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1997-11-18 Info Packet (2)
CITY OF CORALVILLE CITY OF IOWA CITY - JOHNSON COUNTY UNITED WAY FY99 HUMAN SERVICE 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: Alliance for the Mentally III ............................... - ................ 1 American Red Cross (see Red Cross) .................................... 453 Arc of Johnson County (Association for Retarded Citizens) ...................... 14 Big Brothers/Big Sisters ............................................... 34 Community Coordinated Child Care (see 4 C's) ............................. 137 Community Mental Health Center (see Mental Health Center) ................... 401 Crisis Center ....................................................... 49 Dental Services for Indigent Children ...................................... 70 Domestic Violence Intervention Program (DVIP) .............................. 86 Elderly Services Agency .............................................. 104 Emergency Housing Project (EHP) ...................................... 122 4C's ............................................................ 137 Free Lunch ........................................................ 166 Free Medical Clinic .................................................. 177 Geriatric Mobile Dental (see Special Care Dental Program) ..................... 485 Goodwill Industries of Southeast Iowa .................................... 199 Greater Iowa City Housing Fellowship .................................... 221 HACAP - Hawkeye Area Community Action Program ......................... 239 Handicare ........................................................ 254 Hillcrest Family Services .............................................. 268 IC Hospice ........................................................ 281 ICARE ........................................................... 294 Legal Services ..................................................... 309 LIFESKILLS, Inc .................................................... 330 Lutheran Social Service .............................................. 348 Mayor's Youth Employment Program ..................................... 367 MECCA - Mid-Eastern Council on Chemical Abuse ........................... 385 Mental Health Center ................................................ 401 Neighborhood Centers (Broadway/Pheasant Ridge/Clear Creek) of Johnson County... 421 Rape Victim Advocacy Program ......................................... 438 Red Cross ........................................................ 453 School Children's Aid ................................................ 468 Special Care Dental Program (Geriatric Mobile Dental) ........................ 485 United Action for Youth ............................................... 498 Visiting Nurse Association (VNA) ........................................ 513 Youth Homes ...................................................... 535 HUMAN SERVICE AGENCY FUNDING HEARING SCHEDULE FOR FY99 All hearings to be held at the Lepic-Kroeger Realty Office (Conference Room, 2nd Floor) 2346 Mormon Trek Boulevard, Iowa City DATE Wed., Nov. 12 Wed., Nov. 19 Wed., Dec. 3 Wed., Dec. 10 Wed., Dec. 17 Wed., Jan. 7 Wed., Jan. 14 REQUESTS IOWA JOHNSON TIME AGENCY PAGE CORALVILLE CITY COUNTY 7:00 Training Session 7:00 Lutheran Social Service 348 x 7:30 MECCA 385 x x x 8:00 Elderly Services Agency 104 x x x 8:30 Neighborhood Centers 421 x x 7:00 Red Cross 453 x x x 7:30 Crisis Center 49 x x x 8:00 Domestic Violence Intervention 86 x x x 8:30 Emergency Housing Project 122 x x x 9:00 Rape Victim Advocacy 438 x x x 7:00 Mayor's Youth Employment 367 x x x 7:30 Big Brothers Big Sisters 34 x x x 8:00 HACAP 239 x x x 8:30 United Action for Youth 498 x x x 9:00 Youth Homes 535 x x x 7:00 Am of Johnson County 14 x 7:30 Free Medical Clinic. 177 x x * 8:00 ICARE 294 x x * 8:30 Mental Health Center 401 9:00 Visiting Nurse Association 513 * 7:00 Alliance for the Mentally III 1 7:30 Free Lunch 166 8:00 Hospice 281 8:30 Legal Services 309 7:00 Special Care Dental Clinic 485 7:30 Dental Services for Indigent Children 70 8:00 Handicare 254 8:30 School Children's Aid 468 9:00 4C's 137 Wed.,Jan. 21 Wed.,Jan. 28 ' ~.,Feb. 4 7:00 Wed., Feb. 11 7:00 7:00 Goodwill 199 7:30 Gr. Iowa City Housing Fellowship 221 8:00 Hillcrest 268 8:30 LIFESkills 330 Alternate night in case of inclement weather Planners' meeting AIIocators' meeting UNITED WAY X X X X X X X X X X X X X X X X X X X X X X X *County funding determined by Johnson County Board of Health jccoghs/hearing.doc AQencv Arc of Johnson County Big Brothers/Big Sisters Crisis Center Dental Services for Children Domestic Violence Intervention Elderly Services Agency Emergency Housing Project 4C's Free Medical Clinic Goodwill Greater Iowa City Housing Fellowship HACAP Handicare Hillcrest ICARE Legal Services Luth~.ran Social Service Ma 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 CURRENT LOCAL ALLOCATIONS Johnson Coralville County FY98 FY98 $1,350 * $3,300 $17,498 $2,900 $58,917 Iowa City FY98 $34,557 $35,480 United Way UWFY98 $27,933 $24,660 $64,800 0 $2,700 $47,340 $47,000 $42,958 $1,500 $17,998 $56,800 $35,000 $500 $9,200 $8,500 $17,500 $800 $84,376 $5,440 $14,470 $74,472 $49,376 $6,010 $23,030 $6,425 $13,925 $18,794 $7,500 $16,050 $9,600 $11,590 $24,240 $16,068 $16,198 - $2,000 $2,500 $37,080 $9,160 $1,000 $273,317 $26,000 $25,890 * $15,000 $37,902 $52,000 $60,280 $2,200 $12,360 $12,500 $16,125 $600 $5,767 $4,740 $13,920 $7,016 $11,260 $1,050 $81,484 $56,500 $30,703 $126,840 $61,285 Youth Homes $600 $66,200 $17,769 TOTAL $20,500 $896,847 $397,802 $717,834 *The Arc and Mental Health Center are now funded on a fee for service (individual billing) instead of a block grant. Iccoghs~a gfundg\cu rrall.doc Preliminary Recommendations CITY OF CORALVILLE HUMAN SERVICE AGENCY FUNDING Agency Arc of Johnson County Big Brothers/Big Sisters (PALS) Crisis Center Domestic Violence Int. (Spouse Abuse) Elderly Services Agency Emergency Housing Project Free Medical Clinic Mayor's Youth Employment Program MECCA Rape Victim Advocacy Red Cross ~ited Action for Youth Youth Homes TOTAL CONTINUATION Funding Allocated % Increase FY97 FY98 97 to 98 Request $1,350 $1,350 0.0% $1,500 3,300 3,300 0.0% 4,000 2,900 2,900 0% 4,000 2,700 2,700 0.0% 3,500 FY99 Dollar Increase $150 700 1,100 800 1,500 1,500 0.0% 4,000 2,500 500 500 0.0% 2,000 1,500 600 800 33% 1,000 200 2,100 2,000 -4.8% 3,000 1,000 New Re~luests -- Existin(~ A(~encies HACAP ICARE TOTAL NEW REQUESTS TOTAL CONTINUATION PLUS NEW REQUESTS 1,000 1,000 0.0% 1,500 2,400 2,200 -8.3% 2,400 500 600 20.0% 600 1,050 1,050 0.0% 7,500 600 600 0.0% 3,000 $20,500 $20,500 0.0% $38,000 $2,500 500 $3,000 $41,000 $20,500 $20,500 0.0% 500 200 0 6,450 2,400 $17,500 $2,500 500 $3,000 $20,500 Percent Increase 11.1% 21.2% 37.9% 29.6% 166.6% 300.0% 25.0% 50.0% 50.0% 9.1% 0.0% 614.3% 400.0% 85.4% N/A N/A N/A 100.0% jccoghs/agfundg/fund-c3a.doc iii CITY OF IOWA CITY HUMAN SERVICE AGENCY FUNDING 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 ¢ TINGENCY TOTAL CONTINUATION New Recluests -- Existin~l Aclencies Youth Homes TOTAL NEW REQUESTS TOTAL CONTINUATION PLUS NEW REQUESTS Funding Allocated % Increase FY97 FY98 FY97 to FY98 $33,600 $34,557 2.8% 33,000 35,480 7.5% 46,000 47,000 2.2% 55,105 56,800 3.1% 7,500 8,500 13.3% 5,180 5,440 5.0% 6,240 6,425 3.0% 9,200 9,600 4.3% 36,000 37,080 3.0% 25,235 26,000 3.0% 49,000 52,000 6.1% 12,500 12,500 0% 4,510 4,740 5.1% 54,900 56,500 2.9% $377,970 $392,622 3.9% $5,380 $5,541 3.0% $383,350 $398,163 3.8% $383,350 $398,163 3.8% Request $37,000 39,028 52,080 58,500 9,500 5,712 11,440 10,000 40,000 28,000 68,290 13,000 4,977 60,000 $437,527 $5,541 $443,068 $5,000 $5,000 $448,068 FY99 Increase Dollar $2,443 3,548 5,080 1,700 1,000 272 5,015 400 2,920 2,000 16,290 500 237 3,500 $44,905 $0 $44,905 $5,000 $5,000 $49,905 Percent 7.1% 10.0% 10.8% 3.0% 11.8% 5.0% 77.0% 4.2% 7.9% 7.7% 31.3% 4.0% 5.0% 6.2% 11.4% 0% 11.4% N/A N/A 12.7% iv ~ccoghs~agfundg\fund-ic3.doc Preliminary Recommendations JOHNSON COUNTY HUMAN SERVICE AGENCY FUNDING FY99 Increase Funding Allocated % Increase Agency FY97 FY98 97 to 98 Request Dollar Percent Arc of Johnson County1 $284,296 Big Brothers/Big Sisters 15,998 $17,498 12.5% $20,000 $2,502 14.3% Crisis Center 55,167 58,917 6.8% 67,755 8,838 15.0% Domestic Violence Int. 46,340 47,340 2.1% 53,020 5,680 12.0% Elderly Services Agency Emergency Housing Project Free Medical Clinic' HACAP Independent Living1 ICARE2 Lutheran Social Service Mayor's Youth Employment MECCA Mental Health Center; N hborhood Centers R~, z Victim Advocacy Red Cross 15,998 17,998 12.5% 31,000 13,002 72.2% 8,000 9,200 15.0% 10,500 1,300 14.1% 84,246 84,376 0.1% 88,589 4,213 5.0% 22,360 23,030 1.5% 27,599 4,569 20.0% 3,214 15,000 16,050 7.0% 17,175 1,125 16,068 16,068 0.0% 16,100 32 2,000 2,500 25.0% 3,000 500 270,769 273,317 0.9% 283,000 9,683 7.0% 0.2% 20.0% 3.5% 823,778 33,652 37,902 12.6% 58,500 20,598 54.3% 12,300 ' 12,360 0.5% 13,000 640 5.2% 5,517 5,767 3.0% 6,055 288 5.0% United Action for Youth Visiting Nurse Assn. 2 Youth Homes 77,234 81,484 5.5% 89,000 7,516 9.2% 124,340 126,840 2.0% 119,315 -7,525 -5.9% 66,200 66,200 0.0% 75,000 8,800 13.3% TOTAL $1,982,477 $896,847 NA $978,608 $81,761 9.1% ~These agencies come under the Managed Care Plan for People with Disabilities (mental health, mental retardation and developmental disabilities) and are now on a fee for service basis instead of a block grant. 2These agencies funding are recommended by the Johnson County Board of Health to the Board of Supervisors. V iccogh s~agf undg\fund-jc3.doc 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 .heran Social Service Mayor's Youth Employ. MECCA 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 Agency TOTAL CONTINUATION UNITED WAY HUMAN SERVICE AGENCY FUNDING Funding Allocated % Increase UWFY97 UWFY98 97 to 98 Request $27,500 $27,933 1.6% $36,580 19,900 24,660 24.0% 27,000 56,601 64,800 14.5% 71,280 6,185 0 -100.0% 2,500 40,912 42,958 5.0% 50,261 30,678 35,000 14.1% 38,500 15,175 17,500 15.3% 30,000 8,000 14,470 80.1% 23,500 67,700 74,472 10.0% 78,192 44,650 49,376 10.5% 65,000 5,000 6,010 20.2% 8,000 13,520 13,925 3.0% 28,444 17,175 18,794 9.4% 30,000 6,550 7,500 14.5% 8,958 10,300 11,590 12.5% 15,000 21,800 24,240 11.2% 30,100 13,750 .16,198 17.8% 22,000 8,000 9,160 14.5% 12,000 23,300 25,890 11.1 % 30,000 13,400 15,000 11.9% 15,750 52,400 60,280 15.0% 82,000 16,125 16,125 0.0% 17,000 13,250 13,920 5.1% 14,616 7,016 7,016 0.0% 11,196 10,000 11,260 12.6% 14,000 27,675 30,703 10.9% 48,000 59,500 61,285 3.0% 63,125 16,675 17,769 6.6% 25,000 $652,737 $717,834 10.0% $898,002 UWFY99 Increase Dollar $8,647 2,340 6,480 2,500 7,303 3,500 12,500 9,030 3,720 15,624 1,990 14,519 11,206 1,458 3,410 5,860 5,802 2,840 4,110 750 21,720 875 696 4,180 2,740 17,297 1,840 7,231 $180,168 Percent 31.0% 9.5% 10.0% N/A 17.0% 10.0% 71.4% 62.4% 5.0% 31.6% 33.1% 105% 59.6% 19.4% 29.4% 24.2% 35.8% 31.0% 15.9% 5.0% 36.0% 5.4% 5.0% 60.0% 24.3% 56.3% 3.0% 40.7% 25.1% New ReGuests - Existing AGencies Alliance for Mentally III Free Lunch Hospice I ~FESkills .~TAL NEW REQUESTS TOTAL CONTINUATION PLUS NEW REQUESTS ~ccoghs~agfundg\fund-uw2.doc $2,000 3,000 7,500 5,000 $17,500 $915,502 ~2,000 3,000 7,500 5,000 $17,500 $197,668 N/A N/A N/A N/A 27.5% vi 'qency Alliance for the Mentally III American Heart Association 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 IC E Legal Services Lekotek Life Skills Lutheran Social Service Mayor's Youth Employment MECCA Mental Health Center Neighborhood Centers The Nest of Johnson County Rape Victim Advocacy Program Red Cross School Children's Aid Special Care Dental Program Table to Table United Action for Youth United Way Visiting Nurse Association Youth Homes Non-United Way Agencies TOTAL UNITED WAY DESIGNATED GIVING Designated Designated Designated Designated UWFY95 UWFY96 UWFY97 UWFY98 $3,111 $1,992 $2,428 $2,571 $1,973 $1,651 $1,750 $1,589 $968 $4,671 $1,926 $2,884 $4,836 $9,535 $6,795 $7,497 $6,644 $1,206 $855 $1,018 $834 $5,016 $3,908 $5,839 $4,154 $827 $1,109 $278 $1,457 $8,498 $7,006 $6,859 $8,752 $3,463 $3,923 $2,353 $3,575 $3,095 $1,539 $1,802 $2,074 $1,292 $972 $1,030 $1,619 $4,298 $1917 $2,157 $3,367 $4,197 $4,925 $4,974 $6,171 $2,449 $1,595 $1,894 $2,346 $1,829 $1,961 $1,152 $1,537 $611 $428 $50 $1,230 $1,988 $1,539 $1,090 $1,055 $3,333 $3,422 $2,420 $2,549 $450 $747 $68 $345 $13,388 $7,135 $5,694 $10,403 .$3,742 $3,308 $3,336 $3,151 $515 $493 $716 $748 $837 $165 $73 $85 $1,352 $275 $190 $952 $2,174 $2,846 $1,280 $1,566 $395 $639 $595 $1,472 $2,020 $1,608 $523 $1,184 $2,000 $1,170 $907 $1,124 $2,527 $1,166 $786 $2,662 $0 $1,907 $1,687 $843 $1,867 $8,383 $5,960 $4,216 $4,350 $2,915 $1,994 92,682 $3,114 $495 $474 $301 $757 $425 $2,470 $1,005 $1,065 $2,572 $11,748 $5,000 $150 $50 $4,833 93,668 $3,112 $4,167 $2,348 $2,321 $3,583 $2,772 $28,586 $25,271 $7,744 $29,609 $165,544 $119,772 989,688 $128,689 \jccoghs\aofundg\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/ag fundg/conflict.uw viii USING THE BUDGET AND ACCOUNTABILITY QUESTIONNAIRE Bud(let pa(le 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 I is the only paoe in the entire budclet and program packet that is not based on the individual aclencv's budclet year. The agency's budget year is noted in the upper left corner of Bud(let pa(~e 1. Bud(let pa(les 2-4 provide figures based on the agency's own budgetary year (calendar, fiscal, federal, etc.). Bud(~et pa(les 2-4 include figures for a three-year period: the past, present and proposed budget years. Budaet paae 2 presents an overview of the agency's finances. Line I 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. A new section this year, the agency explains how last year's local funding was spent. Bud(let pa(le 3 and 3a if necessarv 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. Bud(let paae 4 and 4a if necessary .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.~ency Accountabilitv Questionnaire includes information on the agency's mission statement, history, purpose, program(s), management, board of directors, financing, and UW involvement. The Goals and Objectives 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 HUMAN SERVICE AGENCY BUDGET FORM President: Carol Porch City of Coralville Johnson County City of Iowa City United Way of Johnson County CHECK YOUR AGENCY'S BUDGET YEAR 1/1/98- 12,qi/tqB 4/1/98- 3/31/99 7/1/98- 6/30/99 X 10/1/98 - 9/30/99 Approved by Chair Board: Agency Name: Alliance for the MentalIx' Ill of JC Address: P.O. Box 3087. Iowa Cit)' 52244 Phone: (319) 337-5400 Completed by ' Bruce Friedrich COVER PAGE Program Summary: (Please number programs to correspond to Income & Expense Detail, i.e., Program 1, 2, 3, etc.) 1. EDUCATION/ADVOCACY. A monthly program meeting features mostly local speakers who are involved with some aspect of the treatment or care of persons with mental illnesses. A libmr3' of books and films is available at each program meeting We also provide speakers to schools and local groups to provide information about the impact of mental illnesses on the conummity. Through our local. state. and national organizations we seek to improve treatment and services for persons with brain diseases. Our members serve on count3.' and state bodies, meet with legislators~ write letters. and tn.' to promote parity., with the care and treatment available for other illnesses. About 450 copies of our monthly newsletter are sent to members, ocal. count).', and state officials, care providers. and all of the local agencies that serve persons with mental illnesses. 2. FAMILY/CLIENT SUPPORT. Two support groups meet monthly to share information and personal experiences. An answering service is employed to refer inquiries to members who are available to discuss maners of concern to the callers. Assistance is provided for a few persons to attend regional or national meetings. 3. SUPPORT OF CARE PROVIDERS. We provide assistance to local care providers to enable the purchase of materials or services that are not available through their normal budgets. We also provide some support to national research and advocac>., groups, We fund the production of a brochure, Tell Me I~7~ere to Turn, that describes the resources and care providers available to persons with mental illnesses in Johnson Count),. Local Funding Summary : United Way of Johnson County - - Does Not Include Designated Gvg. City of Iowa City Johnson County City of Coralville 4/1/96 - 4/1/97 - 4/1/98 - % of Total 3/31/97 3/31/98 3/31/99 Budget $0 $0 $2,000 10 FY97 FY98 FY99 0 0 0 0 0 0 0 0 0 0 0 0 iccoghs'jcuwsm.xls AGENCY: Alliance for the Mentally Ill 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 Non-directed funding b. Program Total (List Progs. Below) 1 Education/Advocacy 2 Family and Client Support 3 Support for Care Providers 4 5 6 7 8 3. ENDING OPERATING BALANCE (Subtract 2 - 1 ) 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 BUDGETED LAST YEAR PROJECTED NEXT YEAR 1996 1997 1998 18,240 23,637 20,022 8,757 12,137 8,472 9,483 11,500 11,550 6,103 15,165 15,000 233 775 500 5,870 14,390 14,500 4,661 7,285 7,450 225 1,400 1,850 984 5,705 5,200 0 0 0 0 0 0 0 0 0 BRIEFLY DESCRIBE HOW LOCAL FUNDS WERE SPENT LAST YEAR: 1997 expenditures include $3000 to the IMPACT program o£University Hospitals, $1500 to the mental health cent¢ Visiting Nurses Association, $3000 to print and mail newsletters. Phone service was provided by UW until recentl jccoghs/jcuwsm.xls 2 INCOME DETAIL AGENCY Alliance for the Mentally Ill of Johnson County ACTUAL THIS YEAR LAST YEAR PROJECTED 1. Local Funding Sources- I 0 I 0 a. Johnson Count).' 0 0 b. Cily of Iowa Cily 0 0 c. Uniled Way of Johnson Count).'. 0 0 d. City of Coralville 0 0 e. 2. Grants - State. Federal. Foundations I 0 I a. b. C. d. e. 3. Net Sales Of Services (mumes) [ 0 [ a. b. 4. Net Sales of Materials I 90 I 'ARSAD Cards 90 b. C. 5. Contributions/Donations [ 3,973 [ a. United Way Designated Giving 2,567 [ b. Other Contributions 1,406 6. Special Events [ 2,920 I a. Iowa City Road Races 1,214 b. Garage Sale 1,706 c. 7. Interest Income [ 91 ] 8. Other- Li.q Below I 2,500 [ a. Membership Dues 2,500 b. BUDGETED NEXT YEAR 2,000 I 0 0 2,000 0 NON- DIRECTED FUNDING PROGRAM PROGRAM 1 2 I ,0oo I ,00o 0 1,000 1,000 ol ol ol I ol ol ol I 7501 7501 7501 750 750 750 4,356I 3,0001 3,0001 2,5711 1,500I 1,500I 1,785 1,500 1,500 4,170[ 3,400 [ 3,400[ 945 900 900 3,225 2,500 2,500 2181 15ol ~5ol 2,224I 2,400[ 2,400I 2,224 2,400 2,400 TOTAL INCOME (same as p. 2, tine lb) Notes and Comments: 9,483 11,500 11,550 9,550 1,000 1,000 Since no income is generated directely by the three programs, a~' ~tst income has been considered non-directed ~l,c projected allocation of United Way income is $1000 for the telephone answering service (previously provided free by the United Way office) and $1000 toward the cost of t~roduci, ortg and ,m~o, iling the newsletter. There is no incomefrom Pro cram 3. -3- PROGRAM EXPENDITURE DETAR, AGENCY Alliance for the Menally Ill of Johnson County PROGRAM PROGRAM ACTUAL THIS YEAR BUDGETED 1 2 LAST YEAR PROJECTED NEXT YEAR ADMIN. 1. Salaries 0 0 0 0 0 0 2. Employee Benefits & Taxes 0 0 0 0 0 0 3. Staff Development 0 0 0 0 0 0 4. Professional Consultation 0 0 0 0 0 0 5. Publications & Subscriptions 90 120 150 0 150 0 6. Dues and Memberships 1,563 1,784 1,800 0 1,800 0 7. Morgage~ Rent and Propert).' Tax 0 0 0 0 0 0 8. Building & Maintenance 0 0 0 0 0 0 ~). Equiptment Purchase/Rental 0 0 0 0 0 0 10. Utilities 0 0 0 0 0 0 I 1. Telephone 19 195 1,000 100 100 800 ~ 2. Office Supplies & Postage 861 1,888 1,400 200 900 1 O0 13. Printing and Publicit).' l, 170 2,173 2,400 200 2,000 200 14. Local Transportation 0 0 0 0 0 0 15. Insurance 0 0 0 0 0 0 16. Audit '0 0 0 0 0 0 17. Interest 0 0 0 0 0 0 18. Other (Specif)'): AM1 of Iowa 1,500 1,500 1,500 0 1,500 0 1'/ National Alliance 400 400 400 0 400 0 2o NARSAD 400 600 600 0 600 0 21 Gifts to local service providers 100 5,505 5,000 0 0 0 22 Assistance for Meeting Expenses 0 1,000 750 0 0 750 23 24 25 6,103 15,165 15,000 500 7,450 1,850 TOTAL EXPENSES ( p. 2, line 2) Notes and Comments: io.x~s'jcuxvsm.xls 4 PROGRAM EXPENDITURE DETAIL (continued) PROGRAM 3 1..,alaries 0 2. Employee Benefits & Taxes 0 3. Staff Development 0 4. Professional Consultation 0 5. Publications & Subscriptions 0 6. Dues and Memberships 0 7. Mortgage. Rent and Propert3.' Tax 0 8. Building & Maintenance 0 9. Equiptment Purchase/Rental 0 10.Utilities 0 11. Telephone 0 12. OflSce Supplies & Postage 200 13. Printing and Publicity 0 14. Local Transportation 0 15. Insurance 0 16 Audit 0 i.. Interest ' 0 18. Other (Specify): AM1 oflowa 0 19 National Alliance 0 2o NARSAD 0 21 Gifts to local service providers 5,000 22 Assistance for Meeting Expenses 0 23 24 25 TOTAL EXPENSES ( p. 2, line 2) Notes and Comments: 5,200 AGENCY Alliance for the Mentally Ill of Johnson Coumy PROGRAM PROGRAM PROGRAM PROGRAM PROGRAM 4 5 6 7 8 icc~ghs jcuwsn~.~s 4a -5- AGENCY Alliance for the Mentally I11 of Johnson County RESTRICTED FUNDS: ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR Restricted by: Restricted for: tTOTAL RESTRICTED FUND (also shown page 2, line 4) I MATCHING GRANTS Grantor/Matched by [TOTAL MATCHING GRANTS (also shown pg. 3, line 2) 01 0] 0] 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: -6- ghs,jcuwsm.xls 5 SALARIED POSITIONS AGENCY Alliance for the Mentally Ill of Johnson Co. Position/Title "X"all that apply Last Year FTE* Salad' This Next Actual This Budgeted % Year Year Last Year Year Next Year Change TOTAl. FTE's and SALARIES * Full-time equivalent: 1.0=full-time: l~.5=hall~timc: etc. icco~s,.jcuwsm.xls 6 -7- AGENCY Alliance for the Mentally I11 of Johnson Count3.' ACCOUNTABILITY OUESTIONNAIRE A. Ageney's Mission Statement or Primary Purpose We provide support and educational programs for parents. siblings. spouses. children. and friends of persons with mental illnesses and for persons who have a mental illness. We also advocate for improved services and research for the various brain diseases. Board of Directors: Please attach a list of your agen~"s Board of Directors Frequent' of meetings: Monthly Briefly describe board orientation and ongoing training opportunities: A one- hour meeting is held prior to each program meeting to discuss the operations of the local Alliance organization. Finances: Are there fees for an)' of your sen4ces? Yes No X If Yes. describe circumstances. b. Are they flat fees or sliding scale Does your agency have: internal audit Frequency Monthly external audit financial review X Has your agency filed the Annual Report with the Secretao' of State? Yes No X Has )'our agency filed Form 990 with the IRS Yes X No Please discuss your agency's fundraising efforts, if applicable. We have an annual garage sale which generated $3200 this year. Other major sources of income are membership dues, contributions from organizations in the communit3.' (mostly for special projects), hospice race. and United Way Designated giving. Management: There are no paid staff members. 1. Does each professional staff have a written job description? Yes No 2. Is the agency Directors performance evaluated at least yearly? Yes No By Whom? AGENCY Program/Services: Please define ),our agenc),'s units of service (service definition, length of time. cost per unit of sen'ice. number of units provide. direct or indirect.) The organization is a support. education. and advocacy group and does not charge for any direct sen'ices. -8- AGENCY Alliance for the Mentally I11 of Johnson County BOARD OF DIRECTORS President: Vice-President: Secretary: Treasurer: Editor: Carol Porch Mary Anne Madden Margalea Warner Bruce Friedrich Beth McCabe 7a ~9~ AGENCY Alliance for the Mentally I11 of Johnson Count),' 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 Count)., residents (including Iowa City, and Coralville) did your agent3.' serve Enter Years- 1996 1997 la. Duplicated count (a) (a) lb. Unduplicated count (a) (a) 2. How many Iowa City residents did your agency serve? 3. How many Coralville residents did your agent3.' sen'e? 2a. Duplicated count 2b. Unduplicated count 3a. Duplicated count 3b. Unduplicated count 4. Ho~' many units of service did your agency provide? 4a. Total 4b. To Johnson Count).' Residents (a) The newsleUer is mailed 10 times per year to about 450 addresses. including all facilities for persons with mental illnesses. 195 families have paid dues at least once during the past two years. An average of about 35 persons attend rite monthly program meetings and approximately 12 attend a support group meeting. Several thousand copies of the 7~1131e ~IT~ere to 7~rn brochure are distributed over a two year or so period. The telephone service is provided by four or five members on a continuous basis. No records of ethnici¢- or age of persons who attend our functions are kept: about 95% of the dues-paying members are residents of Johnson Count3.'. Other areas sewed: Do you provide service to areas outside of Johnson County? No Area(s) served: Services provided: Funding Sources: 0-5 6-17 18 - 29 30-61 62 - 75 75+ Client Profile (for last complete year. if available): (See comment under item # 4) Age II Gender Female Male Ethnicity African American Native American Asian Hispanic Caucasian/Non-Hispanic Multi-racial AGENCY Alliance for the Mentally Ill of Johnson County. Evaluation and Review: A. Please discuss how your agen~ measures the success of it's programs. We discuss overall success at two annual meetings designed to promote discussion of unmet needs of consumers and families. Does your agency have performance objectives? (give several examples.) No what plans does your agency have to increase efficient3.' and effectiveness? 1 ) We plan to use a phone answering service that will redirect the calls to our volunteers. Calls were previously answered 1:5.' the United Way office, but that service is no longer available. The new service will provide a more direct and timely connection to our volunteers. 2) We have obtained a mailing address (P.O. Box~ to avoid frequent changes of addresses of the officers of the organization and to assist with billings for our monthly newsleUer mailings. In what ways will the needs of your service population change in the next five years: With the advent of managed care and the reduced number of institutional settings. families are being required to provide more of the care for persons with chronic mental illnesses. So the need for community. support and services is growing rapidly. Please discuss any other problems or factors relevant to your agency. 's programs. funding or service delivery,: 10. List complaints about your services of which you are aware: There have been a few complaints from persons who feel that we should prmSde more professional couselling, but we remain a support, education, and advocac? group and we do not provide professional services. 11. 12. Do you have a waiting list or have vou 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 waiting lists. How many people are currently on your waiting list? In what way(s) are your agenc3."s services publicized? Through publicit3' releases. individual interviews with media. outreach letters, and. most importantly, our monthly newsletter. -11- 13. AGENCY Alliance for the Mentally I11 of Johnson CounP,' United way involvement by your agent3.': ("X" if agency. participates) Agency. Directors Meetings Agencies Representative to Funding Hearings Business Blitz Day of Caring Kick Off Victor3.' Reception Other AGENCY HISTORY The Alliance for the Mentally Ill of Johnson County (AMIJC) was incorporated as a nonprofit organization in 1986. In 1985 the Mental Health Center (MHC) organized a program for relatives of persons with schizophrenia. These family members began to meet for further education and mutual support with the guidance of Carol Lear of the MHC. Within a year, the group organized and affiliated with the National Alliance for the Mentally I11 (NAMI). The group then expanded to include family members and individual with all the major brain disorders, including schizophrenia, bipolar illness, panic attack, obsessive-compulsive disorders, and severe depression. Our organization holds meetings where members can share concerns, learn about brain disorders and receive practical information about health insurance, medical treatment, housing, employment, and community resources. In addition to the program meetings, a monthly support group meeting is devoted to the needs of families of persons with schizophrenia and another is a support group for family members and persons with bipolar illness. In addition to the educational programs for ourselves and the mutual support groups, we have also developed outreach programs to provide speakers to local groups and to participate in county, state, and national activities. The principal advocacy tasks are to improve public knowledge about the nature of brain disorders in order to reduce the stigma and discrimination applied to our relatives with mental illnesses. Thus, the focus of our group remains to support, educate,. and advocate. We have no paid positions and rely entirely on volunteers for phone services, speakers, newsletters and management. -12- 10 AGENCY Alliance for the Mentally I11 of Johnson Count).' AGENCY PROGRAM GOALS AND OBJECTIVES GOAL 1: Provide support for families of persons with mental illness and to clients who themselves have a mental illness. Objective: To give caring, warm emotional support to others affected by mental illnesses. Tasks: Organize two monthly support group meetings. Provide support through continuous access to a member by phone. Provide several annual social events for both families and clients. GOAL 2: Educate ourselves and others about the nature of mental illnesses. Objective: To learn about the medical treatment of mental illnesses as well as the common concerns and problems for family members of persons with these illnesses. Tasks: Organize monthly meetings with knowledgeable, professional speakers. Provide books, tapes, and pamphlets at meetings. Provide information and assistance through the mail and by phone. GOAL 3: Advocate for improved and expanded services for persons with severe and persistent mental illness. Objective: To strengthen and improve existing services as well as to encourage the development of community resources to replace the statewide services that are being discontinued. Tasks: Organize and present annual awards to volunteers and professional care providers. Testi~j at hearings, serve on local committees, boards and task force groups that discuss policies for persons with mental illnesses. Advocate through letters and conversations about the needs of persons with mental illnesses. -13- 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 1/1/98- 12/31/98 X 10/1/98 - 9/30/99 4/1/98 - 3/31/99 - 7/1/98- 6/30/99 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 Board Chair:: Judy Warth (da(e) COVER PAGE Program Summary: (Please number programs to correspond to Income & Expense Detail, i.e., Program 1, 2, 3, etc.) 1. FAMILY IN-HOME SUPPORT SERVICES -provides a service network which enables children and adults with mental retardation and other developmental disabilities to continue 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 - acting on behalf of persons 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. 3. COMMUNITY PROGRAMS - secures for persons with mental retardation and other developmental disabilities a range of community services and supports which enhance their skills and development while they live at home with their families. Provides educational progrmmtdng for parents, families and persons with disabilities and socialization oppommities for persons with disabilkies. This program has included daycare and summer programming and includes parent support groups and the Natural Ties program.. 4. VOCATIONAL ADVOCACY - to increase employment opportunities for persons with developmental disabilities in our community by providing job development, placement, training and follow-along. Local Funding Summary : United Way of Jolmson County - - Does Not Include Designated Gvg. Ciw of Iowa City Johnson Count,,' Cit~ of Coralville -14- 4/1/96 - 4/1/97 - 4/1/98 - 3/31/97 3/31/98 3/31/99 $27,500 $27,933 $36,580 FY97 FY98 FY99 0 0 0 324702 0 0 1350 1350 1500 -1- % of Total Budget 7.4% 0.0% 0.3% AGENCY: The Arc of Johnson County ])GET SUMMARY Enter Your Agency's Budget Year --=> I. 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 5 7 8 Family In-Home Support Advocacy / Awareness Community Programs Vocational Advocacy ACTUAL LAST YEAR 1996 747,269 210,971 536,298 402,766 16,111 386,655 56,387 20,138 261,798 48,332 THIS YEAR BUDGETED PROJECTED NEXT YEAR 1997 1998 626,423 497,244 344,503 273,736 281,920 223,508 352,688 242,438 17,634 0 335,053 242,438 74,064 113,378 14,108 60,736 204,559 4,033 42,323 64,290 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: 82,427 87,427 92,677 23,000 23,900 24,836 117,490 119,000 121,000 Administrative costs for FY 1998 have been allocated to programs on the basis of direct costs. Briefly describe how local funds were spent last year Local funds provided community based services and supports for persons with mental retardation and developmental disabilities and their families. This included short term and extended respite services; special needs daycare; summer programming: prevention activities; and individual and systems advocacy. -2- INCOME DETAIL I. Local Funding Sources- a. Johnson County b. City of Iowa City c. United Way of Johnson County d. City of Coralville f. 2. Grants - State, Federal, Foundations a. Johnson Co. Community Service Appropriations C. d. e. t'. 3. Net Sales Of Services (sources) a. Vocational b. Summer Program/other c. Respite 4. Net Sales o£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. Arc T-shirts c. Fundraiser 7. Interest Income 8. Other - List Below a. Membership Dues b. Miscellaneous TOTAL INCOME (same as p. 2, line I b) Notes and Comments: ACTUAL LAST YEAR AGENCY THISYEAR PROJECTED The Arc of Johnson County 0 BUDGETED NON- NEXT YEAR DIRECTED FUNDING I 312,142 [ 77,318[ 35,943 283,292 48,069 0 0 0 0 27,500 27,899 34,443 1,350 1,350 1,500 I 13o,27ol 29,8251 130,270 29,825 I 70,60s I 154,6001 165,0901 27,072 28,100 64,290 15,949 44,500 0 27,587 82,000 100,800 I ol ol ol 1,777 [ !'7770[ 2,050 [ ! ,000 50 1,000 13,250 I 3,100 I 2,600 50O 281,920 2,370 2,370 0 1,041 781 10 250 14,099 5,768 2,194 3,574 536,298 PROGRAM 1 2,900 I 1,900 I 1,000 2,825 I 1,250 75 1,500 13,8ool 2,950 I 2,500 450 223,508 0 [ 8,820I 0 0 0 8,820 0 0 ol ol o 0 0 0 100,800 0 0 0 100,800 0 0 0 0 0 0 0 0 0 0 0 0 0 o oI o ol PROGRAM 2 23,123 21,623 1,500 2,900 1,900 1,000 2,825 1,250 75 1,500 13,800 2,950 2,500 450 0 t09,620 45,598 0 -3- 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. f. 2. Grants - State, Federal, Foundations a. Johnson Co. Community Service Appropriations C. d. e. f. 3. Net Sales Of Services (sources) a. Vocational b. Summer Program c. Medicaid Waiver 4. Ne' ~,les of Materials (sources) a. b. 12. 5. Contributions/Donations a. United Way Designated Giving b. Other Contributions 6. Special Events a. Iowa City Road Races b. C. 7. lnterest Income 8. Other - List Below a. b. C. ITOTAL INCOME (same as p. 2, linelb) Notes and Comments: AGENCY The Arc of Johnson County PROGRAM PROGRAM PROGRAM PROGRAM PROGRAM PROGRAM 3 4 5 6 7 8 4,000 0 4,000 0 ol ol ol ol ol ol 0 64,290 64,290 ol ol ol I ol ol ol ol ol ol 0 I ol ol ol ol ol ol I ol ol ol ol ol 4,000 64,290 0 0 0 0 -17- -3a- PROGRAM EXPENDITURE DETAIL AGENCY The Arc of Johnson County ACTUAL THIS YEAR BUDGETED DMINISTRA PROGRAM PROGRAM LAST YEAR PROJECTED NEXT YEAR TION i 2 · Salaries 117,506 113,021 109,742 0 35,215 35,039 :. Employee Benefits & Taxes 19,284 21,021 26,676 0 8,560 8,517 ;. Staff Development 1,784 2,118 3,000 0 963 958 [. Professional Consultation 19,547 10,284 I 1,000 0 3,209 3,193 i. Publications & Subscriptions 181 477 400 0 128 128 3. Dues and Memberships 6,356 4,972 5,500 0 1,765 1,756 Z. Mortgage, Rent and Property Tax 2,657 2,986 2,702 0 867 863 ~. Building Maintenance 1,575 ! ,618 1,500 0 481 479 ). Equipment Purchase/Rental/Maint. 1,695 6,539 1,950 0 626 623 10. Utilities 1,223 1,549 1,500 0 481 479 11. Telephone 1,244 1,728 1,800 0 578 575 12. Office Supplies & Postage 5,197 8,121 7,800 0 2,503 2,490 13. Printing and Publicity 2,056 536 225 0 72 72 14. Local Transportation 3,058 2,702 3,000 0 963 958 15. Insurance 4,723 2,348 4,000 0 1,284 1,277 16. Audit/Accounting 1,510 2,400 4,000 0 1,284 1,277 17. Interest 0 0 0 0 0 0 18. Other (Specify): 0 0 0 0 0 0 19. Purchase of Service 210,630 166,842 53,343 0 53,343 0 20. Meeting, Awards & Goodtimers 377 493 300 0 96 96 21. Miscellaneuos 2,163 2,932 4,000 0 963 1,958 22. Fundraising 0 0 0 0 0 0 23. Consumer Self-Advocacy 0 0 0 0 0 0 24 25 TOTAL EXPENSES ( p. 2, line 2) Notes and Comments: 402,766 352,688 242,438 0 113,378 60.736 -18- -4- PROGRAM EXPENDITURE DETAIL (continued) 1. Salaries 2. Employee Benefits & Taxes 3. Staff Development 4. Professional Consultation 5. Publications & Subscriptions 6. Dues and Memberships ?. Mortgage, Rent and Property Tax 8. Building Maintenance 9. Equipment Purchase/RentaVMaint. 10.Utilities II. Telephone 12. Office Supplies & Postage 13. Printing and Publicity 1 ~,. Local Transportation l 5. Insurance t 6. Audit/Accounting 1 ?. Interest 18. Other (Specie): 19 chase of Service 20. Meeting, Awards & Goodtimers 21. Miscellaneuos 22. Fundraising 23. Consumer Self-Advocacy 2-~ 25 PROGRAM 3 2,366 575 65 216 9 119 58 32 42 32 39 168 5 65 86 86 0 0 0 6 65 0 0 TOTAL EXPENSES (p. 2, line 2) Notes and Comments: AGENCY The Arc of Johnson County PROGRAM PROGRAM PROGRAM 4 5 6 37,123 9,024 1,015 4,383 135 1,861 914 507 660 5O7 609 2,639 76 1,015 1,353 1,353 0 0 0 101 1,015 0 0 PROGRAM 7 PROGRAM 8 4,033 64,290 0 0 0 0 - AGENCY The Arc of Johnson County RESTRICTED FUNDS: Restricted by: Board of Directors Grantor - Johnson Co. CSA Restricted for: Facility Programs - (funding expended as rcvd.) ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR 82,427 87,427 92,677 0 0 0 FOTAL RESTRICTED FUND (also shown page 2, line 4) I 82,427 87,4271 92,677 MATCHING GRANTS Grantor/Matched by rOTAL MATCHING GRANTS (also shown pg. 3, line 2) ol 0 o N-KIND SUPPORT DETAIL ¢ervices/Volunteers ,laterial Goods ¢pace. Utilities, etc. )ther: (Please specify) I'OTAL IN-KIND SUPPORT (also shown on page 2, line 4) ,:ores and Comments: 22,500 5OO 23,0001 23,400 50O 23,900 24~336 500 24.836 -20- -5- SALAKIED POSITIONS Position "X" those that apply Executive Director 32 x x 20% Respite Care Coordinator 32 x x 20% Voc. Specialist/Job Coach 32 x x 20% Voc. Specialist/Job Coach 32 x x 20% Program Support Spec. 32 x x 20% AGENCY FTE* The Arc of Johnson County Salary Last This Next Actual This Year Year Year Last Year Year 1.00 1.00 1.00 34,250 36,328 1.00 1.00 1.00 22,622 23,100 0.20 1.00 1.00 4,190 21,000 1.00 0.60 0.50 22,055 12,693 0.08 1.00 1.00 1,507 18,900 Budgeted % Next Year Change 35,000 -4% 23,793 3% 21,690 3% 7,225 0% 20,034 Voc. Specialist / Admin. Asst. x x x 20% Job Coach / Waiver Spec. x x x 20% Clerical Asst. x x x 0% 0.75 0.00 0.00 17,480 0 0 0.75 0.00 0.00 15,402 0 0 0.00 0.10 0.20 0 1,000 2,000 * FulL-time equivalent: l.O=full-time; 0.5=half-time; etc. 113,021 109.742 I 1.73% -21- -6- AGENCY: The Arc of Johnson County ACCOUNTABILITY QUESTIONNAIRE A. Agency's Mission Statement or Primary Purpose: B) C) The Arc of Johnson County is committed to being a leader in offering information, services and advocacy to individuals with developmental disabilities, their families and community; to promote informed choices and the realization of their goals relating to where and how they live learn work and play. Board of Directors: 1. Please attach a list of your agency's Board of Directors 2. Frequency of meetings: ONCE PER MONTH. 3. Briefly describe board orientation and ongoing training opportunities: New Board members receive a Board manual which contains essential documents related to agency operations such as by-laws, articles of incorporation, and personnel policies. Each member meets with the Executive Director for agency history and an overview of operations. In addition each member is assigned a mentor who has been serving on the Board. Training opportunities have included regional workshops on non-profit issues, new board orientation meetings, and committee meetings. Finances: 1. If your agency charges a fee for services, describe your fee structure. The agency fee structure for services is attached, as well as the sliding fee scale for respite care co- payments for county clients.. Does your agency have an internal audit, e~ernal audit't't~r financial review? (circle one) Frequency: YEARLY 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.) The agency raises funds through a number of vehicles. A modest amount of funds are derived fxom membership. The agency also utilizes the Iowa City Hospice Road Race as a fundraising vehicle and initiated a direct mail campaign in 1997. 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 -22- -7- President: Vice Pres: Treasurer: Secreta .ry: Board.' THE ARC OF JOHNSON COUNTY BOARD OF DIRECTORS (Julv. 1997) Judy Warth - University of Iowa Affiliated Program, 257 University Hospital School, Iowa City, IA 52242 (w) 356-0860 Email: jwarth~aol.com Fax: 356-8574 Doug Thompson - 2001 Waterford Dr., Coralville, IA 52241 (h) 351-5225 (w) 337-7326 Email: DOUGARYGIN~aol.com Fax: 351-8998 Melanie Alberts - 1944 Grant Wood, Iowa City, IA 53340 (h) 338-0857 Orville Townsend - 713 Whiting Ave., Iowa City, IA 52245 (h) 354-5995 (w) 354-4766 Lori Bears - Bon Aire, Lot 369, Iowa City, IA 52240 (h) 337-2120 Tim Clancy - 302 South Gilbert Street, #1216, Iowa City IA 52240 (h) 331-6406 William Kurth - 9 South Linn, Apt. 3, Iowa City, IA 52240 (h) 351-2382 Sondra Kaska - 103 E. College St., Suite 300, Iowa City, IA 52240 (h) 338-4038 (w) 358-6690 Brenda Lacina - 2331 Nevada Avenue, Iowa City, IA 52240 (h) 337-7005 Deb Noel - 719 Page St., Iowa City, Iowa 52240 (h) .351-2713 Keith Ruff- 601 South Gilbert Street, Iowa City, IA 52240 (h) 354-3912 Brad Stiles - 722 Oakland Avenue, Iowa City, IA 52240 (h) 338-5580 Becky Watts - 4988 Lower West Branch Road, S.E.. Iowa Cid, IA 52240 (h) 351-1986 -23- -?a- E. Program/Services: AGENCY: The Arc of Johnson County Please define your agency's units of service (service def'mition, length of time, cost per unit of service, number of units provided, direct or indirect.) PLEASE SEE PAGE 8A 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. How many Johnson County residents (including Iowa City and Coralville) did your agency serve? Enter Years --> 1995 1996 1 a. Duplicated Count 8301 7636 1 b. Unduplicated Count 3665 3375 How many Iowa City residents did your agency serve? How many Coralville residents did your agency serve? How many units of service did your agency provide? 2a. Duplicated Count 5212 4795 2b. Unduplicated Count 2250 2070 3a. Duplicated Count 860 792 3b. Unduplicated Count 361 332 4a. Total 27869 25465 4b. To Johnson County Residents 27500 25350 5. Other Areas Served: Do you provide services to areas outside Johnson County? Area(s) served: NO Services provided: Funding Sources: -24- -8- AGENCY: The Arc of Johnson County E. Program/Services: Please def'me your agency's units of service (service def'mition, 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 General Respite Unit of Service/Cost: 1 hour - $3.50 - $5.50 or 24 hour period $35.00 per 24 hours Calendar year 1996 - 2710 hour units of respite provided. Direct Service Medicaid Home and Community Based Waiver Respite Unit of Service/Cost: 1 hour - $11.95 Calendar year 1996 - 3898 hour units provided. Direct Service 2. Advocacy/Awareness Support persons with mental retardation or developmental disabilities in advocating (self-advocacy support) for themselves or represent people with mental retardation or developmental disabilities/Public information and education. Unit of Service/Cost: Not defined Calendar year 1996: Advocacy estimated at 1300 contacts/calls. Awareness estimated at 7500 contacts. Advocacy is a direct service. Awareness is an indirect service. 3. Daycare support Assist in coordination and provide f'mancial support for special needs portion of daycare expenses for persons with 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 - $29.93. Calendar year 1996:2100 hourly units, 5600 1/2 day units. Direct service. Note: Service transferred to Johnson County Department of MH/DD on 7/1/97 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 - $26.52 Calendar year 1996:1477 units. Vocational advocacy training and follow-up are direct service. Job development-is an indirect service. 5. Summer 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 $8.45; Daily Rates: $44.04, $55.16, $70.56 Calendar year 1996:184 Hours; 696 Days. -Sa- -25- 6. Client Profile (for last complete year, if available): AGENCY: The Arc of Johnson CounW NOT AVAILABLE 7. Evaluation and Review: A. Please discuss how your agency measures the success of its programs The Respite program's parents and care providers complete evaluations of each respite. This provides ongoing feedback about the services being delivered. In addition on a yearly basis families and providers are surveyed to evaluate the program Employers that work with our Vocational Advocacy Program complete evaluations of their satisfaction with the placements and progress is monitored through joint statTmgs. The Arc's staff also communicate with clients and families regularly to assess their satisfaction with services. Both the respite and vocational program are comprehensively evaluated on a yearly basis. We also monitor the number of consumers who experience out of home placements, out of county placements, and placements to more restrictive settings. B. Does your agency have performance objective? [Give several examples] Yes To develop a comprehensive training program in which 25% of the respite care providers who are enrolled in the HCBS Waiver Respite Care Program will participate. To have program usage by families in the HCBS Waiver respite Care Program increase by 25%. To distribute a newsletter 12 times per year. To respond to advocacy requests within 2;4 hours. C. What plan does your agency have to increase efficiency and effectiveness? This past year has seen a number of initiatives to increase efficiency and effectiveness. Staffing has been modified to better address service needs. Agency equipment has been enhanced allowing more efficient use of time in service and financial reporting and data management. Yet planned are an increase in the fi'equency and scope of community awareness regarding the needs of persons and families with developmental disabilities. The agency continues 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 cooperatively address these. 8. In what ways will the needs of your service population change in the next five years: It is anticipated that short term cost savings associated with managed care (a.k.a. "managed cost") will become rapidly exhausted. As a result the need for services and supports by persons with developmental disabilities and their families will overtake the ability of the service delivery system to meet these needs. As a result Johnson County will very probably move to waiting lists for services. In addition there are emerging populations of persons with significant service needs, such as families with children with attention deficit disorder and attention deficit / hyperactivity disorder as well as other diagnoses. These persons will likely continue to fall out of managed care eligibility criteria yet will still be in significant need of community service and support designed to prevent long term placement, abuse, or delinquency. -26- -9- AGENCY: The Arc of Johnson County 9. Please 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. While this results in a decrease in institutionalization of individuals with special needs, it places a severe burden on local agencies. The Arc/JC's goal is to deliver high quality services in the least restrictive environment and in the most cost effective way. Because of shifts in administration of programs the agency will be challenged to expand its referral base and to develop funding to adequately support requests for advocacy and information. To this end the agency has initiated the process of strategic planning and continues to diversify its funding base. 10. List concerns/complaints about your services of which you are aware: As the County moved away from the process of block grants for services to a fee for service structure families who had not previously been required to interact with the Dept. of MI-I/DD expressed concerns and, at times complaints, regarding a new process of eligibility determination and the assignment of social workers to their "cases". In addition the implementation of newly developed sliding fee scales for daycare and respite required some families to pay more for services and this was a clear concern. 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? At this time we are challenged to meet the needs of families with children with disabilities that fall outside the strict guidelines of MR and DD. Most typically these are families with children with diagnoses of ADD and ADHD. The very challenging behaviors that are associated with these diagnoses result in the same constellation of family stresses and risks that families with members having categorical diagnoses of MR and DD face. The Arc is requesting additional funding from United Way to meet these needs. (l) 12. In what way(s) are your agency's services publicized? Newsletter. (2) Local business and yellow page directories. (3) Media. (4) Human Services Directories. (5) Public Speaking. (6) Brochures throughout the community. (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 __ c. Business Blitz X d. Day of Caring ~X e. Executive Development Seminars X f. Kick Off X g. Victory Reception __ h. Volunteer Action Center X i. Other j. -27- -10- -28- AGENCY: The Arc of Johnson County AGENCY HISTORY (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 up-date annually.) The Arc of Jolmson County (The Arc/JC) is committed to being a leader in offering information, services and advocacy to individuals with developmental disabilities, their families and community; to promote informed choices and the realization of their goals relating to where and how they live, learn, work and play. Throughout its 40 year history the organization has acted as an advocate for the rights of citizens with mental retardation and developmental disabilities. In 1957 Johnson county had no educational, recreational, vocational or residential programs for individuals with mental retardation and developmental disabilities. In 1997 Johnson County has programs and services in all in four areas. The Arc/JC has been instrumental in advocating for and creating programs which provide individuals with mental retardation and other developmental disabilities with services that others in our community often 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 aitematives to institutionalization. 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 planning, begun in 1959, between the Iowa City Recreation Department and The Arc/JC for the recreational needs of individuals with mental retardation and developmental disabilities. In 1989 the agency began assisting families in accessing appropriate daycare setting for their children with special needs, and the agency has coordinated summer program activities for children and young adults. Current programs include Family In-Home Support; Awareness and Advocacy; and the P.A.C.E. Vocational program. Support services are imperative if individuals with mental retardation and developmental disabilities are to live in the least restrictive environment. With the right mix of support services, a family can keep its child living at home and adults can live as independently as possible - both successes for the whole community. The Family In-Home Support Services program offers levels of assistance varying from short-term respite care through extended respite and intensive family and child training if needed. This range of services is aimed at supporting each family/person with as much choice as possible and supports family unity. Community programs have experienced significant change as a result of managed care for service funding. This program currently provides parent support group coordination; supports compuplay activities in the community; and is developing a "Natural Ties" service focusing on the establishment of one-on-one relationships between community volunteers and persons with disabilities Our Advocacy and Awareness program responds to requests for information and support from over 1000 families and individuals per year. This program acts on behalf of persons with developmental disabilities by: seeking support services and monitoring existing programs, informing persons with developmental disabilities and their families of available services and supports, and informing the community regarding the nature of disabilities, family issues, and the cause and prevention of mental retardation and developmental disabilities. Through this program The Arc/JC also monitors actions impacting persons and families with disabilities and provides information and support to policy makers regarding these issues. The P.A.C.E./Vocational Advocacy program provides employment opportunities 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. As a result of the implementation of"managed care" for funding for services for persons with mental retardation and developmental disabilities many agencies, including The Arc/JC, have experienced changes in the way they provide services. However The Arc/JC has continued to support the development and provision of efficient and appropriate services to meet the needs of its constituents As a result of a strategic planning process the agency has identified the need to increase its provision of information and education in the community; support the development of self- advocacy programming; and expand support for emerging populations of persons with disabilities. -11- Agency: The Arc of Johnson County 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, Objective A: Maintain pool 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 and orient each care provider. 4) Complete background and reference check for each provider. 5) Have parents complete an evaluation form for each of the care providers they have used. 6) Conduct and coordinate in-services for the care providers. Objective B: Match parents and care providers on an on-going basis. Tasks: 1) Interview parents to assess theft needs. 2) Match parents' needs to available care providers. 3) Maintain records of the services provided. 4) Maintain scheduling records, Objective C: Administer Respite programs. Tasks: 1) Maintain Medicaid certification status. 2) Enroll families according to program rules. 3) Enroll care providers according to program rules. 4) Maintain needed documentation. 5) Prepare billings. Objective D: Continue to investigate additional care needs of parents and way that the Family In- Home Support Services program could be improved to better meet the needs of users and potential users. Tasks: 1) Investigate drop-in respite care programs. 2) Investigate respite services for before/after school and school holidays. -12 -29- AGENCY PROGRAM GOALS AND OBJECTIVES Objective E: Agency: The Arc of Johnson County 3) Investigate respite services for non-categorical disabilities. To coordinate or provide financial assistance to families using intensive in-home services. Tasks: 1) 2) 3) 4) Secure funding for program. Screen new families. Collaborate with other agencies. Monitor parent payment portion based upon a sliding schedule. ADVOCACY/AWARENESS Goal: To act on behalf of persons and families with developmental disabilities by: responding to requests for information and support; seeking support services and monitoring existing programs; informing persons with developmental disabilities and their families of available services and supports; informing the community regarding the nature of disabilities, family issues, and the cause and prevention of mental retardation and developmental disabilities; and monitoring governmental actions that impact this population. Objective A: Provide input to, and participate with, activities of community committees and councils that develop and implement policies impacting persons with mental retardation and developmental disabilities such as MH/MR/DD/BI planning council, MHIDD managed care planning work group and committees, and the Special Education Advisory Committee Tasks: 1) Participate in collaborative efforts which study and respond to the following topics: services, communication, extended year and summer programs, inclusion and integration, residential needs, advocacy needs, disability and injury prevention, and leisure opportunities. 2) Investigate other concerns brought to these groups. Objective B: Handle, on a case by case basis, requests for services fi'om individuals and groups within the county. Objective C: Inform and educate the membership and community regarding state and national legislative issues impacting persons with developmental disabilities and mental retardation and how to advocate with elected officials. Tasks: 1) Maintain a Governmental Affairs Committee. 2) Provide information and letter writing materials at meetings when necessary. 3) Print Governmental Affairs articles in Newsletter. 4) Support the State and National Arc. Objective D: Continue prevention activities. ~30- -13- AGENCY PROGRAM GOALS AND OBJECTIVES Tasks: Agency: The Arc of Johnson County 1) Disseminate information to the public. 2) Provide speakers to present programs. 3) Identify and gain support of local doctors who would make prevention materials available for their patients. 4) Collaborate with other community based prevention efforts such as MECCA, VNA, Healthy People 2000, and Safe Kids Coalition, Objective E: Utilize local media to publicize membership meetings, programs, and special events. Tasks: 1) Notify the media of The Arc's events. 2) Participate in marketing campaigns of State and National Arc. Objective F: Publish newsletter at least six times during the calendar year. Tasks: 1) Collect information for newsletter, organize it, and edit. 2) Prepare newsletter for mailing. 3) Take sorted newsletter to post office for mailing. Objective G: Provide information and referral to an estimated 1000 people who will call The Arc/JC during 1998. Tasks: 1) Maintain consistent office hours. 2) Maintain up-to-date information on services available within the community. 3) Respond to voice mail recorded messages. COMMUNITY PROGRAMS Goal: To secure for children and young adults with mental retardation and other developmental disabilities community services which enhance their skills and development while they live at home with their families. Includes both support group and Natural Ties. Objective A: Objective B: Parents' Group Tasks: 1) Develop a community awareness campaign to ensure that parents who would like to participate are aware of the program. 2) Provide coordinator in development of program topics. 3) Provide general support for the program. Self-advocacy group for persons with mental retardation and developmental disabilities. - 14- -31- Agency: The Are of Johnson County AGENCY PROGRAM GOALS AND OBJECTIVES Tasks: 1) Develop a community awareness campaign to ensure that persons with mental retardation and developmental disabilities who would like to participate are aware of the program. Objective C: 2) Provide facilitator and support in development of program topics. 3) Provide general support for the program Compuplay Task: Provide location and coordination for Johnson County families. Natural Ties Task: Initiation of the Natural Ties Program l) Develop and implement a community awareness campaign for the program. 2) Recruit volunteer coordinators. 3) Develop and maintain database of interested community individuals. 4) Orient participants and provide support during initial stages of relationship building. Provide general support for the program Objective D: 5) VOCATIONALADVOCACY Goal: To increase employment opportunities for individuals with mental retardation and other developmental disabilities in Johnson County, to perform job development, placement, training, and follow-along services. Tasks: 1) 2) 3) 4) s) 6) Increase the employment opportunities for individuals with mental retardation and other developmental disabilities in our county by job site development. Facilitate the placement of developmentally disabled individuals in these jobs. Provide training services to employee and employer. Provide follow-along services to increase the likelihood that the individuals placed in these positions will retain them. Prepare and process monthly Purchase of Service billings. Prepare and process Vocation Rehabilitation billings. -32- Respite Family Contribution Scale June 1997 Family Size 2 Family contribution Under Gross family income over this amount 15,915 15,915 21,220 31,830 42,440 0 0 $1.00 $2.00 $3.00 3 Family contribution 19,995 19,995 26,660 39,990 53,320 0 $1.00 $2.00 $3.00 $4.00 4 Family contribution 24,075 24,075 32,100 48,150 64,200 0 $1.00 $2.00 $3.50 $5.50 5 Family contribution 28,155 28,155 37,540 56,310 75,080 0 $1.00 :$2.00 $3.50 $5.50 64- Family contribution 32,235 32,235 42,980 64,470 85,960 0 $1.00 $2.00 $3.50 $5.50 Attachment B - Procedures and Rates 1. Proyams - funding sources Program :..:' :" ,. PACE - Vocational advocacy supported employment Kcspite . Funding Sources DVRS, client participation, and County Client participation, Medicaid waiver, and County County Payments-..'....-:. '--- $22.84/half-hour $12.00/hour '33- -16- 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 1/1/98- 12/31/98 4/1/98- 3/31/99 7/1/98- 6/30/99 ~X Director: Barbara Curtin Agency Name: Big Brothers Big Sisters of Jo. Co. Address: 4265 Oak Crest Hill Rd. SE Iowa City Phone: 337-2145 Completed by · Barbara Curtin, Director Approved by: ~f)~z Johnson County Extension Council 1'~ ~ '~//t~.//~ 7 '~ BB/BS Advisory Board ~/~//~ / e 7 Programs: 1. One-to-One match oroeram The focus in our one-to-one matches is to provide caring adult mentors to youth in single parent families. Casework staff screen, train and supervise all matches and facilitate the relationships. We match the youth with single adults, couples and families. Anecdotal evidence, national research and our own evaluation survey support the importance of Big Brothers Big Sisters in the lives of children. 2. Grouo Prosrams Each of our group programs offers supervised recreational and educational experiences to youth who have little access to other programming. Transportation is provided by Big Brother Big Sister staff or volunteers, thus overcoming a frequent barrier for our clients. University of Iowa students are recruited as volunteers for these programs and are matched with a youth for a semester. Parents, volunteers and youth report that our Group Programs fill a void in their lives. Parents are relieved that their children will not be at home alone, volunteers have the opportunity to give something back to their community and learn new ways of interacting with children. Youth increase their social and problem solving skills in a safe and enriching environment. Local Funding Summary : United Way of Johnson County - - Does Not Include Designated Gvg. City of Iowa City Johnson County City of Coralville 4/1/96- 4/1/97 - 3/31/97 3/31/98 19,900 24,660 FY97 FY98 33,600 35,000 15,998 17,498 3,300 3,300 4/1/98 - 3/31/99 $27,000 FY99 37,000 20,000 4.000 % of Total Operating Budget 10.19% 13.96% 7.55% 1.5 -34- - 1 - AGENCY: Big Brothers Big Sisters of Johnson County r"q)GET 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. Match Program 2. Group Programs (GAP, YES, Southeast Girls) ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR FY'97 FY'98 FY'99 230,975 244,161 264,983 33,449 33,282 38,883 197,526 210,879 226,100 197,693 205,278 225,638 71,169 73,900 82,350 126,524 131,378 143,288 101,219 105,102 114,642 25,305 26,276 28,646 4. RESTRICTED FUND BALANCE (Total from page 5) 34,134 5. IN-KIND SUPPORT (Total from Page 5) 517,510 6. NON-CASH ASSETS Notes and Comments: 26,650 28,000 543,384 570,553 Local funds were spent to support salaries for the Director and the caseworkers. This staff is necessary to recruit, screen, train and supervise the over 700 youth we worked with last year. Ending balance is necessary to prevent cashflow problems during the year. - 2 - -35- 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, Foundation a. State Crime Prevention Grant b. DECAT Match for Grant listed above c. State of IA Juvenile Justice Grant d. DECAT grant/GAP Program 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. b. C. TOTAL INCOME (same as p2,1inelb Notes and Comments: AGENCY Big Brothers Big Sisters of Johnson County ACTUAL THIS YEAR BUDGETED NON- LAST YEAR PROJECTED NEXT YEAR DIRECTED FUNDING I 73,988 [ 81,043 I 88,750] 46,750 ] 15,998 17,498 20,000 20,000 33,600 35,000 37,000 21,090 25,245 27,750 22,750 3,300 3,300 4,000 4,000 PROGRAM PROGRAM I 2 37,000 ] 5,000 37,000 5,000 34,134I 26,650I 28,oool 11,856 11,0o0 13,000 7,076 5,650 5,000 3,694 10,000 10,000 11,508 o[ lO,O0ol 10,000 18,000 13,000 5,000 ol ol ol ol 01 o ol ol ol ol ol o 11,6301 14,8361 15,0001 15,0001 3,861 4,836 5,000 5,000 7,769 10,000 10,000 10,000 77,406 [ 88,000 I 94,0001 94,000 I 1,414 3,000 4,000 4,000 75,992 85,000 90,000 90,000 ol ol i 3681 3501 3501 3501 O l 01 ol ol ol ol ol o 197,526 210,879 226,100 156,100 47,000 23,000 -36- - 3 - PROGRAM EXPENDITURE DETAIL AGENCY Big Brothers Big Sisters of Johnson County ACTUAL THIS YEAR LAST YEAR PROJECTED BUDGETED ADMINISTRA- PROGRAM PROGRAM NEXT YEAR TION 1 2 ]. oalaries 131,542 138,278 147,938 42,000 86,378 2. Employee Benefits & Taxes 26,502 27,100 29,000 19,500 6,364 3. Staff Development 880 2,000 2,500 1,000 1,000 4. Professional Consultation 5. Publications & Subscriptions 6. Dues and Memberships 5,410 5,500 6,500 1,500 4,500 7. Mortgage, Rent and Property Tax 8. Building Maintenance 9. Equipment Purchase/Rental/Maint. 10. Utilities 11. Telephone 481 600 700 100 500 12. Office Supplies & Postage 2,041 3,000 5,000 1,500 2,500 13. Printing and Publicity 340 250 500 400 14. Local Transportation 1,718 1,800 2,500 250 1,500 15. Insurance- Program 6,590 7,000 7,500 1,000 6,500 i 'Audit · - 17. Interest 18. Other (Specify): 19. GAP Program 5,777 1,750 3,000 20. Bowl For Kids' Sake 10,627 13,000 15,000 15,000 21. Contributions & Gifts 153 250 250 250 22. Miscellaneous fund raising 42 250 250 250 23. Match Program Activities 5,590 4,500 5,000 5,000 24 19,560 3,136 5OO 5OO 100 1,000 100 750 TOTAL EXPENSES (p.2, line 2) Notes and Comments: 3,000 197,693 205,278 225,638 82,350 114,642 28,646 - 4 - -37~ AGENCY Big Brothers Big Sisters of Johnson County RESTRICTED FUNDS: ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR Restricted by: Restricted for: State of lA. Crime Prevention GAP Program DECAT match for Crime Prevention grant Johnson Co. DECAT Project GAP Program State oflA Juvenile Justice Matching Junior High Girls TOTAL RESTRICTED FUNDS (also shown page 2, line 4) 11,856 11,000 13,000 7,076 5,650 5,000 11,508 3,694 10,000 10,000 MATCHING GRANTS Grantor/Matched by State IA. Crime P. revention Grant/Matched by Johnson Co. DEC/~ Match Funds Match Funds Match Funds 7,076 5,650 5,000 ITOTAL MATCH/NG GRANTS 7,076l 5,65015,000 IN-KIND SUPPORT DETAIL Services/Volunteers Material Goods Space, Utilities, etc. Other: (Please specify) 494 vol. ~ 50,152hrs @ $10hr= $ phone system/office machines office space Johnson Co. Extension office supplies ITOTAL IN-KIND SUPPORT (also shown on page 2, line 4) Notes and Comments: 501,520 526,596 552,925 7,416 7,787 8,176 6,324 6,639 6,971 2,250 2,362 2,481 I 517,5101 543,384 570,553 -38- - 5 - SALARIED POSITIONS Position "X" those that apply Executive Director 31 x x 19% Casework Supervisor 19 x x 21% Caseworker 25 x x 21% Caseworker* * 25 x x 25% GAP Coordinator 25 x x 25% GAP Summer Program Assistants Program Specialist *** 8% Work Study Program Assistant* *** AGENCY FTE* Big Brothers Big Sisters of Johnson County Last This Next Year Year Year 1.00 1.00 1.00 0.80 0.80 0.80 1.00 1.00 1.00 0.50 0.80 1.00 1.00 1.00 1.00 0.25 0.25 0.25 0.38 0.38 0.38 0.14 0.14 Salary Actual This Budgeted % Last Year Year Next Year Change 40,062 41,270 43,333 5% 24,916 27,081 28,435 5% 26,286 27,075 28,429 5% 10,795 15,200 18,900 24% 19,143 16,992 18,181 7% 5,560 5,560 5,560 0% 4,780 4,800 4,800 0% 300 300 0% TOTAL FTE's and SALARIES I 4.93 5.37 5.57 131,542 138,278 147,938 I 7% * Full-time equivalent: 1.0=full-time; 0.5=half-time; etc. ** Caseworker position is budgeted as fulltime in FY '99. *** Program Specialist position is an hourly position without benefits. ****Program assistant position will be filled by a part time Work Study student. BB/BS will pay $1.00 of the $6.00 hourly salary. -39- AGENCY Big Brothers Big Sisters of Johnson County ACCOUNTAIlII,ITY QUESTIONNAIRE A The mission of Big Brothers Big Sisters of Johnson County, a 4H Youth Program of Johnson County Extension, 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: Please attach a list of your agency's Board of Directors attached Frequency of meetings: monthly Briefly describe board orientation and ongoing training opportunities: Board members receive an annual orientation by the staff regarding all programs at the November Board meeting. Board training is provided by Big Brothers Big Sisters of America on an as needed basis. Board members are informed of all United Way training opportunities and all appropriate Big Brothers Big Sisters of America sponsored training sessions. Finances: If your agency charges a fee, describe your fee structure. There are no fees for our services. However all volunteers and families are encouraged to participate in our annual fund-raiser Bowl For Kids' Sake. 2 Does your agency have: internal audit Frequency annually ' external audit X financial review X 3 Has your agency filed the Annual Report with the Secretary of State? No, because of our relationship with Johnson County Extension. 4 Has your agency filed Form 990 with the IRS No, because of our relationship with Johnson County Extension. Please discuss your agency's fundraising efforts, if applicable. Our major fund-raiser, Bowl For Kids' Sake, is held the last Saturday of February. Individuals, businesses, churches, schools and service clubs 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 Corporate and Lane Sponsorships and prizes. This event has become a recognized community event which attracts over 1,200 bowlers and 7,500 people making pledges. Management: 1. Does each professional staff have a written job Yes X No description? 2. Is the agency Director's performance evaluated at least yearly? Yes X No By Whom? Board President and Extension Director -40- 7 Agency Big Brothers Big Sisters of Johnson County Big Brothers Big Sisters of Johnson County Advisory Board 9/97 Officers: President: President Elect: Secretary: Treasurer: Members: Melodic Warth 755 Spencer Dr., Iowa City, IA 52246 Bob Goodfellow 408 Highland Ct. Iowa City, IA 52240 Peg Carstensen 11 Westview Acres Iowa City, IA 52240 Ross DeValois 18 Bedford Ct., Iowa City, IA 52240 Sue Freeman, 1358 Santa Fe Drive,iowa City, IA 52246 Gary Fabian, PO Box 2236, Iowa City, Ia 52244 Jim Grant, 210 6th St. Apt C1, Coralville, IA 52241 Glen Gullikson, 2201 N. Dodge, Iowa City, IA 52243 Dan Harbit, 909 Wylde Green Rd., Iowa City, IA 52246 Tiffani Hebel, PO Box 4550, Iowa City IA, 52244 Joe Holland, PO Box 2820 Iowa City, IA, 52244 Vickie Jackson, 3406 Arbor Dr., Iowa City, IA 52245 John Koza 102 S. Cliton St., Iowa City, IA 52240 Sandra Lawrence, 2500 Holiday Ct., Coralville, IA 52241 Vemona Myers, 315 Amhurst St., Iowa City, IA 52245 Chip Miller, 568 Hwy # 1 West, Iowa City, IA 52246 Ed Ring 3016 Radcliffe, Iowa City, IA 52245 John §chneider 2510 N. Dodge, Iowa City, IA 52240 Mary Jo Seaba, 45 N. Dubuque St., North Liberty, IA 52317 Sheri Swartzendruber, 1741 Winston Dr., Iowa City, IA 52245 Dick Tobias, 2743 Turkey Creek Lane NE, Iowa City, IA, 52240 Jenny VanDerWeide, 604 Kirkwood Ave, Iowa City, Ia 52240 Tim Webber, 347 Parkview Ct., North Liberty, IA 52317 7a -4i- Agency Big Brothers Big Sisters of Johnson County 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-to One service- A unit of service is a one hour in person contact between a Big Brother Big Sister volunteer and their Little Brother or Little Sister. 21,632 units of service were provided in FY'97. Cost per unit of service was $4.68. Small Group Programs A unit of service is a one hour in person contact between a volunteer or a staff person and a child in a small group setting. 37,800 units of service were provided in FY'97. Cost per unit of service was 0.67. 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? o Enter Years- FY'96 FY'97 la. Duplicated count 770 774 lb. Unduplicatedcount 532 563 2a. Duplicated count 439 400 2b. Unduplicated count 303 299 3a. Duplicated count 146 135 3b. Unduplicated count 101 112 4a. Total 58,592 59,432 4b. To Johnson County 58,592 59,432 Residents Other areas served: Do you provide service to areas outside of Johnson County? NO -42- 8 AGENCY Big Brothers Big Sisters of Johnson County Client Profile for calendar year 1996 0- 5 :~emale' · ::254 iAfri'ean 'American · ::': ':' 30. 6.-.t7 18 - 29. 50"-'6i'. 62- 75 .: 75+ '518. Male· 264 · Native'American: Hispanic Caucasian/Non-Hispanic Multi-racial 29 ~19 410 .30 0 Evaluation and Review: Please discuss how your agency measures the success of its programs. 1. We are in the process of conducting our first Program Outcome Evaluation using a tool designed by Big Brothers Big Sisters of America. Volunteers who have been matched at least 6 months will be asked to complete the evaluation. 2. An annual in person evaluation is conducted by the caseworker with the parent, child and volunteer to assess the progress toward match goals. 3. The program committee of the Board conducts an annual review of caseworkers' files, and caseworkers conduct a quarterly peer review. 4. Every five years, Big brothers Big Sisters of America conducts a two day on site evaluation. B Does your agency have performance objectives? (give several examples.) 1. Provide supervised recreational and educational afterschool activities for at risk youth through our GAP program. Outcome: During FY'99, 75 youth will participate each semester with 80% reporting indreased self confidence and decision making ability. 2. Provide Big Brother and Big Sister volunteers for 75 new youth during FY'99. Outcome: 80% of these youth will demonstrate increased self confidence, more positive attitudes toward school and increased ability to avoid delinquent behavior. What plans does your agency have to increase efficiency and effectiveness? 1. We plan to use the information from our survey of volunteers to adjust our match planning and facilitate positive youth development. 2. We will use Work Study students for support staff. 3. We will continue collaborating with other agencies to maximize resources. 8 In what ways will the needs of your service population change in the next five years: With welfare reform and the requirement that parents seek employment, many more youth will need supervised afterschool programs. We will attempt to secure additional grant funds to increase our GAP program. Many more parents will seek Big Brothers and Big Sisters for their children as they need to be away from home for longer periods of time for work commitments. I believe that welfare reform will impact all Human Service agencies and increase demands for services. -43- 9 AGENCY Big Brothers Big Sisters of Johnson County Please discuss any other problems or factors relevant to your agency's programs, funding or service delivery: The increase in single parent families in this community means an increase in requests for Big Brothers and Big Sisters. We are working to secure funds that will allow us to organize a volunteer recruitment campaign to meet these new requests for service. 10. List concerns and complaints about your services of which you are aware: The concern that I hear most frequently is that we do not have enough male volunteers and this means that boys need to wait 6 months, at least, to be matched. This is definitely a problem and one that we continue to try to solve in creative ways. The availability of our group programs has lessened this concern. 11. 12. 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 our one -to -one match program but not for the group programs. We are going to begin matching selected families with a child in order to increase our volunteer pool. This will only be appropriate for some of our children. How many people are Currently on your waiting list? 65 In what way(s) are your agency's services publicized? 1. Newsletter 2. Public Service Announcements 3. Newspaper articles 4. Posters and flyers 5. Speaking engagements to Churches, service clubs and civic organizations. 6. Local fairs and community events. 13. Go g. h. i. United Way involvement by your agency: ("X" if agency participates) X X X X 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 United Way Guidelines Committee, Speaking engagements, fair booths. -44- 10 AGENCY Big Brothers Big Sisters of Johnson County AGENCY HISTORY Big Brothers Big Sisters of Johnson County has been offering service to single-parent families since 1976. The program began as PALS with a grant for a part-time Coordinator funded by the City of Ioxva City. Johnson County Extension offered to include the program as one of the 4H Youth Programs in Johnson County and to provide office space, equipment, and secretarial support. In 1983 Big Brothers Big Sisters begall the affiliation process with Big Brothers Big Sisters of America. Ill 1986 our agency became a full affiliate of the national organizatiou. This national affiliation provides us with program guidelines, evaluation tools, marketing expertise and fund raising assistance. Our relationship with Extension provides us with significant in-kind support. The mission of Big Brothers Big Sisters is to make a positive difference in the lives of children and youth, through professionally supported relationships xvith caring adults. Match goals are designed to assist the youth in achieving his/her highest potential and to become responsible men and xvomen. Professional caseworkers screen, train, and supervise the adult volunteers who work directly with the youth. The Program Specialist position created last year has allowed the caseworkers to concentrate oil supporting the more challenging matches and recruiting nexv volunteers. This position has proven to be cost effective and allows for agency growth. In 1988 we organized tile GAP (Group Activity Prograln) because we had a long list of youth waiting to be matched and we had a pool of volunteers unable to make a one year commitment. GAP is an afterschool and summer prograin organized on a semester basis. We target University of Iowa students as volunteers for this program. Collaboration with other agencies has allowed us to access grant money for this program froln the State of Iowa Juvenile Justice funds. GAP is funded through the Johnson County Crime Prevention Grant, DECAT funds and United Way funds. The program serves youth on the waiting list, youth living ill area Mobile Home Parks, and youth living in isolated apartment complexes. GAP won the first Exemplary Program of the year award from Big Brothers Big Sisters of America in 1991. It is now listed as a Best Practice Prograin by the national organization and is being replicated throughout the country. In 1994 we were approached by the University of Iowa Social Studies Department to collaborate with them oil a program involving college students, senior citizens and youth froin our program. This is a small program but one that allows our youth the experience of interacting in a positive way with senior citizens. In 1996 we began a joint prograin with United Action For Youth at Southeast Junior High. This prograin focuses on recruiting adolescent girls to be matched. Research has shown that youth matched with a volunteer for at least a year are less likely to engage ill drug and alcohol use and less likely to skip school and more likely to have improved relationships with peers and adults. The President's Summit focused attention oil Big Brothers Big Sisters as one of the premier mentoring programs in the country. We know that our prograin works and now we have research to document it. Public Private Ventures Research documented tile positive impact of having a caring mentor ill the life of a child and the importance of the Big Brother Big Sister program guidelines to support the relationship. We have pledged to double the number of youth that we serve by the year 2000. This means more collaborative efforts, more volunteer recruitment and more funding opportunities. We xvill continue to work with the other Human Service agencies, United Way and the Cities and County to generate the resources needed to address the challenges faced by our youth. 11 -45~ Agency Big Brothers Big Sisters of Johnson County AGENCY PROGRAM GOALS AND OBJECTIVES One -to- One Match Program GOAL 1: Create opportunities for mentoring relationships for youth to realize their full potential as responsible men and women. OBJECTIVE A: TASKS: OBJECTIVE B: TASKS: Provide volunteer mentors for 80 new youth during FY'99. * Organize a focused volunteer recruitment campaign targeting 3 large businesses in Johnson County. * Provide screening and training for 80 new volunteers. * Offer volunteer orientation/training sessions monthly. * Supervise matches through monthly phone contact with parent, child and volunteer and in person annual evaluations. * Offer Parent Child Orientation meetings on a quarterly basis to 20 parents and children. * Provide program information quarterly to school counselors. * Work with the At Risk facilitators at Southeast Junior High to recruit 2 -3 girls each month to be matched with Big Sisters. Provide supervision for 240 active matches. * Increase casework staff to 2.8 FTE. * Maintain Program Specialist at .38 FTE. * Provide at least two training opportunities for staff. * Continue peer review of case files on a quarterly basis. * Provide weekly staff meetings to process volunteer and youth applications and facilitate communication among the staff members. 12 -46- Agency Big Brothers Big Sisters of Johnson Resources needed for the Match Program * 2.8 Caseworkers, I Program Specialist at .38 FTE, plus 20% of the Director's time. * Office space and equipment for 6 staff. * Office Supplies * Phone system, copier, computers Cost of the Match Program: FY'98 $105,102 FY'99 $114,642 County GROUP PROGRAMS GOAL 2: Create educational and recreational opportunities for youth that enhance their self-confidence, and increase educational and communication skills. OBJECTIVE A: TASKS: OBJECTIVE B: TASKS: To offer afterschool supervised educational and recreational programming through GAP (Group Activity Program) for 150 youth each semester during the school year. * Recruit, screen and train and match one to two youth with at least 75 University of Iowa student volunteers each semester. * Identify eight GAP sites in the community for Kids' Workshops" * Design Kids Workshop curriculum for each session. * Publicize the GAP program through newspaper articles, posters, speaking engagements and outreach at Iowa Memorial Union. * Identify 150 appropriate youth for GAP. * Work with other youth agencies to secure continuing funding for the Crime Prevention grant. Provide a supervised educational and recreational summer program for youth in area mobile home parks and other isolated areas. * Continue to secure funding for summer staff from Johnson County Extension. * Hire and train three summer staff. * Select sites for summer program. 