. Changes in Medicare and Medicaid reimbursement could affect VNA negatively Potential decreases or static funding levels in Public Health Nursing and Home Care Aide Grants wouJd require decrease in service levels Managed Care benefits reduce the number of allowable visits for patients in need Competition for the insured patient is increasing from for-profit home health agencies and hospital-based home health agencies.* List complaints about your services of which you are aware. Complaints usually relate to continuity of service, timeliness of services and canceled visits by Home Care Aides due to illness, lack of staff, etc. Complaints are reviewed by Management Staff; action is taken as indicated. The Quality Manager of the VNA maintains a file on complaints received and prepares a report for the PI Committee, the Professional Advisory Committee, and Board. Do you have a waiting list or have you had to tum people away for lack of ability to serve them? 'What measures do you feel can be taken to resolve this problem. In most cases, a waiting list is not feasible for VNA services as most patients requiring home care have immediate health care needs. If VNA is unable to provide services needed, the patient is referred to another home care agency. Although a waiting list was necessary for a short pedod of time in FY95 for the Home Care Aide program, the agency has not found this necessary with adequate funds for the program through state., county and private funds. How many people are currently on your waiting list? 0__ In what way(s) are your agency's services publicized? Distribution of Agency Brochures and flyers Yellow Page Display Ads Participation in community activities, e.g. Road Race Speaking engagements with Community Organizations, Public Groups Cable TV, Radio, Public Service Announcements News Releases Occasional Paid Advertisement Word of Mouth United Way involvement by your agency: (Check if agency participates) a. Agency Directors' Meetings X b. Agencies Representative to Funding Headngs ~X__ c, Business Blitz X d. Day of Cadng X e. Executive Development Seminars ~X.._ f. Kick Off X g. Victory Reception X h. Volunteer Action Center X i. Other Agency Representative to UW Board of Directors, Agency Rep to Amana and other businesses during campaign, Blood Pressures at Procter and Gamble 12 -473 - AGENCY: VISITING NURSE ASSOCIATION AGENCY HISTORY (Using this page ONLY, please summarize the history of your agency, emphasizing Johnson County, past and current activities and future plans. Please update annually.) 1949 1959 1963 1965 1974 1981 1982 1984 1985 1987 1988 1990 1992 1994 1995 1996 The Visiting Nurse Association was formally organized on July 13 The agency combined with the City Nursing Service The Child Health Clinic was established as a service for indigent children The VNA became Medicare certified; Nursing was the first service certified The Eldemare Program was developed for well elderly at Congregate Meals and housing sites in Johnson County Evening services were developed; added 24 hour nursing emergency services Computerized the billing and statistical system The VNA diversiffed and opened another non-profit agency designed to maintain eldedy at home (CARERESOURCES, Inc) The Adult Day Program joined .the. VNA; pdvate duty services were started, then discontinued after the program had a negative monetary effect on other services The Child Health Clinic (Named the Loraine Frost Clinic) was transferred to the Johnson County Department of Public Health to compliment the WIC Program In cooperation with the Health Department, the VNA started the Senior Health Program to serve those individuals not receiving regular medical care A formal Quality Assurance program was started; a support group for families and caregivers of Alzheimer's Disease was started by the Adult Day Program The Adult Day Program was transferred to the Johnson County Department of Public Health and the responsibility for administration of the Homemaker Home Health Aide Program was transferred to the VNA on Apdl 1. CARERESOURCES, Inc. ceased operation and joined the VNA on Apdl 1. The VNA was awarded two flood grants for nursing and home care aide services; the agency participated in a new state program - the Family Investment Program; specialties in nursing were added to the VNA (enterostomal therapy, maternal nursing and pediatric nursing) Joined nine other Iowa VNAs to develop a non-profit corporation to provide state-wide home health services through contractual arrangements with insurers. Contracted with an insurance company to conduct ADL assessments; the VNA was awarded the Iowa Breast and Cervical Cancer Eady Detection Program grant; twelve graduate students completed a two-semester project, evaluating the VNA and .developing strategic direction for the Board; the VNA applied for a survey by the Joint Commission on Accreditation of Health Organizations. The Visiting Nurse Association continues to experience the phenomenon of managed care in which the insurer dictates the frequency and length of service with the intent of reducing the costs of health care. This change in delivery presents special challenges to VNA staff to assist the patient in the recuperation process while meeting the restrictions placed upon the care by the insurer. The VNA continues to be challenged to meet the unreimbursed home health needs of patients while maintaining an adequate cash flow. The agency coordinates with other community agencies to enhance services for Johnson County residents. Agency staff participate in case management for the elderly and young families at dsk. Services are provided to Hillcrest residences, Systems Unlimited, and Hope House. The VNA participates in Project Holiday and is responsible for coordinating the gift certificates for the elderly. Annually, the VNA staff provide flu vaccine.for staff of community agencies and businesses as well as the elderly. In 1996, the VNA, in cooperation with the Health Status Improvement Committee of Mercy will provide pneumonia vaccine for the eldedy to reduce the incidence of pneumonia. 13 -474- Agency: Visiting Nurse Association VISITING NURSE ASSOCIATION GOALS AND OBJECTIVES - ~1997 A. PHILOSOPHY It is the Philosophy of the Visiting Nurse Association that individuals and families will be assured the provision of high quality health care in the home and community setting. The Visiting Nurse Association: is committed to maximizing the human potential of clients, recognizing each individual's dignity, worth, and capacity for self-realization. provides care to individuals regardless of race, religion, creed, sex, sexLral orientation, ethnicity, disability, disease entity, age, or ability to pay. respects each individual's autonomy and the dght to make decisions. believes each individual should receive comprehensive care suited to meet the needs and goals of the individual and that care should be coordinated and continuous with other care providers and systems. recognizes that individual and community health care needs change and evolve; therefore, the VNA regularly evaluates individual and community needs and adapts or develops services as indicated. is dedicated to the ongoing development and maximization of resources and stdves to maintain the necessary human and financial resources to carry out the agency purpose. B. PURPOSE The Visiting Nurse Association (VNA) is an autonomous, not-for-profit health care agency incorporated under the laws of Iowa, providing quality health services in the home and community setting, regardless of race, religion, creed, sex, sexual orientation, ethnicity, disability, disease entity, age, and providing these within the constraints of agency resources to