13 -47- OBJECTIVE C: TASKS: Agency Big Brothers Big Sisters o~f JOhnson County * Design curriculum with assistance form Iowa State University Extension Specialists. Continue to expand group programming opportunities for youth on the Big Brother Big Sister waiting list through YES (Youth and Elderly in Service Program) and TEAM( together Enthusiastic Athletes Make A Difference) * Coordinate the YES Program to include eight Big Brother Big Sister youth meeting weekly for a semester with a senior volunteer and a University of Iowa student. * Facilitate the TEAM program with the University of Iowa Women's basketball team to include 10 youth from the waiting list in four group activities with the athletes. Resources for Group Programs: * One full-time Coordinator for GAP program. * Ten Percent ofa caseworker's time to coordinate YES and TEAM. * reference materials and supplies for Kids' Workshops * Computer * Telephone, copier * office supplies * office and office furniture Cost of the Group Programs: FY'98 $26,276 FY'99 $28,646 14 -48- 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: R~len NcC~_be Agency Name:C~isis Center Address: 321 E. First Street Phone: 351-2726(business line) Completed by: Ellen McCabe Approved by Board Chair: ~ 1/1/98 - 12/31/98 on Auqust 20, 1997 4/1/98 - 3/31/99 10/1/98 - 9/30/99 7/1/98 - 6/30199 COVER PAGE Program Summary: (Please number programs to correspond to Income & Expense Detail, i.e. Program 1, 2, 3, etc.) P-O~,u 2: Crisis Intervention Crisis Counseling Suicide Prevention, Intervention and Postvention Information and Referral Cc~nunity Educationand Outreach FoodBank- ~nergency and suppl~nental food assistance for Johnson County Residents ~mergencyAssistanoe Services for Transients Clothing Assistance Information and Referral Trinity Fund, Food Chain Assistance, etc. Help-At-Hand/Case Management Miscellaneous/Special Services Local Funding Summary: United Way of Johnson County -- Does Not Include Designated Gvg. City of Iowa City Johnson County , of Coralville 4/1/96 - 4/1/97 - 3/31/97 3/31/98 56,601 64,800 FY97 FY98 $ 33,000 $ 35,480 $ 55,167 $ 58,917 $ 2,900 $ 2,900 4/1198 - 3/31/99 71,280 FY99 $ 39,028 $ 67,755 $ 4,000 % of Total Budget 21% 12% 2O% 1% -1- -49- AGENCY: Crisis Center 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. Crisis Intervention 2. Food Bank 3. Emergency Assistance 4 ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR FY97 FY98 FY99 378,548 (1) 837,013 (3) 338,769 88,042 (1) 97,008 (2) 29,586 (7) 290,506 740,005 (3) 309,183 281,540 807,427 (4). 315,415 45,046 553,697 (5) 53,328 ~36,494 253,730 262,087 87,277 92,828 95,105 106,985 112,941 116,322 42,232 47,961 50,660 3. ENDING OPERATING BALANCE (Subtract-2 - 1 ) 4. RESTRICTED FUND BALANCE (Total from page 5) 5. IN-KIND SUPPORT (Total from Page 5) 6. NON-CASH ASSETS Notes and Comments: Briefly describe how local funds were spent last year. 97,008 (2) 29,586 (7) 23,354 67,362 (2) 15,000 13,000 821,000 856,000 891,000 133,685 539,000 (6) 545,000 The Center provided emotional and material support services to Johnson County residents and transients 24 hours a day, every day of the year. FY97 Ending Balance: 545.00 1,500.00 1,926.00 2,956.00 4,053.00 11,089.00 27,175.00 47.764.00 $97,008.00 Memorials Health Insurance Reserve On Call/All Night Line Capital Campaign Expense Reserve Food, diapers, etc. Building and Equipment Operations Future Building Reserve 1. Included $44,733 Future Building Reserve. 2. Included $47,767 Future Building Reserve and $2,956 Capital Campaign Expense Reserve. 3. Includes $450,000 Building Project income - sale of current property ($150,000), CDBG Grant ($200,000), and Capital Campaign ($100,000). Income without Building Project - $290,005. 4. Includes $498,000 Building Project expense. Total Expenditures without Building Project - $309,427. 5. Includes $498,000 Building Project expense and expenses related to owning two properties during rehab. process - insurance, utilities. 6. Increase includes the rehabilitated property at 1121 Gilbert Court. 7. Decrease includes end of Future Building Reserve. - 2 - -50- 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. Area Churches f. UI Student Senate 2. Grants - State, Federal, Foundations a. Mental Health Center b. FEMA c. UI Faculty and Staff Services d. 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. Mall Campaign c. Fund Raising 7. Interest Income 8. Other - List Below a. Reimbursements & Returned Checks b. Equipment Sale/Misc. c. Building Project AGENCY Crisis Center ACTUAL THIS YEAR BUDGETED NON- PROGRAM PROGRAM LAST YEAR PROJECTED NEXT YEAR DIRECTED 1 2 FY97 FY98 FY99 FUNDING CI FB 172,646l 185,3741 206,383 I 27,198[ 68,574] 72,182 55,167 58,917 67,755 6,775 23,712 23,712 33,000 35,480 39,028 3,903 13,660 13,660 58,651 66,000 72,600 14,520 19,602 25,410 2,900 2,900 4,000 400 1,400 1,400 20,364 (1) 16,000 16,000 1,600 3,200 8,000 2,564 6,077 (2) 7,000 7,000 16,365 I 12,831 I 5,800(3)1 0[ 1,5001 3,900 14,000 4,666 (3) 0 (3) 2,365 6,665 (4) 4,300 3,900 1,500 (5) 1,500 1,500 I 01 01 01 01 01 0 I Ol Ol Ol Ol Ol o 48,914 I 46,000 (6)1 47,000 I 83701 11,7301 22,7001 4,997 43'917I 4,000I 4,000 42,000 (6)1 43,000 I 8,170 I 1,000 10,730 [ 2,000 20,700 47,493 I 41,800(6)1 46,800 I 14,760 I 7,200 I 17,460 1,755 1,800 1,800 1,800 22,378 15,000 (6) 18,000 4,860 2,340 7,200 23,360 25,000 27,000 8,100 4,860 10,260 2,871 I 2000 (7)1 1,200 (7)1 1,200 I ] I 2,217 1452,000 (8) 12,0001 2,000 I I 1,217 1,200 1,200 1,200 1,000 800 800 800 450,000 (8) TOTAL INCOME (same as p. 2, line lb) 'Notes and Comments: 1. 2. 3. 4. 5. 6. 7. 8. 9. 290,506 740,005 (9) 309,183 53,328 89,004 116,242 Includes a $5,000 special donation. The Center has been upgraded to a Class II organization with increased opportunities for funding. CMH terminating contract 11/1/97 due to County requirement that CHM provide 24-hour direct client access. FY97 second payment of $2,356 received in FY98. New contract with UI to provide services when UI staff not available after hours. Up to 30 days of coverage. Decrease due to Capital Campaign giving. ' xease reflects end of Future Building Reserve. Includes CDBG Grant ($200,000), sale of current property ($150,000)~ and Capital Campaign ($100,000). FY98 total income without Building Project - $290,005. INCOME DETAIL (cont) PROGRAM 3 EA 1. Local Funding Sources- I 38,429 I a. Johnson County 13,556 b. City of Iowa City 7,805 c. United Way of Johnson County 13,068 d. City of Coralville 800 e. Area Churches 3,200 f. UI Student Senate 2. Grants - State, Federal, Foundations I 4oo I a. Mental Health Center c. UI Faculty and Staff Services d. C. f. '3. Net Sales Of Services (sources) I 0 ] a. b. C. 4. Net Sales of Materials (sources) I o I a. b. C. 5. Contributions/Donations [ 4,400 I a. United Way Designated Giving 1,000 I b. Other Contributions 3,400 6. Special Events ] 7,380 I a. Iowa City Road Races b. Mail Campaign 3,600 c. Fund Raising 3,780 7. Interest Income ] I 8. Other - List Below I 0 I a. Reimbursements & Returned Checks b. Equipment Sale/Misc. c. Building Project TOTAL INCOME (same as p. 2, linelb) Notes and Comments: AGENCY Crisis Center PROGRAM PROGRAM PROGRAM PROGRAM PROGRAM 4 5 6 7 8 ol ol ol ol 0 Ol Ol Ol Ol o Ol Ol Ol Ol o Ol Ol Ol Ol o Ol Ol Ol Ol Ol Ol Ol Ol Ol o I I I I I Ol Ol Ol Ol o 50,609 0 0 0 0 0 -52- - 3a - PROGRAM EXPENDITURE DETAIL AGENCY Crisis Center 1. .~ries 2. Employee Benefits & Taxes 3. Staff DeveI.Nol. Recognition 4. Professional Consultation 5. Publications & Subscriptions 6. Volunteer Training ACTUAL THIS YEAR BUDGETED ADMINISTRA- LAST YEAR PROJECTED NEXT YEAR TION FY97 FY98 FY99 121,568 134,749 (1) 139,940 34,072 27,516 29,473 33,620 6,524 5,676 6,200 6,200 310 1,435 1,777 7. Mortgage, Rent and Property Tax 3,870 8. Building Maintenance 4,504 9. Equipment Purchase/Rental/Maint. 5,153 10. Utilities 5,383 ! 1. Telephone/Pagers/Answering 11,487 Service - 2am-8am 12. Office Supplies & Postage 4,413 13. Printing and Publicity 8,389 14. Local Transportation 1,933 15. Insurance 7,116 16. Audit 2,335 17 nd Raising 3,989 18"-~. Other: On Call/All Night Line 5,759 19. Food 44,440 20. Transient Transportation 8,733 21. Special Services 4,809 22. Miscellaneous/Contingency 255 23. Building Purchase/Rehab. 1,000 24 25 1,400 1,400 140 2,200 2,200 3,350 0 (2) 4,500 2,500 (3) 250 8,000 (4) 6,000 600 7,000 (5) 5,900 295 11,400 12,200 610 4,500 4,500 675 9,000 (6) 9,200 420 2,000 2,000 200 8,140 (5) 7,440 1,232 2,500 3,000 (7) 3,000 6,700 (8) 5,000 5,000 6,715 (9) 6,715 45,000 48,000 9,300 9,300 5,300 5,300 2,000 5,000 (10) 498,000 (11) PROGRAM 1 CI 44,264 13,312 3,100 840 1,100 875 1,800 2,065 7,930 1,800 5,100 600 3,604 6,715 2,000 TOTAL EXPENSES ( p. 2, line 2) 281,540 807,427 (12) 315,415 53,328 95,105 Notes and Comments: 1. Increase includes addition of one FTE Work-Study position - the first permanent position added in more than ten years. 2. The Center will no longer need to rent warehouse storage space. 3. Anticipate decreased maintenance expenses in new facility. 4. Increase reflects the need to replace existing copy machine. 5. The Center will have possession of two properties for pan of the year during the rehabilitation process. 6. Increase reflects additional advertising to recruit needed volunteers. 7. Increase reflects additional expenses due to CDBG reporting requirements. 8. Ip,'rease reflects Capital Campaign expenses. 9. 2all volunteer reimbursements for "after-hours" trips to the Center increased for the first time in more than ten years. 10. Increase includes planning for uncertainty in new facilit3,. 1 I. Purchase ($314,000), rehabilitation ($179,000) and interest on bridge loan pending sale of current facility ($5,000). 12. FY98 expenses without the Building Project - $309,427. - 4 - PROGRAM 2 FB 39,081 9,414 2,170 280 660 1,125 2,400 2,950 3,050 1,350 2,760 1,000 2,232 45,600 2,250 116,322 -53- PROGRAM EXPENDITURE DETAIL (continued) PROGRAM 1. Salaries 22,523 2. Employee Benefits & Taxes 4,370 3. Staff Devel./Vol. Recognition 620 4. Professional Consultation 5. Publications & Subscriptions 6. Volunteer Training 7. Mortgage, Rent and Property Tax 8. Building Maintenance 9. Equipment Purchase/Rental/Maint. 10. Utilities 11. Telephone/Pagers/Answering Service - 2am-8am 12. Office Supplies & Postage 13. Printing and Publicity 14. Local Transportation 15. Insurance 16. Audit 17. Fund Raising 18. Other: On Call/All Night Line 19. Food 20. Transient Transportation 21. Special Services 22. Miscellanenous/Confingency 23. Building Purchase/Rehab. 24 25 140 440 250 1,200 590 610 675 920 200 372 2,400 9,300 5,300 750 TOTAL EXPENSES (p. 2, line 2) Notes and Comments: AGENCY Crisis Center PROGRAM PROGRAM 4 5 PROGRAM 6 PROGRAM 7 PROGRAM 8 50,660 0 0 0 0 0 -54- - 4a - AGENCY Crisis Center RE~'rRICTED FUNDS: Restricted by: FEMA/Donors Crisis Center Board Crisis Center Board Crisis Center Board Crisis Center Board Restricted for: Food, diapers, etc. Capital Campaign Expenses Building Maint. & Equip. Health Insurance Future Building ITOTAL RESTRICTED FUND (also shown page 2, line 4) ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR FY97 FY98 FY99 4,053 4,500 4,500 2,956 0 0 11,089 9,000 7,000 1,500 1,500 1,500 47,764(1) 0(1) 0 67,362 15,000 (1) 13,000 MATCHING GRANTS Grantor/Matched by Not Applicable ~OTAL MATCHING GRANTS 0 0 IN-KIND SUPPORT DETAIL ServicesNohmteers - 56,000 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. ~FOTAL IN-KIND SUPPORT (also shown on page 2, line 4) Notes and Comments: 560,000 570,000 580,000 250,000 275,000 300,000 3,000 3,000 3,000 8,000 8,000 8,000 821,ooo] 856,000 891,000 The Future Building Fund will go towards the purchase and rehabilitation of the new Center. AGENCY Crisis Center SALARIED ACTUAL THIS BUDGET- % LAST YEAR ED CHAN POSITIONS FTE YEAR PROJEC NEXT GE * TED YEAR "X" all that apply Position Paid 'Health Re- % Last This Next Lve Ins tire Bene- Year Year Year Plan fits FY 97 FY 98 FY 99 Director 42 X X 18% 1 1 1 38,751 40,301 41,922 4% Coordinator 42 X X 20% 1 1 1 29,484 30,663 31,890 4% Supervisor CI 42 X X 22% 1 1 1 21,100 21,000 21,840 4% Supervisor FB/EA 42 X X 25% 1 1 1 18,832 19,585 20,368 4% Office Manaqer 42 X X 24% .75 1 1 13,401 18,000 18,720 4% Asst. Supervisors 8 % 0 1 1 0 5,200 5,200 0 % Total Salaries & F/E 4.75 6 6 121,568 134,749 139,940 4% *Full-time equivalent: 1.O = full-time; 0.5 = half-time; etc. * Full-time Office Manager resigned 1/97 after nearly seven years with the agency. Decrease in FTE and salary due to turnover process. ** Assistant Supervisor positions were added as a result of the long-range planning process. The Center will pay $2.50/hour of the $7.00/hour Work-Study positions. These are the first permanent positions added by the Center in more than ten years. -$6- --6-- AGENCY Crisis Center ACCOUNTABILITY OUESTIONNAIRE A. Agency's Mission Statement or Primary Purpose Mission Statement: The Crisis Center exists to provide basic emotional and material support through trained volunteers and staff in an accessible, nonjudgemental, and caring environment. Vision Statement: By the year 2001, the Crisis Center will carry out its mission statement with a 100 percent increase in services. B. 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: The Center has a comprehensive board orientation program. This includes activities such as reviewing job descriptions and other written materials from the board manual with the Executive Director, on-site observations of services, and matching new members with a mentor. The Crisis Center's Board is committed to ongoing development. The group includes development activities in monthly meetings (videos, performance evaluations for board and committees, reviewing code of ethics and job descriptions, etc.) C. Finances: If your agency charges a fee, describe your fee structure. Not applicable. Does your agency have: internal audit Frequency Annually external audit X financial 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 X No Please discuss your agency's fundraising efforts, if applicable. The Crisis Center staff, Board, and volunteers conduct 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. We are conducting the "More Than Just Bricks And MortaF' Capital Campaign to raise money for the new building. 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 of Directors -7- -§7- AGENCY Crisis Center Program/Services: Hease 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 - $9.11 per unit (plus donated 24 hour volunteer coverage) Food Bank/Emergency Assistance - $2.84 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? 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- FY96 FY97 la. Duplicated count 54,796 51,546 lb. Unduplicated count 17,892 16,793 2a. Duplicated count (a) (a) 2b. Unduplicated count (a) (a,b) 3a. Duplicated count (a) (a) 3b. Unduplicated count (a) (a,c) 4a. Total 65,032 62,106 (d) (d) 4b. To Johnson 63,898 61,133 County Residents (a) 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. (b) We served 1,383 Unduplicated Iowa City households in Food Bank/Emergency Assistance. (c) We served 221 Unduplicated Coralville households in Food Bank/Emergency Assistance. (d) The majority of the decrease took place in the Crisis Intervention Program and outreach. 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 who are stranded in Johnson County. These services include information and referral. transportation assistance, ready-to-eat food, diapers, etc. -s8- 8 AGENCY Crisis Center Client Profile (for last complete year, if available): Age ...... II G nder - II 0 - 5 900 Female 62% 6- 17 1,429 Male 38% 18 - 63 9,522 63+ 231 Ethnicity Caucasian/Non-Hispanic 82% (a) Non-Caucasian i8% (a) a. Food Bank and Emergency Assistance clients only. 7. Evaluation and Review: A. 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? 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 voltmteers completed a five-year plan in September, 1996. The group identified 76 critical issues that could affect the Center and the members of our community 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 is formally reviewed and updated by the Board and staff every six months. We will continue to pay dose 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 will move to a larger facility in the coming year. In what ways will the needs of your service population change in the next five years: We predict that we will experience a 100 percent 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. -59- -9- o 10. 11. 12. 13. AGENCY Crisis Center Please discuss any other problems or factors relevant to your agency's programs, funding or service delivery: We need more trained volunteers to work with the Help-At-Hand program to provide intensive services for people struggling 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 injury by clients. Our current location is not large enough to provide the highest quality services possible and we will be moving in the coming year. List concerns and complaints about your services of which you are aware: -People would like more food, milk, more fresh meat, additional bus tickets, 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. 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. ff we do not provide a service that is requested, we brainstorm alternatives, provide information and referral, pave the way by contacting other agencies, etc. How many people are currently on your waiting list? 0 In what way(s) are your agency's services publicized? Answering Machines Brochures Church bulletins Crisis Center Week Displays (businesses, etc.) Food Drives (Scouts, Postal Workers, etc.) Human Services Directories Information Booths Law Enforcement Officials Newsletters Other agencies Press Releases ~ Radio, TV, Newspapers, etc. Posters Project Holiday Public Service Announcements Speaking engagements United Way Membership UI Counseling Service Vol. Action Network White Pages Word of Mouth Yellow Pages Internet Inter-agency meetings United way involvement by your agency: ("X" if agency participates) g. h. i. Agency Directors Meetings X Agencies Representative to Funding Hearings X (92-95) Business B!itz X Day of Caring X Executive Development Seminars X Kick Off X Victory Reception X Volunteer Action Center X Other Agency Tours and Presentations during X UW campaign, 100% staff giving to campaign, Hospice Road Races -60- -10- 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 it possible in the past; continued support will make it possible in the future. The Crisis Center's entire history, and we are observing our 28th 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 1.976. 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, the United Way, the University of Iowa Counseling Service, etc. 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 struggling 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. 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. 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 Crisis Center completed a strategic planning process in 1996. We solicited input from numerous internal and external sources. Welfare reform, managed mental health care, corporate downsizing, and other forces impacting human service agencies will intensify the Crisis Center's role as a safety net. We predict that we will see another 100 percent increase in services provided by the year 2,001. Our board and staff are actively preparing to meet the additional challenges that will face us in the future. The Crisis Center building, which we have occupied for ten years, no longer meets the needs of children and families in our community. We will take possession of the Crowded Closet property at 1121 Gilbert Court, Iowa City on October 1, 1997. After completing renovations we expect to move into the new building in Spring 1998. In anticipation of the need for space the Crisis Center's Board of Directors established the Future Building Fund in 1992. The Center was awarded a $200,000 Community Development Block Grant to help with the purchase and renovation expenses. The Crisis Center launched the "More Than Just Bricks And Mortar" Capital Campaign in 1997 to help raise the remaining 20 percent necessary to complete the project. The current Crisis Center property will be sold. -11- 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 FY99, 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. 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 quarterly agency newsletter to promote interagency communication and volunteer retention. 9. Provide monthly in-service training sessions for volunteers and staff. 10. Maintain emergency On-Call team available 24 hours every day to handle emergencies and to provide support for volunteers. 11. Provide case management.services for regular clients. 12. Record client contacts and compile statistical information into reports. 13. Maintain liaison with Mid-Eastern Iowa Community Mental Health Center and other agencies that provide mental health services. 14. Maintain liaison with answering service to insure calls are transferred correctly from 11 p.m. to 8 a.m. 15. Advertise available counseling services. Objective B: In FY99, provide information and referral to 4,000 people on the crisis lines. Tasks: 1. 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 FY99, 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. 2. Provide specialized suicide training to all Crisis Intervention volunteers, staff, and On- Call team. (continued) -62- -12- AGENCY Crisis Center 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, Domestic Violence Intervention Project, Rape Victim Advocacy Program, and other organizations that provide services to clients who are at high risk of suicide. Objective D: In FY99, 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 train 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 FY99, provide suicide prevention services to 20 area school groups, other agencies, etc. Tasks: 1. 2. Recruit and train volunteers to assist with presentations. Provide suicide education to students, staff, and administrators in schools -- including the University of Iowa. Provide other agencies with suicide education. Maintain a library of current information on suicide. Objective F: In FY99, provide community education and outreach through training sessions, presentations, and other special events to more than 5,000 people. Tasks: 1. Recruit and train volunteers to assist with outreach. 2. 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 training 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) -$3- -13- 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) $ 92,828 in FY98 $ 95,105 in FY99 FOOD BANK SERVICES GOAL: Provide emergency and supplemental food assistance to Johnson County residents. Objective: In FY99, provide households and individuals with food assistance during approximately 18,200 client contacts (350 households a week). Tasks: 1. 2. 3. 4. 5. Recruit, screen, Ix/tin, schedule, supervise, and evaluate volunteers. Increase Food Bank volunteer pool to 65 volunteers (currently 50 volunteers). Provide monthly in-service training for staff and volunteers. Screen and interview clients prior to receiving food. 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 1,200 households. 7. Keep accurate computer records of clients served for internal and external reports. 8. Maintain relationships with area food distributors (e.g. 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 (e.g. SEATS, Visiting Nurse Association, etc.) 12. Maintain the case management program to assist people in budgeting, securing training 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) -64- -14- AGENCY Crisis Center Resources needed to accomplish Food Bank Services tasks: 1. 65 trained volunteers. 2. Staff salaries and benefits. 3. Volunteer w/fining 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. 10. 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 insurance. 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. 31. Computer and adding machine for client information and statistical reporting. Cost of Program: (Does not include administrative costs) $ 112,941 in FY98 $ 116,322 in FY99 EMERGENCY ASSISTANCE SERVICES GOAL: To provide 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 FY99, 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) -65- -15- AGENCY Crisis Center Tasks: 1. Provide specialized training for Food Bank volunteers. 2. Provide regular in-service training for staff and volunteers. 3. Keep accurate records of clients needs, goals, and progress made. 4. Maintain up-to-date lists of referrals for additional assistance that is available. Objective B: In FY99, provide 950 Johnson County residents with clothing assistance. Tasks: 1. 2. 3. 4. 5. 6. 7. 8. 9. Maintain relationship with Goodwill Industries and the Crowded Closet. Solicit clothing donations for Goodwill Industries and the Crowded Closet. 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. Objective C: In FY99, provide 1,000 households with emergency assistance in obtaining diapers, baby food, and infant formula. Tasks: 1. Maintain relationships with churches, the Girls Scouts and various groups and individuals who assist in funding the diaper program. 2. Interview and screen clients. 3. Maintain records on services provided. 4. Obtain a variety of diapers (sizes, types, etc.). 5. Provide appropriate referrals for needs not met by the program. Objective D: In FY99, provide local bus tickets to 1,100 individuals. Tasks: 1. Maintain relationship with the City of Iowa City which provides the bus tickets. 2. Train volunteers to provide bus tickets. 3. Maintain records of services provided and submit reports in a timely manner. 4. Utilize donated bus tickets. Objective E: In FY99, provide financial assistance via various funds 24 hours every day (e.g. Trinity Fund, Food Chain, St. Anthony's Bread, Crowded Closet, 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) -66- -16- AGENCY Crisis Center Objective F: In FY99, 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 FY99, provide miscellaneous services to 200 households (including mail service, utilizing telephone, copying documents, etc.). Tasks: Record accurately services provided. Objective H: In FY99, provide skills training to 450 households. Training topics will include - budgeting, self-advocacy, smart shopping, application assistance, job hunting and interviewing, etc. Tasks: 1. Provide specialized training for volunteers. 2. Schedule, advertise and conduct training sessions. 3. Maintain records of clients served. Objective I: In FY99, provide 800 stranded transient households with emergency food, clothing and/or transportation assistance (bus ticket, gasoline, minor car repair, etc.). Tasks: 1. Provide specialized training for Food Bank and emergency On-Call volunteers. 2. 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 refewals 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 trained volunteers. 2. Staff salaries and benefits. 3. Volunteer training 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. 8. Computer and adding machine for client information and statistical reporting. (continued) -$7- -17- Cost 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, etc. 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. of Program: (Does not include administrative expenses) $ 47,961 in FY98 $ 50,660 in FY99 -S8- -18- CRISIS CENTER BOARD OF DIRECTORS 1997-1998 Ann Donahue, Chair (9/98) 1725 Windsor Ct. Iowa City, IA 52245 338-3430 (H), 351-0515 (O) John Lundell, Treasurer (2/99) Injury Prevention Research Center 158 AMRF, University of Iowa Iowa City, IA 52242 351-1125(H), 335-4458 (O) Tom Suter, Vice Chair (7/98) 2235 Russell Dr. Iowa City, IA 52240 337-4292 (H), 354-1242 (O) Kathleen Farrell,Corp. Prcs. (3/99) 1422 Franklin St. Iowa City, IA 52240 337-5300 (H), 353-2253 (O) Bill Eginton (3/98) 209 Richards St. Iowa City, IA 52246 337-3980 (H) Sheila Johnston (8/98) 728 E. Washington St. Iowa City, IA 52240 358-0767 (H) Lois Kelly (5/99) 3670 Whitetail Ln. NE Iowa City, IA 52240 626-2251 (H), 338-5491 (O) Aaron (Monk) Leonard (7/99) 502 5th St. Apt. 12 Coralville, IA 52241 338-1585 (H), 356-5153(O) Kevin Manning (3/99) 1103 Cambria Ct. Iowa City, IA 52246 351-2812(H), 369-8241 (O) Bruce Nestor (10/99) 311 Iowa St. Bank Bldg. Iowa City, IA 52240 354-7919 (H), 339-7576 (O) Mike Saeugling (7/98) 406 Magowan Ave. Iowa City, IA 52246 354-4337 (H) Rex Spicer (1/98) 1198 Ivanhoe Rd. Mt. Vernon, IA 52314 848-8179 (H), 351-4880 (O) Julie Teachout (3/98) % Hills Bank 1401 S. Gilbert Street Iowa City, IA 52240 337-9848 (H), 338-1277 (O) Karen Thielman (5/99) 518 S. Clinton St. Iowa City, IA 52240 338-6077 (H), 338-9960 (O) Ottilie Young (6/98) 914 E. Bloomington St. Iowa City, IA 52245 351-0461 (H) -69- 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 1/1/98 - 12/31/98 4/1/98 - 3/31/99 7/1/98- 6/30/99 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~~,~,r~ 10/1/98 - 9/30/99 9/16/97 _ (date) X COVER PAGE Program Summary: (Please number programs to correspond to Income & Expense Detail, i.e., Program 1, 2, 3, etc.) PROGRAM 1: 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 one faculty 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 of the 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 4/1/96 - 4/1/97 - 3/31/97 3/31/98 $6,185 $0 FY97 FY98 -1o 4/1/98 - 3/31/99 $2,500 FY99 % of Total Budget 31% "'~DGET SUMMARY AGENCY: 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) Dental Services for Indigent Children of Johnson County 2 3 4 Dental Services for Indigent Children of Johnson C ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR 7/1/96-6/30/97 7/1/97-6/30/98 7/1/98-6/30/99 16,589 11,582 8,000 10,599 10,607 3,775 5,990 975 4,225 5,982 7,807 8,000 0 0 0 5,982 7,807 8,000 5,982 7,807 8,000 6 7 8 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: o o o 19,926 20,643 22,149 0 0 Though we had a decrease in demand for our services over the recent years, there continues to be an unmet need for dentistry. Briefly describe how local funds were spent last year. On dental services. -2- -7% INCOME DETAIL ACTUAL LAST YEAR 1. Local Funding Sources- 4,639 a. ~ohnson County b. City of Iowa City c. United Way of Johnson County 4,639 d. City of Coralville C. 2. Grants - State, Federal, Foundations 0 a. b. C. d. e. 3. Net Sales Of Services (sources) [ 0 a. h 4. Net Sales of Materials (sources) 0 a. b. C. 5. Contributions/Donations 829 a. United Way Designated Giving 729 b. Other Contributions 100 6. Special Events 522 a. Iowa City Road Races 522 b. C. 7. Interest Income [ 0 8. Other - List Below I o a. b. C. TOTAL INCOME (same as p. 2, line lb) Notes and Comments: AGENCY Dental Services for Indigent Children of Johnson County THIS YEAR BUDGETED NON- PROGRAM PROGRAM PROJECTED NEXT YEAR DIRECTED I 2 FUNDING 625 3,875 625 3,875 0 0 0 0 0 0 100[ 100 100 100 0 0 250 250 250 250 0 0 0 0 3,875 [ 3,875 ol 100 100 0 250I 250 5,990 975 4,225 4,225 ol -72- -3- PROGRAM EXPENDITURE DETAIL ACTUAL LAST YEAR 1. 2. Employee Benefits & Taxes 3. Staff Development 4. Professional Consullafion 5. Publications & Subscriptions 6. Dues and Memberships 7. Mortgage, Rent and Property Tax 8. Building Maintenance 9. Equipment Pumhase/Rental/Maint. 10. Utilities 11. Telephone 12. Office Supplies & Postage 13. Printing and Publicity 14. Local Transportation 15. Insurance 16. ~,,dit 17. linerest 18. Other (Specify): Fees for Service 19 2O 21 22 23 24 25 TOTAL EXPENSES ( p. 2, line 2) Notes and Comments: AGENCY Dental Services for Indigent Children of Johnson County THIS YEAR BUDGETED ADM1NISTRA- PROGRAM PROGRAM PROJECTED NEXT YEAR TION 1 2 5,982 7,807 8,000 8,000 5,982 7,807 8,000 0 8,000 0 -4- -73- 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) o o o[ MATCHING GRANTS Grantor/Matched by N~ N~ N~ ITOTAL MATCHING GRANTS (also shown pg. 3, line 2) I 0l 01 01 IN-KIND SUPPORT DETAIl, Services/Volunteers * Material Goods 14,346 15,063 16,569 Space. Utilities, etc. 5,580 5,580 5,580 Other: (Please specify) [TOTAL IN-KIND SUPPORT (also shown on page 2, line 4) 19,926 Notes and Comments: *Director-5%; Receptionist-5%; Accounts-5%; Assistant-10% 20,643[ 22,149 -74- -5- AGENCY DENTAL SERVICES FOR 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 oppormmties: C. Finances: If your 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: imemal audit X external audit X Frequency review yearly & state audit every 3 years financial review X 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 o Please discuss 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 Dem. 5 year review 1997 -75- AGENCY DENTAL SERVICES FOR INDIGENT CHILDREN OF JOHNSON COUNTY Program/Services: Please define your agency's units of service (service definition, length of time, cost per umt of service, number of units provide, direct or indirect.) A umt of service consists of a climc 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 agency. serve Enter Years- 1995-96 1996-97 la. Duplicated count 133 96 lb. Unduplicated count 59 35 2. How many Iowa City residents did your agency serve? 2a. Duplicated count 118 2b. Unduplicated count 51 78 27 3. How many Coralville residents did your agency serve? 3a. Duplicated count 13 3b. Unduplicated count 6 16 7 4. How many units of service did your agency provide? 4a. Total 133 96 4b. To Johnson County Residents 133 96 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 -76- DENTAL SERVICES FOR INDIGENT AGENCY CHILDREN OF JOHNSON COUNTY Client Profile (for last complete year, if available): Evaluation and Review: Please discuss how your agency measures the success of it's programs. Success is measured by the number of patients who are treated through this program and have had their oral health restored. Also the prevention of dental problems is an important objective of the program. We feel that many children are left uuserved. It has been observed that financial constraints are only a part of the problem of the needy to access care. Transportation and its cost, poor motivation and lack of knowledge are other factors. 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 to obtain 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. -77- 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 necessary to maintain our services to indigent children as well as dissemination of information concerning this problem. List concerns and 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 at this time. 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 agency directors as well as the Iowa City Press Citizen.) United way involvement by your agency: ("X" ff agency. participates) g. h. i. Agency Directors Meetings Agencies Representative to Funding Hearings Business Blitz Day of Caring- ~ Executive Development Seminars X Kick Off Victory Reception Volunteer Action Center Other Business Fair Torch Relay Celebration X -78- DENTAL SERVICES FOR INDIGENT AGENCY CHILDREN 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 treatmere for over a decade for those individuals less 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 (orthodontic services are no~t 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 continue working with them in the future. 10 -79- 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 CHILDREN OF JOHNSON COUNTY Year: FY99 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: Tasks: 1. To provide the greatest amount of quality dental services for the money appropriated for these children. 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 Dentistry. Increase the patient population to include those eligible children in outlying Johnson County. Provide for transportation needs of the patients as they arise. Resources: 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. -80- 11 APPENDIX I~D~TR.~ C DEBTT STRY 2997 - 1998 ~ ~DZL2'NZS YAL~ 01200 01400 01401 01500 01600 01701 Periodic Oral Evaluation (recall) 15/H Limited Oral Evaluation (emerg)-new pt. 35 Limited Oral Evaluation (emerg)-current pt. 20 Comprehensive Oral Evaluation 60/35+ Detailed, Extensive Oral Evaluation 75 Ortho Screening 02100 02101 Complete Mouth Survey-Adult (incl. PBW's) 55 Complete Mouth Survey-Child (incl. PBW's) 33 02200 02301 02302 02303 02304-9 Periapical - single, first Periapical - one additional - two additional - three additional - four to nine additional 02200 + 02301-9 fee should not exceed 11 7 14 21 22 33 02400 Occlusal film 11 02700 02720 02740 Bitewing - single Bitewings - two Bitewings - four 11 15 27 03300 Pantomograph 03400 Cephalometric 55 61 02501 Hand - wrist 11 04250 04251 04600 T* Caries Susceptibility Water Analysis (in-house) Pulp Vitality Tests 04700 04710 Preliminary Impression & Diagnostic Casts Diagnostic Photographs 30 5 05100 Dept. Case Presentation 09994 Arch Length Analysis 10 PREVENTIVE PROCEDURES 11100 Prophylaxis (Include Toothbrush)-Adult (14+ years, Title XIX - 13+ years) 11200 Prophylaxis (Include Toothbrush)-Child 40/H 25 12030 12040 12050 12010 Fluoride (Include prophylaxis)-Child 39 (Title XIX only) Fluoride Treatment - Child Fluoride Treatment - Adult Fluoride (Include prophylaxis~-Adult (Title XIX only) 12400 Fluoride Prescription NC 96302 Topical Fluoride Dispensed 15 14 14 54 15/H 35 10 35 5O 55 33 11 7 14 21 22 33 11 11 15 27 55 61 12 NC 2O 4 6 35/H 18 32 14 14 49 NC 15 ADJUSTED FEE II 15 25 5 30 NA NC 33 22 7 6 11 15 15 22 7 7 11 22 33 22 10 3 22 15 23 8 8 30 NC +Department fees to right of slash require reason code H. *Requires (T) Tooth # FEE ADJUSTMENT IS DETERMINED BY EDUCATIONAL CONTRIBUTION 12 -81- PED~ATI~C DENTZSTR~ 1997 - ~998 F~ G'UID~L~NES I:~EV'~ZVE I~3r~?nUR~S con~. 13100 13300 13301 TS* 13510 R* 13500 SERVICE ADJUSTED VALUE FEE I Diet Analysis & Counseling 45/5+ 40/4+ Oral Hygiene Instruction - complex 50 40/15+ Oral Hygiene Instruction - simple NC NC Fissure Sealant/per tooth (XIX S-lSyrs) 20 14 Fissure Sealant/quadrant, occlusal only 40 24 43550 Full Mouth Debridement ADJUSTED FEE IX 10/3+ 10/5+ NC 12 2O RESTORATIVE PROCEDURES 20003 Amalgam Polishing (per quadrant) 75 65 40 7/NC+ Amalg&mRestorations TS 21100 i Surface - primary TS 21400 1 Surface - permanent 10/NC+ TS 21200 TS 21500 2 Surfaces - primary 2 Surfaces - permanent 5/NC+ TS 21300 TS 21600 3 Surfaces - primary 3 Surfaces - permanent 52 40 23 52 40 23 TS 21610 4 Surface Amalgam Additional Surfaces 65 50 29 65 50 29 75 58 38 75 58 38 90 70 46 10 8 7 Anterior C~posite Resin Restorations TS 23300 One Surface 60 TS 23310 Two Surfaces 75 TS 23320 Three Surfaces ' 90 TS 23350 Four+ Surfaces or involving incisal angle 100 Additional Surfaces 10 60 75 90 4O 55 70 8O 8 Glass Ionomer Restorations, anterior TS 23301 One Surface TS 23311 Two Surfaces TS 23321 Three Surfaces 60 60 40 55 70 Posterior C~m~osite Resin Restorations TS 23800 1 Surface - primary TS 23850 I Surface - permanent 2 Surfaces - primary 2 Surfaces - permanent 85 85 48 48 TS 23810 TS 23860 3 Surfaces - primary 3 Surfaces - permanent 105 105 68 68 T$ 23820 TS 23870 Composite Resin Crown-anterior-primary 95 Recement Crown 50 Stainless Steel Crown - primary 95 Stainless Steel Crown - permanent 95 Prefabricated Resin Crown 110 Prefabricated SS Crown/resin window 115 8O 80 T 23360 T 29200 T 29300 T 29310 T 29320 T 29330 70 30 70 70 75 65 23 29 38 46 7 23 29 38 26 26 34 34 41 41 55 15 55 55 5O 5O *Requries (T) Tooth #, (R) Range, {S) Surfaces +Department fees to right of slash / require reason code H. XIX requires pre-authorization -82- 13 I~D:T~:C DENTIST]:~X ].997 - 2998 I~-eTOR~T~ I~tOC~DURE-~ ~ont. T* 29400 T 2951# TS* 29600 TS 29610 T 43210 Sedative Filling (temporary restoration) Pins (each) Laminate Veneer - direct Laminate Veneer - indirect Splinting - extra coronal SERVICE VALUE 25 225 325 80 ADJUSTED FEE ! 16 6 180 260 60 FIXED PROSTHODONTIC PRO~a~RES T* 27500 PFM Crown T 27510 Porcelain fused to metal T 27900 T 27910 Full Gold Crown Full Cast Metal T 62510 T 65450 Acid Etch Bridge - Pontic Acid Etch Bridge - Retainer 55O 550 550 550 55O 30O 400 400 40O 400 400 20O ENDODONTZ C PROCEDURES T* 31100 T 31200 T 32200 T 32201 T 30003 T 32200 T 33100 T 33100 T 33200 T 33300 T 33400 T 33510 T 39600 T 99700 Pulp Cap - Direct 30 Pulp Cap - Indirect 30 Pulpotomy, Vital -(Ca(OH)2) 65 Pulpotomy, Not vital - Formocresol Type I 65 Formocresol Type II - V.1 (Medicare) NC V.2 65 Endo. - 1 canal 285 - primary 50/H - 2 canals 355 - 3 canals 490 - 4 canals 490 Endo - Apexification 175 Bleaching 105 Enamel microabrasion - per tooth 25 20 20 55 55 NC 55 180 40/H 225 305 305 110 75 20 REMOVABLE PROSTHODONTIC PROCEDURES Removable Partial Denture (XIX requires pre-authorization) T* 52110 UPPER-Acrylic Base (1 missing T#) 350 T 52120 LOWER-Acrylic Base (1 missing T#) 350 25O 25O ADJUSTED FEE ZZ 12 5 70 150 40 240 240 240 240 240 140 10 10 30 30 NC 30 75 27/H 95 125 125 4O 3O 15 *Requires (T) Tooth #, (S) Surfaces +Department fee to right of slash / requires reason code H FEE ADJUSTMENT IS DETERMINED BY EDUCATION CONTRIBUTION 14 -83- P~DZATR.TC D~qTZ-~TR.Y 3.997 - ].998 ~ GUZDI~-r-Zlq~S SERVICE ORAL SURGERY PROCEDURES VALUE T* 71100 Extractions - routine, first 55 T 71200 Extractions - additional 55 T 71300 Routine root removal - exposed root 55 T 72100 Complicated extractions 85 T 72200 Removal soft tissue impaction 140 T 72300 Removal partial impaction 185 T 72700 Reimplantation/stabilization 180 T 72800 Surgical exposure of impacted or 195 unerupted tooth for Ortho reasons Incision to A/d Eruption T 72810 75100 Incision & Drainage/Intraoral 40 100 79100 Repair of Traumatic Wounds Simple 50 79600 Frenulectomy 110 79999 Post-operative Procedure R* Spa~e Manag~Mnt Thetammy 15101 Fixed - Unilateral Band and Loop "15102 Fixed - Distal Shoe 15103 Fixed - Stainless Steel Crown amd Loop 15151 Fixed - Lingual or Palatal Arch 15251 Removable - Acrylic 15252 Removable - Lingual Holding Arch Wire Impressions for working models Appliance insertion Separation Appliance adjustment Band removal 80010 80020 80040 88300 88400 NC 175 2OO 175 175 150 175 ADJUSTED FEE I 35 35 35 6O 8O 110 140 140 27 65 30 95 NC 100 100 100 125 125 125 ADJUSTED FEE II 25 25 25 40 55 12 40 NC 85 85 85 85 85 85 MISCELLANEOUS PROCEDURES 91100 Palliative Treatment of Dental Pain '92200 '92300 92400 96101 96102 96301 General Anesthesia Nitrous Oxide Analgesia Intravenous Sedation Intramuscular Sedation Subcutaneous Sedation Conscious Sedation (PO) 93100 94200 94300 94400 Professional Consult Hospital Call Office Call Office Call - after hours 99200 Behavior Management 99400 Protective/Occlusal Mouthguard each 99410 Athletic Mouthguard each 99700 T Enamel microabrasion - per tooth 99990 99000 Miscellaneous Instrument stick 60 160/NC+ 75 130 50 50 100 60/NC+ 25 25 25 5O 5O 25 45 95/NC+ 55 95 30 30 100 35/NC+ 20 4O 40 2O 25 20/NC+ 10 30 20/H 15 *Requires (T) Tooth #, (R) Range -EE ADJUSTMENT IS DETERMINED BY EDUCATIONAL CONTRIBUTION -84- REASONS FOR FEE ADJUSTMENTS De Fe Jo PRACTITIONER COURTESY: Allows DSP practitioners to lower their fees as a courtesy. Should not to be used for Pee I or II. COLLEGIATE COURTESY: Collegiate request for fee adjustments; e.g. VIP, ADMS Collegiate Recall. FEE CLASS: Fee reduction for Den~al staff/family treated in undergrad clinics only. DSP/Grad use reason "A". EDUCATIONAL/CONTRACT: Fee is adjusted up or down for educational programs, e.g. RADI/DIAG, Minor Operative, teaching demons=rations with clinic patients, PERI, FAMD recall packages, HSPS/ISDH, GERI/MDU. CONTRACT: See reason "K" for details. PATIENT INCONVENIENCE~ Fee is adjusted because of overbooking, need to reappoint, extremely long treatment or any similar situation. PRIOR FEE QUOTE: If treatment continues into 2nd or 3rd year or an incorrect procedure is treatment-planned, a lower fee may have been quoted. PI~EVIOUSLY CHARGED= Only NC accep=ed~ To be used when procedures are par~ of the initial treatment; e.g. denture adjustment within first year~ when non-adjacent teeth within sam. quadrant are treated; x-rays necessary for completion of treatment. COMPLEXITY: Fee may be adjusted up or down, when procedure is more or less difficult or when patient management requires special handling. REMAKE/RE-TREATMENT: Only NC accepted! For use when =he procedure or treatment must be redone. If treatment is to be charged a reduced fee, another reason should be used. BOARD PROCEDURE= Permits a Board procedure to be completed a~ NC. DIVIDED PROCEDURE/FEE= When fee is divided between. 3rd par=y/personal or insurance/personal, a con=fact code (99980} with "D" will be used for par= of the total fee. A second transaction will enter completed procedure codes with adjusted fees for reason "K". RESEARCH: Allows practitioners doing clinical research to adjust fees for procedures that are a part of a clinical -85- 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: Cris Kinkead Agency Name: Domestic Violence Intervention Address: P.O. Box 3170 Phone: 319-354-7840 Completed by: Cris Kinkead/Sheri Gilds Approved by Chair Board: 1/1/98 - 12/31/98 4/1/98 - 3/31/99 7/1/98- 6/30/99 COVER PAGE Program Summary: 10/1/98- 9/30/99 X (Please number programs to correspond to Income & Expense Detail, i.e., Program 1, 2, 3, etc.) ~1~97 (date) PROGRAM I RESIDENTIAL SERVICES: Provide safe, 24 hour shelter and crisis line for victims of domestic violence and their children. Services include: referrals for housing and employment, in-service programs with area agencies, court advocacy, no contact order advocacy, hospital and social service advocacy, and law enforcement advocacy. Residential services include meeting basic needs such as food, clothing, and hygiene items. All DVIP staff and volunteers that provide direct services are wained according to Iowa Criminal Code 236. PROGRAM 2 CI:Y!I.DRENS PROGRAM: Provide 24 hour shelter for children accompanied by more. DVIP provides basic needs, such as school supplies, food, clothing, and other needed items. A children's play area is provided in both the main level and lower level of the shelter. Other services provided/supported/developed by the one child advocate on staff include the following: play and art therapy, field trips, play time, school advocacy, counseling, court advocacy, tutoring, support group and conflict resolution. All DVIP staff and volunteers providing direct services to children are a-ained according to Iowa Cril~inal Code 236. PROGRAM 3 COMMUNITY/EDUCATION:' DVIP provides community education, training, and informational presentations on domestic violence issues, services, intervention, and prevention. DVIP provides training to approximately 100 volunteers per year according to Iowa Criminal Code 236. PROGRAM 40UTREACI~: DVIP offers domestic violence services in the foBowing counties: Johnson, Jones, Cedar, Washington, and Iowa Counties. Iowa, Cedar and Washington Counties are staffed one day each week in donated office space, planning to increase hours. Jones County is staffed full time in Anamosa. The Johnson County Coordinal works full time. 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 service 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 landfalls. Furniture is donated, then distributed and delivered to families. Local Funding Summary : United Way of Johnson County - - Does Not Include Designated Gvg. City of Iowa City Johnson County City of Coralville -86- 4/1/96 - 4/1/97 - 4/1/98 - % of Total 3/31/97 3/31/98 3/31/99 Budget $40,912 $42,958 $50,261 7.80% FY97 FY98 FY99 ~ 46000 47984 52080 8.09% 46340 47340 53020 8.23% 2700 2700 3500 0.54% -1- AGENCY: Domestic Violence Intervention Program dDGET 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) 5, 6 7 8 a. Administration b. Program Total (List Progs. Below) 1. Residential Services 2. Children Community/Educational Services' Outreach: Johnson,Jones,Cedar,Iowa,& Washington Count Furniture Project ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR 7/96-6/97 7/97-6/98 7/98-6/99 416,511 600,915 643,689 -4,592 30,362 32,818 421,103 570,553 610,871 386,149 568,097 609,874 84,324 124,056 133,179 301,825 444,041 476,695 131,953 194,127 208,403 23,638 34,777 37,334 42,424 62,413 67,003 85,732 126,128 135,403 18,078 26,596 28,552 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: 220,061 371,294 535,535 123,600 125,700 127,300 587,700 561,300 534,900 * la. Column 1, Carryover Balance: DVIP operated at a loss last year due to several unforseen large expenses. Through community support and additional grant funds received, DVIP recovered from said loss during FY97, as reflected in Line 3, Column 1. *2b, item 3. Program entitled Community was changed to include Educational Services as part of the rifle. *6. Non-cash assets estimate based on a 4% depreciation rate, over a 25 year period. *F ~fiy describe how local funds were spent last year: Funus were used to help cover ,qalaries not covered by direct service grants. Funds were also used for utilities and supplies. -87- -2- AGENCY Domestic Violence Inte~ention Program 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. Jones County f. United Way of East Central Iowa 2. Grants - State, Federal, Foundations a. CDB GFLandfill b. Crime Victim c. Emergency Shelter d. Family Violence Prevention e. FEMA f. Violence Against Women g. VOCA 3. Net Sales Of Services (sources) a. Services b. C. 4. Net Sales of Materials (sources) a. Manuals b. Poetry Books C. 5. Contributions/Donations a. United Way Designated Giving b. Other Contributions 6. Special Events a. Iowa City Road Races b. Direct Mail, Newsletter c. Fine Art & Fun, Souper Bowl, etc 7. Interest Income 8. Other - List Below a. Sale of donated Vehicles b. Pop Sales c. Miscellaneous ACTUAL THIS YEAR BUlgETED NON- PROGRAM PROGRAM LAST YEAR PROIECTED NEXT YEAR DIRECTED 1 2 7/96-6/97 7/97-6/98 7/98-6/99 FUNDING Resident Svcs Children I 138,324l 144,4731 161,8611 57,8811 45,4161 12,516 46,340 47,340 53,020 18,466 14,243 3,770 46,000 46,500 52,080 20,023 14,973 3,578 41,423 44,783 50,261 19,392 14,450 3,418 2,700 2,700 3,500 0 1,750 1,750 800 1,000 1,000 0 0 0 1,061 2,150 2,000 0 0 0 180,900 [ 354,144 [ 372,210[ 45,666 [ 136,734[ 20,000 17,500 23,137 25,650 0 0 0 78,165 77,166 77,166 17,166 0 20,000 19,0t10 23,000 23,000 11,500 11,500 0 10,188 31,929 26,160 0 0 0 2,617 7,851 5,234 0 5,234 0 16,205 30,061 28,000 0 0 0 37,225 161,000 187,000 17,000 120,000 0 1,0501 1701 5001 O[ OI 0 1,050 170 500 0 0 0 -288 8ool 1,ooo I o l o l o 240 800 1,000 0 0 0 48 0 0 0 0 0 34,6881 29,7531 29,700 I 14,3951 12,4871 8181 26,882 21,001 21,000 14,395 3,787 818 62,376 ] 40,0001 45,0001 15,4001 14,000[ 4,000 5,031 5,000 5,000 4,000 0 0 32,851 15,000 15,000 0 10,000 4,000 24,494 20,000 25,000 1 .,400 4,000 0 3041 3001 300l 3001 01 01 3,1731 9131 3001 3001 0l 0 3,100 600 0 0 0 0 73 313 300 300 0 0 0 0 0 0 0 0 TOTAL INCOME (same as p. 2, line lb) 421,103 570,553 610,871 133,942 208,637 37,334 Notes and Comments: *2d. Family Violence Prevention has increased funding to DVIP for direct service staff. FY98 reflects grant overlap due to changing of grant fiscal year. *2e. *2f. -88- *2g. FEMA projected higher for current fiscal year due to late payment for FY97 received in FY98. Violence Against Women has increased funding to DVIP for Jones County Program. FY98 reflects grant overlap due to changing of grant fiscal years. VOCA has increased funding to DVIP for direct service staff. FY98 includes increase for some supply and equipment purchases. INCOME DETAIL (cont) AGENCY Domestic Violence Intervention Program PROGRAM PROGRAM 3 4 Comm/Ed. Outreach 1. Local Funding Sources- I 32,343 I 10,803 a. Johnson County 11,038 2,601 b. City of Iowa City 10,905 2,601 c. United Way of Johnson County 10,400 2,601 d. City of Coralville 0 0 e. Jones County 0 1,000 f. United Way of East Central Iowa 0 2,000 2. Grants - State, Federal, Foundations I 31,160 I 113,000 a. CDBG/Landfill 0 0 b. Crime Victim 0 40,000 c. Emergency Shelter 0 0 d. Family Violence Prevention 16,160 10,000 e. FEMA 0 0 f. Violence Against Women 0 28,000 g. VOCA 15,000 35,000 3. Net Sales Of Services (sources) I 500 0 a. Services 500 0 b. C. 4.. Sales of Materials (sources) I 1,000 I 0 a. Manuals 1,000 0 b. Poetry Books 0 0 C. 5. Contributions/Donations [ 0 [ 2,000 a. United Way Designated Giving 0 0 b. Other Contributions 0 2,000 6. Special Events [ 2,0001 9,600 a. Iowa City Road Races 0 1,000 b. Direct Mail, Newsletter 1,000 0 c. Fine Art & Fun, Souper Bowl, e' 1,000 8,600 7. Interest Income I 8. Other- List Below I 0 ] a. Sale of donated Vehicles 0 b. Pop Sales 0 c. Miscellaneous 0 67,003 135,403 TOTAL INCOME (same as p. 2, line lb) Notes and Comments: PROGRAM PROGRAM PROGRAM 5 6 7 Fum Proj. 2,9021 , 2,902 0 0 0 0 0 25,6501 0 01 25,650 0 0 0 0 0 0 ol ol ol 0 PROGRAM 8 0 0 0 I ol ol ol 0 0 ol ol ol I ol ol ol 0 0 0 I I I ol ol ol 0 0 0 28,552 0 0 0 0 ol -3a- -89- PROGRAM EXPENDITURE DETAIL AGENCY Domestic Violence Interrvention Program ACTUAL THIS YEAR BUDGETED ADMINISTRA- LAST YEAR PROJECTED NEXT YEAR TION 7/96-6/97 7/97-6/98 7/98-6/99 1. Salaries 246,351 373,309 420,900 81,594 2. Employee Benefits & Taxes 38,620 64,428 70,000 13,570 3. Staff Development 3,493 11,722 6,000 0 4. Americorps, Work Study 2,008 9,638 3,500 0 5. Publications & Subscriptions 143 144 144 0 6. Dues and Memberships 366 600 650 650 7. Mortgage, Rent and Property Tax 450 2,100 2,400 0 8. Building Maintenance 3,002 7,913 6,000 2,000 9. Equipment Purchase/Rental/Maint. 12,101 19,414 15,000 10,000 10. Utilities 16,242 16,427 17,500 3,000 11. Telephone 11,105 11,443 12,000 2,685 12. Office Supplies & Postage 6,661 8,678 10,000 5,000 13. Printing and Publicity 1,027 700 1,000 1,000 14. Local Transportation 5,385 8,412 7,500 0 15. Insurance 12,367 12,168 13,500 2,000 16. Audit 2,670 3,560 3,560 3,560 17. Interest 1,045 80 120 120 18. Other (Specify): 19. Direct Aid 670 795 900 0 20. Children's Restricted Expenditures 4,278 0 0 0 21. Food 1,135 1,141 1,200 0 22. Fundraising Expenses 11,124 17,626 17,500 7,500 23. Miscellaneous 190 830 500 500 24. Contracted Labor 2,623 0 0 0 25. Flood Control/Reimbursement 3,093 (3,031) 0 0 TOTAL EXPENSES ( p. 2, line 2) 386,149 568,097 609,874 133,179 Notes and Comments: PROGRAM PROGRAM 1 2 Resident Svcs. Children 149,487 24,461 24,862 4,068 2,660 455 750 2,000 144 0 0 0 0 0 4,000 0 0 0 10,000 3,000 4,900 850 1,500 500 0 0 0 0 6,000 1,500 0 0 0 0 900 0 0 0 1,200 0 2,000 500 0 0 0 0 0 0 208,403 37,334 *3. Column 2. Staff Development includes monies allocated for National Conference during FY98. *9. Columns 2 & 3. Equipment: DVIP hopes to update current office equipment during FY98 and FY99. '17. Column 1. Interest paid on a loan taken out by DVIP to help in recovery of previous year operating loss. *25. Column 1 & 2. Hood insurance claim where expenses were paid by DVIP FY97 and reimbursed by insurance in FY98. -90- PROGRAM EXPENDITURE DETAIL (continued) ?RO~RAM Comm/Ed 1. aalaries 45,758 2. Employee Benefits & Taxes 7,610 3. Staff Development 850 4. Americorps, Work Study 0 5. Publications & Subscriptions 0 6. Dues and Memberships 0 7. Mortgage, Rent and Property Tax 0 8. Building Maintenance 0 9. Equipment Purchase/Rental/Maint. 5,000 10. Utilities 1,500 11. Telephone 1,585 12. Office Supplies & Postage 1,500 13. Printing and Publicity 0 14. Local Transportation 1,200 15. Insurance 2,000 16. Audit 0 I. Interest .~ 0 18. Other (Specify): 0 19. Direct Aid 0 20. Children's Restricted Expenditures 0 21. Food 0 22. Fundraising Expenses 0 23. Miscellaneous 24. Contracted Labor 25. Hood Control/Reimbursement TOTAL EXPENSES (p. 2, line 2) Notes and Comments: AGENCY Domestic Violence Intervention Program PROGRAM PROGRAM 4 5 Outreach Fum Proj 97,760 21,840 16,258 3,632 2,035 0 750 0 0 0 0 0 2,400 0 0 0 0 0 0 0 1,200 780 1,500 0 0 0 5,000 1,300 1,000 1,000 0 0 0 0 0 0 0 0 0 0 0 0 7,500 0 67,003 135,403 28,552 PROGRAM PROGRAM PROGRAM 6 7 8 0 0 0 -4a- AGENCY Domestic Violence Intmwention Prczr'z:: RESTRICTEl) FUNDS: Restricted by: A. Family Violence B. Crime Victim C. VOCA D. Emergency Shelter E. FEMA Restricted for: Prevention Direct Services, Supplies Direct Services, Supplies Utilities, Insurance Food, Household F. E. Central Iowa United Way Cedar, Jones, Iowa Counties G. CDBG/Landfill Furniture Project H. Violence Against Women Jones County Program I. Mortgage Building Mortgage Pamyents [[TOTAL RESTRICTED FUND (also shown page 2, line 4) MATCHING GRANTS Grantor/Matched by Emergency Shelter Salaries Family Violence Volunteer Hours @ $12.96 iVOCA Volunteer Hours @ $12.96 [TOTAL MATCHING GRANTS (also shown pg. 3, line 2) ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR 10,188 31,929 26,160 78,165 77,166 ' 77,166 37,225 161,000 187,000 38100 15000 161325 220061 [ 371294 I 535535 20020 24170 24170 9069 13080 13080 10250 43750 43750 39,339[ 81,0001 81,000 IN:KIND SUPPORT DF, TAII, Services/Volunteers 94,600 Material Goods 20,000 Space, Utilities, etc. 9,000 Other: (Please specify) i TOTAL IN-KIND SLIPPORT (also shown on page 2, line 4) [ 123,6001 Notes and Comments: *Restricted Funds, Item I, Colurn 3. Mortgage includes anticipated payoff in Dec. 1998. Direct Svc, Clerical Maintenance Food, Household John.sore Wash. C. edar.lowaz Offic~.Sun'age 96,000 97,600 20,600 20,600 9,100 9,100 125,700[ 127,300 -92- SALARIED POSITIONS AGENCY Domestic Violence Intervention Program lhat apply FT~* Salary Position ~. ~: ~ ~ Last This Next Actual This Budgeted Year Year Year Last Year Year Next Year Executive Direaor 48 x x 18% 1.00 1.00 1.00 32999 37,000 38,850 Financial Coord 48 x x 18% 0.90 1.00 1.00 18900 22,880 24,024 Shelter Coord-Days 48 x x 23% 1.00 1.20 1.20 24878 28,829 30,270 Shelter Coord-Nights 48 x x 23% 1.00 1.20 1.20 16858 19,968 20,966 Shelter Coord-W/end 48 x x 23% 1.00 1.20 1.20 14102 .19,968 20,966 Volunteer Coord 48 x x 18% 1.00 0.00 0.00 25000 0 0 Education Coord 48 x x 18% 1.00 1.00 1.00 0 25,750 27,038 Child Advocate 48 x x 18% 1.00 1.00 1.00 20276 23,296 24,461 Counselor 48 x x 18% 1.00 1.00 1.00 17784 20,800 21,840 Rural Outreach 48 x x 18% 0.75 1.00 1.00 12758 20,800 21,840 Rural Outreach 48 x x 18% 0.50 0.75 0.75 9340 11,232 16,640 Shelter Coord-Fri 0.00 0.25 0.25 0 5,616 5,616 Shelter Coord-Fri 0.00 0.25 0.25 0 5,616 5,616 Shelter Coord-PT 0.15 0.25 0.25 3630 5,616 5,616 lter Coord-PT 0.10 0.25 0.25 1431 5,616 5,616 Shelter Coord-Eve 48 x x n/a 0.75 0.00 0.00 13,537 0 0 Shelter Coord-Days 48 x x n/a 0.25 0.00 0.00 5,561 0 0 Furniture Project 48 x x 18% 0.60 1.00 1.00 13,598 20,800 21,840 Furniture Project 7 x x n/a 0.15 0.00 0.00 2,483 0 0 Maintenance 5 x x n/a 0.10 0.00 0.00 1,863 0 0 Office Coord 48 x x 18% 0.00 0.75 1.00 0 14,040 18,720 Supervisor 48 x x 18% 0.00 0.75 1.00 0 18.750 25,000 Shelter Coord 48 x x 18% 0.00 0.75 1.00 0 14,040 18,720 Volunteer Coord 48 x x 18% 0.00 0.75 1.00 0 14,040 18,720 Comm. Outreach Crd 48 x x 18% 0.00 0.75 1.00 0 14,040 18~720 Rural Outreach 48 x x 18% 0.00 0.75 1.00 0 14,040 18,720 Subs 11,353 10,572 11,101 % Change 5% 5% 5% 5% 5% 0% 5% 5% 5% 5% 48% 0% 0% 0% 0% 0% 0% 5% 0% 0% 33% 33% 33% 33% 33% 33% TOTAL FTE's and SALARIES I 12 17 18 246,351 373,309 420,9001 * Full-time equivalent: 1.0--full-time: 0.5=half-time; etc. 17% -6- -93- AGENCY: DOMESTIC VIOI,ENCE INTF, RVl~,NTION PROGRAM ACCOUNTA1HI,ITY QUESTIONNAIRE A. Agency's primary. purpose: The primary. purpose of the Domestic Violence Intervention Program (DVIP) is to make comprehensive 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. religions 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 Directors. 2. Frequency of meetings: Board meets monthly. Committee meetings - at least once monthly and more if needed.. 3. Briefly describe board orientation and ongoing training opportunities: Board orientation is complete within one month of becoming a board member. A new board member meets with an interview team. is voted into membership then meets with the Executive Director. The Executive Director gives the board member a tour of the shelter. a history. of DVIP, a board manual and a brief training. The board manual includes items such as: Board roles & responsibilities. committee job descriptions, confidentiality. statement, and conflict of interest statement etc. etc. Continued training about the agency is offered 3 to 4 times a year. Board informational materieals are also offered on a monthly basis. FINANCES: 1. If your agency charges a fee for services, describe your fee structure. N/A 2. Does your agency have an_internal audit, external audit or a financial review? external. 3. Has your agency filed an annual report with the Secretary of State? Yes 4. Has your agency filed Form 990 with the IRS? Yes 5. 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 (last year's event was held April 5th). Fine PaX and Fun is a combination silent auction of fun items and baskets and a live auction of fine art. Hospice Road Race: DVIP staff, board. and volunteers participate in the Iowa Ci~~ Hospice Road Race each year. Those who participate help collect pledges for the event. 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. 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. -94- ]xv Laura Hill Susan Horowitz Amy ~ Suzanne Koury Irene Malenda Dean Stockman Elena Pesek Jerry Vanni Address 193 Bon Aire Iowa City, IA 52240 1129 Kirkwood Ave Iowa City, IA 52240 15 WooIf Ave Iowa City, IA 52246 919 DeForest Ave Iowa City, IA 52240 305 Pleasant View Drive NE Solon, IA 3676 Blackhawk Ave SW Oxford, IA 52322 407 Bowery #2 Iowa City, IA 52240 401 Kimball Rd Iowa City, la 52245 Phone Home 351-4170 354-4225 358-9414 not after 9PM 354-0199 644-2999 628-4400 358-6886 338-5628 Phone Work 338-2135 335-4846 356-7216 679-2291 356-58161 E-Mail Kyrti~aol.com Fax (ICARE) 341-9828 al~oke~uiowa.edu Suz. Koury~aol.com SBREESE203.com Lena~avalon.net Domestic Violence Intervention Program P.O. Box 3170 Iowa City, IA 52244 351-1043 Committee Personnel Fund Raising Fund Raising Personnel Finance Fund Raising Personnel Finance Office Held Chair Personnel Chair; Chair Fund Raising Chair Finance Vice Chair Secretary 7a -95- AGENCY: DOMESTIC VIOLENCE INTERVENTION PROGRAM 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.) Unit of service Shelter-24 hour crisis shelter for victims of domestic violence; Crisis line Individual Crisis Counseling: Support Group no-contact order advocacy Other advoca~, (law. medical. soc. service, financial. housing etc.) Length Cost # of Units 60 - 80 days 12.15 per night 5,578nights (348 people) 1/2 hour 6.97 per call 17,700 calls (8,850 hours) 1 to 2 hours 39.69 per hour 614 People (921 hours) 6hrs each wk. 35.40 per hour 438 people (312 hours) 3 hours 9.27 per hour 88 people (264 hours) 2 hour .. 10.04 per hour 490 people (980 hours) TOTAL DIRECT (face to face) SERVED: 1,978 women, children and men. 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 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 FY96 N/A 648 N/A 508 NA 77 1,735 648 FY97 N/A 1,007 N/A 670 N/A 76 1,978 1,007 5. Other Areas Served: Do you provide services to areas outside of Johnson County ? Areas Served: Washington~ Iowa, Cedar and Jones County. Yes Services Provided? All shelter services are served in Johnson Count).'. Other serxqces such as court. law enforcement. medical, Crisis counseling, support groups, and no-contact orders are served in the local county. Referrals arc made to appropriate 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 count' two days per week and Jones Co. 4 days per week -96- 8 AGENCY: DOMESTIC VIOLENCE INTERVENTION PROGRAM 6. Client Profile (for last complete year, ff available): * Includes shelter residents only. *AGE 'M~elter o~y *GENDER ~helter o~iy *ETHNICITY 0 - 5 83 M 84 African American 6 - 17 73 F 261 Native American 18 - 29 88 UNKNOWN 3 Asian 30 - 61 101 Hispanic 62 - 75 0 White 75+ 0 Multi - racial UNKNOWN 3 Unknown Evaluation and Review: Please discuss how your agency measures the success of its programs. 1. A written evaluation from residents as they. depart from shelter. 2. Focus groups with exresidents of shelter program. 3. Yearly staff and program goals, meetings, and retreats. 4. Board retreats shelter only 123 4 4 16 198 0 3 DVIP also offers a wide range of in-service meetings that will help in the success of resident goals. Man), local agencies have participated by. coming to the shelter on a monthly basis to facilitate an hour long group about what the5' 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, Emma Goldman, Civil Rights Depart., SAFE Foundation, Dept. of Health, Life Skills, and Uof I diversity training and local law enforcement. Other agencies that DVIP work closely with include: Neighborhood Centers, RVAP, MECCA and Commumty Mental Health. B. Does your agency have performance objectives? (give several examples). 1. DVIP will utilize volunteers, offering 4 trainings per year according to Iowa Criminal Code 236. 2. DVIP will continue to keep statistical data on the number of victims served in shelter, support group, counseling, court and other advocacy.. 3. DVIP will offer each shelter resident evaluation forms to complete upon departure from the shelter. 4. The DVIP Board of Directors will hold at least one board retreat in FY98 to work on annual strategic planning. C. What plans does your agency have to increase efficiency and effectiveness? 1. During FY98 DVIP will be hiring 5 new staff positions with increased funds from the Victim Of Crime Act Grant. These positions include: 1) Supervisor of direct service staff, 2) Office Coordinator. 3) Education Director. 4) Shelter Coordinator 5) Police/Court Advocate. It is the opinion of the board and current staff that these positions will lend greater efficiency in services. As supervisor3' and support staff are added the agency director will no longer provide direct services and will direct her attention to overall agency goals. In addition, direct service staff will have additional support to provide direct services. 8. In what ways will the needs of your service population change in the next five years? 1. The Iowa Coalition Against Domestic Violence ( which includes membership from all the domestic violence programs in Iowa) have worked together to legislate laws toward better protection for victims of domestic violence. These laws, such as mandator3' arrest and permanent no-contact orders were in part meant to keep victims and their children in their homes so the)' would not have to relocate to shelters. This goal of course works for some people but not for all. Over the course of four years DVIP has seen a decrease in victims seeking shelter, however an increase in those seeking outreach services. While National and State Coalitions Against Domestic Violence work on Welfare Reform issues that give provision to battered women, DVIP is anticipating that shelter numbers will again increase as more and more women are taken off the welfare roles. 2) As the Violence Against Women Act has been passed with provisions to protect inuregrant women who are battered by their partner, DVIP has recently worked with many more immigrant women than in the past. It is estimated that these numbers will double as the word spreads about these protection laws. -97- AGENCY: DOMESTIC VIOLENCE INTERVENTION PROGRAM 9. Please discuss any other problems or factors relevant to your agency's programs, funding or service delivery: The last two years the DVIP Board of Director's and the Executive Director has worked on DVIP's cash flow problem. The first haft of the fiscal year tends to be extremely tight as many of our grants are reimbursement grants and need to be spent before reimbursed. DVIP developed a two year goal to carD' over $20,000 to help meet expenses in the first half of it's fiscal year. That goal has been realized. As budget FY98 began DrIP was on target with it's annual budget. A continual assessment of how much of a contingency we will need is a task of the DVIP Board's Financial Committee. 10. List concerns or complaints about your services of which you are aware. Shelter residents often complain that shelter rules are difficult to follow. Rules such as a no spanking policy, no smoking in the building. and curfew get the most complaints from residents. DVIP facilitate three house meetings per week to discuss issues such as rules. While DrIP is sensitive to women's needs to live as the).' normally would. we recognize the need for rules in a communal .type setting as well. 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? DVIP periodically cames a waiting list, however all people who call for shelter are referred to other shelters that do have openings. Residents situations, departure dates, and danger level are assessed before placing anyone on a waiting list or referring clients to another shelter. DVIP has obtained grant funds to hire additional shelter staff. which in turn will allow us to increase capaci .ty. These funds are said to be available until the year 2000. How many people are currently on your waiting list? 7 12. In what ways are your agency's services publicized? Phone Book Local News Stations Human Services Resource Guide Newsletter Volunteer Alert Radio Brochures 13. United Way involvement by your agency: (check if agency participates) a. Agency Directors Meetings X b. Agencies Representative to Funding Heanngs c.. Business Blitz X d Day of Caring X e. Executive Development Seminars f. Kick Off X g. Victor).' reception X h. Volunteer Action Center i. Other Business Breakfast -98- 10 AGENCY !~IgTORY - DOMESTIC VIOLENCE INTERVENTION PROGRAM The Domestic Violence Intervention Program really began as a grassroots, volunteer run program in 1976 and 1997. 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, their crucial need for safe housing, 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. By 1978 the communities need for a safe place where battered women could come to access services had become obvious, and in May of 1979, Aid and Alternatives to Vi~ims of Spouse Abuse was born. The Crisis Center took over the service provision role from WRAC until the Domestic I~mlence Intervention Program (DVIP) shelter officially opened in October of 1980. The shelter was partially funded by the United Way, the City of Iowa City, Johnson County, and the Community Development Block Grant Prograu~ A first year budget of $29,000 provided battered women and their children emergency housing, counseling, and a 24-hour crisis hotline. In 1982 we added a staff position to help meet the needs of children, who frequently accompanied their mothers in the shelter. For the next several years the agency struggled to survive. In 1984 we were forced to expand into the remaining floor of the structure we occupied and forego rental income the space generated. In 1985 DVIP underwent a major renovation to better utilize our space. In 1986 we received significant funding from the State of Iowa and added another staff position to provide group counseling and increase outreach and community education. That was the same year that the mandatory arrest law took affect, which entirely changed the community's perception of the prevalence of domestic violence. The arrest rate went from 9 to 54 during a six month period, and we experienced a 300% increase in requests for service. At the same time we worked with other community. based organizations to begin a men's program for perpetrators of domestic violence. The unique coalition that DVIP formed with the County Attorney's Office, law enforcement officials, and community agencies served as a statewide model for comprehensive service delivery to battered women and their children. During 1988 and 1989 the average stay for residents was 20 days, and the majority of the children residing in the shelter were 5 years old and under. The shelter's peak period for occupancy was established to be from August to October and April to May. In 19~1, we received additional state funding to expand our outreach and services beyond Jolmson County to Cedar, Iowa, and Washington Counties. Additionally, we expanded efforts to meet glaring need for systems advocacy to help battered women navigate beyond the criminal justice system. With six paid and 50 volunteer staff we have continued to maintain a high level of service. This was the year that DVIP launched a Capitol Campaign drive to raise money to build a new and bigger shelter. In 1993 we moved into the new shelter. This building is a fifteen bedroom facility, offering lots of living space for women and children. The budget has grown to $280,000. In 1995 the Women Against Violence Act was enacted and DVIP received funding to add Jones County to it's service area. Today DVIP has 16 full-time staff. Our budget has grown to $522,000 (almost double from 1993!). The average length of stay is 30 days for women and children. At least 50% of the children range from 2 to 11 years old. DVIP provides temporary counseling, support, advocacy, and shelter while women are making these decisions. Women often have multiple needs, from food, clothing, medical care, child care, housing, and furniture. Since our beginning in 1980, DVIP has served over 15,~00 women and children. In 1997 we served 28 to 40 women and children each day. 11 -99- AGENCYDomestic Violence Intervention Program GOAL: To provide free for battered women and their children, confidential safe shelter, counseling, support groups, phone counseling and education about the .dynamics of domestic violence in Johnson, Cedar, Iowa, and Washington and Jones Counties. As man)' women'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. OBJECTIVE A: DVIP will continue to provide leadership to the Johnson County Coalition Against Domestic Violence (JCCADV). TASKS: 1. Will continue to provide a DVIP representative to the JCCADV monthly meetings. 2. DVIP's representative will participate on at least one JCCADV committee. 3. DVIP representative will actively recrmt other ~igencies and persons who would be appropriate for this coalition. OBJECTIVE B: To provide shelter to 150 battered women and 200 of their 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 socioeeonomic classes, and without discrimination to people with disabilities or who are otherwise disadvantaged. TASKS: 1. To maintain accountability to women, board and community by remaining staffed 24 hrs. a day. 2. Provide training set by Iowa cnminal 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. OBJECTIVE C: In 1998, provide an estimated 1,500 women with 24 hour access to domestic abuse crisis line. TASKS: 1. Train staff and volunteers about domestic violence, needed referrals, options etc., four times yearly in FY98 2. To continue utilizing volunteers on an on call basis and provide volunteers with a beeper. 3. To maintain call forwarding option on phone service. 4. Train and update staff/volunteers with community information and referrals as well as commumty resources. 5. Maintain the 1-800 hotline for FY98. -100- 12 DOMESTIC VIOLENCE INTERVENTION PROGRAM OBJECTIVE D: DVIP will serve an estimated 300 women in a support group setting in FY98. 1. DVIP 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. OBJECTIVE E: To provide 350 women with counseling sen,ices; to include supportive short term counseling, information on domestic violence, referrals to community. resources, and to address their 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. OBJECTIVE F: To educate the commumty about problems facing women who are victims of domestic violence; including sem~ces 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 m train their personnel about the dynamics of domestic abuse. OBJECTIVE G: To provide services that address the needs of children affected by violence and offer parents support and alternatives to physical punishment. TASK: 1. To provide activities for children in shelter to help build self-esteem, teach conflict resolution skills and to address developmental needs. 2. To work closely with the public school system so that children's needs are being met educationall)' as well as emotionally while child is dealing with crisis. 3. Maintain a safe space for children in shelter for actix4ties and groups. 4. To address parent concerns and children's needs as part of intake and planrang 5. To offer support groups for children in shelter with a trained facilitator. 13 -~01- DOMESTIC VIOLENCE INTERVENTION PROGRAM OBJECTIVE H: DVIP will substantially lower it's mortage by. December 1998. TASKS: 1. DVIP will develop a strategic plan to pay the mortage by Dec. 1998. 2. DVIP Board of Director's will commumcate with assigned contacts in an effort to raise funds to pay the mortgage. 3. The DVIP Board Chair and Executive Director will work m partnership to train new board members about DVIP% final phase of it's campaign. OBJECTIVE I: DVIP will participate in the Iowa City's newly formed Domestic Violence Response Team (DVRT). TASK: 1. By November 1997 DVIP will hire and train a staff person who will work directly with the Domestic Violence Police Investigator, the Domestic Violence Prosecuting Attorney and the Batterer's Education Program. 2. DVIP along with the Police Investigator will follow up on domestic violence police calls, offering support to the victim in each case. 3. DVIP staff will offer court advocacy to victims - walking the victim through any court proceedings they. may need to attend as a result of being victimized. OBJECTIVE J: DVIP will particpate in discussion and decisions about state certification for victim service providers. TASKS: 1. DVIP will participate in monthly state coaliton meetings about the certification process. 2. DVIP will offer it's vote when the time comes about the certification procedures for all domestic violence programs in Iowa. 3. DVIP will participate in research of other state's procedures for certification. OBJECTIVE K: To pro~"ide free furrefute to people who do not have the resources to purchase such furmture on their o~v~t. TASK: 1. To make commumty 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 deliver),- of furniture. 3, To continue to nem'ork with area agencies to help meet furmture needs in the Jol~son Counts.' area. -102- 14 DOMESTIC VIOLENCE INTERVENTION PROGRAM OBJECTIVE L: To continue to seek resources for staff through the 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. ORJ~.CTIVI~. M DVIP does and will continue to network with area agencies as needed for community education, resident and clientele needs, and toteragent3' 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 commtmity functions, including other Untied Way Agency functions, City and County functions as well as most United Way functions. 3. DVIP Will continue to operate as a lead agency in the Local Coalition Against Domestic Violence m the effort to offer safe, comprehensive services to battered women working with the many local agency and individual members. DVIP will continue it's training/education efforts in the community including participating in the Crisis Center's training and the Women's Resource and Action Center's training. DVIP will continue to participate in two 3 hour Social Work Classes teaching about the basic Domestic violence issues on a semester basis. DVIP will continue to ask area agencies to participate in shelter in-service meetings for residents about what their agency helps do and how to access those services. DVIP will continue to make any 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. ORJECTIVE N: DVIP Board of Directors will develop. plan, and host fundraising events in FY98. TASKS: 1. Will indentif3..' fundraiser (s) to replace the DVIP Annual Fine Art and Fun ~' September 1997. 2. Will participate in monthly or bi-monthly planrang meetings for said events. 3. Will assist in recruiting volunteers for fundraising events. 4. Will record chronological order of evems to include: tasks, antisipated completion of task, contact names. etc. etc. 15 -103- 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 1/1/98- 12/31/98 4/1/98- 3/31/99 7/1/98- 6/30/99 X Director: Agency Name: Address: Phone: Jean H. Mann Elderly Services Agency 28 South Linn 356-5217 Completed by: ,/'7 J~an hi. Mamk Approved by Chair Boar 10/1/98- 9/30/99 (date) COVER PAGE Program Summary: Program 1: Program 2: Program 3: Program 4: Program 5: (Please number programs to correspond to Income & Expense Detail, i.e., Program 1, 2, 3, etc.) Chore refers workers to be hired by elderly for care of the yard and house or for respite care. Low-income elderly can receive partial subsidization for heavy cleaning, snow removal and yard work. Assessment and Intervention/Shared Housing: A&I provides in-home assessments & referrals to case management, care plans & monitoring. SH links older people with tenants/services and provides oversight for these matches. Retired Senior Volunteer Proeram and Volunteer Coordination: RSVP provides seniors with a shopping list of opportunities for volunteer efforts, plus insurance, mileage and recognition. Volunteers work throughout the community at 90 different locations. We combine this program with the volunteer efforts of University students studying aging in school and volunteering through social/religious community organizations. Housing Repair: provides housing repairs and modifications to the homes of Iowa Citians to accommodate disabilities so that people can remain safely in their homes. Case Management/county facilitation: Coordinates team staffings for frailest elderly trying to remain independent, but certified as needing nursing home care. Reviews all team care plans runs meetings made up of 30-40 human service professionals on the team, figures waiver costs submits for approval, and provides quality-assurance oversight for all agencies involved. Local Funding Summary: 4/1/96 4/1/97 - 4/1/98 - % of Total 3/31/97 3/31/98 3/31/99 Budget United Way of Johnson County - - Does Not Include Designated Gvg. City of Iowa City Jolmson County City of Coralville -104- $30,678 $35,000 $38,500 13.36% FY97 FY98 FY99 $55,105 $56,800 $58,500 20.30% $15.998 $28,998 $31.000 10.76% $1,500 $1,500 $4.000 1.39% -1- AGENCY: Elderly Services Agency ~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 Chore 2 Assessment & Intervention/Shared Housing 3 Retired Senior Volunteer Program/Volunteer Coordination 4 Housing Repair Case Management for the Frail Elderly · 6 7 ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR FY97 FY98 FY99 263,923 358,081 373,967 9,387 15,911 85,738 254,536 342,170 288,229 248,012 272,343 288,229 43,601 49,272 50,698 204,411 223,071 237,531 41,349 42,597 42,548 32,717 43,881 46,572 35,637 42,614 44,349 38,905 31,213 34,402 55,803 62,766 69,660 3. ENDING OPERATING BALANCE (Subtract 2 - 1 ) 4. RESTRICTED FUND BALANCE (Total from page 5) 5. IN-KIND SUPPORT (Total from Page 5) 6. NON-CASH ASSETS Notes and Comments: 15,911 II 85,738 85,738 105,811 198,600 205,151 154,980 156,640 156,640 17,677 14,000 12,000 The actual ending balance in column 1 is made up of operating funds, and for FY98 and FY99, $69,827 in reserve We will use the interest to support the new staff position (office assistant) which we filled in September, 1997. ':'Briefly describe how local funds were spent last year: Iowa City's allocation went for 90% of the Director's salary and 70% of the Chore Coordinator's salary. The CDBG money for housing repair went to contractors, a construction consultant and office expenses Johnson County paid a percentage of all our programs, as did United Way. Coralville money was used for chore and housing repair for people in Coralville. -105- 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. f. 3. Net Sales Of Services (sources) a. b. C. 4. Net Sales of Materials (sources) a. RSVP afghans/pillows b. ¢. 5. Contributions/Donations a. United Way Designated Giving b. Other Contributions 6. Special Events a. Iowa City Road Races b. (2. 7. lnterest Income 8. Other - List Below a. Shared Housing fees b. Miscellaneous ACTUAL THIS YEAR BUDGETED NON- LAST YEAR PROJECTED NEXT YEAR DIRECTED FY97 136,523 15,998 55,105 31,765 1,500 32,155 FY98 FY99 FUNDING 151,173I 162,000I 50,698I 28,998 31,000 56,800 58,500 39,575 35,875 38,500 11,123 1,500 4,000 28,000 30,000 93,310 84,624 8,686 94,573 99,124I 94,573 99,124 0 0 0 PROGRAM 1 Chore 29,925 11,000 18,925 11,824 11,824 0 01 0 0 3,168 3,168 3,800I 4,235 3,800 4,235 19,704 2,964 16,740 531 531 87,446I 17,574 3,600 3,574 83,846 14,000 1,000I 1,000 1,000 1,000 0 799 0 799 0 0 648 651 160 491 4,028I 4,150 150[ 146 150 146 0 0 0 PROGRAM 2 A&I/SH 27,626 4,055 0 23~571 18,800 18,800 146 146 iTOTAL INCOME (same as p. 2. line lb) 254,536 342,170 288,229 50,698 42.548 46.572 Notes and Comments: [Beginning in FY98, $11,000 allocated for the subsidized chore program comes directly from the County, without 06- State Department of Health's costing procedures attached to it. 3 AGENCY Elderly Services Agency INCOME DETAIL (cont) 1. Local Funding Sources- a. Johnson County b. City oflowa 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. JC HD Subsidized Chore~ C. d. e. f. 3. Net Sales Of Services (sources) PROGRAM 3 RSVP 13,284 9,284 3,806 194 14,000 14,000 01 PROGRAM 4 IC Hse Rep I 33,806 0 3,806 30,000 PROGRAM 5 CMFE 6,661 6,661 54,500 54,500 01 PROGRAM PROGRAM 6 7 b 4. Net Sales of Materials (sources) a. RSVP afghans/pillows 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. Shared Housing fees b. Miscellaneous ! C. L INCOME (same as p. 2. linelb) Notes and Comments: 4,235 4,235 0 01 12,008 I 596I 4,171 1,979 1,595 10,029 596 2,576 822I 0{ 178 822 0 178 I I 4,'s° I ol ol ol 0 0 44,349 34,402 69,660 'Beginning in FY98, $11,000 allocated for the subsidized chore program comes directly from the County without State Department of Health's costing procedures at_ta3¢ah_ed to it. -107- PROGRAM 8 I PROGRAM EXPENDITURE DETAIL AGENCY Elderly Services Agency ACTUAL THIS YEAR BUDGETED ADMINISTRA- PROGRAM LAST YEAR PROJECTED NEXT YEAR TION 1 FY97 FY98 FY99 Chore 1. Salaries 143,100 167,115 176,116 25,490 29,000 2. Employee Benefits & Taxes 24,185 32,061 34,444 4,942 4,281 3. Staff Development 394 1,500 2,000 400 100 4. Professional Consultation 4,406 4,648 5,000 5,000 5. Publications & Subscriptions 64 100 100 100 6. Dues and Memberships 428 462 500 325 7. Mortgage, Rent and Property Tax 8. Building Maintenance 9. Equipment Purchase/Rental/Maint. 