persons with limited means. The VNA accepts the responsibility to promote health by identifying and working toward the solution of individual and community health problems, assisting in community health programs, and working cooperatively with other organizations and services to meet community health needs. The VNA provides health care on a part-time or intermittent basis, providing services by means of direct care, cooperative arrangements and written agreements. C. GOAL The goal of the Visiting Nurse Association is to provide home and community health services to residents of Johnson County through a variety of activities developed with the intent to assist them in achieving their highest level of health and independence. Measurable goals and action steps are developed in relation to the Healthy Iowans 2000 Plan. 14 -475- Agency: Visiting Nurse Association D. OBJECTIVES 1. SKILLED CAR/: PROGRAM Description Visits made to persons, at their place of residence, to provide physician-directed health care to individuals with diagnosed health problems. Service..s are reimbursable through insurance and pdvate pay with a sliding scale. Services include: Direct care, observation, evaluation and health promotion to improve the health of the individual and family. Services also include monitoring and evaluating patients who have the potential for complications and/or deterioration without appropriate supervision and intervention. Skilled cam involves services provided by: Nursing, Physical Therapy, Speech Pathology, Occupational Therapy, Medical Social Services, and Home Care Aides. Consultation services from a Dietitian and Pharmacist are also available. Objectives: a. Provide curative, restorative and palliative home health care. b. Assist individuals to stay in their home as long as possible, delaying or preventing institutionalization. c. Anticipated volume of home visits in 1997 is 39,637: Nursing 18092 Physical Therapy 1800 Speech Pathology 120 Occupational Therapy 300 Medical Social Services 200 Home Care Aide 19125 ]'asks Maintain qualified professional staff Provide supervision and administrative support for staff Maintain liaison with other health care providers, human service agencies and funding sources Provide in-service education for staff and promote continuing education Maintain knowledge of third-party reimbursement requirements Participate in continuous performance improvement activities; strive to provide high quality services Promote efficient and cost-effective services Market services to increase public awareness of available resources Resources 14.00 FTE 1.50 FTE 0.50 FTE 2.00 FTE 2.50 FTE 0.75 FTE 1.00 FTE 3.50 FTE 13.00 FTE 1.50 FTE Registered Nurses Physical Therapists Medical Social Service Staff Supervisory Staff (Clinical Service Managers and Home Care Aide Managers) Support Staff (I & R Coordinator, MIS Coordinator, Scheduling Coordinator) Billing Coordinator Quality Manager Office Support Staff (Secretary, Office Assistants) Home Care Aides HCA Support Staff and Scheduling Coordinators -476- 15 Agency: Visiting Nurse Association SKILLED CARE PROGRAM (CONTINUED) Resources (Continued) Contract Staff (PT, SP and OT Services) Volunteers Travel Reimbursement Medical Supplies and Equipment .~ Liability Insurance Staff Development and Patient Education Materials Communication System Management Information System Office Supplies, Postage and Miscellaneous Supplies Cost of Objective $1,583,070 2. L-tFAL TH PROMOTION PROGRAM Description Home visits made to assist individuals and families to obtain and/or maintain an optimum level of health. Services include developing and maintaining appropriate coordination of community resources for the benefit of patients. Health Promotion includes the services of VNA's maternal/infant nurse specialist, pediatricnurse, medical social workers and dietitian. Objectives a. Promote healthy lifestyles, educate and provide health consultation b. Specific services and volume for 1997 anticipated are: Nursing Health Promotion Nursing Maternal Health MSW Health Promotion Dietitian Health Promotion 1732 Visits 200 Visits 400 Visits 120 Visits Tasks Maintain qualified professional staff Provide supervision and administrative support for staff Maintain liaison with other health care providers, human service agencies and funding sources Provide in-service education for staff and promote Continuing education Promote efficient and cost-effective services Participate in continuous performance improvement activities; stdve to provide high quality services Market services to increase public awareness of available resources Resources 1.70 FTE .25 FTE .30 FTE .40 FTE .40 FTE Registered Nurse Supervisor (Clinical Service Managers) Medical Social Worker Support Staff (Intake and Referral Coordinator, Scheduling Coordinator Office Support Staff 16 -477- Agency: Visiting Nuree Association HEALTH PROMOTION PROGRAM (CONTINUED) Resources (Continued) Volunteers Travel Reimbursement Medical Supplies and Equipment Liability Insurance Staff Development and Patient Edu~qtion Materials Communication System Management Information System Office Supplies, Postage and Miscellaneous Supplies Cost of Objective $91,760 3. HOME CARF AIDF PROGRAM Description Sewices designed pdmadly to help the eldedy, the ill and the disabled continue to live in their own homes when they are unable to do so without help. Early institutionalization may be avoided. The services also help previde care for children and adults when there is potential for neglect or abuse. Services provided include: Personal care assistance, home management, meal preparation, grocery shopping, money management and protective services. Objectives a. Provide supportive home care services to frail eldedy, the ill and disabled. b. Provide protective services for dependent children and adults at dsk for abuse and/or neglect. c. Assist individuals to recuperate at home, delaying or preventing institutionalization or promoting early hospital discharge. d. Specific volume of service is anticipated to be: Home Care Aide Services 11,400 hours Tasks Maintain qualified home care aide staff Provide supervision and administrative support forstaff Maintain liaison with other health care providers, human service agencies and funding sources Provide in-service education for staff, promote continuing education Promote efficient and cost-effective services Participate in continuous performance improvement activities; stdve to provide high quality services Market services to increase public awareness of available resources Resources 8.65 FTE .75 FTE .25 FTE 1.50 FTE .50 FTE Home Care Aide Staff Supervisory Staff (Home Care Aide Managers) Supervisory Staff (Clinical Service Managers) Support Staff (Scheduling Coordinator, HCA Quality Coordinator) Office Support Staff 17 -478- Agency: Visiting Nurse Association HOME CARE AIDE PROGRAM (CONTINUED) Resources (Continued) Travel Reimbursement Medical Supplies and Equipment Liability Insurance Staff Development and Patient Edu..cation Materials Communication System Management Information System Office Supplies, Postage and Miscellaneous Supplies Cost of Objective $237,275 4. ELDFRCARF PROGRAM Descdption Eidercare represents a series of services offered to the well elderly at various sites throughout Johnson County. The goal of the service is to promote optimal health and independence to older persons. Services include direct care, screening, teaching, counseling, referral and education. Special programs include the Foot Clinic, Therapeutic Massage, Influenza Clinics, and Water Fitness. Objectives a. Provide a vadety of health services for elderly individuals and groups at meal and housing sites in Johnson County. b. Specific volume of service is anticipated to be: Direct Services and Education 1200 Hours '['asks. Maintain qualified professional staff Provide supervision and administrative support for staff Maintain liaison with providers serving the elderly and funding sources Provide in-service education for staff and promote continuing education Promote efficient and cost-effective services Participate in continuous performance improvement activities; strive to provide high quality services Market services to increase public awareness of available resources Maintain Volunteer Program Resources .50 FTE .30 FTE .20 FTE .50 FTE .20 FTE Community Program Coordinator Registered Nurses Supervisory Staff (Clinical Service Manager) Support Staff (I & R coordinator, Scheduling Coordinator) Office Support Staff Massage Therapist under contract Student Nurses Volunteers Travel Reimbursement Medical Supplies and Equipment 18 -479- Agency: Visiting Nurse Association ' ELDERCARE PROGRAM (CONTINUED) Resources (Continued) Liability Insurance Staff Development and Patient Education Materials Communication System Management Information System Office Supplies, Postage and Miscellaneous Supplies Cost of Objective $43,590 5. COMMUNITY PROGRAMS Description Health consultation and collaboration, screening and educational services provided at various community sites for the promotion of healthy life styles and early detection of health risk factors for Johnson County residents. Objectives a. Provide health screening, counseling, educational and informational services at public, private, business and special population sites. b. Participate in case management services for the benefit of the elderly and families at risk. c. Coordinate outreach, educational and direct services for the early detection of breast and cervical cancer for women over the age of 50. Tasks Community Services 800 hours Maintain qualified professional staff Provide supervision and administrative support for staff Maintain liaison with community agencies, organizations, businesses and funding sources Provide in-service education for staff and promote continuing education Promote efficient and cost-effective services Participate in continuous performance improvement activities; stdve to provide high quality services Market services to increase public awareness of available resources Coordinate a Consortium of individuals with interests in early detection of breast and cervical cancer Resources .30 FTE · 10 FTE · 10 FTE · 10 FTE Registered Nurse Supervisory Staff (Clinical Service Manager) Support Staff (I & R coordinator, Scheduling Coordinator) Office Support Staff Travel Reimbursement Medical Supplies and Equipment Liability Insurance Staff Development and Patient Education Materials Communication System Management Information System Office Supplies, Postage and Miscellaneous Supplies Cost of Objective $11,890 19 -480- Agency: Visiting Nurse Association 6. SENIOR HEALTH PROGRAM Description The Senior Health Program provides health screening services for elderly persons not receiving regular health care from a physician. The service goal is to promote optimal health and well being for older persons and to provide eady detection of health problems with referral for medical care. Services include physical assessment, screening, counseling, education and referral. Objectives ' a. Provide health services at clinics held at the Senior Center and other sites throughout the county. b. Specific volume of services is anticipated to be: Screening Clinics 15 sessions - · Special Events 8 sessions ~asks Maintain qualified professional staff Provide supervision and administrative support for staff Maintain Volunteer Program Maintain liaison with eldedy service providers and funding sources Provide in-service education for staff and promote continuing education Promote efficient and cost-effective services Participate in continuous performance improvement activities; strive to provide high quality services Market services to increase public awareness of available resources Resources .25 FTE · 10 FTE .10. FTE -.A'O FTE Community Program Coordinator Supervisory Staff (Clinical Service Manager) Support Staff (I & R Coordinator, Scheduling Coordinator) Office Support Staff -Student Nurses Volunteers Travel Reimbursement -Medical Supplies and Equipment Liability Insurance Staff Development and Patient Education Materials Communication System Management Information System ~ Office Supplies, Postage and Miscellaneous Supplies Cost of Objective $7,925 7. FAMILY INVFSTMFNT PROGRAM Descdption Home visits as follow-up for families who have elected not to enroll in the Family Investment Program (welfare reform). The purpose of the visits is to explain the options the families have, encourage follow-through and assess the well-being of the children in the home. 2O -481- Agency: Visiting Nurse Association FAMILY INVESTMENT PROGRAM (CONTINUED) Objectives a. Provide information to families regarding the Family Investment Program and community resources, encourage follow-through and assess the well-being of the children in the home. b. Anticipated volume for 1997 is: Family Investment Program 240'Referrals Tasks Maintain qualified professional staff Provide supervision and administrative support for staff Maintain liaison with the Department of Human Services and Iowa State' Department of Public Health Promote efficient and cost-effective services Participate in continuous performance improvement activities; stdve to provide high quality services Market services to increase public awareness of available resources Resources .20 FTE .05 FTE .05 FTE Medical Social Workers Supervisory Staff (Clinical Service Managers) Office Support Staff Travel Reimbursement Liability Insurance Staff Development and Patient Education Materials Communication System Management Information System Office Supplies, Postage and Miscellaneous Supplies Cost of Objective $5,945 21 -482- VISITING NURSE 1996 BOARD OF ASSOCIATION DIRECTORS BALDES, ALLAN' (1992) 1128 DENBIGH DRIVE IOWA CITY IA 52246 337-2263 / FAX 338-7907 FRYE, SUSAN (1994) 816 RIVER STREET IOWA CITY IA 52246 337-5693 / FAX 338-9238 HACKER., MARY (MD) (1994) 2228 STEINDLER BLDG UOFI IOWA CITY IA 52242 335-8342 HARPER-BARDACH, PHYLLIS 328 HIGHLAND DRIVE IOWA CITY IA 52246 338-6019 (19~1) PULLIAM, DAVID (1996) HAYEK HAYEK & BROWN LLP .'120 1/2 E WASHINGTON IOWA CITY IA 52240 337-9606 / FAX 338-7376 RASLEY, DOROTHY (RUSTY) 1D CLUB HOUSE ROAD NORTH LIBERTY IA 52317 626-6231 / FAX 353-6548 (1992) ROSAZZ~ TRUDI (1993) 453 UNDER ROAD NE IOWA CITY IA 52240 351-7477 ROSS, BYRON (1996) 2188 SCALES BEND ROAD NE NORTH LIBERTY IA 52317 626-6308 LEVEY, DR SAMUEL (1995) 2700 STEINDLER BLDG UOFI IOWA CITY IA '52242 335-9814 / FAX 335-9772 MADDEN, MARY ANNE 428 S SUMMIT IOWA CITY IA 52240 338-5689 (1994) MAHLEI~ A J (1996) 116 S LINN IOWA CITY IA 52240 354-1524 PARKER, ANN BYWATER (1995) 724 ELLIOTT COURT IOWA CITY IA 52246 337-9623 EXT 172 / FAX 338-0943 SCHMIDT, SUE (1992) 2793 BLACK DIAMOND ROAD SW IOWA CITY IA 52240 683-2610 / FAX 683-2789 SCHODERBEK, PETER (1996) 4280 RED MAPLE TRAIL NE IOWA CITY IA 52240 335-0950 / 351-9135 $N~/E, PHIL (1993) 1134 DENBIGH DRIVE IOWA CITY IA 52246 337-2696 / FAX 337-4160 STOCKMAN, TOM (1994) FIRST NATIONAL BANK P O BOX 1880 IOWA CITY IA 52244 3569012 / FAX 35~9002 PARSONS, DOUG (1994) FROHWEIN OFFICE SUPPLY 218 SECOND STREET CORALVILLE IA 52241 338-7701 / FAX 3387484 BDLIST Rev. 10/96 22 -483 - HUMAN SRRVICE AGI*,NCY BUDGET FORM City of Iowa City Johnson County City of Iowa City United Way of Johnson County CHECK YOUR AGENCY'S BUDGET YEAR 1/1/97- 12/31/97 4/1/97 - 3/31/98 7/1/97 - 6/30/98 X Director: William McCarty Agency Name: Youth Homes, Inc. Address: 1916 Waterfront Drive, Iowa City, Iowa Phone: (319~ 3374523 Completed by: Jenny Van Der Weide/Willgam McCarty Approved l~y Board Chair: 10/1/97 - 9/30/98 on ¢ 7/~( ~,date) COVER PAGE Program Summary: (Please number programs to correspond to Income & Expense Detail, i.e., Program 1, 2, 3, etc.) 1. Youth Emergency Shelter - Provides emergency and short-term residential care, counseling, and supervision to runaway and homeless children; to victims of abuse, neglect, or exploitation; and to children who have been removed from their homes because of emotional, behavioral, or family problems. 