12,278 3,61 I 3,200 826 t 0. Utilities 11. Telephone 2,672 3,350 3,500 395 330 12. Office Supplies & Postage 4,737 6,000 6,439 1,001 759 13. Printing and Publicity 2,361 3,200 3,400 349 14. Local Transportation 2,784 5,444 5,400 720 78 15. Insurance 4,601 4,739 5,000 4,600 16. Audit 2,900 3,000 3,200 3,200 17. Interest 18. Other (Specify): see notes 19 Program Expenses 7,517 1,581 1,650 650 20 Miscellaneous 267 198 200 200 21 Contractors/Hse Rep 27,339 25,234 27,580 22 Subsidized chore 6,367 8,000 8,000 8,000 23 Fund raising costs 1,612 2,100 2,500 2,500 24 25 TOTAL EXPENSES ( p. 2, line 2) Notes and Comments: 4. 6. 19. 21. PROGRAM 2 A & 1/SH 34,708 7,854 5OO -108- 611 355 1,154 407 983 Includes mailing cost for FR letter and $1.100 to Riverside Theatre to buy house for a fund raiser. -4- Professional Consultation: Accounting fee paid to Great Balancing Act Includes NASW fees, state license costs, RSVP lobbyist (required by contract) Donations spent on client needs; RSVP costs, ads for shared housing, equipment rental, fees for JC Fair, refreshments for open house/Sr. Cntr. Payments to independent contractors for housing repair/modification throughout the county Client reimbursements for chore work 248,012 272,343 288,229 50,698 42,548 46,572 2. 3. 4. 5. 6. 7. 8. PROGRAM EXPENDITURE DETAIL (continued) PROGRAM 3 RSVP Salaries 32,836 Employee Benefits & Taxes 4,917 Staff Development Professional Consultation Publications & Subscriptions Dues and Memberships Mortgage, Rent and Property Tax Building Maintenance 9. Equipment Purchase/Rental/Maint. 10. Utilities 11. Telephone 12. Office Supplies & Postage 13. Printing and Publicity 14. Local Transportation _ ~. Insurance 16. Audit 17. lnterest 18. Other (Specify): see notes 19 Program Expenses 20 Miscellaneous 21 Contractors/Hse Rep 22 Subsidized chore 23 Fund raising costs 24 25 175 AGENCY PROGRAM PROGRAM 4 5 lC Hse Rep CMFE 5,136 48,946 800 11,650 1,000 124 39 1,600 600 420 1,400 1,097 200 2,228 1,600 194 850 1,600 33 1,986 -400 1,000 27,580 Elderly Services Agency PROGRAM PROGRAM PROGRAM 6 7 8 TOTAL EXPENSES (p. 2, line 2) Notes and Comments: 4. 6. 19. 44,349 34,402 69,660 Professional Consultation: Accounting fee paid to Great Balancing Act Includes NASW fees, state license costs, RSVP lobbyist (required by contract) Donations spent on client needs; RSVP costs, ads for shared housing, equipment rental, fees for JC Fair, refreshments for open house/Sr. Cntr. 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. - 4a - 0 0 0 -109- AGENCY Elderly Services Agency RESTRICTED FUNDS: Restricted by: Bd Supervisors/Jo Co Health Dept 1A Dept Elder Affairs Iowa City Heritage AAA Board of Directors Restricted for: Subsidized Chore RSVP IC Sm Housing Repair Chore Assessment & Intervention Case Management Purchase of computers Support salary/office asst. ITOTAL RESTRICTED FUND (also shown page 2, line 4) ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR FY97 FY98 FY99 8,686 11~000 11,000 12,502 14,000 14,000 32,155 28,000 30,000 9,072 11,824 11,824 11,410 13,410 14,000 20,986 50,539 54,500 11,000 0 0 0 69,827 69,827 105,8111 198,600 205,1511 MATCHING GRANTS~ Grantor/Matched by IA Dept Elder Affairs (RSVP) Iowa City: Hse Rep Heritage AAA: Chore Heritage: Assess & Inter. Heritage: Case Management TOTAL MATCHING GRANTS: Local funders Local funders Local funders Local funders Local funders SEE NOTES 15,507 13,357 13,090 3,582 920 3,806 19,949 30,773 29,925 19,359 20,136 27,626 25,238 9,879 6,661 83,6361 75,065 81,108 IN-KIND SUPPORT DETAIL Services/Volunteers: home visits/chore help/community service2 Material Goods: 146,340 148,000 148,000 Space, Utilities, etc.: Senior Center office space 8,640 8,640 8,640 Other: (Please specify) TOTAL IN-KIND SUPPORT (also shown on page 2, line 4) 154.980 156,640I Notes and Comments: ~ does not match page 3, line 2; RSVP matched by United Way and Johnson County funds; Housing Repair matched by Coralville Case Management matched by Johnson County & Coralville -Services/Vol's: 156,640 Chore, Jo Co & Iowa City; Assessment & Intervention: U. Way' & Johnson Co. FY97:918 hrs ~$10/Practicum Student; 24,390 hrs~ $6 by general volunteers. -110- - 5 - SALARIED POSITIONS AGENCY Elderly Services Agency Position "X" those that apply Last Year Executive Director 32 X X 18% 1.00 Chore Coordinator 25 0 X 13% 1.00 RSVP/Volunteer Coordinator 32 0 X 13% 1.00 Case Management Facilitator~ 22 X X 21% 1.00 SH/Assessment & Intervention 25 X X 20% 1.00 Office Assistant-' 22 X X 23% 0.00 Housing Repair Project Coord. 0 0 0 8% 0.04 FTE* Salary This Next Actual This Budgeted % Year Year Last Year Year Next Year Change 1.00 1.00 39,500 43,000 44,720 4.00% 1.00 1.00 26,500 27,700 29,000 4.69% 1.00 1.00 27,000 29,500 30,600 3.73% i.00 1.00 23,100 24,750 27,000 9.09% 1.00 1.00 24,500 26,500 28,000 5.66% 0.65 0.75 0 13,165 13,896 5.55% 0.04 0.04 2,500 2,500 2,900 16.00% Paid leave: vacation and holidays Percentage of benefits: Health Insurance, FICA and retirement TOTAL FTE's and SALARIES 5.04 5.69 5.79 143,100 167,115 176,116 ,b reclassified after employee resignation to a higher level of skill with consequent salary adjustment. :Office Assistant's increase reflects difference in number of hours worked between FY97 and FY98. -6- 4.69% -111- AGENCY Elderly Services Agency ACCOUNTABILITY QUESTIONNAIRE Ao go 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 history, 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 xx 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 the IRS? Yes XX No o Please discuss your agency's fundraising efforts, if applicable. We send out an annual fundraising letter in July to clients and their families. RSVP sells afghans and, this year, pillows. We now hold a Riverside Theatre fund-raiser in May. We participate in the Iowa City Road Race and we solicit donations D. Management: 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 -112- -7- AGENCY Elderly Services Agency to 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 maintenance, respite care; unit of service: one chore hour; length of time: one hour of service, cost: $2.48 per unit of service; number of units provided: 22,273; direct. RSVP: Service definition: volunteer community service to young & old; unit of service: volunteer hours; length of time: one volunteer hour; cost: $2.13 per unit of service; number: 23,476; direct. Case Manaeement: Service definition: analyzing those most at risk for nursing home placement (they are certified by the State as needing that level of care); devising, coordinating & tracking plans of care with 30 agencies, 3 hospitals, and nursing homes; unit of service: one Iowa assessment or reassessment; length of time: ten hours each; cost: $382; units provided: 162, direct. Housine Repair: Service definition: repairs and modifications to elderly/handicapped households; unit of service: each household repaired; length of time: n/a; cost: $544 per unit of service; units: 56, 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; cost: $26 per unit of service; number of units provided: 2080, 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. Enter Years- 1. How many Johnson County residents 1 a. Duplicated count (including Iowa City and Coralville) did your agency serve? How many Iowa City residents did your agency serve? FY96 FY97 12,133 12,826 lb. Unduplicated count 1,548 1,636 2a. Duplicated count 10,084 10,515 2b. Unduplicated count 1,242 1,295 How many Coralville residents did your agency serve? 3a. Duplicated count 3,083 3,637 3b. Unduplicated count 150 177 4. How many units of service did your agency 4a. Total provide? 59~542 59,524 4b. To Johnson County I 59,542 Residents Other areas served: Do you provide service to areas outside of Johnson County? Yes Area(s) served: Washington and Iowa Counties Services provided: case management, assessment and intervention 58,149 Funding Sources: Heritage Area Agency on Aging -8- -113- AGENCY Elderly Services Agency 0-5 6-17 18 -29 30-61 62 - 75 75+ Client Profile (for last complete year, if available): Age [I Gender ]1 Ethnicity 1 Female 1188 African American 19 4 Male 448 Native American 3 Asian 10 23 Hispanic 9 530 Caucasian/Non-Hispanic 1595 1077 Multi-racial Evaluation and Review: A. 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 target numbers have been reached. Does your agency have performance objectives? (give several examples.) Assessment & Intervention: 1. Administer Iowa Assessment to 75 elderly (exceeded, completed 107) 2. Contact new Home Delivered Meals clients to tell them about services available, make referrals (done) RSVP: Contribute~ 21,000 hours of community service (exceeded by 2,476 hours) Case Management 1. Bring in 70 new frail elderly cases (exceeded, brought in 90) 2. Write a letter to each client's MD stating goals of system, outlining proposed plan of care, asking for MD's suggestions or opinions (done, 158 clients) Housing Repair: Identify 65 1ow/mod. income people with disabilities in need housing modifications/repairs. (done, 68 people enrolled) Chore: Help 737 elderly maintain their homes by providing 9,000 hours of help household chores. (done 10,371 hours, 735 people); provide 12,000 hours in- home care (provided 11,902 hours) Go What plans does your agency have to increase efficiency and effectiveness? 1. Increase hours of newly hired office assistant to provide support for staff 2. Increase staff training in computer proficiency to help keep better records 3. Review and reassign staff duties as client needs, funding streams, change In what 1. ways will the needs of your service population change in the next five years?: Waiver services will be expanding, more people with special needs (mentally retarded, developmentally disabled, mentally ill) More older elderly (80-85+) to be served as this population increases Housing modifications for more younger people with disabilities Need for volunteers in their late 50's and 60's to help oldest old -114- -9- AGENCY Elderly Services Agency 10. 11. Please discuss any other problems or factors relevant to your agency's programs, funding or service delivery: 1. State requirements for case management records/procedures have been difficult to satisfy without additional personnel; we are beginning to solve that problem with a part-time office assistant. 2. Crowded Senior Center office space makes life difficult for staff, but we prefer to remain there because its easier for clients to find us. 3. We perceive a need for other ESA services than case management in Iowa and Washington counties, but overworked staff can't handle that demand right now. List concerns and complaints about your services of which you are aware: 1. Some chore clients complain that workers don't come often enough or soon enough and that they are too expensive, particularly for house cleaning. We have occasional difficulty finding workers interested in a $6 an hour wage for cleaning house. 2. There is a need for low-cost, hands-on respite care. State regulations require supervision & training of employees, that our referral service cannot provide. 3.Need money for rural home repair, modifications, especially for mobile homes. 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: 1. There are a very few shared housing prospects for whom it is difficult to find tenants because of their expectations and/or living conditions. The measures we take to resolve this problem are to make referrals to other services and/or to recommend nursing home placement if that is warranted. 2. The difficulties involved in finding trustworthy people interested in working for less than our recommended wage of $6 an hour are such that we try to convince clients that it's not safe or realistic (sometimes volunteers help). none How many people are currently on your waiting list? 12. In what way(s) are your agency's services publicized? We update 3 different brochures annually that advertise our services, current housing information, and all services relevant to staying in the home. We mail the ones on all the different services and on our own services to all clients, churches, MD's, attorneys, libraries, etc. The housing brochure is too thick to mail to everybody, so we mail it to people who ask about housing. We do public speaking, advertise in the Senior Center Post and in the Press Citizen Volunteer Watch. 13. United way involvement 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 e. . Executive Development Seminars X f. Kick Off X g. Victory Reception X h. Volunteer Action Center X i. Other Directors' Rep to United Way Board X -115- -10- 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 people 60 and over in Johnson County. 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 changed to become a source of referrals for workers. Now the coordinator refers people whose police records and business references have been checked to elderly wanting to hire help with non-skilled work. In 1984 we eliminated the receptionist position and started a program to reach older people directly. We trained 50 student volunteers to visit and call our frailer older clients, looking for signs of negative changes. 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 1997, Heritage chose not to fund that program any longer. 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 and has assumed more and more financial responsibility for its cost. 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. 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. 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. In FY96 Heritage Area Agency on Aging funded a grant for assessment and intervention to buttress case management and for FY98 they funded a half-time office assistant. A bequest in FY97 allows us to extend the hours of that assistant to three-quarter time. Our plans to purchase an ECHO housing unit apparently failed, at least for the immediate future because the planned manufacturing site for ECHO housing in Iowa never came into being. Future -116- plans include adapting the housing repair/modification and chore programs to meet the needs of younger people with disabilities to conform to requirements of the Americans with Disabilities Act. With the evolution of case management, a need has arisen for computerized networks to transmit information to regional funding bodies and state agencies providing oversight. Now that we have a new system of computers, Iowa City will allow us to hook into network as soon as it is set up for the Senior Center. RSVP struggles to keep up with the demand for senior volunteers in the community; the new office assistant helps remove some of that stress. We will become more and more involved with Elderly and Ill and Handicapped Waivers as part of managed care. Assessment and Intervention continues to expand in tandem with case management. We continue to emphasize the concepts fueling case management, i.e.. to coordinate services in order to provide continuity over time. and at the same time, to provide each service as part of a system of help. made up of many components, any and all of which can be tapped in the client's best interest. -11- 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 heio oeo01e 60 and over remain safely and comfortably in their homes as ions as possible. CHORE PROGRAM I. Objective A: To help 750 elderly maintain their residences by providing 10,000 hours of assistance with household chores by June 30, 1999 Tasks: A. Maintain a roster of 50 workers who have a clean police record, experience with ordinary chore work, own tools and have good work references B. Advertise for, screen, interview and refer an average of 20 to 40 workers for an average of 363 jobs each month, at a suggested wage of $6 - $8 an hour C. Administer the Subsidized Chore Program for low-income clients with disabilities, aiming to serve at least 65-70 clients, primarily for the removal of snow and lawn mowing, providing at least 1,100 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 D. Screen each client, using the Functional Abilities Screening Evaluation (FASE), thus assisting in the identification of those with the greatest economic and social needs E. 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. F. Evaluate objectives in January and May for outreach effectiveness, program and cost efficiency, and progress toward meeting objectives. II. Objective B: To provide 65 people 12,000 hours of in-home care by June 30, 1999. Tasks: A. Refer 12 - 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. B. Assess each client using the Functional Abilities Screening Evaluation (FASE) C. Work with the case management team to set up case plans using chore services when appropriate III. Objective C: To find volunteers to provide 1,200 hours ofservices at no cost elderly with the greatest economic and social needs, especially those in rural areas, by June 30, 1999 Tasks: A. 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. B. 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. Resources needed for the Chore program: 1. One full-time chore coordinator plus administrative oversight of director 2. Desk, chairs (2), storage space for records, book shelves, office space & supplies 3. Computer, answering machine, printer, calculator, copier, telephone & fax 4. Office supplies, postage, etc. Cost of the chore program: $42,597 in FY98 $42,548 in FY99 ASSESSMENT AND INTERVENTION Objective A: To inform 1,600 seniors about the services available to help them remain safely in their homes, assessing thoroughly those who appear to be at risk for losing independence, and making appropriate referrals by June 30, 1999. Tasks: -12- AGENCY Elderly Services Agency II. -118- A. To train a practicum student to assist staff in the completion of 150 Functional Abilities Screening Evaluations on frail elderly B. Send personalized letters to 1,600 clients by December 31, 1998 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. C.Coordinate six presentations on services through the VNA at rural flu clinics D.Provide information on services at the Senior Center VNA flu clinic to 300 people. E. Administer the Iowa Assessment Tool to 80 new elderly clients referred for assessments and 30 referred for reassessments. F. Mail a letter to all Home Delivered Meals' clients each month, asking to visit them in their homes to tell them about services available. G. In a personalized letter sent to 1,600 clients at ESA by 12/31/98 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. H.Train 30 volunteers to make 850 home visits to frail elderly clients. I. Evaluate objectives in January and May for outreach effectiveness, program efficiency & progress toward meeting objectives. Objective B: To coordinate a shared housing program to provide support for 25 elderly people trying to maintain their independence by remaining in their own homes Tasks: A. 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. B.To advertise for prospective tenants through the University and local media sources. C. To screen and match 25 homeowners and tenants, monitoring the relationship to assess client satisfaction making referrals to available services as needed to support the older person D. Evaluate objectives in January and May for effectiveness, program efficiency and progress toward meeting objectives. E. To speak at 4-6 community organization meetings to stimulate interest in home sharing. Resources needed for Assessment & Intervention/Shared Housing 1. Full-time licensed social worker, volunteer (practicum student) & administrative oversight 2. Desk, chairs (2) storage space for records, bookshelves, office space 3. Computer, answering machine,. calculator, copier, telephone & fax 4. Travel money for rural assessments and meetings Cost of Assessment and Intervention/Shared Housing: $43,881 in FY98 $46,572 in FY99 HOUSING REPAIR PROGRAM Objective A: By June 30, 1999, Identify 65 low and moderate income older people and people with disabilities who are in need of home repairs and modifications in order to improve the safety of their environment Tasks: A. Provide an experienced contractor as project superintendent for 5 - I0 hours a month to evaluate repair jobs and detail specifications and assign work to contractors from Iowa City's Housing Rehabilitation Program list. Refer jobs to 25-30 local contractors, using names taken from the Housing Rehabilitation approved list. Administer the program according to the guidelines set out in the Handbook for Small Housing Repair for Low/Moderate Income Elderly published by the Iowa City CDBG plalming staff -13- AGENCY Elderly Services Agency II. II. D. 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. Objective B: Provide housing modifications to enable people from Iowa City with disabilities to remain in their homes Tasks: A. go Provide extensive bathroom, structural and/or access modifications for two-three low income elderly in danger of losing their independence because of issues centered around disability. Evaluate objectives in January and May for outreach effectiveness, program efficiency and progress toward meeting objectives. Resources needed for the Housing Repair program: 1. Pan-time construction consultant, and Director's time for overseeing program. 2. Storage space for records, office supplies 3. Access to computer, answering machine, printer, calculator, copier. telephone & fax Cost of Housing Repair: $31,213 in FY98 $34,402 in FY99 CASE MANAGEMENT PROGRAM Objective A: By June 30, 1999, in Johnson County: Tasks: A. Complete 110 Iowa Assessments B. Complete 175 Functional Assessment Screening Evaluations. C. Complete 90 reassessments. D. Bring in 80 new clients E. 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. F. Work with HAAA staff on four regional Policy Advisory Committee meetings G. Formalize plans of care for all clients active in the CMFE program and update them at prescribed intervals. H. Write a letter to each client's physician outlining the proposed plan of care, asking for suggestions/opinions. I. 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 Evaluate objectives in January and May for effectiveness, program efficiency and progress toward meeting goals. By June 30, 1999, in Washington County: Objective B: Tasks: A. Complete 40 Iowa assessments B. Complete 40 Functional Abilities Screening Evaluations C. Complete 25 Reassessments D. Bring in 40 new clients E. Coordinate a team meeting of 10-20 professionals twice a month to consult about the delivery of community based program long term care to case management clients. F. Work with HAAA staff on four regional Policy Advisory Committee meetings G. Formalize plans of care for all clients active in the CMFE program and update them at prescribed intervals. H. Write a letter to each client's physician outlining the proposed plan of care and asking for sth, gestions/opinions. I. Solicit and consider the views of the recipients of services by asking them to sign their care plan. -119- AGENCY Elderly Services Agency J. Evaluate objectives in January and May for effectiveness, program efficiency and progress toward meeting goals. III. Objective C: By June 30, 1999, in Iowa County: Tasks: A. Complete 25 Iowa assessments B. Complete 25 Functional Abilities Screening Evaluations C. Complete 15 Reassessments D. Bring in 25 new clients E. Coordinate a team of 10-16 professionals twice monthly to consult about the delivery of community based program long term care to case management clients. F. Work with HAAA staff on four regional Policy Advisory Committee meetings. G. Formalize plans of care for all clients active in the CMPFE program and update them at prescribed intervals H. Write a letter to each client's physician outlining the proposed plan of care, asking for suggestions and opinions. I. Solicit and consider the views of the recipients of services by asking them to sign their care plan. J. Evaluate objectives in January and May for effectiveness, program efficiency and progress toward meeting goals. IV. Objective D: Complete two quality assurance reports Tasks: A. Appoint one social worker and one nurse from outside agencies to review the files. B. Relay information on deficiencies in the quality assurance report to the team. Resources needed for case management program: I. Full-time case management facilitator, pan-time office assistant, practicum student and administrative oversight of Director. 2.Desk, chairs (2) storage space for records, book shelves, office space & supplies 3.Computer, answering machine, printer, modem, calculator, copier, telephone & fax 4. Funds for travel to rural counties Cost of case management: $62,766 in FY98 $69,660 in FY99 -120- RETIRED SENIOR VOLUNTEER PROGRAM Objective: 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 University and to give them formal recognition and support for their efforts Tasks: A. To maintain membership in RSVP to at least 270 people 55 and over B. To contribute at least 23,000 hours of community service C. To publish a quarterly newsletter listing volunteer opportunities and recognizes individual volunteer efforts. D. To make 15 media contacts and presentations about RSVP E. To hold recognition celebrations for volunteers twice during the year. F. To raise at least $3,750 as match for Corporation for National Service dollars Resources needed for RSVP: 1. Full-time RSVP director, part-time office assistant and 270 volunteers 2. Two desks, chairs(3), storage space for records and sale items~ bookshelves, office space and supplies 3. Computer, ans~vering machine, printer, calculator, copier, modem, telephone & fax 4. Funds for travel to reimburse volunteers, for recognition of volunteer and for RSVP director's travel costs -15- AGENCY Elderly Services Agency Cost of RSVP: $42,614 in FY98 $44,349 in FY99 ADMINISTRATION OF ALL PROGRAMS Objective: To increase the effectiveness and efficiency of Elderly Services' programs Tasks: A. Analyze job descriptions at the annual evaluation of each staff member, combining and realigning tasks to increase job performance. B. Encourage staff initiative in redesigning programs to improve service delivery to clients. C. Examine agency programs analytically, working with the Board of Directors to analyze outcome measures, evaluating cost per unit of service in relation to what the service provides. D. Evaluate the relevance of each program to current social and economic needs of older people and our ability to meet those needs effectively, adapting or eliminating them as necessary. E. Evaluate unmet community needs in light of ESA's mission, working with local organizations for the elderly to meet their needs F. Act as liaison between City/County staff and older people to explain policies and procedures changing as a result of governmental mandate. G. Review objectives semi-annually with staff for outreach effectiveness, program efficiency and progress toward meeting goals. Resources needed to administer programs: 1. Full-time executive director, part-time office assistant 2. Desk, chairs (2), storage space for records, bookshelf, office space & supplies 3. Computer, answering machine, printer, fax, modem, calculator, copier, telephone Cost of Administering all programs: $49,272 in F¥98 $50,698 in F¥99 -16- -121- 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 1/1/98 - 12/31/98 4/1/98- 3/31/99 7/1/98 - 6/30/99 X 10/1/98- 9~30~99 Director: Julia K. Rembert Agency Name: Emergency Housing Project Address: 331 N. Gilbert St. Phone: (319) 351-0326 Completed by: Julia K. Rembert Approved by Chair Board: ~.~- I,e~Eo~, (date) COVER PAGE Program Summary: (Please number programs to correspond to Income & Expense Detail, i.e., Program 1, 2, 3, etc.) 1. Program 1, Shelter: The Emergency Housing Project (EI-IP) 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. In 1996, EI-IP housed 585 persons for a total of 9,677 nights stayed. The shelter component also consists of breakfasts, a nightly snack, and Sunday brunch (when the Free Lunch program does not operate). EHP also provides food, shower, and laundry facilities, and a mall and message service to many area people who are homeless. 2. Program 2. In-Shelter Counseling: "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, 128 EHP participants were a part of the Early Bird program. 59% of them achieved 100% of their goals. As a result of the Early Bird program, and EI-IP's focus on building self-sufficiency skills, our recidivism rate has descreased and stabilized to be 20%, lower than most other shelters in the state. Further, 85% of those return stays were transient in nature, lasting only a few days. '7'he Wrong Stuff," EI-IP's alcohol- and drug-abuse program (run by a certified drug and alcohol counselor) is designed to assist those EI-IP 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. Program 3, Transitional Counseling: In Working Persons Living Alone (the Transitional Project), a program in partnership 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 feet. Started in March of 1996, the program recently won a Federal Department of Housing and Urban Development "Best Practices" award for innovation and effectiveness. Local Funding Summary · United Way of Johnson County - - Does Not Include Designated Gvg. 4/1/96 - 4/1/97 - 4/1/98 - % of Total 3/31/97 3/31/98 3/31/99 Budget $15,175 $17,500 $30,000 16% FY97 FY98 FY99 ~ City of Iowa City Johnson County City of Coralville $7,500 $8,750 $9,500 5% $8,000 $9,200 $10,500 5.5 % $500 $500 $2,000 1% -122- - 1- AGENCY: Emergency Housing Project, Inc. 'JDGET 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. Shelter 2. In-House Counseling 3. Transitional Counseling 4 6 7 8 ACTUAL THIS YEAR LAST YEAR PROJECTED 1996 1997 164,056 161,764 24,187 11,857 139,869 149,907 152,199 168,150 52,445 59,166 99,754 108,984 79,607 82,081 12,359 12,172 7,788 14,731 BUDGETED NEXTYEAR 1998 187,210 -6,386 193,596 191,205 64,283 126,922 87,468 11,268 28,186 3. ENDING OPERATING BALANCE (Subtract 2 - 1 ) 4. RESTRICTED FUND BALANCE (Total from page 5) 5. IN-KIND SUPPORT (Total from Page 5) 6. NON-CASH ASSETS 35,313 34,755 64,337 30,510 37,000 36,000 95,865 100,000 100,000 Briefly describe how local funds were spent last year. Local funds were used to support all of the administrative and programmatic work of EHP, from turning on the lights to buying counseling time to purchasing paperclips. Local funds are the backbone of the agency's operation. They also serve as matching funds for state, federal, and other grants. and Comments: - 2 - '123- 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. Church Pledges ~. Grants - State, Fed, Found a. Homeless Shelter Oper Grant Prog b. Emerg Shelter Grant Program c. IA Finance Authority Oper Grant d. IA Finance Auth Rehab Grant e. FEMA f. Corn Dev Blk Grant 3. Net Sales Of Services (sources) a. Agency Reimbursement (1) b. 4. Net Sales of Materials (sources) a. CD from April Concert b. 5. Contributions/Donations a. United Way Designated Giving b. Other Contributions (2) 6. Special Events a. Iowa City Road Races b. Home With a Heart Open House (3) c. Benefit Concert d. Mailing to Professionals 7. Interest Income 8. Other - List Below a. Misc AGENCY Emergency Housing Project, Inc. ACTUAL THIS BUDGET NON- PROG PROG PROG LAST YEAR NEXT DIRECTED 1 2 3 YEAR PROJECTED YEAR FUNDING (Shelter) (In-house couns)(Trans. couns 52,075] 53,1451 67,109l 26,1251 25,8001 3,4501 11,7341 6,143 8,600 9,850 3,850 3,000 1,000 2,000 6,750 8,125 9,125 3,125 3,000 2,000 1,000 15,081 16,920 26,884 10,150 10,000 0 6,734 500 500 1,250 0 800 450 0 23,601 19,000 20,000 9,000 9,000 0 2,000 47,9841 49,366l 65,3371 1,0001 51,337[ 0[ 13,000 10,095 19,546 0 0 0 0 0 5,750 14,636 43,837 0 43,837 0 0 12,671 1,625 0 0 0 0 0 8,851 0 4,000 1,000 3,000 0 0 6,849 2,366 4,500 0 4,500 0 0 3,768 11,193 13,000 0 0 0 13,000 3641 1001 1501 0l 751 75l 01 0 0 0 0 0 0 0 o l 2,0001 6,500[ 5,000 I 01 o[ 1,500 I 0 0 0 0 0 0 0 16,988[ 18,0371 21,500[ 2,585l 10,060] 6,900] 1,9551 15,101' 17,000 20,000 1,085 10,060 6,900 1,955 21,617] 26,169l 32,500l 30,5001 1,000] 1,0001 0l 10,600 8,006 11,000 11,000 0 0 0 11,017 12,500 12,500 12,500 0 0 0 0 4,663 7,000 7,000 0 0 0 0 1,000 2,000 0 1,000 1,000 0 441 I 3501 3001 3001 o l o l 0 400l 8651 2001 2001 01 o l o l 400 865 200 200 0 0 0 TOTAL INCOME (same as p. 2, line lb) 139,869 Notes and Comments: 150,032 193,596 65,710 88,272 11,425 28,189 1. Agency Reimbursement.' Consists of occasional vouchers for stay issued by the Veterans Administration at $9/night and the University of Iowa Hospitals and Clinics at $10/night. 2. Other Contributions.' Includes giving from individuals, corporations, and community organizations. 3. Home With A Heart Open House.' Also includes a direct mail solicitation. -124- -3- PROGRAM EXPENDITURE DETAIL AGENCY Emergency Housing Project, Inc. ACTUAL THIS YEAR BUDGETED ADMIN PROG PROG PROG LAST YEAR PROJ~ NEXT YEAR 1 2 3 (Shelter) (In-house couns)(Trans. couns) 1. Salaries (1) 72,829 92,605 109,035 39,375 43,478 6,700 19,482 2. Employee Benefits & Taxes (2) 30,247 34,880 37,800 13,608 15,120 2,268 6,804 3. Staff Development 209 600 750 350 150 100 150 4. Professional Consultation 0 0 0 0 0 0 0 5. Publications & Subscriptions 159 150 200 30 120 50 0 6. Dues and Memberships 127 120 150 100 0 0 50 7. Mortgage, Rent, Prop Tax 0 0 0 0 0 0 0 8. Building Maintenance 15,841 3,360 4,000 0 4,000 0 0 9. Equip Purch/Rent/Maint. 538 1,170 2,100 700 1,200 100 100 10. Utilities 4,853, 4,847 5,850 0 5,850 0 0 11. Telephone 1,865 2,522 2,600 750 1,450 200 200 12. Office Supplies & Postage 2,253 3,200 3,200 1,600 600 500 500 ]3. Printing and Publicity 2,654 3,036 2,500 1,400 700 200 200 14. Local Transportation 470 500 750 400 50 100 200 15. Insurance 3,396 3,941 4,100 2,600 500 500 500 16 ~it 1,835 2,000 2,100 2,100 0 0 0 17. Interest 0 200 200 200 0 0 0 18. Other (Specify): Food 2,901 2,504 3,000 0 3,000 0 0 19. Household Supplies 4,176 3,700 3,700 0 3,700 0 0 20. Guest Overflow Lodging 892 900 900 0 900 0 0 21. Guest Emergencies 171 500 500 0 300 200 0 22. Guest Transportation 902 875 1,000 0 700 300 0 23. Water and Sewer 2,500 3,000 3,500 0 3,500 0 0 24. Garbage Collection 1,960 2,300 2,100 0 2,100 0 0 25. Bookkeeping 890 940 1,020 1,020 0 0 0 26. Miscellaneous 531 300 150 50 50 50 0 TOTAL EXPENSES ( p. 2, line 2) 152,199 168,150 191,205 64,283 87,468 11,268 28,186 Notes and Comments: 1. Salaries: EHP added a half-time assistant director and increased the Transitional Project counselor position during 1997. 2. Employee Benefits and Taxes: EHP revamped the staff benefits policy, including vacation, sick leave, and family medical leave. These numbers reflect use of all possible sick leave and vacation days. Further, EHP added one employee to the health insurance plan. -4- -125- AGENCY Emergency Housing Project, Inc. RESTRICTED FUNDS: ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR Restricted by: Emerg Shelter Grant Program Com Dev Blk Grant Homeless Shelter Oper Grant IA Finance Auth Rehab Restricted for: Early Bird Director salary/salaries Transitional Counseling services Salaries Shelter rehabilitation FEMA Shelter operations ITOTAL RESTRICTED FUND (also shown page 2, line 4) 5,750 1,650 43,837 3,768 11,193 13,000 10,095 19,546 0 8,851 0 3,000 6,849 2,366 4,500 35,313 34,755 64,3371 MATCHING GRANTS Grantor/Matched by Emergency Shelter Grant Program Donations/Local Funding 5,570 14,636 43,837 ]TOTAL MATCHING GRANTS (also shown pg. 3, line 2)] 5,57ol 14,636 43,837l IN-KIND SUPPORT DETAIL Services/Volunteers: general assistance at $5.50 an hour. 12,610 15,000 15,000 22,000 21,000 0 0 0 0 37'000] 36,000 Material Goods: food, clothing, shelter and office supplies (1) 17,900 Space, Utilities, etc. 0 Other:._(p!_e_.ase specie) . ITOTAL IN-KIND SUPPORT (also shown on page 2, line 4) 0 30,510 Notes and Comments: (1) Material Goods: Includes construction of an office space by the Iowa City Home Builders Association. -126- - 5 - SALARIED POSITIONS Position that apply Last Year Director 22 X 17% 1.0 Ass. Director/Trans Proj Dir. (1) 11 24% 0.0 Early Bird Director/Night Shift (2) 27 X 22% 1.0 Database Man./Night Shift 27 X 22% 1.0 Assessor/Night Shift Worker (3) 22 X 34% 1.0 Fill-in Night Shift Worker 13% 0.1 Wrong Stuff Counselor (4) 12% 0.1 Transitional Project Counselor (5) 11 X 24% 0.5 AGENCY Emergency Housing Project FTE* Salary This Next Actual This Budgeted % Year Year Last Year Year Next Year Change 1.0 1.0 30,000 31,500 33,075 5% 0.5 0.5 0 6,400 12,600 97% (1) 1.0 1.0 17,592 21,275 21,913 3% 1.0 1.0 16,075 16,730 17,230 3% 1.0 1.0 4,102 9,500 9,785 3% 0.1 0.1 61 500 500 0% 0.1 0.1 510 500 750 50% 0.8 1.0 4,489 6,200 13,182 113% TOTAL FTE's and SALARIES 4.7 5.5 5.7 72,829 92,605 109,035 * Full-time equivalent: 1.0--full-time; 0.5=half-time; etc; 30 hours/week is considered full-time for EHP Night Shift workers. ~"'tes and Comments: 1. Assistant Director/Transitional Project Director: Hired May 1997 and preferred to stay on partner's insurance plan. 2. Early Bird Director/Night Shift: Assumed increased case management duties in 1997. 3. Assessor/Night Shift Worker: Hired on full-time basis August 1996. 4. Wrong Stuff Counselor: Includes 3% raise in hourly rate for counseling work. 5. Transitional Project Counselor: Program started m March 1996. Consists of three workers with approximately 0.3 FTE appointments, each. Includes 3% raise in hourly rate for counseling work. 18% -6- -127- AGENCY: Ae Be Ce Do -128- Emergency Housing Project, Inc. ACCOUNTABILITY QUESTIONNAIRE Agency's Mission Statement or Primary Purpose: The mission of the Emergency Housing Project is to meet the short-term housing needs of the homeless. Our first priority is to work with those whom, in our judgmem, we can assist to achieve the maximum possible independence. We will accommodate others with critical short-term housing ne~s as our limited space and resources allow. Assistance will be offered m a safe and healthy environment with respect for the dignity of each person. 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. EI-IP's director conducts a tour of the house and answers any questibns. The board president and EI-IP's director apprise board members of educational opportunities and materials pertinent to EHP's mission and work. Finances 1. If your agency charges a fee for services, describe your fee structure. ffa participant is referred by the Veterans Administration (VA) or the University of Iowa Hospitals and Clinics (UIHC), a voucher for services is sometimes~9 from the VA and $10 from the UIHC. 2. Does your agency have an internal andit(external audit,)or a financial review? ~-----~_.-~ (circle one) Frequency annually 3. Has your agency filed the Annual Report with the Secretary of State? Yes X No 4. Has your agency fded 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 With A Heart Open House and Direct Mail Solicitation. In January each year, EHP mails approximately 1,000 letters inviting friends of EHP to attend an open house and/or make a donation. The open house is on a Sunday before or afar February 14. The open house/solicitation combination is increasingly successful, both in terms of money raised and level of awareness of the agency and its services to the community. Benefit Concert and CD. Held m April 1997, this sold-out concert featuring local musicians grossed over $$,000 for EI-IP. Some of those profits will be reinvested in producing a CD for sale. Kevin Haniek, Steve Long, and EHP smile are planning a spring 1998 concert again featuring local musicians with a goal of raising $7,000 or more. Proj~ssional Sector Direct Mail Solicitation. In August 1997, EHP solicited funds from area lawyers, social workers, and dentists. To date, the results have not been spectacular, but are encouraging. In January, EI-IP will send similar letters to nurses and doctors. 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- Cluissy Canganelli St. Thomas More 1108 7th Ave Iowa City, IA 52240 Karen Dinsmore Coralville United Methodist 1705 Oak Lake Park Rd. Coralville, IA 52241 Paul Horick Zion Lutheran 1411 Oaklawn Ave Iowa City, IA 52245 Mike Kratz VA Medical Center Highway 6 Iowa City, IA 52246 James McCue St. Mary's 447 S. Summit Iowa City, IA 52240 Charles Ping St. Wenceslaus Box 424 West Branch, IA 52358 Christine Rumsey First Mennonite 2417 Friendship Iowa City, IA 52245 Kevin Werner St. Patrick's 3020 Wayne Ave Iowa City, IA 52240 Emergency Housing Project 1997 Board of Directors Jan Caylor New Song Episcopal PO Box 5522 Coralville, IA 52241 Kathy Clark Congregational UCC 150 Oakridge Ave Iowa City, IA 52246 Lois Etre St. Andrew's Presbyterian 711 18th Ave. Coralville, IA 52241 Holly Hart Iowa City Friends Meeting 411 N. Dubuque St. #2 Iowa City, IA 52245 Beverly Jones Agudas Achim 816 Park Rd Iowa City, IA 52246 Joan Eimas Trinity Episcopal 4 S. Mt. Vernon Dr Iowa City, IA 52245 Joyce Left First United Methodist 12 Lakeview Dr NE Iowa City, IA 52240 Jim Martins First Presbyterian 31 Bedford Ct Iowa City, IA 52240' Ed Moreno Unitarian Universalist 34 Samuel Drive Iowa City, IA 52245 Joanne Peterson St. Mark's United Methodist 107 Post Road Iowa City, IA 52245 John Rauer First Christian 100 Cardiff Circle Iowa City, IA 52246 Esther Retish Agudas Achim 66 Pefro Dr Iowa City, IA 52246 Carol Solberg Gloria Dei c/o ACT, PO Box 168 Iowa City, IA 52243 Gerry Tetrault Faith UCC 1045 Mulberry Circle Coralville, IA 52241 -7a- -129- AGENCY: E. Emergency Housin~ 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). Both the below programs solely provide direct services. Shelter: Units of service are the cumulative total nights stayed by each client during the year. The 1998 projected cost of running the shelter minus Transitional Counseling costs is $28,186. Assuming 29 participants in the shelter each night, EHP spends $15.40 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. During March of 1997, our services were utilized over 500 times by people not staying in the shelter. EHP provides two kinds of shelter: transient and long-term. Transient guests stay only a few days at a time, usually in order to visit the hospital, wait for a soon-to-arrive check, or get out of inclement weather. In 1996, EHP had 383 transient visits for a total of 675 nights stayed for an average of 1.76 days per transient visit. Long-term guests participate in the Early Bird case management program and work toward goals of locating and maintaining employment, saving money, and finding housing among others. In 1996, EHP had 318 long-term visits for a total of 9,002 nights stayed for an average of 28.31 days per Early Bird stay. Transitional Counseling: In an award-winning partnership between EHP, the City of Iowa City, and D&K Properties, EHP has been providing supportive services to the Transitional Project since March 1996. Units of service here are direct contact hours spent with program participants at a cost of $11 an hour. From January 1, 1996 to September 1, 1997 EHP provided 346.25 direct contact hours to a total of 18 program participants. 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. People Served At the Emergency Housing Project* Enter years ;-> 1. How many Johnson County residents (including la. Duplicated Count Iowa City and Coralville) did your agency serve? lb. Unduplicated Count 2. How many Iowa City residents did your 2a. Duplicated Count agency serve? 2b. Unduplicated Count 3. How many Coralville residents did your 3a. Duplicated Count agency serve? 3b. Unduplicated Count 4. How many units of service did your 4a. Total 1995 1996 155 167 124 140 131 144 102 120 19 14 18 13 9,170 9,677 agency provide? 4b. To Johnson County residents 2,973 2,949 *Note: We do not yet have a complete calendar year's worth of data concerning the Transitional Project. From January 1 to September 1, 1997, EHP provided services to 18 Transitional Project Participants. 16 were Johnson County and Iowa City residents. 5. Other Areas Served: Not Applicable. All services are provided in-house or in Iowa Cid. -130- _$_ AGENCY: Emergency Housing Project, Inc. 5. Client Profile (for last complete year, if available)*: Age Gender Ethnicity 0-5 25 M ] 489 (16) African American 102 (2) 6-17 29 F 96 (2) Native American 3 18-29 116 (3) Asian 3 30-61 398 (14) Hispanic 40 62-75 12 (1) White 416 (16) 75+ 5 Multi-racial 21 *Numbers in () refer to participants in the Transitional Project. 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 EHP with long-term housing, a job, and some money. Someone who found and maintained a job and saved money but left EI-IP before locating long-term housing would have completed 75 % of his/her agreement. Security Upon Exit. The ~HP director regularly analyzes the rate of return (recidivism rate) of EI-IP participants to determine the security of their placement upon exit. Progress Evaluation Scale (PES). In parmership with the University of Iowa School of Social Work, EHP started using the PES in March 1997 to evaluate the strengths and needs guests have upon entry into the shelter and the Transitional Project. Guests complete the scale every two weeks to measure their progress in different life domains (e.g. relationships, living arrangements, occupational-educational issues, etc.) while participating in EHP's case management programs. Pre 'hininary results will be available in December. B. Does your agency have performance objectives? (Give several examples.) Staff members co-create performance objectives for themselves with the Executive Director, tailoring them to their positions. Overall they include: treating participants with respect and compassion; maintaining a safe and secure shelter conducive to human dignity, personal growth, and self-sufficiency; researching and presenting a variety of opportunities, resources, and suggestions for options to participants; improving data collection and evaluation procedures; collaborating with other agencies; and fostering relationships with religious and community organizations and others 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 combine several positions in a few employees for a savings in benefits, particularly healthcare. One of our night shift workers is also a counselor for our Transitional Project. Another night shif~ worker doubles as the Early Bird Case Manager. Our Wrong Stuff substance abuse counselor manages a similar program for our Transitional Project. Cost savings. EHP staff are always looking for a bargain. We have trimmed growth in many areas of our budget, including food, phone, and household supplies. All savings in staff-directed spending will be split between a special fund for staff to use to enhance the mission of EI-IP, and a long-term stability fund for the agency. Motel charges. EI-IP still occ~ionally provides 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. While costly, we have not found a more efficient and effective way to house people in special need. In what ways will the needs of your service population change in the next five years: Families. The number of families and children at EI-[P continues to grow. In 1995, we saw 43 children. In 1996, 54. By September 25, 1997, we had served 45. People with Disabilities. EHP is intensifying its activity to facilitate or provide services and housing options for the increasing number of people with mental illnesses and physical disabilities in need of assistance intended to help them in reaching seW-sufficiency. -131- -9- AGENCY: 9. 10. 11. 12. 13. Emergency Housing Project, Inc. Please discuss any other problems or factors relevant to your agency's programs, funding, or service delivery. Expansion. EHP's programs are becoming increasingly complex, proactive, and solution-focused to respond more effectively to homelesshess in Johnson County. We have gone beyond providing basic shelter. EHP's Transitional Project helps single homeless and near-homeless people learn the life skills necessary to be as self- sufficient in their own homes as possible. EHP also recently coalesced a group of area agencies to write a HUD proposal for a job training program for chronically unemployed homeless people. These different program directions require EHP to grow in expertise and staff. Funding. EHP is aggressively seeking new funding sources, particularly grants from state, federal, and private sources. We are encouraged by the growing commitments from the United Way, Johnson County, Iowa City, and Coralville for our programs. Religious organizations have historically provided approximately 10% of the funds necessary to run EHP. However, they are also experiencing problems of decreased giving and increased demands on their services, particularly with the current federal emphasis on private orgamzations meeting national needs. Space. Space for housing needs are an issue. See below complaints for more information. 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. This is especially true if they work second or third shift positions, 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. Inability to accommodate all who seek services. 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 do not have a waiting list; services are first come, first served, based on available space. This is a special problem for families because rarely do we have enough spaces open to accommodate more than 3 people at a time. When we do not have space, we make appropriate referrals, sometimes assist with transportation to another site, and 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 umt. How many people are currently on your waiting list? 0 (Not applicable) In what way(s) are your agency's services publicized? EHP's services are publicized in many ways, including the print and broadcast media, quarterly newsletter, brochures in local libraries and agencies, board minutes (distributed to member religious organizations), and staff speeches at commumty group meetings. United Way involvement by your agency: (Check if agency participates) a. Agency Directors Meetings X b. Agencies Representative to Funding Hearings __ c. Business Biitz 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 providing brochures, information, etc., when requested (e.g., Proctor and Gamble picnic) -132- -10- AGENCY: Emergency Housing Project, Inc. AGENCY I~ISTORY ng 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~tssion and Be~innim~. The Emergency Housing Project (EHP) is a private, secular, not-for-profit agency started in 1983 by a group of local religious organizations and haman service agencies. EHP's primary mission is to provide temporary shelter to those who are interested in achieving self-sufficiency. In 1984, the City of Iowa City provided CDBG funds to purchase the shelter on 331 N. Gilbert Sweet. 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. The EarIv BirdProl~ran~ EHP hired a full-time director in July 1993. Shortly after, EHP introduced the "Early Bird" case management program through which partieipant~ 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 prograt,n, for participants, conducted by a substance abuse counselor. The Success of Earlv Bird In February of 1994, EHP limited the namber of persons served per night from approximately 40 to 29, based on a recommendation fi'om the City of Iowa City's Fire Marshall. In May 1995, the agency decided to intensify its "Early Bird" program and begin assessments at the intake level, with the goal of housing primarily those who desire permanent solutions. From January to the end of June 1997, 59% of Early Bird participants have achieved 100% of their agreed-upon goals. The Transition to Self-Sufftciencv. EHP continues to push the envelope in searching for or creating opportunities for homeless and low-income people to transition into self-sufficiency. In 1996, EHP won awards fi'om the City of Iowa City and the Housing and Commtmity Development Commission, and the Corninfinity Development Block Grant program for its innovative approach to b--nelessness. In March of 1996, EHP entered a partnership with the City of Iowa City and D & K Properties, a private :dinghouse owner. In our Transitional Project,-EHP provides Early Bird-style supportive services to residents of two boardinghouses, purchased with the help of City funds. Fourteen residents can receive rent subsidies for up to two years if they continue to make progress on their Early Bird agreements. EHP is exploring parmerships with other agencies so as to increase the number of individuals served in this program and stabilize funding for it. Prol~rarn Direction~ EHP has become much more than a shelter. In 1983, we 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 shelter alter only a short time out in the community. In 1997, we provide shelter, support, and ajamp 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 Johnnon 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 not a "magnet" for people who are not interested in moving forward in their lives. Further, EHP is addressing factors in our commullity that contribute to homelessness. People without steady incomes cannot maintain even affordable housing. This spring, EHP coordinated the development and writing of a grant proposal to HUD that would create a 3-year job training and placement program for chronically unemployed homeless people, including those with mental illness and chemical addictions. The proposal was rated as the best and most innovative new project idea in Iowa by a state-level commi~ee, including representatives of the Iowa Department of Economic Development and the Coalition on Housing and the Homeless. If funded, the proposal would bring $1.14 million into Johnson County to be used by many agencies to serve at least 100 people. Program Need~ Because of these changes in EHP's foens, 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 executive director, a half-time assistant director, three full-time night shift workers, a haW-time Early Bird director, a full- time Transitional Project 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. If we want to continue addressing homelesshess proactively, cornpassionately, and comprehensively, we need to retain and increase :ase management services. Then we can move on to our next challenges: addressing job training and placement and working more etlbctively with homeless families. -133- -11- AGENCY: The Emergency Housing Project GOALS AND OBJECTIVES FOR FY99 To help homeless people in Johnson County become as self-sufficient as possible. Shelter Program Objective A: To house, comfort, and feed homeless people each night in an environment conducive to human dignity. Tasks: 1. Provide hospitality and related services (e.g., clean linens, personal care items, snacks and breakfasts, etc.). 2. Assess each resident to determine strengths, needs, and compatibility with shelter program. 3. Supervise the shelter to ensure safety and respect for residents. 4. Create "family space" at the shelter to ensure families stay together as one unit. Objective B: To provide resources that help homeless people in Johnson County remain linked with the rest of the world. Tasks: 1. Provide evening laundry and shower services to any person in need. 2. Serve as a mail and message center for area homeless people. 3. Provide a venue for socializing with others from 5-10 p.m. each night. 4. Provide local phone access for persons in need. Resources needed for the Shelter Program: 1. Three night shift workers, 15% of the Director's time, and 5% of the Assistant Director's time. 2. Shelter facilities (house, bedroom furniture, other furniture, linens, food, etc., etc.) 3. Renovation of shelter attic to provide two new family rooms. 4. Office equipment (computer, copy machine, fax, phones, filing cabinets, desks) 5. Assorted resources (books, televisions, VCR, newspapers, personal care items) 6. Office supplies. 7. House maintalnence supplies. Cost of Shelter Program: $79,607 in FY96 $82,081 in FY97 -134- -12- AGENCY: The Emergency Housing Project GOALS AND OBJECTIVES FOR FY99, cont. Goal: To help homeless people in Johnson County become as self-sufficient as possible. In-House Counseling Objective A: To provide individually tailored, success-oriented case management and counseling to EHP residents. Tasks: 1. Assess each resident to determine strengths, needs, and goals on which he/she will work while in the shelter. 2. Create a contract with each resident concerning agreed upon goals during the shelter stay. 3. Refer residents to the Wrong Stuff' (in-house substance abuse counseling), the Community Mental,Health Center's homeless outreach counselor, the University of Iowa Hospitals and Clinics' IMPACT program, or other resources as necessary. 4. Frequently follow-up with residents concerning progress made or challenges faced in fulfilling agreement. 5. Evaluate progress made during stay at shelter. Resources needed for the In-House Counseling Program: 1. Half-time case manager, 10% of night shift staff time, 5% of Director's time. 2. Wrong Stuff.counselor. 3. Confidential counseling space. 4. Office equipment (computer, copy machine, fax, phones, filing cabinets, desks) 5. Assorted resources (books, televisions, VCR, newspapers, personal care items) 6. Office supplies. Cost of In-House Counseling Program: $12,359 in FY96 $12,172 in FY97 -135- -13- AGENCY: The Emergency Housing Project GOALS AND OBJECTIVES FOR FY99, cont. Goal: To help homeless people in Johnson County become as self-sufficient as possible. Transitional Project Objective A: To help previously homeless Johnson County residents make a successful and permanent transition into the greater community. Tasks: 1. Assess each participant to determine strengths, needs, and goals on which he/she will work while in transitional housing. 2. Create a contract with each participant concerning agreed upon goals. 3. Provide individually tailored counseling in needed lifeskill areas such as: budgeting, recovery from substance abuse, relationships, job maintenance, personal hygiene, education, etc. 4. Refer residents t,o appropriate community resources as necessary. 5. Frequently follow-up with residents concerning progress made or challenges faced in working toward goals. 6. Evaluate progress made during transitional program. 7. Create a sense of community in Transitional Project boardinghouses. Resources needed for the Transitional Project: 1. Three 1/3 time counselors, 50% of Assistant Director's time, 15% of the Director's time. 2. Wrong Stuff counselor. 3. Confidential counseling space. 4. Office equipment (computer, copy machine, fax, phones, filing cabinets, desks) 5. Assorted resources (books, televisions, VCK, newspapers, personal care items) 6. Office supplies. Cost of the Transitional Project: $7,788 in FY96 $14,731 in FY97 Job Training Objective A: Proj ect(not included in present budget -pending funding) With other Iowa City agencies, to help chronically hnemployed Johnson County homeless people become as self-sufficient as possible through employment. Tasks: 1. Create individually tailored employment success plans for 1 O0 participants over 3 years. Plans would be based on a thorough assessment and take into account interests, goals, and needs of participants. 2. Provide resources, internship and job training sites, education, peer support, job placements, and supervision as appropriate for each participant. Emergency Housing Project resources needed for Job Training Project: 1. Project Coordinator, clerical and bookkeeping staff person, 25% of Director's time. 2. Office space and equipment (computer, copy machine, fax, phones, filing cabinets, desks) 3. Assorted resources (books, televisions, VCK, newspapers, personal care items) 4. Office supplies. -136- -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 1/1/98 - 12/31/98 4/1/98 - 3/31/99 7/1/98- 6/30/99 X 10/1/98- 9/30/99 Completed by: Approved by Board Chair: Director: Sandy Kuhlmann Agency Name: 4Cs Community Coordinated Child Care Address: 1500 Sycamore St., Iowa City, IA Phone: 338-7684 Sandy Kuhlmann q- lq-q"7 (~ate) COVER PAGE Program Summary: (Please number programs to correspond to Income & Expense Detail, i.e., Program 1, 2, 3, etc.) 1. Resource and Education Services: Compile information on child care services; recruit care- givers; disseminate information to those seeking child care; particularly care for special needs and special circum- stances. Recruit, train and provide support to all caregivers, with special emphasis to those providing sick and 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 community needs. Provide 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, child care · ' rider training and parenting topics. Conduct individual consultations, group presentations, conferences. E,courage community 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. Home-Ties Child Care Center: Operation of a licensed child care center serving twenty-five children. Provides quality, short-term, free child care to homeless and near-homeless families while they pursue self-sufficiency goals through job-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. 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. j of Iowa City Johnson County City of Coralville 4/1/96 - 4/1/97 - 4/1/98 - 3/31/97 3/31/98 3/31/99 $8,000 $14,470 $23,500 FY97 FY98 FY99 % of Total Budget 0.04 - 1 - -137- AGENCY: 4Cs Community Coordinated Child Care 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 Resource and Referral Services 2 Home - Ties Child Care 3 Child Care Food Program 4 5 6 7 8 ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR 4/1/96-3/31/97 4/1/97-3/31/98 4/1/98-3~1/99 482,224 564,928 606,653 41,417 55,708 55,708 440,807 509,220 550,945 426,516 509,220 550,945 22,703 29,118 33,658 403,813 480,102 517,287 110,894 133,310 146,340 72,326 96,891 109,857 220,593 249,901 261,090 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: 1 438,392 492,873 517,605 60,075 69,644 80,070 239,750 253,885 269,118 Agency fiscal year changed from April-March to July-June to bring into line with fiscal years for funding sources. 2 Majority. of funders altered payment of funds from total amount payment in first quarter of new year to quarterly payments following completion of first quarter. Therefore, carryovers reflect Board reserved funds required for program operation from beginning of agency fiscal year, (July), until new fiscal year payments are sent from funders ranging 2-4 months after start of new fiscal year. Briefly describe how local funds were spent last year: Local funds are matched with State funds to provide counseling, referrals and education to low-income and poverty.-level parents for child carc information and parenting skills development. Local funds are also used in conjuction with State training funds to lower the cost of educational classes available to parents, caregivers and educators. One third of local funds are being used to augment the Home - Ties program: ~roviding qualified staff, supplies such as cribs, diapers, linens and meals. -138- - 2 - INCOME DETAIL l. Local Funding Sources- a. Johnson County / DECAT b. City of Iowa City c. United Way of Johnson County d. City of Coralville e. University of Iowa 2. Grants-State, Federal, Foundations a. IA Child Development Block Grant b. Child Care Food Program c. Headstart/HUD d. USDA Food Prog./Home-Ties 3. Net Sales Of Services (sources) a, Comm. Educ./Referrals/Employer cont. b 4. Net Sales of Materials (sources) b, 5. Contributions/Donations a, United Way Designated Giving b. Other Contributions c. Home * Ties Donations 6. Special Events a. 'Iowa City Road Races b. Family Fun Day C. 7. Interest Income 8. Other - List Below a. Rent b, T©TAL INCOME (same as p. 2, line lb) Notes and Comments: (a (b C INotes [ (a,e) I (e) (b ACTUAL LAST YEAR 130,546 57, t47 AGENCY 4Cs Community Coordinated Child Care THIS YEAR BUDGETED NON- PROGRAM PROJECTED NEXT YEAR DIRECTED 1 FUNDING 165,569 I 179,282 I 4,792 I 86,162 I 75,067 77,319 PROGRAM 2 88,328 77,319 9,625 16,728 24,500 919 12,572 11,009 63,774 73,774 77,463 3,873 73,590 22,104 { 36,2951 1,910 36,295 19,978 13,584 216 13,584 287,471 [ 314,032 I 332,823 26,780 34,481 38,205 253,096 265,751 280,818 3,504 4,091 13,800 13,800 10,830 I 16,400 I 21,040 10,830 16,400 21,040 3,102 I 17,938 I 3,102 17,938 ol o o[ ol o 4,810 6,n19 ] 8,200 2101 2,0451 5,9451 1,326 1,419 2,000 1 O0 1,000 900 1,728 2,000 2,200 110 1,045 1,045 1,756 3,000 4,000 4,000 3,263{ 3,300{ 5,100 1 250[ 2,850 1 2,000 2,396 2,000 2,500 125 1,375 1,000 867 1,300 2,600 125 1,475 1,000 I I 3,8871 3,5001 4,000 12,7001 1,0501 I I 01 01 5001 5001 01 500 500 ( d ) 440,807 509,220 550,945 33,658 146,340 109,857 Increase in funding from Johnson County for FY98 reflects full budget year for FY98; FY97 was reduced due to carryover from FY96. Program end September, 1996. lncrease in accessable funding from FY97 to FY98 reflects increasing license capacity from 11 children served to 25 children served Agency budget year changed from April 1 - March 30 to July 1 - June 30. Matched grant figures from pg.7 are included in funding figures from DECAT/Johnson County and ICCDBG. -3- -139- INCOME DETAIL (cont) AGENCY 4Cs Commumty Coordinated Child Care PROGRAM PROGRAM PROGRAM PROGRAM PROGRAM PROGRAM 3 4 5 6 7 8 I Local Funding Sources- I 0 a. Johnson County b. City of Iowa City c. United Way of Johnson County d. City of Coralville e. University of Iowa-Operational f. University of Iowa-Programs 2. Grants - State, Federal, Foundations l 260,840 a. IA Child Development Block Grant b. Child Care Food Program 260,840 c. HeadstarffHUD d. USDA Food Prog./Home-Ties Center e~ Gannett Foundation f. University of Iowa workstudy 3. Net Sales Of Services (sources) a. Comm. Educ./Referrals/Employer cont. b. C. 4. Net Sales of Materials (sources) b. 5. Contributions/Donations 0 a. United Way Designated Giving b. Other Contributions c. Home * Ties Donations 6. Special Events I a. Iowa City Road Races b. Family Fun Day C. 7. Interest Income I 250 8 Other - List Below I 0 a. Rent b. C. ol ol ol ol o TOTAL INCOME (same as p. 2, lmelb) Notes and Comments: ol ol ol ol 0 ol ol ol ol o ol ol ol ol oJ 0 0 0 0 0 ol ol ol ol o I I I I I ol ol ol ol o 261,090 0 0 0 0 0 -140- -3a- PROGRAM EXPENDITURE DETAIL AGENCY 4Cs Commumty Coordinated Child Care ACTUAL THIS YEAR BUDGETED NOTES LAST YEAR PROJECTED NEXT YEAR 1. Salaries (a) 162,590 194,870 212,456 2 Employee Benefits & Taxes ( a ) 24,191 33,087 38,242 3 Staff D~v¢lopment 4,716 4,850 6,050 4. Professional Consultation 6,864 6,810 7,100 5. Publications & Subscriptions 1,233 1,350 1,350 6 Dues and Memberships 130 300 300 7 Mortgage, Rent and Property Tax 6,306 6,306 6,306 8. Building Maintenance ( b ) 9,346 8,000 9,850 9. Equip. Purchase/Rental/lVlaint. 12,100 14,993 15,643 10 Uflities 2,518 2,500 2,900 11. Telephone ( c ) 5,457 5,350 6,750 12. Office Supplies & Postage 8,782 12,650 13,525 13. Printing and Publicity 6,490 8,000 9,325 I ocal Transportation ( d ) 2,707 5,550 6,895 15 Insurance 4,478 5,450 6,950 16 Audit (e) 2,200 2,500 ] 7. Interest 18. Other (Specify): Misc. 978 780 750 19. Provider Reimbursement 162,969 180,393 188,272 20. Meals:Home-Ties Center ( f ) 4,661 15,781 15,781 21 TOTAL EXPENSES ( p. 2, l~e 2) Notes and Comments: ADMINISTRA- PROGRAM PROGRAM ~ON I 2 25,221 82,062 67,146 4,371 14,771 12,086 203 2,447 1,400 55 5,795 1,000 75 825 300 50 150 3,506 6,850 532 10,461 2,500 1,600 288 2,512 1,150 304 5,799 3,100 216 3,829 1,725 195 2,581 919 148 2,252 2,500 2,000 300 200 600 50 15,781 426,516 509,220 550,945 33,658 146,340 109,857 ( a ) Agency instituted new pay periods from once monthly on the final day of the month to twice monthly on the 5th and 20th of each month, resulting in one less pay period for FY97. ( b ) Planned new roof at administrative site. ( c ) Elimination of cellular phone at Home-ties site due to lack of need. ( d ) Increased visits to home child caregivers while implementing new 2-tiered system for Child Care Food Program. ( e ) Change in agency fiscal year from April-March to July-June reflects no payment for audit in FY97, and five quarter audit at beginrang of FY98. t f ) Increase in license capaci .ty from 11 to 25 children at Home-Ties child care center. -4- -141- PROGRAM EXPENDITURE DETAIL (continued) PROGRAM 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 Maimenance 9. Equipment Purchase/RentalAvlaint. l 0.Utilities 11. Telephone 12. Offme Supplies & Postage 13. Printing and Publicity 14. Local Transportation 15. Insurance 16. Audit 17. Interest 18. Other (Specify): Misc. 19. Provider Reimbursement 20. Meals Home * Ties Center 3 38,027 7,014 2,000 250 150 100 2,800 3,000 2,150 1,300 2,800 4,322 3,555 3,200 2,050 100 188,272 21 TOTAL EXPENSES (p. 2, line 2) Notes and Comments: AGENCY 4Cs Community Coordinated Child Care PROGRAM PROGRAM PROGRAM PROGRAM 4 5 6 7 PROGRAM 8 261,090 0 0 0 0 0 -142- -4a- AGENCY 4Cs Community Coordinated Child Care · -.e',STRICTED FUNDS: Restricted by: DECAT/Johnson County University of Iowa State oflowa/CCDB Grant Headstart/HUD Child Care Food Program Meals: Home *Ties CCFP Board Restricted for: Home-Ties Child Care Center Program objectives Counseling & Referral Grant objectives Program objectives Childtens Meals Reserve ITOTAL RESTRICTED FUND (also shown page 2, line 4) ACTUAL LAST YEAR THIS YEAR BUDGETED PROJECTED NEXT YEAR 57,147 75,067 77,319 63,774 73,774 77,463 26,780 34,481 38,205 3,504 0 253,096 265,751 280,818 4,091 13,800 13,800 30,000 30,000 30,000 438,392 J 492,873 I 517,605 MATCHING GRANTS Grantor/Matched by University of Iowa workstudy / DECAT/JO. CO.-State of Iowa Home - Ties / United Way 26,574/8858 34,710/11,570 44,460/14,820 75,067/4,823 77,319/11,009 TOTAL MATCHING GRANTS (also shown pg. 3, line 2) *** 126,574/8858 1109,777/16,3931121,779/25,8291 IN-KIND SUPPORT DETAIl, Services/Volunteers: CHILD CARE / CLERICAL / FINANCIAL Material Goods: FOOD / EQUIPMENT / SUPPLIES Space, Utilities, etc.: 1st MENNONITE / OLD PUBLIC LIBRAR Other: (Please specify): TRAINING TOTAL IN-KIND SUPPORT (also shown on page 2, line 4) Notes and Comments: 20,097 22,107 24,318 11,354 13,057 15,016 25,024 31,280 37,536 3,600 3,200 3,200 60,0751 69,6441 80,070 Matched grant figures are included in funding figure totals from DECAT/Johnson County, Iowa Child Care & Development r~lock Grant, and United Way on pg. 3 -143- -5- SALARIED POSITIONS Position Executive Director Associate Director Prog. Coord./Counsel & Ref. Prog. Coord./Headstart-HUD Prog. Coord./Education Acct. Coord./CCFP 28 Nutritionist/CCFP 8 Prog. Coord./Home-Ties 28 Lead Teacher/Home-Ties 28 Ass't. Teacher/Home-Ties (2) 8 Child Advocates/Home-Ties (8) N/A Receptionist-workstudy N/A Toy Librarian 8 Finance Coordinator 28 X AGENCY 4Cs Community Coordinated Child Care "X" those that apply FTE* Salary .,- ~ ~ Last This Next Actual This Budgeted % Year Year Year Last Year Year Next Year Change Notes 33 X 14% 1.00 1.00 1.00 34,197 37,586 38,714 3% 28 X 17% 1.00 1.00 1.00 21,854 23,660 25,225 7% ( a ) 28 X 20% 0.89 1.00 1.00 14,722 17,680 18,387 4% (b) X 0.09 0.00 0.00 1,656 (c) 28 X 19% 0.57 1.00 1.00 10,900 20,000 20,800 4% (b) X 19% 0.92 1.00 1.00 16,234 19,370 20,800 7% ( d ) X 7.65% 0.52 0.63 0.75 9,800 10,400 12,870 24% ( e ) X 20 1.00 1.00 1.00 16,772 17,680 18,720 6% ( f ) X 21 1.00 1.00 1.00 12,947 15,080 16,640 11% ( f ) 7.65% 0.71 1.13 1.00 7,674 13,666 14,560 7% ( f ) N/A 2.68 3.00 3.50 7,298 8,580 10,920 28% ( f,g ) N/A 0.60 1.00 1.25 1,560 2,990 3,900 31% ( h ) 7.65% 0.50 0.50 0.50 5,356 5,408 5,720 4% 19% 0.08 0.13 0.25 1,620 2,770 5,200 88% ( I ) 11.56 13.39 14.25 162,590 194,870 212,456 9% TOTAL FTE's and SALARIES * Full-time equivalent: 1.0=full-time; 0.5=half-time; etc. (a) Increase reflects 3 year campaign to bring salary commensurate with position responsibilities. (b) Positions turned over FY96, remaining open during hiring process. (c) Grant program completed 9/96. (d) Increase reflects increased responsibilities due to programmatic changes. (e) Increase reflects increased hours to accommodate program changes plus annual cost of living raise. (f) Increase to provide wages commensurate with position. (g) Provides for increased child/staffratio at Home-Ties child care center and increases in minimum wage requirements. (h) Increase provides workstudy assistant at Toy Lending Library site. (i) 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. -144- -6- AGENCY 4Cs COMMUNITY COORDINATED CHILD CARE ACCOUNTABILITY QUESTIONNAIRE Agency'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. Co 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 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.) 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 (3 years); Family Fun Day - carnival. Additional event being planned by board committee, sales of T-shirts and resource materials. D. Management: 1. 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? -7- Board of Directors Executive Committee -145- AGENCY: 4Cs COMMUNITY COORDINATED CHILD CARE BOARD OF DIRECTORS PRESIDENT: Professor James Pusack German 103 Shaeffer Hall University of Iowa 52242 VICE-PRESIDENT: TREASURER: SECRETARY: Professor Alice Atkinson Curriculum Instruction, College of Education N238 Lindquist Center University of Iowa 52242 Jonathan Haas Consultant; University of Iowa 2545 Quincy Road N.E. Solon, Iowa 52333 Kim Horras Administration, Facility Services C118GH University of Iowa Hospitals and Clinics 52242 Sally Staley 314 Beldon Ave. Iowa City, Iowa 52245 Ruth Allender Director, Mann Elementary Before and After School Program 1704 Ridgeway Drive Iowa City, Iowa 52245 Mimi Haithcox Social Work, Department of Human Services 911 Governor Iowa City, Iowa 52245 -146- -7a- AGENCY: 4Cs COMMUNITY COORDINATED CHILD CARE Orograms/Services: _ tease 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, parent counseling. Time involved for parent counseling 1 hr initially, 30 minute increments thereafter. Direct service. 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. How many Johnson County residents (including Iowa City and Coralville) 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 agency provide? 95-96 96-97 la. Duplicated 13,607 13,814 Count lb. Unduplicated 8,736 8,772 Count 2a. Duplicated 6,386 6,453 Count 2b. Unduplicated 6,241 6,270 Count 3a. Duplicated 2,903 2,974 Count 3b. Unduplicated 1,958 1,973 Count 4a. Total 24,390 24,512 4b. To Johnson County 23,792 residents ***Additionally sent out 10,500 directories to community; not figured into statistics. 23,840 5. Other Areas Served: Do you provide services to areas outside of Johnson County? Area(s) served: S,--,iccs provided: Fu,,aing Sources: Yes Washington and Cedar Counties Resource and Referral, education to parents, child care providers and others Iowa Child Care and Development Block Grant through the State of Iowa Department of Human Services and The University of Iowa -8- -147- AGENCY: 4Cs COMMUNITY COORDINATED CHILD CARE 6. Client Profile (for last complete year, if available): Age Gender Ethnicity 0 - 5 4,537 M 4,066 African American 892 6 - 17 983 F 9,287 Native American 51 18 - 29 2,102 Asian 272 30 - 61 2,874 Hispanic 608 62 - 75 2,451 Caucasian 9,962 75+ Multi-racial 479 Unknown 406 Unknown 1,089 * The above information is not tracked for all agency programs, (e.g. we do not collect this information at educational classes). The figures above represent only information through parent referrals, Home-Ties and the Child Care Food Program. 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 are conducted for this program as well. Primarily guage programs by usage figures. Conduct periodic assessment survey. 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 mail provider reimbursement checks out within five days of receiving the funds in-house, ( we have an office goal of sending these funds out to providers the same day we receive them). What plans does your agency have to increase efficiency and effectiveness? Complete training for all staff within each site to insure client needs can be met regardless of staffing. Reviewing all position responsibilities and workload within the agency; restructuring as necessary. Increasing position salaries enabling the agency to hire the most qualified and professional individuals for the job. Providing more computer workstations and improved software and training on the network increasing the quantity of work performed, efficient use of staff time and improving turn-around time for client services. 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 continue to put a greater burden on families which will be felt in all of our programs, specifically the need to increase recruitment of second / third shift and infant care providers willing to accept State subsidy payments for child care. Parents and providers both will need access to additional resources both financially and nutritionally with the implementation of the 2-tiered system with the federal Child Care Food Program. 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. Educational and parenting skills training and support for foster care families. -148- 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 Counseling & Referral position remains part-time; the work performed has been streamlined to maximum efficiency due to computerization and cross-training. However, the demand continues to dramatically outpace supply. The demand for service will continue to increase due to the growth in parent contacts and provider support necessary to provide assistance to families through Welfare to Work. Due to increases in state licensing guidelines there have been overwhelming requests for expansion of the educational trainings available. Additionally an area of concern for the board and management staff are the low wages and salaries the agency is able to pay Home · Ties staff. 4Cs stands for quality, and worthy wages, and this is an area designated for increases over a three-year time period. 10. List complaints 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 fines charged ($1/day, waived if you call and renew; $2/day for reserve items) for overdue toys at the Toy Library. Many parents participating at Home-Ties have expressed a desire to have extended hours available, (currently open 7:30a.m. - 5:30p.m.), and for their children to be able to remain at Home-Ties beyond the parents completion of identified goals. 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: 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 allows for care of 8 infants. Increasing staff to accommodate childYstaffratios 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. 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 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: Staffing campaign special events with United Way -10- -149- AGENCY HISTORY 4Cs Community Coordinated Child Care (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.) In the 25 year history of 4Cs, advocacy for children and their families has been the primary focus of service delivery. During this time, however, the nature of services has changed to meet the needs of our community. In the beginning, locating child care for working parents was the sole purpose; in recent years, our scope includes direct care for homeless children. Our programs moved from informational to service delivery. The following is a summary of the various programs offered through 4Cs. Resource and Education is operated as a member of the Statewide Resource and Referral Network. Partial funding for this program is through allocations from the Child Care and Development Block Grant and the University of Iowa. The statewide network provides computerized, comprehensive, up-to-date information throughout the State. The program served 4200 families over 70% of whom received free services based on income eligibility. We received 670 requests for infant care, distributed 8,000 child care center directories, and disseminated consumer education materials. Technical assistance to home and center providers is available through telephone counseling and individual appointments as necessary. Within the Resource and Education program is Sick/Emergency Child Care. Parents are empowered to attend work or school while they have a mildly ill child at home through extensive training of home caregivers. These qualified individuals go into parent's homes in child care emergency situations. For example, if a child is too ill to attend their regular care, if their regular caregiver is ill or if there is some other breakdown in caregiving, parents have a place to turn without missing work. Another program that supports parents and caregivers is the infant education enhancement of Best Beginnings. Additional training is given to caregivers to provide optimal care to infants. In exchange for participation, caregivers are able to borrow the necessary infant equipment. The 4Cs training program offers individual consultations, group presentations and resources on child development, health and safety, parenting skills, and business practices. Each month certification classes are held for 1 s, Aid, CPR, and Mandatory Reporting of Child Abuse: and monthly orientations are held for new home-based providers and nannies. Additionally, regular trainings are held for the Child Care Food Program, and Best Beginnings. The annual Our Children. Every Child conference reaches 300 participants with information on basic care of children to enhancement programs that enrich the lives of children and parents. Through a Gannett Foundation Grant, the Toy Lending Library opened in 1985. Currently, 150 families and centers are members representing more than 500 children who benefit from the toys. Mutlicultural, anti-bias, educational toys and activities are the focal point of the self-circulation system. A sliding scale membership fee makes this program accessible to low-income families. Home Ties, a child care center for homeless and near-homeless families of Johnson County is vital to the families reaching self-sufficiency. In the beginning years, our capacity was to serve 11 children. This year we raised our license to accommodate -11- -150- 25 children, some of whom may be able to pay for care under Title XX. We have only 2 slots available to this transitional concept with an intention of raising our license for 3 more children. Through a collaboration with the Mennonite Church, Home Ties utilizes church space during operating hours Monday - Friday 7:30 a.m. to 5:30 p.m. Child Advocacy is an integral part of every program and philosophy of 4Cs. The goal of this component continues to be utilization of existing programs. Again, this year we have worked closely with the Department of Human Services to coordinated services to low-income families involved with the Family Investment Program. Our work with DHS will expand in the coming year through foster care programs and the Welfare to Work programs. The statewide Iowa Child Care Coalition continues to lobby the legislature to improve the lives of children and families. L6cally, the Board of Social Welfare has joined us in our lobbying efforts. At the state level, a movement was successful in raising the number of children eligible to be in a provider's care. Our efforts to thwart the changes went tinmet. We wrote letters to legislators and the governor illustrating the dangers in allowing too many children in a home child care setting. Some rural locations requested more children be allowed to attend a child care home because of the scarcity of providers. At the present time, a pilot program has been established to meet this need. Several concerns about child safety and caregiver burnout are being addressed. 4Cs will continue to advocate for the best situation for children. The Child Care Food Pro,,ram 4Cs provides local sponsorship of the federally funded program which distributes reimbursements and nutritional education to registered home providers. This year marked a challenge due to a major change in the reimbursement structure. Each of the more than 80 providers were required to complete new and extensive paperwork to remain in the program. Reimbursement rates dropped dramatically for some providers. For example, formally a snack was reimbursed at $.46 per snack, now the rate is $. 13 for each snack. The benefit of nutrition education was a major focus in assisting providers to stay with this important program. Despite the fact that the program now creates a gap for some providers and parents in nutritional and financial terms, implementation has gone smoothly due to diligent efforts on the part of the State agency and our local Child Care Food Program staff. By addressing challenges to the child care system, documenting needs and trends, and serving as a resource for planning and development of new approaches, we are ensuring that our community's children will thrive in safe and nurturing environments. 4Cs is proactive and remains committed to problem solving and enhancing our current child care delivery system. 