2. Young Women's Residential Treatment Center - Is a group foster home providing long-term residential treatment and therapeutic counseling to females, ages 13-17, who are emotionally disturbed and/or behavior disordered as a result of physical or sexual abuse, neglect, or other family problems. 3. Structured Community Independent Living Services - Assists foster care and homeless youth, ages 16-21, to become self-sufficient adults by providing temporary housing, financial assistance, counseling, and teaching independent living skills. 4.. Pursuing Adventures in Learning - Is an after school and day treatment program for preadolescents and middle school children (ages 6-15) who are behavior disordered. PAL is available before and after school and all day on weekdays when school is not in session. 5. Parent Support Services - Is an in-home family-centered program that helps keep families together by providing family therapy, and by teaching parenting skills, and problem solving and social skills to parents and children. 6. Addiction Prevention and Adventure Programming Services - Provides risk assessments, referrals for evaluation and treatment, education, alternatives to substance abuse, and team building activities. 7. Anchor Day Treatment - Is a community-based correctional day treatment program for delinquent youth. % of Total 4/1/95 - 3/31/96 4/1/96 - 3/31/97 4/1/97 - 3/31/98 Budget - Local Funding Summary: United Way of Johnson County - Does Not Include Designated Gvg. $ 16,300 $ 16,675 $ 30,000 FY96 FY97 FY98 City of Iowa City $ 0 $ 0 $ 10,000 0. ~ Johnson County $ 64,272 $ 64,272 $ 100,000 §.8% City of Coralville $ 600 $ 600 $ 3,000 0.17% -484- -1- - BUDGET SUMMARY AGENCY: Youth Homes, Inc. Enter Your Agency's Budget Year ~> 1. TOTAL OPERATING BUDGET (Total a + b) a. Carryover Balance (Assets less liabilities from Agency balance sheet) b. Income (Accrual) 2. TOTAL EXPENDITURES (Total a + b) a. Non-directed funding b. Program Total (List Programs Below) 1. Youth Emergency Shelter 2. Residential Treatment Center 3. Structured Community Independent Living 4. Pursuing Adventures in Learning 5. Parent Support Services 6. Addiction Prevention & Adventure Program Svc. 7. Anchor - Day Treatment 8. Intensive Supervision 2) 3. ENDING OPERATING BALANCE (Subtract 2 - 1) 4. RESTRICTED FUND BALANCE (Total from page 7) 5. IN-KIND SUPPORT (Total from page 7) 6. NON-CASH ASSETS ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR 7/1/95-6/30/96 7/1/96-6/30/97 7/1/97-6/30/98 2,559,052 2,432,371 2,412,616 1) 642,457 696,745 701,029 1,916,595 1,735,626 1,711,587 1,862,307 1,731,342 1,710,307 339,756 358,832 357,232 1,522,551 1,372,510 1,353,075 287,322 286,121 279,400 268,096 253,651 265,758 274,838 175,540 138,202 195,712 194,448 178,382 177,522 222,479 231,065 89,736 51,481 55,982 145,293 188,790 204,286 84,032 0 0 3) 696,745 701,029 702,309 26,734 50,000 60,000 35,155 42,000 50,000 922,902 900,000 880,000 Notes and Comments: 1) Balance from last year's report was $613,932. The $28,525 difference is the result of a change in an accounting role which required all pledges to be recognized in the year of the pledge instead of the year the pledge was paid. 2) This program has been discontinued due to loss of funding. 3) Audited equity balance as of 6/30/96. -2- -,~85- INCOME DETAIL AGENCY: Youth Homes, Inc. NON- PROGRAM PROGRAM ACTUAL THIS YEAR BUDGETED DIRECTED 1 2 LAST YEAR PROJECTED NEXT YEAR FUNDING YES RTC A. 1. Local Funding Sources 102,164 107,878 166,000 0 23,000 0 a. Johnson County 64,272 64,272 100,000 0 0 0 b. City of Iowa City 0 0 10,000 0 0 0 c. United Way 16,394 20,006: 30,000 0 0 0 d. City of Coralville 600 600 3,000 0 0 0 e. Johnson County Dept 21 Shelter POS Supplement 20,898 23,000 23,000 0 23,000 0 2. Grants - State, Federal, Foundations 371,854 232,950 173,437 0 0 0 a. Dept. of Health & Human Services 229,593 61,000 0 0 0 0 b. Juvenile Crime Prevention 29,119 28,250 28,500 0 0 0 c. Community Service Allocation 59,402 66,600 66,600 0 0 0 d. Other 53,740 77,100 78,337 0 0 0 3. Net Sales of Services (sources) 1,383,801 1,313,898 1,280,000 0 316,000 335,000 a. DHS Purchase of Service 409,795 420,000 390,000 0 290,000 0 b. Medicaid Purchase of Service 471,464 438,715 435,000 0 0 335,000 c. Other 502,542 455,183 455,000 0 26,000 0 4. Net Sales of Materials (sources) 3,748 3,500 4,500 4,500 0 ~-"~ a. Youth Homes Logo Merchandise 3,748 3,500 4,500 4,500 0 0 5. Contributions/Donations 8,868 25,583 34,500 0 0 0 a. United Way Designated Giving 2,637 583 4,500 0 0 0 b. Other Contributions 6,231 25,000 30,000 0 0 0 6. Special Events 21,457 25,467 30,500 0 0 0 a. Iowa City Road Races 953 467 500 0 0 0 b. Youth Homes Events 20,504 25,000 30,000 0 0 0 7. Interest Income 1,653 650 650 650 0 0 8. Other - List Below Including Miscellaneous 23,050 25,700 22,000 1,000 10,000 6,000 a. Rent Reimbursement from Clients 2,591 3,500 0 0 0 0 b. Dept. of Education - Food Reimbursement 19,606 21,200 21,000 0 10,000 6,000 c. Other 853 1,000 1,000 1,000 0 0 TOTAL INCOME (Show also on Page 2, line lb) 1,916,595 1,735,626 1,711,587 6,150 349,000 341,000 Notes and Comments: 2d. Other - FEMA, DED, IDH 3c. Other - Juvenile Court, client fees, daycare certificate, Merit, Iowa City Community School District, other counties' Shelter POS supplement. -3- -486- INCOME DETAIL (continued) AGENCY: Youth Homes. Inc. 1. Local Funding Sources a. Johnson County b. City of Iowa City c. United Way d. City of Coralville e. Johnson County Dept. 21 Shelter POS Supplement 2. Grants - State, Federal~ Foundations a. Dept. of Health & Human Services b. Juvenile Crime Prevention c. Community Sen~ice Allocation d, Other :3. Net Sales of Services (sources) a, DHS Purchase of Service b. Medicaid Purchase of Service c. Other 4. ~ ~ales of Materials (sources) a. Youth Homes Logo Merchandise 5. Contributions/Donations a. United Way Designated Giving b. Other Contributions 6. Special Events a. Iowa City Road Races b. Youth Homes Events 7. Interest Income 8. Other - List Below Including Miscellaneous a. Rent Reimbursement from Clients b. Dept. of Education- Food Reimbursement c. Other TOTAL INCOME (Show also on Page 2, line lb) Not, o and Cornmeres: PROGRAM PROGRAM PROGRAM PROGRAM PROGRAM :3 4 5 6 7 SCILS PAL PSS APAPS ANCHOR 15,600 8,000 60,600 48,200 10,600 10,000 4,000 44,000 36,000 6,000 2,000 2,000 2,000 2,000 2,000 3,000 .- 1,400 14,000 9,600 2,000 600 600 600 600 600 0 0 0 0 0 28,337 70,100 45,000 0 30,000 0 0 0 0 0 0 3,500 25,000 0 0 0 66,600 0 0 0 28,337 0 20,000 0 30,000 100,000 150,000 169,000 0 210,000 100,000 0 0 0 0 0 0 100,000 0 0 0 150,000 69,000 0 210,000 0 0 0 0 0 0 0 0 0 0 3,900 2,300 14,900 10,500 2,900 900 900 900 900 900 3,000 1,400 14,000 9,600 2,000 3,100 1,500 14,100 9,700 2,100 100 100 100 100 100 3,000 1,400 14,000 9,600 2,000 0 0 0 0 0 0 5,000 0 0 0 0 0 0 0 0 0 5,000 0 0 0 0 0 0 0 0 150,937 236,900 303,600 68,400 255,600 -4- -487- PROGRAM EXPENDITURE DETAIL AGENCY: Youth Homes, Inc. 1. Salaries 2. Employee Benefits and Taxes 3. Staff Development 4. Professional Consultation ~) 5. Publications and Subscriptions 6. Dues and Memberships 2) 7. Mortgage Interest, Rent, and Property Tax 8. Building Maintenance 9. Equipment Purchase/Rental Maintenance 10.Utilities 11.Telephone 12. Office Supplies and Postage 13. Printing and Publicity 14. Local Transportation o 15. Insurance 16. Audit "' 17. Interest 18. Other (Specify): Depreciation Expense 19. Food 20. Household Supplies 21. Recreation and Skill Development Supplies 22. Clothing and Personal 23. Contract Services ~) 24. Miscellaneous TOTAL EXPENSES (Show also on Page 2, line 2) ACTUAL THIS YEAR BUDGETED NON - LAST YEAR PROJECTED NEXT YEAR DIRECTED FY95 - 96 FY96 - 97 FY97 - 98 FUNDING 1,054,612 988,012 1,011,125 187,400 170,716 172,080 .