4Cs COMMUNITY COORDINATED CHILD CARE AGENCY GOALS FORM FISCAL YEAR 1999 (APRIL 1, 1998 - MARCH 31, 1999) PROGRAM 1 - RESOURCE AND EDUCATION SERVICES GOAL: To provide information about local child care to residents of Johnson County. OBJECTIVE A: Provide telephone or walk-in 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, interns and workstudy students to assist with office tasks. Compile information on Johnson County licensed child care centers, preschools, and related programs 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. 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. -152- -13- 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 time 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 consumer education 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. 14- -153- 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. Identify new sources for recruitment of providers. 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: 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. Contract with 15-20 presenters to conduct training sessions. 3. Assemble and distribute training packets to participants. OBJECTIVE F: TASKS: Recruit, train, support and provide equipment for child care home providers willing to accept new infants into their care. 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. -154- -15- AGENCY - 4Cs COMMUNITY COORDINATED CHILD CARE RESOURCE AND EDUCATION SERVICES - Continued Provide support, training, educational opportunities for child care home providers continuing to participate in the Best Beginnings program beyond the initial year in which the program provides infant equipment. OBJECTIVE G: 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. 16 -~55- 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. 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 development 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. -156- -17- AGENCY - 4Cs COMMUNITY COORDINATED CHILD CARE RESOURCE AND EDUCATION SERVICES - Continued 4. Conduct seminars and workshops to employers and other community groups; distribute educational materials as needed. OBJECTIVE C: TASKS: Provide and submit information to the quarterly SDA 26 county-wide newsletter, ChiM 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. Print and distribute 1200 copies of the newsletter. 3. Seek funding from local businesses for production and distribution costs. OBJECTIVE D: TASKS: To increase community awareness conceming issues relating to child care. 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 financial 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. -18- -157- 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. o 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: 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. 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. -158- -19- 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. Publicize workshops through news releases, flyers, newsletters, and direct phone contact. -20- -159- AGENCY - 4Cs COMMUNITY COORDINATED CHILD CARE RESOURCE AND EDUCATION SERVICES - Continued RESOURCES NEEDED TO ACCOMPLISH PROGRAM TASKS: 1. Staffing: 4 full-time (Executive Director, Associate Director, Education Coordinator, Counseling and Referral Program Coordinator), 5 part-time (Sick/Emergency Child Care Program Coordinator, Infant Caregiver Recruitmere Program Coordinator, Finance Coordinator, Toy Librarian, Workstudy Reception Assistants) 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. Four phone lines, including a voice-mail system 5. Office supplies, equipment and equipmere maimenance (incl. 8 computers) 6. Priming, copying and postage supplies for conference brochures workshop schedules, orientation meetings, provider packets, training program schedules, curriculum materials, newsletters and promotional activities 7. Infant equipmere fund 8. Insurance 9. Typesetting and priming 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 4/97-3/98 $141,463 * Cost of program 4/98-3/99 $156,101 * * These figures include administrative costs to operate the program -160- -21- 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 24 children of homeless and near-homeless families. TASKS: 1. Hire, train 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. Meet with all cooperating agencies (DVIP, EHP, 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. 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. Contract with Iowa City School District to provide Food Program approved nutritious meals for children participating in center. -22- -161- 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 program participation 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. Meet with Advisory Council coordinating efforts with local crisis agencies and homeless and domestic violence shelters. -162- -23- AGENCY - 4Cs COMMUNITY COORDINATED CHILD CARE RESOURCES NEEDED TO ACCOMPLISH PROGRAM TASKS: 1. Staffing: 2 full-time (Center Site Coordinator, Lead Teacher) 10 part-time (Executive Director, Administrator, Home *Ties Program Coordinator, 2 Assistant Teachers, 8 Child Advocates) 2. One phone line with answering machine 3. Office supplies for program records and curriculum planning 4. Program equipment and supplies including large outdoor equipment, small and large motor activity toys, perishables, (paints, paper, crayons, markers), child support items, (cribs, nap cots, diapers, baby wipes, bottles, surgical gloves), and cleaning supplies, (bleach, disinfectant) 5. Food supplies to prepare snacks and breakfast 6. Printing for program packets and recordkeeping 7. 20-30 volunteers 8. Child Care Center space and utilities (in-kind) Cost of program 4/97-3/98 $102,715 * Cost of program 4/98-3/99 $116,589 * * These figures include administrative costs to operate the program -2/4- -163- 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 toward a variety of foods. OBJECTIVE A: Provide nutrition education to 70-100 day care home providers in Johnson County and to monitor their adherence to program nutritional and recordkeeping requirements. TASKS: 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. 5. Publicize program and enroll new providers in program upon request. OBJECTIVE B: Provide reimbursements to 70-100 enrolled day care home providers for meals and snacks served to their day care children. TASKS: 1. Receive and process weekly menus, meal records and requests for reimbursements. 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. -164- -25- AGENCY - 4Cs COMMUNITY COORDINATED CHILD CARE CHILD CARE FOOD PROGRAM - Continued RESOURCES NEEDED TO ACCOMPLISH PROGRAM TASKS: 1. Staffing: 2 full-time: (Child Care Food Program Account Coordinator, Child Care Food Program Nutritionist) 2 part-time: (Executive Director, Finance Coordinator) 2. Three phone lines 3. Voice-mail system 4. Office equipment and equipment maintenance (including computer) 5. Program supplies 6. Priuting and postage for program records, newsletters, and reimbursements 7. Mileage reimbursements for staff persons 8. Office space Cost of program 4/97-3/98 $265,042 * Cost of program 4/98-3/99 $278,255 * * These figures include administrative costs to operate the program -165- -26- HUMAN SERVICE AGENCY BUDGET FORM City of Coralvilla John~'0n County City of Iowa City · United Way of,Jo.hnaon County CHECK YOUR AGENCY'S BUDGET YEAR 4/1/98- 3/31/99 7/1/98 - 6/30/99 10/1/98 - Director: Agency Name: J~.~ C_~ Address: Phone: Completed by: / / (date) 9/30/99 COVER PAGE Program Summary: (Please number programs to correspond to Income & Expense Detail, i.e. Program 1, 2, 3, etc.) Local Funding Summary: United Way of Johnson County -- Does Not Include Designated Gvg. City of Iowa City Johnson County City of Coralville 4/1/96 - 4/1/97 - 4/1/98 - 3/31/97 3/31/98 3/31/99 ~ o ~ 0 ~3oao FY97 FY9B FY99 $ 0 $ 0 $ o ~ 0 $ 0 ~ o % of Total Budget -166- -1- 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 Programs below) 1. 2. 3. 4. 5. 6. - AGENCY ACTUAL LAST YEAR THIS YEAR PROJECTED BUDGETED NEXT YEAR 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: *Bri;fly de;cribe how Io;~l fu.d; w~r~ ;~nt I~;t y~r: -2- -167- INCOME DETAIL 1. Local Fundlop Sources a. Johnson Countv b. City of Iowa City c. United Way d. City of Coralville e. f. 2. Grants. State. Federal. Foundations a. ~.,0~"o /~J",~t,1 d. 3. Net Sales of Services (sources) a. b. C. Net Sales of Materials Isources) a. b. C. 5. Contributions/Donations a. United Wav Desmated Givino b. Other Contributions 6. SDecial Events a. Iowa Citv Road Races b. C. 7. Interest income Other - List Below IncIodine Miscellaneous C. TOTAL INCOME (shown also on oaoe 2. line lb) Notes and Comments: ACTUAL LAST YEAR I ~ oo~ I el THIS YEAR BUDGETED NON. PROGRAM PROJECTED NEXT YEAn DIRECTED 1 I ~-/~-} I ~q ~ FUNDING '~-oo /ooo .5-0 o "' o ~1 ol I o I PROGRAM 2 0 I~O I J ~ao ~,,ol~ool I 5Bol 4/o boo ,b-o-"o I I I I I~-oo o I ~ooo II ~-ooo cJ ~'oo c/~'oo -168- -3- PROGRAM EXPENDITURE DETAIL ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR 2. Employee Benefits and Taxes 0 0 3. Staff Development 0 0 0 4. ProfessiOnal Consultatio~ 5. Publications and Subscriptions 0 0 6. Dues and Memberships 0 0 0 7. Mortgage, Rent, and Property Tax 0 0 8. Building and Maintenance ~ d~ O0 ~'-00 0 ~ 00 0 9. Equipment Purchase/Rental~Maintenance 10. Utilities 11. Telephone 12. Office Supplies and Postage / ~, (~ I 0 0 I ..~-0 13. Printing and Publicity I -~ / ].~0 /o0 14. Local Transportation '~. Insurance 0 0 0 16. Audit 17. Interest 20. 21. 22. 23. 24. 25. TOTAL EXPENSES (shown also on page 2, line 2) Notes and Comments: ADMIN. PROGRAM 1 / 'oo ?) 1ooo PROGRAM 2 i5-0 0 -169- -4- RESTRICTED FUNDS Restricted by:. Restricted for: AGENCY ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR Total Restricted Funds (also shown page 2, line 4) MATCHING GRANTS Grantor/Matched by: Total Matching Grants (also shown on page 3, line 2) . IN-KIND SUPPORT DETAIL Services/Volunteers Material Goods Space, Utilities, etc. Other: {Please specify) /ooo'~4. K,3/v,, x TOTAL IN-KIND SUPPORT (Shown also on page 2, line 5) Notes and Cof~nents: -170- -5- SALARIED POSITIONS Paid Position Lye "X" all that eppiy Health Retim ins Plan % Benefits Last Yilr This Year Nexl Year ACTUAL THIS YEAR BUDGETED LAST PROJECT. NEXT YEAR ED YEAR % CHANGE Total Salaries & FTE 'Full-time equivalent: 1.0 - full-time; 0.5 - half-time; etc. 1 ~ oo /~ oo I~' c C) -6- -171- AGENCY: ACCOUNTABILITY QUESTIONNAIRE A. Agency's Mission Statement or Pdmary Purpose: nu+ 4-',o s noon Board of Directors: 1. Please attach a list of your agency's Board of Directors 2. Frequency of meetings: ~ H n,t~.~ o. ~j-- ' 3. Briefly describe board orientation and ongoirig training opportunities: C. Finances: 1. If your agency charges a fee for services, descdbe your fee structure. 2. Does your agency have an internal audit, external audit or a~jnancial revie (circle one) Frequency 3. Has your agency filed the Annual Report with the Secretary of State? Yes No ;X 4. Has your agency filed Form 990 with the IRS? Yes No X 5. Please discuss your agency's fundraising efforts, if applicable. (e.g. events, direct mail campaign, planned giving, etc.) 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? +i,~_ bo~-~ -7- -172- 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.) Please supply information about clients served by your agency dudng last two comDlete 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 ---- la. Duplicated Count lb. 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 agency provide? 4a. Total 4b. To Johnson County Residents 5. Other Areas Served: ~J~ -~'~-C. +v-o.r~.5~r~ O.~ ~.~1 Do you provide services to areas outside of Johnson County? Area(s) served: Services provided: Funding Sources: -8- -173- o AGENCY: Client Profile (for last complete year, if available): , Age Gender Ethnicity -0 - 5 ,5- M (~ O Afdcan American /O- 6 - 17 5--/(:3 F ~ O Native Amedcan ,.~ 18 - 29 5"~/O Asian 30 - 61 '7' 0 Hispanic / O 62 - 75 .5~/d:) White 75 + Multi-racial Evaluation and Review: A. Please discuss how your agency measures the success of its programs. B. · Does your agencY have performance objectives? [Give several examples] ,5 ho~d K-I-2 C. What plans does your agency have to increase efficiency and effectiveness.'? In what ways will the needs of your service population change in the next five years: -'~ ?4- -9- AGENCY: ~'~.~ /-~r,c:~ 9. Please discuss any other problems or factors relevant to your agency's programs, funding or service delivery: 14-' 10. List concerns/complaints about your services of which you are aware: 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: How many people are currently on your waiting list? 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 Blitz d. Day of Caring e. Executive Development Seminars~ f. Kick Off g. Victory Reception ~ h. Volunteer Action Center i. Other -10- -175- 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 Free Lunch Program evolved when therapists Ronnye Witland and Carol Lear became aware that some of their clients at Community Mental Health Center were not eating well and were leading isolated lives. A Lenten Bible study group from St. Mary's enthusiastically responded to the idea of creating a free commumty meal and Free Lunch was established in February 1983. Initially, meals were served once a week. By 1989 the program had expanded to 6 days a week and had become a designated United Way agency. Over 100,000 meals had been served by the tenth anniversary in 1993 and by 1996 that number had doubled to over 200,000 meals. It has become such a good program that it has a reputation across the country. Transients frequently drop in from the interstate for a warm meal on the way across the country. Between 30 and 40 community groups take rams serving meals. These are served in the Wesley House on Dubuque St. The Wesley Foundation, under the directorship of David Schuldt provides the facilities without charge to the Free Lunch Program. The Program provides, in return, some reimbursement of expenses for utilities, cleaning supplies, and building maintenance. In the past few years the program has remodeled the kitchen facilities by putting in a triple sink for food preparation and dish washing, adding a commercial dishwasher, a second disposal, and new stove, countertops and refrigerators. Free Lunch was also able to help financially with the installation of a handicapped accessible elevator, now nearing completion. Free Lunch would like to see itself disappearing in the future but instead sees needs are increasing as the safety net for the needy is disappearing. In response, Free Lunch is setting its goals to accommodate the needs of the poor and homeless for meals and continually strives to improve the quality of its services. -176- -11- 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 Co-Director: Agency Name: Address: Phone: Completed by: Approved by Chair Board: 1Ill98- 12/31/98 4/1/98 - 3/31/99 7/1/98 - 6/30/99 X l~1/cYig- ~3~99 Sandy Pickup Iowa City Free Medical Clinic 120 N. Dubuque 337--4459 (date) COVER PAGE Program Summary: (Please number programs to correspond to Income & Expense Detail, i.e., Program 1, 2, 3, etc.) l. Health care deliveD,- General out patient care including medications, in clinic testing, limited testing sent out, needs assessment 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. ~ 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 high risk and undemerved populations in Johnson County. 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 4/1196 - 4/1/97 - 4/1/98 - 3/31/97 3/31/98 3/31/99 67,700 75,402 78,192 5,180 5,440 5,712 84,246 84,370 88,589 % of Total Budget 30% 2% 34% 0% -177~ - 1 - AGENCY: Iowa City Free Medical Clinic BUDGET SUMMARY Enter Your Agency's Budget Year ==> 1. TOTAL OPERATING BUDGET (total a+b) a. Carryover Balance (Cash from line 3, previous colunto) * b. Income (Cash) 2. TOTAL EXPENDITURES (Total a+b) a. Administration b. Program Total (List Progs. Below) 1. Health care delivery (includes remodel costs in FY 97) 2. Financial Assistance 3. HIV counseling and testing 4. HIV Outreach 5. Scholarship 6 7 8 ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR 7/1/96-6/30/97 7/1/97-6/30/98 7/1/98-6/30/99 351,784 309,602 324,857 26,076 55,098 62,694 3 25,708 254,504 262,163 296,686 242,976 256,482 44,.503 36,,M6 50,778 252,183 206,530 205,704 197,716 147,680 146,159 5,585 6,000 6,125 16,458 17,850 18,920 32,424 34,000 34,000 0 1,000 500 ,. ENDING OPERATING BALANCE (Subtract 2 - 1 ) .. RESTRICTED FUND BALANCE (Total from page 7) ;. IN-KIND SUPPORT ~. NON-CASH ASSETS lotes and Comments: Y 97 ending bal. includes: (Total from Page 7) checking petty cash savings liabilities 6,022 5,500 5,500 221,000 222,000 223,000 12,295 13,000 13,000 *FY 97 beginning balance includes: checking $ restricted $$$ $ $ 3,140.00 peny cash $ $ 2.00 savings $ $ 58,849.00 Payables and deferred revenue $ $ (6,893.00) '~ Briefly describe how local funds were spent last year. All health care delivery and medication assistance ser¥iccs were provided with local funding. -178- -2- 8,872.00 5,658.00 4.00 11,959.00 (417.00) 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. 12. Grants - State, Federal, Foundations a. CDC HIV grant b. ICAP c. State HIV Outreach d. CDBG rehab funds e. £. 3. Net Sales Of Services (sources) b. C. 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. Fundrinsing letters c. 1% Business Day 7. Interest Income 5. Other - List Below a. Miscellaneous b. Restricted gifts C. ACTUAL LAST YEAR 159,4i91 5,180 69393 AGENCY Iowa City Free Medical Clinic THIS YEAR BUDGETED NON- PROJECTED NEXT YEAR DIRECTED FUNDING 166,0121 174,471 [ 0 84,370 88,589 5,~0 5,712 75,402 79,170 800 I 113306 I 51,0001 51,000 I 2,0001 13,750 15,000 15,000 16,098 20,000 20,000 20,682 16,000 16,000 2,000 62,776 0 0 -0 0] - - 0 ~ ' - PROGRAM 1 HCD 169,3711 85,539 5,712 77,120 1,000 Ol Ol 0 I o o o{ Ol Ol 26,941 16,000I 16,000I 4,973 4,000 21,968 12,000 I 4,000 12,000 I 13,517 I 13,000 I 13,4001 4,412 5,0oo 5,OOO 7,422 7,000 7,400 1,683 1,000 1,000 2,313 2,0001 2,OO01 10,212 6,492[ 5,292 3,069 1,200 0 7,143 5,292 5,292 Ol 14,5551 4,000 lO,555 I 5,000 7,400 1,000 1,292 0 1,292 PROGRAM FA 2,100 1,050 0 1,050 0 01 I 525 0 0 ol ol ol 3,500 Ol 3,50o FOTAL INCOME (same as p. 2. line Notes and Comments: 325,708 254,504 262,163 qlV Outreach grants b. and c. must be reapplied for in FY 98 and F-'Y 99 3rant c. runs on a calendar year 2,000 200,618 6,125 - 3 - -179- INCOME DETAIL (cont) · Local Funding Sourees- a. Johnson County b. CiD' of Iowa City c. United Way of John~m County d. City of Coralville C. . Grants - State, Federal, Foundations a. CDC HIV grant b. ICAP c. State HIV Outreach d. CDBG rehab funds e. · Net Sales Of Sen'ices (sources) a. b. C. · Net Sales of Malerials (sources) b. C. Contn butions/Donations a. United Way Designaled Giving b. Other Contributions . Special Events a. Iowa City Road Races b. Fundnusing letters c. 25th anniversaD' . Interest Income · Other - List Below a. Miscellaneous b'. Restricted gifts C. AGENCY Iowa City Free Medical Clinic PROGRAM PROGRAM PROGRAM PROGRAM 3 4 5 6 HIV test Outreach Scholarship 3.ooo I ol o{ 2,000 I 15,000 I 34,0001 0l 15,000 20,000 14,000 { ol OI o{ I o{ o{ ol PROGRAM 7 PROGRAM 8 o{ o ol 0l 0 ot Ol o[ I { 0l 0l o -' I { 9201 01 01 01 0{ 01 I Ol o} o} o{ o{ 0 0 'OTAL INCOME (same as p. 2, line' lores and Comments: 18,920 34,000 500 { t 0 0 -180- -3a- PROGRAM EXPENDITURE DETAIL AGENCY Iowa City Free Medical Clinic ACTUAL LA S'I' YEAR 1.' Sa,aries 133391 2. Employee Benefits & Taxes 26351 3. Staff Development 215 '4. Professional Consultation 703 5, Publications & Subscriptions 1,461 6. Dues and License fees 50 7. Mortgage, Rent and Property Tax 11,951 8. Building Maintenance 1,819 9. Equipment PurchaselRental/Maint. 9,464 10. Lab Sen'ices 1,430 11. Telephone 2,579 t2. Offme Supplies & Postage 1,634 13. Printing and Publicity 5,139 14. Local Transportation 210 15. Insurance 8,233 16. Audit 17. nodeling 69,993 18. Other (Speci~'):Scholarship O 19. MD Contracted 8,319 20. Supplies-Clinic 4,804 21. Supplies-Pharmacy 2,607 22. Client Assistance 5,585 123. Volunteer Recognition 152 24. Fundraising 386 25. Misc 210 TOTAL EXPENSES ( p. 2, line 3 296,686 Notes and Comments: Line 17. Remoleding is included in Health care deliver)' on page 2 THIS YEAR BUDGErED ADMINISTRA- PROGRAM PROJECTED NEXT YEAR TION 1 HCD 150,180 158,452 39,613 88,746 30,536 32,210 8,053 17,189 200 1,000 500 500 6,250 7,574 100 300 2,575 2,575 275 135 135 135 12,548 13,175 1318 11,257 1,850 1,901 1,901 550 1,125 100 225 1,700 1,700 1,700 2,657 2,736 270 1,941 2,262 2,294 574 1,300 4,758 4,849 1,999 802 802 250 162 8300 8300 830O 0 0 1,000 500 0 0 0 5,523 5,799 5,099 4,000 4,080 4,080 6,000 6,125 500 500 500 500 500 500 PROGRAM FA 6,125 242,976 256,482 50,778 146,159 6,125 -181- PROGRAM EXPENDITURE DETAIL (continued) PROGRAM 3 HIV Test I. Salaries 15,047 2. Employee Benefits & Taxes 1,718 3. Staff Development 4. Professional Consultation 5. Publications & Subscriptions 100 6. Dues and License fees 7. Mortgage, Rent and Property Tax 600 8. Building Maintenance 9. Equipment Purchase/Rental/Maint. l O. Lab Services ' 11. Telephone 25 12. Office Supplies & Postage 80 13, [hinting and Publicity 1,250 14. Local Transportation 15. Insurance 16. Audit 17. Remodeling 18. Other (Specify):Scholarship 19. MD Contracted 20. Supplies- Clinic 100 21. Supplies-Pharmacy 22. Client Assistance 23. Volunteer Recognition 24. Fundraising 25. Misc TOTAL EXPENSES (p. 2, line 2) Notes and Comments: 18,920 AGENCY Iowa City Free Medical Clinic PROGRAM 4 Outreach 15,046 5,250 PROGRAM PROGRAM 5 6 Scholarship PROGRAM 7 7,174 2,200 500 340 1,600 390 600 100 PROGRAM 8 34,000 50O 0 0 0 - 182- - 4a - AGENCY Iowa City Free Medical Clime REt ICTED FUNDS: Restric~nt by: R~tricted for: Donor Scholarship Donors Client assistance ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR 500 500 5O0 5~22 5,000 5,000 TOTAL RESTRICTED FUND (also shown page ~ line 4) MATCHING GRANTS Grantor/Matched by TOTAL MATCHING GRANTS (also shown pg. ~ 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 specify) TOTAL IN-KIND SUPPORT (also shown on page ~ line Notes and Comments: 210,500 10,_500 221,000[ 211,000 11,000 222,000[ 211 ,_500 11,500 -5- -183- SALARIED POSITIONS Volunteer Coordinator ._ 27 X X 13Y~ 1.00 Financial Coordinator 27 X X 13°/~ 1.00 Patient Services Coordinator 27 X X 13% 1.00 HlVCoordinator 27 X X 24% 0.50 Physician Assistant 3 6~g 0.13 Physician Assistant 3 6%' 0.13 Office Assistant 27 X X 41% 0.54 HIV Outninth Coordinator 27 X X 29% 0.50 Work Study 0.25 Maintenance 0.00 Dental Assistam 0.01 AGENCY VrE* Iowa City Free Medical Clinic This Next - Actual Y~ar Y~ar ' Last Year 1.00 1.00~ 28,582 1.00 1.00. 29,182 1.00 1.00 28,132 0.50 0.50~' 13,897 0.13 0.13. 4,251 0.13 0.13 3,874 0.53 0.63 9,750 0.50 0.50 13,897 0.50 0.50 785 0.00 0.00 0 0.20 0.20' 1,042 This Year 29,558 30,158 29,108 14,405 4,475 4335 8,~6 14,405 g00 0 1,200 Budgeted % Next Year Change 30,842. 4.3% 31,442 4.3% 30,392' 4.4% 15,046, 4.4% 4,659- 4.1% 4,539 4.7% 10,966 25.5% 15,046 4.4% 800 0.0% 0 0.0% 1,200 0.0% Physician * · this line was previously called MD Contracted and not included m Salaries 3 6% 0.00 0.30 0.30 0 13,000 13,520 4.0% -184- TOTAL FTE's and SALARIES 5.06 5.79 5.88 133,391 150,180 158,452 5.5% * Full-time equivalent: 1.0=full-time; 0.5=half-time; etc. *paid leave includes vacation and holidays/% Benefits does not (office assistant in FY 97 had 2 weeks with 2 people in job) include paid leave Iowa Cit)' Free Medical Clinic ACCOUNTABILITY OUESTIONNAIRE A. Agency's Mission Statement or Primary Purpose To provide a wide range of qualits' health care services to our patients free of charge. The Clinic is open to anyone who either for financial reasons or reasons of confidentiality cannot seek health care elsewhere. The Clinic serves people who do not qualify for federal, state or county assistance programs and do not have private health insurance. B. Board of Directors: Go Please attach a list of your agency's Board of Directors Frequency of meetings: Jan, Mar, May, Aug, Sept, Nov Briefly describe board orientation and ongoing training opportunities: New Board members are given a notebook of FMC by-laws and other information and a clime tour, where clinic operations are explained. l~llances: If your agency charges a fee, describe your fee structure. There is no fee for service, we request that patients contribute $5, "more if you can less if you Does your agency have: internal audit external audit financial review Frequent3' annual review by board Has your agency filed the Annual Report with the SecretaD' of State? Yes X No X Has your agency filed Form 990 with the IRS Yes X No Do Please discuss your agency's fundraising efforts, if applicable.-A fundraising letter was sent to past supporters. For the second year, local businesses donated a portion of a day's sales to building renovations. Hospice Race team Friends of FMC raises funds. In September 1996 New Pioneer Co-op had a festival with some proceeds benefiting FMC. 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 committee X No 7 -185- IOWA CITY FREE MEDICAL CLINIC BOARD MEMBERS I NAME HOME PHONE WORK PHONE YEAR ELECTED TERM EXPIRES Jud,y...E..))!~gn.. ................................................~.4_~.?.5..5...99_ .............i.3.5..6.~.60..5.0, ................8:.~.~ .............................!3..-.,0.0 ............................i ........................................... I, 39 Greenview Dr. ii ....................i..~!k...3..4..~ ..................i ............................................!-..(..1..-s.!L..t.-e..-..r~....) .............i ................................ ~ We..st..._.~.r.~..,_.~h,..!,..A.....5.g3.....5.~ ............................!,.....! ..................................! ......... L i ~3.da....G.a..ra.l~ (~ ............................................... .3..3.9..-..~_ .6.8.;3 .......................................................... .8;..9...3 ............................... 3.;..9.9 ............................ l ................................. 2302 Friendship (Znd term) 728 2nd Avenue I (2nd term) i lowa City, IA 52245 :: 17 Z.~-..l~u.0.d~!.!-..5.t- .........................................................................................................................................................................(.~!.s-t...t;.e..r~ -.) ............. ;Iowa City, IA 52240 1311 Rochester Ave .......................... ~ .... ( 1 st. term.) Iowa City, IA 52245 t '- ............................ Dave 5chuldt 338- - - n-v 120 N. Dubu.qqe ! member John Sopher 339-0414 ' 356-6050 11-94 13-00 195.8....l~.e.a.~l.9..~...R'~ge...1~ ...................................................................................(2nd te..r~) Iowa City, IA 52245 . J a.n.e....T...h.9..m.a.~. ...............................................}..~,.3._-_5..0...g.9 ...........................................................3..:.!._.6. .............................f,.:}.:.9.1~ ............................. !654 Hawke)fe Ct , j(,lst term) ' Ca r0!..l.hg.r~p!.0.r! .............................3!.~1..;.858.] ...........13.!8;3.!.4,! .............8:.9..Z ...................;3:98 41 Lakeview Dr. NE !ext 25 (2nd term) Iowa City, IA '52240 I. . ........... Dale Wailerich 1354-4799 t339-3511 111-94 ;3-00 648 Bums Iowa City, IA 52240 ! i '! Bill Wirth i 354-4799 1351-1250 4655. Ruon!.ng Deer Woods NF! , ~1owa City, Iowa 52240 -186- -7a- Eo AGENCY Iowa Cid' 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. I. How many Johnson County residents (including Iowa City. and Coralville) did your agency serve Enter Years- FY 96 FY 97 la. Duplicated count 52°_5 4569 lb. Unduplicated count 2691 2366 2. How many Iowa City residents did your agency serve? 2a. Duplicated count 2636 * °_369 2b. Unduplicated count 1224 * 995 3. How many Coralville residents did your agency serve? 3a. Duplicated count NA 3b. Unduplicated oount NA NA NA 4. How man5, unik~ of service did your agency provide? 4a. Total 77891 8133 4b. To Johnson County Residents 6693 7139 Other areas served: none Do you provide service to areas outside of Johnson County? Area(s) served: Services provided: Funding Sources: * No HIV clients included as we have no way of differentiating Iowa Cit3' residents from other Johnson County residents. -187- 8 0-5 6- 17 18 - 29 ~30-61 62-75 75+ AGENCY Iowa Ci~ Free Medical Clinic Client Profile (for I~xst complete year, if available): Ethnicity information is being gathered by client disclc~sure and not all clients wish to identify themselves. These are estimated numbers from clinic visits only and do not include walk-ins, HIV or any other service. Age II Gender I! Ethnicity 61 Female 826 AfricanAmerican 160 141 Male 953 NativeAmerican 17 759 Asian. 267 769 Hispanic 356 45 Caucasian/Non-Hispanic 979 4 Multi-racial Evaluation and Review: Picara dimuss how your agency measures the success of it's programs. A Quality Assurance program for all clinic systems has been written. Chart review is done on selected charts to assure that FMC protocols and guidelines have been tollowed. Patient satisfaction surveys are conducted biannually. B. Does your agency have performance 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 testing and treatment who are referred for HIV countling and testing. Increase the accuracy of chart documentation C. what plans does your agency have to increase efficiency and effectiveness? Maintain our 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 reform, rising cost of insurance, higher insurance deductibles a.s well as major cuts in welfare programs. -188- 10. 11. 12. 13. AGENCY Iowa Cit3' Free Medical Clinic Please discuss any other problems or factors relevant to your agency's programs, funding or service delivery': More people cannot be seen in our Clinic without more staff hours (for patient follow up, volunteer recruitment, clinic coordination, etc.). Time for fundraising vs. direct service is an ongoing problem. Recruitment and retention of highly professional volunteers is a concern that we are trying to solve by partnering with UI Family Practice and Mercy Hospital to provide special clinic days to see patients. In the changing climate of health care reform our volunteer pool is dedicated yet uncertain. List concerns/complaints about your services of which you are aware: Appointments are always full. Phone is always busy. 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 often 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 possibly be resolved were we open more hours. How many people are currently on your waiting list? NA In what way(s) axe 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 agency participates) f. g. h. i. Agency Directors Meetings X Agencies Representative to Funding Hearings X Business Blitz X Day of Caring X Executive Development Seminars X Kick Off X Victory Reception X Volunteer Action Center X Other logo on all literature, T-shirts and letterhead, campaign tours, acknowledgment in all appearances and presentations tO -189- AGENCY Iowa City Free Medical Clinic 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 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 afford it was formulated 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 26 years ago, over 56,000 patients have been seen for a total of over 127,000 patient visits. FMC is equipped with six exam rooms, staff offices, walk-in office, lab and dispensary. In 1996/97 CDBG funds were used to renovate the Clinic area to be more "health oriented". Sinks were put in each room, heating and air-conditioning installed, improved lighting and flooring is a wear help to staff and volunteers and acoustical paneling increases privacy. Our patients continue to be the working poor, "very low income" people who do not qualify for 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 for all, is the dedicated participation of a large volunteer staff. Physicians, lab techs, pharmacists, physician assistants, nurses, medical students, patient advocates, receptionism and HIV counselors come together with staff to created an environment of caring and support for one another and our patients. In September 1995 a group of local dentists began seeing patients at FMC. They raised the funds to purchase two portable chairs and other essential equipment. Dental services are a peat 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 April 1997 a rededication of the newly remodeled clinic and CDBG celebration was held at FMC. Services that have been added in FY 97 are 2 pre-natal clinics, staffed by UI Family Practice and Nurse Mid-wives, one time each month we have the services of a dermatologist and physical therapist and on every Thursday morning we have a Family practice doctor and Resident available to see patients. -190- ll AGENCY GOAL FORNLS AGENCY NAME: Iowa CiD; Free Medical Clinic YE-\R: FY 99 NANIF OF PROGRAM: Heakh Care Delivery HEALTH CARE DELIVERY Goal: To provide free, general ourpatient health care to residents of Johnson Counl~,~. Objective A: In 1998,,'99 provide free health care (direct patient contact) on Monday and Thursday' evenings, Tuesdays 9am-3pm, Thursday mornings and one Wednesday evening per month to an estimated 4,000 pallents. 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. Prox.~de Clinic evening supervision to volunteers. $. Provide periodic in service lyaining sessions for volunteers. 6. Publish newsletter to provide internal communication and update medical informalion to volunteers. 7. Schedule paid staff to cover the office 9am-3pm Monday tAxrough 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 H1X" test resttits. e. administering voucher programs 12 -191- Iowa Cib' Free Medical Clinic Objective B: To provide community. information ~-md referrals for medical and related social serx,Sces. Tasks: 1. M~ntaining current and updated referral information or which the clinic receives IYequent requests. 2. In 1998, '99 transmitting this information to an estimated 9,000 people through phone contacts, walk- ins ,-red 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 Pro2ram 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 25 hour per week office manager. 5. Three (or Ibm-) phone lines. 6. Supplies for Clinic, Lab, Pharmacy and Office 7. Professional liabili9: insurance. 8. Waiting room, lab space, phmTnacy space, Clinic space, office space. COST OF PROGRAM: Pf 1999 $146,159 - 192- 13 AGENCY GOALS FORM Pl' 1999 IOWA CITY FREE MEDICAL CLINIC NAME OF PROGRAM: Financial assistance programs MEDICATION AND MFDICAL SUPPLY VOUCHER PROGRAM Goal: To provide emergency assistance to residents of Johnson CounW who cannot afford needed medications or medical supplies. Objective A: To provide vouchers for medication and medical supplies from 9am-3pm Nlonday through Thursclay. Tasks: 1. Maintain contact with Iowa Cily' and CoraMile pharmacies. 2. Maintain a record keeping system. 3. biaintain a referral list of Johnson Coun9' agencies Pi'EGLASS ASS IST.~NCE PROGKAM Goal: To provide assistance to residents of Johnson Coung' who cannot afford eyeglasses or exams. Objective A: To provide vouchers lbr eyeglasses and exams from 9am-3pm Monday through Thursday. Tasks: 1. Maintain contact with Iowa Civ,.'/Coralx~211e Optometrists. 2. Maintain a record keeping system. 3. N'Iaintain contact with the Lions Club. providing statistical information and updates on the program. -193- 14 Iowa City Free Medical Clinic HEARING AID ASSISTANCE PROGRAM Goal; To provide assistance to residents of Johnson Counl~.' who cannot afford hearing aids. -194- Objective A: To provide vouchers for hearing aids from 9am- 3 pm Monday through Thursday. Tasks: 1. Maintain contact with Iowa Ci9-/CoraIville audiologists. 2. Maintain a record keeping system. 3..Maintain contact with Lions Club prox-iding statistical information. PR£\'FzNTIVE HEALTH FUND Goal: To provide assistance to Johnson Counb.' 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 Ci9.' businesses and physicians regarding referrals and purchase of preventive health services. 2. Maintain a record keeping system. 3. Seek funding for this program. C..NCER PRE%,~DgTION FUND Goal: To prox,~de financial assistance to people who cannot aftbrd cancer screening tests. Objective A: To prox.~de vouchers for cancer screening for patients. Tasks: 1. ?,lainrain contact with referring ph.¥sicians. 2..Maintain a record keeping system. 3..~laintain contact with current ftmding groups. 15 Iowa City Free Medical Clinic Resources nc£ded to accomplish all program tasks 1. A full time paid staff person and a support staff person. 2. Supplies 3. Phone line 4. Professional liability insurance 5. Administrative space (FMC Office) Cost of program FY 99 $6,125 16 -195- AGENCY GOAlAS FORM Fh' 1-) :) ccc) IOWA CITY FREE MEDICAL CLINIC NAMF OF PROGRAM: HW Counseling and Testing HIV ANTIBODY TFSTING Goal: To protide anonymous HI¥ antibody testing and AIDS information to clients. Objective A: In 1998"99 provide anonymous HP¢ 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 Chnic. 2. Recruit and train new volunteers as needed. 3. Prox,ide monthly in-service training sessions for voltmteers. 4. Offer financial reimbursements for conferences on AIDS to Hrv' counselors. 5. Inform. the community of the serx, lce through advertising and speaking engagements. 6. Work cooperatively with the CounW and State Health Departments, local physMans, and other community agencies in providing care and support for those who test Hl%' positive. 7. Administrative duties to accomplish above. Objective B: To pro~Ade to the comnmnity information and referrals regarding HIV infection. Tasks: 1. Nkdntain 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 prox,2ding reading materials and opportunities to attend conferences and workshops. 3. Speaking engagements. 4. Maintaining a relationship wil h ICARE, johnson County.,' AIDS Project and other HA' related services. -196- 17 Iowa Ci15' Free Medical Clinic Resm~rces Needed to Accomplish Pro,ram Tasks 1. One part time paid staff person. 2. Phone lines. 3. Lab supplies. 4. Office and counseling space. 5. Educational materials Cost of Pro,ram FY 1999 S18.920 (Partially pro¥qded by CDC grant) 18 -197- Iowa City Free Medical Clinic NAME OF PROGRAM: Strategies for Community Orereach Prevention Education (SCOPE) HIV PREVENTION Goal: Reduce risk of HIV infection among high risk and underserved populations in the greater Iowa City/Johnson County area Objective A: Reduce risk of HIV infection among gay and bisexual men Tasks: 1. Cooperate with JCDPH HAPI Group to provide small-group facilitated workshops for gay and bisexual men. 2. Provide Prevention promotion, education, and testing information at gay community events including but not limited to annual Pride events. 3. Establish annual Gay Men's Health Night at the Clinic, providing testing, STD checks and general health care. 4. Regular ads promoting prevention activities (groups, etc.) and/or presenting prevention messages and testing information in local gay media 5. Research the feasibility of providing of f site testing in non-traditional settings such as bars and bookstores. Objective B: Reduce risk of HIV infection among injecting drug users, users of other chemicals, and their partners. Joint program belween FMC and Mid-Eastern Council on Chemical Abase (MECCA). Tasks: 1. MECCA will HIV prevention education to all inpatient clients, and to outpatient clients whenever possible. FMC will provide education and training for MECCA staff. 2. Voluntary, anonymous HIV counseling and testing will be offered to all MECCA clients as an off.Rite testing program of FMC. FMC will provide lab equipment and supplies, chart management and reporting, and training and assistance to MECCA staff. Objective C: Reduce risk of HIV infection in communities of color, primarily African-Americans and Latino/Latinas. Tasks: 1. Expand relationships with UI Cultural Centers and student groups. 2. Provide or participate in programming on HIV with sexually active student population, many of whom previously resided in high incidence urban areas. 3. Recruit students to serve as peer educators. 4. Recruit HIV test counselors from among communities of color. 5. Recruit test counselors fluent in Spanish, regardless of heritage. Objective D: Reduce risk of HIV infection among sexually active, at risk youth and young adults Tasks: 1. Provide small-~oup, facilitated programming at youth facilities including Youth Homes and United Action for Youth, and for adjudicated youth through the court system. 2. Regular ads with prevention messages and testing information in High School newspapers in Iowa City and other Johnson County schools. 3. Provide technical assistance, prevention for sexually active college age young adults. COST OF PROGRAM FY 99 $34,000 (contingent upon renewal of grants from the Iowa Community AIDS Partnership and federal funding of prevention through state and county departments of health) -198- 19 HU~ 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: John Watson 1/1/98- 12/31/98 4/1198- 3/31/99 7/1/98- 6/30/99 011/98 - Agency Name: Goodwill Industries of SE Iowa Address: 1410 First Avenue, Iowa City, IA 52240 Phone: (319) 337-4158 · Approved by Board ChairS. (/X.A,,X/vLA.~-~ ...... 9/30/99 August 21, 1997 (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 followup. 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 er 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. Local Funding Summary : United Way of Johnson County iDoes Not Include Designated Gvg. !City of Iowa City l Johnson County iCity of Coralville 4/1/96 - 4/1/97 - 4/1/98 - % of Total 3/31/97 3/31/98 3/31/99 Budget $44,650 $49,376 $65,000 FY97 FY98 FY99 0.66% -1- -199- AGENCY: Goodwill Industries of SE Iowa BUDGET SUMMARY ACTUAL THIS YEAR LAST YEAR PROJECTED Enter Your Agency's Budget Year = = > 1. TOTAL OPERATING BUDGET (total a + b) 1996 1997 8,507,019 9,504,464 a. Carryover Balance (Cash from line 3, previous column) 1,415,559 1,419,464 b. Income (Cash) ~2. TOTAL EXPENDITURES (Total a + b) ~ a. Administration (allocated to programs) i b. Program Total (List Progs. Below) 1. Employment Services 2. Access Center 3. Core Services Coordination 4. Facility Training 5. Self support 6. 7,091,460 8,085,000 7,087,555 8,108,100 BUDGETED NEXT YEAR 1998 9,751,664 1,396,364 8,355,300 8,476,100 i3. ENDING OPERATING BALANCE (Subtract 2 - 1 ) i4. RESTRICTED FUND BALANCE (Total from page 7) i5. IN-KIND SUPPORT {Total from Page 7) 16. NON-CASH ASSETS 7,087,555 8,108,100 8,476,100 746,722 845,800 892,600 105,637 177,1 O0 185,600 58,502 62,100 71,800 749,979 725,900 845,200 5,426,715 6,297,200 6,480,900 Notes and Comments: PLEASE NOLO: 1,419,464 1,396,364 66,864 30,000 n/a n/a 1,900,034 1,695,000 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 balance on line item 1.a, column 1, is the organization's net asset balance (equity) at 12\31\95. 3. The ending balance on line item 3, column 1, is the organization's net asset balance (equity) at 12\31\96. * Briefly describe how local funds were spent last year: United Way funds were spent to assist persons with disabilities to obtain and maintain jobs in the community. 1,275,564 18,000 n/a 1,505,000 -200- -2- INCOME DETAIL 1. Local Funding. Sources- . ...... a. Johnson County 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 f. 2. Grants - State, Federal, Foundations a. Federal - Progress with Industry b. IBM c. Johnson Coumy-MH\MR\DD d. United Way of East Central Iowa e. DVRS-Community Based Assessmere Grant f. Carver Foundation 3. Net Sales Of Services (sources) a. Purchase of Vocational Services b. C. 4 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 b. !7. !merest. Income 18. Other - List Below i i a. Rent Income I h. Management Fees ITOTAL INCOME * Allocation of Administrative Income [TOTAL INCOME AFTER ALLOCATION (same as page 2, line lb) :Notes and Comments: AGENCY Goodwill Industries of SE Iowa ACTUAL THIS YEAR BUDGETED NON- LAST YEAR PROJECTED NEXT YEAR DIRECTED 1996 1997 1998 FUNDING _ 102,9_88 107,7951 122,3001 PROGRAM 1 Employment Svs. 75,500 44,488 48,195 61,100 46,100 58,5OO 59,6OO 73,8621 125,800t 29,474 31,300 1,000 44,388 22,200 2,000 35,200 34,100 1,326,15811,351,000t 1,326,158 1,351,000 61,200 105,1001 22,200 82,900 1,485,000[ 1,485,000 29,400 82,900 82,900 577,500 577,500 5,507,602! 6,398,6001 6,566,900 2,439,129 2,523,000 2,305,400 3,068,473 3,875,600 4,261,500 25,697[ 26,9561 640 1,537t 25,057 25,419 286[ 49 286 49 14,0481 14,000 40.8191 60,800 28,532 31,400 12,287 29.400 7,091,460 28,9001 1,000 27,900 1001 100 15,600t 31,400I 31,400 8.085.000 8.355.300 7,091,460 8,085,000 8,355,300 28,900[ 1,000 27,900 100t 100 15,6001 31,400I 31,400 76.000 (76.0001 0 735.900 8,000 743,900 ;EE ATTACHMENT EXPLAINING ALLOCATION METHOD ON PAGE 3b. PROGRAM 2 Access Center _.15,000 15,000 0 79,900 79,900 94,900 1,800 96,700 -3- o~01- AGENCY Goodwill Industries of SE Iowa INCOME DETAIL (cont) !1. Loca_l Funding Sources- a. Johnson County b. City oflowa City (CDBG for Capital Improve) c. United Way of Johnson County d. City of Coralville e United Way of East Central Iowa f. 2. Grants - State, Federal, Foundations a. Federal - Progress with Industry b. IBM c. Johnson County-MI-ILMR~DD d. United Way of East Central Iowa e. DVRS-Community Based Assessment Grant f. Carver Foundation '3. Net Sales O£Services (sources) a. Purchase of Services b C. 4. Net Sales of Materials (sources) a. Contract b. Retail Sales C. '5. Contributions/Donations a. United Way Designated Giving i b. Other Contributions !6. Special Events a. Iowa City Road Races b. t c. 7. Interest Income 8. Other - List Below a. Rent Income !TOTAL INCOME i * Allocation of Administrative Income I TOTAL INCOME AFTER ALLOCATION I (same as page 2, line lb) Notes and Comments: PROGRAM PROGRAM 3 4 CORE Svs Cord. Facility 31,800 31,800 20,100i 20,1001 51,900 600 52,500 22,2001 22,200 807,500 807,500 829,700 7,500 837,200 * SEE ATTACHMENT EXPLAINING ALLOCATION METHOD ON PAGE 3b. PROGRAM PROGRAM PROGRAM 6 7 8 Self Support 6,566,9001 2,305,400 4,261,500 6,566,900 58,100 6,625,000 -202- -3a- GOODWILL INDUSTRIES OF SOUTHEAST IOWA UNITED WAY PROPOSAL 1998 Attachment to Page 3 1996 1997 1998 Actual Budget Budget Note to line 6: Sales ' Store Sales 3,068,473 3,875,600 4,261,500 Salvage 532,185 584,100 525,700 Facility Contract 156,706 187,900 196,900 Supported Sites 139,230 134,500 150,900 JWOD Contracts 220,877 217,300 216,900 Container Project 1,254,428 1,267,900 1,074,400 Food Service 135,703 131,300 140,600 Total 5,507,602 6,398,600 6,566,900 ALLOCATION OF ADMINISTRATION INCOME & EXPENSES Attachment to Page 3, 4, 5, & 6 ALLOCATION METHOD: Administrative income and expenses are allocated by percentage of direct expense. Administration Allocation to Programs: ** Program 1: Employment Services Program 2: Access Center Program 3: CORE Svcs Coordinatio Program 4. Facility Training Program 5' Self Support Allocation Budgeted Next Year By % 1998 Total Total Income Expenses (pg. 3, col. 4) (pg. 4, col. 4) 76,000 1,386,800 10.5% 8,000 146,000 2.2% 1,800 30,400 0.8% 600 11,100 10.0% 7,500 138,300 76.5% 58,100 1,061,000 Total 100.0% 76.00____~_0 .1,386,800 ** Allocations to programs are rounded to the nearest 100. - 3b - -203- PROGRAM EXPENDITURE DETAIL AGENCY Goodwill Industries of SE Iowa ACTUAL LAST YEAR 1996 l. Salades 4,363,270 2. Employee Benefits & Taxes 758,994 3. Staff Development 1,1,042 4. Professional Consultation 67,371 5. Publications & Subscriptions 1,459 ! Dues and Memberships 54,242 Mortgage, Rent and Property Tax 509,127 Building Maintenance 79,097 19. Equipment Purchase/Rental/Maint. 60,963 !10. Utilities 116,025 !I 1. Telephone 26,067 "l 2. Office Supplies & Postage 58,215 [ 13. Printing and Publicity 77,1 01 · Insurance 38,985 16. Audit 6,500 i 17. Interest 64,804 [18. Other (Specify): Supplies 284,385 i l 9. Meetings and Conferences 10,601 20. Trash Removal 103,595 i21. Depreciation 270,111 122. THIS YEAR BUDGETED PROJECTEDNEXT YEAR 1997 1998 4,909,800 5,127,100 854,699 936,700 22,700 25,000 83,500 91,400 2,300 2,500 61,900 63,500 ,693,700 692,400 116,000 120,000 76,300 81,000 135,400 138,000 31,200 25,000 65,500 70,400! 109,500 119,000 135,000 145,300 42,000 45,000 6,700 6,700 74,900 70,500 278,000 289,300 12,000 19,400 122,000 127,900 275,000 280,000 ADMINIST- RATION 692,800 146,300 17,500 55,600 1,800 61,000 PROGRAM 1 Employment S 539,700 125,500 2,600 1,500 32,700 7,000 PROGRAM 2 Access Center 114,500 27,500 1,000 200 4,500 4,900 4,800 6,000 3,500! 300! 100 i 39, 3,400 3,100 33,200 2,500 1,700 11,500 20,800 1,900 3,400 1,300 200 6,700 23. TOTAL EXPENSES i * Allocation of Administrative Expenses TOTAL EXPENSES after [ALLOCATION ( p. 2, line 2) Notes and Comments: 7,087,555 8,108,100 8,476,100 7,087,555 8,108,100 8,476,100 8,000 19,400 280,000 1,200 1,386,800 746,600 155,200 (1,386,800~ 146,000 30,400 0 892,600 185,600 * SEE ATTACHMENT EXPLAINING ALLOCATION METHOD ON PAGE 3b. Note to line 2. Employee Benefits and Taxes: Tbe increase in Employee Benefits and Taxes is due to an increase in retirement benefit and an increase ill employees Note to line 7. Mortgage, Rent and Property Tax: The increase i n rent and property tax is due to a full year of rent for two new Quad City stores. Note to line 13. Printing and Publicity: The increase in Printing and Publicity is due to an increase in retail stores. The agency calculates tile advertising budget as a percentage of retail sales. -204- -4- PROGRAM EXPENDITURE DETAIL (continued) PROGRAM 3 CORE Svs Cord. 1. Salaries 42,800 2. Employee Benefits & Taxes 3. Staff Development 4. Professional Consultation AGENCY 5. Publications & Subscriptions 6. Dues and Memberships 7. Mortgage, Rent and Property Tax i8. Building Maintenance t9. Equipment Purchase/Rental/Maint. [10. Utilities 11. Telephone 112. Office Supplies & Postage i 13. Printing and Publicity 14. Local Transportation I15. Insurance ~ 1 ( adit 17. Interest ! 8. Other (Specify): Supplies 19. Meetings and Conferences 20. Trash Removal 21. Depreciation i TOTAL EXPENSES * Allocation of Administrative Expenses iTOTAL EXPENSES after ALLOCATION ( p. 2, line 2) Notes and Comments: PROGRAM 4 Faciliw 556,400 10,100 133,500 500 1,800 2;500 100 300 2,500 400 200 1,800 400 1,100 300 1,400 400 700 9,400 200 800 Goodwill Industries of SE Iowa PROGRAM 5 SelfSuppom 3,180,900 493,800 1,600 33,300 700 4O0 657,200 112,600 81,000 121,800 13,700 23,100 81,200 101,000 39,100 70,500 280,100 PROGRAM PROGRAM PROGRAM 6 7 8 127,900 0 60,700 706,900 5,419,900 11,100 138,300 1,061,000 71,800 845,200 6,480,900 * SEE ATTACHMENT EXPLAINING ALLOCATION METHOD ON PAGE 3b. - 4a - 205- AGENCY Goodwill Industries of SE Iowa RESTRICTED FUI51I)S: Restricted by: Restricted for: Donor Access Center ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR 1996 1997 1998 66,864 30,000 18,000 i~:TOTAL RESTRICTED FUND (also shown pare 2, line 4) 66,864 30,000 18,000 [MATCHIN_ G GRANTS IGrantor/Matched by n/a n/a n/a TOTAL MATCHING GRANTS (also shown pg. 3, line 2) 0 0 0 I15~KIND SLIPPORT DETAIl, Services/Volunteers IMaterial Goods '~Space, Utilities, etc. tiOther: (Please specify) iTOTAL IN-KIND SUPPORT (also shown on page 2, line 4) Notes and Comments: n/a n/a n/a n/a n/a n/a nla n/a 0 n/a n/a n/a n/a 0 -206- - 5 - SALARIED POSITIONS Position that apply ~ ~ m Last Year EXECUTIVE DIRECTOR. X X X 2g% 1.00 OPERATIONS DIRECTOR X X X 30% 1.00 ASSOCIATE DIRECTOR X X X 30% 1.00 CONTROLLER X X X 3o% 1.00 RETAIL OPERATIONS MGR X X X 3]% 1.00 PERSONNEL DIRECTOR X X X 3o/. 1.00 COMMUNICATIONS DIRECTOR X X X 31°/0 1.00 BUILDING SVS DIRECTOR X X X 3o/. 1.00 PROGRAM COORDINATOR X X X 27'/. 6.50 VOCATIONAL SPECIALIST II X X X 29'/. 2.00 VOCATIONAL EVALUATOR X X X 37% 5.00 STORE MANAGER X X X 27% 7.60 VOCATIONAL SPECIALIST X X X 27% 9.40 CASE MANAGER X X X 32% 1.25 PERSONNEL TRAINER X X X 34% 0.75 ~ ETAIL SKILLS INSTRUCTOR X X X 36% 1.00 NSTUCTOR SUPERVISOR X X X ~ 26'/. 35.80 OFFICE SUPERVISOR X X X 3o/. 2.00 JOB COACH X X X 26./. 24.50 COMMUNICATIONS ASSIST. X X X 35'/. 0.75 BOOKKEEPER X X X 2g% 4.00 TRUCK DRIVER X X X 28% 5.00 STORE CLERK X X X 26% 34.00 MATERIAL HANDLER X X X 26% 31.91 CUSTODIAN X X X 28% 6.50 AGENCY Goodwill Industries of SE Iowa FTE* Salary This Next Actual This Year Year Last Year Year 1.00 1.00 74,600 79,000 1.00 1.00 39,800 42,000 1.00 1.00 44,500 46,300 1.00 1.00 44,500 46,300 1.00 1.00 31,000 33,800 1.00 1.00 35,800 37,200 1.00 1.00 33,700 36,400 1.00 1.00 35,800 37,200 7.50 6.50 194,800 247,900 2.00 2.00 54, 100 52,800 0.50 0.50 20,500 15,200 9.00 9.00 173,100 204,000 11.40 14.75 214,900 268,500 1.25 1.25 34,400 27,600 0.75 0.75 18,500 19,800 1.00 1.00 16,100 15,500 33.75 31.00 460,928 621,200 2.00 2.00 42,900 44,400 25.28 27.13 406,700 444,400 1.00 1.00 13,000 17,100 4.00 4.00 77,400 84,500 5.00 5.00 139,900 95,500 42.81 43.69 441,200 592,700 32.48 35.91 407,400 443,100 7.00 7.00 99,800 112,900 Budgeted % Next Year Chan~e 83,000 5% 44,100 5% 48,600 48,600 5% 35,500 39,100 5% 38,100 5% 39,100 5% 252,300 2% 54,600 3% 15,400 1% 211,600 4% 346,700 29% 29,000 5% 20,800 5% 16,900 9% 592,800 -5% 45,700 3% 491,300 11% 19,400 13% 84,900 0% 97,400 639,600 513,200 16% 114,100 1% Total Staff 185.96 194.72 200.48 3,155,328 3,665,300 Client Wages 717,423 768,600 Temporary Wages 490,519 475,900 TOTAL FTE'sand SALARIES 185.9611 194.721i 200.48ii 4.363.270t[ 4 909 8001 Cull-time equivalent: 1.0=full-time; 0.5=half-time; etc. -{3- 3,921,800 7% 800,800 4% 404,500 - 15% 5.127,100 -207- AGENCY Goodwill Industries of Southeast Iowa ACCOUNTABILITY QUESTIONNAIRE Ae Ageney'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. go 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, finances, 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 Vocational-Rehabilitation Services (DVRS) or variuos counties. If your agency charges a fee, describe your fee structure. (See enclosure.) Does your agency have: internal audit Frequency Annually external audit Yes financial 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 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 1999. 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 -208- GOODWILL INDUSTRIES OF SOLFFHEAST IOWA John Helbling Kathy Krusie Eugene Spaziani Gordon Hinz BOARD OF DIRECTORS 1997-1998 · OFFICERS Chairperson Vice Chairperson Secretary Treasurer NAME/HOME ADDRESS BARTELME, Lois A., PhD 2083 South Ridge Drive Coralville, IA 52241 354-3717 C a MPBELL, Alan B. 1 ~ Koehler Drive NW, Apt. 347 Cedar Rapids, IA 52405-1571 '366-4994 DUNGY, Claiboume I., MD/MPH 35 Lakeview Knoll N.E. Iowa City, IA 52240 351-9173 GULICK, Kris, C.PA. 2103 Linmar Drive N.E. Cedar Rapids, IA 52402 364-4219 HEFLIN, Steve 1707 11 th Street Coralville, IA 52241 ~51-2591 ~4~-~ BLING, John K. 2t,, ~ Rainier Court N.E. Cedar Rapids, IA 52402 364-8893 OCCUPATION/ADDRESS Director, APAC University 425 Second Street SE P.O. Box 3300 Cedar Rapids, IA 52406-3300 369-4089 399-2428 (FAX) Retired Hospital Administrator St. Lukes Hospital, Cedar Rapids Mercy Hospital, Iowa City 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 17 l 5 First Avenue SE Cedar Rapids, IA 52402 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 [ES Industries, Inc. P.O. Box 351 Cedar Rapids, IA 52406 398-7290 398-4567 (FAX) 7a YEAR ELECTED 1990 1988 1993 1990 1996 1990 1999 1999 1999 1999 1998 -209- NAME/HOME ADDRESS I-HELMS, Lelia B. '" ' 1850 Flanagan Court 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 OCCUPATION/ADDRESS Professor of Education The University of Iowa N465 Lindquist Center Iowa City, IA 52242 335.-:5370 384-0587 flAX) 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 HRADEK, Elizabeth A. (Betsy) 1746 Winston Drive Iowa City, IA 52245 KRUSIE, Kathleen 3121 Adirondack Drive N.E. Cedar Rapids, IA 52402 364-0549 NEFF, Jo Anne 1506 Bryant Road Mount Vernon, [A 52314 895-6106 R.N., M.A University of Iowa 2929 JPP Hall Iowa City, IA 52242 356-1754 Assistant Administrator Mercy Medical Center 701 10th Street S.E Cedar Rapids, IA 52403 398-6451 398-6912 (FAX) Artist PARKER, Karen L. 9860 Deer Ridge Dr. Cedar Rapids, IA 52411 ;7S-1456 President/Manager Hall Home Furnishings 1618 Collins Road N.E. Cedar Rapids, IA 52402 393-5550 ELECTED 1994 1996 1990 1992 1997 1993 1992 1992 --' EXPIRES 2000 1999 1999 1998 2000 1999 1998 1998 -210- 7b L NAME/HOME ADDRESS RIESZ, Peter C., PhD, MBA 2411 Tudor Drive Iowa City, IA 52245 .~.~8-2177 ROBINSON, Herb .~ 2 Audrey Court N.E. i Iowa City, IA 52240 i 338-9686 .r i SCHI~IBER, Jalnes ~ 3940 Wyndham Dr. NE Cedar Rapids, IA 52402 393-7300 i SPAZIANI, Eugene, MA, PhD 1029 Rider Street i lc City, IA 52246 3 >,- 7674 ! 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 Revised 7/97. OCCUPATION/ADDRESS Professor of Marketing The University of Iowa 108 Pappajohn Bus Adm Bldg Room S334 Io',*~ City, IA 52242 -am ~ .~o5-09.~7 Hair Care Business Leader Procter & Galnble 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) Professor of Biology The U~fiversity of Iowa Depm-tment of Biology - BB 128 iowa cits,, IA 52242 335-1063 335-1069 (FAX) Human Resource Director ManorCare Health Services 1940 First Avenue, NE Cedar Rapids, IA 52402 364-5151 President Goodwill Industries of Southeast Iowa 1410 First Avenue P.O. Box 1696 Iowa City, IA 52244 337-4158 YEAR ELECTED 1989 1996 1995 1992 1995 TERM EXPIRES 1998 999 1998 1998 t998 -211- 7c 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 Definition : Employment Services Job Coaching (direct) ACCESS Evaluation (direct) ACCESS Training (direct) LengthofTime Cost/Unit #ofU~ts l~ hour $9.38 64,300 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 1995 1996 291 295 242 248 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 70,550 72,000 4b. To Johnson County 32,300 33,000 Residents 5. Other areas served: Linn County Do you provide service to areas outside of Johnson County? Yes Area(s) served: Linn County Services provided: Full range of vocational services and BI services coordination. Funding Sources: Iowa DVRS, various counties, United Way of East Central Iowa. -212- AGENCY Goodwill Industries of Southeast Iowa Client Profile (for last complete year, if available): 1995 Age i" :: 0-5 0 6-17 5 18- 29 98 30 - 61 106 62 - 75 39 75+ 0 II : Gender Female 114 Male 134 [] i :: Ethnicity African American 9 Native American 0 Asian 5 Hispanic 9 Caucasian/Non-Hispanic 225 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.) 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 may 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. -213- 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 requirements. DVRS has gone to the "Order of Selection" that limits eligibility fo{new clients to those with the "most severe disabilities." 10. List concerns or complaints about your services of which you are aware: Long waiting times for certain services. II. 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: We have a waiting list. Funding restraints are the primary reason for these waiting lists. How many people are currently on your waiting list? 42 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. 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 i. Other -214- 10 AGENCY HISTORY AGENCY Goodwill Industries of Southeast Iowa 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 enhance 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 1966 in 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 store in Cedar Rapids was opened in 1967 and training programs began there in 1973. The Iowa City Goodwill Industries was one of the first organizations in Iowa to be fully accredited by the Commission on Accreditation of 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 supported employment programs from 1985 to 1994. Goodwill Industries began providing community-based training and employment services for persons with 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 Task Force. A services coordination component for these individuals and their families was added during 1992. During 1995, Goodwill began the ACCESS Program. This program is designed to provide evaluation of the need for and training in the use ofassistive 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 City 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. -215- 11 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: During 1998, provide vocational services to 175 Johnson County residents. Objective B: During 1998, place and maintain 40 Johnson County participants into competitive employment. Tasks: I. 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. Objective C: Tasks: During 1998, place and/or maintain 125 Johnson County participants in supported employment positions. 1. Develop 30 new supported employment sites. 2. (See tasks for Objective B.) 3. Develop two additional community-based group work sites. Resources Needed To Accomplish Objectives: 1. 6 full-time equivalent Vocational Specialists. 2. 25 part-time Job Coaches. 3. Office space located at Employment Services (Eastdale Mall). 4. Miscellaneous staff related expenditures (professional liability insurance, travel, and training). Cost of Program: 1997: 845,800 1998: 892,600 -216- 12 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 1998, provide a~sistive technology evaluations for 40 Johnson County residents. Objective B: During 1998, provide training in the use of assistive technology for 50 Johnson County residents. Tasks: 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 1998, provide computer skills training for 40 Johnson County residents. 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 full time Technology Specialist. 2. One and one-halfFTE Clerical 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 publishing software. 6. An assortment of adaptive computer keyboards and switches. 7. A variety of communication devices. Cost of Program: 1997: 177,100 1998: 185,600 13 -217- GOODWILL INDUSTRIES OF SOUTHEAST IOWA PROGRAM EVALUATION SYSTEM CLIENTS II DIVISION OF VOCATIONAL REHABILITATION SERVICES W~TH DISABILITIES OF AMERICA AGENCIES PROGRAMS EMPLOYERS I COUNTY GOVERNMENTS HUMAN SERVICES DEPARTMENT OF i UNITED WAYS CORRECTIONS GROUPS FOUNDATION II BOARD OF DIRECTORS II MISSION: To advance the social and economic independence of men and women with disabilities as well as other persons, who may experience barriers to such independence. To achieve this purpose, Goodwill provides a variety of training, employment. and support services.' AGENCY ADMISSION CRITERIA: (except by special arrangement) · Documentation of a disability or disadvantaging condition · Not harmful to self or others · Capable of, or can an'ange, transportation · Capable rJ, or can arrange, physical care (provided at Iowa City facility programs) · Compliant with medications, if appropriate · Third party funding or self sponsorship UNITED WAY OF EAST CENTRAL IOWA FUNDED PROGRAM EMPLOYMENT SERVICES GOAL: To provide community based vocational services to individuals with disabilities in order to improve vocational functioning and increase independence. ADMISSION CRITERIA: · Meet agency cdteda - 18 years of age or older SERVICES PROVIDED: Advocacy Work evaluation Vocational counseling Personal/social adjustment Basic work habits training Occupational skills training Independent living skills training Job seeking skills training Job placement Job modification/accommodation Follow-up/job coaching INDIVIDUALS SERVED: Persons with · Traumatic brain injuries · Mental illnesses · Mental retardation · Developmental disabilities · Multiple disabilities -218- CASE MANAGEMENT GOAL: To provide services coordination to persons with brain injuries in order to increase the level of independence and improve their quality of life. ADMISSION CRITERIA: · No age limitations · Documentation of brain injury · Resident of Benton, Cedar, Iowa, Johnson, Jones, Linn, Washington Counties · Completion of the acute care phase of recover./ · No fee charged SERVICES PROVIDED: Advocacy Assessment and planning Referral coordination Consultation/support for families Empowerment training Follow-up INDIVIDUALS SERVED: Persons with · Traumabc brain injuries · Organic brain disorders · Family members Revised 1/93 ]4 Goodwill Industries of Southeast Iowa OBJECTIVES :. :::::COMMUNITY!EMPI, OYMENTS:ERVICES:i WHO: :'::: :TIME OF' :EXPECTANClES ::MEASURES i . : APPLIED:TO :: ::MEASURE :: !MIN GOAL Obtain competitive employment Obtain reasonable competitive wage Maintain supported employment % of clients who All terminees 90 days after obtain competitive termination employment 25% 40% Average houdy wage All graduates 90 days after $5.50 $5.75 termination # of clients who remain in the same S.E. position for six continuous months All in program > 6 months who began report pedod in S.E and didn't graduate All participants End of sixth month of continuous work in a S.E. position 35 4O Maximize client Average score on the satisfaction with the client satisfaction program survey At ISP Staffing 2 2.25 :RESULTS RESULTS 1996 :1997 DEFINITIONS PAP °ANT: Individual who is in a supported employment position. COMPETITIVE EMPLOYMENT: Permanent, employer paid, minimum wage or above position. No program support, other than follow along, provided. SUPPORTED EMPLOYMENT: (S.E.) Permanent, community based, employer or contractually paid position. Program support is provided. May be individual site, group work site or work crew. TERMINEE: Individual who is no longer in the program. GRADUATE: Terminee who has obtained competitive employment. TEMPORARY EMPLOYMENT: Supported or competitive position with a known duration of less than six months. CLIENT DESCRIPTORS Number of persons with (primary): M.RJD.D. MI. T.B.I. P.D. Disadvantaging condition SUPPLEMENTALS Cost per benefit. Number in program (last day of reporting period). Number of persons obtaining temporary supported employment. -219- 15 Goodwill Industries of Southeast Iowa FACIL][TY BASED SERVICES Objectives Obtain supported % who obtain employment supported employment Obtain reasonable Average hourly supported wage wage Maximize facility based Average hourly earnings wage Maximize client Average score on satisfaction with the the Client program Satisfaction Survey Measures : :::::: Who:Applied To All terminees All obtaining supported employment All participants Time of Measure:: Min;:Ex- Goal : pectancy :' 90 days after termination 50% 70% 90 days after termination $4.40 $4.85 Last pay period of report period $3.00 $3.25 All participants At ISP staffing 2.00 2.25 ~Results 1996 Results 1997 Definitions: Supported Employment: permanent, community based, employer or contractually paid employment. Graduate: terminee who obtains competitive or supported employment. Supplemental Information: Cost per graduate. Number in program (last day of report period). Number on waiting list (last day of report period Number of persons with (primary): M.R./D.D. M.I. T.B.I. P.D. Disadvantaging condition Revised: 9/I 7/97 -220- 16 HUMAN SERVICE AGENCY BUDGET FORM City of Coralville Johnson County City of Iowa City United Way of Johnson County Agency Name: CI-[ECK YOUR AGENCY'S BUDGET YEAR Director: Maryann Dennis Greater Iowa City Housing Fellowship Address: Eastdale #25F, P O Box 1402 Phone: (319) 358-9212 Completed by · Maryann ~ennis Approved by Chair Board: 1/1/98 - 12/31/98 4/1/98 - 3/31/99 7/1/98- 6/30/99 10/1/98- 9/30/99 September 19,1997 (date) COVER PAGE Program Summary: (Please number programs to correspond to Income & Expense Detail, i.e., Program 1, 2, 3, etc.) Program 1 Affordable Housing GICHF develops (through acquisition and rehabilitation or construction) affordable housing at scattered sites throughout Iowa City.. GICHF currently owns 32 units of affordable rental housing. Permanant housing was provided to 106 people during the first eight months of 1997. Sixteen rental units are under construction in Pannership with a for-profit developer. Rent-up is scheduled for 2/1/98. GICHF offers homeownership oppommities for low-income households. Newly constructed houses are sold, while GICHF retains ownership of the land. The home mvner enters into a long term land lease agreement with GICHF Program 2 Security Deposit Loan Program Sponsored by First National Bank, this axvard winning program offers no interest, one year loans to low-income households to pay a damage deposit. Grants are available for low-income Imva City households to pay a utility deposit. Program 3 ItACAP House Leases a single family house to HACAP for use in their Transitional Housing Program. Local Funding Summary : United Way of Johnson County - - Does Not Include Designated Gvg. City of Iowa City Johnson County City of Coralville 4/1/96 - 4/1/97 - 3/31/97 3/31/98 4/1/98 - 3/31/99 $5,000 $6,010 $8,000 FY97 FY98 FY99 % of Total Budget 0.004 -221 - jcco gl't,vj cu wsm..,ds 1 AGENCY: Greater Iowa Laty riousing r enowstop BUDGET SUMMARY Enter Your Agency's Budget Year => 1. TOTAL OPEKATING 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 Progs. Below) 1 Affordable Housing 2 Security Deposit Loan Program 3 HACAP House 4 Housing Skills Support 5 6 7 8 ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR 1996 1997 1998 561,534 !::ii'i'? 1,355,996 567,903 1,369,069 574,607 1,358,553 72,583 83,539 502,024 1,275,014 485,620 1,261,737 8,725 7,825 5,579 5,453 2,100 1,896,210' 1,862,053 94,922 1,767,131 1,756,678 5,000 5,453 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 310,140 489,502 861,740 ! 6,220 6,475 4,900 }:ii i :i.1,772;38I. i :::i:i: i 2~'5i16~83i! 3i844,03I Notes ,and Comments: 'I996 CarryoWr ::Bhl:an~e;isi'air actua[ fi"gu~ei ~rom:GICI-l~s and/t; 1996: Non CasI~&ssets-.. a: figure:from ~GI..CHF's. audit.. Long term ~ctebt :at: the. end 'of:I~996 = $1;066~.~8:. i :i-:i. '.' i :: ::i'i ::"" '" '" ': 1997 and ! 998 budget fi~res include 'I0ng term 'debt in order toi:aceurately: depict timcling sources and uses far the development of housing. BRIEFLY DESCRIBE HOW LOCAL FUNDS WERE SPENT LAST YEAR: To pay for administrative costs and Security Deposit Loan Program defaults. -222- ~coghs/jcuwsm.xls 2 IN'COME DETAIL Local Funding Sources- a Johnson Counw b Clw of lows Ciw c Urnted Way of Johnson Coun.l7 d C~w of Coralville f Orants/Loans- Local, State, Federal a iowa Ciw - CDBO b lows Ci~x' - HOME c Federal Home Loan Bank d State ESGP e State HOME Ne~ Sales Of Settrees (sources) a. Propert).' Management Fees Net Sales of Materials (House Sales) C ontribuuons/Donations a. I ~,,it~d Wax' Designated Cfiviag b.. _abet/Other Contributions Special Events a. Iowa Ciw Road Races b. "Doors of Iowa City" Poster Other Fundraising kaerest Income Other - List Below a. Rent b Tenant Reunbursements c Private Mortgages d. Damage Deposits e. SDLP Fees & Recoveries f Insurance (Hail Damage) o~ Line of Credit TOTAL INCOME (sam~ a~ p. 2, lin¢ lb) 'dotes and Comments: ACTUAL LAST YEAR 5,000 [ AGENCY Greater Iowa CiD' Housing Fellowship NON- THIS YEAR BUDGETED DIRECTED PROGRAM PROJECTED NEXT YEAR FUNDING 1 5;758 [ 7,503 I 6,003 I 0 5,000 5,758 7,503 6,003 307,227 [ 240,105 62,258 4,864 9,360 9,309 1,945 [ 59O 855 500 323 244,048 132,716 3,309 104,050 2,913 1,060 567,903 485,902I 25,000 139,000 60,000 5,000 256,902 10,000 7,530 ] 1,230 6,300 ?,837[ 337 7,500 0 240 851,803 171,970 2,625 636,008 3,600 500 7,100 30,000 1,369,069 856,340I 75,3001 317,220 90,000 5,000 444,120 8,674 8,674 75,300 8,6741 8,674 10,000 7,5ool 7,s0o[ 1,5001 1,500I 6,000 6,000 4,800[ 4,800I 300 300 4,500 4,500 35O 1,001,044 261,026 3,938 729,960 5,400 720 1,896,210 3501 ol 102,627 776,040 0 317,220 90,000 368,820 10,000 994,804 255,506 3,938 729,960 5,400 0 1,780,844 PROGRAM 2 1,500 1,500 5,000 5,000 720 720 7,220 -223- INCOME DETAIl, (cont) 1. Local Funding Sources- a. Johnson County b. Cib' of Iowa City c. United Wax' of Johnson County d. CiW of Coralville e. f. 2. Grm~ts/Loans- Local, State, Federal a. Iowa City - CDBG b. Iowa Citv- HOME c. Federal Home Loan Bank d. State ESGP e. State HOME a. Propert?' Management Fees b. 4. Net Sales of Materials (House Sales) 5. Comnbutions/Donations a. United Way Designated Giving b. Member/Other Contributions 6. Special Events a. Iowa City Road Races b. "Doors of Iowa City" Poster c. Other Fundraising ?. Interest Income Other - List Below a. Rent b. Tenant Reimbursements c. Private Mortgages e. SDLP Fees & Recoveries £. Insurance (Hail Damage) g. Line of Credit AGENCY Greater Iowa City Housing Fellowship PROGRAM PROGRAM PROGRAM PROGRAM PROGRAM PROGRAM 3 4 5 6 7 8 5,520 5,520 I I I I I I I I I TOTAL INCOME (same as p. 2, line lb) 5,520 -224- icco!,)~s,'jcuwsm:ds 3a PROGRAM EXPENDITURE DETAIL AGENCY Greater Iowa City Housing Fellowship ACTUAL TI-IIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR Salaries 48,000 48,436 57,000 2. Employee Benefits & Taxes 6,157 7,582 10,972 3. Staff & Board Development 1,968 2,044 3,000 4. Professional Consultation 3,138 3,300 4,300 5. Publications & Subscriptions 119 150 150 6. Dues and Memberships 422 445 450 7. Rent (Office) 5,990 5,250 5,250 8. Building & Maintenance 386 200 200 9. Equipment Purchase Rental 614 5,825 2,000 10. Utilities 320 11. Telephone 1,024 1,440 1,700 12. Office Supplies & Postage 1,735 2,000 2,700 13. Printing and Publicity 593 611 1,200 14. Local Transportation 812 910 1,000 15. Insurance (Bonding) 2,941 464 500 ._. Audit 938 2,525 3,000 17. Interest (Line of Credit) 1,358 1,106 18. Other (Specify.): Misc. 367 1,000 1,000 19 Mortgage Pnncipal and Interest 79,786 112,318 174,606 2O Repairs and Maintenance 20,498 35,600 53,400 21 Capital Improvements 7,990 6,940 7,287 21 Property Taxes 3,449 9,334 14,001 22 Insurance (Landlord Protector's) 4,558 6,837 23 Housing Production 375, 177 1,068,440 1,506,000 24 SDLP Defaults and Expenses 8,725 7,825 5,000 25 Housing Skills Support 2,100 26 Line of Credit I 30,000 27 Fundraising Expenses 250 500 TOTAL EXPENSES ( p. 2, line 2) 574,607 1,358,553 1,862,053 Notes and Comments: NON- PROGRAM PROGRAM DIRECTED 1 2 FLrNDING 57,000 10,972 3,000 4,300 150 450 5,250 200 2,000 1,700 2,700 1,200 1,000 500 3,000 1,000 169,278 53,400 7,287 14,001 6,712 1,506,000 5,000 500 94,922 1,756,678 5,000 jccogh.vjcuwsm. xls 4 -225- PROGRAM EXPENDITURE DETAIL (continued) PROGRAM 3 1. Salaries 2. Employee Benefits & Taxes 3. Staft & Board Development 4. Professional Consultation 5. Publications & Subscriptions 6. Dues and Memberships 7. Rent (Office) 8. Building & Maimenance 9. Equipment Purchase/Rental 10. Utilities 11. Telephone 12. Office Supplies & Postage 13. Printing and Publicity. 14. Local Transportation 15. Insurance (Bonding) 16. Audit 17. Interest (Line of Credit) 18. Other (Specify.): Misc. 19 Mortgage Principal and Imerest 20 Repairs and Maintenance 21 Capital Improvements 22 Insurance (Landlord Protector's) 23 Housing Production 24 SDLP Defaults and Expenses 25 Housing Skills Support 26 Line of Credit 5,328 125 TOTAL EXPENSES ( Notes and Comments: p. 2, line 2) I 5,453 AGENCY Greater Iowa City Housing Fellowship PROGRAM PROGRAM PROGRAM PROGRAM 4 5 6 7 PROGRAM 8 -226- icco ,ghs/jcuwsm.xts 4a AGENCY Greater Iowa City Housing Fellowship RFqTRICTED FUNDS: Restricted by: Iowa City. CDBG Iowa City. HOME Federal Home Loan Bank State of Iowa HOME State of Iowa State of Iowa ESGP Restricted for: Affordable Housing Development Affordable Housing Development Affordable Housing Development Affordable Housing Development Damage Deposits Security. Deposit Assistance IITOTAL RESTRICTED FUND (also shown page 2, line 4) ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR 25,000 240,105 139,000 317,220 62,258 60,000 90,000 256,902 444,120 2,913 3,600 5.400 4,864 5,000 5.000 MATCHING GRANTS Grantor/Matched by Iowa City HOME @ .25 State of Iowa HOME ~ .25 Sta~ 'Iowa ESGP as per City agreement Property. Tax Exemption 240,105 139,000 317,220 Property Tax Exemption 256,902 444.120 Salaries 4,864 5,000 5,000 These:figttres:repre.~nt grants/loans vdth match requiremeres. Totals on P~e 3, line 2 repr~ent all grantY!oans. IN-KIND SUPPORT DETAIL Services/Volunteers $5.00/Hour 4,120 3,555 3,500 Matehal Goods Space, Utilities, etc. 700 2,520 1,000 Other: (Please specify.) Professional Volunteers TOTAL IN-KIND SUPPORT (also shown on page 2, line 4) 1,400 400 400 6,220 6,4751 4,900 Notes and Comments: -227- SALARIED POSITIONS AGENCY Greater Iowa City Housing Fellowship "X"all that agply Position/Title g. x ~ ~ L~t Ye~ Admi~s~ator 34 X X 27% 1.0 Compli~ce M~ager 29 * X 19% 1.0 FTE* Salary This Next Actual This Budgeted % Year Year Last Year Year Next Year Change 1.0 1.0 28,000 30,000 32,000 6% 1.0 1.0 20,000 18,436 25,000 25% TOTAL FTE's and SALARIES 2 * Full-time equivalent: 1.0=full-time; 0.5=half-time; etc. *Compliance Manager declined single coverage health insurance. 2 2 48,000 [ 48,436 57,000 13% -228- jccoghs/jcuwsm.xls AGENCY Greater Iowa City Housing Fellowship ACCOUNTABILITY QUESTIONNAIRE A. Agency's Mission Statement or Primary Purpose To increase access to and availability of affordable housing for low-income housholds in Johnson County. go Board of Directors: Please attach a list of your agency'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. One third of the Trustees represent the low-income community. Trustee Committees have been active since an all-day training in November, 1996 to address strengths and weaknesses identified fi'om a questionnaire. Time is set aside at occasional Trustee meetings for in-service education with guest presenters Finances: Are there fees for any of your services? Yes X No If Yes, describe circumstances. Rents are charged for rental housing units. Rents are strictly controlled. The majority of tenants pay no more than 30% of their income for rent. Rental Subsidies (HUD Section 8) pay the remainder. A $25 monthly land lease fee is charged to home buyers. A $15 application fee is charged for Security Deposit Loan applicants. b. Are they flat fees X or sliding scale ? Does your agency have: internal audit Frequency Yearly external audit X financial 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 X No Please discuss your agency's fundraising efforts, if applicable. The "Doors oflowa City" poster has been the major fund raising effort. Posters are sold at Prairie Lights and at local events. GICHF promotes contributions fi'om member congegations through public speaking and written requests. The Iowa City Road Race provides a small amount of funding to GICHF. Management: Does each professional staff have a written job description? Yes X No Is the agency Director's performance evaluated at least yearly? Yes No X-scheduled, 1997 By Whom? Human Resources Comminee -229- Board of Trustees Greater Iowa City Housing Fellowship opening the doors of Iowa City P.O. Box 1402 Iowa City, IA 52244 (319)358-9212 Barry Bauman Glorine Berry Charlie Eastham Kevin Hanick Theresa Klingenberg Pat Levin Roger Medsker Mary McCue Richard Park Sharon Raffensperger Patti Santangelo Tracy Voparil Ruth Wagner 7(a) -230- AGENCY Greater Iowa City Housing Fellowship 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.) All services provided by GICHF are direct services. Affordable Rental Housing: one unit of service = rental for all or part of one year for each household member. Rents are controlled by governmental funding sources. GICHF tenants whom receive rental assistance pay no more than 30% of their income for rent. HUD Section 8 subsidizes the remainder of the Fair Market Rent. In calendar year 1996, GICHF provided permanent, affordable housing to 87 Iowa City residents. Security Deposit Loan Program: one unit of service = one loan issued. A $15 application fee is charged. In calendar year 1996, 60 households received security deposit loans. Ten Iowa City households received grants to pay a City utilities deposit. 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- 1995 1996 1 a. Duplicated count Hsg. 77 Hsg. 87 Loans 51 Loans 60 lb. Unduplicated count Hsg 77 Hsg 78 Loans 51 Loans 60 2a. Duplicated count Hsg 77 Hsg. 87 Loans N/A Loans 41 2b. Unduplieated count Hsg 77 Hsg. 78 Loans N/A Loans 4 I 3a. Duplicated count Hsg 0 Hsg 0 Loans N/A Loans 9 3b. Unduplicated count Hsg 0 Hsg 0 Loans N/A Loans 9 4a. Total Hsg 77 Hsg 87 Loans 51 Loans 60 4b. To Johnson County Hsg. 77 Hsg 87 Residents Loans 51 Loans 60 Other areas served: N/A Do you provide service to areas outside of Johnson County? NO Area(s) served: N/A Services provided: N/A Funding Sources: N/A -231- AGENCY Greater Iowa City Housing Fellowship Client Profile (for last complete year, if available): A_ge [1 GenderII Ethnicity '-0 - 5 N/A Female 50 African American 38 6 - 17 N/A Male 28 Native American 0 18 - 29 N/A Asian 0 30 - 61 N/A Hispanic 0 62 - 75 N/A Caucasian/Non-Hispanic 37 75+ N/A Multi-racial 3 Evaluation and Review: Please discuss how your agency measures the success of it's programs. Affordable Housing o increase in the number of affordable rental housing units placed in service. Number of houses sold. Lease renewals. Vacancy rates. Security Deposit Loan Program - requests for loans and applications received. Repayment rate of loans. Monthly statistical reports. B. Does your agency have performance objectives? (give several examples.) YES To decrease rents upon debt retirement to a level affordable for low-income families without rental subsidies. To become self-supporting, by funding administrative and operational expenses with rental income. To increase funding sources by building the capacity of GICHF through parmerships with other developers of affordable housing. To increase public awareness of the housing crisis in our community and break down barriers/dispel myths about low- income families. What plans does your agency have to increase efficiency and effectiveness? GICHF continues to increase the capacity of staff through parmerships with for-profit and other non-profit developers and ongoing in-service/training. GICHF will develop a per rental unit cash inflow/outflow report on a monthly basis. This will further enhance our property management practices. Improved maintenance and repair procedures are anticipated. GICHF may contract with a local maintenance company for repairs. An annual report will be developed to disseminate among members and throughout the community. This will increase awareness about GICHF's performance and goals. New funding sources for housing development will be sought. -232- AGENCY Greater Iowa City Housing Fellowship 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 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 housing 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. All landlords, including owners renting to assisted households may charge up to two months rent for a deposit. The City of Iowa City utility deposit for renter households is a major barrier. The local vacancy rate for rental units will increase, while many current GICHF tenants will remain stable. GICHF's units have a vacancy rate of 1.42%. Please discuss any other problems or factors relevant to your agency's programs, funding or service delivery: A factor of developing affordable housing is multi-layered financing with several sources and strictly regulated uses. This results in intricate planning, implementation and monitoring. There is very little vacant, developable land in Iowa City. GICHF has encountered resistance from neighborhoods to add lower cost housing in certain areas of Iowa City. The local government prefers that GICHF avoid acquiring/constructing affordable housing south of Highway 6. The location and cost of placing housing units in service presents a challenge to GICHF. There are no funds available for the operation of the Security Deposit Loan Program. The SDLP is a labor intensive program. Even though programmatic changes have been implemented to reduce administrative duties, this program continues to require a significant amount of staff time to administer. Community mis-perceptions of"low-income" households presents a challenge to GICHF. GICHF has a priority to dispel stereo-types and NIMBYism. 10. List complaints about your services of which you are aware: The need for additional affordable housing exceeds the existing available units. GICHF occasionally receives complaints about tenants and/or properties. All complaints are immediately addressed by staff. GICHF proposed projects have met with resistance from neighborhood groups in Iowa City. GICHF's exemplary tenant selection and property management practices will contribute to the amelioration of the stereo-typing of low-income households and the NIMBYism in our community. 10 -233- AGENCY Greater Iowa City Housing Fellowship 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: GICHF maintains an applicant pool for rental units. The eligible applicant pool remains constant at between 60-70 households. GICHF experiences minimal tenant turn over. GICHF is able to provide permanent housing for eligible applicants as the number of units placed in service increases. Some applicants for housing do not meet the minimum tenant selection criteria and are not considered for tenancy. How many people are currently on your waiting list? 60 - 70 households 12. In what way(s) are your agency's services publicized? GICHF sends press releases to local media announcing funding awards and new program implementation. GICHF complies with all applicable affirmative marketing/fair housing requirements as established by HUD and the City of Iowa City. It is the policy of the G1CHF to attract eligible persons from all racial, ethnic, and gender groups in the Iowa City housing market area to GICHF housing. The Equal Housing Opportunity logo and slogan or statement is included in all advertisements for vacant units in local media and printed materials. Fair housing posters are conspicuous in the GICHF office. Other methods used to inform the public of vacant units are personal and written contact with organizations such as those listed below, encouraging them to make information on the vacant units available to all persons on an equal basis: Business organizations - Iowa City Board of Realtors, Iowa City Apartment Association and local lending institutions. University of Iowa Organizations - Housing Clearinghouse, the Protective Association for Tenants and the University of 1owa Financial Aid Office. Other organizations - the Iowa City Public Housing Authority, Life Skills, Inc., the Crisis Intervention Center, Hawkeye Area Community Action Program, Neighborhood Centers of Johnson County, the Domestic Violence Intervention Program and Youth Homes, Inc. 13. United way involvement by your agency: ("X" if agency participates) Agency Directors Meetings X Agencies Representative to Funding Hearings Business Blitz X Day of Caring X Kick Off X Victory Reception X Other New Director Mentor Staff United Way booth at Johnson County Fair 11 -234- 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.) GICHF was incorporated as a non-profit in 1990. A grass roots organization, GICHF 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 people in Johnson County. GICHF currently has fifteen congregations and four Human Services Agencies as permanent members. The Board of Trustees serves as the policy making body. One third of the Board of Trustees represents the low-income community. GICHF has been designated a Community Housing Development Organization by HUD and has received local United Way designation. GICHF employs two full-time staff and contracts accounting services. GICHF is currently the only non-profit organization devoted solely to providing permanent, safe, decent affordable housing in Johnson County. GICHF works closely with local providers of services. HACAP (transitional housing provider), the Emergency Housing Project and Youth Homes (shelter providers) are permanent members of GICHF and have representatives of their agencies as GICHF Trustees. GICHF has adopted innovative approachs for meeting the housing needs for low-income households in Iowa City. The local government has expressed a concern regarding areas of concentration of "low-income" housing in our community. By placing scattered site, affordable rental units in service, GICHF avoids areas of concentration. Additionally, this method increases mixed-income neighborhoods with the addition of affordable units in market rate neighborhoods. Since its beginning in 1990, GICHF has received more than $5.3 million in grants and loans from several sources to develop affordable housing. G1CHF currently owns and manages 32 rental units, all of which are occupied by very low-income households. In parmership with a for-profit developer, sixteen townhouse rental units are under construction and scheduled for rent-up February 1, 1998. GICHF will acquire and rehab 18 existing units to place in service as rentals during 1998. GICHF's rental housing has significantly impacted Iowa City. GICHF currently houses 96 people of which 61 are children. Household characteristics of GICHF tenants include: 77% are headed by single mothers 10% of the heads of households are full-time college students (related student households) 10% of the heads of households are disabled 73% of the heads of households are employed 97% of GICHF tenants receive HUD Section 8 rental assistance. GICHF operates under a policy to increase the stock of affordable housing. Under this policy, after debt retirement of the Housing Fellowship's rental units, rents are set at operating and replacement reserve costs. The rental amount then will be within the affordable range of many very low-income households without rental subsidies. GICHFconstmcts single family houses and sells them to low-income, furst time home buyers. GICHF maintains ownership of the land and the home buyer enters into a long term land lease. This structure reduces the cost of the house by eliminating the cost of the land for the buyer. GICHF, as a non-profit land owner, effectively removes the land from the speculative market, ensuring affordability over time. Newly constructed three bedroom houses are sold at target prices well below the average sales price in our area. Resale agreements ensure that the owner recoups initial investment and profits from any improvements made to their home. Sponsored by First National Bank, the Security Deposit Loan Program arranges one year, no interest loans of up to $400 for a security deposit for low-income households. Grants pay for City of Iowa City utility deposits. Loans and grants are made based on the availability of funds. 12 -235- AGENCY Greater Iowa City Housing Fellowship AGENCY PROGRAM GOALS AND OBJECTIVES The mission of Greater Iowa City Housing Fellowship is to increase access to and availability of affordable housing for low-income households in Johnson County. Affordable Housing GOAL: To increase the number of safe, decent affordable rental units in Johnson County. Objective A: Tasks: To manage GICHF's rental units currently in operation. 1. Maintain rental permits. 2. Maintain tenants in currently occupied rental units. 3. Implement property management policies and procedures. 4. Rent-up units as vacancies occur. Objective B: Tasks: To acquire and rehabilitate 18 units of scattered site rental housing. 1. Secure financing from City, State, Federal Home Loan Bank, and First National Bank. 2. Negotiate funding agreements with funders. 3. Acquire existing properties in need of rehabilitation. 4. Develop work lists for rehabilitation. 5. Advertise for bids. 6. Award rehabilitation contracts. 7. Obtain rental permits. 8. Maintain rental housing applicant pool. 9. Rent-up units 10. Maintain units. 11. Ensure compliance with requirements of funders. 12. Submit required reports to funders. GOAL: To provide first time homeownership opportunities to income targeted households. Objective A: Tasks: Develop single family homes for purchase by income-targeted, first time home buyers. 1. Purchase developed lots. 2. Obtain plans and specifications. 3. Negotiate construction management contract. 13 -236- AGENCY Greater Iowa City Housing Fellowship 4. Secure construction financing. 5. Obtain building permits. 6. Complete construction. 7. Obtain certificate of substantial completion. Objective B: Market and sell houses 1. Accept applications from prospective buyers. 2. Assist buyers with mortgage loan application. 3. Prepare long term land lease. 4. Select qualified buyer. 5. Complete sales transation. Objective A: Tasks: GOAL: Objective A: Tasks: Security Deposit Loan Program To continue a revolving loan fund to offer no interest, one year loans to low-income households to pay a security deposit for a rental unit. 1. Apply for funding from State ESGP funds annually. 2. Screen requests for loans, explaining minimum qualifications. 3. Accept applications from very low-income households. 4. Collect $15 application fee. 5. Process all applications. 6. Arrange membership of local agency representatives to sit on the loan approval committee, to review all applications and approve or deny loans. 7. Arrange loans and payment schedule with First National Bank. 8. Monitor program. 9. Produce monthly statistics. 10. Prepare annual report. 11. Submit required reports to funders if awarded ESGP funds. HACAP House To provide a house for use in HACAP's transitional housing program. Maintain the availiability of a three bedroom single family house. 1. Negotiate lease annually. 2. Comply with lease terms. 14 -237- AGENCY Greater Iowa City Housing Fellowship Resources Needed: one full-time Administrator · one full-time Compliance Manager · two phone lines · office space · office supplies · office equipment · staff training and capacity building · Trustee recruitment, orientation and capacity building · community volunteers 15 -238- 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 1/1/98 - 12/31/98 4/1/98- 3/31/99 7/1/98- 6/30/99 X 10/1/98- 9/30/99 Director: Don Maniccia Agency Name: Hawkeye Area Community Action Prgrm Address: P.o. aox 789. Cedar Rapids. IA 52406 Phone: (319)366-763 i Completed by: MV O'Neill _ · Approved by Chair Board&. ,~,~ ~,,,-.,e~ ~ ---- ~ --' (date) COVER PAGE Program 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 HHS. The program aims to increase the fmanacial self-sufficiency of low-income families through the provision of wraparound child care services, family support services, work/educational support, and interagency service coordination for families. I 'AP'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 required for on-going funding of the project. This past year, HACAP expanded its childcare services to include infants and toddlers at the Coralville site. In the Fall of 1997, HACAP will be offering additional Head Start full day services in the county with funds secured with state and federal money. This contributes significantly to achieving the goals of welfare reform, as it offers low-income families high quality care for their young children while parents are meeting the goals of work and school. Program 2: Second Steps Local Housing This program offers transitional housing services for a limited time period to homeless families and families moving up from other transitional housing. Thirty percent of the participant's income is paid for rent and the tenant is responsible for all utility costs. The tenants receive help from Family Support Counselors that assist them in learning the skills needed to maintain their household and achieve self-sufficiency. Local Funding Summary · United Way of Johnson County - - Does Not Include Designated Gvg. City of Iowa City J_ .nson County City of Coralville 4/1/96 - 4/1/97 - 4/1/98 - % of Total 3/31/97 3/31/98 3/31/99 Budget $13,520 $13,925 $28,444 4% FY97 FY98 FY99 --- $6,240 $6,425 $11,440 2% $22,360 $23,030 $27,599 4% $0 $0 $2,500 0.2% -239- jccoghs/jcuwsm.xls ] 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 2. Second Steps Local Housing 3 4 5 6 7 8 ACTUAL LAST YEAR 1/1/96 to 12/31/96 308,265 THIS YEAR PROJECTED 1/1/97 to12/31/97 405,364 BUDGETED NEXT YEAR 1/1/98 to 12/31/98 642,613 0 0 0 308,265 405,364 642,613 308,265[l 405,36411 642,613[ 0 0 0 308,265 405,364 642,613 308,265 405,364 530,126 0 0 112,487 4. RESTRICTED FUND BALANCE (Total from page 5) 0 5. IN-KIND SUPPORT (Total from Page 5) 23,160 6. NON-CASH ASSETS 0 Notes and Comments: Line l(a)- Head Start and corporate discretionary funds used to bring to zero balance. NOTE: NOTE: Admin funding included in Program Total as Indirect, $7,800 Program 2, Budgeted Next Year. Program Total =Total Expenditures 0 0 23,160 23,160 0 0 BRIEFLY DESCRIBE HOW LOCAL FUNDS WERE SPENT LAST YEAR: Local funds were used in the provision of wraparound child care services, family support services, and interager -~ service coordination for families. -240- iccoghs/jcuwsm.xls 2 INCOME DETAIL AGENCY Hawkeye Area Community Action Program 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 DHS(childcare subsidies) b. HHS c. State At-risk d. Promise Jobs e. State Child Care Block Grant f. Johnson County Decat 3. Net Sales Of Services (sources) a. Rent b. Child care private pay C. 4.' ' Sales of Materials 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. b. TOTAL INCOME (same as p. 2. line lb) Notes and Comments: Line 3a-Rent-net of capital reserves L a, 2d, 3b-Infant/toddler income ACTUAL THIS YEAR BUDGETED ADMIN PROGRAM LAST YEAR PROJECTED NEXT YEAR 1 [42,120 I42,852[ 60,312 I 0I 47,925[ 22,360 22,695 25,315 23,716 6,240 6,333 8,933 6,853 13,520 13,824 24,814 16,106 0 0 1,250 1,250 I 264,5511 322,1071 441,7011 01 441,7011 0 622 2,000 2,000 184,216 207,085 258,501 258,501 60,000 80,000 120,000 120,000 0 1,100 1,200 1,200 5,000 33,300 60,000 60,000 15,335 0 0 0 I 0I 38,000I 137,6001 0l 38,0001 0 0 99,600 0 0 38,000 38,000 38,000 I ol ol ol 01 01 PROGRAM 2 12,387 1,599 2,080 8,708 0 0 0 0 0 0 0 0 99,600 99,600 0 0 I 1,4921 2,255 I 2,800 I 01 2,3001 500l 1,090 1,055 1,500 1,500 0 402 1,200 1,300 800 500 lO21 15o[ 2oo[ o l 2oo[ o 102 150 200 200 0 I Ol Ol Ol Ol ol Ol I ol ol ol ol ol o 308,265 405,364 642,613 0 530,126 112,487 -241- jccoghs/jcuwsmxls 3 PROGRAM EXPENDITURE DETAIL AGENCY Hawkeye Area Community Action Program PROGRAM ACTUAL THIS YEAR BUDGETED ADMIN 1 LAST YEAR PROJECTED NEXT YEAR 1. Salaries 202,183 268,211 405,385 372,223 2. Employee Benefits & Taxes 40,437 53,642 81,077 74,445 3. Staff Development 0 0 300 0 4. Professional Consultation 3,695 5,000 5,300 5,000 5. Publications & Subscriptions 0 0 0 0 6. Dues and Memberships 0 0 0 0 7. Mortgage, Rent and Property Tax 34,600 31,553 73,053 31,553 8. Building & Maintenance 0 0 8,100 0 9. Equipment Purchase/Rental 2,200 400 400 400 10. Utilities 0 0 0 0 11. Telephone 3,696 2,300 3,500 2,247 12. Office Supplies & Postage 3,125 412 1,112 412 13. Printing and Publicity 479 100 300 100 14. Local Transportation 3,030 2,400 4,900 2,400 15. Insurance 0 0 3,800 0 16. Audit 0 0 0 0 17. Interest 0 0 0 0 18. Other (Specify): 19. Indirect costs 0 0 7,800 0 20. Resident Managers 0 0 6,240 0 21. Renovations 0 28,346 28,346 28,346 22. Child Transportation 320 500 500 500 23. Contracted Child Care 0 500 500 500 24. Classroom Supplies 14,500 12,000 12,000 12,000 PROGRAM 2 33,162 6,632 3O0 30O 0 0 41,500 8,100 0 0 1,253 700 200 2,500 3,800 0 0 7,800 6,240 0 0 0 TOTAL EXPENSES (p. 2, line 2) 308,265 405,364 642,613 0 530,126 112,487 Notes and Comments: kine 4- Payment to case management agencies and other non-HACAP family services Line 7-This line item includes HACAP's occupancy costs. For example, Program l's share of cost for occupancy at B-way N'hood Center, janitorial services, snow removal, etc. (Occupancy costs for Coralville and lC Bldg included in indirect rate) t. ine 10-Utility costs at Coralville and IC funded through agency indirect rate Line 19- Administrative expense Linc 21-Program improvement money received for health & safety. $10,376 of total will go to NCJC to assist in playground improvement at B'way site. Line 23-Child care provided for families to attend trainings, meetings, etc. **Other expenses are included in HACAP Head Start's regional administrative and support budgets, such as: staff development, office supplies, indirect costs, publications, memberships, insurance and meals. -242- jccoghs/jcuwsm.xls 4 AGENCY Hawkeye Area Community Action Program RE~ _ RICTED FUNDS: Restricted by: Restricted for: ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR ITOTAL RESTRICTED FUND (also shown page 2, line 4) MATCHING GRANTS Grantor/Matched by HHS State At-risk lo___w~ DHS(Child care subsidies) Pro.rose Jobs . - State Child Care Block Grant Johnson County Decat (The above income is Family Service Center related) ITOTAL MATCHING GRANTS (also shown pg. 3, line 2) 184,216 207,085 258,501 60,000 80,000 120,000 0 622 2,000 0 1,100 1,200 5,000 33,300 60,000 15,335 0 0 IN-KIND SUPPORT DETAIl, Services/Volunteers(Classroom volunteers- 2232hrs x $5.00hr) Material Goods Space, Utilities, etc.(Below market space at Broadway Center) Other: (Please specify) TOTAL IN-KIND SUPPORT (also shown on page 2, line 4) Notes and Comments: 11,160 11,160 11,160 0 0 0 12,000 12,000 12,000 0 0 0 23,160 23,1601 23,160 -243- . ccoghs/cuwsm xls 5 SALARIED POSITIONS AGENCY Hawkeye Area Community Action Program "X"all that agply Position/Title '~ ~ ~ .~ Last Year Counselor 27 X X 20% 1.00 Counselor 14 X X 20% 0.50 TeacherCoord.-FSC 27 X X 20% 0.00 Teacher-FSC 27 X X 20% 1.00 TeacherAssoc-FSC 27 X X 20% 1.00 TeacherAssoc-FSC 27 X X 20% 1.00 TeacherAssoc-FSC 27 X X 20% 1.00 TeacherAssoc-FSC-FIoater 14 X X 20% 0.00 Housekeeper/Aide 14 X X 20% 0.00 Teacher-Broadway 27 X X 20% 1.00 Assistant Teacher-Broadway 27 X X 20% 1.00 Teacher Assoc-Broadway 27 X X 20% 1.00 Teacher Assoc-Broadway 17 X X 20% 0.63 Housekeeper/Aide 14 X X 20% 0.00 Teacher-Waterfront 1 27 X X 20% 0.00 Teacher Assoc-Waterfront I 27 X X 20% 0.00 Teacher Assoc-Waterfront I 27 X X 20% 0.00 Teacher Assoc-Waterfront I 17 X X 20% 0.00 Teacher-Waterfront 3 27 X X ~ 20% 0.00 Teacher Assoc-Waterfront 3 27 X X 20% 0.00 Teacher Assoc-Waterfront 3 27 X X 20% 0.00 Teacher Assoc-Waterfront 3 17 X X 20% 0.00 Teacher Assoc-Wfront-Floater 14 X X 20% 0.00 Housekeeper/Aide 14 X X 20% 0.00 Lead Infant Worker-FSC 27 X X 20% 1.00 Lead Toddler Worker-FSC 27 X X 20% 1.00 Infant/Toddler Associate-FSC 17 X X 20% 0.63 Director 2 X X 20% 0.00 Compliance Coordinator 7 X X 20% 0.00 Maintenance Supervisor 7 X X 20% 0.00 Maintenance Worker 7 X X 20% 0.00 Housing Counselor 14 X X 20% 0.00 FTE* Salary This Actual This Budgeted % Year Year Last Year Year Next Year Change 1.00 1.00 19,544 20,129 20,733 3% 0.50 0.50 9,772 10,065 10,367 3% 1.00 1.00 21,172 21,807 22,461 3% 1.00 1.00 19,544 20,129 20,733 3% 1.00 1.00 14,115 14,538 14,974 3% 1.00 1.00 14,115 14,538 14,974 3% 1.00 1.00 14,115 14,538 14,974 3% 0.50 0.50 0 1,810 7,057 3% 0.50 0.50 0 1,531 5,972 3% 1.00 1.00 19,544 20,129 20,733 3% 1.00 1.00 16,286 16,775 17,278 3% 1.00 1.00 14,115 14,538 14,974 3% 0.63 0.63 8,821 9,086 9,359 3% 0.50 0.50 0 1,531 5,972 3% 1.00 1.00 0 7,308 20,733 3% 1.00 1.00 0 5,278 13,953 3% 1.00 1.00 0 5,278 13,953 3% 0.63 0.63 0 3,302 9,359 3% 1.00 1.00 0 7,308 20,733 3% 1.00 1.00 0 5,278 13,953 3% 1.00 1.00 0 5,278 13,953 3% 0.63 1.00 0 3,302 9,359 3% 0.50 0.50 0 1,810 7,057 3% 0.50 0.50 0 1,531 5,972 3% 1.00 1.00 12,214 16,286 16,775 3% 1.00 1.00 12,214 16,286 16,775 3% 0.63 0.63 6,612 8,822 9,087 3% 0.00 0.13 0 0 5,874 3% 0.00 0.25 0 0 6,235 3% 0.00 0.25 0 0 5,704 3% 0.00 0.25 0 0 4,669 3% 0.00 0.50 0 0 10,680 3% *Salaries for this yr. include some partial year salaries *Actual last yr. salaries for inf/tod staff are partial year salaries -244- TOTAL FTE's and SALARIES * Full-time equivalent: 1.0=full-time; 0.5=half-time; etc. iccoghs(icuwsm xls 12 23 24 202,183 268,211 405,385 3% AGENCY Hawkeye Area Community Action Program ACCOUNTABILITY QUESTIONNAIRE A. Agency's Mission Statement or Primary Purpose The mission of the Hawkeye Area Community Action Program(HACAP) is to promote economic and emotional strength toward a goal of self-sufficiency for low-income people in our communities. See addition for complete mission statement. go Board of Directors: Please attach a list of your agency's Board of Directors Frequency of meetings: 10 meetings per year Briefly describe board orientation and ongoing training opportunities: Current board members act as mentors to orientate new board members. A board manual is being developed. Training is available through state and national associations. Each year board members attend the National Association of Community Action Agencies annual training conference. A board retreat is held annually for planning purposes. C. Finances: If your agency charges a fee, describe your fee structure. Varies by program. Infant/Toddler programming is available to families on a sliding scale. These fees can also be paid by a third party funder. Second Steps Local Housing fees are based on 30% of family income. Does your agency ha,~e: internal audit Yes Frequency ANNUALLY external audit Yes financial review Yes 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. HACAP fundraising centers around federal and state discretionary resources and the formal local funding system. Head Start parent groups, on occasion, conduct small fund-raisers for center events. HACAP has been the beneficiary of fundraising events sponsored by other agencies. Management: Does each professional staff have a written job description? Is the agency Director's performance evaluated at least yearly? Yes X No By Whom? HACAP Board Executive Committee Yes X No -245- Eo AGENCY Hawkeye Area Community Action 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.) Johnson County Head Start Family Service Center: Number of child care days; number of children enrolled, number of families enrolled. Cost per child per day for full day Head Start services is $25.87. Each full day Head Start child receives 253 days of programming. Second Steps Local Housing: number of shelter nights. 23,339 shelter nights were provided in Second Step Housing in 1996. Both programs provide direct service to children and families. 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 1996-1997 la. Duplicated count 26,150 26,257 lb. Unduplicated count 5,842 5,866 2. How many Iowa City residents did your agency serve? 2a. Duplicated count 16,989 17,396 2b. Unduplicated count 3,503 3,587 3. How many Coralville residents did your agency serve? 3a. Duplicated count 4,509 4,526 3b. Unduplicated count 1,077 1,081 4. How many units of service did your agency provide? 4a. Total 2,765,846 2,777,159 4b. To Johnson County 214,165 215,041 Residents Other areas served: Linn, Jones, Benton, Washington and Iowa Counties Do you provide service to areas outside of Johnson County?Yes Area(s) served: Lina, Jones, Benton, Washington and Iowa Counties Services provided: Funds reflected in this application are not used for any HACAP services outside of Johnson County. Funding Sources: A variety of federal, state, local and private funds support the operation of HACAP throughout the six county service area. -246- 8 AGENCY Hawkeye Area Community Action Program 6. Client Profile (for last complete year, if available): ...:: .............................. :~:..,...:~ .................... ,,~ ..........,:.,,:,~:, ...::-,~g,;!- -~::::::.~. :~ ~ '.:~'~. ~.. ~j~'~ 6~.t7 .: :.46." '":- ' 62 -: 75 '0 75+ .' :0 Female" 52% Mate:.. 48% Native American Hispanic '. Caueasian/NomHispani¢ Multi-racial 35% 1% 3% 7o/ ' 51% 3% Evaluation and Review: Please discuss how your agency measures the success of it's programs. A family assessment process tracks the growth of individual families. Families complete pre and post tests with counselors to assess the effectiveness of program services. Pre and post child assessments are conducted to measure program 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. Does your agency have performance objectives? (give several examples.) 1) Children with a diagnosed disability will comprise at least 10% of the total Head Start enrollment. 2) Families in Second Steps Local Housing will receive a minimum of 24 home visits a year. 3) Families will be supported in maintaining a Head Start attendance rate of 85%. 4) Head Start families will receive a contact from their counselor every 45 days at minimum. 5) 75% of families living in Second Steps will complete a series of Consumer Education classes. What plans does your agency have to increase efficiency and effectiveness? In the coming year, our agency will be bringing more full day Head Start services to Johnson County. An additional 60 slots will be available for families with the assistance provided by federal, state and local funders. We believe we need to meet welfare reform goals by providing families full day services for their infants, toddlers, and preschoolers. We plan to continue looking for counseling resources to assist families living in Second Steps. Families living in this program have expressed on-going needs related to homelessness. Counseling services to address these needs would increase program effectiveness. In what ways will the needs of your service population change in the next five years: Welfare reform will increase the need for full day services for families. This need will especially impact families we see with infants and toddlers. With the additional slots this year, we will be able to serve 110 children in our full day Head Start Program but only 10 infants and toddlers. Our variety of funding sources for pre-school care enables us to serve a portion of our full day waiting list, however the lack of infant/toddler funding will leave many families in need. The daycare need will also grow with the addition of many new jobs in Johnson County. We anticipate continued need for housing as family income does not always increase with the rate 9 -247- of housing costs. Supportive services will continue to be needed to assist families with the many stressors they may experience as they face new challenges with work, school, child needs, etc ..... AGENCY Hawkeye Area Community Action Program Please discuss any other problems or factors relevant to your agency's programs, funding or service delivery: 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 of a competitive nature and requires evidence of community need and support. Funders are requiring community needs assessment information and scientific study that links the amount of funding with quantifiable program results. 10. List complaints about your services of which you are aware: Waiting lists when need is immediate, lack of program transportation for Head Start, neighbor concerns regarding children living in Second Steps being destructive 11. 12. 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, increase program slots and housing units, contract services for efficiency, inter-agency service coordination How many people are currently on your waiting list? Head Start-45 Inf/Tod- 15 Housing-5 In what way(s) are your agency's services publicized? Individual program, county services, agency brochures, press releases, parmerships with media on specific projects, speaking to groups, co-location of services to increase consumer access and awareness, inter-agency meetings, public service announcements, staff/volunteer outreach efforts, agency tours 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 Executive Development Seminars Kick Off X Victory Reception X Volunteer Action Center Other Agency tours, United Way business and community information booths -248- :tO 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 update 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 ones in Johnson County are located at 2441 10th St, Coralville and 2007 Waterfront, Iowa City. HACAP's goal is to promote economic and emotional self-sufficiency among low income individuals and families through a variety of anti-poverty programs funded thxough private, local, state 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: Coralville HACAP Family Service Center-2 Head Start classrooms, Infant/Toddler program Iowa City HACAP Family Service Center-4 Head Start classrooms Broadway Neighborhood Center- Iowa City-2 Head Start classrooms Pheasant Ridge Neighborhood Center-Iowa City-1 Head Start classroom Faith Head Start-1 classroom North Liberty Head Start-1 classroom Oxford4 contracted slots in the Amana Kleinschule Pre-school 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 a second facility located in Iowa City opened in September, 1997. HACAP provides services in Johnson County that are not reflected in this funding request, they include: Transitional Housing, Mortgage Foreclosure Prevention Program, HUD Counseling, Reverse Mortgage Counseling, Weatherization, Employment Development for the Elderly, Energy Assistance Program and Head Start services not directly tied to the Family Service Center project. 11 -249- AGENCY Hawkeye Area Community Action 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) HACAP-JOHNSON COUNTY GOAL: To provide activities designed to assist low-income participants to obtain and maintain adequate housing and a suitable living environment. OBJECTIVES: 1. Provide 10 housing units to serve 27 homeless households, comprised of 81 individuals. 2. Provide 18 below market rental housing units to serve 33 low-income homeless households (99 individuals), Supportive Housing graduates, or households enrolled in counseling programs sponsored by HACAP or other community agencies. 3. Provide 210 counseling contacts for 75 families, comprised of 215 individuals, with affordable housing issues including information, refen'al, counseling, and assistance with the preparation of requisite forms to obtain and retain affordable housing. 4. Recruit 10 community groups to renovate units or conduct special projects for supportive housing programs. GOAL: To provide for the provision of such supplies and services, nutritious foodstuffs, and related services as may be necessary to counteract conditions of starvation and malnutrition among the poor. OBJECTIVES: 1. Provide children enrolled at participating child care centers and Head Start programs 63,000 nutritionally balanced meals and snacks. 2. Distribute donated food stuffs to 150 duplicated households, comprised of 475 individuals, and 10 member agencies. 3. Distribute holiday baskets of nutritious food stuffs to 60 low income households. 4. Secure 1.25 million pounds of donated food valued at $2.2 million through the Second Harvest Network. -250- 12 Agency Hawkeye Area Community Action Program GOAL: To coordinate and establish linkages between governmental and other social service programs to assure the effective delivery of such services to low income individuals. OBJECTIVES: 1. In order to better establish linkages between governmental and other social service programs, agency staff will participate in 920 interagency or community meetings. 2. Organize the Annual Planning Retreat Agency's Volunteer Boards, with 150 individuals participating in the needs assessment/planning process. 3. Provide interagency case management services, extended hour child care, and intensive family development services to 60 high need families. 4. Obtain the assistance of 320 volunteers donating 2,475 hours of service with a value of $12,375. 5. Recruit 4 low income individuals, or their representatives, for election to the HACAP Board of Directors. 6. Hire 3 current or former Head Start parents as paid staff in the program. GOAL: To provide activities designed to assist low-income participants to obtain emergency assistance to meet immediate and urgent family needs, including the need for health services, housing, and employment-related assistance. OBJECTIVES: 1. Provide assistance to 83 unduplicated individuals in the Emergency Homeless Program. 2. Provide access to emergency assistance by maintaining 2 service centers within Johnson County. 3. Provide financial assistance through the Homeless Children's Trust, to meet the urgent needs of 200 homeless children, including emergency day care, emergency health care, essential equipment, emergency transportation, and school supplies. 13 -251- Agency Hawkeye Area Community Action Program GOAL: To provide activities designed to assist low income participants to attain an adequate education. OBJECTIVES: 1. Provide an extended hour Head Start environment to 100 children in an effort to assist working parents, or parents in school, with full day child care needs. 2. Enroll 5 Head Start parents in ABE or GED classes. 3. Enroll 8 parents in community literacy classes. 4. Assist 16 adult residents in transitional housing units to attend classes through development of an education plan and linkage with available resources. 5. Issue 40 press releases on agency programs/services and information regarding poverty. GOAL: To provide activities designed to assist low income participants to make better use of available income. OBJECTIVES: 1. Provide classes on financial management and planning to 45 Supportive Housing residents, from 33 households. 2. Provide materials and labor to make 40 homes, of 150 individuals, more energy efficient. GOAL: To remove obstacles and solve problems which block the achievement of self-sufficiency. OBJECTIVES: 1. Enroll 80 households in Family Development. 2. Assist 26 households in raising their income above 125% of poverty and sustaining it at or above that level for a minimum of three consecutive months. -252- 14 Agency Hawkeye Area Community Action Program GOAL: To provide activities designed to assist low income participants to secure and retain meaningful employment. OBJECTIVES: 1. Provide job search assistance and linkage service to potential job openings to 55 individuals age 45 or older. 2. Assist 40 residents in transitional housing units to obtain permanent employment by developing an employment plan and providing vocational/job counseling, job skills training, and job referrals. GOAL: To provide activities designed to assist low income participants to receive adequate health caFe. OBJECTIVES: 1. Facilitate the full immunizations of 220 children enrolled in Head Start. 2. Facilitate 220 enrolled children completing dental exams. -253- I~UI~IAI~ SERVICE AGEI~CY BUDGET FORI~ Citu of Coralville $o~-m~on Count~, Cit~, olf Iowa Cit~/ Unite~ ~aV o~ So. son Count~ CI~ECK YOUR AGENCY'S BUDGET YEAR 6,'30,'99 Director: ANN RTT.EY Age~c~ Name: ~D~CAP,~, I~C. Address: 2220 ~ ~ COR~V~ ~e: 319/35~7641 (date) COVER PAGE Program S~'Fr'~¥'r~ar~/: (Please number programs to correspond to Income i~ Ea'~ense Detail, i.e., Program 1, 2, 3, etc.) PROGRAI~I 1: DAYCARE AND SCHOOL COl~PLEl~ENT SERVICES FOR CH1T.DREN WITHOUT SPECIAl. NEEDS To provide child develop~nent activities for 90 - 120 children without special needs up to twelve ~ears of age in an enviro-r,-rr, ent that includes children with special needs. PROGRAI~I 2: DAYCARE AND SCHOOL COl~PLEl~IEl~T SERVICES FOE CHTT.DREN WITH SPECIAl. NEEDS To provide specialized services to meet the needs ot families a~d their children with multiple h~dicaps; ages int~o~ to fifteen ~,ears, in the least restrictive enviro~¥-,~ent. · Funding assistance for pa~/roll increase due to tederalminimum wage oha~ges special needs children ot .To]'~so~ Co~tu who are tailing through the cracks in the tu~d~g sUste~;. Local Ft~ding SU~'r)¥r',arp: Does Not Include Designated Gvg. Citu omE Iowa Citu Johnsc~ Countu 4,'1,'96- 4,%'97. 4,'1t98 - % o~: Total 3,'31,"97 3~'31~'98 3,'31,'99 Bud(jet ¢1%175 ¢18,794 '¢30,000 3 FY97 FY'98 Fff99 ~-~.., Coralville -254- A~EIfCY: IIANDICA1;IE, INC. -!~UDi3ET $OMMAI~ E'~ter Your Age~cu's Budget Year 1.TOTAL OPEla:ATING BUDGI~ [Total a. Carruover Balance [Cash irom li~e 3, previous b. I~co~e (Cash) 2. T~ ~XPEND~U~S ~otal a+b) a. N~-difec~ed i~d~g b. P~og~ To~al ~is~ P~ogs. Below] 1 2 3 4 5 7 8 ~:EGULAR CHn-DCAEE SPECIAL N[EDS CHILD CARE ACTUAL LAST YEAR 1996 1,033,764 THIS YEAR P1;:OJECTED 1997 1,051,473 41,376 71,815 992,388 961,949 79,678 882,271 507,108 375.163 979,658 988,470 81.234 907.236 522.319 384.917 BUDGETED NEXT YEAR 1998 1,061,601 63.003 998,598 974,$31 81,770 892,761 577,890 314.871 3. ENDING OPEI;:ATING BALANCE (Subtract 2 - 1 ] 4. I~ESTI~ICI'ED FUND BALANCE [Total trov;~page 7] 5. IN-KIND SUPPOET [Total from Page 7) 6. NON-CASH ASSETS Notes and Co~;~er, ts: 71.815 64,012 108,448 680,647 Ending balance r¢ilects SAAC grant and variety club monies carried over for Kids Club 97 and wall project. Also included are monies to cover compensated absences and fund raising balance. 1998 balance includes equipment replacement funds for furnaces and airconditioning units, etc. 63.003 50,652 111,154 736,216 87,070 71,091 103,000 752.631 BRIEFLY DESCRIBE HOW LOCAL FUNDS ~ERE SPENT LAST YEAR: Provided special ~eeds services for children who were itleligilble for ftmdh'lg assistance including therarp~, medical assistance and health aid services. -255- icco~/ic~,s'm.xls 2 XI~CO~£ DE'ZAU- 1. Local Funding Soumes- a. Johnson County b. City of low& City c. United W,,y o! Johnson County d. City of Cor~ville 2. Grants - $1a~e, Feder&l, Found&fions STATE ~CHOOL AGE GRANT ~ANNET FOUNDATION d. ¢. f. 3. Net S~les Of Se~ices (sources) PRIAVE PARENT~ DEFF OF HUMAN SERVICES C, 4. Net S~les of Materials a. b. C. 5. Contributions/Donations a. United Way Designated Giving b. Other Contributions 6. Specis!,Events a. Iowa City Road Rsces PIZZA/GARAGE SALE/CANDY/BBQ O. 7. Interest Income 8. Other - List Below STATE NUTRITION REIMBURSEMENT MISC C. TOTAL I~COME [same as p. 2, line R Notes and Co~;~mmmts: AGEI~CY EAlgDICARE, II'{C. ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR 16,880 18,389 27,198 16.880 11,081 9,081 2,000 907,090 563.439 343,651 13,63,t 2,420 11.214 7,159 900 6,259 9~,1 35,593 33.126 2,467 NON- DIRECTED FUNDING 18,389 27,198 7,000 7,000 PROGRAM 1 4,785 4.785 3,500 3,500 PROGRAM 2 22,413 22.413 3,$00 3.5O0 908,000 908,500 90,850 552,444 265,206 590,106 587,500 58,750 523,040 5,710 317.894 321,000 32,100 29,404 259.496 5,000 1,500 3,500 2,200 200 2,000 7,549 10,000 2,549 3,000 5,000 7,000 2,954 4,400 202 400 2,?52 4,000 3,000 2.600 3.000 40,166 38.500 35,616 36,000 4,550 2,500 19,250 18,000 1,250 5,000 1,500 3,500 2,200 2O0 2,000 I 19,250 18,000 1,250 992,388 979,658 998,598 93,850 587,179 317,569 -256- jecoghsficuwm.xls 3 PROGI~AH ~XP~ND1TIDI~ Did'fAIL AG~NC"Y HANDICAI~V.. I~C. ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR 1. sai~,i,~ 640,206 633,038 649,913 2. Employee Benefits & Taxes 93,519 90269 96,000 3. Staff Development 2,205 1,935 2,000 4. Pro[essional Consultation 30 475 300 5. Publications & Subscriptions 0 0 0 6. Dues and Mcmb~rships 55 60 70 7. Mor~age, Rent and Property Tax 94,968 78.879 75,329 8. Building & Maintenance 10,568 12.580 16,000 9. Equiptmcnt PurchmsdRental 18,869 69,752 32,469 10. Utilities 14,032 14.540 14,700 I I. Telephone 2,904 3,247 3,000 12. Office Supplies & Postage 5,138 5,237 5,200 13. Printing and Publicity 205 190 200 14. Local Transportation 1,145 1,800 1,400 "Insurance 8,793 8,733 8,800 16. Audit 1,900 1.710 1.750 17. Interest 696 413 400 18. Other(Specify): i9 FOOD & MATERIALS 54,317 52,630 54,000 20 ART, REC & ED 8,784 9,182 9,200 2! MISC. 3.615 3.800 3.800 22 23 24 25 TOTAL EXPENSES [p. 2, Ihe 2] 961,949 c mrri t$: NON- DIRECTED FUNDING 54,470 5,121 300 7.533 1,600 3,246 1.470 1,200 880 1,750 400 3.800 PROGRAM 1 407,606 66,730 1,000 70 33.898 7.200 14.611 6,615 1,500 2,000 100 1,000 3,960 27,000 4.600 PROORAM 2 187,837 24,149 1,000 33.898 7.200 14,612 6,615 1,500 2,000 100 400 3,960 27,000 4,600 988,470 974,53{ 81,770 577,890 3{4,87{ -257- icco~t~/icuwsm.xl~ 4 AGENCY IIANDICAI~E RESTRICTED FONDS: Restrioted BOARD OF DIRECTORS ]BOARD OF DIItECTO3S BOARD OF DIRECTOIt ¥AItlEI'Y CLUB OF IOrdA Restricted tot: COHP ABSENC EOOIP REPA] CHILD EQUIP ~ FUrIt] FOND ~p,T.T. ItEPA] CHILD. EC}OIP STATE OF IOWA SAAC KIDS CLOB EXPENSE TOTAL RESTRIC'rED FOND [also st, oumm page 2. line 4] { ACTOAL THIS YEAR BUDGETED LAST YEA{, PROSECTEK, NEXT YEAR 1996 36,$61 8,370 10000 9081 64012 1997 1998 26,344 37.891 19,581 19,200 4,727 7.000 7000 50652 71091 MATCHINIS GRAlqTS G~antoh'Matched by TOTAL MATCHING GRAITI'S [also shown pg. 3, line IN-KIND SOPPOET DETAIL Se~vioe$/Volu~teer$ AEA Material Goods PLAY Space, Utilities, eto. Other: [Please spool{v] )TOTAL IN-KIND SOPPOET [also shown ot~ page 2. line 4] STUD PAltEN' OH ItEC 98,584 99,800 9§,000 EQUIP ~BII~ TiT I{EDDZ, 9,864 11,354 8,000 108,448 111,154 103.000 -258- SALARIED POSITIONS AGENCY HANDICA ,iNC. Position/Title "X"ail lbat apply FTE* Lest This Next Year Year Year DIRECTOR * 24 1.00 1.00 1.00 FINANCE COORD 24 1.00 1.00 1.00 SPECIAL NEEDS COORD. 24 X 5 1.00 1.00 1.00 REC THERAP/HEALTH AIDI~, 0 1.00 0.33 0.00 INTAKE/ADMIN COOP, I) 24 1.00 1.00 1.00 LEAD TEACHERS 24 X 9 9.00 11.00 I 1.00 CO-LEAD TEACHERS 24 X l0 6.00 2.00 2,00 ASSISTANT LEADS 24 X 10 9.00 11.00 11.00 TEACHER AIDE PERM 24 X 11 7.50 7.50 7.00 TEACHER AIDE TEMP 0 4.25 4.25 4.25 FOOD SERVICE COORD * 24 X 6 1.00 1.00 1.00 FACILITY COORD * 24 X 4 1.00 1.00 1.00 KITCHEN ASSISTANTS 24 X 6 1.50 1.50 1.50 CLEANING CREW 0 1.00 1.00 1.00 FiNANCE ASSISTANT 0 0.25 0.250 0.25 RECEPT/ADMIN ASSISTAN'I,, 0 0.50 0.00 0.00 SICK BAY ATI'END~ 24 0.33 0.75 0.75 Salary Actual This L~st Year Year 41,222 42,502 24,830 25,684 22,294 23,246 16,899 5,768 19,320 20,037 120,246 157.186 76,802 25,509 103,424 108,030 82,102 83,148 45,791 50,377 18,545 19,152 26,093 26,596 19,123 19,787 11,499 11,600 3.368 2,955 5,181 0 3,467 11,461 Budgeted Next Year Change 43,777 3% 26,455 3% 23,943 3% *'0 -100% 20,638 3% 163,894 4% 26,710 4% 112,613 4% 85,642 3% 51,888 3% 19,727 27,047 2% 20,632 4% 11,800 3,000 2% 12,147 TOTAL FTE's and SALARIES 46.33 45.58 44.75 640,206 * Full-Eme equivalent: 1.O=full-dme; 0.5=half-lime; etc. *UTILIZING ACCUM BENEE FOR 1~ TIR?F~O/~'*POSITIONS DROPPED ~ TO 6 633,038 649,913 3% FUNDI [J5 CUTS -259- AGENCY: HANDICARE. INC. De ACCOUNTABILITY QUESTIONNAIRE Agency's Mission Statement or Primary Purpose: To .provide early intervention, child development activities in the least restrictive envtronment thus enabling children with and without special needs to achieve their maximum potential. To provide a full-inclusion school complement program that promotes socialization and appropriate choice of leisure activities during school break times and before and after school hours. B. Board of Directors: 1. Please attach a list of your agency's Board of Directors 2. Frequency ofmeetings: monthly 3.. Briefly describe board orientation and ongoing training opportunities: C. Written materials of mission statement, Articles of Inc. and By laws are given. Member attends one meeting as an observer to become familiar with Robert's Rules of Order and structure. Board members meet on one subcommittee each month, (finance, personnel, B&G, fund wising). United Way workshops and twining sessions are presented at meetings and are attended depending upon their work schedules. Finances: 1. If your agency charges a fee for services, describe your fee structure. OVER 3 Years FTM $402 1/2 TM $265 DAILY $31 HOURLY SCHOOL AGE $4.65 UNDER 3 Years FTM $536 I/2TM $353 DAILY $39 2. Does your agency have an internal audit, external audit or a f'mancial review? (circle one) Frequency Annually Has your agency Fried 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, ff applicable. (e.g. events, direct mail campaign, planned giving, etc.) We have 3 in house fund-wisers per year. This year we had a BBQ chicken dinner, candy sale,garage sale. Each wised between $800 and $2,000. We also write foundations requesting funds for capital expenditures and scholarships for children. 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 m By Whom? Personnel Committee and Board of Directors -260- 7 HANDICARE'S BOARD OF DIRECTORS Doug Martens 622-8059 (W) 354-5900 (H) Bill Berger 335-4500 (W) President 351-2807 (H) Dave VerWoert 363-5741 Secretary 393-4261 (H) Connie Stannard 351-1318 (W) Deb Vogt 335-7154 (W) Joni Troester 377-4552 (W) Tony Freund 356-4880(W) Vice Pres 337-8210 (N) 338-3214 (H) 351-2860 (H) 351-2438 (N) Randy Hudachek 335-4500(W) Jeff Peters 356-9126 351-4506 (H) Patrick Gordan 356-9000 Ann Riley Nancy Nagel Dawn Morgan Executive Director Assistant Director Finance Coordinator 354-8418 (H) 354-7641 W 643-5499 (N) 354-7641 455-2590 (H) 354-7641 ANNIVERSARY DATE OF JOINING BOARD: Join Connie Stannard Ann Riley Nancy Nagel Dawn Morgan Bill Berger Doug Martens Deb Vogt Joni Troester Tony Freund Randy Hudachek Dave VerWoert Jeff Peters Patrick Gordan Term Mar. 1986 Feb. 1997' Oct. 1981 June 1990 Dec. 1986 Sept. 1990 Aug. 1997. Jan. 1993 Jan. 1998. Feb. 1993 Feb. 1998- Aug. 1994 Jul. 1998. Sept. 1995 Aug. 1997 Mar. 1996 Feb. 1998 Oct. 1995 Sept. 1997 May 1997 April 1999 May 1997 April 1999 EXECUTIVE COMMITTEE President-Bill Berger Vice President-Joni Troester -261- AGENCY 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.) Crm full day of c~ = ~ reit of service 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- 19 95 19 96 la. Duplicated count N/A N/A lb. Unduplicated count 232 219 ': 2a. Duplicated count ~.~,A R/A 2b. Unduplicated count 3a. Duplicated count N/A N/A 3b. Unduplicated count 4a. Total 4b. To Johnson County Residents 3!)~9 ..~)471_ Other areas served: Do you provide service to areas outside of Johnson County? Yes Area(s) served: Lirrl~ [V'LIS~t~) ~) [V'I~SS~) C~:~r) Iota, ~t.li~) ~ Services provided: ,~x~'Sil ~ ~ ~ ~t dayc.~re Funding Sources: PL-iVnt'o Fi~ -262- AGENCY: HANDICARE, INC. Client Profile (for last complete year, if available): Age Gender Ethnicity 0 - 5 136 M 89 African American 9 6 - 17 57 F 1_0~ Native American 2 18 - 29 Asian 10 30 - 61 Hispanic $ 62 - 75 White 160 75 + Multi-racial 4 Evaluation and Review: Please discuss how your agency measures the success of its programs. Children with multiple disabilities are able to stay in their natural home setting. Children enrolled attain developmental progression due to quality age appropriate activities. Paren$of children with disabilities and without can work full or part time to meet their families financial needs. Be Does your agency have performance objectives? [Give several examples] 1. Handicare will provide consistent, competent, trained employees to work with the children. 2. Handicare will staff the classrooms and agency with appropriate personnel to provide the adaptations needed for the children with disabilities. 3. Handicare's teachers will provide a variety of developmentally appropriate activities each day. 4. Handicare will meet all State Regulations for child care centers and nutrition requirements. 5. Handicare will maintain it's building and grounds to assure annual increases of the appreciation value. C. What plans does your agency have to increase efficiency and effectiveness? As funding decreased we have decreased staff. This resulted in increased efficiency but less opportunity for effectiveness with the children and their families. We are utilizing college students as volunteers and for practicum experiences. They require additional training and supervision. We are looking for creative partnerships to meet the training needs of all child care workers and financial assistance to create partnerships that cover a eneral running costs, thus making the program more cost effective for milles to utilize. In what ways will the needs of your service population change in the next five years: the next five years Handicare will continue to provide quality care to all children enrolled. However, the children with disabilities will be those with high tech needs or multiple involvement. Children with mild disabilities which have the greatest potential for independence and achieving their maximum potential will not receive early intervention services due to changing eligibility guidelines. Children with behavioral and emotional issues will be bounced herween centers depending on the center's tolerance for inappropriate behaviors, since funding has also eliminated resources to help centers work with these children. 9 -263- AGENCY: HANDICAP, E, INC. e 10. Please discuss any other problems or factors relevant to your agency's programs, funding or service delivery: The recent changes in eligibility guidelines has resulted in the loss of early intervention opportunities. Unless the child is severely involved, enough to have three areas of his or hers life areas impacted with a 25% or more delay or has a label of mental retardation, there is no funding assistance. This results in children not receiving intervention until they are too delayed to enter the regular school classrooms. Research studies have shown postponing intervention results in increased costs and promoting the fact that children are not valued in society. List complaints about your services of which you are aware: Due to the young age of our staff and the new fads of body piercing and tattoos some of our parents are uncomfortable with the physical appearance of a few teacher aides. This past year parents became disgruntled because their funding assistance changed. Several chose to find daycare closer to their neighborhood in centers where their parent contribution would decrease or use home nursing care where their health insurance covers the cost. 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: As in the past, requests for infants through two year old care is higher than spaces available. Families requesting child care for their child with a disability have had to be turned away or they only attend part time because funding is not available until they have lived in Johnson County for I year. We feel a community partnership or scholarship assistance could work to solve this problem. How many people are currently on your waiting list? 12. In what way(s) are your agency's services publicized: 4C's Child Care Centers brochure; Handicare's brochures are also available at The University of Iowa Hospital Schools and local Family Practice Offices and The ARC. Handicare is also listed in the local yellow pages. The City of Coralville refers businesses new to our community to visit Handicare's program. 13. United Way involvement by your agency: (Check 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 Victory Reception X Volunteer Action Center X_. Other Give agency tours, participate in United Way's golf day and present at companies on request -264- 10 AGENCY ~J..~..r).d..~_c.~.~..~., .~.,.D.~.. AGENCY HISTORY Using this page ONLY, please summarize the history of your agency, ~mphasizing Johnson County, telling of your purpose and goals, past and rutrent activities and future plans. Please update annually.) 4andicare's early intervention, supported inclusion child development day ;are p~'ogram has been in operation since October 1, 1951. Me have grown from a small center of 15 children to one that currently provides service to 150 ;hildren daily. Our mission is to provide quality care to all children thus ~iving them the opportunity to grow and develop to their maximum potential in zhe least restrictive environment. Handicare believes that there are more ~imilarities than difference between all children. It is important to make adaptations to help a child participate rather than make exceptions or to ~xclude them. 4e have a team of professionals that work together to coordinate and provide ~ervices that meet the individual needs of families and children. This team includes a registered nurse, a recreation therapist, and certified teachers. ~andicare's Board of Directors and staff also work with community ~rofessionals to ensure that each child receives the highest quality of care -hat {s feasible within our budget constraints. )ur program offers daycare and preschool activities to 136 infants through ~ive yea~'s of age. Twenty eight of these children have a diagnosed Ilsability with thirteen of these children receiving funding assistance. Me ~lso provide a school complement program for 57 children between the ages of ;ix and fifteen. Twenty four of these children have a diagnosed disability Jith three children unable to receive funding. landicare continues to receive referrals from individuals, the Department of {uman Services, ARC, private physicians and the University of Iowa when a :hild has multiple disabilities. In the past two years we have experiences ~3 families being unable to access funding assistance due to legislative ;hanges in eli9ibility guidelines. Children have to live in the county for ,ne year before they are eligible for assistance. Plus they must have more ban a 25~ delay in three or more areas of development or a label of Mental !etardation. This translates to less opportunities for early intervention ,nless the child is severely disabled. ~e are requesting $30,000 from United May. We have experienced a decrease in ncome due to fewer children with disabilities being eligible for funding and re asking for $16,000 of our United May request to provide financial ssistance for children that can not access other funding assistance. Also he Federal legislation mandating the minimum wage be raised to $5.~5 per ~our has greatly effected Handicare's expenses. Our program implemented a ~enty three cent per hour increase to our substitutes. Our Board of ]re ~rs felt we could not raise the bottom end of our pay scale without d.jus.ing all of the Direct care staff Nages therefore increasing our annual ¢y~-oll by $25,000. We have deleted a Recreation Therapist/ Health ~id osition and increased parent fees 5~ to help off set a portion of this cost ut need $~4,000 of our United May request for staff wages. -265~ AGENCY GOALS FORM Year: 1997 ;ames of Programs: 'togram i - DAYCARE AND SCHOOL COMPLEMENT SERVICES FOR CHILDREN WITH OUT SPECIAL NEEDS togram 2 - DAYCARE AND SCHOOL COMPLEMENT SERVICES FOR CHILDREN WITH SPECIAL NEEDS oal: To provide specialized services to meet the needs of families and heir children with multiple handicaps, ages infancy to twelve years, in a east restrictive environment. bjective A: Provide therapeutic intervention programming to an estimated 40 - 60 disabled children. asks: 1 . Provide one trained direct care staff (teacher or assistant) to every 4~- 6 children attending in each classroom. Utilize 16 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. Provide daily therapeutic and educational activities that promote developmental progression for each child enrolled in Handicare's program. Implement specialized programs such as feeding or behavior management as directed by referring professionals. Enroll children with and without disabilities striving to maiptain a minimum of 10 - 25~ ratio of children with disabilities under three years of age. We have dropped to only 7~ when they are between three and five years of age. )jective B: Provide job training to young adults with various disabilities interested in pursuing careers in child care, food service or janitorial tasks. sks: 1 . Handicare has been able to provide only 1 - 2 job training opportunities this year to 3TPA, Mayor's Youth, Vocational Rehabilitation or Goodwill Threshold participants. Only one trainee has been hired when a job opening became available and trainee proved qualified. -266- 12 )bjective C: Provide support services to families that have a child with ;pecial needs. -asks: Provide daycare services for children with special needs allowing the parents to meet the demands of their homes and jobs. Consult daily with parents of children enrolled at Handicare. 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. )bjective D: To provide a program for children with special needs that complements their school activities and is a safe environment for them while their parents work. -asks: i . Offer activities that promote each child's socialization skills with disabled and non-disabled peers. Provide opportunities-for the children to learn to choose appropriate leisure activities. ,oal: To provide child development activities for 90 - 120 non-disabled -hildren, infancy to 12 years of age, in an environment that includes :hildren with special needs. Ibjective A: To provide preschool and child development activities to non-disabled children. ask 1: Provide one direct care staff to every 4 -6 children attending within each classroom. Enroll children with and without disabilities striving to maintain a minimum of 10 - 25~ ratio· ,bjective B: To provide a program for children that complements their school activities and is a safe environment for them while their parents work. asks: 1. Offer activities that promote the children's socialization skills with peers disabled and non-disabled alike. Provide opportunities for children to learn to choose appropriate leisure activities. 13 -267- HUMAN SERVICE AGENCY BUDGET FORM City of Coralville Johnson County City of Iowa City United Way of Johnson County Director: Brad Klug 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: .~~/~'5'~-.z,,~/. 11/1/97 - 10/31/~_____X (date) CHECK YOUR AGENCY'S BUDGET YEAR 1/1/98- 12/31198 4/1/98- 3/31199 7/1/98- 6/30199 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 we serve are typically diagnosed with schizophrenia, bipolar disorder or major depressive disorder and usually have 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 per,on. 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 4/1/96 - 4/1/97 - 4/1/98 - % of Total 3/3 1/97 3/3 1/98 3/3 1/99 Budget $6.550 $ 7500 $8,958 2% FY97 FY98 FY99 ~ -268- - ] - 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 Progs. Below) 1 HILLCREST SUPPORTED LIVING 2 3 4 6 7 8 ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR 11/1/95- 11/1/96- 11/1197- 10/31/96 10/31/97 10/31/98 374,696 376,941 406,189 36,414. 338,2821 335,638 77,197 258,441 258,441 39,058 337,883 344,049 79,131 264,918 264,918 32,892 373,297 396,709 85302 311,407 311,407 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: 39,058 2,751 0 227,200 2,236 0 230,366 Local funds were used for clients who fall under the poverty guidelines. The areas funded were room and board, social and activity recreation needs. Transportation is also included. 9,480 2,494 , 0 236366 -269- INCOME DETAIL ACTUAL LAST YEAR 1. Local Funding Sources- 6,550 a. Johnson County b. City of Iowa City c. Urnted Way of Johnson County 6,550 d. City of Coralville e. 2. Gra~(s - Slate, Federal,-Foundatioas - i~,8i7 a. SELF ESTEEM GRANT 92_5 b. IOWA FINANCE AUTHORITY 12,892- C. d. C. f. 3. Net Sales of S~rvic~ (so~r~ 272,518 a. 272,518 b. C. 4. Net Sale~ of~Vlaten-al~ (sources) " '42,903 a. ROOM AND BOARD 42,903 b. C. 5. Contfib-utio-ns/Donati0ns ...... i ~621' a. United way Designated 6iving b. Other Contributions 1,621 s. sp~c~_~_~.;;;;,t~ ........... _[ i ' -87~ I'- a. Iowa City Road Races 873 b. c. 7. Interest Income 8. Other_- List Below ...... 3.. b. AGENCY HILLCREST FAMILY SERVICES THIS YEAR BUDGETED NON- PROGRAM PROGRAM PROJECTED NEXT YEAR DIRECTED 1 2 FUNDING 7,104 8,958 0 8,958 I 0 7,104 8,958 8,958 0 0 0 0 0 0 0 0 0 -288,036- - 321,521 .... 0" 32i,521 '0 288,036 321,521 ........ }t2i,521 ' 41,653 40,983 40,983 -9'il 1,710 ' - 0 1',710 .... 0, 61o 610I 565 1,100 1,100 179 125 0 125I 0 179 125 125 0'(-- - o" ol - '0 --o TOTAL INCOME (same as p. 2, line Notes and Comments: 338,282 337,883 373,297 0 373,297 0 -270- - 3 - PROGRAM EXPENDITURE DETAIL AGENCY HILLCREST FAMILY SERVICES ACTUAL THIS YEAR BUDGETED ADMINISTRA- PROGRAM LAST YEAR PROJECTED NEXT YEAR TION 1 1. Salaries 200,575 226,093 256,068 61,504 194,564 2. Employee Benefits & Taxes 42,117 47,475 58,324 13,998 44326 ~. Staff Development 2,554 1,458 1,550 1,550 0 4. Professional Consultation 164 498 600 0 600 5. Publications & Subscriptions 428 397 450 0 450 6. Dues and Memberships 710 499 600 0 600 7. Mortgage, Rent and l:'roperty Taxx 16,800 14,173 15,720 3,616 12,104 8. Building Maintenance 17,746 3,321 6,200 0 6,200 9. Equipment Purchase/Rentai/Maint. 340 248 4339 0 4,339 10. Utilities 8,836 8391 '7,900 1,027 6,873 11. Telephone 4,592 3,248 3,400 442 2,958 I2. Office Supplies & Postage 4,274 3,558 4,700 611 4,089 13. Printing and Publicity 402 311 450 0 450 14. Local Transportation 14,626 11,903 13375 1,739 11,636 15. Insurance 3,073 2,782 3,000 390 2,610 16. Audit 354 443 500 425 75 17. Interest 429 293 1,533 0 1,533 18. Other (Specify): 0 0 0 0 0 19 Recreation 686 864 900 0 900 ~0 Recruitment/employee physicals 1,529 3,435 1,950 0 1,950 21 Foo~kitchen supplies 15,403 14,659 15,150 0 15,150 22 25 TOTAL EXPENSES ( p. 2, line ~ 335,638 344,049 396,709 85,302 311,407 Notes and Comments: Item 8 Column 2 includes items that were prod for the the Iowa Finance Authorit)'. This is an offset to the income shown on page 3, column 1, line 2b. -4- -271- AGENCY HILLCREST FAMILY SERVICES ~ES'!'RICTED FUNDS: lillcrc~1 Emergency Fund Restricted by: 4cr~ ice Clubs Restricted for: Emergency client needs ACTUAl. Tills YEAR BU!)(;ETE!) LAST YEAR PROJECTED NEXT YEAR I i/I/95- I I/1/96- I 1/I/9% 10/31/96 10/31/97 10/.31/98 2751 2236 2494 I'(¥FA I. RESTRICTED FUND (also shown page 2, line 4) 2751 2236 2494 ,IA'I'C!ilNG GRANTS ; rn.lor/Matched by ()TA !. M ATC!t ING G RANTS (also shown pg. 3, line 2) 0 (}1 0 ~- K ! N I) S U P PORT DETAIL ~ rv icc.~/V ohmleers '~{crial G~xxls ~acc, I, qilities, etc. rhcr': (Please specify) ')TAi~ INoKIND SUPPORT (also shown on page 2, line 4) ~{c~ and ('ornme~lls: 0 (4 0 -272- - 5 - SALARIED POSITIONS Position "x" thos4 that apply Last Year UTILIZATION REVIEW(BARNES) 352 X X 0.23 0.02 HUMAN RESOURCES(DECKER) 312 X X 0.23 0.00 ASSISTANT EXEC. DIRECTOR(KLUG) 400 X X 0.23 0o01 EXECUTIVE DIRECTOR(LEWIS) 400 X X 0.23 0.03 FINANCE DIRECTOR(PORTER) 424 X X 0.23 O.02 DIR. OF CLINICAL SERVlCES(SII~PSON) 352 X X 0.23 0.05 DIR. OF ADULT SERVICES(SMITH) 272 X X 0.23 0.05 _QI COORDINATOR(NEW HIRE) 272 X X 0.23 0.00 FINANCE ASSISTANT(SULLIVAN) 352 X X O.23 0.02 BOOKKEEPER/CO!~PUTER{LAGEN) 424 X X 0.23 0.05 BOOKKEEPER/COMPUTER(STEEN) 352 X X 0.23 0.04 BOOKKEEPER/COIvlPUTER(BERGFELD) 352 X X 0.23 0.03 PROGRAM COORD. (ARMKNECHT) 352 X X 0.23 1.O0 THERAPIST(GRAY) 272 X X 0.23 0.00 ASSIST. PROGRAM COORD. (MALAKE) 352 X X 0.23 1.00 VI_~'-',G COUNSELOR I(LORENCE) 272 X X 0.23 1.00 VISI,,NG COUNSELOR 2(HAUTH) 272 X X- - 0.23 1.00 VISITING COUNSELOR 3(LONNGREN) 128 X X 0.23 1.O0 VISITING COUNSELOR 4(SAMPSON) 272 X X 0.23 1.00 VISITING COUNSELOR 5(SIMS) 272 X X 0.23 1.00 VISITING COUNSELOR 6(THORNDYKE) 272 X X 0.23 1.00 VISITING COUNSELOR 7(STOLTZFUS) 128 X X 0.23 0.00 BOARDING HOUSE COUNSELOR(GOYKE) 312 X X 0.23 1.00 VISITING COUNSELOR 8(ANDERSON) 272 X X 0.23 0,75 _VISITING COUNESLOR 9 (CHAN) 272 X X 0.23 O.SO VISITING COUNCELOR(NEW HIRE) 272 X X 0.23 0.00 SECRETARY(HOTZ) 0 X X 0.23 0.50 SECRETARY(HALE) 424 X X 0.23 0.00 SECRETARY(RICE) 208 X X 0.23 0.02 SECRETARY(VYVERBERG) 424 X X 0.23 0.05 MAINTENANCE 0 0.00 0.02 MAINTENANCE(SOJKA) 272 X X 0.23 0.00 TOTAL FTE's and SALARIES Full-time equivalent: 1.0=full-time; 0.5=half-time; etc. 11.16 AGENCY HILLCREST FAMILY SERVICES FTE* Salary This Next Actual This Budgeted % Year Year Last Year Year Next Year Change 0.02 0.05 114 299 1,250 318% 0.02 0.02 0 550 567 3% 0.01 O.Ol 1,850 404 41 6 3% 0.03 0.03 1,797 2,513 2,584 3% 0.02 0.02 1,019 1,010 1,114 10% O.05 0.05 2,119 2,591 2,668 3% 0.05 0.05 3,857 1,1 69 1,854 S9% 0.00 0.05 0 0 1,250 100% 0.02 0.02 482 492 507 3% 0.05 0.05 1,057 1,071 1,057 -1% 0.04 0.04 755 778 790 0.03 0.03 405 406 413 1.00 1.00 31,982 33,698 34,708 3% 0.15 0~15 0 3,511 3,616 1.00 1.00 26,039 20,655 22,199 7% 1.00 1.00 17,492 16,181 17,000 5% 1.00 1.00 17,358 17,555 17,000 -3% 1.00 0.50 11,482 12,568 8,713 -31 1.00 1.00 13,836 17,234 17,000 -1 1.O0 1.00 12,650 15,869 17,O00 7% 1.O0 1.00 1 5,942 1 5,740 17,000 8% 1.00 1.00 0 16,050 17,425 9% 1.00 1.00 13,581 11,920 17,000 43% 0.75 0.50 12,810 17,470 15,944 -9% 0.50 0.44 7,685 8,428 7,667 -9% 0.00 1.00 0 0 17,000 10CP,,~ 0.01 0.00 4,368 430 0 0% 0.40 0.50 0 5,360 6,963 100% 0.02 0.02 414 428 444 4% 0.05 0.05 884 909 936 3% 0.12 0.13 297 804 1,487 85% O.00 0.1 O_ 0 0 2,496 100% 12.34 12.81 200275 2260931 256068 13% - 6 - -273- I"1 Hillcrest Family Services AGENCY ACCOUNTABILITY QUESTIONNAIRE A. Agency's Mission Statement or Primary Purpose Hillcrest Family Services s~ks to strengthen individual and family life. Wc arc commitled I- inslilling hope in lhosc we ,nerve. At Hillcrest we teach skills and provide information and resources lhal people nccd to make oh,ices and gain control of their lives. As a caring ministry of the United Meth~is! Church and the Presbyterian Church (USA), Hillcrest is an advocate for children, youth, and adulls in need. Wc work in partnership wilh !he church and community to provide a full range of services that give people the oplx~rtunity to live life to the fullest. B. Board of Directors: 1. Please attach a list or your agcncy's Board of Directors 2. Frequency of roeclings: Every two months 3. Briefly describe board oricnlation and ongoing training opl~rtunities: The members of the governing Board receive formal (glenration of the agency's g~tls, objetlives, programs and mcth~s of orienlation. Board members are given a complete packet of program information and their ~wn copy the 56 page Board of Trustees' Manual. A four to six hour presentation is made and facility lotits arc held. Trai n ing includes information regarding programs off erred, client~ served, development and public relations, community bztscd programs, policies, finance, agency history, etc. C. Finances: I. If y~mr agency charges a fee, describe your fee structure. Hillcrest Supported Living has an hourly fee for direct ~rviees and an hourly fee for group services. Wc have a Purchase of Service with the State of io~va. The HSL Boarding Hou~ aim) has R~n)m and B~rd charges, which are usually paid by the clients. Room and Board charges have remained the ~mc since wc opened the home in 1989. Does your agency have: intcmal audi t Frequency annually external audit yes financial review Has your agency filed the Annual Report with the Secretary of Sl~_11c? Yes No X Has your agency filed Form 990 with the I RS Yes X No 5. Please discuss your agency's fundraising efforts, if applicable. We do very little fund raising locally. In 1994 we had a fund drive for onr new five bed group home. We als~ try 1o 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 !he agency Direclor's perfonnanee evaluated at len~l yearly? Yes X No By Whom? Director of Adult Services. -274- HILLCREST BOARD OF TRUSTEES Vocation_ al .. ListinQ March, 1997 Doug Brotherton Retired, John Deere Engineering Dubuque Bill Cherrier Manager, Business Operations, IES Utilities Cedar Rapids Frank Coe Senior V. Pres. & Corem, Banking Manager First Trust & Savings Bank Cedar Rapids Carolyn Collins Volunteer Dubuque John Darrah Honkamp Krueger Dubuque Sharon Faley Volunteer Du ;ue Thomas J. Gill Dentist Coralville Jackie Guinn Freelance Writer/Homemaker Dubuque Richard J. Hartig Pharmacist, Hartig Drugs Dubuque Randy Hoff President, Barnstead/Thermolyne Corp. Dubuque Steve Horman PresidentlCEO, Chamber of Commerce Dubuque Julie Johnson Hor- -naker/RN Dub..que Dr. Shannon Jung Dire~or, Centerfor Theology & Land Universi~ of Dubuque Theological Seminary Dubuque Chuck Naytor A~omey, Naylor, Hoover & Blair PC Dubuque Rev. Carroll Robinson Minister, Retired Miles Stephanie Savage Volunteer Galena Steve Scott Attorney, Kintzinger Law Firm Dubuque Gall Seipp Volunteer Dubuque Dr. James Stark Veterinarian, Colonial Terrace Animal Hospital Dubuque Doug Stillings Vice Pres., Bus. Dev., Dubuque Bank & Trust Dubuque Roger Stutsman Agribusinessman Riverside Don Wendel CPA/Financial Consultant, McGladrey, Pullen Dubuque Steven Yoder Manufacturing Manager, Rockwell-Collins Iowa City -7a- -275- [] Hillcrest Family Services AGENCY E. Program/Services: Plca.~e 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 is one hour. Our direct service hourly rate is $35.90 and our group toryice hourly rate is $10.69. The amount of service each client receives monthly is dependent upon their individual needs. Boarding ttot, se monthly costs are a.s follows: Board is $175.00, Single nx)m is $260.00, Double nx~m is Please supply information about clients served by your agency during the last two complclc budget years. Refer to form instructions for definition of duplicated and unduplicated. I. How many Johnson County residents (including Iowa City and Corah'ille) did your agency serve Enter Years- 1996 1997 la. Duplicated count 88 97 lb. Unduplicated count 2. How man), Iowa Cily residents did your agency sen'c? 2a. Duplicated count 2b. Unduplicated count 3. How many Corah'ille residents did your agency sen'c? 3a. Duplicated count 3b. Unduplicated c~)unt 4. How many units of service did your agency provide? 4a. Tolal 10454 10158 4b. To Johnson County 8010 7102 Residents Other are.xs served: Do you provide service to areas outside of John.~m County? yes Area(s) served: Linn County Services provided: CSALA Hillcrest Family Services serves Eastern Iowa with a large variety of children, adul! and l'amilv services, focusing mainly in the Dubuque, Clinton, Linn, and Johnson County areas. Funding Sources: Purchase of Service for CSALA 8 -276- El Hillcrest Family Services AGENCY Client Profile (for last complete year, if available): Age II Gender II Ethnicity 0 - 5 Female 52 African American 2 6- 17 Male 33 NativeAmerican 18 - 29 3 Asian I 30 - 61 80 Hispanic 62 - 75 2 Caucasian/Non-Hispanic 8 i 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 .gallsfaction surveys we send out ulxm 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 C~x~rdinator. Further, we complete monthly, quarterly and )'early 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 deliver' to ensure needs and wants are being incl. Client Record Reviews are completed by the program coordinator on a regular b,xsis. Finally, we are reviewed by the State of Iowa as well as the Joint Commission. B. I~es your agency have performance objectives? (give mvcral 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 communily. 3) Trealment learns will be committed to their clienls' success, have shared values and be empowered with appropriate decision making responsibility to work within their teams Io meet Iheir clients' goals. C. what plans does your agency have to increa~e efficiency and cffccti yeness? 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 assisl us in the improvement of all areas of service delivery. New and innovalive programs are in Ihe prix:ess of development. Alternative funding streams are also being developed in resgxmse to the ever increasing problem of ~vcrty experienced by our clientele. Further, we continue to streamline our organi7ational structure 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 comsumcrs of mental health services means less state and county assistance to consumers. Waiting lists for funding as well as client copaymcnts for services will conlinuc 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 bc 9 -277- 13 Hillcrest Family Services AOENCY 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 rclaled 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 eight years. An increased array of supported living arrangements are needed in Johnson County, 10. List complaints about your ~rvices of which you are aware: Wc have had waiting lists for our services. Prior to purchasing our new 15 person van in September, 1997, we had consumers complain that our van was too small and in very poor condition. They were correct. (it was a 1985 van wilh over 145,000 miles on it.) 11. Do you have a waiting list or have you had to turn pex)plc away for lack (ff ability to service them? What measures do you feel can be laken to resolve this problem: We have had 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. In October of 1997 we will hirc an additional staff person. How many people are currently on your waiting list? 7 12. In what way(s) are your agency's services publicized? Hillcrest Family Services uses the media, public speaking to civic, schcn~l and social groups, brochures, Hillcrest Calling ( a quarterly newsletter to 19,000 people ) and public ~rvice announcements Io make our services known. HSL provides a monthly newsletter which is distributed to clients and professionals in Ihe 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 participales) a. Agency Directors Meetings b. Agencies Representative to Funding Hearings c. Business Biitz d. Day of Caring e. Executive Development Seminars f. · Kick Off g. Victory Reception h. Volunteer Action Center i. Other Hospice Road Race clients and staff participated X X X -278- 10 AGENCY Hillcrest Family Sen'ices 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 September, 1976 with the opening of the Iowa City Residence for women, a residential care facility for chronically mentally ill adult women. This factlily 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 Icam skills so they could lead independent lives in the community. in 1983, Hillcrest expanded the Iowa City Residence (ICR) to fourteen beds for bolh men and women at a nc~v location at 214 E. Church 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/DD to develop a Supervi~d 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 Sen, ices served 17 mentally ill men and women in Johnson Courtly through the Hillcrest Supported Living (HSL) Visiting Counselor Program. However, it became clear that some clients needed more intensive support services than HSL could provide, including inctea-ned 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 C~rdinator, Assistant Coordinator, 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 sen'ices continue to expand, as well as group skills teaching opportunities and individualized skills teaching options· In February of 1988 Hillcrest received a grant from the Gannett Foundation in order to buy and rcm{xtcl a Boarding House for nine persons with mental illness. This Boarding House, located at 728 Bowcry 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 waiting list of three. HSL and the HSL Boarding House continue to serve adults diagnosed with mental illness in the Johnson County community. Our current census is 85. !n the summer of 1996 Hillcrest opened Birch House, a five bed waiver home in Iowa City for individuals with multiple psychiatric needs. in October of 1997 we began to provide individual and group therapy services to adults with mental illness, as well as to family members of adults with mental illness, out of the Hillcrest Suplxmed Living office. 11 -279- ~280- r-i Hillcrest Family Sen'ices 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. Objective A: Continue expansion of the program to accommodate 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 teaming 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: I. 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. Objective C: Provide a nine bed Boarding House for persons with mental illness in Iowa City. Task: 1. Provide a safe and healthy living enviroment. 2. Maintain and improve the facility. Replace roof in 1997. 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. Provide a quality program that includes well trained, educated and concerned staff. Task: !. Provide Visiting Counselors who have experience in and dedication to the field of mental health. 2. Provide staff training, workshops and state of the art 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 support 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. 6. A 15 person Van to accomodate client needs. 12 HUMAN SERVICE AGENCY BUDGET FORM City of Coraivi!le Johnson County City of Iowa City United Way of Johnson County CHECK YOUR AGENCY'S BUDGET YEAR 1/1/98 - 12/31/98 X 4/1/98- 3/31/99 10/1/98- 7/1/98- 6/30/99 - 9/30/99 Director: Ma~e, ie Elliott Agency Name: Iowa City Ho~ice, Inc. Address: 613 Bloomington Street, IC Phone: 319-351-5665 Completed by: Mam~ie Elliott Approved by Board Chai~,~$x - COVER PAGE Program Smmnaty: (Please number programs to correspond to Income & Expense Detail, i.e. Program 1, 2, 3, etc.) Bereavemere services are provided to anyone in our commtmity affected by a loss. For the family members of a hospice patient, bereavemere support services can be provided from the time of admission into the hospice program, until needed after the death. For members of the community, bereavemere support services range from a one-time contact to ongoing support through the various services offered by Iowa City Hospice. Typically, these services are offered for 13 months, to allow the survivor to get through the first of eve~&ing- birthdays, holidays, and special events. The bereavement team assesses the individual risk factors and support needs. The goal is to help the individual cope with the death. Bereavement services offered by Iowa City Hospice include: · Time-limited bereavement support groups (usually 5-7 meetings) · Time-limited bereavement support groups for targeted populations such as children, or single parents · On-going support groups for the loss of a spouse/parmer · 'eferral to community support groups · ~:xlucational programs/information on the grief process · Memorial services · Individualized bereavemere counseling · Grief support to the Iowa City school system The staff of Iowa City Hospice and a group of trained hospice bereavement volunteers provide these bereavement services. Our goal in the next year is to become the bereavement resource for the communities we serve. Serving as the resource center includes an expansion of our existing services (based on a needs assessment) and accumulating and providing information on other bereavement support systems. Local Funding Summary: Urnted Way of Johnson County -- Does Not Include Designated Gvg. 4/1/96 - 4/1/97 - 4/1/98 - % of Total 3/31/97 3/31/98 3/31/99 Budget $ 0.00 $ 0.00 $7,500.00 25.5% FY97 FY98 City of Iowa City $ ......... S--- Johnson County $ .......... S--- City of Coralville $ .......... $--- FY99 -1- -281- AGENCY: Iowa City Hosoice. Inc. BUDGET SUMMARY ACTUAL LAST YEAR Enter Your Agency's Budget Year ~ 1. TOTAL OPERATING BUDGET 14,915 (Total a + b) a. Carryover Balance (Cash from line 3, previous column) 0 b. Income (Cash) ~ 14,915 2. TOTAL EXPENDITURES (Total a + b) 12,399 a. Non-directed funding 1,384 b. Program total (List Programs below) 11,015 1. 11,015 THIS YEAR PROJECTED BUDGETED NEXT YEAR 1996 1997 1998 23,960 35,168 2,516 3,814 21,444 31,354 20,146 31,260 1,578 1,973 18,568 29,287 18,568 29,287 3. ENDING OPERATING BALANCE (Subtract 2 - 1) 4. RESTRICTED FUND BALANCE (Total from page5 5. IN-KIND SUPPORT (Total from pag~ 5) 6. NON-CASH ASSETS Notes and Comments: 2,516 3,814 3,908 0 1,400 400 1,215 1,403 2,390 0 0 0 In 1996, the social workers and chaplain on staff at hospice provided the bereavemere services. Because Iowa City Hospice's active patient/family population was growing at the same time, these staff members were stretched in providing bereavement services. In particular, this affected the types and numbers of support groups and special programs we were able to offer. In 1997, the number of hospice patients/families served and the number of individuals seeking bereavement care justified the hiring of a bereavement coordinator for the last months of the year (Iowa City Hospice adheres to the patient/staff ratios as recommended by the National Hospice Organi?ation). A half-time bereavement coordinator allows hospice to provide leadership in the bereavement area and to develop programs and services as needs arise in the community. In 1998, our goal is to develop Iowa City Hospice as the bereavemere resource for the community, both in terms of services and as an appropriate referral source. BRIEFLY DESCRIBE HOW LOCAL FUNDS WERE SPENT LAST YEAR: The funds were spem for bereavement services: support groups, educational programs, one-on-one counseling. and mailings. The majority of the funds wcrc spent to cover staff time in providing these services. -282- -2- INCOME DETAIL ACTUAL LAST YEAR 1996 N,,tes and Comments: AGENCY: Iowa CiW Hosoice, Inc. T~lg BUDGET- NON- YEAR ED DIR- PROJECT- NEXT ECTED El? YEAR FUNDIN 1997 1998 G 1. Local Funding Sottrees 0 0 7,500 0 a. Johnson Count, b. City of Iowa City c. Urnted Way 7,500 cL City of Coralville e. f. 2. Grants - State, Federal. Foundations 0 0 0 0 b. ¢. 3. Net Sales of Services (sources) 8,016 12,104 13,920 0 a. Third ~ torments 7,990 12,104 13,920 b. Educational Programs 26 0 0 C. Net Sales of Materials (sources) 0 · ~ 0 0 0 a. b. ¢. 5. Contributions/Donations 386 670 670 a. United Way Designated Giving 102 240 240 b. Other Contributions 284 430 430 6. Si~zial Events 740 1,155 1,195 a. Iowa City Road Races 500 810 850 b. Annual Mail campaign 240 345 345 ¢. 7. Interest Income 220 315 315 8. Other - List Below Including ?viiscella- 5,553 7.200 7,754 a. Memorial donations 5.553 7,200 7,754 b. C. T'~TAL INCOME ~(shown also on l~age 2. PRO- GRAM 1 7,500 PRO - GRAM 2 7,500 0 13920 13,920 0 670 240 430 1.195 850 345 315 7,754 7,754 14,915 I 21,444 [ 31.354 31:354 Third mrty ~ayments are anticilaated to increase to cover the costs of the bereavement services l~rovided to The hospice patient's survivors. Community donations and contributions are anticipated to increase or remain stable. Urnted Way dollars allow for expansion of bereavement services to the commumty. -283- AGENCY: Iowa City Hospice, Inc. PROGRAM EXPENDITURE DETAIL ACTUAL THIS BUDGET- NON- PRO- PRO- LAST YEAR ED DIRECT GRAM GRAM YEAR PROJECT- NEXT ED 1 2 El) YEAR FUNDIN G 1. Salaries 8,385 13,698 19,810 1,810 18,000 2. Employee Benefits and Taxes 755 1,233 1,783 163 1,620 3. Staff Development 213 343 1,545 1,545 4. Professional Consultation 5. Publications and Subscriptions 848 869 1,012 1,012 6. Dues and Memberships 100 155 275 275 7. Mortgage, Rent, and Property Tax 8. Building and Maintenance 9. Equipment Purchase/Rental/Mainte- 90 175 183 183 10. Utilities l I. Telephone 165 211 307 307 12. Office Supplies and Postage 377 1,600 3,072 3,072 13. Printing and Publicity 1,185 1,470 2,807 2,807 14. Local Tmnsportation 30 30 63 63 15. Insurance 103 120 131 131 16. Audit 68 70 72 72 17. Interest 18. Other (Specify): 19. Depreciation 80 172 200 200 20. 21. 22. 23. 24. 25. TOTAL EXPENSES (shown also on page 12,399 20,146 31,260 1,973 2, line 2) Notes and Comments: 29,287 Bereavement expenses for 1998 are projected to increase from $20,146 to 31,260. The cost of hiring a half-time bereavemere coordinator is offset by a reduction in the time devoted to bereavement services for the social workers, chaplain and volunteer coordinator. Additional funding is required to perform the commumty needs assessment; develop a bereavement resource tool: and, provide bereavement services as identified by the community,. -284- -4- RESTRICTED FUNDS Total (Shown on page 2, line 4) Restricted by: Restricted for: Donor Children Donor Bereavement library AGENCY Iowa City Hospice, Inc. ACTUAL THIS BUDGETE LAST YEAR D YEAR PROJECT NEXT ED YEAR $0 $ 1,000 $0 $ 400 $ 400 Total Restricted Funds (also shown page 2, line 4) $0 $ 1,400 $ 400 MATCHING GRANTS (also shown on page 3, line 2) Grantor/Matched by: None Total Matching Grants (also shown on page 3, line 2) IN-KIND SUPPORT DETAIL Services/Volunteers Material Goods Space, Utilities, etc. Other: (Please specify) 1080 1203 2140 135 200 250 TOTAL IN-KIND SUPPORT (Shown also on page 2, line 4) 1215 1403 2390 Notes and Comments: Specially trained bereavement volunteers provided 84 hours of support in 1996. This year, bereavement volunteers are anticipated to contribute 90 hours. With the addition of a bereavement coordinator, hospice will be able to train and oversee additional volunteers. The anticipated volunteer involvement in bereavement services in 1998 is 154 hours. (The Iowa Hospice organization's volunteer reimbursement rates for 1996 and 1997 of $12.86Par. and $13.37/ltr. are useck An anticipated rate of $13.90/hr for 1998 is used). -5- -285- SALARIED POSmONS "X" all that apply Position Paid Health Re- % Lve Ins tire Bene- Plan fits Bereavement Coordinator x X .065 Social Worker(Whitsitt) x X .065 Social Worker (Herinsen) x X .065 Chaplain (Kusner) x X X .09 Office Admm (Martin) x X X .09 Executive Dir (Elliott) x X X .09 Volunteer Coor (Dugan) x X .065 AGENCY: Iowa City Hospice, Inc. ACTUA THIS BUDGET % L YEAR ED CHAN FTE LAST PROJE NEXT GE * YEAR CTED YEAR Last This Next Year Year Year 0 .285 .50 0 .10 .10 .05 2,828 .10 .10 .05 1,700 .10 .10 .05 1,487 .018 .02 .03 430 .018 .02 .03 840 .10 .10 .05 1,100 3,850 2,940 2,828 1,487 475 973 1,145 13,575 1,550 1,500 775 69O 1,120 6O0 +250% - 47% - 47% - 48% + 45% + 15% - 48% Total Salaries & FTE *Full-time equivalent: 1.0 = full-time; 0.5 = half-time; etc. .436 .725 .81 8,385 13,698 19,810 + 44% -286- o AGENCY Iowa City Hospice, Inc. ACCOUNTABILITY QUESTIONNAIRE A. Agency's Mission Statement or Primary Purpose The mission of Iowa City Hospice is to provide patient-centered palliative care and services to anyone affected by. a terminal illness. Included in this mission is our Organizing Principles of Practice .... · Offer care throughout the dying and bereavement process to patients, families, and their loved ones · Provide physical, emotional, and spiritual support · Minimize pain and suffering · Education patients, families and the community on how to direct their own care · Provide palliative care leadership to the healthcare community · Recognize the importance of family and support systems B. 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 traimng oppormmties: New Board members receive an imtial orientation from the Executive Director. This includes an overview of hospice services, finances, strategic plan, and an overview of daily operations. Board members are then assigned to a committee(s), depending on their strengths and interests, which continues in depth their working knowledge of the agency. C. Finances: 1. If your agency charges a fee, describe your fee structure. There is no fee charged for bereavemere services, either to hospice survivors, or community, members. 2. Does your agency have: internal audit external audit X financial review Frequency Annual Has your agency. filed the Annual Report with the Secreta~. 