- 181,982 33,732 46,484 25,000 22,000 5,000 26,437 22,000 16,500 8,000 3,508 3,000 3,250 500 16,028 14,000 10,000 10,000 87,569 16,789 20,090 27,969 22,548 40,296 9,528 20,399 40,659 7,571 6,027 79,094 52,609 13,968 32,457 22,028 36,000 8,921 PROGRAM PROGIL ~] 1 2 YES RTC 167,500 160,600 30,150 28,908 4,000 4,000 1,000 1,000 500 500 0 0 85,000 70,250 6,000 8,250 8,250 16,500 15,000 2,000 2,000 2,000 17,000 2,000 3,000 3,000 25,500 3,200 4,500 4,500 20,700 3,400 5,000 3,500 47,000 47,000 0 0 15,000 15,000 0 0 22,000 1,000 3,500 3,500 45,000 10,000 6,000 6, 10,000 10,000 0 0 8,000 1,000 1,000 1,000 17,000 31,000 22 500 45 500 15 000 21 400 45 000 10 000 7 600 85,000 77,000 12,000 12,000 12,000 43,000 39,500 0 15,000 8,500 14,000 12,500 0 5,000 5,000 23,000 24,500 0 5,000 5,000 20,000 16,500 0 6,000 8,500 5,750 0 0 0 0 0 0 0 0 0 1,862,307 1,731,342 1,710,307 357,232 Notes and Comments: 1) Attorney fees, psychological testing, temporary services, consultants. 2) Coalition for Family & Children's Services, Child Welfare League of America. 3) Mayor's Youth Employment Program, United Action for Youth. 4) Includes vehicle repair and fuel, mileage reimbursement, and bus tickets. 279,400 265,758 -488- -5- PROGRAM EXPENDITURE DETAIl, (continued) AGENCY: Youth Homes, Inc. 1. Salaries 2. Employee Benefits and Taxes 3. Staff Development 4. Professional Consultation o 5. Publications and Subscriptions 6. Dues and Memberships ~) 7. Mortgage Interest, Rent, and Property Tax 8. Building Maintenance 9. Equipment Purchase/Rental Maintenance 10. Utilities 11. Telephone 12. Office Supplies and Postage 13. Printing and Publicity 14.~I_~:al Transportation n) 16. Audit 17. Interest 18. Other (Specify): Depreciation Expense 19. Food 20. Household Supplies 21. Recreation and Skill Development Supplies 22. Clothing and Personal 23. Contract Services 3) 24. Miscellaneous TOTAL EXPENSES (Show also on page 2, line 2b) PROGRAM PROGRAM 3 4 SCILS PAL 81,951 102,400 14,751 .-18,432 1,000 1,000 0 5OO 0 25O 0 0 PROGRAM PROGRAM PROGRAM 5 6 7 PSS APAPS ANCHOR 171,750 31,400 108,124 30,915 5,632 19,462 4,000 1,000 2,000 5,000 500 500 500 500 500 0 0 0 0 8,000 1,500 750 37,500 2,000 2,000 2,000 1,000 2,000 1,000 2,000 2,000 1,000 3,000 3,000 3,600 1,200 500 5,000 3,000 1,200 1,200 1,200 2,200 0 0 0 0 0 0 0 0 0 0 3,500 3,500 3,500 500 3,000 4,000 6,000 3,000 5,000 5,000 0 0 0 0 0 1,000 1,000 1,000 1,000 1,000 18,000 10,000 3,000 5,000 5,000 1,000 9,000 0 0 6,000 1,500 500 0 0 500 1,500 9,000 500 1,000 2,500 1,000 0 0 0 1,000 0 0 0 0 0 0 0 0 0 0 Notes and Comments: 138,202 178,382 231,065 55,982 204,286 -6- -489- RESTRICTED FUNDS Restricted by: Board Board Donor AGENCY: Youth Homes. Inc. ACTUAL LAST THIS YEAR YEAR PROJECTED 1995 - 1996 1996 - 1997 Total Restricted Funds (also shown page 2, line 4) BUDGETEDI NEXT YEAR ~'~.~. 1997- 1998 Restricted for: Lands, Building, Equipment 0 0 0 Cash Reserve 0 0 0 'Donor Specifies 26,734 50,000 60,000 26,734 50,000 60,000 MATCHING GRANTS Omntor Matched by: Department of Health & Hman Services/County Juvenile Crime Prevention Grant/County Conununity Service Allocation/No Match Other/County, Depreciation, Inkind t) Total Matching (also shown on page 3, line 2) 1995-1996 229,593/67,332 29,119/15,073 59,4O2/0 53,740/28,625 371,854/111,030 1996- 1997 61,000/21,216 28,250/16,260 66,600/0 77,100/117,500 232,950/154,976 1997- 1998 0/0 28,500/15,000 66,600/0 78,337/75,000 173,437/90,000 IN-KIND SUPPORT DETAIL ServicesNolunteers 2) Material Goods 3) Space, Utilities, etc. Other: (Please specify) 1995 - 1996 18,675 16,280 2OO 1996- 1997 20,000 18,000 4,000 1997-1998 22,000 20,000 8,000 TOTAL IN-KIND SUPPORT (also shown on page 2, line 4) Notes and Comments: 1) Other Includes: Iowa Dept. of Economic Development/County, Depreciation Iowa Dept. of Public Health/County, h-kind FEMA DECAT MISCELLANEOUS 2) Service/Volunteer: Professional: 40 hrs. ~ $27.00 per hr. Non-Professional: 1,759 1/2 hrs. ~ $10.00 per hr. 3) Material Goods: Clothing & Personal $15,710.00 Printing 100.00 Christmas Decorations 145.00 Recreation 125.00 Books 200.00 -490- 35,155 27,600/28,625 0 4,484/0 19,000/0 2,656/0 42,000 27,500/27,500 45,000/90,000 3,000/0 1,000/0 600/0 50,000 25,000/25,000 25,000/50,000 3,000/0 1,000/0 24,337/0 SAI -nlED POSITIONS AGENCY: Youth Homes, Inc. "X" nil that apply F'rE* Paid ')Health2~ Retire ~) % Last Th~s Next POSITION Lye Ins Plan Benefits Year Year Year Executive Director 45 X X 15.25 1.00 1.00 1.00 Asso~iat~ Dir~tor 45 X X 16.15 1.00 1.00 1.00 Finance Dir~tor 40 X X 16.45 1.00 1.00 1.00 Sexyice Directors 40 X X 16.45 2.00 2.00 2.00 Finance Manager 40 X X 17.65 1.00 1.00 1.00 Administrative Assistant 35 X X 20.05 1.00 1.00 1.00 Office Assistant 30 X X - - 1.00 0.25 0.00 Maintenance Associate 30 X X 18.85 0.50 0.50 0.50 Program Coordinators 35 X X 17.85 7.00 6.31 6.30 Supervisors 35 X X - - 0.75 0.48 0.00 Therapists/Caseworker 35 X X 18.35 5.25 5.00 4.40 Youth Counselor Associate 30 X X 24.15 37.77 32.70 33.40 Rop ~'-~ mrse Facilitators 0 X X 20.65 0.42 0.11 0.30 TotalSnlaries&FTE N/A N/A N/A N/A 59.69 52.35 51.90 * Full-time equivalent: 1.0 = full-time; 0.5 = half-time; etc. ACTUAL THIS YEAR BUDGETED % LAST PROJECT- NEXT CHANGE YEAR ED YEAR 1995 - 1996 1996- 1997 1997- 1998 53,340 53,928 56,700 5% 39,671 40,049 42,000 5% 37,000 37,000 39,000 5% 74,000 74,000 78,000 5% ") 4,500 28,000 29,500 5% 24,635 19,200 20,200 5% 18,480 b) 2,950 0 -100% 10,332 11,500 12,000 5% 175,216 b) 173,094 182,000 5% 12,648 b) 8,000 b) 0 -100% 137,292 b~ 122,580 b> 114,125 -7% 459,637 ~ 415,711 b) 432,000 4% 7,861 b) 2,000 b) 5,600 180% 1,054,612 988,012 1,011,125 2% a. = New Position - partial year funding b. = Change in FTE 1. Paid Leave varies by longevity and position type. Numbers shown are days available, not necessarily days taken. Includes sick leave, vacation, holidays, personal days, etc. 2. Available to all regular staff averaging thirty (30) hours per week or more. 3. Eligible staff are those employed by Youth Homes three (3) of the last five (5) years. 4. Includes retirement, health, and employer's FICA as a percentage of average salary per FTE budgeted next year. Assume all employees eligible for all benefits. -8- -491- AGENCY Youth Homes, Inc. ACCOUNTABILITY QUESTIONNAIRE A. Agency% Mission Statement of Primary Purpose: Youth Homes, Inc. strives to be a leading provider of high-quality creative human services that enable children, youth, and families to be successful. B. Board of Directors: 1. Please attach a list of your agency% Board of Directors (Attachment A) 2. Frequency of meetings: Monthly 3. Briefly describe board orientation and ongoing training opportunities: New Board members are initially given tours of the programs, a Board notebook, and an orientation. Thereafter, Board development Occurs periodically at Board meetings, at the annual Strategic Planning Retreat, and at outside events that are offered to Board members when they Occur. C. Finances: 1. If your agency charges a fee for services, describe your fee structure. See Attachments B - F 2. Does your agency have an internal audit, e~emal audi]'f~ or a financial review? (circle one) Frequency Annual 3. Has your agency filed the Annual Report with the Secretary of State? Yes X No 4. Has your agency filed Form 990 with the IRS? Yes X No 5. Please discuss your agency's fundraising efforts, if applicable. (e.g. events, direct mail campaign, planned giving, etc.) Fund development activities include mailings sixtimes/year, one major event, small group and individual informational meetings, and the beginnings of a planned giving program. A capital campaign is also being planned. D. Management: 1. Does each professional staff have a written job description? Yes X No · 2. Is the agency Director's performance evaluated at least yearly? Yes X No By Whom? Board Executive Committee -492- AGENCY: Youth Homes, Inc. E. Program/Services: Please define your agency's units of service (service definition - see page 1, length of time - see below, cost per unit of service - see attachment G, number of units provided - see attachment H, direct or indirect - direct only). YES: RTC: PSS: SCILS: PAL: APAPS: ANCHOR: 1 child in residence for 1 day = 1 unit .~ 1 child in residence for 1 day = 1 unit; also extra therapy, counseling, or skill development - 1/2 hour face-to-face = 1 unit 1/2 hour facedo-face service = 1 unit 1 hour face-to-face service = 1 unit 1/2 day of service = 1 unit 1/2 hour face-to-face service - 1 unit 1 day of service = 1 unit Please supply information about clients served by your agency during last two complete budget years. Refer to form instructions for definition of duplicated and unduplicated. 1. How many Johnson County residents (including Iowa City and Coralville) did your agency serve? 2. How many Iowa City residents did your agen.cy serve? . : Enter Years --> la. Duplicated Count lb. Unduplicated Count 2a. Duplicated Count 1994- 1995 1995- 1996 260 423 233 178 105, 273 3. How many Coralville residents did your agency serve? 2b. Unduplicated Count 3a. Duplicated Count 99 138 27 42 How many units of service did your agency provide? 3b. Unduplicated Count 23 27 4a. Total 26,784 34,573 4b. To Johnson County Residents 15,992 23,873 Other Areas Served: Do you provide services to areas outside of Johns;n County? Area(s) served: Eastern Iowa Services provided: Residential Treatment, Emergency Shelter, Family Centered Services, Independent Living, Substance Abuse Prevention Funding Sources: State P.O.S., Federal grants, County Cost Difference, private pay, Merit, Medicaid - 10- '-493- AGENCY: Youth Homes, Inc. 6. Client Profile (for last complete year, if available): Age Gender Ethnicity 0 - 5 10 M 216 African American 45 6 - 17 313 F 127 'Native American 2 18 - 29 13 Asign 3 30 - 61 7 Hispanic 17 62 - 75 0 White 251 75 + 0 Multiracial 25 Evaluation and Review: A. Please discuss how your agency measures the success of its programs. - Achievement of individual client~ outcomes. · Achievement of agency goals and objectives. · Achievement of individual staff goals, as defined in annual performance evaluations. o Annual assessments by various regulatory and funding bodies. · Peer reviews conducted by agencies providing similar services. - Results of research studies. o Results of agency Continuous Quality Improvement processes. · Results of client and referral source satisfaction surveys. o Results of internal outcome measurements compared to benchmarks. · Results of child behavior checklist and youth self report, compared to national benchmarks. Does your agency have performance objectives? (Give several examples) Yes. See Attachment I What plans does your agency have to increase efficiency and'effectiveness? Enter into mergers and parmerships that enable us to spread fixed costs. Seek to expand services, in order to spread fixed costs. Continue to expand use of technology to increase efficiency. Continue to develop improved outcome measures. Identify basic care and treatment processes. Develop methods for improving care and treatment processes, based upon outcomes. In what ways will the needs of your service population change in the next five years: Child and youth population will continue to grow. Poverty rate has leveled off, but total number of children in poverty will continue to grow. Delinquency rate will continue to grow. Child abuse rate may or may not grow, but total number of abused children will likely continue to grow. Fewer dollars will be available for services. Only the most severely disturbed children will receive services. Welfare "reform" will result in more migration to service rich communities and some families who are destitute but ineligible for services. -494- - 11 - AGENCY:' Youth Homes. Inc. Please discuss any other problems or factors relevant to your agency's programs, funding, or service delivery: 10. Declining dollars for services, combined with increased needs, increased costs, increased regulatory demands, increased accountability for services equals fewer services and/or lower quality services. State reimbursement rates for all Youth Homes programs except SCILS are now frozen below the actual cost of providing the services. List complaints about your services of which you are aware: Better orientation and training needed for staff. Cant always handle severely acting out clients. Salaries too low, stafftumover too high. Services not always available when needed. Insufficient/inadequate communication. ll. Do you have a waiting list or have you had to turn people away for lack of ability to serve them? What measures do you feel can be taken to resolve this problem: From time to time each program has a waiting list. At other times there are vacancies. This tends to be a function of whether or not DHS believes they have sufficient funds for a particular service, although there are seasonal variations in demand for some programs too. Since we have virtually no control over referrals, our approach is to try to develop greater flexibility in programs. Barriers to flexibility include financial constraints, licensing rules, state and local regulations, and program quality issues. 12. How many people are currently on your waiting list? Changes Dailv In what ways(s) are your agency's services publicized: Through brochures, newsletters, news media, participation in community activities, word-of-mouth, presentations to community groups and referral sources, and other outreach efforts. 13. United Way involvement by your agency: (Check if agency participates) a. Agency Directors Meetings X b. Agencies Representative to Funding Hearings. c. Business Blitz X d. Day of Caring X e. Executive Development Seminars X f. Kick Off X g. Victory Reception X h. Volunteer Action Center X i. Other X - 12 - -495- AGENCY: Youth Homes. Inc. AGENCY HISTORY (Using this page ONLY, please summarize the history of your agency, emphasizing Johnson County, past and current activities, and future plans. Please update annually). -,, Youth Homes, Inc. began as Youth Emergency Shelter, Inc. in December 1972. Beginning in 1976, when the name was changed to Youth Homes, Inc., the Agency provided long-term care as well as emergency shelter. Programs changed many times over the years, depending upon local needs and availability of funding. Beginning in 1987, the Agency experienced rapid growth. New programs were developed and existing programs redesigned. New facilities were purchased and remodeled. New parmerships were formed with UAY, MYEP, Grant Wood AEA, and others. In July, 1992, referrals to children*s services dropped precipitously, statewide, in response to caps placed on funding for children's services. Many children went unserved or were inappropriately served, and many good programs were closed. Youth Homes saw a sharp decline in residential treatment (RTC) and emergency shelter (YES) referrals. At about the