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. Iowa City Hospice currently has three fundraising activities: · The Elks Hospice goffevem · Hawkeye Medical Supply Hospice Road Race · Annual campai~ (di~ mail) 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? Board of Directors with staff input No -7- -287- Iowa City Hospice, Inc. Board of Directors 1997-1998 Shelly Kurtz, President Professor, College of Law University of Iowa Richard Hutrig. Vice President Professor, Speech Pathology University of Iowa Harriet Echternacht, Secretary Family Practice Physician Family Health Centre Barb Lee, Treasurer Business Office Urnversify of Iowa Hospitals and Clinics Stephame Burton Product Manager National Computer Systems Pat Clinton Pediatric RN/Lecturer Umversity of Iowa Dick Corcoran Hospice Volunteer Sue Kersevich Human Resource Specialist Brighton Consulting Group Martha Lubaroff Office Manager Iowa City Public Library Tim Rossi Graduate Studera University of Iowa Carol Twedt Director, Clinical Information Mercy Hospital Diane VanErsvelde Physician Assistant University of Iowa Hospitals and Clinics -288- -7a- AGENCY Iowa City Hospice, Inc. 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 redirect.) Bereavement services are provided to anyone in the community affected by the loss. There are no time Unit of service: Number of services provided Calendar year 1996:660 Average cost per service in 1996:$18.79 (this includes all types of bereavement services--we do not track the individual cost/service). 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 unduplieatex[ 1. How many Johnson County residents (including Iowa City and Coralville) did your agency serve Enter Years- 1995 1996 la. Duplicated count 113 124 lb. Unduplicated count 113 124 2. How many Iowa City residents did your agency 2a. Duplicated count 2b. Unduplicated count 3. How many Coraiville residents did your agency serve? 4. How many units of service did your agency provide? 3a. Duplicated count 3b. Unduplicated count 4a. Total 634 660 4b. To Johnson County Residents Other areas served: Do you provide service to areas outside of Johnson County? Area(s) served: Cedar & Louisa counties; Areas of Washington & Muscatine counties Services provided: Hospice care and bereavement support Funding Sources: Third party payers, community support, and memorial donations -8- -289- AGENCY Iowa City Hospice, Inc. Client Profile (for last complete year, if available): Evaluation and Review: Please discuss how your agency measures the success of its programs. Iowa City Hospice measures the success of programs through satisfaction surveys to indivich~als served. In addition, recommendations are made through various quality improvement processes. ao Does your agency have performance objectives? (Give several examples.) Performance objectives are based on the outcomes of the satisfaction surveys and quality improvement tools. These objectives are recommended by the Quality Assurance Committee of the Board and approved by the Iowa City. Hospice Board. Examples of Iowa City Hospice objectives include: 1. Gather information of the current bereavement services available to the 2. Proved information to those seeking bereavement services on support appropriate support available in the community. 3. Gather information on the current bereavement needs in the community. 4. Based on findings of needs assessment, provide services or work in conjunction with other community groups to provide. What plans does your agency have to increase efficiency and effectiveness? Iowa City Hospice uses a team approach to address issues of quality improvement. Different types of quality improvement tools and processes are used, depending on the performance objectives being evaluatec[ Ongoing evaluations involve both the programs and services provided and our internal operations. In what ways will the needs of your service population change in the next five years: Individuals in the community seeking bereavement services are expected on increase in conjunction with a greater variety of services and access to these services. Access to services is anticipated to increase with Iowa City Hospice's development of a community bereavement resource listing. -290- -9- 10. AGENCY Iowa City Hospice, Inc. Please discuss any other problems or factors relevant to your agency's programs, funding or service deliver: Currently, there is no one source in the County where an individual in need of bereavement services can go - either to inquire about appropriate support services or to receive services. Funding for bereavement services is based primarily on commumty support. Hospices are paid a per diem rate for hospice care. Although bereavement services are a mandated service under the hospice benefit, there is no payment for these services. Iowa City Hospice allocates a portion of the third party payments to assist in coverage of bereavement services. As funds for hospice care become tighter, the allocation of community resources becomes more difficult. List complaints about your services of which you are aware: Recommendations from satisfaction surveys indicate individuals would like more one-on-one 11. 12. Do you have a waiting list or have you had to turn people away for lack of ability to service them? NO--services or referrals are always provide6 What measures do you feel can be taken to resolve this problem: How many people are currently on your wailing list? None In what way(s) are your agency's services publicized? Iowa City Hospice publicizes our senrices through the media, spealdng engagements, community/health fairs, brochures and newsletters. 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 X Kick Off Victory _Reception Volunteer Action Center Other Served as a member of a group of Urnted Way Agencies Working to increase pledges through the Road Race. -10- -291- AGENCY Iowa City Hospice, Inc. 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.) Iowa City Hospice was formed in 1979 when a group of commumty members formed a task force to bring the concept of hospice, a program of caring for the terminally ill and their families to the residents of Johnson County. These volunteers were interested in palliative care, care that is comfort-oriented and provides practical and human support to enhance the quality of life. Initial funding came from grants and community donations. Widespread community support, encouraged by Martha Lubaroff and Mary Child grew, enabling the first Board of Directors to appoint a Medical Director, Charles E. Driscoll, MD, in 1982. The first class of volunteers were trained in the fall of 1982. These hospice supporters, along with a patient care coordinator who was hired in January of 1983, enabled Iowa City Hospice to provide care to their first patiem in March 1983. In July 1987, Iowa City Hospice became Medicare certified. Today, Iowa City Hospice serves over 100 patients/families each year with 125 active volunteers, 4 medical directors, and a staffof 20. Throughout it's short history, Iowa City Hospice has consistently maintained a commumty-oriented orientation. Excellent care has been given to all in the Johnson County area through the dedication of volunteers, professional staff, and families. Our strategic plan for the future stands firm on this community-based foundation. Iowa City Hospice focused on building a strong foundation in 1997. Through the year, patlent-centered palliative care remained our primary goal, with the building of relationships with our community partners and the strengthening of our internal organization as a guiding force. The results of these efforts have resulted in more ties to the community and an internal structure ready prepared for growth. The goals for our organization in 1998 include: · Building on the positive relationships to the community we serve. · Enhancing the quality of care and support systems. · Providing financial supporters with new methods of contributing. · Strengthening our base of major supporters - the volunteers. Underlying these goals are activities planned to strengthen commumcation and awareness to the pobhc and medical community on hospice care; to develop a system to record care and outcomes of care provided; to develop Iowa City Hospice as the palliative care and bereavement resource for the eommumties we serve; to develop programs to meet the needs of the patients/families we serve; to maintain healthy staff requirements and ratios; and, to expand and strengthen fund raising oppommities. -292- -11- AGENCY Iowa City Hospice, Inc. 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 become the bereavement resource for the communities we serve Objective A: Task: Expand bereavement services. 1. Ongoing presentation to the community of current services. 2. Hire a part-time bereavement coordinator. 3. Evaluate the communities' needs and plan appropriate bereavement programs, working with area providers when possible. 4. Develop bereavement resource packet for the variety of bereavement situations. Objective B: Perform community bereavement assessment. 1. Develop questionnaire to be sent to area churches, schools, healthcare, community agencies, and area businesses. 2. Send questionnaire to (above). 3. Tabulate results of questionnaire. 4. Analyze results. 5. Develop list for the community on bereavement resources available. Objective C: Develop training and ongoing support for bereavement volunteers. 1. Develop bereavement training session and supportive literature. 2. Identify hospice volunteers and community professionals for bereavement training. 3. Provide bereavement training. 4. Develop system for involvement and record keeping. 5. Provide ongoing support for bereavement volunteers. Objective D: Educate community on issues of bereavement and bereavement resources. 1. Continue to provide current bereavement educational opportunities. 2. Develop bereavement presentations. 3. Access free media and organizational publications. 4. Continue to develop bereavement library for community use. Resources needed to accomplish Program tasks: 1. Bereavement, administrative support and volunteers (both administrative and bereavement). 2. Continued community funding. 3. United Way funding. 4. Development of new funding sources. 5. Identify space(s) for bereavement activities. -12- -293- 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 1/1/98-12/31/98 4/1/98- 3/31/99 71/98- 6/30/99 Director: Laura Hill Agency Name: ICARE Address: P.O. Box 2989, IC IA 52244 Phone: 338-2135 Completed by: Laura Hill 10/1/98- 9/30/99 08/28/97 __ - (oats) X COVER PAGE Program Summary: (Please number programs to correspond to Income & Expense Detail, i.e., Program 1, 2, 3, etc.) '3rogram 1. a. b. C. d. ©. £. :~rogram 2. b. C. d. f. Direct Services Case Management Crisis Intervention Individual and group counseling Case conferences Home/hospital visitations Emergency financial support g. Information and referral h. Care Teams i. Buddies j. Transportation, errands, chore assistance, grocery shopping k. Assistive Technology Loan Closet Resources and Education Resource and Lending Library Educational workshops, inservices, groups Com m unity inservices about HIV/AIDS psychosocial issues and intervention strategies Awareness events Quarterly newsletter Monthly Service Updates Local Funding Summary · United Way of Johnson County - - Does Not Include Designated Gvg. City of Iowa City Johnson County City of Coralville 4/1/96- 4/1/97- 3/31. 3/31/98 $10,300 $11,590 FY97 FY98 9,200 9,600 15,000 16,050 0 0 4/1/98- %ofToral 3/31/99 Budget $15,000 9 FY99 ~~ 10,000 6 17,175 11 500 0.003 -294~ ~n.ras 1 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) a. Non-directed funding b. Program Total (List Progs. Below) 2. Resources & Education 3 4 I 8 ACTUAL LAST YEAR FY97 168,846.00 48,828 120,018 123,250 11,293 111,957 73,892 38,065 THIS YEAR PROJECTED FY98 174,582.00 45,596 128,986 152,520 15,252 137,268 99,138 38,130 BUDGETED NEXT YEAR FY99 159,687.00 22,062 137,625 152,354 19,462 132,892 99,364 33,528 3. ENDING OPERATING BALANCE (Subtract 2 - 1 ) 4. RESTRICTED FUND BALANCE (Total from page 5. IN-KIND SUPPORT (Total from Page _5--) 6. NON-CASH ASSETS 0 93,125 0 101,493 0 110,647 Notes and Comments: Ending Balan( Checking 15,582 Certificates of Deposit 32,146 Petty Cash 36 Payroll Taxes Owed (2,168) 45,596 BRIE. leLY DESCRmE HOW LOCAL FUNDS WERE SPENT LAST YEAR: Monies from local funders were used as operating expenses for administrative and program costs. (Financial assistance was funded through grants & fundraising. Case management was funded through the Iowa Community AIDS Parmership and the Southeast Iowa HIV CARE Consortium.) jcco~hs/lcuwsm.x~s 2 -295- INCOME DETAIl. 1. Local Funding Sources- a. Johnson County ' b. City of Iowa City c. Urnted Way of Johnson County d. City of Coralville e. JCDPH f. 2. Grants - State, Federal, Foundations a. ICAP b. Miscellaneous C. d. e. f. 3. Net Sales Of Services (sources) a. SE Iowa HIV Consortium b. C. 4. Net Sales of Materials' a. Merchandise b. C. 5. Contributions/Donations a. Urnted Way Designated Giving b. Other Contributions 6. Special Events a. Iowa City Road Races b. Pancake Brunch c. Othersa 7. Interest Income 8. Other - List Below a. Miscellaneous b. C. AGENCY ICARE NON- ACTUAL THIS YEAR BUDGETED DIRECTED LAST YEAR PROJECTED NEXT YEAR FUNDING I 34,8301 38,092[ 42,675 42,675 0 0 0 0 9,200 9,600 10,000 10,000 10,630 12,442 15,000 15,000 N/A 0 500 500 15,000 16,050 17,175 17,175 I 31,454 1 27,0001 25,0001 01 25,719 i5,000 i0,000° 0 5,735 12,000v 15,000° 0 8,220[ 11,000 [ 13,000 I 0[ 8,220 11,000b 13,000b 0 1,238 I 2,500 I 3,500[ 3,500 I 1,238 2,500 3,500 3,500 8,639 9,244 9,800 I 9,800 ]3,244 3,244 3,300I 3,300 5,395 6,000 6,500 6,500 I 32,611 I 40,000 42,5001 0 2,729 6,500 7,000 0 14,927 17,000 18,000 0 14,955 16,500 17,500 0 [ 2,268 1,000 [ 1,000 1,000 758 1501 1501 150 758 i50 is0 lS0 TOTAL INCOME (~,e as p. 2, line lb 120,018 128,986 137,625 57,125 Notes and Comments: ~ funding is received through the Johnson County Department of Public Health b figures are estimates c red ribbons, pins and other awareness merchandise ~ World AIDS Day, Direct Mail and Deadwood Cabaret PROGRAM PROGRAM 1 2 ol o 0 0 0 0 0 0 0 0 0 0 25,oool o 10,000 0 15,000 0 13,000 I 0 13,000 0 ol ol 21,250 I 3,500 9,000 8,750 Ol ol 0 59,250 0 0 21,250 3,500 9,000 8,750 ol 0 0 21,250 -296- ~wsm.xls 3 PROGRAM EXPENDITURE DETAIL AGENCY ICARE NON- ACTUAL THIS YEAR BUDGETED DIRECTED LAST YEAR PROJECTED NEXT YEAR FUNDING '1. 6alaries 71,938 86,390 86,888 2. Employee Benefits & Taxes 13A57 17,450 16,871 3. StatfDevelopment 872 1,500 500 4. Professional Consultation' 1,744 1,200 1,200 5. Publicatiom & Subscriptiom 831 700 400 6. Dues and Memberships 149 350 350 7. Morgage, Rent and Property Tax 3,000 3,000 3,000 8. Building & Maintenance 2,148 2,200 2,380 9. Equipanent Purchase/Rental 686 2,300b 1,000 10. Utilities (included m rent) 0 0 0 11. Telephone 3,174 3,500 3,800 12. Office Supplies & Postage 6,161 6,800 7,500 13. Printing and Publicity 2,429 3,000 3,300 14. Local Transportationc 1,772 2,480 2,700 15. Insurance 927 1,200 1,500 - Auditd 0 600 600 17. Interest 0 0 0 18. Other(Specify): Fundraising 4,113 5,000 5,500 19. Volunteer Training 941 1,300 1,300 20. Programs 857 1,200 1,200 21. Financial Assistance 7,787 12,000 12,000 22. Bank Charges 118 150 165 23. Miscellaneous 146 200 200 24 25 PROGRAM PROGRAM 1 2 Direct Servic~ Res. & Educ. TOTAL EXPENSES (p. 2, line 2: 123,250 152,520 Notes and Comments: a In FY98, accounting changed from consultant to in house b Computer purchase c xease due to expansion to rural areas d Financial Review 6,913 61,382 18,593 1,350 11,978 3,543 55 320 125 600 300 300 0 0 400 39 224 87 330 1,920 750 262 1,523 595 110 640 250 0 0 0 418 2,660 722 825 1,800 4,875 495 792 2,013 135 2,025 540 1,500 0 0 600 0 0 0 0 0 5,500 0 0 143 832 325 0 840 360 0 12,000 0 165 0 0 22 128 50 152,354 19,462 99,364 33,528 jccoghs/jcuwsmods 4 -297- AGENCY ICARE ~ b~.TC~I~T3 I~Nr)s: Restricted by: Restricted for:. ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR FY97 FY98 FY99 TOTAL RESTRICTED FUND (also shown page 2, line 4) N/A N/A N/A MATCHINf~ GRANTS Grantor/Matched by TOTAL MATCFHNG GRANTS (also shown pg. 3, line 2) N/A N/A N/A _]~N-ICIND SIYPPORT Services/Volunteers* Material Goods** Space, Utilities, etc. Other: (Please specify) iTOTAL IN-K'IND SUPPORT (also shown on page 2, line 4) Notes and Comments: * Direct Services / Professional Volunteers 4,917 hrs ~ $10 Non Client/Special Events Volunteers 3,637 hrs @ $7 74,642 82,106 90,316 16,083 16,887 17,731 2,400 2,500 2,600 0 0 0 93,125 101,493 110,647 ** Office furniture, equipment and supplies, educational materials, fundraising materials and supplies -298- , 5 SALARIED PosmoNs AGENCY ICARE Position/Title "X"all that Executive Director 53 x n/a 15 Case Worker 43 x n/a 19 Program Assistant** 43 x n/a 20 3/4 Time Secr~ta~*** 28 x n/a 22 Salar~ Last This Next Actual This Year Year Year Last Year Year 1.00 1.00 1.00 31,880 33,600 0.95 1.00 1.00 18,025 21,848 0.93 1.00 1.00 16,594 19,010 0.50 0.75 0.75 5,439 11,932 Budgeted % Next Year Change 33,600 0% 22,050 1% 18,750 1% 12,488 5% 'TOTAL FI'E's and SALARIES gg x N/^ 19 3.38 3.75 * Full-time equivalent: 1.0=full-time; 0.5=half-time; etc. **Will have new hire m July '98 *** Increased from 1/2 to 3/4 time in FY '98 jccoghsJcuwsm 6 3.75 71,938 86,390 86,888 1% -299- AGENCY ICARE ACCOUNTABILITY OUESTIONNAIRE A. Ageney's Mission Statement or Primary Purpose To enrich the quality of life for perruns living with and affected by HIV/AIDS. Through the distribution of information and senrices, we aim to foster the self-enapowerment necessary to live produaively and positively in the face of HIV/AIDS. 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: Orientation: Board Members are given Board Manuals with agency and general board information. The Executive Director and Board chair meet individually with new members to review the manual and board job descriplions. An annual board retreat is held. Ongoing training: Members receive monthly copies of"Board Administrator" and other relevant articles. Discussions occur individually and as needed during board and committee meetings. Time is set aside at each meeting for Board tr~ining. C. Finances: If your agency clmrges a fee, describe your fee stoLerare. Does your agency have: internal audit x Frequency annually external audit financial review X 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. ICARE holds annual fundraising events: The Pancake Breakfast, the Deadwood Cabaret, a World AIDS Day reception, a direct mail campaign, and we participate in the Iowa City Hospice Road Races as well as selling AIDS awareness merchandise. We also pursue grants and also monies through tithes/giving funds. 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? Personnel Committee * All volunteers and Board Members also have job descriptions 7 -300- AGENCY ICARE ICARE BOARD OF DIRECTORS 199611997 David Kozichek, Chair 205 Fiffil St. #11 Coralville, IA 52241 339-3556 W, 358-1331 H 11/95 - 11/97 Loren Horton, Vice Chair 3367 Hanover Court Iowa City, IA 52245-4016 351-5842 11/95-11/97 Julie Katseres 629 Wheaton Rd Iowa City, IA 52246 353-8441W, 339-0563H 9/96-11/97 Lois James, Treasurer 314 1/2 Burlington St. Iowa City, IA 52240 354-7113 W 11/95-11/97 Anne Armknecht Box 254 W. Branch, IA 52358 337-4204W, 643-5849H 11/96-11/98 Mike Lensing 411 E. Fairchild Iowa City, IA 52245 338-8171W, 358-9630H 8/96-11/96; 11/96-11/98 Becky Mills, Secretary 1420 121st Street W. Liberty, IA 52776 356-6040 W, 627-2600 H 3/97-11/97 Karyn Berlin VAMC-002A Hwy 6W 338-0581X6017(pager 358) 645-2709H 11/95-11/97 Linda Schoenstedt 2029 Cambridge Dr. Coralville, IA 52241 335-9259W, 351-5993H 11/96-11/98 Development Mike Lensing (Chair) Linda Schoenstedt Julie Katseres BOARD COMMITTEES Executive David Koz~chek (Chair) Loren Horton Lois James Becky Mills Finance Lois James, Chair Personnel Anne Armknecht (Co-chair) Katyn Berlin (Co-chair) Julie Katseres Becky Mills By Laws Ad Hoc Loren Horton (Chair) Anne Armknecht Becky Mills 7a -301- AGENCY ICARE E. Program/Services: Please define your agency's units of service (service definition, length of time, cost per unit of service, number of umts provide, direct or indirect.) 1) Direct Services: trait = one service provided per person Length and ty~e of service varies, thus unit cost is not defined FY97:541 people / 4274 units of direct service 2) Resources & Education: unit = events = one event, library = one usage per person FY97 Events: 46 / 11, 071people. Library: 75 people / 123 units unit cost not defined 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 unduplicate& 1. How many John~n County residents (including Iowa City and Coralville) did your agency serve Enter Years- 1996 1997 la. Duplicated count* 8,120 10,561 lb. Unduplicated count* 3,406 4,191 2. How many Iowa City residents did your agency serve? 2a. Duplicated count* 5,765 7,920 2b. Unduplicated count* 2,452 3,143 3. How many Coralville residents did your agency serve? 3a. Duplicated count* 1,789 2,112 3b. Um~uplicated count* 749 1,584 4. How many units of service did your agency provide? 4a. Total 13,814 15,468 4b. To Johnson County 11,742 13,225 R~sidents* Do you provide service to areas outside of Johnson County? Yes Anm(s) served: 19 counties in Southeast Iowa** Services provided: Case Management service and other services that are feasible. The bulk of our services are provided to Johnson County residents. Funding Sources: Grants, donations and fundraisers Southeast Iowa HIV C.A.R.E Consortium (Case Management) * Estimated ** We began providing case managemere to counties outside Johnson County in FY97 with Southeast Iowa HIV C.A. ILE. Consortium moines. -302- AGENCY ICARE Client Profile (for last complete year, if available): Direct Services Program Only Evaluation and Reviem: Please discuss how your agency measures the success of it's programs. I. C!iem feedback/surveys 2. Service provider feedtrack 3. ProgramJevem evaluation 4. Staff and volunteer feec~ack 5. Volunteer su~eys 6. Formal program evaluation 7. umts of service provided and continued service requests 8. Feedback from general membership meetings B. Does your agency have performance objectives? (give several examples.) ICARE has annual goals and objectives (see pages 144). In addition, the board and paid staff have annual performance goals and objectives. We also have agency wide minimal standards of care (eg: Buddies will be matched with eliera within 10 days of request). We have started a new strategic planning process and will have three year goals set in place. What plans does your agency have to increase efficiency and effectiveness? Staff hours increased in FY98 and job duties streamlined to become more efficient. Minimal Standards of Care were developed. Individual interviews and screening/performance evaluations were implemented for all volunteers. Computer equipment was updated. A first time strategic process has begun. Surveys have been and will be sent to clients and volunteers and changes have been and will continue to be made based on that feedback_ The volunteer training program is being enhanced and we continue to provide continuing education for staff and volunteers. In what ways will the needs of your service population change in the next five years: We continue to see an increase in clientele with multiple/complex needs and with conditions that preexisted their HIV/AIDS diagnosis (homelessness, poverty, chronic mental illness). We are seeing more clients with dememia. Financial needs will become more of an issue as costs of medication increase. Rural needs and service provision to rural areas is critical. We are seeing more non-English speaking clients. Housing issues will become more of a concern, * Ethnici~ data kept on HIV+ clientele only. (11 unknown) 9 -303- AGENCY ICARE 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 ot~n do not have the knowledge/exporience to assist with these needs, which results in supervision and training needs. Burnout issues are ongoing concerns. Dementia is an ongoing concern with clients. The inaccurate roedial portrayal that the "AIDS crisis is over" may create funding concerns. 10. List concerns and complaints about your services of which you are aware: Volunteer and student turnover can result in a lack of 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 service 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 counseling/emotional support. Clients often are on waiting lists for Buddies and Care Teams. Staff hours were increased in FY97 to meet service demands. Volunteer recruitment and retention efforts have been intensified as has the recruitmere of non-student and bilingual volunteers with translation skills and those that can meet the needs of rural clients. How many people are cn~rrently on your wailing list? This varies throughout the year depending on volunteer availability. 12. In what way(s) are your agency's sen~ices publicized? Brochures Fliers ICARE Newsletter ICARE Monthly Service Updates Press Releases Media articles/stories Public Service Announcements Johnson County Human Services Directory Imeragency Meetings State/national Directories Volunteer Action Network Information Booths/fairs Speaking Engagements Interagency referrals Churches United Way Word of mouth Other agencies' newsletters 13. United way involvement by your agency: ("X" if agency participates) g. h. i. Agency Directors Meetings x Agencies Representative to Funding Hearings x (FY96 & FY97) Business Blitz x Day of Caring x Executive Development Seminars x Kick Off x Victory Reception x Volunteer Action Center x Other United Way Agency Information Booths, Committees, Iowa City Hospice Road Races 10 -304- AGENCY ICARE 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.) ICARE developed out of an HIV/AIDS support group in 1986, incorporated in 1987 and was as a United Way agency in 1988. The focus of the agency was reorganized in 1988 to add several programs.. ICARE now has three full and one haft time employees as well as over 100 volunteers. Initially, the Emma Goldman Climc provided in-kind office space. ICARE later moved to expand and increase accessibility. We expanded once again by moving to our current location at Trinity Place in 1990. The first part time Director was hired in 1986 and the position was increased to full time within three months. A half time Program Assistant was hired in 1994. ICAP provided funding for a haft time Case Worker in 1995 and the position was increased to full time in FY97 with additional ICAP funds. The Program Assistant was increased to fidl time in FY97 and a half time secretary was also hired and increased to 3A time in FY98. Programs continue to be developed and enhance~L A one-year Commumty Development Block Grant was received in FY94 to hire a Housing Coordinator to conduct an HIV/AIDS Housing Needs Survey and to develop services based on the services. A quarterly newsletter was added to programming in FY95 and Care Teams were added in FY96. In FY97, an Assistive Technology Loan Closet was developed with funding from the Iowa Program for Assistive Technology and donations. In FY97, we received Southeast Iowa HIV C.A. tLE Consortium monies to provide case management to a 19 county area in southeast Iowa and we continue to receive Consortium funding. The FY95 ICAP grant listed above also provided moneys to formalize and enhance our case management services. FY98 is the third year that we have received an ICAP grant. Service requests and service provision continue to increase. We experienced almost a 13% increase in the number of direct services provide~L We have developed a Case Management Process Manual along with agency wide Minimal Standards of Care, and enhanced our intake process. Length of direct service contacts continue to increase as we see more homebound clients and clients with multiple/complex needs. We added events in the Resources and Education Program. We have redesigned our Resource and Lending Library to make it more "user friendly" for consumers. The increase in staff hours allowed us more time to devote to clientele, programmmg~ fundraising and volunteers. Volunteer recruitment efforts are intensifying and the increase in staff hours has allowed us to spend more time on volunteer retention. Ongoing training opportRilities are increasing to help meet the changing needs of our clientele. We will continue to focus recruitment efforts to attract bilingual volunteers with translation skills. We have begun a strategic planning process- the first for ICARE. We are gvising existing policies and procedures and our bylaws to reflect the changes and growth that we have experienced. Grant writing has intensified and we are enhancing existing progtam~ and developing new ones. . 11 -305- AGENCY ICARE AGENCY PROGRAM GOALS AND OBJECTIVES (several pages are provided, please add any additional pages you may need with your agency name as a header) Direct Services Program GOAL: To provide emotional, practical, and financial SUl~Ort io persons living with HIV/AIDS, their families and loved ones, and to persons concerned about/affected by HIV/AIDS. OBJECTIVE A: In FY99, to provide emotional support and crisis intervention to an estimated 70 persons living with HIV/AIDS, their families and loved ones and to an estimated 410 people who contact ICARE during office hours. 1. Increase Direct Services Volunteer pool by 10% 2. Recruit, train, and coordinate volunteers. 3. Provide supervision and monthly insentices 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 training and weekly staff meetings for staff. OBJECTIVE B: In FY99, to provide four groups: one therapy and one support group for persons living with HIV/A/DS, a support group for families and fi'iends of persons living with HIV/AIDS, and a bereavement 1. Recruit, train, and supervise group facilitators. 2. Publicize groups through the media, posters, brochures, the quarterly ICARE newsletter, and monthly client Service Utxlates. OBJECTIVE C: In FY98, to provide financial, mat6wial, and practical support services such as cooking, housekeeping, transportation, and running errands to an estimated 70 clients. 1. ReeruiL train, and supervise volunteers. 2. Obtain in-kind donations for material support and additional funding for direct financial assistance. OBJECTIVE D: In FY99, to provide Buddy volunteers for an estimated 15 clients. 1. Increase Bu_t!t!y_ volunteer pool from 11 to 20. 2. Provide a minimum of weekly supervision to Buddies. 3. Provide monthly insetvices and meetings for Buddies. 12 -306- AGENCY ICARE Direct Services Program OBJECTIVE E: In FY99, to provide Care Teams to an estimated 8 clients. 1. Increase Care Team volunteer pool from 22 to 38.. 2. Provide a minimum of weekly supervision to Care Team volunteers. 3. Provide monthly inservices and meetings for Care Team volunteers. OBJECTIVE F: In FY99, to provide case-n~gement services to an estimated 50 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 insetvices, attending meetings, and scheduling case-conferences. 6. Provide ongoing staff; student, and Case Worker Volunteer training, O!~ECTIVE G: In FY99, to provide monthly social and recreational activities for an estimated 70 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. RESOURCES NEEDED 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. 70 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. 7. Adminkgtrative support. COST OF PROGRAM FOR FY99: $99,364 13 -307- AGENCY ICARE RESOURCES AND EDUCATION PROGRAM GOAL: To provide education and resource materials and programs to persons living with H/V/AIDS, their families alld loved ones, concerned others, the community, and local agencies, groups, and organizations. OBJECTIVE A: In FY99, to provide resource materials to an estimated 85 people who will use the resource library approximately 135 times. 1. Purchase HIV/AIDS related materials and magazine/newsletter subscriptions. 2. Continue memberhip in National Association for People With AIDS. 3. Coordinate purchasing with Johnson County AIDS Project and other agencies to prevent purchase duplication. 4. Schedule and supervise Volunteer Resource Libra~ Coordinator. 5. Obtain m-kind h'brary donations. 6. Develop user friendly resource manuals. 7. Develop list of on-line resources. OBJECTIVE B: In FY99, to provide 68 educational programs about AIDS psychosocial issues and service provision to agencies and classes and 22 community outreach programs. 1. Schedule 1/2 time Program Assistant. 2. Increase Resource/Special Events volunteer pool by 10% 3. Recruit, train, coordinate and supervise Resource/Special Events volunteers. OBJECTIVE C: In FY99, to provide six educational workshops about HIV/AIDS issues to persons living with HIV/AIDS, six to their families and loved ones, and six to the community. 1. Recruit, train, coordinate, 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, posters, the quarterly ICARE newsletter, and the Client Service Update. 5. Collaborate with other AIDS educators. OBJECTIVE D: In FY99, to mail a quarterly newsletter to an estimated 4000 people. 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 NEEDED TO ACCOMPLISH TASKS: 1. Grant funding and other fund-raising to assist with program funding. 2. One half-time Program Assistant, 40 volunteers, and administrative support. 3. Tapes, brochures, magazines, books, and other h'bmry materials. 4. Office supplies, television, and VCR. 5. Meeting room for educational programs and workshops. COST OF PROGRAM FOR FY99: $33,528 14 -308- HUMAN SERVICE AGENCY BUDGET FORM City of Coralville · ~unnlon County City of Iowa City United Way of Johnion County CHECK YOUR AGENCY'S BUDGET YEAR 1/1/98 - 12/31/98 4/1/98 - 3/31/99 7/1/98 - 6/30/99 X 10/1/98 Director: Dennis Groenenboom Agency Name: Legal Services Corp. of Iowa Address: 430 Iowa Ave., Iowa City, IA Phone: 319/351-6570 Completed by: Approved by Board Chair:~~~ on ~-- ~qld~e~~ 9/30/99 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 cases for low-income individuals. Local Funding Summary: United Way of Johnson County -- Does Not Include Designated Gvg. City of Iowa City Johnson County ,ty of Coralville 4/1/96 - 4/1/97 - 4/1/98 - % of Total 3/31/97 3/31/98 3/31/99 Budget $ 21,800 $ 24,240 $30,100 9.5 FY97 FY98 FY99 $ $ $ $ $ $ $ -1- -309- AGENCY: Legal Services Corporation of 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) , b. Income (Cash) 2. TOTAL EXPENDITURES (Total a+b) , a. Non-directed funding b. Program Total (List Progs. Below) I LegalAdvice andRepresentation 2 3 4 5 6 7 8 ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR 1996 1997 1998 $284,541 $316055 $31~849 $284541 $316055 $31~849 $284,541 $304,729 $350,258 $22,104 $4932 $1~525 $262,437 $294,797 $339,733 $262,437 $294,797 $339,733 3. ENDING OPERATING BALANCE (Subtract 2 - 1 ) 4. RESTRICTED FUND BALANCE (Total from pag~ 5~ 5, IN-KIND SUPPORT (Total from Page51 $5,552 $7, 738 $6,250 $70,010 $68,60O $68,6O0 6. NON-CASH ASSETS (Furn. & Equip Less Depr.) Notes and Comments: $24, 107 $18,868 $13,600 Line 1A - Regional office carryover balances revert to LSCI's statewide net assets to cover deficits in other cost centers. L/~e 3 - The projected deficit 14fill be addressed by additional fundraising or budget adjustments. Line 4 - Restricted funds from the Southeast Iowa Area Agency on Aging are projected to be fully expended at year end. BRIEFLY DESCRIBE HOW LOCAL FUNDS WERE SPENT LAST YEAR: Funds were.used to provide free legal services to low-income residents of Johnson County, in areas identified as h/gh priority. The funds paid for part of an attorney and law clerk and for related expenses such as phone and b'avel. -310- '~OME DETAIL 1. Local Funding Sources- a. Johnson County b. City of Iowa City c. Unted Way of Johnson County d. City of Coralville e. S.E. Iowa AAA f. Burlington United Way 2. Grants - State, Federal, Foundations a. LSC b. IOLTA c. State of Iowa d. VAWA/VOCA 3. Net Sales Of Services (sources) a. b. C. 4. I Sales of Materials a. Publications b. C. 5. Contributions/Donations a. United Way Designated Giving b. Other Con~'ibutions - One Gi't 6. Special Events a. Iowa City Road Races b. Iowa Lawyem Campaign C. 7. Interest Income 8. Other - List Below a, b. C, TOTAL INCOME (same as p. 2, line lb) Note 'd Comments: AGENCY Legal Services Corporation of Iowa 1996 1997 ACTUAL THIS YEAR LAST YEAR PROJECTED $2~,3521 1998 NON- BUDGETED DIRECTED PROGRAM NEXT YEAR FUNDING 1 $39,3501 $01 $39,3501 $21,800 $23,630 $30,100 $30,100 $5,552 $7,738 $6,250 $6,250 $2,000$2,000$3,000 $3,000 $253.8761$27~.5,31$277.2~1$,0.5251$266.6~l $,78.6~$,76.0~$,85.00o$10.525$,74.4~ ~1 ~1 ~1 ~01 ~01 $1021 $~201 $1201 $01 $1201 $102$,~0$,~0 $120 $8681 $833 $716 $683 $152 $150 $3431 $4,221 $343 $340 $3,881 $ol $o $o [ $o PROGRAM 2 $0 $o $0 $83ol $ol $83ol $o $680 $680 $150 $150 $3401 $01 $3401 $0 $340 $340 $o $1o,525 $ol $ol $o I I $ol $ol $o $284,541 $318,055 $317,849 ** See endnote on following page. $307,324 $0 -311- LEGAL SERVICES CORPORATION OF IOWA INCOME DETAIL Endnotes Line 6 b. - Iowa Lawyers Campaign 1. The allocation of $3,881 for 1997, is based on a pro rata allocation of funds generated from the Iowa Lawyers Campaign for Legal Services during 1996. Funds raised by the campaign are allocated the year following the year in which they were raised. Since the amount of funds raised by the campaign from one year to the next is uncertain, no projection is included for the succeeding budget year. -312- -3a- PROGRAM EXPENDITURE DETAIL AGENCY Legal ~ervices Corporation of Iowa Salaries Employee Benefita & Taxes Staff Development Professional Consultation Publications & Subscriptions Dues and Memberships Mortgage. Rent and Property Tax Building & Maintenance & Custodial Equipment Purchase/Rental Utilities 11. Telephone 12. Office Supplies & Postage 13. Printing and Publicity ! 14. Local Transportation i 15. , 'ance 16. Audit 17. Interest 18. Other (Specify): i19. Advisory Board !20. Library 21. Litigation 22. 23. 24. 25. TOTAL EXPENSES ( p. 2, line 2) Notes and Comments: 1996 1997 1998 NON - ACTUAL THIS YEAR BUDGETED DIRECTED I/ST YEAR PROJECTED NEXT YEAR FUNDING $165,099 $183,906 $220,800** $8,549 $35,382 $41,447 $49,346 $1,976 $21,465 $1,808 $17,890 $2,922 $11,634 $6,015 $891 $4,085 ~3, 789 $288 $800 $21,780 $21,780 $2,040 $2,100 $8,567 $4,600 $4.6ss $4,soo $13,692 $16,360 $7,320 $7,612 $456 $474 $8,0O4 $8,504 $3,717 $3,866 $56 $48 $56 $101 $120 $120 $4,906 $8,672 $7,340 $8,498 $5,004 $5,200 $284,541 I $804,729 **See endnote on following page. $350,2~I $10,525'* PROGRAM 1 $212,251 $47,s7o $300 $21,780 $2, lOO $4,600 $4,800 $16,36o S7,612 $474 $5,504 $5,866 $56 $120 $7,340 $5,200 PROGRAM 2 -4- -313- LEGAL SERVICES CORPORATION OF IOWA PROGRAM EXPENDITURE DETAIL Endnotes Line 1 - Salaries 1. The projected increase in salaries from 1997 to 1998, is the result mainly that the office is expecting the return of an experienced staff attorney who has been on a leave of absence 2. The reduction in the projection of non-directed funding is the result of the office having an improved method of tracking staff time devoted to administrative activities. The office now uses a daily timekeeping system, that requires staff to report time spent on cases, matters and administrative activities. The projection of administrative activities for 1998 is based on this timekeeping data. -314- -4a- AGENCY Legal Services Corporation of Iowa RES'R:ilCTED FUNDS: Restricted by: S.E. Iowa AAA Restricted for: Civil Legal Assistanoe to people over 60 in $.E. Iowa AAA service area. ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR $5,552 S7, 738 $6,250 ITOTAL RESTRICTED FUND (also shown page 2, line 4) MATCHING GRANT~ Grantor/Matched by $.E. Iowa AAA ma~ched by LSC and IOL TA funding $5,552/$1,846 $7738/$1,846 $6,250/$2,000 TOTAL MATCHING GRANTS (also shown pg. 3, line 2) $1,8461 $1,846 $2,0001 IN-KIND SUPPORT DETAIL Services/Volunteers Material Goods Space, Util'~des, etc. Other: (Please specify) ITOTAL IN-KIND SUPPORT (also shown on page 2, line 4) Notes and Comments: S68,610 $1,400 $68,600 Volunteer Services: Donated in-house attorney hours 354 x 11.18/hr. Donated in-house law clerks 584 x 9.44/hr. Donated in-house secretary 282 x 7.87/hr. Attorneys participating in LSCI's Volunteer lawyers Projected donated 711.5 hours x $80.00/hr. in Johnson County $68,6~ $68,6~ -5- -315- SALARIED POSITION8 AGENCY Legai Services Corporationof Iowa Position/T~le Managing Attorney Staff Attorney Support ~taff Law Clerks 'X' all that apply Paid Health Leave Ins. x x x x x x Retire Plan % Last This Next Benefits Year Year Year 23.1 1.00 1.00 1.00 21.1 3.20 3.20 4.00 29.8 1.50 1.70 2.20 0.8 0.20 0.30 0.50 Salary Actual This Budgeted % Last Year Year Next Year Change $41,377 $43,300 $44,996 3.9 $93,977 $103,095 $128,560*~ 24 $27,569 $34,511 $40,607** 17.7 $2,176 $3,000 $6,637** 121.2 TOTAL FTE's and SALARIES * Full-time equivalent: 1.0=full-time; 0.5=half-tirne; etc. *~Sce ~ndnot¢ on [ollowi~gpag~. 5.9 6.21 20.1 -316- -6- LEGAL SERVICES CORPORATION OF IOWA SALARIED POSITIONS Endnotes There are significant increases projected for the salary costs of staff attorneys, support staff and law clerks, from 1997 to 1998. The increase in attorney salaries is mainly the result of an attorney returning to the office following a leave of absence. The increase in support staff salaries is the result of the fact that the office has had turnover in these positions and has recruited staff whose salaries are higher than the salaries paid to previous staff. The increase in law clerk salaries is related to the fact that the office is seeking additional United way funds to hire a law clerk for increased hours of work. -6a- AGENCY: Legal Services Comoration of Iowa ACCOUNTABIUTY QUESTIONNAIRE Agency'a Mleslon Statement or Primary Purpose: The mission of the Legal Services Corporation of Iowa is to secure a full measure of justice in public and private affairs for low-income persons with emphasis on legal problems involving basic necessities, fundamental rights or safety. LSCl seeks to improve the lives of people living in poverty by providing high quality legal services and empowers clients with self-advocacy skills through legal education. LSCl strives to treat all people with respect and dignity and works to dispel prevailing myths and misconceptions about low-income people. Board of Directors: 1. Please attach a 11st of your agency'8 Board of Directors. 2. Frequency of meetings: Four per year.~ Briefly describe board orientation and ongoing training opportunities. Board members are provided a comprehensive Board manual, that sets forth program policy. New members are provided training in sessions held in the evening before the weekend meetings. In addition, the Director meets regularly with members prior to Board meetings. Finances: 1. If your agency charges a fee for eervices, describe your fee structure. N/A. Does your agency have an Internal audit, ~'~ernal audl~r a financial review? 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 X No ~ Please discuss your agency'e fundraising efforts, If applicable. (e.g. events, direct mall campaign, planned giving, etc. This year LSCl conducted it second donor solicitation fund-raising event through the Iowa Lawyers Campaign for Legal Services. This event was co-sponsored by LSCl, the Legal Aid Society of Polk County and HELP Legal Assistance, Inc. In addition, the campaign was endorsed by the Iowa State Bar Association. Last year, approximately $60,000 was ! The Iowa City Regional Office has a local Advisory Board that meets four times per year. -7- LSCI BOARD OF DIRECTORS BUCHANAN, SCOTt O.* (2000) Buchanan, Buch.,mn, Bibler, Buchanan & Hm~d$aker I 11 N. Dodge Street Algona, IA 50511 515-295-3565 (Office) CUMMINS, MILDRED (1999) 193 Jacolyn Dr., N.W., #107 Cedar Rapids, IA 52405 319-396-6365 (Home) KINI'IGH, THOMAS F,* (1998) 211 North Washington Ottumwa, IA 52501 515-684-6517 (Office) KUTZKO, DIANE* (1998) Shuttleworth & Ingersoll 500 Fixstar Bank Building P.O. Box 2107 Cedar Rapids, IA 52406-2107 319-365-9461 (Office) DEETH, LAURA (1998) P.O. Box 211 Lone Tree, IA 52755 319-629-4515 (Home) McELROY, VIROINIA (1999) 100 West Clarinda Avenue Shenandoah, IA 51601 712-246-6171 (Home) FOWLER, JAMES F.* (1998) Wilson, Fowler & Fusco 209 N. Howard Street P.O. Box 197 Indianola, IA 50125 515-961-5377 (Office) GRAY, JOHN C.* (2000) 701 Pierce Street, Suite 200 P.O. Box 3086 Sioux City, IA 51102-3086 (712) 255-8838 (Office) McHALE, JOHN M.* (1998) 233 Pearl Stxeet P.O. Box 1078 Council Bluffs, IA 5~502 712-328-3157 (Office) SCHWARTZ, BARBARA* (1998) University of Iowa College of Law Iowa City, IA 52240 319-335-9092 (Office) 319-338-0674 (Home) JENKINSON, PAT (1998) 1414 E. Oak Algona, IA 50511 515-295-5058 (Home) SMALLEY, JEAN (1998) R.R. 8 Bloomfield, IA 52537 515-929-3247 (Home) *Designates Attorney Members STEFFES, JAMES C.* (1998) 211 N. Maple Creston, IA 50801 515-782-7007 (Office) Terms expire each year witIt the conclusion of LSCI's mutual meeting. -7a- Rev. 4/16~97 -319- REGIONAL ADVISORY COUNCIL MEMBERS December 19 9 6 Clients: Roberta Patrick 515 Oakland Iowa City, Iowa 338-0309 (home) 52240 Laura Poisel Deeth P.O. Box 211 Lone Tree, Iowa 52755 629-4657 JOHNSON COUNTY Attorneys: 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 L. Jay Stein 221 1/2 E. Washington Street P.O. Box 2416 Iowa City, IA 52244 351-5610 DES MOINES COUNTY Agency Representative: Attorney: Community Action Program Ms. Lyn Stinson 2850 Mt. Pleasant St. Suite 108 .Burlington, Iowa 52601 753-0193 Michael Schilling P.O. Box 821 Suite 200, Washington Plaza 205 Washington Street Burlington, Iowa 52601 752-3641 Fax: 752-4449 HENRY COUNTY Attorney: Cynthia Danielson 110 North Jefferson Mt. Pleasant, Iowa 52641 385-9522 Fax: 385-3633000 -320- -7b- Agency Representative: Marcy Gerst Southeast Iowa Community Action Program 205 E. Access Rd, Suite D P.O. Box 29 Columbus Junction, IA 52738 728-2314 LOUISA COUNTY Attorney: Dave Matthews 326 Van Buren St. Wapello, Iowa 52653 523-3331 Fax: 523-5291 MUSCAT INE COUNTY Attorney: John Wunder 610 Cedar Muscatine, Iowa 263-8525 Fax: 52761 263-2028 Client: Erma Manning 1307 North 2nd Washington, Iowa 653-6061 52353 WASHINGTON COUNTY Attorney: Douglas Tindal Secretary 222 West Main Street Washington, Iowa 52353 653-2159 Fax: 653-5614 -7c- -321- AGENCY: Le.~al Services Corporation of Iowa raised, state-wide, for distribution to LSCl, the Legal Aid Society of Polk County and HELP Legal Assistance, Inc. Management: 1. Does each professional staff have a written Job description? Yes No X; 2. Is the agency Director's performance evaluate at least yearly? Yes X No __ By Whom? LSCI's Board of Directors. 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. LSCl '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 budget years. Refer to form Instructions for definition of duplicated and unduplicated. 1. How many Johnson County la. residents (including Iowa City and Coralville) did your agency serve? Enter Years -+ 1995 1 g96~ Duplicated Count StaffNLP~ StaffNLP 758/136 679/113 lb. Unduplicated Counts 2. How many Iowa City residents did 2s. Duplicated Count 553/86 550/79 your agency serve? 2b. Unduplicated Count -322- 2 Employees are provided a written job expectations memo in lieu of · job description. :~ In response to the fiscal uncertainties LSCI faced in the first half of 1996, LSCl reduced intake to exclude persons over 125% of the federal poverty guideline. In 1997, the Iowa City office again began accepting applications for assistance for those between 125% of poverty and 187% of poverty. 4 The VLP (Volunteer Lawyers Project) is operated by LSCl and matches eligible clients with private attorneys who have etgreed 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. 5 LSCl 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, -$- How many Coralville residents did your agency serve? How many units of service did your agency provide? AGENCY: Leaal Services Corporation of Iowa 3s. Duplicated Count 124/24 131/19 3b. Unduplicatad Count 4a. Total 1595/288 1480/275 4b. To Johnson County 758/136 679/113 Residents Other area8 Served: Do you provide services to areas outside of Johnson County?. Ares(8) served: Cedar, Des Moines, Henry, Louisa, Muscatine and Washinciton Counties. Services provided: Free le¢lal services to low-income people in civil matters. Funding Sources: Le.Clal Services Corporation (national (3rant source), Lawvers Trust Account Commission. Area Ac~encv on Aclin(3 in Burlinclton. the Burlin¢lton Area United Way. the State of Iowa, the Iowa Lawvers Campai.(3n for Legal Services and the Violence Aclsinst Women Act (VAWA). Client Profile (for last complete year, If available): Age Gender Ethnicity 0 - 5 M 239 African American 115 6 - 17 F 553 Native American 5 18 - 29 Asian 20 30 - 61 Hispanic 19 62 - 75 White 633 75+ Multi-racial Evaluation and Review: A. Please discuss how your 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 s 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 Services Corporation guidelines. In 1996, LSCl began sending client satisfaction surveys when a file is closed. Those surveys indicate a high degree of satisfaction with LSCI's services. Approximately 96.8% of the responses were favorable. B. Does your agency have performance objectives? -9- -323- 10. AGENCY: Legal Services Corporation of Iowa [Give 8everel examples] Our agency has the following performance objectives established for our Iowa City office in 1998: If staffing patterns assumed in the budget are realized, it is projected that the Iowa City Regional Office will handle the following number of cases, either with in-house staff or by referral to the Volunteer Lawyers Project. Consumer/Finance: 195; Education: 15; Employment: 60; Family: 677; Juvenile: 6; Health: 54; Housing: 352; Income Maintenance: 247; Individual Rights: 38; Miscellaneous: 111; for a total of 1,755. C. What plans does your agency have to Increase efficiency and effectiveness? LSCl has begun a formal program of soliciting client responses when a case is closed (and the case involves more than advice or brief service). LSCl continues to improve its technological capabilities. In 1997, the Iowa City office was one of three regional offices to have a computer network installed. LSCI's two litigation directors obtained access in 1997 to West Law, a computerized legal research on-line service. 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 efficienfiy. LSCl plans to continue to save money on library expenses by obtaining the temporary soft cover volumes of three case reporter series from a local law firm. (The law firm would otherwise throw away the temporary volumes when the hard-bound volumes arrived.) LSCl plans to move toward smaller, more narrowly-focused materials for client publications, rather than large, more comprehensive booklets. This will save on copying costs and postage, and make updates easier. In what ways will the needs of your service population change in the next five years: Welfare reform legislation and other cost-cuffing 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. Special training in poverty law often makes the difference between obtaining or retaining essential benefits, and hunger, homelessnasa, illness, abuse and despair. Please discuss any other problems or factors relevant to your agency'e 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 low- income Iowans for every Legal Services attorney in Iowa. Despite the fact that in 1996 LSCl served over 16,000 persons statewide, there was unmet legal need. LSCl undertook a survey of unmet need in 1997, and during a two-month period, over 1600 clients were turned away owing to a lack of resources to assist them. Ust 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. -324- -tO- 11. 12. 13. AGENCY: Legal Services Corporation of Iowa LSCI has a formal complaint process for clients and the public. 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 through LSCI's Volunteer Lawyers Project. The goal for the Iowa City office for 1997 is 150 referrals. In addition, the Iowa City office is beginning an Intake Project in September 1997, where private attorneys come to our office and assist clients who have applied for service, by giving advice or performing a brief service. How many people are currently on your waiting list? N/A. In what way(s) are your agency'8 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 end 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. LSCl attorneys give talks st the Free Lunch Program and st other sites. United Way Involvement by your agency: (Check If agency participates) g. h. I. Agency Directors Meeting8 X Agencies Representative to Funding Hearings Business Blltz X Day of Caring __ Executive Development Seminars X KJck Off X Victory Reception X Volunteer Action Center X Other in the I~est -11- -325- AGENCY: Legal Services Corporation of Iowa AGENCY HISTORY In the late 1960%, the Hawkeye Legal Services Society wes created es a delegate agency of HACAP, with funding from the U.S. Office of Economic Opportunity. The OEO was phased out in the early 1970%, 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 (LSCl) wes 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 LSCl, and the program expanded until 1980, mainly through funding from LSC. In 1982, federal budget cuts reduced LSCI's funding from LSC by about 30%. As a result, 5 of the 15 offices in the 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 wes essentially static for several years, while costs rose dramatically. As a result, the LSCl 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) Commission). In 1991, in response to continuing budget problems, the LSCl Board decided to lay-off one clerical work in each office. Congress voted a 1/3 cut in funding in 1995, which amounted to about a one million dollar loss for legal services programs in Iowa. This reduction wes anticipated and LSCl 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 served as the Acting Managing Attorney in LSCI's regional office in Cedar Rapids from April 1995 until March 1996. Fortunately, in 1996 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. In 1997, federal funding remained at a reduced level, again about one million dollars less than the 1995 levels for Iowa. The Iowa Legislature, which had made up a major portion of this cut in 1996, reduced State funding for LSCl in 1997 by nearly half. LSCl has continued the austerity measures outlined above and sought additional funding sources. In 1997, the Iowa City office received funding for the first time from VAWA (Violence Against Women Act), and may receive some funding under VOCA (Victims of Crime Act). The outlook for the future is still somewhat ominous. The threatened slide toward elimination of all federal funding seems to have halted for the time being, but we lost considerable ground with the Iowa Legislature. Indications are that LSCl should not be sanguine about our fate in the next General Assembly. LSCI's plan is to continue to manage resources as prudently as possible, to continue to seek additional funding sources and to continue to nurture the partnerships that have sustained us thus far. 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 es high priority areas, cases which involve safety, shelter and denial of fundamental liberties and other critical legal problems. Among these are income maintenance (e.g., FIP (AFDC), Food Stamps, Social Security, Unemployment Compensation); health law issues (e.g., Medicaid and Medicare); housing law issues (landlord-tenant relations and federal subsidized housing); individual rights (e.g., rights of mentally or physically handicapped); family abuse; consumer law problems; utility problems; and special education issues. 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. -326- -12- AGENCY: Le.aal Services Comoration of Iowa AGENCY PROGRAM GOALS AND OBJECTIVES Legal Services for Low-Income People In Johnaon 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 in Johnson County. Tasks: 1. Continue outreach to people at the free lunch program; and 2. Prevent or alleviate homelessness by representing people in retaining or gaining housing and public benefits. Objective B: To provide legal assistance for low-income people with public benefits problems: Tasks: Assist people with the following types of problems: 1. Improper denial or reduction in the following benefits: ~- Family Investment Plan (FIP) ~' Food Stamps ,e- Title XlX (Medicaid) ~- General Relief · r Medically Needy 2. Improper denial of initial application or cessation (termination of current benefits) regarding disability benefits: Supplemental Security Income (SSI) Social Security Disability Insurance Veteran's Benefits Objective C: To provide legal assistance for low-income people who are victims of domestic abuse. Tasks: Represent victims of domestic abuse to secure legal remedies, including domestic abuse protective orders in court. Objective D: To provide assistance with special education problems and due process in schools. Tasks: To assist clients with the following types of problems: -13- -327- Objective E: Tasks: Objective F: Tasks: Objective G: Tasks: Objective H: Tasks: AGENCY: Denial of a free, disabilities; and Le.~al Services Corporation of Iowa appropriate education for students with 2. 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 evictions utility shut-offs 2. Housing discrimination; and 3. Illegal standards/proceduras in federal housing 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; and 5. Violations of state and federal Truth in Lending Act. To provide legal assistance for low-income people with employment law problems. Assist clients with the following types of problems: 1. Improper denial of unemployment compensation benefits or improper cessation of the same; and 2. Job discrimination. To provide legal assistance for low-income people with individual rights problems. Assist clients with the following types of problems: 1. Violations of the rights of mentally ill or mentally handicapped persons to treatment in the least restrictive setting, adequate individual program plans and proper use of psychotropic drugs; 2. Violations of residents' rights in nursing homes or county care facilities; -]4- -328- AGENCY: Lethal Services Corporation of Iowa Disputes a client may have with his or her guardian or conservator; and 4. Denial of civil rights based on a client's handicapping condition. GOAL: To provide opportunities for low-income people in Johnson County to learn about their legal rights and responsibilities. Objective A: To educate low-income people regarding their rights and responsibilities so they may become effective advocates for themselves. Tasks: 1. Hold at least six community legal education presentations on topics of particular interest to the poor; Provide written materials explaining the law to local low-income people, through consultation with individual clients and at legal education presentations to groups; and GOAL: To continue efforts toenlistthe Objective A: Objective B: Inform other service providers of the written materials available through Legal Services to ensure wide distribution of such materials to low-income people. assistance of the private bar. To refer 150 cases per year to the Volunteer Lawyers Project. To implement-an efficient and effective Intake Project, enlisting the aid of the private bar to assist eligible clients in the Iowa City office. Objective C: To conduct continuing legal education classes on poverty law for attorneys. Resources Needed to Accomplish Program Tasks 2. 3. 4. 5. 6. Continue the part-time attorney position and law clerk position funded in the past by United Way. Miscellaneous supplies for legal work, community education and outreach. Travel expenses. Professional liability insurance. Office space, utilities and telephone. Utigation expenses. Cost of Needed Resources $30,100' annually for part-time attorney and law clerk. *LSCl actually "needs" more than $30,100, but is requesting only $30,100 from the Johnson County United Way. -].5- -329- 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 / 1/98 - 12/31/98 4/1/98 - 3/31/99 7/1/98 - 6/30/99 X 10/1/98 - Director: Gillian J.H. Fox Agency Name: LIFE SKILLS, INC. Address: 1700 S. FIRST AVENUE, SUITE 25-E Phone: (319) 354-2121 Completed by' GI~IANfOX ANp BARB BAILEY Approved by Chair Board: "' ~ · CTMARY LAREW /,' 9/30/99 CO,'ER PAGE Program Summary: (Please number programs to correspond to Income & Expense Detail, i.e., Program 1,2, 3, etc.) 1. REHABILTIATIVE TREATMENT AND SUPPORTIVE SERVICES PROVIDE COUNSEl .1NG, SKILL DEVELOPMENT AND SUPERVISION TO FAMILIES IN CRISIS. 2. CSAI~ - COMMUNFFY SUPERVISED APARTMENT LIVING ARRANGEMENT SERVES INDIVIDUALS WHO MAY HAVE DEVELOPMENTAL DISABILITIES, MENTAL RETARDATION, MENTAL I11 ,NESS, OR THOSE WITH EMOTIONAL OR BEHAVIORAL DIFFICULTIES WHO ARE 18 YEARS OF AGE OR OLDER.. 3. HCBS - HOME AND COMMUNITY BASED SERVICES SERVES CHILDREN AND ADULTS WHO HAVE MENTAL RETARDATION AND ARE DESIGNED TO PROVIDE INSTRUCTION AND ASSISTANCE IN A VARIETY OF AREAS. 4. RESPITE SERVICES ALSO SERVE CHILDREN AND ADULTS WHO HAVE MENTAL RETARDATION AND ARE DESIGNED TO PROVIDE SHORT TERM RELIEF IN THE ABSENCE OF THE FAMILY OR GUARDIAN. 5. PKWATE PAYEE PROGRAM PROVIDES SERVICES TO INDIVIDUALS WHO NEED ASSISTANCE WITH MONE'~ MANAGEMENT. 6. FUNDRAISING AND VIDEO SALES - FUNDRAISING INCLUDING THE SALES OF A VIDEO PRODUCED TO ADDRESS THE NEEDS AND ISSUES OF FAMILIES OF PERSONS WITH SPECIAL NEEDS. Local Funding Summary · United Way of Johnson County Does Not Include Designated Gvg. .C_ity of Iowa City Johnson County City of Coralville 4/1/96 - 4/1/97 - 4/1/98 - 3/31/97 3/31/98 3/31/99 FY97 FY98 0 0 0 0 0 0j % of Total Budget $5,0001 FY99 0.85% 0 0 -330- 1 AGENCY: LIFE Skills, Inc. BUDGET SUMMARY Enter Your Agency's Budget Year = 7/1/98-6/30/99 1. TOTAL OPERATING BUDGET {Total a+b) a. Carryover Balance {Cash from line 3, previous column) b. Income {Cash} 2. TOTAL EXPENDITURES (Total a. Non-directed funding b. Program Total (List Progs. Below) 1. Family Centered Services {FCS). 2. Community Supervised Apartment Living An'angement 3. Home and Community Based Services JHCBS). 4. Respite Services. 5. Private Payee Program. 6. Fundraising and Video Sales. 7- 'Jmatic Brain Injury Services. (CDBG Grant) 8. Housing Program. (CSA Grant) ACTUAL LAST YEAR FY 1997 490,371 0 490,371 502,975j 502,975 212,923 140,701 61,949 29,180 10,491I (648! 31,279 17,100 3. ENDING OPERATING BALANCE JSubtract 2- 1 ) 4. RESTRICTED FUND BALANCE (Total from page 5. IN-KIND SUPPORT (Total from Page 5) 6. NON-CASH ASSETS Notes and Comments: Administrative expenses are allocated across programs. 2,6041 5OO 7,365 5,352 THIS YEAR PROJECTED FY 1998 541,735 (12,604) 554,339 547,592 j 547,592 186,252 88,213 62,037 9,413 2,637 0 0 {5,857) 5OO 7,805 7,452 BUDGETED NEXT YEAR FY 1999 589,243 (5,857) 595,100 585,000 585,000 209,599 197,620 93,990 69,959 10,393 3,439 0 0 4,243 0 8,515' 9,300 ItRIEFLY DESCRIBE HOW LOCAL FUNDS WERE SPENT LAST YEAR: Not applicable for this year. -33'1 - 2 AGENCY LIFE SKIl ] 5,, INC INCOME DETAIL I=. Local Fundin.a Sources- ~. JOHNSON COUNTY B. CITY OF IOWA CITY C. UNITED WAY OF JOHNSON COLINT~ D CITY OF CORALVILLE E. F, 2. GIL,kNTS - STATE, FEDERAL, FOUNDATIONS ,k CSA GRAN-!' FOR SEKVICES TO SURVIVOF B. CDBG GRANT FOR. HOUSING SER. VlCES D. E. F, ~-NET SALES OF SEKV1CES (SOUKCES) · '* STATE CONTRACTS B. PRIVATE SERVICES C, 5~. NET SALES OF MATERIALS & VIDEO SALES B C. 5 CONTRIBUTIONS/DONATIONS A~ LINTTED WAY DESIGNATED GIVING B. OTHER CONTRIBUTIONS v. SPECIAL EVENTS &. IOWA CITY ROAD I~kCES B. CHEESE~E EXPOSITION C DIRECT MAIN CAMPAIGN '. INTEREST INCOME J. OTHER- LIST BELOW A. MISCELLANEOUS INCOME B. REFUNDS AND ALLOWANCES C. 'OTAL INCOME (same as p. 2, line 1 b) NON ACTUAL THB YEAR. BUDGETED DIRECTED LAST YEAR PROJECTED NEXT YEAR. FUNDING 0 0 5,000 5,000 0 0 0 0 0 0 0 0 0 0 5,000 5,000 0 0 0 0 48379 0 0 0 31,279 0 0 17,100 0 0 436,783 425,568 11;215 253 253 L8421 476 '1.366 I 1366[ 1,o95 0 ol 13481 k347 201 490,371 546,019 536,019 10,000 500 50O 0 0 1320 52O 1,000 6,000 1,000 2,5oo 0 3OO !00 2OO 554,339 580,500 570,000 105OO 500 5O0 0 0 L600 600 7J50 2,65o 3,000 0 35O 150 200 L600 6O0 L000 7J50 2,650 3,000 350 150 2OO 595,1oo 14,100 PKOGKAM I 0 195,000 195,000 0 195,000 PKOGKAM 2 0 -332- 3 INCOME DETAIL (CONT) AGENCY PROGRAM PROGRAM 3 4 HCBS RESPITE 1. Local Fundina Sources- -~ JOHNSON COUNTY B CITY OF IOWA CITY C. UNITED WAY OF JC~INSON D CITY OF COR ALV!I F GFC,~NTS - STATE, FEDFJ:LAL FOLINDATIONS ,\ 'CSA GItANT FOR. SEKVICFS TO SUKVIVORS OF BRAIN INJ JR.IFS CDBG GRANT FOK HOUSING SEKVICES C. F NET SALES OF SERVICES (SOUKCES) 80,000 ~. STATE CONTKACTS 80,000 B PFLIVATE SERVICES C NET SALES OF MATERIALS & ¥1DEO SALES B C. CONTRIBUTIONS/DONATIONS ,~ ~ -ED WAY DESIGNATED GIVING B O ~ rlEK CONTKIBUTIONS SPECIAL EVENTS ~. IOWA CITY KOAD RACES B CHEESECAKE EXPOSITION C. DIRECT ~ CAMPAIGN INWEKEST INCOME OTHEK - LIST BELOW ~ ,VUSCE1ZANEOLIS INCOME B REFLINDS AND ALLOWANCES C 70,000 70,000 TOTAL INCOME (same as p. 2, linelb) LIFE SKILLS, INC. PROGRAM PROGRAM 5 6 PKWATE PAYEE FK & VIDEO 10,500[ 10500 soo 5OO 80,000 70,000 10,500 500 PROGRAM 7 PROGRAM 8 0 -333- 3a PROGRAM EXPENDITURE DETAIL AGENCY 1. SALARIES 2. EMPLOYEE BENEFITS & TAXES STAFF DEVELOPMENT 4. PROFESSIONAL CONSULTATION 5. PUBLICATIONS & SUBSCRIPTIONS DUES AND MEMBERSHIPS 7. MOR.GAGE, RENT AND PR.OPEKTY 8. BLIILD1NG & MAINTENANCE o. EQUIPMENT PURCHASE/RENTAL IO. UTILITIES 11. TELEPHONE 12. OFFICE SUPPLIES & POSTAGE 13. PRINTING AND PUBLICITY 14. LC",CAL TRANSPOR.TATION 15. INSURANCE It,.AUDIT 17. 1NIT_REST 18. OTHER_ (SPECIFY): DEPRECIATION IO. RESPITE CAKE PROVIDER. EXP. 20. TRANSCRIPTION EXPENSE 21. THERAPY,SKILL DEVELOPMENT SUPPL 22. BANK CHARGES 23. MISCELLANEOUS EXPENSE 24. BAD DEBT 25. CASH SHOI:kT (LONG) - TOTAL EXPENSES ( P. 2, LINE 2) ACTUAL LAST YEAK 355,492 46,881 4,947 809 0 312 15,298 78O 2,380 0 6,772 8,920 365 35,259 6,262 0 548 1,177 10,731 1,980 2,113 51 1,247 65O 1 502,975 THIS YEAR PROJECTED 361,932 62,797 5,225 540 0 270 15,720 780 2,718 0 7,260 8,377 2,772 40,564 6,402 0 6OO 1,470 26,070 0 3,110 0 775 2OO 10 547,592 LIFE Skills, Inc BUDGETED NEXT YEAR 372,790 68,958 4,305 470 0 352 15,720 850 2,500 0 7,500 9,289 3,020 45,500 7,681 7,350 505 1,500 32,087 0 3,313 0 1,000 30O 10 NON- DIRECTED FUNDING 66,059 585,000 66,059 PROGRAM 1 RTSS 114,363 24,303 65O 150 0 110 5,345 289 85O 0 2,550 2,475 980 27,531 2,984 2,550 170 570 0 0 665 0 0 0 0 186,535 PR.OGR.AM 2 CSALA 112,350 26,844 2,640 185 0 196 5,974 323 950 0 2,850 2,525 1,100 8,706 3,225 2,775 165 630 0 0 571 0 0 0 0 172,009 -334- AGENCY PROGRAM EXPENDITURE DETAIL (CONTINUED) 1. S/%LARIES 2, EMPLOYEE BENEFITS & TAXES 3. STAFF DEVELOPMENT '4. PKOFESSIONAL CONSULTATION 5. PUBLICATIONS & SUlKgCRIPTIONS o. DUES AND MEMBERSHIPS ~7. T, MORTGAGE, RENT AND PROPERTY 8. BUILDING & MAINTENANCE 0. EQUIPMENT PUKCHASE/RENTAL 10.UTILITIES 11. TELEPHONE 12. OFFICE SUPPLIES & P~.RqTAGE 13. PKINTING AND PUBLICITY 14 LOCAL TRANSPORTATION 15. INSURANCE Io. ,AUDIT 17. INTEREST ,18. tER (SPECIFY): DEPRECIATION EX 19 RESPITE PROVIDERS EXPENSE I 20. TRANSCRIPTION EXPENSE 21. THERAPY/SKILL DEVELOPMENT SUPPI 22. BANK CH~GES 23. .%~ISCFI i ANEOUS EXPENSE 24. BAD DEBT 25. CASH SHORT (LONG). TOTAL EXPENSES ( p. 2, line 2) PROGRAM 3 HCBS 56,066 12,089 44O 95 0 25 2,044 111 325 0 975 877 510 7,263 929 1,425 8O 225 0 0 2,077 0 0 0 0 85,556 PROGRAM 4 RESPITE 18,478 4,420 165 20 0 14 2,042 110 325 0 975 930 370 1,800 267 3OO 8O 45 32,087 0 0 0 0 0 0 62,428 LIFE Skills, Inc PR~ PROGRAM 5 6 PRIVATE PAYEE FR & VIDEO 5,474 1,302 110 300 2O 0 7~ 315 17 50 0 150 4551 2,027 60I 200 174 102 3O0 10~ 30 1,000 300, 10 8,9741 3,439 PROGRAM 7 PROGRAM 8 0 0 4a -335- AGENCY LIFE Skills, Inc. i RESTRICTED FUNI)S: RESTRICTED BY: Pilots Club RESTRICTED FOR: Electronic Organizers i ACTUAL ?HIS YEAI~UDGETE~ LAST YEAI~ROJECTE~'EXT YEA/ 500 500 0 TOTAL RESTRICTED FUND (ALSO SHO~,'N PA~E 2, LIN'Ei,t) .~IATCHING GRANT~ None ~(;RANTOR/~IATCHED BY TOTAL NIATCHING GRANTS (ALSO SHO~'N P . 3, LINE !_N'-KIND SUPPORT DF~TAII. Services/Volunteers- Event staffing Material Goods - Cheesecake, other food & drink. Space, Utilities, etc.- Holiday Inn Ballroom Other: (Please specify) * * SEE BELO~' TOTAL IN-KIND SImPPORT (ALSO SHO~'I~' ON Notes and Comments: · * Other: Door Prizes Advertising Printing -336- 2,450 1,480 1,300 2,135 7,365 500 1560 75 2135 2,600 1,575 1,375 2,255 7,805 600 1575 80 2255 3,000 1,650 1,475 2,390 8,515 700 1600 90 2390 SALARIED POSITIONS AGENCY LIFE Skhlls, Inc Position/Title Executive Director Administrative Assistant ;Business Manager :SCL Coordinator :Respite Coordinator 'TBI Specialist ' Housing Specialist SCL Counselors . FCS Counselors X X 19 X X 11 X X 24 X X 22 X X 21 X X 14 X X 16 X X 18 X X ~ 19 Last This Next Year Year Year 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 0.83 1.00 1.00 0.00 0.50' 0.00 5.50 7.50 4.50 3.50, Actual Last Year 1.00 38,7501 1.00 18,492 1.00 28,000 1.00 28,920 1.00 16,667 0.00 26,026 0.00 11,395 7.50 81,242 3.50 106,000 Salary T~s Year 39,525 19,232 29,120 30,077 23,0001 0 0 138,367 82,611 Budgeted Next Year 40,711 19,809 29,994 30,979 23,690 0 0 142,518 85,089! % Change 3% 3% 3% 3% 3% 0% 0% 3% 3% I'()TAL FTE's and SALARIES 16.33 16.00!I 16.00 355,492.00 t.. 361.93200 372,790.001 0.03 -337- AGENCY LIFE Skills, Inc. ACCOUNTARI! ITY t3U!=STIONNAIRr= Agency's Mission Statement or Primary Purpose: LIFE Skills, Inc. is a private, non-profit, social service delivery agency which is committed to facilitating the highest level of independent living for its consumers and their families. To this end the agency serves consumers by providing instruction in targeted areas in a manner based on contemporary special educational philosophies, theories, and practices. LIFE Skills, Inc. exists to provide in-home and community based services and education in the least restrictive environment while promoting the highest level of independence possible. Roard 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: All LIFE Skills, Inc., Board of Directors members receive a detailed orientation prior to their first meeting. This orientation includes information regarding services provided by agency staff, agency programs, agency policies and procedures, program staffing patterns, agency history, and detailed fiscal information. Additional training opportunities are available through United Way and other community seminars. Finances: Are thero fees for any of your services? Yes X No Fees for DHS contracted services are established by DHS. Private pay consumers aro charged the same fee that DHS pays. Flat fees are charged for non-DHS programs. b. Aro they fiat fees X or sliding scale Does your agency have: internal audit external audit Frequency periodically Has your agency filed the Annual Report with the Secretary of State? Yes X No financial review X -338- AGENCY LIFE Skills, Inc. Has your agency filed Form 990 with the IRS Yes X No Og Please discuss your agency's fundraising efforts, if applicable. LIFE Skills participates in the annual Hospice Road Race, has an annual Cheesecake Exposition fund-raiser, is currently in the development stages of a direct mail fundraising campaign, and also submits grant applications and requests to service clubs. Management: Does each professional staff have a written job Yes X description? Is the agency Director's performance evaluated at least yearly? Yes X No By Whom? Board of Directors. No Ee 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.) Units of service vary depending on the program. For the RTSS program, a unit of service is a 1/2 hr, the cost per unit varies depending on what service we are offering. In the RTSS program there are three basic services we provide, one is skill development which primarily involves teaching of parenting skills, the cost per unit is $32.50. The Second service is therapy and counseling which involves helping children work through issues that emerge as a result of dysfunction in the family, the cost per unit is $28.87. The third service is supervision which involves supervision of a temporarily reunified family or portion of a family, the unit of service is 1/2 hr, the cost per unit is $17.03. We bill only for direct services. For FY 1997 we delivered 6,558 units of service in the RTSS program. All other programs provide services based on a one hour unit of service. The cost of a unit varies depending on the program. The CSALA (Community Supervised Apartment Living Arrangement) program , a unit of service costs $47.36. In FY 1997 we delivered 3,214 units of CSALA services. For HCBS (Home and Community Based Services) a one hour unit costs $22.91 for Johnson County residents and $29.46 for out of county residents. In FY 1997 we delivered 1,630 units of HCBS services. For Respite services a one hour unit costs 12.00. We delivered 1,530 units of Respite services in FY 1997. For Private Payee Services, the rate is $15.00 per one hour unit except for some circumstances when we charge a fiat fee of $25.00 per month, we delivered approximately 506 units of service in FY 1997. Our rates are set by the State of Iowa, the groat majority of our services are purchased by the State of Iowa. 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. -339- 8 1. How many Johnson County residents (including Iowa City and Coralville) did your agency serve Enter Years- la. Duplicated count lb. Unduplicated count 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 4a. Total provide? 4b. To Johnson County Residents Other areas served: Do you provide service to areas outside of Johnson County? Yes. Area(s) served: Linn Co., Washington Co., Cedar Co., Services provided: CSALA, RTSS, HCBS, and Respite services. 1996 141 138 127 124 14 14 14,534 8681 1997 235 228 212 2O0 18 17 15,639 8904 Funding Sources: State POS, RTSS, contracts, private pay, grants. '0-5 6-17 18 - 29 30 - 61 62 - 75 75+ Client Profile (for last complete year, if available): Age 26 58 47 146 7 2 Gender ~ Female 132 Male 154 Ethnicity African American Native American 'Asian Hispanic Caucasian/Non-Hispanic Multi-racial 23 1 1 2 258 -340- AGENCY LIFE Skills, Inc. Evaluation and Review: Ao Please discuss how your agency measures the success of it's programs. LIFE Skills, Inc. programs. utilizes several methods to measure the success of it's · Consumer Evaluations · Referring Agent Evaluations · Staff Evaluations · Quarterly Case Reviews · Number of New Referrals · Contract Renewal Rates Since January of 1997, CSALA, RTSS, HCBS, programs and agency administration have been reviewed and monitored through the State of Iowa Department of Human Services. All areas of review have been evaluated have generated extremely positive results. Does your agency have performance objectives? (give several examples.) LIFE Skills, Inc., maintains an extensive list of performance objectives which includes areas such as consumer rights and dignity, consumer individual control, consumer community membership, consumer relationships, consumer growth and accomplishment, and consumer well being. Some specific examples of performance objectives are as follows: Consumers communicate their preferences and needs; consumers choose where they live; consumers develop personal goals; consumers are safe when they are at home; consumers are free from abuse, neglect, and mistreatment; consumers are supported in exercising their rights; and consumers have ways to develop new relationships. What plans does your ageGcy have to increase efficiency and effectiveness? The LIFE Skills Inc., management team, together with the Board of Directors, are constantly analyzing their methods of service delivery and administrative practices to become increasingly more efficient and effective. LIFE Skills regularly conducts evaluations to assist with increasing efficiency and effectiveness. In the past fiscal year, the agency has eliminated two full time administrative positions, increased the number of incoming referrals and developed three new programs. Currently the agency administrators are analyzing the new program development areas to increase efficiency and effectiveness. 10 -341- AGENCY LIFE Skills, Inc. In what ways will the needs of your service population change in the next five years? The needs of individuals who have disabilities and children in need of assistance are constantly changing. However, the most important change consistently involves funding, or lack of funding, for service provision. For example, the Johnson County Management Plan which incorporates individuals who have brain injuries into regular funding streams. Funding amounts and sources change yearly and LIFE Skills is committed to remaining flexible to continue to be prepared to meet the need for requests for service provision. Please discuss any other problems or factors relevant to your agency's programs, funding or service delivery: State and Federal cutbacks in funding are always a challenge. LIFE Skills is constantly faced with changing funding source compliance requirements, such as the change to the managed care system. 10. List complaints about your services of which you are aware: LIFE Skills does not currently have any complaints about its services. However, when a compliant arises it is immediately addressed. The agency maintains several procedures to address any complaints which arise from staff, consumers, or others in the community. These procedures utilize a systemic solution focused problem solving model. 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: How many people are currently on your waiting list? No waiting list 12. In what way(s) are your agency's services publicized? LIFE Skills maintains listings in the white pages of the local phone directories, United Way brochures, JCCOG Johnson County Services Directory, agency staff attend community functions such as Community Organization Day and other types of business fairs, flyers and brochures, news paper, press-release for special events, speaking engagements, on- going contact with referral sources and participation on local boards and committees. -342- AGENCY LIFE Skills, Inc. 13. United way involvement by your agency: ("X" if agency participates) Agency Directors Meetings X Agencies Representative to Funding Hearings X Business Blitz X Day of Caring X Kick Off X Victory Reception X Other 12 -343- AGENCY LIFE Skills, Inc. 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.) LIFE Skills, Inc., was founded in 1989 by Executive Director, Gillian J.H. Fox. LIFE Skills, Inc., strives to provide high quality in home and community based educational social services to Johnson and surrounding counties. Services are designed to assist children, adults, and families in need of assistance. LIFE Skill maintains a professional staff whose training and experience allows them to assist in a wide variety of challenging situations. All interventions are based on individual assessments to determine current strengths and areas where additional skills or education are necessary to live in the least restrictive environment and achieve the highest level of independent living possible for the individuals served. During the past seven years, LIFE Skills has developed programs designed to meet the need for individualized services to Johnson County residents. LIFE Skills continually modifies and reorganizes its programs to meet the changing needs of the community and funding sources. Recently LIFE Skills developed and implemented a variety of programs to provide requested services. The Representative Payee program was developed to provide services to people who must have a payee in order to receive financial benefits. The Supported Aging Services Program was developed to provide low cost services to individuals who need assistance with home maintenance or homemaking to remain living independently in their homes. The Respite program was developed to providea critical component of care for families that include a member who has mental retardation. LIFE Skills has additionally developed programming funded through grants or other contractual arrangements. The Housing Support program and Tool Pool were developed to assist individuals with low incomes who were at risk of eviction. This program was funded through CDBG funds. The Oakdale Social Skills program was developed to provide educational services to general population inmates and patients of the Oakdale Medical Classification Facility through a contract with the State Department of Corrections. LIFE Skills has developed and implemented a contract with the Medt Behavioral Corporation to provide community support services to eligible individuals. This contract will assist the County in that it provides an additional funding source for services contracted through the Johnson County Department of Human Services. LIFE Skills will continue to work to meet the community's need for quality service provision through monitoring current programming and by making modifications when necessary. The agency staff, together with the Board of Directors, plans to develop consumer and outcome based measures to assure that quality is maintained and tracked within our organization in the upcoming year. -344- AGENCY LIFE Skills, Inc. AGENCY PROGRAM GOALS AND OBJECTIVES (several pages are provided, please add any additional pages you may need with your agency name as a header) Rehabilitative Services Program GOAL: To assist children and families in developing and using their own support systems and resources to reduce the risk of harm to their children, families, or the community. OBJECTIVE: To provide at least 7,463 units of skill develpoment, therapy and counseling, and protective supervision services to children and families during fiscal year 1999. Activities: · Provide in-home and community based intervention, counseling. and supervision. · Provide treatment and education to assist individuals with achieving their case permanancy plan or court ordered goals. · Facilitate colaboration, consultation, and communication with referring agents. · Provide necessary documentation to comply with State regulations. · Provide required training and supervision to counselors. Community Supervised Apartment Living Arrangements (CSALA) GOAL: To provide services that assist consumers in achieving or maintaining the highest level of independent functioning in the least restrictive environment. OBJECTIVE: To provide at least 4,751 units of CSALA drop-in counseling during fiscal year 1999. Activities: · Provide services through LIFE Skills staff or through coordination with other community resources or services. · Ensure that services are consumer individualized, needs and abilities focused, and according to the goals established in the treatment plan. · Assist consumers in meeting their basic needs. -345- AGENCY LIFE Skills, Inc. · Assist consumers in the maintanence of safe and appropriate housing and living arrangments. · Provide crisis intervention and assistance · Assist consumers with social and vocational tasks. · Provide service coordination. · Provide protection and advocacy. · Assist with the development and coordination of natural support systems. Home and Community Based Services (HCBS) Supported Community Living (SCL) GOAL: To provide in-home and community based services to children and adults in order to assist and provide instruction with daily living needs. OBJECTIVE: To provide at least 3,200 units of SCL services to children and adults in fiscal year 1999. Activies: · Provide services through LIFE Skills staff or through coordination with other community resources or services. · Ensure that services are consumer individualized, needs and abilities focused, and according to the goals established in the individual comprehensive plan. · Provide academic services. · Provide advocacy services. · Provide community skills training services. · Provide personal and environmental support services. · Provide treatment services. HCBS and non-HCBS Respite Services GOAL: To prevent institutionalization of individuals who have mental retardation or developmental disabilities. OBJECTIVE: To provide at least 5,833 units of respite to families during fiscal year 1999. -346- 15 AGENCY LIFE Skills, Inc. Activities: GOAL: OBJECTIVE: Activities: · Provide short-term relief in the absence of the family guardian. · Provide respite for consumers who are living at home with their families or guardians. · Provide respite in the family's home, providers home, or a community setting. · Monitor program compliance and providers. Payee Services To provide payee services to individuals in need. To provide at least 700 units of payee services during fiscal year 1999. · Assist with meeting Social Security reporting requirements. · Assist with banking and financial tracking. · Assist with checkbook maintenance and check distribution. · Assist with budgeting skills instruction. -347- 16 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 111198 - 12131198 4/1/98 --'3/31/99 10/1/98 - 7/1')98- 6130199' -?./l/98- Director: Pat GeJLssel Agency Name: Ta~th~rnn .qoc~ Service Address: 17.5 S. Dubtx:jue Phone: (319) Completed by: R~,-hn,-R T...T~n.~n Approved bCBoard Cha.'r'.~~--'~.