same time, daycare funding was changed and eligibility limited, which reduced referrals to PAL. Youth Homes weathered these setbacks by laying off staff, freezing salaries, and re, assigning progrants to different building sites. In June, 1993, the local DHS office initiated a Decategorization project. This initiative allows pooling of state and local dollars, and funding of programs that don't fit the state's traditional rigid funding system. Youth Homes has enthusiastically participated with other local agencies in this innovative project. In November, 1993, the state initiated the conversion of some children's services to Medicaid funding. This required massive changes in staffing, programming, record keeping, and cost reporting. Youth Homes' RTC and PSS made the conversion, while the other programs remained under the old reimbursement system. Growing needs in the community and the rapidly changing state funding policies caused the staff and Board to take a long, hard look at the Agency Mission and long-term plans. It was determined that the Agency was still committed to trying to provide a continuum of quality children's services, despite the changes in state policies and funding. To do so required a consolidation, -' services, improved facilities, and an infusion of additional funds. After an exhaustive search, the property at 1916 Waterfrom Drive, Iowa City, was selected as Youth Homes' new program site. In December, 1993, Youth Homes' first capital fund drive, "Home Improvement Campaign '94", began. The goal was to raise the estimated $250,000 needed to remodel the Waterfront Drive property. The work began in February, 1994, and the programs moved in April and May. The fund raising goal was reached in June, 1994. The new facility houses RTC, YES, PSS, APAPS, and the Administrative Offices. PAL, SCILS, IS, and ANCHOR - Day Treatment maintain separate sites. In 1994, Youth Homes began the Intensive Supervision (IS) service, in response to requests from DHS and Juvenile Court for a flexible program to monitor, supervise, and transport youth in and around the community. In 1995, Youth Homes began the ANCHOR - Day Treatment Progrant, in response to an RFP from Juvenile Court for a local correctional/treatment program for juvenile offenders who are living in the community. Both of these new programs are responses to changes in state policy which mandate fewer out-of-home placements of children, and more in-home services. In $une, 1996, funding for Intensive Supervision was ended, and the program was discontinued. In October, 1996, Federal funding for APAPS (substance abuse prevention) and SCILS (for homeless youth) was discontinued. These programs will be ended unless other funding sources are found. As this is written, all state reimbursement rates for Youth Homes services are now frozen below actual cost of delivery, exempt SCILS. Youth Homes strategies for dealing with these dilemmas include: Continue to improve Youth Homes' internal systems to improve efficiency and effectiveness. Continue to seek local and regional partners to share costs and risks. Continue to advocate for reform of state and Federal funding mechanisms. Continue to seek greater public and private local funding. - 13 - -496- Goal #1 Objective #1: Objective #2: Objective #3: Objective Goal #2 Objective #1: Youth Homes, Inc. - Strategic Plan Summary Adopted November, 1995 Revised March, 1996 Develot~ a Marketinl~ Plan to Greatly Ext~and Public Awareness of Youth Homes. and its Programs To Improve our Internal Marketing Strategy: Utilize information from the staff marketing survey to identify internal marketing needs. Strategy: Begin a monthly internal newsletter geared to informing staff about Youth Homes. Strategy: Educate staff as to their role in agehey marketing. To Improve Youth Homes Marketing to the Community Strategy: Send out three press releases a month to news media in the area. Strategy: Participate in the Chamber of Commerce's annual '~ralk of the Stars" business showcase. Strategy: Continue external newsletter quarterly. To Improve Youth Homes Marketing to Referring Agencies & Collatera!'s Strategy: Utilize information from the staff marketing survey to identify external marketing needs. Strategy: Update Youth Homes brochure, logo, and other marketing materials. To Retain a Professional Marketing Consultant for the Agency Strategy: Develop a comprehensive agency marketing plan with Burken Marketing Group. Strategy: Implement plan recommendations. Focus Youth Homes' Organization/Culture on Continuous Ouality Improvement To Educate the CQI Team and Youth Homes Employees on Continuous Quality Improvement Strategy: Strategy: Collect CQI reading material, video resources, and attend CQI team meetings, Woods Quality committees~ and other quality training sessions. Youth Homes employees will become knowledgeable through large training sessions provided by the CQI Team, guest speakers, and other resources. - 14- -497 - AGENCY: Youth Homes, Inc. Objective #2: Objective #3: Objective #4: Goal tt3 Objective 111: Objective #2: To Identify High and Low Quality Aspects of Youth Homes Programs Strategy: Prepare, present, and review an agency specific survey on quality. Strategy: Review existing tested and valiclated instruments for measuring behavior change. Create an Agency-wide Data Collection System Strategy: Create and utilize a data collection process that will provide outcome and process measures of agency programs. Strategy: Review Youth Homes internal outcome and process measure system and reports. Strategy: Continue to research other outcome and process measures. Strategy: Determine outcome and process data to be tracked, research available MIS, and make a purchase recommendation. Wor!~ on the Quality Assurance Portion of the COA Accreditation Process Strategy: Complete a quality assurance self study. Strategy: Work with accreditation committee to successfully complete the quality assurance portion of accreditation. Desi~,n a More A~,~ressive Atoproach to Fund Development Raise $12~000 Annually in Gifts for Program Operations Strategy: Generate direct mail contacts six times per year with: newsletters, special campaigns to address special .needs, planned giving, memorials. Strategy: Maintain current donor database by phone calls, visits to programs, tours, researching additional donor information. Strategy: Increase donor database through donor prospect cards, purchase prospective donor lists, more donor research through board/staff. Strategy: Conduct small events/campaigns such as artwork, car wash, etc. To Reduce Agency Debt by $100,000 by 7/1/98 Strategy: Home Improvement Campaign '94 follow-up with pledges, thank yous, mailings, etc. -498- 15- AGENCY: Youth Homes, Inc. Objective #3: Objective ~4: Objective #5: Objective 1t6: Goal tbl' Objective #1: Objective #2: Strategy: Strategy: Personal contacts with potential donors and previous donors to keep them informed on Youth Homes progress. Major special "Event" will be selected and carried out each year. To Further Develop Planned Giving Program that Establishes an Endowment for the Agency, Valued at L5 Million by 7/1/05. Strategy: Develop planned giving policies and procedures for agency. Strategy: Develop planned giving plan for agency. Develop Corporate Partners Program- $10,000 Generated Through Partnership Strategy: Develop lists of community resources to educate re: Youth Homes. Strategy: Provide educational seminars for potential donors. Maintain Computer Database for Fund Development Strategy: Select and purchase software and hardware to computerize fund development records. Coordinate and Implement New Capital Campaign Take a Leadership Role in Assuring that a Complete Continuum of Services is Available for Children, Youth, and Families To Conduct an Internal Needs Assessment of Children and Family Services Research current data available to Youth Homes in order to compile and make available to staff the services available to, and through, Youth Homes programs. Strategy: Create an interview form and conduct interviews with identified staff from all Youth Homes programs to generate feedback re: current service needs. To Implement a Process for Coordinating Care and Creating Linkages Between Services Both Internally and Externally Drawing on identified needs generated from Objective #1, dctermine the needs most appropriate to other strategic task force committees, or other internal or external groups. Arrange to share this information with the identified committees and groups, and suggest an action plan for meeting the needs identified. - 16- ~499- AGENCY: Youth Homes. Inc. Objective #$: To Provide an Analysis of Data Collected, Demonstrating What is Needed to Provide a Full Continuum of Care for Children and Families Strategy: Compile the gathered data into a report describing how to improve and clarify current service needs. The end~result will be a plan to systematically educate current staff, referral agencies, and the community about available services and gaps in services. This document will also be used to help identify new directions for program development and/or parmerships with other organizations. Goal tt5 Objective #1: Objective #2: Objective #3: Assure that Youth Homes Staff Resources are Safeguarded and Prepared to Successfully Manalle the Future Care Environment To Solicit Input and Suggestions from Staff Strategy: Provide a suggestion box to all employees in all programs, that will allow staff an open ended forum in which to voice concerns and suggestions. Strategy: Distribute staff surveys quarter!y, that will measure variables such as job satisfaction and feedback on agency changes. To Follow-up with Staff who Are Terminating Employment with the Agency. Strategy: Develop a short exit survey to be distributed to all employees who have left the agency. The committee will collect and analyze data to help determine what causes tarnover rates in various programs and agency as a whole. To Help Current Employees Cope with Ongoing Changes in the Youth Homes Organization, and in the Children's Services Industry Strategy: Analyze data collected from surveys and suggestion box in order to determine what topics are of interest to staff. The committee will organize informational meetings on these topics and offer them to staff on at least a quarterly basis. file:f.'k, mv¢~nnmittek~trplan~goals9 6.sam -500- 17 YOUTH HOMES, INC. BOARD OF DIRECTORS 1996- 1997 Gary Appleby West Branch, Iowa Ruth Bonfiglio Coralville, Iowa Jim Brermeman Iowa City, Iowa Faith Knowlet Iowa City, Iowa Scott Means Iowa City, Iowa Faye Swif~ Coralville, Iowa Janet Walker Iowa City, Iowa Mark Danielson Iowa City, Iowa David Kacena Iowa City, Iowa Dean Moore Coralville, Iowa Fred Schieber Iowa City, Iowa Duane Swartzendmber Iowa City, Iowa Ron Wright Iowa City, Iowa Attachment A -sol- -502- ~-~ENCY: Youth Homes, Inc. oUrPATIENT CPT-4 CODE 90801 90830 90843 90844 90847 90853 90862 PROCEDURE Initial Evaluation 60 Minutes 15 Minutes Psychological Testing60 Minutes 15 Minutes Individual Psychotherapy 25 - 30 Minutes Individual Psychotherapy Couples/Family Therapy 60 Minutes 15 Minutes Group Therapy 90 Minutes 15 Minutea Medication Cheek with Brief Psychotherapy 20 Minutes MERIT REIMBURSEMENT SCHEDULE Effective July 1, 1996 PSYCHIATRIST ~SYCHOLOGIST $ 100.00 $ 65.00 $ 25.00 $ 17.00 N/A $ 50.00 $ 12.50 $ 26.66 $ 80.00 $ 16.66 $ 50.00 $ 80.00 $ 20.00 $ 50.00 $ 12.50 $ 45.00 $ 11.25 $ 45.00 $ 11.25 $ 35.00 N/A MSW/MA $ 63.00 $ 15.75 $ 50.00 $ 12.50 $ 15.00 $ 45.00 $ 45.00 $ 12.50 $ 45.00 $ 11.25 N/A $ 63.00 $ 15.75 N/A $ 15.00 $ 45.00 45.00 12.50 $ 45.00 $ 11.25 N/A LEVEL OF CARE Community Support Serviees High Intensity Low Intensity Group Home Care In Home Respite Mobile Counseling t, at of Home Respite file: f.'~save~fonns~billing~tes9 6.sam RATES * $ 200.00 per client, per month $ 100.00 Per client, per month $ 120.00 per diem $ 225.00 Per diem $ 75.00 per hour $ 37.50 per half hour (travel time not reimburseable) $ 225.00 per diem Attachment C -503- Youth Homes, Inc. Pursuing Adventures in Learning Parent Financial Responsibility Assessment Parents who wish to place their children in PAL are asked to contribute toward the cost of the program, based upon their ability to pay. Currently, the full cost for pgrtieipafion ha PAL is per 1/2 day, for after school, and - per day for full day (1/2 day rate X 2). Below is a chart which shows the parent fee per 1/2 day, based upon gross annual income and the number of family members in your household. Please circle the amount which corresponds to your family's income and size. Then please enter your child's name and date and sign at the bottom. You will be sent a monthly invoice which shows the number of 1/2 days your child has attended and the balance owed. The PAL staff will be happy to work with you on a payment schedule that is convenient for you. Gross Annual Income Number of Family Members in Household 2 3 4 5 6 7 0 - $10,000 $ 0 $ 0 $ 0 $ 0 $ 0 $ 0 $10,001 - $15,000 $ 1.00 $ 1.00 $ 0 $ 0 $ 0 $ 0 $15,001-$20,000 $ 2.00 $ 2.00 $ L00 $ 1.00 $ 0 $ 0 $20,001-$25,000 $ 3.00 $ 3.00 $ 2.00 $ 2.00 $ 1.00 $ 1.00 $25,001-$30,000 $ 4.00 $ 4.00 $ 3.00 $ 3.00 $ 2.00 $ 2.00 $30,001-$35,000 $ 5.00 $ 5.00 $ 4.00 $ 4.00 $ 3.00 $ 3.00 $35,001-$40,000 $ 10.00 $ 10.00 $ 5.00 $ 5.00 $ 4.00 $ 4.00 $40,001-$45,000 $ 15.00. $ 15.00 $ 10.00 $ 10.00 $ 5.00 $' 5.00 $45,001 ;$50,000 $ 20.00 $ 20.00 $' 15.00 $ 15.00 $ I0.00 $ 10.00 $50,000 + $ 25.00 $ 25.00 $ 20.00 $ 20.00 $ 15.00 $ 15.00 Child's Name $tgnamre of P&rent o{ Guardian fil¢:a:~'ocma~billingJpalratcs.sam Date -5o4- Attachment D -505- -506- 0 0 Youth Homes, Inc. Unit Costs YTD Cost as of June 30, 1996 Program Unit Shelter Day Residential Treatment Center Service Days Additional Svc Independent Living Scattered Site Hour Cluster Site Hour PAL Daycare · Parent Support Services Addiction Prevention Ropes Course Group Counseling Hour Anchor Day Treatment Day .Cost $105.97 Day $134.97 Half Hour $ 38.52 Half Day Half Hour Average Reimbursement Rate $ 97.24 $113.94 $ 13.08 $ 57.00 $ 62.00 $ 80.44 $ 85.00 $ 37.81 $ 35.00 $ 38.52 $ 22.31 $738.43 n/a* $ 52.14 n/a* $101.17 $102.71 * No external reimbursement rate. Funded by a federal grant and other Youth Homes' programs. Attachment G -507- YOUTH HOMES, INC. Monthly Statistical Summary June 1996 Current Previous Month Month SHELTER CARE (YES) Days of Service 342 Avg Daily Pop 11.40 % Occupancy 95.00% Number of Clients Served 21 351 11.32 94.35% 24 RESIDENTIAL TREATMENT (RTC) Days of Service 179 Addtnl Half Hrs of Service 30 Avg Daily Pop 5.97 % Occupancy 59.67% Number of Clients Served 8 199 32 6.42 64.19% 8 INDEPENDENT LIVING (SClLS) Hours of Service Number of Clients Served 441 8 316 10 DAYCARE (PAL) · Half Days of Service Number of Clients Served 783 31 482 22 FAMILY CENTERED (PSS) Half Hours of Service Number of Clients Served 335 20 466 19 SUBSTANCE ABUS'E PREVENTION (APAPS) Hours of Service 89 Ropes Course Groups 11 Number of Clients Served 98 109 4 53 ANCHOR Days of Service Number of Clients Served 138 10 191 10 INTENSIVE SUPERVISION Half Hours of Service Number of Clients Served 201 10 1,059 19 YTD 3,726 10.21 85.07% 181 2,621 643 7.18 71.81% 24 4,985 34 6,992 48 3,111 5O 1,372 49 192 1,811 · '24 14,268 48 Previous YTD 3,758 10.30 85.80% 185 3,164 996 8.67 86.68% 28 5,033 33 6,246 75 1,955 46 2,126 36 N/A N/A N/A 7,410 58 __]% F:~v[ONTHLY'~MNTHS M0 5. W K3 0W12/96 -5o8- Attachment H EEEE ZZZZ -509-