~'~-~ 9/30/99 (date) 1/31/99 X COVER PAGE Program Summaw: (Please number programs to correspond to Income & Expense Deta;I, i.e. Program i, 2, 3, etc.) 1. F~nil7 Co~: Provide professional counseling services to families and 'individuals seekinE assistance in resolvin§ emotional problems or temporary stress that they may be encountering. ~-. Pregnancy Gounseling: Provide professional counseling service to expectant single parents faced with issues of preEnancy, parenthood, physical care arrangements, adoption, family and other siEnificant relationships. 3. Se~o~n] Abuse Treatment: Provide professional individual, family, and Eroup counseling for child victims. of sexual abuse, and their families. Focus is listening, relieving pain and trauma, supporting ongoinE safety, and coping with the nature of the abuse. 4. Other Pro~rn,~: . Includes foster care, therapeutic foster care, family-centered services, adoption services, and mental health counseling. Local Funding Summary: United Way of Johnson County -- Does Not Include Designated Gvg. City of Iowa City Johnson County City of Coralville 4/1/96 - 4/1/97 - 4/1/98 - % of Total 3/31/97 3/31/98 3/31/99 Budget $ $ 13,750 16,198 22,000 2.4% FYg7 FY98 FYg9 $ 16,068 $ 16,068 $ 16,100 1.7% $ $ -348- -1- Enter Your Agen~'s Bullget 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 Programs below) Pre~nm'~e¥ Couris~'l ~ nE Sex~ml Alxlse Courm~l * 4. Otbe~ ~og~ams 5. AGENCY Lutheran Social Service of Iowa ACTUAL LAST YEAR 2/1/96 - 1/31/97 $ 667,682 THIS YEAR ."BUDGETED PROJECTED NEXT YEAR ?.JT/97 - 1/~/~ 2/'t/cJ8 - 1/31/99 $ 816,688 $ 854,788 (77,912) (77,912) 667,682 894,600 932,700 745,594 894,6oo 932,700 102,756 90,400 98,500 642,838 804,200 834,200 67,467 69,000 73,620 8,942 15,800 15,800 29,098 28,700 24,560 537,331 690,700 720,220 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: * Cost of services to Johnsou County residents only. *Briefly describe how local funds were spent last year: .... -349- -2- INCOME DETAIL 1. Local Funding Sources a. Johnson County (Pregnancy Counseling) b. C~ of Iowa City c. United Way d. C;ty of Cor~Mlle e. f. 2. Grants- State, Federal, Foundations a. Johnson County DHS (Sexual Abuse Court. b. Washington County (Mental Hlth. Coun.) c. Foreman Fund (Sexual Abuse Counseling) d. Assure Project e. Alternative Correctional Education (ACE) f. JCO-Monitoring & Tracking Grant 3. Net Sales of Services (sources) a. Iowa Dept. of Human Services (P.O.S.) b. Program Service Fees C. 4. Net Sales of Matenots (sources) a. b. C. 5. Co ntribudons/Donations a~ United Way Designated Giving b. C'~her Contributions 5, Scecial Events a. Iowa Cit7 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: -350- AGENCY ACTUAL THIS YEAR LAST YEAR PROJECTED 29,818 I$ 32,266 I 16,068I 16,068 I 13,750 16,198 LUTHERAN SOCIAL. SERVICE OF IOWA BUDGETED NON. PROGRAM PROGRAM NEXT YEAR DIRECTED 1 2 FUNDING Faro. Court. Preg. Coun. $ 38,10015 3,63515 16,344J$ 14,400 16,100 1,700 - 14,400 22,000 1,935 16,344 123,163 18,063 95,128 3.932 8,040 461,774 389.834 71,940 51,405 1,081 50,324 924 924 598 598 667,682 t $ 304,819 409,100I - -I 88,085 88,200 3,400 3,400 67,500 67,500 123,667 212.000 22,167 38,000 516,895 442,100 396,025 321,800 120,870 120,300 39.921 42.100 1,566 1,600 38,355 40,500 373 1,000 373 1,000 326 300 326 300 894,60015 932.700 44,108 9,537 237 7,297 22.925 46,855 34,800 11.855 3,997 147 3,850 7O 70 35 35 98,500 -I 39,134 39,134 18,142 1,453 16,689 $ 73,62015 14,400 -3- INCOME DETAIL (continued) 1. 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. Johnson County DHS/Sexual Abuse Court.) b. Washington County (Mental Hlth. Court.) c. Foreman Fund (Sexual Abuse Counseling) d. Assure Project e. Alternative Correctional Education (ACF_) f. JCO-Monitodng & Tracking Grant 3. Net Sales of Services (sources) a. Iowa Dept. of Human Services (P.QS.) b. Program Service Fees C. 4. Net Sales of Materials (sources) a. b. C. 5. Contributions/Donations 'a. United Way Designated Giving b. Other Contributions 5. 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: AGENCY LUTHERAN SOCIAL SERVICE OF IOWA PRQGP-,AM PROGRAI~I PROGRAM 3 4 $ Sexual Abuse Other Prog's $ 3,721 I $ ' - 3,721 3,163 I 361,829 78,663 3,163t 60,203 189,075 33,888 11,164 345,147 -I 267,000 11,164 58,147 I 5,582t 14,379 I 5,582I 14,379 930I 9301 I ' I 265 265 $ 24,560 I$ 721,620 PROGRAM PROGRAM PROGRAM 6 7 8 i t I -351- 3a PROGRAM EXPENDITURE DETAIL 1. Salaries 2. Employee Benefits and Taxes 3. Staff Development 4. Professional ~onsultation 5. Publications and Subscriptions Dues and Memberships 7. Mortgage, Rent, and Prcperty Tax 8. Building Maintenance 9. E:ui~ment Purchase/Rental Maintenance 10. U.'.ilities 11. Te!eehone 12. Office Supplies and Postage 13. Printing and Publicity 14. Local Transc)ortadon 15. Insurance 16. Audit 17. Interest 18. Other (Sbecify): 19. S{2ecifice Assistance To Individuals 20. Temporary Hei0 21. Staff RecnJitment 22. Miscellaneous 23. Depreciation 24. 25. TOTAL EXPENSES (shown also on page :2, line Notes and Comments: AGENCY LUTHERAN SOCIAL SERVICE OF IOWA ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR 465,466 88,756 4,266 11,796 748 6,~5 87,242 4.562 5,990 3,016 16,044 6,658 645 25,529 2,499 663 144 $ 522.200 114,900 5,140 47,670 65O 400 95,800 4,500 15.800 2,400 17,700 11,300 7OO 33.800 2,100 8O0 140 3,443 8.8O0 8,403 700 528 1,000 4.979 2.900 3,572 7,4OO I 5;39,8oo 18,800 5,400 49,800 8O0 60O O3,20O 4,800 18,900 2.600 18,300 11,800 8OO 34.400 2.700 70O 8.000 1,000 4,800 7,500 ADMIN. S 53,200 11,700 1,200 1,800 150 4O0 7,800 2.2OO 2,800 2,600 3.700 2.700 35O 1.200 1,300 7O0 PROGRAM 1 Fam. Coun. 50,840 11,180 1,430 80 70 20 7,520 200 290 1,050 25O 100 220 100 200 20 3,400 30 1,300 22O PROGRA,~I 2 Pre§. Coun. $ 11,100 2,440 60 10 10 1.030 I00 83 8O 36O S0 4O 26O 43 SO $ 745,594 $ 894,600 $ 932,700 $ 98,500 $ 73,520 $ 15,800 -352- PROGRAM EXPENDITURE DETAIL (continued) 1. Salades 2. Employee Benefits and Taxes 3. Staff Development 4. Professior~l Consultation 5. Publications and Subscriptions 6. Dues and Memberships 7. Mortgage, Rent, and Prooerty Tax 8, Building Maintenance 9. Equipment Purchase/Rental Maintenance 10. Utilities 11. Teiephone 12. Office SuDplies and Postage 13. Printing and Publicity 14. Local Transbortation ~ c Insuf'ance 16. Audit 17. Interest 18. Other (Soecify): 19. Soecifice Assistance To Individuals 20. Tempora~ Het~ 521. Staff Recruitment 22. Miscellaneous 23. Depreciation 24. 25. TOTAL EXPENSES (shown also on page 2, line 2b) Notes and Comments: PROGRAM 3 Sexual Abuse 17,580 3,870 5O0 120 1,78O 5O 6O 210 2OO 10 2O 30 10 12o AGENCY PROGRAM 4 Other Prog's $ 407,080 89,610 2,27O 47,740 570 170 85,270 2,250 13,570 12,980 8,560 3OO 32.700 1,230 8,000 770 1.360 5,770 24,580 $ 720,220 LUTHERAN SOCIAL SERVICE OF IOWA PROGRAM PROGRAM PROGRAM PROGRAM $ 6 7 8 -353- 4a AGENCY LUTHERAN SOCIAL SERVICE OF IOWA RESTRICTED FUNDS ACTUAL THIS YEAR BUDGETED LASTYEAR PROJECTED NEXTYEAR Restricted by: Restricted for: Total Restricted Funds (also shown pave 2, line 4) I MATCHING GRANTS Grantor/Matched by: Total Matching Grants (also shown on page 3, line 2) IN-KIND SUPPORT DETAIL Services/Volunteers Matedal Goods Space, Utilities, etc. Other. (Please specify) TOTAL IN-KIND SUPPORT (Shown also on page 2, line 4) Notes and Comments: -354- -5- AGENCY LUTHERAN SOCIAL SERVICE OF IOWA S, ,RIED POSITIONS Position Center Director MSW Caseworkers BA CaseworKers Secretarial Staff State Office Support Staff Alloca. "X" all that apply I FTE' ACTUAL Paid Health Retire % Last This Next LAST Lye Ins. Plan BeheSts Year Year Year YEAR 37 X X 22.0% 1.00 1.00 1.00 $ 33.574 37 X X 22.0%1 7.17 7.20 7.20 199,244 37 X X 22.0% 6.96 10.00 10.00 136,476 32 X X 22.0% 2.22 2.50 2.73 39,114 N/A N/A N/A 56,958 THIS YEAR BUDGETED % PROJECT- NEXT CHANGE ED YEAR S 34,600 S 35,600 2.89% 195,300 201,100 t 2.97%~ 188,300 194,500 I 329% 53,800 55,400 I 2.97% 50,200 I 53,200 I Total Salaries & FTE "Full-time equivalent: 1.0 = full-time 0.5: half-time; etc. 17.35 20.70 20.93 $ 465,466 $ 522,200 $ 539,800 Notes and Comments: In the LS.S. accounting system, employee benefits are allocated on the basis of an overall stale-wide average rather than on a position-by-position basis. For 1998, health, retirement and payroll taxes are projected at 22% of gross salaries. 3.37% -355- AGENCY Lutheran Social Service ACCOUNTABII,ITY 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 lxeatment and prevention of social and psychological problems. B. 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. C. Finances: If your agency charges a fee, describe your fee slxucture. 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, insurance, and Crime Victim Assistance are accessed when applicable. Does your agency have: internal audit Frequency Annually external audit X financial 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 X (Exempt) Please discuss your agency's fundraising efforts, if applicable. Local LSS offices are in the process of forming fund raising boards and utilizing part-time fund raisers. The agency participates in the Hospice Road Race. Director pursues grant opportunities. Statewide, the agency conducts direct mail campaigns and promotes planned giving. -356- Do 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 -7- No 0 ('%1 ~ '~, ~° ~ U 0 oo < 0 0 < 0 -357- LUTHERAN SOCIAL SERVICE OF IOWA IOWA CITY ADVISORY BOARD 1996-1997 Name Gene Brawner Don Carstensen Henry Herwig Anne Hesse Anne Lahey Richard Nelson Verne Nelson Clayton Ringgenberg Address 4 Crestwood Cimle, Iowa City, IA 52245 11 Westview Acres, NE, Iowa City, IA 52240 2461 Tenth Street, Coralville, IA 52241 353 Lexington Avenue, Iowa City, IA 52245 333 Finkbine Lane, Iowa City, IA 52240 U of I, MAB 218, Iowa City, IA 52242 3414 E. Court Street, #3, Iowa City, IA 52245 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) ICADVSBD 09/97 -358- -7b- LUTWERAN SOCIAL SERVICE OF IOWA Mental Health Counseling Fee ScMe Annual Financial' Resource Base $11,000 11,001 12,001 13,001 14,001 15,001 16,001 17,001 18,001 19,001 20,001 21,001 22,001 23,001 24,001 25,001 26,001 27,001 28,001 29,001 30,001 31,001 32,001 33,001 34,001 35,001 36,001 37,001 38,001 39,001 40,001 41,001 42,001 43,001 44,001 45,001 46,001 47,001 48.001 49,001 50.001 I& L~'DER ] 12,000 13,000 14,000 - 15,000 - 16,000 - 17,000 - 18,000 19,000 20,000 21,000 22,000 23,000 24,000 - 25,000 o 26,000 - 27,000 - 28,000 - 29,000 - 30,000 - 31.000 - 32,000 - 33,000 - 34,000 - 35,000 - 36,000 - 37,000 - 38,000 - 39,0O0 - 40,000 - 41,000 - 42,000 - 43,000 - 44,000 - 45,000 - 46,000 - 47,000 - 48,000 - 49,000 50,000 & OVER 1 $10.00 12.00 14.00 16.00 18.00 20.00 22.00 25.00 28.00 30.00 33.00 36.00 39.00 42.00 45.00 48.00 51.00 54.00 57.00 60.00 63.00 65.00 67.00 69.00 71.00 73.00 75.00 77.00 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 Number of Persons Li~ng in Unit 2 $10.00 10.00 I0.00 12.00 14.00 16.00 20.00 22.00 24.00 26.00 29.00 32.00 35.00 38.00 41.00 44.00 47.00 50.00 53.00 56.00 59.00 61.00 63.00 6.5.00 67.00 69.00 71.00 73.00 75.00 77.00 80.00 80.00 80.00 80.00 80.00 80.00 80.00 80.00 80.00 80.00 80.00 3 $10.00 10.00 10.00 10.00 10.00 12.00 14.00 17.00 20.00 22.00 25.00 28.00 31.00 34.00 37.00 40.00 43.00 46.00 49.00 52.00 55.00 57.00 59.00 61.00 63.00 65.00 66.00 68.00 70.00 72.00 74.00 76.00 78.00 80.00 80.00 80.00 80.00 80.00 80.00 80.00 80.00 4 $10.00 10.00 10.00 10.00 10.00 10.00 10.00 13.00 16.00 18.00 21.00 24.00 27.00 30.00 33.00 36.00 39.00 42.00 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 80.00 80.00 $10.00 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 5i.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 $10.00 i0.00 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 40.0O 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 -359- AGENCY Lutheran Social Service 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, direct or indirect.) *Please note agency change of unit of service from case hour to direct hour. Unit of Service is direct client contact = duration of one hour. Applies to Family/Individual Counseling (FIC), Pregnancy Counseling (PC), Sexual Abuse Treatment (SAT). FIC - cost = $54.93/hour PC - cost = $29.47/hour SAT-cost = $36.51/hou 1996-1997 1301 hours provided 283 hours provided 562 hours provided Please supply information about clients served by your agency during the last two complete budget years. Refer to form instructions for defmition 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? Enter Years- 1995-'96 1996-'97 la. Duplicated count NA NA lb. Unduplicated count NA NA Johnson County 271 507 Agency Total 490 1,053 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 10,343 12,032 4b. To Johnson County 5,878 7,348 Residents Other areas served: Do you provide service to areas outside of 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. Mental Health Case Management for children in Washington County Funding Sources: Washington Counseling - Contracted with Washington County Family and Children services - Iowa Department of Human Services. -360- -8- AGENCY Lutheran Social Service Client Profile (for last complete year, if available): J=Johnson T=Total 6 - 17 J-97 Male J-206 Native American .I-3 30 -6t .J 56 ........... H~s c .... ~[ t0 .... Evaluation and Review: Please discuss how your agency measures the success of it's programs. Lutheran Social Service measures success of its counseling programs with a 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. ao 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 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. As changing welfare policies are implemented, it will be more difficult to access services. LSS is seeking ways to collaborate and increase seamless community access to low cost and effective ways to improve lives. -9- -361- AGENCY Lutheran Social Service Please discuss any other problems or factors relevant to your agency's programs, funding or service delivery: LSS continues to seek funding for all programs and methods to serve the community in a positive manner. 10. II. 12. 13. List complaints about your services of which you are aware: Client surveys indicate the services continue to be effective and helpful to people's lives. 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 is able to see clients quickly. We make every effort to see these young victims as soon as possible because of the nature of their trauma. The Family and Individual Counseling waiting list has been shortened through periodic reviews and increased part-time counseling hours. How many people are currently on your waiting list? 4 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) ao 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 -362- -10- AGENCY Lutheran Social Service AGENCY HISTORY Lutheran Social Service of Iowa (LSS) has been providing services to children and families for 127 years. At inception as a non-profit statewide 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 MHIM~D) make regular on-site visits and evaluations. LSS is also accredited by the Council on Accreditation of Services for Families and Children. The history of service to Johnson County residents began in 1947 with the opening of the Iowa City Center. Today 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, Adoption Counseling, and Day Treatment for Adjudicated Youths. 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 child'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 thirteen years, Lutheran Social Service has provided counseling services to victims of child sexual abuse and their family members within the Johnson County area. Presently, support is received from Johnson County Department of Human Services Purchase of Service, some MERIT, and Crime Victim Assistance as well as United Way. 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 counseling 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, church funds, and Juvenile Court funding. 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. -11- -363- AGENCY Lutheran Social Service AGENCY PROGRAlVl GOALS AND OBJECTIVES Name of Program: Family and Individual Counseling Goal: To provide counseling services to families, couples, and individuals in Johnson County. Objective A: During 1998-1999, provide 1476 direct hours of counseling intervention to troubled individuals, families, and couples residing in Johnson County. Tasks; 1. Maintain present counseling staff and Iowa City Center. 2. Allocate approximately 29 direct 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. 1. Allocate 123 direct hours of staff time per month. 2. Make available necessary office space, phone, supplies, and equipment to staff. 1476 units ~ $54.93/direct hour = $81,080' *Includes only services to Johnson County residents and includes administrative costs. Resources: Cost of Program: -364- -12- 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: Tasks; Resources: Cost of Program: During 1998-1999, 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 direct hours of staff time weekly for purpose of counseling Johnson County expectant single parems. 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. 1. Allocate approximately 48 direct hours of staff time per month. 2. Make available necessary office space, phone, supplies, and equipment to staff. 570 units ~ $29.47/direct hour = $16,800 * *Includes only services to Johnson County residents and includes administrative costs. -13- -365- 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 1998-1999, provide 400 direct hours of counseling intervention to children and their families. Tasks; 1. Maintain present counseling staff at Iowa City Center. 2. Allocate approximately 8 direct 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 34 direct hours of staff time per month. 2. Make available necessary office space, phone, supplies, and equipment to staff. Cost of Program: 400 units ~ $66.00/direct hour = $26,400* *Includes only services to Johnson County residents and includes administrative costs. -366- -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 !/1/98 - 12/31/98 4/1/98- 3/31/99 10/1/98- 7/1/98- 6/30/99 X - 9/30/99 Director: Diane L. Ha~artv Agency Name: Mayor's Youth Employment Progxam Address: P.O. Box 307 Phone: 319-341-0060 Completed by: Diane L. Ha~arty Approved by Board Chair: ~O~t'tge~ (~; ~ ~.d on September 23, 1997 COVER PAGE Program Summary: (Please number programs to correspond to Income & Expense Detail, i.e. Program 1, 2, 3, etc.) PROGRAM 1. Youth Emvioyment: Includes transition from the Department of Human Services; Pregnant and Parenting Employment Opportunity Program funded by the Iowa Department of Education through the Iowa Community School District; Homeless services funded through Youth Homes, and the In-School Program funded through the Iowa Workforce Development. Youth receive individual career counseling, skills assessments, subsidized employment experience and follow-through services. Youth also attend group in-service training sessions with guest speakers and group discussions. PROGRAM 2. Cor~s Employment: Includes the Iowa Conservation Program, and the Young Adult Conservation Program, which are fimded by the lowa Workforce Development, the City of Coraiville, and the Army Corps of Engineers; and the Urban Youth Corps which is funded by the Iowa Department of Transportation and the City of Coralville. Youth receive environmental education, receive subsidized err anent, and provide needed service to the community through group work projects. PROGRAM 3. Youth Entrevreneurial and Crime Prevention: Includes the popcorn wagon located on the Iowa City Pedestrian Mall and the Bicycle Repair Shop located at the Mayor's Youth building. Both funded through the juvenile crime prevention grant fxom the Department of Human Rights, Juvenile Justice Division and the Johnson County Decategorization Project. Also includes Project Wheel, a program which teaches youth health, nutrition, exercise, bicycle repair and maintenance, and bicycling and camping as life-long skills. Funded through CCIA, HACAP, Bicyclists of Iowa City and the Iowa City/Coralville Jaycees. Local Funding Summary: United Way of Johnson County -- Does Not Include Designated Gvg. 4/1/96- 4/1/97 - 4/1/98 - % of Total 3/31/97 3/31/98 3/31/99 Budget $ 8,000 $ 9,160 $ 12,000 4% FY97 FY98 FY99 City of Iowa City $ 36,000 $ 37,080 $ 40,000 13% .~-' '~son County $ 2,000 $ 2,500 $ 3,000 1% C]ty ofCoralville $ 2,100 $ 2,000 $ 3,000 1% -1- -367- AGENCY Mayor's Youth Employment Pro,ram BUDGET SUMMARY ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR Enter Your Agency's Budget Year ---~07-01 xo 06-30 FY97 1. TOTAL OPERATING BUDGET 227,645 (Total a + b) a. Carryover Balance (Cash from line 3, previous column) 9,659 b. Income (Cash) 217,986 2. TOTAL EXPENDITURES (Total a + b) 220,080 a. Non-directed funding 34,922 b. Program total (List Programs below) 185,158 1. Youth Employment Training 80,290 2. Corps Employment 40,828 3. Youth Entrepreneurial Training 64,040 4. 5. 6. 7. 8. FY98 322,927 7,565 315,362 320,841 34,119 286,722 123,296 78,893 84,533 FY99 318,586 2,086 316,500 319,800 32,840 286,960 142,150 66,810 78,000 3. ENDING OPERATING BALANCE (Subtract 2 - 1) 7,565 4. RESTRICTED FUND BALANCE (Total from page 5) 0 5. IN-KIND SUPPORT (Total from page 5) 20,000 6. NON-CASH ASSETS 7,500 2,086 0 26,500 7,500 (1,214) 0 9,000 7,500 Notes and Comments: Beginning January, 1997 Southgate Development donating use of building for MYEP office and bicycle repair shop. Donation continuing month by month until building to be demolished Spring, 1998. Value calculated at $2,000 per month for the 5,000 sq. ft. facility. Non-cash assets - popcorn wagon owned by MYEP and located on Pedestrian Mall. BRIEFLY DESCRIBE HOW LOCAL FUNDS WERE SPENT LAST YEAR: one/third of the funding went into additional youth wages and fringes not provided for by grant funding sources; one/third of the funding went into staff salaries and/or fringe benefits; the remaining one/third went into funding for programming. -368- -2- AGENCY Mayor's Youth Emvlownent Proexam INCOME DETAIL ACTUAL THIS BUllET- NON- PRO- PRO- LAST YEAR ED DIR- GRAM GRAM YEAR PROJECT- NEXT ECTED I 2 ED YEAR FUNDIN G I. Local Funding Sources 60,008 83,946 92,000 22,850 32,150 13,000 a. Johnson Coun.ty 2,000 2,500 3,000 0 3,000 0 b. City of Iowa City 36,000 37,080 40,000 22,850 17,150 0 c. United Way 8,293 9,870 12,000 0 0 0 d. City of Coralville 4,715 14,956 16,000 0 3,000 13,000 e. Iowa City Schools 9,000 9,000 9,000 0 9,000 0 f. Project Wheel Donors 0 10,540 12,000 0 0 0 2. Grants - State, Federal, Foundations 115,592 113,159 112,000 0 29,000 43,000 a. CDBG 8,465 0 0 0 0 0 b. Iowa Dept. of Education 18,810 13,700 12,000 0 12,000 0 c. Iowa Dept. of Human Rights 43,913 40,107 40,000 0 0 0 d. Iowa Dept. orEcon. Dev/Workforce 44,404 44,352 45,000 0 17,000 28,000 e. lowa Dept. of Transportation 0 ! 5,000 15,000 0 0 15,000 Net Sales of Services (sources) 26,342 70,675 81,000 0 81,000 0 a. Youth Homes 9,000 30,675 41,000 0 41,000 0 0. United Action for Youth 0 0 0 0 0 0 c. Dept. of Human Services 17,342 40,000 40,000 0 40,000 0 4. Net Sales of Materials (sources) 6,700 13,000 14,000 0 0 0 a. Pol~corn Wagon 5,662 12,000 13,000 0 0 0 b. Bike/Truck Program 1,038 1,000 1,000 0 0 0 5. Contributions/Donations 2,374 2,975 4,000 4,000 0 0 a. United Way Designated Giving 1,034 1,475 2,000 2,000 0 0 b. Other Contributions 1,340 1,500 2,000 2,000 0 0 6. Special Events 1,601 1,920 3,500 2,690 0 810 a. Iowa City Road Races 993 1,000 2,000 1,190 0 810 b. Raffle/Special Event 155 920 1,000 1,000 0 0 c. Miscellaneous 453 0 500 500 0 0 7. Interest Income 0 0 0 0 0 I 0 8. Other - List Below Including Miscella- 5,369 29,687 10,000 0 0 [ 10,000 a. Army Corps of Engineers 5,369 9,687 10,000 0 0 10,000 b. Variety Club of Iowa 0 20,000 0 0 0 0 217,986 315,362 316,500 29,540 142,150 66,810 TOTAL INCOME (shown also on oa~e 2, ? s and Comments: Line IF. Project Wheel Donors consist ofCCIA, HACAP, BIC and Iowa City/Coralville Jaycees. Line ID. Coralville funds include page I allocations as well as grant matching funds for Corps Programs. -3- -369- AGENCY Mayor's Youth Employment Pro~ram INCOME DETAIL PROGRA PROGRA (Continued) M M 3 4 1. Local Funding Sources 24,000 a. Johnson County 0 b. City of Iowa City 0 c. United Way 12,000 d. City of Coralville 0 e. Iowa City Schools 0 f. Project Wheel Donors 12,000 2. Grants - State, Federal, Foundations 40,000 a. CDBG 0 b. Iowa Dept. of Education 0 c. Iowa Dept. of Human Rights 40,000 d. Iowa Dept. ofEc. Dev./Workforce 0 e. Iowa Dept. of Transportation 0 3. Net Sales of Services 0 a. Youth Homes 0 b. United Action for Youth 0 c. Dept. of Human Services 0 4. Net Sales of Materials 14,000 a. Popcorn Wagon 13,000 b. BikedTruck Program 1,000 5. Contributions/Donations 0 a. United Way Designated Giving 0 b. Other Contributions 0 6. Special Events - List Below 0 a. Iowa City Road Races 0 b. Raffle 0 c. Miscellaneous 0 7. Interest Income 0 8. Other - List Below Including 0 a. Army Corps of Engineers 0 b. Variety Club of Iowa 0 TOTAL INCOME- (shown also on pa~e.2, 78,000 ..... Notes and Comments: PROGRA PRO- PRO- PRO- M GRAM GRAM GRAM 5 6 7 8 -3a- -370- PROGRAM EXPENDITURE DETAIL 1. Salaries 2. Employee Benefits and Taxes 3. Staff Development 4. Professional Consultation (Acctg) 5. Publications and Subscriptions 6. Dues and Memberships 7. Mortgage, Rent, and Property Tax 8. Building and Maintenance 9. Equipment Purchase/Rental/Mainte- nance 10. Utilities 11. Telephone 12. Office Supplies and Postage 13. Printing and Publicity Local Transportation 15. Insurance 16. Audit 17. Interest 18. Other (Specify): 19. Youth Wages/Stipends 20. Youth Fringes 21. Program Supplies 22. Program Cash Match Payment 23. Accrued Vacation Payout 24. Purchase of 14 Passenger Van 25. TOTAL EXPENSES (shown also on page 2, line 2) Notes and Comments: AGENCY Mayor's Youth Employment Pro,ram ACTUAL THIS BUDGET- LAST YEAR ED YEAR PROJECT- NEXT ED YEAR 90,730 112,696 124,100 22,110 33,215 34,000 867 3,233 3,000 2,276 780 1,000 72 250 400 759 800 1,000 5,340 6,800 18,000 519 900 2,000 2,713 8,000 6,000 2,1'45 2,400 3,000 1,548 1,800 2,400 967 1,100 1,500 1,308 2,500 2,500 2,401 1,304 2,400 3,024 2,958 3,000 0 2,000 2,500 0 0 0 66,480 76,763 82,000 5,171 13,204 14,000 8,645 12,000 12,000 3,005 2,806 5,000 0 9,332 0 0 26,000 0 NON- PRO- DIRECT GRAM ED 1 FUNDIN G 21,600 66,000 6,240 18,000 0 2,000 0 400 0 400 1,000 0 3,000 7,000 500 500 0 2,000 PRO~ GRAM 2 16,500 3,760 0 200 0 0 2,000 500 2,000 0 1,000 1,000 0 800 800 0 500 500 400 700 700 0 800 800 0 1,000 1,000 100 800 800 0 0 0 0 34,000 30,000 0 5,250 5,250 0 1,000 1,000 0 0 0 0 0 0 0 0 0 220,080 320,841 319,800 32,840 142,150 66,810 -4- -371- AGENCY Mayor's Youth Eml~!ovment Program PROGRAM EXPENDITURE DETAIL PROGILA (continued) M 3 1. Salaries 20,000 2. Employee Benefits and Taxes 6,000 3. Staff Development 1,000 4. Professional Consultation 400 5. Publications and Subscriptions 0 6. Dues and Memberships 0 7. Mortgage, Rent and Property Tax 6,000 8. Building Maintenance 500 9. Equipment Purchase/Rental/Mainte- 2,000 nance 10. Utilities 1,000 11. Telephone g00 12. Office Supplies and Postage 500 13. Printing and Publicity 700 14. Local Transportation 800 15. Insurance 1,000 ! 6. Audit 800 17. Interest 0 18. Other (Specify): 19. Youth Wages/Stipends 18,000 20. Youth Fringes 3,500 21. Program Supplies 10,000 22. Program Cash Match Payment 5,000 23. Accrued Vacation Payout 0 24. Purchase of 14 passenger van 0 25. TOTAL EXPENSES (Show also on page 2, line 2b) Notes and Comments: 78,000 PROGRA PROGRA PRO- PRO- PRO- M M GRAM GRAM GRAM 4 5 6 7 8 -372- -ha- AGENCY Mayor's Youth Emnlovment Program RESTRICTED FUNDS Total (Shown on page 2, line 4) Restricted by: Restricted for: Not Avvlicable ACTUAL THIS BUDGETE LAST YEAR D YEAR PROJECT NEXT ED YEAR Total Restricted Funds (also shown page 2, line 4) 0 0 0 MATCHING GRANTS (also shown on page 3, line 2) Grantor/Matched by: Not Applicable Total Matching Grants (also shown on page 3, line 2) 0 0 0 IN-KIND SUPPORT DETAIL Services/Volunteers (Hours calculated at $7.50/hour) Material Goods Space, Utilities, etc. Other: (Please specify) 7,500 500 12,000 7,500 1,000 18,000 7,500 1,500 0 TOTAL IN-KIND SUPPORT (Shown also on page 2, line 4) Notes and Comments: 20,000 26,500 9,000 -_5- -373- SALARIED POSITIONS Position Ex~'utive Director Caseworker/Ad. Asst. Caseworker Caseworker Project Wheel Coord. ICC Crew Leaders Bicycle Repair Expert "X" all that apply Paid Health Re- % Lvc Ins tire Bone- Plan fits 28 x x 21% 33 x x 23% 33 x x 23% 28 x x 27% 8% 8% 8% AGENCY Mayor's Youth Eml~loyment Program ACTUA THIS BUDGET % L YEAR ED CHAN FTE LAST PROJE NEXT GE * YEAR CTED YEAR Last This Next Year Year Year !.0 1.0 1.0 35,000 35,776 1.0 1.0 1.0 26,000 27,000 1.0 1.0 1.0 26,000 27,000 0 .75 1.0 0 15,000 .03 .25 .33 548 5,000 .14 .15 .15 2,397 1,920 .05 .06 .06 785 1,000 37,200 28,080 28,080 21,000 6,240 2,500 1,000 4% 4% 4% 40% 25% 30% 0 Total Salades & ~ *Full-time equivalent: 1.0 = full-time; 0.5 = half-time; etc. 3.22 4.21 4.54 90,730 112,696 124.100 15% -6- -374- AGENCY Mayor's Youth Employment Program ACCOUNTABILITY QUESTIONNAIRE Agency's Mission Statement or Primary Purpose - The mission of the 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. MYEP's purpose is to assist at-risk youth to become self-sufficient, employed adults. Low-income, delinquent and at-risk youth, as well as teen parents, and youth in recovery, are the primary recipiems of services and funding. go Board of Directors: Please attach a list of your agency's Board of Directors - See attached Frequency of meetings: Monthly Briefly describe board orientation and ongoing training opportunities: attached Go Finances: ao Are there fees for any of your services? If Yes, describe circumstances. b. Are they flat fees Does your agency have: internal audit Frequency Annual external audit Y~ or sliding scale X 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 Please discuss your agency's fundraising efforts, if applicable. No X financial review No X MYEP has increased its efforts to gamer support for existing fund-raisers in the community, such as the Iowa City Road Race and designated giving through United Way. These efforts continue by staff and board members. MYEP also conducted a raffle this year - net proceeds were only $155.00, but community awareness of MYEP was gained. The agency staff is striving to develop more private parmerships within the community (Project Wheel is a great example this summer). Managemem: 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 and Staff X No -7- -375- Mayor's Youth Employment Program Board of Directors as of September 23, 1997 Julie Pulkrabek, Attorney Dave Jacoby, JTPA/Promise Jobs Terrence Neuzil, KCJJ Sydney Gussman, U of I Library Patrick Highland, Iowa City Community School District Leah Cohen, owner, Bo-James Karen Kennedy Sherman, Southgate Development Tom Braverman, West High School Ed McEleney, owner, Hargrave-McEleney Amy Gay, youth representative Joe Madigan, Iowa City Community School District/work site supervisor (one vacant position to be filled next month) Board Trainin~ Ot~t~ortunities The Agency Executive Director meets with each prospective board member before a commitment is made to join the Board. The agency budget, programs, staff, policies, by- laws, etc. are given to the prospective member for their review. The Executive Director discusses the responsibility of the Board using materials for serving on non-profit boards. On-going training opportunities include staff sharing materiai.q received at seminars and workshops, having guest speakers attend board meetings to speak on specific topics of interest, and informing board members of continuing education opportunities offered through United Way and other sources. The member of the board that is also an attorney serves as a reference source for other board members. -376- -Ta- 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 = one-half hr. of staff (direct) youth employment training one unit = one-half hr. of youth job site training and/or employment Please supply information about clients served by your agency during the last two comolete budget years. Refer to form instructions for definition of duplicated and unduplicated. 1. How many Johnson County residents (including Iowa City and Coralvii!e) 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- 1996 ! 997 I a. Duplicated count 274 2 ! 9 lb. Unduplicated count 236 203 2a. Duplicated count 194 168 2b. Unduplicated count 181 159 3a. Duplicated count 26 25 3b. Unduplicated count 19 21 4a. Total 35,423 34,084 4b. To Johnson County 35,189 33,700 Residents Do you provide service to areas outside of Johnson County?. Yes Area(s) served: Lima County Services provided: CCIA contracted with Mayor's Youth Employment Program to offer ProjectWheel in Cedar Rapids for one group of Youth Leadership youth. Funding Sources: CCIA paid for the entire cost of the program for the Youth Leadership youth located in Linn County. -8- -377- AGENCY Mayor's Youth Employment Program 0-5 6-17 18 - 29 30 - 61 62 - 75 75+ Client Profile (for last complete year, if available): FY97 Age 0 155 48 0 0 0 Gender ] Female 122 Male 81 Ethnicity African American Native American Asian Hispanic Caucasian/Non-Hispanic Multi-racial 28 1 7 6 161 0 Evaluation and Review: Ao Please discuss how your agency measures the success of it's programs. Individual employment training goals are set for each youth served. Success is determined by theft progress towards completing those goals. Success is also measured by the number of youth who, after completing training, are able to obtain and retain a competitive, unsubsidized job. Annual evaluations are completed by job site supervisors, clients, parents, and referring agencies. ao Does your agency have performance objectives? (give several examples.) Yes. Each grant has specific performance objectives for the specific program being funded. Examples would include the number of youth served, required training for each youth, numbers of hours of youth training to be provided, curriculum to be used, and specific outcomes for a given percentage of youth participants. what plans does your agency have to increase efficiency and effectiveness? The composition of the MYEP board of directors has changed dramatically to include more private sector representatives. It is hoped this will bring a new perspective to MYEP to improve efficiency and effectiveness. Staff development is being expanded to keep staff abreast of changes in the youth employment field. Continued searching for new funding sources and new co!laborative partners. -378- -9- AGENCY Mayor's Youth Employment Program In what ways will the needs of your service population change in the next five years: With welfare reform (the five year life-time limit for cash recipients) it will become increasingly important that youth and young adults receive the skills and experience they need to be able to get and keep a job which will enable them to be self-sufficient. Providing young people with these skills and experiences at a young age will, hopefully, keep them offof welfare when they become adults and the five-year time clock starts ticking. The past several years have seen several trends: younger clients; younger clients that have dropped out of school; students doing increasingly worse in school; increased single parent families and younger teen parents; increased numbers of youth not living with family members; youth with more severe and multiple barriers to self-sufficiency; and greater numbers of youth referred from the juvenile court system. The need for subsidized wages is becoming increasinly greater as the client population's needs and barriers are greater. Due to the low unemployment rate, the availability of college students, and the large number of local college graduates, the availability of jobs for these uneducated, unskilled, troubled youth are decreasing. Subsidized wages level the playing field for these young people in the eyes of the prospective employer. -10- -379- AGENCY Mayor's Youth Employment Program Please discuss any other problems or factors relevant to your agency's programs, funding or service delivery: Increased need for subsidized wages and a willingness from employers to mentor youth and young adults so they can become self-sufl~eient adults. MYEP has many more youth referred to the agency than there are funds available to serve. This problem is especially prevelant during the summer months when the need for youth to be employed is greatest and MYEP's funding for youth subsidized employment is at its lowest. 10. List complaints about your services of which you are aware: Lack of subsidized wages and limited summer employment program opportunities. 11. 12. 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, MYEP has a waiting list and has also had to turn people away. Increased subsidized wages for youth and a greater number of employers willing to invest in the future (by giving youth a chance) would help alleviate some of this problem. An increased staff member will also allow staffa greater opportunity to work with employers to create privately-funded youth employment positions. How many people are currently on your waiting list? 28 eligible potential clients In what way(s) are your agency's services publicized? Program information updates are given to school personnel, Grant Wood AEA Work Experience Instructors, human service and other youth serving agencies. Periodic news releases and requests for coverage from local and county radio and newspapers have been excellent. The Workforce Development Center regularly posts information concerning our programs. JTPA/Promise Jobs staff are notified of programs and eligibility requirements. MYEP is listed in the Johnson County Human Services Index. 13. United way involvement by your agency: ("X" if agency participates) Agency Directors Meetings X Agencies Representative to Funding Hearings X Business Blitz X Day of Caring X Kick Off X Victory Reception X Other -380- -11- 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.) Mayor's Youth Employment Program has been in existence since 1968. From 1968 until 1996, MYEP was considered a quasi-department of the City of Iowa City. During 1996, MYEP filed for and became a 501C3 private non-profit corporation. The mission of the agency (has been and continues to be) to assist youth and young adults in Johnson County overcome barriers to employment by providing employment training and supervised work experience. Young people, between the ages of 10 and 24, who meet the eligibility guidelines, gain supervised work experience (and we-employment experience) designed to assist them in completing their education and in preparing for self-sufficiency as adults. EMPLOYMENT PROGRAM - the youth employment program has been comprised of the transition program through DHS and Juvenile Court Services, Youth Homes homeless program, the Pregnant and Parenting Teen Employment Opportunity Program, and the In-School Program funded through the Iowa Workforce Development Center. Services provided are year-round, focus on the individual, and include: subsidized employment, individual career planning and counseling, vocational training, career exploration, advocacy, education completion, truance monitoring, recreational activities, and job coaching. This program focuses on at-risk youth fi'om the ages of 14-21. CORPS PROGRAM - the corps programhas consisted of the Iowa Conservation Corps for youth ages 15-18; the Young Adult Conservation Corps for youth ages 18-24; the Mississippi River Conservation Corps for youth 18-24; and the Urban Youth Corps Program for low-income youth ages 16-18. These are all short duration programs offered during the summer months. The services focus on the completion of projects which benefit the community as a whole and are conservation-type in nature. Community partners have included the Iowa City Park and Recreation Department, the Iowa City Engineering Department, the Coralville Park and Recreation Department, and the Army Corps of Engineers. Youth receive subsidized employment, learn about the environment, gain employment skills, and participate in environmental educational/recreational activities. ENTREPRENEURIAL PROGRAM - the entrepreneurial program started with the purchase of the popcorn wagon on the pedestrian mall and the operation of an on-site bicycle/vehicle repair and/or restoration shop. The purpose ofthse two programs focused on allowing youth the opportunity to participate in the management of a micro- enterprise business. They learn about products and services, determining prices, inventory control, advertising, money management, and other skills needed to own your own business. The program has expanded to include "crime prevention" activities for youth too young to be employed. For youth ages 10-16, Project Wheel allows them an opportunity to learn bicycle repair and maintenance, learn about and practice positive health habits, work out on exercise equipment and go on weekly bicycle rides. The program began in the summer of 1997. Youth had the opportunity, upon completing the program, to participate in a 60-mile bicycle ride and an overnight campout. Youth also learned coping skills, set goals, maintained a daily journal, learned team-building, and were exposed to two hobbies that can be lifelong, positive activities: camping and bicycling. The Iowa City Police Department, the Bicyclists of Iowa City, the Iowa City/Coralville Jaycees, HACAP, CCIA, Youth Leadership Program, Johnson County De-Cat, and the local bicycle shops were all part of the success of this first-time venture. Plans are to continue and expand this program into a year-round activity for youth with an alumni club made up of youth completing the program and adults willing to be bicycle mentors. -12- -381- AGENCY Mayor's Youth Employment Program AGENCY PROGRAM GOALS AND OBJECTIVES Goal: To assist 240 youth and young adults f~om Johnson County overcome barriers to employment and economic self-sufficiency. Youth Emi~lovment ProRram Objective: To assist 130 youth and young adults fi'om Johnson County overcome barriers to employment and economic self-sufficiency by focusing on individual educational and vocational needs of participants and providing subsidized employment. Tasks: 1. Apply for existing and new grants providing for employment training of at-risk youth and young adults. 2. Recruit youth and young adults meeting elig~ility criteria of funding sources. This would include youth who are teen parents, juvenile delinquents, low- income, at-risk, learning disabled and/or behavior disordered, physically and/or mentally challenged, homeless, etc. 3. Prepare individual vocational plans for youth with steps needed to become competitively employed and economically self-sufficient. 4. Develop job sites which meet needs of participants. 5. Match participants to job sites. 6. Provide pre-employment training on an individual and group basis. 7. Provide continuing support to participants and work sites. 8. Provide follow-up services to program participants to encourage continued employment in the community. 9. Administer the Youth Employment Program in accordance with the requirements of the funding agencies. 10. Conduct evaluations to determine program effectiveness. 11. Participate in case management on behalf of the participants. Resources needed for the Youth Employment Program: 2.0 FTE employment specialist; .30 Director's time; 17% admin. Asst. time; 3 desks; 5 chairs; 3 file cabinets; bookshelves; 3 computers; employment related software; telephones; answering machine; fax; copier; calculators; office supplies; van to transport youth FY99 Cost $142,500 $1,093.46/youth served -382- -13- AGENCY Mayor's Youth Employment Program Coros Emoloyment Program Objective: To assist 30 youth and young adults fi'om Johnson County overcome barriers to employment and economic self-sufficiency by providing 8,000 hours of subsidized employmere in the field of environmental conservation; while also completing needed community conservation projects for the general public's enjoyment and USe. 1. Maintain positive relations with local agencies willing to serve as youth work sites and to provide grant matching funds. Apply for grants. 2. Advertise for, interview, and hire 30 youth and young adults to participate in program. 3. Plan educational environmental awareness programs for youth and young adults as required by grant sources. 4. Administer the Corps Employment Program according to the requirements of the funding agencies. 5. Provide follow-up services to program participants to encourage continued employment in the community. Resources needed for the Corps Employment Program: .30 FTE employment specialist; .17 FTE admin. Asst. time;. 15FTE ICC crew leaders; desks, chairs, computers, telephone, answering machine; fax; copier; file cabinets; bookshelves; calculators; office supplies; van to transport youth; work-related tools and supplies. FY99 Cost $66,810 $2,227 Cost/youth served -14- -383- AGENCY Mayor's Youth Employment Program Youth Entreoreneurial and Crime Prevention Pro, ram Objective: To assist 80 youth and young adults from Johnson County overcome barriers to employment and economic self-sufficiency by providing entrepreneurial training, pre-employment training and alternative, positive activities to juvenile crime. Tasks: 1. Continue to apply for funding which addresses these issues of youth and young adults. 2. Recruit youth to participate in youth emrepreneurial and crime prevention program activities. 3. Increase community involvemere by recruiting volunteers, seeking donations for bicycle program, and utilizing community experts. 4. Expand popcorn business so it can operate year-round. 5. Provide pre-employment training for all youth participants. 6. Provide emrepreneurial training for interested youth participants. 7. Develop work sites with employers to match interests of youth participants. 8. Provide youth with ski!l~ and knowledge to make responsible decisions regarding use of free-time. Resources needed for the Entrepreneurial and Crime Prevention Program: .35 FTEemployment specialist;. 17 FTE admin. Asst.; .20 FTE Director; .33FTE Project Wheel Coordinator; .06FTE bicycle expert; ½ time youth bicycle repair coordinator; ¼ time youth popcorn wagon manager; bicycle repair shop with related tools and equipment; donated bicycles; popcorn wagon; popcorn equipment and supplies; vehicle to deliver popcorn and pick up bicycles; 3 desks, computers, bookshelves, file cabinets, telephones, fax, copier, answering machine, chairs; exercise equipment; student desks and chairs; calculators; portable cel phone; office supplies; and program-related supplies. Volunteers to participate on bicycle rides, teach bicycle safety, and mentor youth. FY99 Cost $78,000 Cost/youth served $975.00 -384- -1.5- HUMAN SERVICE AGENCY BUDGET FORM City of Coralville Johnson County City of Iowa City United Way of Johnson County CHECKYOUR AGENC~SBUDGETYEAR 0111198 - 12/31198 04/1198 - 03131199 07/1198 - 06/30/99 1011/98- 9/30199 Director: Arthur J. Schut Agency Name: MId-Eastem Council on Chemical Abuse Address: 430 Southgate, Iowa City IA 52240 Phone: 319/351-4357 Completed by: Ren Berg Approved by Board C hair'~ on C)q/IT /(dg/aTe) COVER PAGE Program Summary: (Please number programs to correspond to Income & Expense Detail, i.e. Program 1, 2, 3, etc.) 1. Outpatient Treatment Services: 1) 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 a 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 a Referral: provision of information, crisis intervention, and resource coordination to substance abusers, their families, significant others, and concerned others. 2. Residential Treatment Services: 1 ) Intensive 1-3 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) DetoxificationlCrisis Stabilization: r~etoxification is a supervised program of managing the detoxification of an individual from drugs and/or alcohol using primarily ;ial support but if necessary psychoactive drugs. Crisis Stabilization is a safe environment for Community Mental Health Center and Hillcrest Family Services clients to prevent 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. Progains 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 service is offered to employers on a contract basis. 4. OWIIIMCC Program: The OWl program is housed as the Hope House facility and staffed by MECCA personnel. The treatment program is provided to persons convicted of multiple offense drunk driving who are sentenced to the program in lieu of prison. IMCC program is a Department of Corrections funded assessment program intended to determine the appropriate levels and type of substance abu treatment necessary for inmates entering the Iowa prison system. $. ISAPDA Training Grant: This is a grant to the Iowa Substance Abuse Program Directors Association and contracted to MECCA. The purpose of the gran 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 Gvg. City of Iowa City Johnson County y of Coralville 0411/96 - 04/1197- 04101/98 - % of Total 03131197 03131198 03/31199 Budget $23,300 $25,890 $30,000 0.9% FY97 FY98 FY99 $25,235 $26,000 $28,000 0.8% $270,317 $273,317 $283,000 8.2% $1,000 $1,000 $1,500 0.04% -1- -385- BUDGET SUMMARY Enter Your Agency's Budget Year I 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 below) 1 Outpatient 2 Residential 3 EAPIPrevention 40WI/IMCC 5 ISAPDA 6 7 8 -- AGENCY Mid-Eastern Council on Chemical Abuse ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR 7-1-96 thru 7-1-97 thru 7-1-98 thru 6-30-97 6-30-98 6-30-99 2,993,211 3,307,617 3,453,058 213,092 336,035 395,299 2,780,119 2,971,582 3,057,759 2,657,176 2,912,318 3,048,856 719,630 787,011 660,229 1,937,546 2,125,306 2,461,428 505,030 553,971 633,099 637,656 699,449 806,761 468,760 514,189 567,693 164,132 180,038 191,054 161,968 177,659 262,821 3 ENDING OPERATING BALANCE (Subtract 2 - 1) 4 RESTRICTED FUND BALANCE (Total from page 5 IN-KIND SUPPORT (Total from p. 5) 6 NON-CASH ASSETS 336,035 395,299 404,202 0 0 0 0 0 0 1,270,868 1,308,994 1,348,264 Notes and Comments: At June 30, 1997 total assets were $1,288,521 and total liabilities were $864,649. Included in those liabilities were real estate mortgages of $443,895 owed to commercial banks, $79,455 owed under a real estate contract, $82,652 in short term notes, $53,196 in deferred revenue and $205,452 in miscellaneous liabilities. The net asset value of the agency at June 30, 1997 was $423,871. Briefly describe how local Funds were spent last year: Local funds were spent on substance abuse information and referral, education, treatment and prevention services. -386- -2- INCOME DETAIL 1 Local Funding Sources a Johnson County b City of Iowa City United Way d City of Coralville · Iowa County f Cedar County g Washington County h DHS- Child & Family Services School Districts 2 Grants- State, Federal, Foundations a IDPH - Treatment b IDPH- Prevention ISAPDA- Training Grants d IMCC (la Med Cl Ctr) e UI Student Health f Ul Rural Drug Abuse Project g County Match - IDPH h Corrections - OWl Juvenile Justice Grant j Medicaid k Managed Care ECl SAFE 3 Net Sales of Services (sources) a Client Fees b EAP & Prevention Contracts c UAJBATs 4 Net Sales of Materials (sources) a Literature Sales 5 Contributions/Donations a United Way Designated Giving b Other Contributions 6 Special Events - List Below a Iowa City Road Races 7 Interest Income 8 Other- List below including miscellaneous a Miscellaneous b Vending c City of IC - CDBG TOTAL INCOME (Show also on page 2, line 1 Notes and Commentsi AGENCY Mid-Eastern Council on Chemical Abuse ACTUAL THIS YEAR BUDGETED NON- LAST YEAR PROJECTED NEXT YEAR DIRECTED FUNDING 391 971 270 317 25 235 23 952 I 000 25 000 1 200 13,125 7,143 25,000 1,724,999 0 195,068 225,536 199,980 38,383 14,540 18,333 62,834 24,539 919,036 26,750 - 646,164 520,101 108,488 17,575 0 0 1,669 855 815 134 134 2,420 12,762 4,458 3,504 4,800 2,780,119 395 049 273 317 26 000 26 532 1 000 25 000 1 200 17,000 0 25,000 1,814,130 0 212,812 205,951 200,000 39,216 14,555 18,333 67,347 27,479 0 1,028,437 0 747,051 570,065 160,000 16,986 0 0 1,849 1,186 663 0 0 2,000 12,145 6,495 850 4,800 2,972,224 PROGRAM PROGRAM 1 2 410,081 58,103 86,578 156,773 284,714 28,186 29,085 135,178 27,084 2,167 8,125 14,842 26,197 1,707 5,617 6,753 1,042 0 0 0 26,043 26,043 0 0 1,250 0 0 0 17,709 0 17,709 0 0 0 0 0 26,043 0 26,043 0 1,852,814 19,098 412,348 595,192 0 0 0 0 221,686 0 0 0 214,539 0 0 0 200,000 0 0 0 40,851 0 40,851 0 15,162 0 15,162 0 19,098 19,098 0 0 70,155 0 0 0 0 0 0 0 0 0 0 0 1,071,323 0 356,335 595,192 0 0 0 0 778,203 0 245,156 366,374 593,837 0 227,462 366,374 166,672 0 0 0 17,694 0 17,694 0 0 0 0 0 0 0 0 0 1,926 1,926 0 0 1,236 1,236 0 0 690 690 0 0 0 0 0 0 0 0 o o 2,083 2,083 0 0 12,652 9,932 0 0 6,766 4,047 0 0 885 885 0 0 5,000 5,000 0 0 3,057,759 91,142 744,082 1,118,339 -3- -387- INCOME DETAIL (continued) 1 Local Funding Sources a Johnson County b City of Iowa City c United Way d City of Coralville · Iowa County f Cedar County g Washington County h DHS- Child & Family Services School Districts 2 Grants- State, Federal, Foundations 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 Juvenile Justice Grant Medicaid k Managed Care ECl SAFE 3 Net Sales of Services (sources) a Client Fees b EAP & Prevention Contracts c UAJBATs 4 Net Sales of Materials (sources) a Literature Sales 5 Contributions/Donations a United Way Designated Giving b Other Contributions 6 Special Events - List Below a Iowa City Road Races 7 Interest Income 8 Other- List below including miscellaneous a Miscellaneous b Vending d City of IC - CDBG TOTAL INCOME (Show also on page 2, line lb Notes and Comments: PROGRAM 3 148,335 92,265 14,842 12,893 1,042 0 1,250 0 26,043 0 341,482 0 221,686 0 0 0 0 0 0 0 0 119,796 0 166,672 0 166,672 0 0 0 0 0 0 0 0 0 521 521 0 0 657,009 PROGRAM 4 0 0 0 0 0 0 0 0 0 0 270,155 0 0 0 200,000 0 0 0 70,155 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 270,155 AGENCY Mid-Eastern Council on Chemical Abuse PROGRAM PROGRAM PROGRAM PROGRAM 5 6 7 8 0 0 0 0 0 0 0 0 0 0 214,539 0 0 214,539 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 214,539 -388- -3a- PROGRAM EXPENDITURE DETAIL 1 ,.,diaries 2 Employee Benefits & Taxes 3 Staff Development 4 Professional Consultation 5 Publications & Subscriptions 6 Dues & Memberships 7 Mortgage, Rent, and Property Tax 8 Building and Maintenance 9 Equipment Purchase/Rental Maint 10 Utilities 11 Telephone 12 Office Supplies and Postage 13 Printing and Publicity 14 Local Transportation 15 Insurance 16 Audit 17 ,..,erest 18 Other (Specify): Program Supplies 19 Vehicle Lease Expense 20 Miscellaneous 21 Service Contracts 22 Assets Expensed TOTAL EXPENSES (Show also on Page 2, line 2, 2a, 2b) Notes and Comments: ACTUAL LAST YEAR 1,614,777 316,019 9,731 8,989 5,106 3,758 14,613 30,554 13,713 30,679 34,459 63,028 10,021 35,316 31,547 12,550 57~403 176,395 2,189 21,697 72,801 91,830 2,657,176 AGENCY Mid-Eastem Council on Chemical Abuse THIS YEAR BUDGETED NON- DIRECTED PROGRAM PROGRAM PROJECTED NEXT YEAR FUNDING 1 2 1,812,634 1,903,313 389,812 434,672 506,539 372,141 387,660 84,204 93,770 100,232 8,178 8,519 955 884 891 32,074 33,411 6,653 291 1,858 4,154 4,327 3.425 I 314 4,296 4,476 3.449 0 (1) 44,446 46,299 0 4,891 0 37,623 39,192 2,100 8,450 15,100 28,750 29,949 587 13,036 7,785 31,987 33,321 31.550 0 0 33.128 34,509 5.347 11,211 5,131 60,513 63,037 15,227 16,210 9,350 9,052 9,429 8,498 0 0 27,958 29,124 7,266 4,331 1,100 32,347 33,696 33,696 0 0 12,500 13,021 1,500 3,200 4,500 54,144 56,402 56,402 0 0 198,587 5,423 3,204 70,105 99,180 2,982,423 206,868 0 13,084 102,377 5,650 0 0 1 3,337 2,409 139 55 73,028 0 0 0 103,316 7,149 28,929 51,529 3,121,884 I 660,229 I 633,099 806,761 -389- PROGRAM EXPENDITURE DETAIL (continued) 1 Salaries 2 Employee Benefits & Taxes 3 Staff Development 4 Professional Consultation 5 Publications & Subscriptions 6 Dues & Memberships 7 Mortgage, Rent, and Property Tax 8 Building and Maintenance 9 Equipment Purchase/Rental Maint 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): Program Supplies 19 Vehicle Lease Expense 20 Miscellaneous 21 Service Contracts 22 Assets Expensed TOTAL EXPENSES (Show also on Page 2, line 2, 2a, 2b) Notes and Comments: PROGRAM 3 353,729 68,384 5,000 24,610 479 1,027 41,407 10,599 6,899 1,771 7,058 6,766 931 9,316 0 2,080 0 8,322 5,650 0 0 13,665 567,693 PROGRAM 4 155,875 28,844 624 0 0 0 0 0 1,642 0 0 0 0 1,796 0 1,000 0 0 0 0 0 1,273 191,054 AGENCY Mid-Eastern Council on Chemical Abuse PROGRAM PROGRAM PROGRAM PROGRAM 5 6 7 8 62,687 12,226 165 0 109 0 0 2,943 0 0 5,762 15,484 0 5,315 0 741 0 83,083 0 734 73,028 771 263,048 -390- AGENCY Mid-Eastem Council on Chemical Abuse RESTRICTED FUNDS ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR Restricted by: Restricted for: Total Restricted Funds (also shown on page 2, line 4) MATCHING GRANTS Grantor/Matched by: Juvenile Cdme Prevention GrantJUnited Way /Johnson County 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) FY97 FY98 FY99 27,479/11,000 0/0 0/0 /3,100 0/0 0/0 45,000~5,000 10,000/0 /4,992 0/0 /2,200 0/0 10,000/40,000 8,333/25,000 90,812/91,292 10,000/40,000 8,333/25,000 28,333/65,000 0/0 0/0 0/0 10,000/40,000 8,333/25,00O 18,333/65,000 IN-KIND SUPPORT DETAIL Services/Volunteers Matedal Goods Space, Utilities, etc. Other: (Please specify) TOTAL IN-KIND SUPPORT (Shown also on page 2, line 5) Notes and Comments: 0 -5- -391- SALARIED POSITIONS Position Executive Director Associate Director Clinical Director Medical Director Physician's Assistant Fiscal Officer Accounting Clerks Secretaries Nurse Manager Prevention Supervisor EAP Staff Registered Nurses Techs/LPN/Misc PT Cook Counselors Prevention Specialist Janitorial Training Coordinator ISAPDA Clerk Martketing Specialist Information Technology Spec. "X" all that apply FTE* Paid Health Retire % Last This Lye Ins Plan Benefits Year Year X X X 18.1 1.00 1.00 X X X 16.6 1.00 1.00 X X X 17.6 1.00 1.00 X X X 13.6 0.50 0.50 X X 7.7 0.50 0.50 X X** X 9.2 1.00 1.00 X X X 17.1 3.00 3.00 X X X 14.4 5.50 6.50 X X X 11.6 1.00 1.00 X X X 18.0 1.00 1.00 X X X 12.0 3.00 3.00 X X X 11.2 5.00 5.00 11.3 8.50 8.50 X X X 28.1 1.00 1.00 X X X 17.2 20.33 23.33 X X X - 16.9 4.00 5.00 7.7 1.00 1.00 X X X 18.3 1.00 1.00 X X X 15.1 0.50 1.00 X X X** 11.0 0.00 1.00 X X X** 11.0 0.00 1.00 AGENCY Mid-Eastern Council on Chemical Abuse ACTUAL THIS YEAR BUDGETED % LAST PROJECT- NEXT CHANG YEAR ED YEAR Next Year 1.00 54,894 56,541 58,237 3.00 1.00 42,558 43,835 45,150 3.00 1.00 40,600 41,818 43,073 3.00 0.50 52,962 54,551 56,188 3.00 0.50 22,682 23,362 24,063 3.00 1.00 37,125 38,239 39,386 3.00 3.00 63,504 65,409 67,371 3.00 6.50 118,738 139,854 144,050 3.00 1.00 33,516 34,521 35,557 3.00 1.00 32,875 33, 861 34,877 3.00 3.00 66,060 68,042 70,083 3.00 5.00 154,901 159,548 164,334 3.00 9.50 171,791 176,945 198,552 12.21 1.00 16,958 17,467 17,991 3.00 24.33 500,542 589,418 627,101 6.3~ .5.00 126,526 130,322 134,232 3.0~. 1.00 19, 715 20,306 20,915 3.00 1.00 40,772 41,995 43,255 3.00 1.00 18,058 18,600 19,158 3.00 1.00 0 30,000 30,900 3.00 1.00 0 28,000 28,840 3.00 TOTALS * Full-time equivalent: 1.0 = full-time; 0.5 = half-time; etc. ** Eligible for these benefits but have elected not to enroll. 59.83 67.33 69.33 1,614,777 1,812,634 1,903,313 5.00 -392- AGENCY: Mid-Eastern Council on Chemical Abuse ACCOUNTABILITY QUESTIONNAIRE Agency's Mission Statement or Primary 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 early detection and interruption of substance abuse careers and to reintegrate the problem 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 3. Briefly describe 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 on 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 28 contracts to provide EAP services. Also, we provide drug screening services to area employers interested in pre-employment drug screening and post-ac~ident .screening. 2. Does your agency have an internal audit~"~xternal aud_~or 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. 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 Director's Personnel Committee -393- 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:one hour of face to face contact Group Counseling: one unit = one hour per client, of face to face group time Residential Services: one unit = one day of residence in the facility Prevention Services: one unit = one hour of face to face activities 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 agency serve? 3. How many Coralville residents did your agency serve? 3b. How many units of service did your 4a. agency provide? 4b. Enter Years --> 96 97 la. Duplicated Count 38,007 27,318 lb. Unduplicated Count 14,126 5,051 2a. Duplicated 6,256 5,080 Count 2b. Unduplicated Count 2,749 1,827 3a. Duplicated 399 484 Count Unduplicated Count 265 348 Total 36,807 35,834 To Johnson County 13,856 13,309 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 primary catchment area of MECCA. However, residential services are provided to clients from across the state per requirements of 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: Federal and State block grant funds, Medicaid, private insurance, contracts, county funds, client fees. 8 -394- AGENCY: Mid-Eastern Council on Chemical Abuse 6. Client Profile (for last complete year, if available): This data relates only to treatment clients seen in our comprehensive treatment program, IMCC program, Hope House OWl program, or University of Iowa Student Health Services. People having contact with the EAP and Prevention programs are not included in this profile. Age Gender Ethnicity = 0-5 346 M 4,845 African American 856 6-17 F 1,140 Native American 103 18-29 3,868 Asian 37 30-61 1,752 Hispanic 332 62-75 19 White 4,770 75 + Multi-racial 216 7. Evaluation and Review: A. Please discuss how your agency measures the success of its programs. The success of our programs are measured in several manners. We are obviously very concerned about the ability of our clients to maintain their sobriety 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. We are currently the site of a National Institute of Drug Abuse (NIDA) funded, multi-year research project which provides some objective outcome data. 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 made a major investment in computerizing all facets of our agency services from internal E-mail, scheduling, billing, progress notes, quality assurance, and cost accounting. 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 carriers 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 and TB on our clients, increasing multiple diagnosis and complexity of problems and continue to struggle with how best to provide for their specific needs. -395- 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. The current Iowa Plan for integrating Substance Abuse funding with Human Service and Mental Health funding creates uncertainties for MECCA's future as well as the future of human service delivery in general. List concerns and 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 turn 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? 8 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) Agency Directors Meetings. X Agencies Representative to Funding Hearings Business Blitz Day of Caring __ Executive Development Seminars Kick Off Victory Reception __ Volunteer Action Center Other: health insurance committee X -396- lO 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 primary 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 private 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 open to fill a void in the continuum of substance abuse and mental health services available to area residents. 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 offering loosely defined schedules but clearly defined treatment objectives. We need to restructure our financial operations to move from an orientation towards grant and contracts administration to billing for services. We have participated in a strategic planning process and are currently involved with the implementation of that plan. ]] -397- 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 Program 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, 1998 and June 30, 1999 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/Crisis 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 160 persons between July 1, 1998 and June 30, 1999. Tasks: 1. Maintain the current staffing level. Prevention Program 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. -398- ]2 AGENCY: Mid-Eastern Council on Chemical Abuse Objective A: Provide 2800 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 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. -399- AGENCY: Mid-Eastern Council on Chemical Abuse Objective A: Provide twenty-four training opportunities across the state during fiscal year 1999. 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. Objective 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. -400- 14 HUMAN SERVICE AGENCY BUDGET FORM City of Corelvlfie Jobneon County City of Iowa City United Way of Jobneon County CHECK YOUR AGENCY'S BUDGET YEAR 111198- 12131198 411/98- 3/31199 7/1198 - 6130!99 X Director: Robert A. Jackson Agency Name: Mid-Eastern IA ~ Address: 507 East ~olle~e Street Phone: (319) 338-3813 Approved by Board Chair: / 10/1/97 on 10/1/98 - 9/30/99 COVER PAGE Program Summary: (Please number programs to correspond to Income & Expanaa Detail, i.e. Program 1, 2, 3, etc.} o o 10. 11. Psychiatry Services: Evaluation and Treatment Supported Con~nunity Living: Life management skill training in a structured environment Psychiatric Rehabilitation: Services to Community Support Program (CSP) clients leading to more successful functioning and participation in the community Day Treatment: Structured Treatment Program for CSP clients. Clubhouse: Pre-vocational and client driven programming Homeless: Persons with Mental Disorders - Outreach and Coordination Family Support Services; In-home personal and system supports Family Centered Services: Rehabilitative treatment and supportive services for children Psychotherapy Services: Evaluation and Treatment Senior Peer Counseling: Outreach Peer Counseling to Seniors 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 4/1/96- 4/1/97- 4/1/98- 3/31/97 3/31/98 3/31/99 $ 13,400 $ 15,000 $ 15,750 FY97 FY98 FY99 $ $ $ $ 842,209 $ $ $ $ % of Total Budget 0.5% -401- -402- BUDGET SUMMARY AGENCY: Mid-Eastern Iowa Community Mental Health Center ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR Enter Your Agency's Budget Year ~> 7/96 - 6/97 7/97 - 6/98 7/98 - 6/99 1. TOTAL OPERATING BUDGET (total a+b) 2,780,285 3,006,382 3,083,729 a. Carryover Balance (Cash from line 3, previous cohmm)* 909,924 834,768 829,244 b. Income (Cash) 1,870,361 2,171,614 2,254,485 2. TOTAL EXPENDrrURES (Total a+b) 1,943,888 2,138,138 2,279,721 a. Administration 524,133 464,920 491,722 b. Program Total (List Progs. Below) 1,419,755 1,673,218 1,787,999 1 Psychiauy 453,796 675,978 728,901 2 Supported Community Living 163,955 142,058 142,872 3 Psychiatric Rehabilitation 0 8,283 17,294 4 Day Treatment 12,090 12,196 13,789 5 Clubhouse . - - 56,915 58,896 54,963 6 Homeless 40,140 36,831 36.748 7 Family Support Services 75,984 96,760 113,639 8 Family Centered Services 0 24,951 34,153 9 Psychotherapy 589,408 571,721 598,317 10 Semor Peer Counseling 13,167 32,001 32,883 11 Consultation & Education 14,300 13,543 14,440 3. ENDING OPERATING BALANCE (Subtract 1- 2) [ 836,397 II 868,244 II 804,008 I 4. RESTRICTED FUND BALANCE (Total from page 5~ 0 0 0 5. IN-KIND SUPPORT (Total from Page5 ~ 20,247 21,186 21,186 6. NON-CASH ASSETS 562,696 523,696 475,696 Notes and Comments: Line 3: $836,397 $868,244 $804,008 Add Back Capitol Expenditures 47,225 9,000 0 Subtract Depreciation (48,854) (48,000) (48,000) Equity at Year End (Carried Forward to $834,768 $829,244 $756,008 Line la next column) Cash, Receivables & Prepaids $388,333 Property & Equipment 562,696 Less Payables ( 116,261 ) *Briefly describe how local funds were spent last year: $834,768 Local funds partially supported direct costs for all programs vath the excepUo~ of Senior Peer Counseling. Local funds also partially supported our administration expenses. 2 INCOME DETAIL AGENCY Mid-Eastern Iowa Community Mental Health Center ACTUAL THIS YEAR BUIX~ETED NON- PROGRAM PROORAM LAST YEAR PROJECTED NEXT YEAR DIRECTED 1 2 7D6-6D7 7/97-6/98 7/98-6/99 FUNDING Psychiatry Supportal Comm Living 1. Local Funding Sources- 978,265 1,137,690 1,193,396 265,557 } 438,672 99,932 a. Johnson County 842,209 1,000,841 1,050,883 236,486 422,087 80,792 b. Iowa County 38,599 38,599 40,143 9,264 5,200 ¢. ***Unit~! Way of Johnson County 15,000 15,750 16,538 d. Cellar County 80,800 80,800 84,032 19,392 10,000 1%140 e. N~v Hrizon Res. (C~dar Co.) 1,657 1,700 1,800 415 1,385 2. C-rants - State, F~deral, Foundations 270,244 181,606 192,295 21,226 13,052 27,940 a. Johnson County Comm. Sen'vice 110,973 0 0 b. Johsnon County Deeategorizafion 72,233 66,920 66,920 11,614 ¢. * CMHS Block Grant 60,187 55,880 55,880 13,052 27,940 d. CMHS Block G-rant Subconlxaet 0 32,068 42,757 9,612 c. ** PATH Grant 26,388 26,388 26,388 f. HACAP 88 100 100 g. IA East C~ntral T.R.A.I.N. 244 250 250 h. F~deral Work Study 131 0 0 3. N~t Sales Of Services (souw, es) 598,315 808,090 848,494 166,340 277,177 15,000 a. Client Fees 114,542 120,269 126,282 140 40,000 b. County & State Fee for Sen-vice ' ' ~,014 120,000 126,000 29,000 41,000 5,000 ¢. Mexticaid 222,335 260,527 273,553 63,000 74,177 10,000 d. MMicare 45,315 58,730 61,667 14,000 22,000 c. Private Ins. 215,109 248,564 260,992 60,200 100,000 4. Net Sales of Materials (sources) 0 0 0 0 0 0 5. Contributions/Donations 4,385 3,450 3,500 1,000 0 0 a. Unit~xt Way Designareal Giving 1,124 1,000 1,000 1,000 b. other Contributions 3,261 2350 2,500 6. Special Events 2,535 28,000 3,000 1,062 0 0 a, Iowa City Road Races 2,535 3,000 3,000 1,062 b. Board Fundraiser 0 25,000 0 C. 7. Interest Income 6,023 2,000 2,000 2,000 8. other - List Below 10,594 10,778 11,800 9300 I 0 I 0 a. Reports/Records 3,607 4,750 5,000 5,000 b. Consultation 2,566 2,028 2,500 c. Other Income 4321 4,000 4,300 4,300 TOTAL INCOME (same as p. 2, line lb) 1,870,361 2,171,614 2,254,485 466385 728,901 142,872 Notes and Coremeros: * Commumty Mental Health Services Block Grant fimded through the U.S. Dept. of Health & Human Services (Commumty Support Programming for Adults & Comprehensive Services to Children & Adolescents) ** Formula Grant Funded through the Federal Steward B. McKinney Projects for Assistance in Transition from Homelessness (PATH) **'1 IW timdine is reco~ized in the year r~ledeed -403- AGENCY Mid-Eastern Iowa Community Mental Health Center INCOME DETAIL (cont) 1. Local Funding Sources- a. Johnson County b. Iowa County c. United Way of Johnson County d. Cedar County e. New Horizon Res (Cedar Co.) 2. Grants - State, Federal, Foundations a. Johnson Co, Comm. Service b. Johnson Co. Decatergorization c. CMHS Block Grant d. CMHS Block Grant Subcontract e. PATH Grant f. HACAP g. IA East Central T.R_A.I.N. h. Federal Work Study 3. Net Sales Of Services (sources) a. Client Fees b. County & State Fee for Service c. Medicaid d. Medicare e. Private Insurance 4. Net Sales of Materials (sources) 5. Contributions/Donations a. United Way Designated Giving b. Other Contributions 6. Special Events a. Iowa City Road Races b. Board Fundmiser C. 7. Interest Income 8. Other - List Below a. Reports/Records b. Consultation c. Other Income PROGRAM PROGRAM 3 4 Psychiatric Day Rehabfiitafion Treatment 6,918 7,789 6,918 7,289 50O I ol ol 10,376 6,000 PROGRAM PROGRAM PROGRAM PROGRAM 5 6 7 8 Clubhouse Homeless Family Supp. Family Services Centered Serv 33,713 I 10,360 I 0 I 34,153 28,713 10,360 34,153 5,000 0 [ 26,388 I 88,451 [ 0 26,388 55,306 33,145 20,000 0 I 22,000 I 0 10,000 10,000 22,000 ol ol ol o 1,250 [ 0 [ 1,250 [ 0 1,250 1,250 1,938 -404- TOTAL INCOME (same as p. 2, linelb) 17,294 13,789 3~ 54,963 36,748 113,639 34,153 INCOME DETAH~ (cont) 1. Local Funding Sources- a. Johnson County b. Iowa County c. Urnted Way of Johnson County d. Cedar County e. New Horizon Res (Cedar Co.) 2. Grants - State, Federal, Foundations a. Johason Co. Comm. Service b. Johnson Co. Decatergorization c. CMHS Block Grant d. CMI-IS Block Grant Subcontract e. PATH Grant f. HACAP g. IA East Central T.R.A.I.N. h. Federal Work Study 3. Net Sales Of Services (sources) a. Client Fees b. County & State Fee for Service c. Medicaid d. Medicare e. Private Insurance 4. Net Sales of Materials (sources) 5. Contributions/Donations a. United Way Designated Giving b. Other Contributions 6. Special Events a. Iowa City Road Races b. Board Fundraiser c. 7. Interest Income 8. Other - List Below a. Reports/Records b. Consultation c. Other Income AGENCY Mid-Eastern Iowa Community Mental Health Center PROGRAM PROGRAM PROGRAM 9 10 11 Psychotherapy Senior Peer C & E Counseling 251,479 32,883 I 11,940 195,800 16,345 11,940 25,679 16,538 30,000 15,2381 o I o 14,888 100 250 331,601 I 0 I 0 86,142 41,000 78,000 25,667 100,792 0I 0 0 0I 0 0 I I 2,500 2,500 TOTAL INCOME (same as p. 2, linelb) 598,318 32,883 3B 14,440 -405- PROGRAM EXPENDITURE DETAIL AGENCY Mid-Eastern Iowa Community Mental Health Center ACTUAL THIS YEAR BUDGETED PROGRAM LAST YEAR PROJECTED NEXT YEAR ADMINISTRA- 1 7/96-6/97 7/97-6/98 7/98-6/99 TION Psychiatry 1. Salaries 1,207,955 1,347,359 1,428,399 315,605 2. Employee Benefits & Taxes 258,598 313,934 335,629 86,192 3. Staff Development 18,831 22,729 23,866 5,085 4. Professional Consultation 34,219 25,453 26,725 26,725 5. Publications & Subscriptions 2,431 2,773 2,922 491 6. Dues and Memberships 4,775 5,585 5,931 997 7. Rent* 10,740 18,540 19,655 8. Building and Equip. Maint.*** 53,430 59,112 87,369 18,137 9. Equipment, Bldg., & Major Repairs 47,225 9,000 0 10. Utilities 18,666 20,291 20,492 4,264 11. Telephone 18,492 19,314 19,689 4,096 12. Office Supplies & Postage 46,809 42,479 44,958 13,792 13. Printing and Publicity 10~437 11,781 12,483 14. Local Transportation 8,283 17,116 18,422 1,714 15. Insurance 38,189 34,631 36,630 3,813 16. Audit 8,300 5,500 5,775 5,775 17. Collection Fees 0 800 840 840 18. Other (Specify):Medical Supp. 1,425 594 632 422 19 Prog. Activities/Supplies 8,335 9,388 10,018 350 20 Food 12,143 13,676 14,497 2,101 21 Pharmacy Charges 96,211 113,316 118,982 22 After Hours/Emergency** 15,625 23,484 24,970 23 Recruitment 9,215 1,450 0 24 Facilitators-Batterers' Groups 6,531 6,500 6,825 25 Other Expenses 7,023 13,333 14,012 1,323 TOTAL EXPENSES ( p. 2, line 2) 1,943,888 2,138,138 2,279,721 491,722 Notes and Comments: * Reflects rental of space in Muscatine, IA beginning 12/1/96. ** Agreemere with the Crisis Center through 10/97 ($14,000/year) FY97 includes $1,625 Physicians' Ass't Weekend Coverage 458,198 82,673 3,760 0 684 1,388 4,661 17,668 2,780 2,671 5,522 1,733 2,919 13,762 0 0 127 118,982 5,906 0 5,467 728,901 PROGRAM 2 Supported Corem Living 86,681 22,556 2,403 0 241 488 3,152 7,060 1,859 1,786 3,604 438 4,096 3,095 160 165 1,434 0 3,384 0 270 142,872 ~**FY99 includes $25,000 for painting our 507 E. College and our 505 E. College buildings (to be financed by a FY98 fundraiser). -406- PROGRAM EXPENDITURE DETAH. AGENCY Mid-Eastern Iowa Community Mental Health Center 1. Salaries 2. Employee Benefits & Taxes 3. Staff Development 4. Professional Consultation 5. Publications & Subscriptions 6. Dues and Memberships 7. Rent 8. Building and Equip. Maint. 9. Equip, Bldg., & Major Repairs 10.Utilities 11. Telephone 12. Office Supplies & Postage J. Printing and Publicity 14. Local Transix)ration 16. Audit 17. Collection Fees 18. Other ($pecify):Medical Supplies 19 Prog. Activities/Supplies 20 Food 21 Pharmacy Charges 22 Emergency Agreement 23 Recruitment 24 Facilitators-Battcrers Groups 25 Other Expenses TOTAL EXPENSES (p. 2, line 2) PROGRAM 3 Psychiatric Rehabilitation 10,861 2,822 147 0 28 56 364 674 PROGRAM PROGRAM PROGRAM PROGRAM PROGRAM 4 5 6 7 8 Day Clubhouse Homeless Family Supp. Family Treatment Services Centered Serv 7,570 22,894 24,362 68,795 22,446 1,948 6,035 5,152 18,957 5,917 194 913 635 1,911 473 0 0 0 0 0 16 70 51 195 69 32 143 103 396 141 0 235 148 5,447 882 2,352 2,809 2,324 4,256 866 215 168 1,775 240 358 97 206 162 1,705 230 344 94 416 308 1,631 1,039 4,323 765 51 35 430 179 629 56 473 6 56 201 2,644 701 357 339 1,659 807 1,821 470 18 0 0 0 0 0 19 153 5,476 250 766 263 166 17 7,929 53 743 263 0 0 0 0 0 0 391 230 1,063 827 1,960 545 0 0 0 0 0 0 30 259 140 147 94 105 17,294 13,789 54,963 36,748 113,639 34,153 4A -407- PROGRAM EXPENDITURE DETAII. AGENCY Mid-Eastern Iowa Community Mental Health Center PROGRAM 9 Psychotherapy 1. Salaries 2. Employee Benefits & Taxes 3. Staff Development 4. Professional Consultation 5. Publications & Subscriptions 6. Dues and Memberships 7. Rem 8. Building and Eqmp. Maint. 9. Equipment, Bldg., & Major Repairs 10.Utilities 11. Telephone 12. Office Supplies & Postage 13. Printing and Publicity 14. Local Transportation 15. Insurance 16. Audit 17. Collection Fees 18. Other (Specify):Mextical Supplies 19 Prog. Activities/Supplies 20 Food 21 Pharmacy Charges 22 Emergency Agreemere 23 Recruitment 24 Facilitators-Batterers Groups 25 Other Expenses TOTAL EXPENSES (p. 2, line 2) 381,105 95,324 7,486 0 1,053 2,138 4,766 28,525 8,272 7,948 12,427 8,779 5,126 9,609 32 2,044 885 0 9,812 6,825 6,161 598,317 PROGRAM PROGRAM 10 11 Senior Peer C & E Counseling 19,730 10,152 5,726 2,327 703 156 0 0 11 13 22 27 0 0 1,754 944 417 47 401 46 894 237 108 45 431 55 691 207 0 0 525 7 764 15 0 0 706 146 0 0 0 16 32,883 14,440 -408- 4B Mid-Eastern Iowa Community Mental Health Center RESTRICTED IrONDS: No board res~ctions at this time. Restricted by: Restricted for: ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR TOTAL RESTRICTED FUND (also shown page 2, line 4) 0 o ol MATCHING G~ Grantor/Matched by UI Work Study/Johnson County U.S. Stewart B. McKinney PATH (Homeless) Crrant $131/$180 $0/$0 $0/$0 $26,388 / $13,752 $26,388 / $10,443 $26,388 / $10,360 TOTAL MATCHING GRANTS (also shown pg. 3. line 2) $26,519 / S13,932 $26,388 / S10443 $26,388 / S103601 IN-KIND SUPPORT DETAIL Services/Volunteers * Senior Peer Counselors Material Goods ** Space, Utilities, etc. Senior Center Other: (Please specify) Semor Center Staff (104 hours at $9/hr) Space, Utilities, etc. Iowa County Courthouse ~OTAL IN-KIND SUPPORT (also shown on pa~e 2, line Notes and Comments: · FY1997:1,542 hours~ $11.00/hour FY1998 & FY1999:1,750 hours ~ $11.00/hr ** Art work donated $1,133 Books donated 6O Pies donated 156 $16,962 $19,250 $19,250 Sl,349 $0 $o $280 $280 $280 $936 $936 $936 $720 $720 $720 S20,247 $21,186 [ $21,186 -409- SALARIED POSITIONS Position Executive Director that apply 49 X X 21.1 AGENCY Last Year 1.00 FIEt This Year 1.00 lv!id-Eastem Iowa Community Mental Health Center Salary Next Actual This Budgeted % Year Last Year Year Next Year Change 1.00 61,489 61,489 63,949 4% Coord. Psychoth. Clinical Social Workers Clinical Psychologist Social Workers 49 X X 22.0 49 X X 26.0 49 X X 22.5 49 X X 27.2 1.00 7.91 1.00 2.00 1.00 8.55 0.95 3.72 1.00 47,223 47,223 49,112 4% 9.40 269,962 213,892 222,447 4% 1.00 43,911 41,660 45,667 4% ** 3.96 49,903 88,054 102,216 4% ** D/rector OSP Psych. Nur~ Counselors Counselors 49 X X 22.6 49 X X 24.3 49 X X 27.5 7.9 1.00 0.94 3.87 0.52 1.00 1.00 42,713 42,713 44,422 4% 1.00 1.00 33,259 33,259 34,589 4% 4.50 4.60 95,873 108,137 114,810 4% ** 0.26 0.25 10,580 6,017 6,100 4% ** Psychiatrists Psychiatrists-Contractual Physicians' Assl. Psychiatric Nurse 49 X X 19.1 49 X X 21.7 49 X X 27.1 1.68 0.25 1.00 0.28 3.00 3.00 162,910 348,250 366,080 4% *** 0.00 0.00 32,191 0 0 1.00 1.00 51,667 52,500 54,600 4% 0.75 0.75 8,388 22,943 23,868 4% Accountant Administrative Assistant Insurance Specialist Billing Clerk Medical Records Medical Records - Temps Special Projects Office Manager Secretaries Secretaries Work-Study/Office Clerical Temp Vacation Expense Total Salaries & FTE 49 X X 24.0 49 X X 25.8 49 X X 29.6 49 X X 25.7 49 X X 27.4 49 X X 28.1 49 X X 31.1 49 X X 26.8 49 X X 31.8 7.9 * Full-time equivalent: 1.0=full-time; 0.5=half-time; etc. 1.00 1.00 1.00 34,386 0.95 1.00 1.00 24,935 0.23 0.67 1.00 4,345 1.00 1.00 1.00 26,758 1.56 1.94 1.94 38,536 1.03 1.10 1.00 22,490 1.09 1.00 1.00 17,546 0.19 0.00 0.00 4,306 0.35 0.00 0.00 7,851 1.05 1.00 1.00 24,574 3.26 3.97 4.38 59,482 0.88 0.24 0.09 13,349 0.02 0.00 0.00 311 0.35 0.00 0.00 7,859 11,158 35.41 34,386 35,%1 4% 26,780 27,851 4% 12,333 19,178 4% ** 27,300 28,392 4% 44,705 46,572 4% 24,460 22,231 4% 16,286 16,973 4% 0 0 0 0 23,690 24,638 4% 67,865 77,687 4% ** 3,417 1,256 -63% ** Percentage shown is based on rate of pay - note change in FTE. AGENCY Mid-Eastern Iowa Community Mental Health Center ACCOUNTABILITY QUESTIONNAIRE 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. Board of Directors: Co Please attach a list of your agency's Board of Directors Frequency of meetings: Once everv two months-six meetinqs 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 presentations put on by outside agencies. Finances: 2 o 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. This fee scale was established with input from the Johnson County Department of Mental Health/Developmental Disabilities. Persons in the lowest income bracket do not have a fee (up until 7/1/97, our minimum fee was $5). Our maximum fee is full charge. Some programs are available to clients at no charge. These include Homeless, Family Support Services, Family Centered Services and Senior Peer Counseling. Fees for Consultation and Education vary from no charge to as high as $130 per hour. Does your agency have-an internal audit,~ternal au~ or a financial review? (circle one) Frequency: annualiv 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 FY96 No FY97 Please discuss your agency's fundraising efforts, if applicable. (e.g. events, direct mail campaign, planned giving, etc.) 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. In the current fiscal year, our Board of Directors will be coordinating a fundraising effort to raise monies to paint our four Iowa City buildings. We hope to raise $25,000 from this effort. Management: 1. 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 Executive Committee of the Board of Directors. -411- MID-EASTERN IOWA COMMUNITY MENTAL HEALTH CENTER BOARD MEMBERS 1997 - 1998 CEDAR COUNTY Charles Hubble 205 E. 8th Street Tipton, Ia. 52772 PHONE POSITION TERM H (319) 886-6909 Member 1998 O (319) 886-2070 Mary Eggerling Trinity Evangelical Lutheran Church 120 W. 7th Tipton, Iowa 52772 H (319) 886-1209 H (319) 668-2390 O (319) 886-2991 Member 1998 1995 Julie Cowley 200 9th Avenue Durant, Iowa 52747 H (319) 785-4908 O (319) 785-4433 Member 1999 1993 Leroy Moeller Cedar Co. Courthouse Tipton, Iowa 52772 H (319) 893-3460 O (319) ? Member * 1994 Ginny Powers 604 6th Street Durant, Iowa 52747 IOWA COUNTY Rick Gerard P.O. Box 65 3903 G St. Amana, IA 52203 H (319) 785-4593 H (319) 622-3818 Member 2000 1997 Member * 1995 James Ragland MarengoMemorial Hospital Box 228 Marengo, Iowa 52301 O (319) 642-5543 Vice-President 1998 Vivian Kalambaheti 206 Washington St. Box J Victor, Iowa 52347 H (319) 647-2261 O (319) 647-2151 Secretary/ 1999 Treasurer Schael Engle 1207 W. State Street Williamsburg, Iowa 52361 H (319) 668-1228 W (319) 356-2207 YEAR JOINED 1992 Bonnie Lindenmayer 750 W. Washington Marengo, Ia. 52301 H (319) 642-5467 1993 1993 Member 1999 1993 Member 1998 1992 -412- G:\WPDATA~BOARD\98MEM.LST page 2 Mid-Eastern Iowa Community Mental Health Center Board Members 1997-1998 JOHNSON COUNTY Sally Stutsman 3714 500 St. S.W. Riverside, IA 52327 Ernilie 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 o~ry Meis 3 Hickory Ridge LN NE Iowa City, IA 52240 * Board of Supervisors PHONE POSITION TERM H (319) 679-2347 O (319) 356-6000 H (319) 351-1818 H (319) 351-4378 H (319) 351-8220 H (319) 351-2037 Member * 1995 Immediate 1998 Past President YEAR JOINED 1992 Member 1998 1992 President 1999 1993 Member 2000 1997 Updated 10/03/97 G:\WPDATA~BOARD\98MEM.LST 7B -413- 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-S55 per 15 minute unit FY 1997 - 9,667 fifteen minute units provided. Direct Service Supported Community Living Individual Support Services, Group Support Services, and Supported Employment Unit of Service/Cost: 15 minutes-S17 per 15 minute unit FY 1997 - 14,811 fifteen minute units provided. Direct Service o Psychiatric Rehabilitation Services Services for persons with a Chronic Mental Illness, which will lead to more successful functioning and participation in the community. Unit of Service/Cost: 15 minutes-No cost data for FY 1997 FY 1997 - No units of service provided Direct Service o Day Treatment Services Intensive Day Programming for persons with a Chronic Mental Illness Unit of Service/Cost: 1/2 day-S33 per half day unit FY 1997 - 560 half day units provided. Direct Service o Clubhouse Services Pre-Vocational Program for persons with a Chronic Mental Illness Unit of Service/Cost: 1/2 day-S14 per half day unit FY.1997 - 6,549 half day units provided. Direct Service 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-S35 per 15 minute unit FY 1997 - 1,728 fifteen minute units provided. Direct Service Family Support Services Outreach and support to families where one or both parents have a Chronic Mental Illness (Johnson County). Unit of Service/Cost: 15 minutes-S24 per 15 minute unit FY 1997 - 5,237 fifteen minute units provided. Direct Service Family Centered Services Rehabilitative treatment and supportive services which address children's emotional and behavioral disturbances and other dysfunctional behavior. Unit of Service/Cost: 15 minutes-No cost data for FY 1997 FY 1997 - No units of service 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 per 15 minute unit FY 1997 - 40,164 fifteen minute units provided. Direct Service -414- 8 AGENCY Mid-Eastern Iowa Community Mental Health Center 10. Senior Peer Counseling Services Trained Senior Volunteers provide peer counseling to senior citizens in Johnson County. Unit of Service/Cost: 15 minutes-S3 per 15 minute unit FY 1997 - 6,168 fifteen minute volunteer units provided. Direct Services 11. Consultation & Education Individual and Community Consultation & Education Unit of Service/Cost: 15 minutes-S11 per 15 minute unit FY 1997 - 1,888 fifteen minute units provided. Direct Services Please supply information about clients serviced by your agency during last two complete budget years. Refer to form instructions for definition of duplicated and unduplicated. o Enter Years FY 96 FY 97 How many Johnson County residents (including Iowa City and Coralville) did your agency serve? la. Duplicated 1,991 1,546 Count lb. Unduplicated 1,644 1,293 Count How many Iowa City residents did your Agency serve? 2a. Duplicated Not Not Count Avail. Avail. 2b. Unduplicated 1,289 776 Count How many Coralville residents did your agency serve? 3a. Duplicated Not Not Count Avail. Avail. 3b. Unduplicated 206 114 Count How many units of service did your agency provide? * 15 minute units ** During the 1997 FY, we began tracking based on county of legal settlement instead of county of residence. 4a. Total 4b. To Johnson County Residents** 137,202' 138,751' '104,339' 86,956' 5. Other Areas Served: Do you provide services to areas outside of Johnson County? Area(s): Cedar, Iowa, Muscatine and Washinqton counties Services provided: PsychotherapY, Psychiatry, & SuDport Services, includinq Day Treatment; SuDDorted Community Livinq and Clubhouse. Funding Sources: County MH-DD dollars, insurance, and fee for service. 8A -415- AGENCY Mid-Eastern Iowa Community Mental Health Center 6. Client Profile (for last complete year, if available): Age 0 - 5 January 1997 - March 1997 Gender Ethnicity 15 M 650 African American 48 6 - 17 212 F 946 Native American 3 18 - 29 411 Figures to not include Asian 5 the following programs: 30 - 61 901 Family Support Services Hispanic 17 62 - 75 44 Senior Peer Counseling White 1503 75 + 13 Multi- racial/unknown 20 Evaluation and Review: A. Please discuss how your agency measures the success of its programs. Every three years, our programs, clinical records and QA 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 clinical outcomes measurement system. We measure problem resolution, overall centers 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 on productivity including percent of direct client contacts per clinician, 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. C. 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. 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. o 10. 11. 12. ENCY: 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 provide the necessary services to clients and the dramatic changes in how services will be funded and/or who will pay. List concerns/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? Currently, we operate without a waiting list. Mow many people are currently on your waiting list? In what way(s) are your agency's services publicized? Telephone books Brochures Consultation and Education Publicity in newspapers 13. United Way involvement by your agency: (Check if agency participates) a 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 10 -417- AGENCY HISTORY Mid-Eastern Iowa Community AGENCY Mental Health Center (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 Board of Directors is the policy-making body of the Center. The board is made up of five persons from each of three counties (Cedar, Iowa, and Johnson counties). The Center opened in 1969, offering Outpatient 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, Family Support Services and Family Centered Services. Our Community Support Program Services includes Day Treatment, Supported Community Living, and Clubhouse. Beginning in January of 1998, it will also include Psychiatric Rehabilitation. Supported Community Living 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. 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 demanding. Managing our increased costs will be very difficult. Current activities as well as future-plans will involve our 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. 11 -418- AGENCY Mid-Eastern Iowa Community Mental Health Center AGENCY PROGRAM GOALS AND OBJECTIVES FY-1999 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 1,500 client systems in Johnson County, 140 client systems in Cedar County, 125 client systems in Iowa County, 100 client systems in Muscatine County, 75 client systems in Washington County as well as serving 100 seniors through our Senior Peer Counseling program. Task: 1. To increase productivity. 2. To increase utilization management capabilities. 3. To continue our efforts of providing senior peer counseling services to seniors. o To increase our efforts to create affiliation relationships with other providers. Objective B: To provide up to 300 hours of consultation and education =rvices in Johnson County,~40 hours in Cedar County and 30 hours in Iowa County. Tasks: To meet requests for consultation from community agencies and groups. 2. 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 forpurposes of determining need for hospitalization 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. o Coordinate with judicial magistrates concerning people who are in need of voluntary commitment. 3. Coordinate admissions with staff at mental health institutes. 12 -419- AGENCY Mid-Eastern Iowa Community Mental Health Center Objective D: To provide community support program services for about 150 persons in Johnson County and for about 25 persons in Cedar County and the same services to 100 people who are legally settled in other Iowa counties and/or are state cases. To provide outreach services to 87 chronically mentally ill homeless persons. Tasks: To offer Supported Community Living services including community living and social skills training, personal support, functional assessments and medication support services. o To increase clubhouse capabilities for providing care to the chronically mentally ill. o To review day treatment services and assess the need for continuing the service. o To review with other community providers the need for enhanced crisis stabilization. 5. To implement psychiatric rehabilitation services. 6. To continue our outreach efforts to homeless persons. Objective E: Tasks: To expand Family Support and Family Centered Services. To sustain decategorization funding for Family Support Services while diversifying funding options. To position the center to provide expanded Family Centered Services in light of the new statewide Medicaid contract. Objective F: To provide emergency services to about 200 persons a year in face-to-face interviews and about 3,000 telephone calls a year. Tasks: 1. To refine our own on-call emergency services system. o To allow for times each day to respond to people needing immediate care. To review and upgrade our crisis stabilization services in light of managed care requirements. 12A -420- 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 1/1/98 - 12/31/98 4/1/98- 3/31/99 7/1/98- 6/30/99 X Director: Brian Loring Agency Name: Neighborhood Centers of Johmon County Address: P.O. ~,x 2794, Iowa Cily IA 52244 Phone: (319) 358-0438 Completed by: Brian_L,Loring, f-, ~ Approved by CA' 0~~~._~'~ (date) COVER PAGE Program Summary: (Please number programs to correspond to Income & Expense Detail, i.e., Program 1, 2, 3, etc.) 1. Education Protrams en~urage positive family interaction which assists children in reaching their full potential. Working together with parents and children, activities include; child COOl:~-watives, 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 throu~ the slate education degartments of Even Start Literacv, At-Risk Four Year olds and Support Programs for Parents of At-Risk Children Birth through Three. 2. Prevention Protrams facilitate the individual, family and neighborhood, coopemtiveh' preventing young people from bacormng ~nvolvcd in crime, drug abuse and violent behavior. Activities include; cultural alliance after school programs, commumt~. service 'ograms, drug and violence prevention, teen programs, summer intensive suocrvision, pre-vocatinnal training, in-schonl mentors, tutoring, young black men's group and neighborhood councils. A satellite center in the Clear Creek commumtv coordinates activities for youth and teens, and for newborns and their families. Prevention Programs are partialIv funded through the state ~ent of Human Rights, Department of Public Health, Family Preservation Grant, and the Delmrtment of Human Services 3. Nei£hborhoodSut)tn)rt Services build and create cooperative efforts within the neighborhoods. Programs include: child care for infants, toddlers and school aged youth, transportation to school and commumtv events, direct assistance, grocerx' shoooing, neighborhood surveys, board membership, outreach and referrals. Child care programs are funded through Title 20, Promise Jobs, Transitional Child Care, Protective Child Care, intent fees and the USDA Child Care Food Program. 4. Pheasant Ridee Buiidine Proiect was completed during Fiscal Year 97. Neighborhood Centers occupied the building on June 28,1996. Final projects such as the playground, landscaping, and other details were coml~leted in FY97. The proiect was funded through the Iowa Cit3' Com_munitv Development Block Grant, Proctor and Gamble, General Mills, the Carver Foundation, Variety Club, Mid American Enerm,, the Scanlon Foundation, the Braverman Foundation and a local capital campaign. Local Funding Summary : United Way of Johnson County - - Does Not Include Designated Gvg. City of Iowa City Johnson County City of Coralville 4/1/96 - 4/1/97 - 4/1/98 - 3/31/97 3/31/98 3/31/99 $ 52,400$ 60,280$ 82,000 FY97 FY98 FY99 $ 49,000 $ 52,000 $ 68,290 $ 33,652 $ 37.902$ 58,500 % of Total Budget 7.7% 6.4% 5.5% -1- -421- AGENCY: Neighborhood Centers of Johnson County BUDGET SUMMARY Enter Your Ageney's Budget Year ACTUAL LAST YEAR THIS YEAR PROJECTED BUDGETED NEXT YEAR 1997 1998 1999 1. TOTAL OPERATING BUDGET (total a+b) 1,094,528 1,034,421 1,070,436 a. Carryover Balance (Cash from line 3, previous column) b. Income (Cash) 2. TOTAL EXPENDITURES (Total a+b) a. Administration b. Program Total (List Programs. Below) I Prevention 2 Education 3 Support 4 Pheasant Ridge Project 3. ENDING OPERATING BALANCE (Subtract 2 - I ) 4. RESTRICTED FUND BALANCE (Total from page 5) 5. IN-KIND SUPPORT (Total from Page 5 ) 6. NON-CASH ASSETS Notes and Comments: 58,857 108,541 1,035,671 925,880 985,987 1,012,800 83,299 89,726 902,688 923,074 305,326 341,568 286,540 342,350 103,879 227,156 206,943 12,000 611,960 580,467 147,705 137,022 819,500 794,915 21,621 1,048,815 1,048,815 91,972 956,843 375,186 329,114 252,543 21,621] 638,758 148,994 771,068 l a. The carryover balance to FY97 includes $10,000 funds Board resUicted 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 %~ain $1,063, Nest-March of Dimes $2,000, and Pheasant Ridge Capital Campaign $17,983. 3. The ending balance for FY97 includes $10,000 funds Board restricted for a building/emergency fund. It also includes restricted program/grant funds carried forward to FY98: YCA Decat $6,264, Clear Creek FRC $680, Sununer Intensive Supervision $11,701, The Nest $7,750, and Family Preservation grant $41,851. 3 The ending balance for FY98 and FY99 includes $10,000 funds Board restricted for a building/emergency fund. It also includes restricted grant funds projected to can3, forward to FY99 and F¥2000: Summer Intensive Supervision $1 !,000. ~> Assets include the Broadway Street and Pheasant Ridge Centers, 5 Vans, office computers, 3 copiers and 2 Computer Learning Labs. The audit for FY97 is incomplete therefore non cash assets are estimated. Briefly describe how local funds were spent last year: The prtmm3' use of Local funds is to match the state and federal grants listed on page 2 and 7, to strengthen existing programs and provide comprehensive services. For example, local funds support a full-time family advocate at the Broadaay Street Neighborhood Center as part of the Community Juvenile Justice match. Local funds support the coordination of agency volunteers and program activities for Even Start Family Literacy, Youth Cultural Alliance, Drug and Violence Prevention, Commumty Juvenile Justice, Clear Creek, Family Preservation, Parents of At-Risk Birth to 3 Year Olds, At-Risk Four Year Olds, and infant, toddlers, mid after-school child care programs. Examples of support include: educational materials, work experience incentives for youth, weekly Family Nights, and the provision of transportation to summer school, Adult Basic Education classes and evening school based activities for parents and children. -422- -2- INCOME DETAIL 1 .'~---Locai Funding Sources- a. Johnson County b. City of Iowa City c. Unimd Way of Johnson County d. Johnson County Dept of Public Health e Communily Development Block Grant 2 Grants - State, Federal. Foundations a. Iowa Dept of Public Health b. Dept of Education c. IA Dept of Human Rights d. ICCSD Twain e. 1owa Chapter/NCPCA t'. P~gnnncy Prey Sub-contract: UAY g. GOALS 2000: Family Resource: CC h USDA Food Program i. Clear Creek Project' Decat j Family Preservntion Grant k DHS-Family Resource Consultnn! I DHHS,4 Year Old Wrap m. Summer Intensive Supervision Decat n. Youth Cultural Alliance' Decat o. MECCA p.__~Project Safe Decat r. Variety Club s. DHS-Community Leadership Grant 3 Net Sales Of Services (sources) a. HUDTIACAP b. Parent Child Care Fees c. Title 20 Child Care Fees?romise Jobs 4. Net Sales of Materials (sources) a CardsT Shirts 5 Contributions/Donations a United Way Designated Giving b. Other Contributions 6. Special Events a. iowa City Road Races h Pheasant Ridge Capital Campaign c. Kicking for Kids 7 interest Income 8 Other - List Below a Hacap Rental Agreement b. Case Management c. Neighborhood Council Bake Sale d Kirkwood ¢ ~qil Insurance Claims .' Staff EI~v reimbursement a Nest-Fiscal Agent ',TOTAL INCOME (,amc ~,p. ~. ~in= ~b> Notes and Comments: AGENCY Neighborhood Centers of Johnson County ACTUAL LAST YEAR 1997 322,726 33.652 49,000 54,373 701 185,000 588,572 5,352 240,039 86.Ol 5 ! 8,283 THIS YEAR PROJECTED 1998 156,612 37,902 52,000 65,710 1,000 564,467 29,246 223,854 54,195 8,000 BUDGETED NON- PROGRAM PROGRAM PROGRAM . NEXT YEAR DIRECTED I 2 3 1999 FUNDING PREVENTION EDUCATION SUPPORT 209,815 52,337 53.740 50,886 52.852 58,500 14,625 14.625 14,625 14,625 68,290 17,072 17.073 17,072 17,073 83,025 20.640 22.042 19.189 217154 4,000 4.500 I0.000 15,843 25,000 42.663 58,034 126.882 59.654 5,850 51,000 13.324 13.324 13.818 13,328 2.500 2.500 14.853 · ' 8.982 2.000 75,134 142,316 173,007 0 21,515 15,877 23,816 24,530 37,742 118,500 148,477 220 250 300 300 220 250 300 300 3,023 3,000 3,375 3.375 1,332 1,500 1,800 1,800 1,691 1,500 1,575 1.575 17.818 16,500 18,515 10,515 518 500 515 515 13,388 6,000 6,000 6.000 3,912 10,000 12.000 4,000 5,083 4.500 4,000 4,000 23,095 38.235 17.045 15.595 12,397 14.232 14.945 14.945 245 250 300 300 132 592 1,000 11,200 2,455 9.729 9,098 622.758 5,850 319.963 276.945 20,000 38,570 38.570 208.975 208,975 64,980 64,980 8,000 8,000 I 0,000 I 0,000 4,OOO 4,000 I 0,000 I 0,000 30.000 10,000 20.000 58.034 58.034 99.727 99.727 5.850 5,850 57,970 57.970 13,324 13.324 13,328 13,328 0 0 173.007 24.530 148.477 0 0 0 0 0 0 0 0 0 1.000 ! .000 6,000 1,000 1.000 6.000 0 0 O] 483 283 684 1.800 350 483 283 684 1.035.671 925.880 1.048.815 91.972 375.186 329.114 252.543 NCJC currentIx' acts as fiscal agents for the Nest. The Nest will prepare its own Human Sen'ice Agenc> Budget Form in FY99. - 3 - -423- PROGRAM EXPENDITURE DETAIL AGENCY Neighborhood Centers of Johnson County ACTUAL THIS YEAR BLrD(}ETED NON LAST YEAR PROJECTED NEXT YEAR DIRECTED ! 997 I Salaries 499,657 .: Employee Benefits & Taxes 71,769 3 Staff Development 12,589 4 Professional Consultation 36 5 Publications & Subscriptions 184 6 Dues and Memberships 1,379 7. Mortgage, Rent and Propert3., Tax 10,693 8 Building Maintenance 12,975 9 Equip Purchase/Rental/Maint. 25,023 10. Utilities 13,646 I1 Telephone , 7,679 12. Office Supplies & Postage 4,596 13 Printing and Publicit3. 3,513 14. Local Transportation 2,326 15. Insurance 11,262 16. Audit 3,150 17 Interest 18 Other (Specify): Food & Supplies 38,986 19 Van Expenses 7,512 20 Youth program Recreation 4,704 21 Youth Incentives 7,323 22 Nest Incentives 5,582 23 Educational Materials 15,570 24 Building Construction 206,943 25 Contract Services 18,890 26 Program Evaluation TOTAL EXPENSES ( p. 2, line 2) Notes and Comments: 1998 1999 FUNDING 673,540 742,114 70,604 113,974 124,873 7,794 11,000 11,220 898 100 100 100 200 200 16 1,420 1,463 1 ! 7 11,379 11,379 646 13,364 13,475 1,090 29,800 8,000 2,000 14,055 14,250 1,153 7,833 7,933 1,998 4,734 4,760 724 3,618 3,690 554 2,396 2,444 181 11,600 11,832 947 3,150 3,150 3,150 PRO(}RAM PROGRAM PROGRAM I 2 3 PREVENTION EDUCATION SUPPORT 261,398 229,422 180,690 45,575 40,000 31,504 4,084 3,478 2,760 73 62 49 532 454 360 6,176 2,448 2,109 4,773 4,226 3,386 2,000 3,000 1,000 5,218 4,358 3,521 2,795 1,598 1,542 1,207 1,429 1,400 922 1,107 1,107 1,200 758 305 4,306 3,640 2,939 41,082 42,287 12,409 15,402 14,476 7,737 7,850 4,662 2,391 797 4,845 4,990 2,495 1,246 1,249 7,385 7,425 7,425 6,848 16,500 12,990 3,136 6,505 3,349 12,000 9,000 7,150 7,150 5,240 5,240 4,800 440 985,9871 ,0 2,8001 ,048, 5l 91,972I 375,186I 329, 41 9 FY97 includes equipment pumlmaes for the new Pheasant Ridge facilities as wcll as equipment for programs. Major it,-ms include a security s)atem and phone s~ stem for the building, equipment for new olassrooms, and one oomputer for financial procedures. (0 FY98 Inoludea $3,000 budgeted for a copier for Broadway. $800 budgeted for a new Fridge for Broadway. $19.000 budgeted for a new' playground and a new retaimng wall for Broadway. $3000 is budgeted for equipment repairs and maintenance. $4,000 is budgeted for computer upgrades. :~ FY99 lneludes $3,000 budgeted for equipment repairs and maintenance. $5,000 is budgeted for e.~rmputer upgrades. 2: FY97 Educational Material expenditures were high in FY97 as new classrooms and programs were established. 252,543 -424- AGENCY Neighborhood Centers of Johnson County ACTUAL THIS YEAR RESTRICTED FUNDS: LAST YEAR PROJECTED 1~97 1993 Restricted for. Grant Purposes: Prevention Cmmt Purposes: Education Grant Purposes: Prevention Grant Purposes: Grant Purposes: Grant Put ~oses: Gnmt Put ~oses: Grant Put Grant Pur )oses: Cn'ant Pur ~oses: Grant Pur Grant Pur ~oses: Grant Put ~oses: ~Tant Pur oses: Grant Put oses: Grant Put oses: Grant Put oses: Grant Put oses Preventio~ Prevention Prtwention Prevention Education and Support Prevention Prevention Education ~VentiOll Prevention Education and Support Support Chant Put oses: EAucation Pheasant Ridge Cons~uclion Building Expenses & Emergency Fond TOTAL RESTRICTED FUND (also shown page 2. line 4) MA'. iNG GRANTS iGrantor/Matched by tUniverslty of iowa Work Study ' Various Grants and United Way C J J: Dept of Human Rights City, County. Urnted Way. Decat . Dept of Education City, County, United Way? USDA CACFP. & Volunteers YCA: Dept of Human Rights Decat ProjecL Cit)', County, and United Way Clear Creek Project Safe, Johnson Count)', Goals 2000 Varie~' Club HACAP, Cit)', County, and United Way Family Preservation ~ City, Count)', Urnted Way, UI Hospitals, and Mercy IA Dept of Public Health Decal City. Count', United Way TOTAL MATCHING GRANTS (also shown pg. 3, line 2) !IN-KIND SUPPORT DETAIL Services Volunteers (D~tailed Below) !Material ~oods (FY97 includes new 1997 Variety Club Van) iOther: (Please specifT) Staff funded through MYEP, JTPA tTOIAL IN-KIND SUPPORT (also shown on page 2, line 4) Notes and Comments: i Board Members 450 Staff Donated Hours 1,279 i Program Volunteers 8,098 !K~cking for Kids 1,525 x, otuntecrs (Nursing) 480 \ oh s (Educational) 75 ;'l olalo 11,907 Value Total $ 20 $ 9,000 $ 12 $ ! 5,348 $ 7 $ 56.686 $ 10 $ 15,250 $ 9 $ 4.320 $ 20 $ 1.500 102,104 5.352 29,246 240,039 223,854 86,015 54,195 18,283 S,OO0 0 0 0 4,000 4.500 10,0OO 15.843 25,000 42.663 58.034 126,882 59,654 0 5,850 0 51,0OO 13324 13,324 13,818 13,328 2.5OO 0 2,500 0 14.853 0 0 8.982 2.OO0 0 13.388 610~I 10,OOO IO.OOO $ 61 !,960 $ 580,467 BUDGETED NEXT YEAR 1999 38,570 208.975 ~,980 S,OOO I0.OOO 4,OOO l 0,0OO 30.000 58,0M ~.727 5,850 57,970 13.324 13.328 0 0 0 0 0 6,o00 IODO0 $ 638.758 34,&1911,483 44,928:14.976 44,92814,976 41,324; 23,767 39,195'26,000 39,19526.000 2a0,039~97,972 223,854109,208 2011,975124.087 19.668; 12,314 6.582' 4,105 18.785 12,315 58.034;5.799 58,034 10,697 5&034 10,697 8,982 I 1,000 101,505 ' 16,120 I 0A,696 19,264 99,727 19,423 5,352 535 29.246 14,823 38,750 19,743 500,371,167.990 515.517 ' 210.073 508,304 227,241 102304 28,894 16,707 147.705 112.314 7.500 17,208 137.022 123,545 7,725 17.724 148,994 -5- -425- SALARIED POSITIONS Position that.a~pl~' Executive Director 38 X X Associate Director 43 X X Site Coordinators: BW, PR, CC 38 X X Volunteer Coordinator 33 X X Fiscal Manager 38 X X Child Development Director 43 X X Family Support Coordinator 33 X X Faro Pres Family Advocate 33 X X CJJ Family Advocate 33 X X Dept of Ed Family Advocate 38 X X Even Start Program Specialist 33 X X CJJ Youth Leader 33 X X DVP Youth Leader 33 X X YCA Youth Leader 33 X X CC Youth Leaders !l X X Summer Youth Leader I I Youth Assistants II X X Daycare Site Directors 38 X X Child Advocates 33 X X Lead Teachers 33 X X Nest Program Coord. !l X X Twain Outreach 23 X X Maintenance 1 I X X U I Workstudy 0 Clerical Support 33 X X TOTAL FTE's and SALARlES * Full-time equivalent: 1.0=full-timc: 0.5=half-time; etc. AGENCY FTE* Neighborhood Centers of Johnson County Salary ~ Last This Next Actual This Budgeted % Year Year Year Last Year Year Next Year Change Note 2.45~ 1.00 1.00 ] .00 37,800 41,580 43,243 4% 3.35°/~ 1.00 1.00 1.00 32,500 35,000 36,400 4% 5.07°/~t 2.85 2.83 3.00 71,885 76,473 83,866 10% A 19.64°/~ 0.92 0.75 0.75 17,012 12,480 12,979 4% 14.60°/~ 0.75 0.75 0.75 16,382 20,670 22,389 8% B 6.0 ! ~ 1.00 1.00 1.00 22,497 23,847 24,801 4% 7.15~ 1.00 1.00 0 2 i,000 21,840 4% A 6.05°/~ !.60 2.00 2.00 34,600 47,500 49,400 4% ~ 5.96°/~ 0.75 0.75 1.00 18,820 ! 8,000 24,960 39% A 5.96°/~ 0.75 1.00 1.00 15,553 24,000 24,960 4% 16.37°/~, 1.90 2.00 2.00 38,360 45,760 47,590 4% 17.10°/~ 0.75 1.00 1.00 15,301 21,100 21,944 4% ~ 7.24~ 0.25 0.75 1.00 4,001 15.600 21,632 39% A 7.24°/~ 1.00 0.25 0.75 18,018 5,200 ! 6,224 212% A 7.65°/~ 1.00 1.00 1.00 14,956 15,080 15,683 4% ~ 7.65°/~ 0.25 0.25 0.25 4,370 5,200 5,408 4% 7.65°/~ 1.13 2.00 2.13 16,807 33.280 35,443 6% A 9.07¥~ 1.00 2.00 2.00 ! 6,640 34,944 36.342 4% 22.40¥~ 3.40 6.00 7.00 46,074 81,120 98,426 2 I% A 20.88¥~ 1.50 3.00 3.40 22,997 45,240 53.323 18% A 7.65°/~ 0.38 0.38 9,375 9,750 -100% D 7.24°/~ 0.33 0.75 0.75 6,120 15,600 16,224 4% ~ 7.65¥~ 0.08 1,056 0.00°/~ 3.07 4.00 4.00 l 1,483 14,976 14,976 0% ~ 7.65% 0.48 0.75 1.00 7,050 I 0,140 14,061 39% A 27.14 36.21 38.78 499.657 673.540 742.114 I0% C Paid Leave: equals the number of FTE Equivalent days per year. Paid Leave: Employees paid leave is based on their FTE status. All employees receive Holiday Pay prorated to their FTE. A .5 FTE employee receives 4 hours of Holiday Pay, a ! FTE employee receives 8 hours holiday pay. .5 FTE receive prorated Sick Pay, and .75 FTE to 1.0 FTE receive prorated vacation pay. Retirement Plan: All employees are eligible for a self-contributing 403B retirement plan. A. Increase in FTE projected for FY98.4% increase in rate of pay. B. 4% increase in rate of pay projected. Salary increase mid FY98. C. Average salary/wage increase for FY98 is projected to be 4%, the rest of the increase is due to FTE increase. D. The Nest of Johnson County has incorporated and will prepare their own United Way report in FY99. Employees who work greater than -426- -6- AGENCY Neighborhood Centers of Johnson County ACCOUNTABILITY OUESTIONNAIRE Agency's Mission Statemere or Primary Purpose Neighborhood Centers of Johnson Count3' is dedicated to building a better future for people in low-income neighborhoods through programs that educate, foster self-esteem, strengthen families and create a sense of 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 Urnted Neighborhood Centers of America. Strategic planning sessions for board members are held bi-annually. Finances: 1. If your agency charges a fee, describe your fee structure. Neighborhood Centers of Johnson Count3, only charges fees for families m 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 eligibilit3'. Does your agency have: internal external X financial audit audit review Frequency Annual Complete Audit Has your agency filed the Annual Report with the Secretary of State? Yes X No 4. Has your agency filed Form 990 with Yes X No 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. Neighborhood Centers held its first annual "Kicking For Kids" Soccer Tournament in March, 1997. Other efforts include the Hospice Road Race and the Capital Campaign for the Pheasant Ridge building. Neighborhood families also hold events (garage sales, car washes, fiestas, etc.) which raise dollars for programs. Management: 1. Does each professional staff have a written job Yes description? 2. Is the agency Director's performance evaluated at least yearly0 Yes X No By Whom? Board of Directors X No -427- NEIGHBORHOOD CENTERS OF JOHNSON COUNTY BOARD OF DIRECTORS, 1997 9/19/97 PRESIDENT: Paula Kasper-Lundahl Preucil School of Music 21 Fairview Knoll NE Iowa City, Iowa 52240 337-4156 fax: 337-9502 VICE-PRESIDENT: Jim Magera Proctor & Gamble 1060 Jensen St. Iowa City, Io~a 52246 339-2547 -428- SECRETARY/ TREASURER: 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 338-8508 Dav,~ Barker Meardon Sueppel Dow~er & Hayes 122 S Linn Street Iowa City, Iowa 52240 338-9222 Kathy Bachmeier 1445 Boyrum Street iowa Cit3', Iowa 52240 337-4578 Stephen Trefz Commumty Mental Health 505 East College Street Iowa City, Iowa 52240 338-7884; fax: 338-7006 Sue Dulek Legal Services Corporation of Iowa 430 Iowa Avenue Iowa City 1A 52240- 351-6570; fax: 351-0079 John Barthel 2650 Roberts Rd. Iowa City, Iowa 52246 354-9640 AGENCY Neighborhood Centers of Johnson County 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, direct or indirect.) For FY97, the defined unit of service is one hour in length for education, prevention and neighborhood support services. We recorded 78,688 direct service umts during the last program ),ear. (i.e. Child care cooperative equals 3 units of service, referral equals. 125 units of service, etc.) The agency cost per direct service unit was $8.52. 1. Education Programs: 27,782 Units of Service infantdtoddler cooperative, four year old preschool, group and individual parent education.. ESL/GED classes, family nights, information and referral. neighborhood outreach, counseling, direct assistance 2. Prevention Programs: 27,223 Units of Service after school youth programs, teen activities, summer intensive supervision, tutoring, in-school mentors. work experience, commtmity service, group and individual parent education, neighborhood councils, special events. information and referral, neighborhood outreach. counseling, transportation to summer school, direct assistance 3. Neighborhood Support: 23,683 Units of Service infant/toddler child care, after school care, adult groups and committees, food distribution, libtaD' and phone usage, special events, information and referral, neighborhood outreach, counseling. direct assistance Please supply information about diems served by your agency during the last two complete budget years. Refer to-form instructions for definition of duplicated and unduplicated. 1. How man)' Johnson Count), residents (including Iowa Civ,.' and Coralville) did your agency serve Enter Years- 1996 1997 la. Duplicated count 56,495 56,660 lb. Unduplicated count 1.348 1.892 2. How' many Iowa City residents did your agency serve? 2a. Duplicated count 2b. Unduplicated count N/A N/A 1.157 1.323 3. How' man)' Coralville residents did your agency serve? 3a. Duplicated count 3b. Unduplicated count N/A N/A N/A N/A 4. How many umts of service did your agency provide? 4a. Total 73,987 78.688 4b. To Johnson Count3.' Residents 73,987 78.688 Other areas served: Do you provide service to areas outside of Johnson Count~'? Area(s) served: N/A Services N/A provided: No Funding Sources: N/A 8 -429- AGENCY Neighborhood Centers of Johnson County 6. Client Profile (for last complete year, if available): :0-5 6-17:='. '= · 18.- 29 '~= · 30 -'61 62 -'75 : 75+ · 286: Feanale ' 623 M~!e. ~' · 551: : .... · 407 :: .25 1163 '729. African Amea'ican 394 Native American 2 Asian 78 Hispanic 170 Caucasian,tNon-I-fispanic 1103 Multi-racial 145 7. Evaluation and Review: Ao Please discuss how your agency measures the success of it's programs. It is the goal of each program to develop and implement measures of assessment which: 1) track individual and group success, 2) assist in planning and implementing effective programs that best fit the needs of the families, 3) encourage goal setting by participant. Evaluation tools include participation records, pre and post tests and neighborhood staweys. Additionall)', statistics on child abuse, juvenile crime and police reports are indicators of the neighborhood profile and guides programming. Neighborhood Centers also participates in the federal evaluation through the Department of Education Even Start Family Literacy Program. We also hope to become accredited through the National Association for the Education of the Young Child (NAEYC) for all licensed child development programs in the upcoming year. 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, truant3' reduction and academic achievement. Neighborhood Support programs record child abuse reports and police calls within the neighborhoods. What plans does your agency have to increase efficiency and effectiveness? Our ageneD' continues to grow each year, and the challenge to maintain effective programs is always with us. Strategic planning and development programs focus on new and changing programs each 3,ear. Strengthening collaborative efforts with agencies in Johnson Count3' has been positive and productive for families in the programs, offering more opportunities and broadening resources. Community cooperative efforts include bringing existing services to the neighborhoods (4C's To)' Lending Library at Clear Creek) and assisting families to network outside the communi~' ( neighborhood teens staff the Get A Grip conference in Ames. Iowa). In what ways will the needs of your service population change in the next five years: Welfare initiatives continue to impact the families living in our three neighborhoods. As more parents return to the workforce, the need for child care for the young child grows. In addition. youth ages five through eighteen need greater support as the5' have increased responsibilities with less adult supervision. Similarb'. parents are maintaining households with less time, support and often times less financial stability. 9 -430- AGENCY Neighborhood Centers of Johnson Count3.' 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. While we have been successful at continuing programs through state and federal grants, it is generally a year-to-year basis. Those transitions are sometimes difficult for staff and program participants. Also, it is sometimes difficult to match grant and other funding dollars to the important issues identified within the neighborhoods. 10. List concerns and complaints about your services of which you are aware: Through individual discussions and surveys with residents, common themes emerged regarding services at the Neighborhood Center. Having more staff available was a large issue. This includes both increased staff to facilitate more programs (expanding after school and teen programs and family times at all Centers), as well as. greater ntunber of staff in each program. Also, space is a primary issue at both Clear Creek and Broadway Street, where programs are limited due to inadequate facilities. 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: For the first time in years, we do not have a waiting list for youth and adult programs at the Centers. In large part this is due to the larger Pheasant Ridge facilit3' which enabled programs to increase (one example, day care spaces went from twelve to seventy. during the course of the year). Although there are numerous places to expand our programs, we currently conduct outreach and recruitment only within our target neighborhoods. We hope to meet increased demands on our programs through conscious growth decisions. How many people are currently on your 0 waiting list? 12. In what way(s) are your agency's services publicized? Personal outreach contacts in the neighborhood, monthly neighborhood newsletters, quarterly communit3' newsletters, agency brochure, articles and press releases in local newspapers, Johnson Count2,,' Services Director).', United Way brochure. speaking engagements, television and radio 13. United way involvement by your agency: ("X" if agency participates) a. Agency Directors Meetings X b. Agencies Rel resentative to Funding X 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 10 -431- AGENCY: Neighborhood Centers of Jolmson County -432- 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 experiencing 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 vms established in a three bedroom apartment with the goal of enhancing the qua[iF of life in the neighborhood. For the past 24 years the Pheasant Ridge Center has offered on-site educational and recreational opportumties, connected people to resources in the community, and encouraged a sense of commumty. 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 communib' to support the expansion of the agency in 1988 to a second low-income neighborhood in Iowa Civ,.': 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 facilib' in 1990. Since the Broadway Street Neighborhood Center has been in operation. the qualit)' 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 difficulOd 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 commumty. Our agency works closely with other United Way agencies. The Neighborhood Center has also- developed successful parmerships with the Iowa City schools and the Iowa Cid' 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. Neighborhood Centers 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. As more parents move from welfare to work, we have tried to keep pace with the tremendous increase in demand for child care. As a measure of the increased demand, it is worth noting that in 1995 we offered a total of 12 child care spaces in our cooperative - this ),ear we have 80 day care spaces. The additional space includes a collaborative effort with IdACAP Headstart to extend daily hours and prox4de year round programming for our 4 year-old preschool. The additional hours are intended to better meet the needs of working parents. This past year we continued our efforts in areas outside of Iowa City as we continue prevention programs in the Clear Creek area of western Johnson Count)'. With the help ofindix4duals, businesses, churches and the Clear Creek Amana schools, we have established a Farnil>' Resource Center in the communib' of Tiffin. This year we look forward to adding additional family support services to our outreach in the area mobile home courts, and working more closely with the Clear Creak/Amana School District through the Goals 2000 program. In July we were asked by the Iowa Department of Human Services to share with the state our experience and expertise with other neighborhoods and communities around the state. We are currently under a one year contract to provide technical assistance in developing and sustaining Neighborhood Centers and Family Resource Centers. We are currently assisting several rural communities in central Iowa. We are requesting increases in funding from the City. Count,.' and United Way that will allo,~~ us to maintain program continuity and attract new sources of support. We use much of the local dollars for our core program and as match money for grant support funding sources outside Johnson Count>'. 11 AGENCY Neighborhood Centers of Johnson Counv,' 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 1: Increase opportunities for youth and adults to become positively involved m their neighborhood, school, and community and to maximize their quality of life. OBJECTIVE A: Commue and expand outreach efforts m early intervention programming to prevent drug abuse, violence and criminal activit3, m the Broadway Street, Pheasant Ridge and Clear Creek Neighborhoods. TASKS: · Continue the Learning Enrichment Assets Development (LEAD) project for 80 children ages 6-17 at the Pheasant Ridge Neighborhood Center. · Can3, out education, recreation and cultural components for the 80 youth participating m the LEAD project. · Organize and conduct a Wednesday and Sunday night tutoring program to reach 80 youth. · Conduct Community Crime Prevention program for 100 youth ages 6-17 at Broadway Center. · Provide 30 hours of recreational and team building activities to 50 teens from Clear Creek, Broadway and Pheasant Ridge neighborhoods. · Provide a minimum of 30 hours oftraining/workshops to 50 teens on drag abuse and violence prevention at all three Centers. · Provide 60 hours of pre-employment experience and community service to 75 youth ages 10- 17 from all three Centers. · Provide after school programming for 40 school-aged youth from Clear Creek area. · Conduct outreach and home visits to 50 new mothers m Johnson Count3'. · Coordinate 12 health and safet3' clinics at all three Centers. OBJECTIVE B: Promote a sense of community and reduce isolation in areas served by Neighborhood Centers. 12 -433- TASKS: · AGENCY Neighborhood Centers of Johnson Count), Provide monthly newsletter to 700 families m the Broadway, Pheasant Ridge and Clear Creek neighborhoods. Outreach to 50 per families each week which provide family support services and encourage new program participation. Continue to expand resident participation in the Neighborhood Council at each Center to provide input on programming and address larger neighborhood and communiW issues. Conduct monthly meetings of the Neighborhood Councils at each Center. Conduct weekly "Fanhi)' Night" at Broadway, Pheasant Ridge and Clear Creek. Conduct weekly "New Parent Support Group" at Pheasant Ridge Neighborhood Center. Continue parent and consumer program advisory groups at Broadway, Pheasant Ridge and Clear Creek. · Organize 24 special events for families creating opportumties for families to meet and receive support. · Continue to encourage "ovmership" of the Center through resident initiated groups (such as the neighborhood crime prevemion steering committee, neighborhood council and advisor)' groups) and volunteer opportunities. Conduct leadership training program for 12 residents m the Pheasant Ridge, Broadway and Clear Creek neighborhoods. Employ adults and 30 youth from the neighborhoods m center programs. OBJECTIVE C: TASKS: · Assist families m meeting fundamental needs. Provide informational, referral and advocacy to families in need of emergency/direct assistance · Distribute clothing and food to 500 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. · Maintain Block Parent sites at Centers. -434- 13 AGENCY Neighborhood Centers of Johnson County OBJECTIVE !): To provide child care for families that will enable them to seek, retrain and/or train for employment. TASKS: · Provide full-time and part time, licensed day care/child development classes for 64 children aged 6 weeks - 3 years. · Coordinate child care for youth while parems attend parenting groups, advisor3' meetings and Neighborhood Council meetings. · Provide child care during other adult center activities. · Conduct child development activities 3 times each week for 75 children birth-5 years while their parents attend adult education classes. · Provide "Parents as Panners Pre-School for 5 days per week for sixt~n 4 year-olds in the Pheasant Ridge Neighborhood. · Provide summer 4 year-old preschool for 16 children. · Provide after school and summer child care for school aged childdren. 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 communication skills. TASKS: · Conduct child development activities three times each week for 75 children ages 18 months to 7 years 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. · 70 children birth-3 will participate m child-centered, developmental activities 4-5 times each week for 20 to 60 hours per week. · Provide all-day preschool program for 16 at-risk 4 year-olds at the Pheasant Ridge Center. · Conduct tutoring program and stud)' time for 80 youth 2 times each week during the school year at all three Centers 14 -435- AGENCY Neighborhood Centers of Johnson Count3' 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 20 weekly parent / child in-home visits to promote literacy activities through client directed reading themes. · Conduct monthly group activities focused on readingtliteracy 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. 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 Broadway 2 times per week. · Provide Adult Basic Education and GED classes to 35 parents from Broadway and Pheasant Ridge. · Provide tutoring and weekly access to Broadway and Pheasant Ridge computer lab for 75 parents and their children. Provide 50 households, through group or home-based "life skills" learning opportunities, that will include parent education and support, financial management, nutrition counseling and referral to appropriate resources. · Parents will be actively involved in the grow~ah 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. -436- 15 AGENCY Neighborhood Centers of Johnson Count3' RESOURCES NEEDED TO ACCOMPLISH TASKS: · 40.5 paid professional staff(part time and full time) · 5 paid administrative staff · I maintenance staff · 90 volunteers · 3 neighborhood centers, fully fumishexi and insureA, at Broadway, Clear Creek and Pheasant Ridge Telephone system at each Center 3 photocopy machines · Equipment and supplies for lic~nse, d day care space - 80 children · 2 licensed playgrounds · Computer system for each Center · 4 passenger vans w~th full insurance · Professional liability insurance · Educational materials · Expendable supplies and food COST OF PROGRAM FY 96:$695,745 FY 97:$911,074 FY98:$956,843 16 -437- 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 1/1/98- 12/31/98 4/1/98- 3/31/99 7/1/98- 6/30/99 X Director: Christie Munson Agency Name: Rape Victim Advocacy Program Address: 17 West Prentiss, Iowa City Phone: 335-6001 Completed by: Chostie Munson Approved by Board Chai '~L(?% ~4~'~ ~ ~c ~ Theresa Ullerich, Treasurer 10/1/98 - 9/30/99 9/19/97 (aate) COVER PAGE Program Summary: (Please number programs to conespond to Income & Expense Detail, i.e., Program 1, 2, 3, etc.) 1. 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, and school 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 legal advocacy, counseling, and other direct services for victim-survivors of sexual abuse in Washington, Cedar and Iowa Counties. Also provide education programs and self-defense classes for these communities. 4. Statewide Sexual Abuse Hotline Provide a 24-hour toll-free Sexual Abuse Crisis Line available to the entire state. Provide telephone crisis-intervention counseling, information and referral to local resources. Maintain a referral database for resources throughout Iowa, publicize the services throughout the state and publish a'newsletter providing information about the hotline. Local Funding Summary: United Way of Johnson County - - Does Not Include Designated Gvg. City of Iowa City Johnson County City of Coralville 4/1/96 - 4/1/97 - 4/1/98 - % of Total 3/31/97 3/31/98 3/31/99 Budget $16,125 $16,125 $17,000 0.04 FY96 FY97 FY98 ~ $12,500 $12,500 $13,000 0.03 $12,360 $12,360 $13,000 0.03 $2,400 $2,200 $2,400 0.006 -438- AGENCY: RAPE VICTIM ADVOCACY PROGRAM BUDGET SUMMARY Enter Your Agency's Budget Year ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR FY97 FY98 FY99 7/96-6/97 7/97-6/98 7/98-6/99 1. TOTAL OPERATING BUDGET (Total a +b) 224,724 353,186 402,722 a. Carryover Balance (Cash from line 3, previous column) 21,179 7,337 7,337 b. Income (cash) 203,545 345,849 395,385 2. TOTAL EXPENDITURES (Totala + b) 217,387 345,849 395,385 a. Administration 45,000 56,000 56,400 b. Program Total (list Progs. below) 172,387 289,849 338,985 1. Rape Crisis Services 95,387 145,789 158,640 2. Education 45,000 58,060 62,117 3. Counties 32,000 48,000 69,728 4. Statewide Hotline 0 38,000 48,500 3. ENDING BALANCE (Subtract 2-1)** 7,337 7,337 7,337 4. RESTRICTED FUND BALANCE 51,667 57,667 62,667 5. IN-KIND SUPPORT (Total from p. 230,001 314,980 320,000 6. NON-CASH ASSETS 15,335 25,000 27,000 Notes and Comments: ** In FY96 we had an unusual influx of income from interest and other'sources. This gave us an unusually high ending balance (21,179). This year we spent those funds on much needed new equipment, such as a powedul computer, and a copier that actually duplexes and collates! Our FY97 ending balance and increased non-cash assets reflect those purchases. *Briefly describe how local funds were spent last year. Local funds supported the salaries of the Agency Director and Office Manager. Local funds also ~ '~ported the operation of the Rape Crisis Line and a variety of administrative and program ~,~,erating expenses. These funds enable us to provide match for federal grant funds. 2 -439- INCOME DETAIL ACTUAL LAST YEAR THIS YEAR PROJ. 1. Local Funding Sources 43,392 43,424 a. Johnson County 12,360 12,360 b. Iowa City 12,500 12,500 c. United Way 16,132 16,364 d. Coralville 2,400 2,200 2. State, Federal,Found. 147,4331 281,9251 a. Victims of Crime Act 61,315 131,186 b. GASA/VAWA Grant 13,106 26,514 c. Sexual Abuse Grant 35,000 35,000 d. Statewide Hotline Grant 0 38,805 e. IowaCASA Grant 5,596 16,420 f. UI Student Government 32,416 34,000 3. Contributions/ Donations 6,351 8,S00 a. United Way/Desig. Giving 1,356 1,500 b. Other 4,995 7,000 AGENCY: RAPE VICTIM ADVOCACY PROGRAM BUDGET NON- PROG. PROG. PROG. PROG. NEXT DIRECTEI~ 1 2 3 4 YEAR FUNDS RCS ED W/C/I CO. STATE LINE 45,525 28,900 8,500 8,125 13,000 6,200 3,800 3,000 13,000 6,200 3,800 3,000 17,125 15,000 0 2,125 2,400 1,500 900 160,700 117,946 5,426 28,000 37,000 20,000 12,978 4,022 50,000 1,500 17,000 7,956 9,044 35,000 5,000 30,000 10,500 6,000 1,000 1,500 1,500 0 1,500 9,000 6,000 1,000 0 0 65,3281 37,328 28,000 0 0 48,500 48,500 2,000 0 2,000 4. Special Events 3,459 a. Iowa City Road Races 1,133 b. A Night Out With the RVAF 500 c. Auction 1,600 d. Concert e. Twenty-fifth Anniversary f. Garage Sale 200 g. Clothesline Project 26 5. Net Sales/Services I 01 6.Net Sales/Materials I 01 7. Interest Income I 2,91ol 8,800 8,160 0 4,260 2,500 1,500 1,500 1,500 1,000 3,000 1,000 1,500 1,000 5,000 200 100 ol ol 3,2001 2,900 1,500 900 660 260 100 0 100 I ol ol I 1,400 500 500 400 0 ol ol 1,0001 0 TOTAL 203,545 345,849 -440- 395,385 3 56,400 158,640 62,117 69,728 48,500 EXPENDITURE DETAIL AGENCY: RAPE VICTIM ADVOCACY PROGRAM ACTUAL THIS BUDGET LAST YEAR NEXT ADMINI- PROG. 1 PROG. 2 PROG. 3 PROG. 4 YEAR PROJ YEAR STRATIOI~ (RCS) (ED.) W/C/I CO. State Line 1. Salerise 124,755 192,502 223,284 33,000 91,284 32,000 44,000 23,000 2. Beneflts/l'axse 32,176 47,673 58,126 10,000 22,256 8,042 11,828 6,000 3. Staff Development 4,207 2,500 6,000 1,000 2,000 2,000 500 500 4. Profeeslonal Consult. 2,440 12,409 12,000 1,800 10,200 5. Publlcation~/Subscrlptlons 1,157 2,000 1,600 100 700 600 200 6. Duee~1~emberehlps 585 608 675 675 7. Rent 0 600 1,200 1,200 8. Building end Maintenance 0 0 9. Equip. Purch/Rent/Malnt. 12,886 16,030 5,700 200 2,700 1,300 700 800 10. Utilities 11. Telephone 7,901 13,334 16,000 500 7,000 3,000 1,500 4,000 12. Office Supplise~Postage 7,532 7,889 9,000 425 2,500 3,575 500 2,000 13. Printing and Publicity 6,793 11,894 17,000 500 3,000 2,000 1,000 10,500 14. Local Transportetlon 4,548 9,750 12,000 500 2,000 2,000 6,500 1,000 15. Insurance 0 500 1,000 1,000 0 0 0 0 16. Audit 2,095 2,200 2,200 2,200 0 0 0 0 17. Interest 0 0 0 0 0 0 0 0 Other:. 18. Mlsc Agency Program Ex. 963 1,271 2,000 2,000 lg. Rape Crisis Prog. Ex. 2,063 12,100 15,000 15,000 20. Education Prog. Expenses 4,923 5,100 5,500 5,500 21. Washington Co. Prog. Ex. 306 889 1,000 1,000 22. Cedar/Iowa Co. Prog. Ex. 1,000 1,000 23. State Hotline Prog. Ex. 500 500 24. Board Expenses 296 500 500 500 25. Twenty-fifth Anniversary 5,000 2,000 2,000 26. Fundraising Expenses 1,668 1,000 2,000 2,000 27. Clothesline Expenses 93 100 100 100 TOTAL EXPENSES 217,387 345,849 395,385 56,400 158,640 62,117 69,728 48,500 -441 - Agency: Rape Victim Advocacy Program Actual This Year Budgeted Last Year Projected Next year Restricted Funds: Restricted by: Restricted for: 51,667 57,667 62,667 Donor Permanent Endowment (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. FY97 and FY98 figures are estimates.) Total Restricted Fund (also shown P2, L4) 51,6671 57,667 62,667 MATCHING GRANTS Grantor/Matched by Victims of Crime Act matched by State Sexual Abuse Grant, Ivolunteer hours and local funds GASANAWA matched by State Sexual Abuse Grant, Ivolunteer hours and local funds TOTAL MATCHING 'GRANTS* 61,315 131,186 160,700 m = 12,263 m = 26,237 m = 32,140 13,106 26,154 28,000 m = 3,277 m = 6,538 rn = 7,000 74,421 157,340 188,700 IN-KIND SUPPORT DETAIL Volunteers: Crisis Services Volunteers (14,000 hours)** P.O.W.E.R. Peer Educators (921 hours) Self-Defense Instructors (300 hours) Board Members (950 hours) Subtotal Volunteer support at $12.96/hr 181,440 265,680 270,000 11,936 12,000 12,500 313 300 300 12,312 13,000 13,200 206,001 290,980 296,000 Provided in kind by the University of Iowa Administration: Space Utilities Professional Liability Coverage Payroll Accounting · Work-study position (Admin. Asst) Repairs, Maintenance and Cleaning Subtotal UI Support 20,000 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 In-kind support from sources in other counties 4,000 4,000 4,000 TOTAL IN-KIND SUPPORT (shown also on page 2, line 5) 230,001 314,980 320,000 *This does not match the total on page 3, Line 2, because only two of our grants require match. Our grants from CVAD, UISG and IowaCASA do not require match. ** In FY98 this figure includes additional hours contributed by Washington County advocates who respond on a 24-hour basis to the hospital and law enforcement center there. -442- Agancy: Rape Victim Advocacy Program "X" all that apply Paid Health Retire. % Last Next Position Lye* Ins Plan Ben. Year Year Agency Director Munsonl 49 x x 26 1.00 1.00 1.00 Director of Crisis Services Pencal 49 x x 28 1.00 1.00 1.00 Director of Education Cookl 49 x x 28 1.00 1.00 1.00 Director of Washington County Services SadowskJl 49 x x 28 1.00 1.00 1.00 Director of Cedar and Iowa County Services vacantl 49 x x 28 0.00 0.75 1.00 Director of Volunteer Coordination vacantl 49 x x 28 0.00 0.75 1.00 Director of Statewide Hotline vacantl 49 x x 28 0.00 0.75 1.00 Office Manager . Clairel 40 x x 48 0.50 0.60 0.60 I-,,,]ncial Manager . - vacantl 49 x x 36 0.00 0.25 0.50 UI Student Employees: Crisis Services Coordinator Karrell n/a n/a n/a n/a 0.40 0.60 0.50 Education Coordinator 'Beaderstadtl n/a n/a n/a n/a 0.40 0.60 0.50 Youth Education Coordinator DesaiI n/a n/a n/a n/a 0.10 0.50 0.50 Administrative Assistant vacantl n/a n/a n/a n/a 0.20 0.20 0.20 FTE Actual This Budget This Last Year Next Year Year Proj. Year % Change iTotal Salaries and FTE 31,500 32,500 33,500 +3% 28,615 23,000 24,000 +4% 21,500 24,000 25,000 +4% 20,500 22,000 23,000 +4.3% 0 16,500 23,000 +39%** 0 16,500 23,000 +39%** 0 16,500 23,000 +39%** 8,865 9,852 10,252 +4% 0 5,250 11,500 +119%** 5,387 8,800 9,044 +3% 5,798 8,800 9,044 +3% 2,591 8,800 9,044 +3% in-kind*** in-kind in-kind *Includes vacation, sickleave and holidays. 5.60 9.00 9.80 124,755 192,502 223,384 **Note: These are all positions that will be filled during the middle of the fiscal year. The starting salary for all the full-time positions will be $22,000/yr. The starting salary for the half-time position (Financial Manager) will be $11,000/yr. Provided by the University of Iowa. +16%I -443- AGENCY: RAP!= 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: Shannon Cooper and Trish Nelson Secretary: Janet Lyness Treasurer: Theresa Ullerich Members: Esther Materon-Arum, Kim Edge, Mary Heth, Rivka Sorenson, Amy Corriea. Julie Hein and Jamie Simone are non-voting members elected to represent the volunteers. 2. Frequency of meetings: Eleven times a year 3. Briefly describe board orientation and ongoing training opportunities. Each new Board member receives at least five hours of orientation to the agency. We have an annual, facilitated Board retreat and some Board members attend an outside training at least annually. This year, Theresa Ullerich and Kim Edge attended a three-day training for administrators and board members of rape crisis centers and domestic violence shelters all over the state. C. Finances 1. If your agency charges afee for services, describe your fee structure. We do not charge fees. (circle one) Does your agency have an internal audit, external audit, or a financial review? Frequency: Annual Has your agency filed the annual report with the Secretary of State? Yes No X* 4. Has your agency filed Form 990 with the IRS? Yes No X* *Because we are a part of the University of Iowa, we are not separately incorporated. 5. Please discuss your agency's fundraising efforts, if applicable: In the last year we have had one fundraising dinner (A Night Out With the RVAP), a large direct mail campaign, a handwritten mail campaign to former donors, and a garage sale. 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? The Board of Directors 7 -444- Rape Victim Advocacy Program Statement of Mission, Philosophy and Vision MISSION The 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 in 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 pohce. 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. 7a -445- AGENCY: RAPF VICTIM ADVOCACY PROGRAM 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.) Our units of service include: a crisis call, a 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 crisis service users we have in Washington, Cedar and Iowa Counties is still very small. Only twenty crisis-service users identified as residents of those counties last year. 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 Users Number Attending Ed. Programs F'Y96 407 9,938 FY97 454 8,547 We have no accurate method for determining cost per unit. 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: 1. How many Johnson County residents (including Iowa City and Coralville) did your agency sen/e? 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? FY96 FY97 la. Duplicated Count 6,468 6,350 lb. Unduplicated Count 6,465 6,350 2a. Duplicated count 5,120 5,261 2b. Unduplicated Count 5,117 5,261 3a. Duplicated Count 722 719 3b. Unduplicated count 722 719 4a. To{al 11,101 9,636 4b. To Johnson County Residents 8,091 7,654 Note: This year we had no duplicated services. Other areas served: Do you provide services to areas outside of Johnson County? Area(s) Served: Cedar, Iowa, and Washington County Services provided: Washington-all services, including 24-hour advocacy Cedar and Iowa: Rape Crisis Line, counseling and education Note: In April of 1998 we will begin serving the entire state of Iowa through the Statewide Sexual Abuse Hotline. Funding: Funding for these efforts is provided by VOCA, GASA/VAWA, Iowa Crime Victim Assistance Division Grants, the University of Iowa, and private donations. After services become established, we will seek more direct funding from Washington, Cedar and Iowa Counties. Local government or United Way funds are not directed toward these programs 8 -446- AGENCY: RAPI= VICTIM ADVOCACY PROGRAM 6. Client profile (for last complete year, if available): Age Gender Ethnicity 0-5 0 Female 390 African American 12 6-17 40 Male 61 Native American 1 18-29 202 Unknown 3 Asian 0 30-61 172 Hispanic 8 62-75 1 White 172 75+ 0 Multi-racial 0 Unk. 39 Other 9 Unknown 252 7. Evaluation and Review: A. Please discuss how your agency measures the success of its programs. This year the Board conducted a survey of community services providers and other citizens. We received many favorable responses and great suggestions for additional programs and services we can provide to the Johnson County community. We also were assisted by two surveys performed at the University this year. In the fall, graduate students in marketing put together three focus groups to test faculty awareness of our services, and undergraduate students did a survey in the spring to help us assess how we can reach a more diverse population on the University of Iowa campus. We always have feedback forms available at our office with an SASE, and we give these fr'-ms to each counseling client. Our most important evaluative tool is direct feedback from service- b J~S. B. 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 timetable for completion of those goals. Staff is responsible for an overall annual plan and calendar, and the Board has created a set of goals for FY98, as well. C. What plans does your agency have to increase efficiency and effectiveness? The RVAP is reorganizing its staffing structure to integrate the new programs and positions. We are attempting to locate new office space within the University that will accommodate our expanded staff. 8. In what ways will the needs of your service population change in the next five years: The basic needs of our service population remain relatively constant. However, because of welfare reform and stresses in the field of mental health care provision, we have begun to review the way that we provide services to see if there are different or additional services that need to be provided. We are engaged in a year-long planning effort that will involve staff, board, volunteers, service-users and the community. We have obtained funds from VOCA this year that will meet a current unmet need, which is funding for emergency needs like lock replacement, child care and legal representation for survivors, and we will also have limited funds available to help survivors and significant others pay for therapy. An advisory committee for this fund is being formed. 9 -447- AGENCY: RAP!:: VICTIM ADVOCACY PROGRAM 9. Please discuss any other problems or factors relevant to your agency's programs, funding or service delivery. We are experiencing rapid growth in funding and programming. While we have been able to add three half-time staff, and four full-time staff over the last few years, as well as expanding our mission and service areas, all of our growth has been in the direct service area. We are still working with the same 1.25 FTE of administrative staff that we had two years ago, when our total staff was 3.5 FTE. Two years ago we had two grants; this year we administer five grants. All but one of our grant funders (CVAD Sexual Abuse Grant of $35,000) specify that monies be used for direct service only. However, beginning January 1 we hope to be able to use some non-directed grant funds to add an additional half-time financial manager. The search for a new space that began last year is continuing. We have been talking with the University about moving into space in Westlawn, a building that will also house University Counseling and Student Health but is readily accessible to the general public. However, such a move would not happen for well over a year. Lack of space has become a serious issue as the number of our staff grows. 10. List concerns/complaints about your services of which you are aware: Service-users have expressed needs for direct assistance with practical issues like security and legal assistance. We are addressing these needs with the new fund described in question 8. 11. them? Do you have a waiting list or have you had to turn people away for lack of ability to serve No. 12. In what way(s) are your agency's services publicized: We use press releases, public service 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. 13. United Way involvement by your agency: (Check if agency participates) ao Agency Directors Meetings X Agencies Representative to Funding Hearings Business Blitz Day of Caring Executive Development Seminars X Kick Off Victory Reception X Volunteer Action Center X Other X 10 -448- AGENCY: RAP!:: VICTIM ADVOCACY PROGRAM AGENCY HISTORY Next year the RVAP marks its twenty-fifth year of continuous service to the Johnson County community. The Rape Crisis Line began in 1973, and since the late 1970's we have provided a 24- hour Rape Crisis Line, in-person support at the hospital and police station, community education, individual counseling and support groups to victim/survivors of sexual abuse and their significant others. The hundreds of women and men who have been a part of this effort over the last three decades have built a community that provides a progressive, caring response to those whose lives are touched by sexual violence. In FY97 the RVAP received 155 reports of rapes that happened near the time they were reported, and a total of 252 present and past rapes were reported. 151 incidents of incest or childhood sexual abuse were reported to the agency. Advocates responded to support survivors at the hospital 49 times (almost once a week) last year. The number of rapes reported to the agency increases each year. This year saw a significant rise in the number of hospital calls, an indication that more survivors may be thinking about coming forward. Nationally, studies have shown that only about one in six rapes is ever reported. Last year we made a substantive change in the way the Rape Crisis Line operates. For nearly twenty-four years an answering service has picked up calls at night and on the weekend, put callers on hold, paged an advocate and patched the calls together when the advocate called in. This resulted in a two-to five-minute wait for each caller. This spring we switched to wireless digital PCS phones. Now advocates carry phones home with them instead of pagers and can answer calls in-person immediately. On most nights and weekends there are three people available to take a call. Within the last five years there has been a steady incre,~se in the amount of state and federal funds available to address the issue of violence against women and to assist crime victims. We apr)lied for and were granted some of that money two years ago to begin programs in the r jhboring counties of Washington, Cedar and Iowa, and to enhance our efforts to reach the rural residents of Johnson County. We have a thriving satellite program in Washington County now, and have begun to establish a presence in Cedar and Iowa County. With last year's increases in VOCA funds we were finally able to increase our staff with two half-time employees whose help with crisis services and education in Johnson County has been invaluable. We obtained a grant from the Iowa Coalition Against Sexual Assault to hire a half-time youth educator this spring. She is developing programs and presenting them to junior high and high school students in the area. Increases in VOCA funding for 1998 made it possible for us to add a full-time volunteer coordinator based in Johnson County and a second counselor to serve the surrounding counties. This summer we were awarded a grant to become the site of the new Statewide Sexual Abuse Hotline. The hotline director will be hired this fall and the line will become operational in April. The hotline grant will pay for operation of our current toll-free number, freeing up some local funds to be used for other purposes. The hotline will provide telephone crisis intervention counseling and information and referral for people all over the state; however, the effort should not change anything for people who use our services in Johnson County. The effort is fully funded by the State Legislature through the Department of Justice Crime Victim Assistance Division. The line will be answered in the same manner as our current crisis line-by paid staff during business hours and by volunteer advocates at night and on the weekends. Our plan is to take advantage of the current availability of grant funds to do as much for our community as we can while funds are available. We have also used the funds to continue to raise salaries as much as possible. Our starting salary for full-time counseling staff is now $22,000, up from $19,000 four years ago, and our goal is to have a starting salary of $24,000 by the year 2000. We have only been able innovate and develop our services because of the long-standing, s..~le local support we receive from our community. It is essential to our ability to continue to provide matching funds for our federal grantors. 11 -449- AGENCY: RAPF VICTIM ADVOCACY PROGRAM AGENCY PROGRAM GOALS AND OBJECTIVES PROGRAM 1: RAPE CRISIS SERVICES Goal: To provide free, confidential crisis intervention services to residents of Johnson County and the surrounding area who have been raped, sexually assaulted, sexually harassed, stalked or sexually victimized in any way; and to provide support for friends, partners and family members of victiim-survivors of sexual violence. Objective A: Provide 24-hour telephone crisis intervention counseling to an estimated 350 to 500 people who will call the Rape Crisis Line next year, and to provide emergency advocacy at hospitals and law enforcement agencies 24 hours a day, 365 days a year. Tasks: 1. Recruit and train volunteer staff. 2. Conduct three 52-hour volunteer training sessions per year. 3. 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. 4. Provide crisis intervention and counseling services during the business day. 5. 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 providing support and assistance in communicating with bosses, landlords, professors and others about issues a survivor is facing. Tasks: 1. Train paid staff and volunteers to provide these services. 2. Network with local law-enforcement, hospital personnel, other agencies and University departments to enhance the quality of treatment survivors receive within various systems. Objective C: To provide short-term individual peer counseling to 50 to 100 sexual violence survivors and their significant others. Tasks: 1. Provide entire counseling staff with supervision and on-going training. 2. Provide paid staff with access to 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. 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. Resources required: Two full-time counseling staff, one half-time staff and half of the time of an additional two full-time counseling staff members. 35 to 50 volunteers, one phone line and four wireless PCS phones. Computers, printer, pagers, answering service and offices. 12 -450- AGENCY: RAPIF VICTIM ADVOCACY PROGRAM PROGRAM 2: EDUCATION Goal: 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, service clubs and other groups which request them through the POWER (People Out Working to End Rape) Peer Education Program. Tasks: Recruit new peer educators and hold 52-hour trainings two to three times per year. Provide supervision and evaluation for the peer educators. Design and update presentations. Objective B: Maintain a resource library of books and videos and a free information bureau of handouts and brochures. Tasks: 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. .active C: Conduct fall and spring Sexual Violence Awareness campaigns. Task: 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 enforcement. Task: 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. Task: Schedule, publicize and present periodic 11- and 14-hour seminars. Supervise volunteer and paid staff who are self-defense instructors. Resources required: One full-time counseling staff; two half-time staff; 12 to 20 volunteers; computers; printers and offices; lending library; self-defense equipment. 13 -451- AGENCY: RAP!:: VICTIM ADVOCACY PROGRAM PROGRAM 3: SERVICES TO WASHINGTON, CEDAR AND IOWA COUNTIES Goal: To provide free, confidential rape crisis intervention services to residents of Washington, Cedar and Iowa Counties; and to provide support for friends, partners and family members of survivors of sexual violence in these counties. Objective A: Provide 24-hour telephone crisis intervention counseling and to provide emergency advocacy at hospitals and law enforcement agencies in Washington County 24 hours a day, 365 days a year. Tasks: 1. Recruit and train volunteer staff to provide in-person 24-hour advocacy in Washington County. Objective B: To provide follow-up advocacy, information and support victims/survivors. Tasks: 1. Network with local law enforcement, hospital personnel, other agencies and departments to enhance the quality of treatment survivors receive within various systems. Objective C: To provide short-term individual peer counseling to sexual violence survivors and their significant others. Tasks: 1. Staff an office in each county one to three days each week, as staff is available. Objective D: To provide support groups to sexual assault survivors and their partners, friends and family members each year. Tasks: 1. 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. Resources required: Two full-time counseling staff, offices and a telephone in each county, 6 to 12 volunteers in Washington County, pager service for Washington County volunteers, leased vehicle and cellular phones for staff travel, two portable computers and printers PROGRAM 4: STATEWIDE SEXUAL ABUSE HOTLINE Goal: To provide free telephone crisis intervention and information and referral to citizens of the State of Iowa who have sexual violence concerns beginning April 1, 1998. Objective A: Coordinate daily operation of the hotline with Crisis Services staff. 1. Develop hotline procedures. 2. Provide additional training to RVAP staff and volunteers. Objective B: Publicize the availability of the hotline throughout the state. 1. Develop and implement a marketing plan for the hotline. 2. Publish a newsletter about the hotline. Resources required: One full-time counseling staff, resources of the existing Rape Crisis Line plus an additional 10 to 20 volunteers, computer and printer, office space 14 -452- 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 111198 - 12/31/98 4/1/98 - 3/31/99 711198 - 6/30/99 x 10/1198 - 9/30/99 Betty L. Hargraves Executive Director Director: Betsy Tatro Site Director Agency Name: Araerican Red Cross Address: 328 S Clinton, Suite 6 Phone: 319-337-2119 Completed by: Betsy Tatro Approved by Chair Board: (date) COVER PAGE Program Summary: (Please number programs to correspond to Income & Expense Detail, i.e., Program 1, 2, 3, etc.) Emergency Services: 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. 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 (CPR), First Aid, Water Safety, and H/V/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 [Jhnson County City of Coralville 4/1/96 - 4/1/97 - 4/1/98 - 3/31/97 3/31/98 3/31/99 % of Total Budget $13,250 $13,920 $14,616 FY97 FY98 FY99 4510 4740 4977 0.05 0.02 5517 5767 6055 500 500 600 0.02 0.0002 -453- BUDGET SUMMARY AGENCY: 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) i a. Administration b. Program Total (List Progs. Below) 1 Emergency Services 2 Health Services 3 4 5 6 7 8 3. ENDING OPERATING BALANCE (Subtract 2 - 1 ) 4. RESTRICTED FUND BALANCE (Total from page 5) 5. IN-KIND SUPPORT (Total from Pag 5 ) 6. NON-CASH ASSETS Notes and Comments: Briefly describe how local funds were spent last year: American Red Cross Grant Wood Area Chapter Johnson County Office ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR FY97 FY98 FY99 229,211 256~023 275,673 72,332 82,538 82,538 156,879 173,485 193,135 146,673 173,485 193,135 29,334 26,023 28,635 117,339 147,462 164,500 66,003 78,068 83,837 51,336 69,394 80,663 -454- 500 1,000 1,000 58,226 49,106 53,517 1,400 2,200 2,000 In Fiscal '97, funds were pent to provide relief to victims of disasters and to teach individuals emergency prevention, preparedness, and response skills. We had an abnormal year with very few disasters; so disaster client assistance was less than budgeted. Funds were also used to purchase updated water safety and CPR/First Aid instructional materials. 1 .a. The large carry-over balance is necessary because according to National policy we must have a 180 day cash reserve. This amount for FY97 is different than reported in last year's budget request due to changing to a fiscal year budget from a calendar year budget. 5. The reduction in in-kin support is due to the fact that in Fiscal Year '97 we received a donation of modular furniture for our office. ' 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. FEMA b. Service Organizations C. d. e. f. 3. Net Sales Of Services (sources) a. Class fees b. ¢. 4.1,' Sales of Materials (sources) a. ~,,ass Books and Supplies b. C. 5. Contributions/Donations a. Urnted Way Designated Giving b. Other Contributions 6. Special Events a. Iowa City Road Races b. C. 7. Interest Income 8. Other - List Below AGENCY American Red Cross Grant Wood Area Chapter Johnson County OffiCe ACTUAL THIS YEAR BUDGETED NON- PROGRAM PROGRAM LAST YEAR PROJECTED NEXT YEAR DIRECTED 1 2 FY97 FY98 FYO9 FUNDING ES HS 23,945 25,101 I 26,430 I 2,2201 14,2901 9,920 5,517 5,767 6,055 0 3,633 2,422 4,510 4,740 4,977 0 2,858 2,119 13,418 14,094 14,798 2,220 7,399 5,179 500 500 600 0 400 200 500[ 2,685[ 2,8001 O[ 1,500[ 1,300 500 1,000 1,000 0 1,000 0 0 1,685 1,800 0 500 1,300 30,9721 34,0691 36,5921 0[ 0[ 36,592 30,972 34,069 36,592 0 0 36,592 7,922 10,2001 11,427 0l 0I 11,427 7,922 10,200 11,427 0 0 11,427 88,074 I 95,830 [ 110,186 I 21,565I 67,547[ 21,074 [ 3,907 4,290 4,500 675 2,250 1,575 84,167 91,540 105,686 20,890 65,297 19,499 8091 9001 1,000 1501 5001 350 809 900 1,000 150 500 350 4,657 I 4,7001 4,7001 4,700[ ITC- '~L INCOME (same as p.2, line Notes and Comments: 156,879 173,485 193,135 28,635 83,837 80,663 -3- -455- PROGRAM EXPE~~ DETAIL AGENCY American Red Cross Grant Wood Area Chapter 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 Ptm:hase~ental/Maint. 10. Utilities 11. Telephone 12. Office Supplies & Postage 13. Printing and Publicity 14. Local Translxmation 15. Insurance 16. Audit 17. Interest 18. Other (Specify): Vehicle Exp. 19. Support Allocation 20. Chapter Assessment 21. Chent Assistance 22. Bloodmobfie./Disaster Supplies 23. Instructional Materials 24. Volunteer Recognition/Supplies Johnson County Office 25 ACTUAL THIS YEAR BUDGETED ADMINISTRA- PROGRAM PROGRAM LAST YEAR PROJECTED NEXT YEAR ~ON 1 2 FY 97 FY' 98 FY 99 ES HS 48,869 60,610 70,541 17,416 25,267 27,858 8,076 8,546 9,663 2,416 3,479 3,768 465 1,225 1,798 58 650 1,090 406 398 450 45 225 180 130 370 150 22 38 90 0 500 500 250 100 150 8,135 9,780 14,670 1,320 3,815 9,535 500 0 1,500 135 390 975 405 1,409 1,450 63 445 942 0 600 900 81 234 585 3,644 4,839 5,322 480 1,383 3,459 1,804 5,266 5,400 830 2,213 2,357 615 7,495 7,804 1,076 4,485 2,243 256 125 150 0 100 50 0 0 0 0 0 0 264 654 720 108 324 288 0 0 0 0 0 0 907 500 600 144 246 210 35,197 25,050 26,071 2,346 14,339 9,386 12,304 13,534 12,535 1,755 6,894 3,886 9,472 17,850 18,050 0 18,050 0 0 575 600 0 400 200 14,894 13,201 13,261 0 400 12,861 330 958 1,000 90 360 550 TOTAL EXPENSES ( p. 2, line 2) Notes and Comments: 146,673 173,485 193,135 28,635 83,837 80,663 .456- 1. Increase reflects addition of full-time Program Assistant. 3. Increase due to the need to train additional disaster volunteers and train current volunteers in more advanced response programs. Increase also includes attendance at National Health and Safety conference. This conference is held every two years. 6. Membership and Dues includes Iowa City Chamber of Commerce and Rotary. 7. Rent increase due to the expansion of our current office space. In December 1998, we anticipate our final expansion which will almost double our current space. 8. Building maintenance includes paying partial costs of the renovation needed with the December 1998 expansion. 12.& 13. Increase due to the allocation of public relation and fund-raising costs directly to the programs. 18. High cost of vehicle expense in Fiscal Year 97 is due to major repair work on the vehicle. -4- AGENCY American Red Cross Grant Wood Area Chapter Johnson County Office RESTRICTED FUNDS: ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR Restricted by: FEMA Restricted for: Disaster Relief FY97 FY98 FY99 500 1,000 1,000 !~TOTAL RESTRICTED FUND (also shown page 2, line 4) 500l 10001 1000] MATCHING GRANTS G rantor/Matched by No matching grant TOTAL MATCHING GRANTS (also shown pg. 3, line 2) IN-KIND SUPPORT I~ETAII, Services/Volunteers Material Goods Space, Utilities, etc. 44,406 12,500 1,320 46,626 48,957 500 600 1,980 3,960 Other: (Please specify) TOTAL IN-KIND SUPPORT (also shown on page 2, line 4) Notes and Comments: 58,226 49,106 53,517 Service/Volunteers: The volunteer M-kind services were figured at $6 per hour for clerical assistance, $8 per hour for disaster volunteers, $ i 0 per hour CPR and First aid Instructors, and $15 per hour for nursing volunteers. Material Goods: The decrease is due to the fact that in Fiscal Year 97 we received a donation of modular furniture for our office. Space, Utilities, etc.: In December 1998, we will have the second expansion of our current office space which will almost double the size of the office. -457- SALARIED PosmoNs Position Last Year Site Director 52 x x 19% 0.40 Asst. Health Services Director 46 x x 26% 0.15 Corem Outreach Coordinator 34 x x 37% 1.00 Executive Director 52 x x 13% 0.10 Public Relations Director 34 x x 28% 0.10 Fin. Admin/Info Svs.Direetor 52 x x 26% 0.10 Emergency Services Director 34 x x 24% 0.15 Volunteer Director 34 x x 24% 0.05 Asst. Emergency Services Dir. 36 x x 42% 0.05 Secretary 36 x x 75% 0.05 Admin Asst. 34 x x 75% 0.20 HS Prog. Coordinator 34 x x 33% 0.05 Workplace Inst 0.15 Workplace Inst 0.15 JC Program Assistant 34 x x 65% 0.00 Financial Dev. Dir 40 x x 33% 0.15 Financial Dev. Secretary 34 x x 65% 0.15 AGENCY This Next Year Year 0.40 0.40 0.15 0.15 0.70 0.70 0.10 0.10 0.10 0.10 0.10 0.10 0.15 0.15 0.10 0.10 O.O5 O.05 0.O5 0.05 0.15 0.15 0.05 0.05 0.15 0.15 0.15 0.15 0.55 1.00 0.15 0.15 0.15 0.15 American Red Cross Johnson County. Office Salary, Actual This Budgeted % Last Year Year Next Year Change 12,292 13,100 13,755 5% 2,960 3,206 3,366 5% 13,368 13,985 14,684 5% 5,602 6,109 6,414 5% 1,895 2,000 2,100 5% 2,025 2,116 2,22 ! 5% 3,543 3,600 3,780 5% 1,386 2,400 2,520 5% 567 590 619 5% 232 312 327 5% 1,259 806 846 5% 550 775 814 5% 480 500 525 5% 105 250 263 5% 0 7,267 14,534 200% 2,395 2,507 2.632 5% 210 1,087 1,141 5% TOTAL FTE's and SALARIES * Full-time equivalent: 1.0--full-time; 0.5=half-time; etc. 3 3.25 3.70 48,869 60,610 70,541 16% -458- - 6 - ' AGENCY: American Red Cross Grant Wood Area Chapter Johnson County Office ACCOUNTABILITY QUESTIONNAIRE Ageney's Mission Statement or Primary Purpose: The American Red Cross, a humanitarian organization 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. Board of Directors: 1. Please attach a list of your agency's Board of Director~ 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 arc 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. 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 ensure the appropriate fee is charged for each course. Full or partial scholarships are offered to individuals based on need. 2. Does your agency have an internal audit,~xterual audit) of a financial review? (circle one) Frequency yearly 3. Has you agency filed the Annual Report with the Secretary of State? Yes ;~ 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 oppommity to donate with 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. 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- -459- -460- ge AGENCY: American Red Cross Grant Wood Area Chapter Johnson Coumy Office Programs/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 one person served. This 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 information 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 FY96 FY97 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? la. Duplicated Count 2,202 3,422 * lb. Unduplicated Count 2,202* 3,422 * 2a. Duplicated Count 1,287 * 1,947 * 2b. Unduplicated Count 1,287 * 1,947 * 3a. Duplicated Count 740 * 1,327 * 3b. Unduplicated Count 740 * 1,327 * 6,312 6,374 4. How many units of service did your agency 4a. Total provide? 4b. To Johnson County Residents 2,202 * 3,422 * · Our software can provide the place of residence only for Emergency Service clients and water safety participants who take classes at Coralville and Iowa City parks and recreation departments. 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 United Way of East Central Iowa and Delaware County United Way. Additional funding comes from donors in these counties and class fees ~enerated from participants living in the four counties. -8- o AGENCY: American Red Cross Grant Wood Area Chapter Johnson County Office Client Profile (for last complete year, if available): Age information is available only for Disaster Services clients and Learn to Swim water safety participants. Age Gender Ethnicity 0 - 5 6 M African American 6 - 17 3,180 F Native American 18 - 29 Asian 30 - 61 Hispanic 62 - 75 White 75+ Multi-racial e 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 for each objective. We are also evaluated by our national headquarters each year using the Standards of Performance for chapters. These standards measure service delivery, client satisfaction, and fiscal responsibility. Then the standards are measured against the Standards of Excellence. Be 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 annually conduct a client and customer feedback survey and 90 percent of customers must be very satisfied. 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. This past year, chapter staff attended training to lcam more about developing outcome objectives. Wc will continue to develop objectives to be more outcome based. 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. -9- -461- e 10. 11. 12. 13. AGENCY: American Red Cross Grant Wood Area Chapter Johnson County Office Please discuss any other problems or factors relevant to your agency's programs, funding or service delivery: We need to enhance our efforts to recruit volunteers from the permanent population of Johnson County. Our recruitment plans for the last several years have focused on college students. Additional volunteers from the permanent population will enable us to continue to provide the highest quality service even when the students are unavailable. List concerns and complaints about your services of which you are aware: Timing of CPR and First Aid classes - not frequent enough Location of CPR and First Aid classes - not enough parking areas Pricing of CPR and First Aid classes - too expensive 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 CPR and First Aid training courses. As we increase the number of volunteers and expand the classroom space at our office, we will be able to add additional classes to.the schedule. How many people are currently on your waiting list? 36 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 Self-Support Policy Task Force -10- -462- AGENCY HISTORY AGENCY: American Red Cross Grant Wood Area Chapter Johnson County Office (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 Gram 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. .- This year we have been working on inventorying the resources (human and material) available for disaster response in Johnson County. Volunteers' training records have been entered into the computer. This will enable us to better evaluate what trainings are needed by currein volunteers. We also have been working with local organizations to secure agreements to use their facilities during times of large scale disasters. These shelters are being placed throughout Johnson County so residents can be closer to their homes. Health Services continues to meet an ongoing need in the community. The number of classes and participants grows each year. Through a parmership 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 parmerships with the local parks and recreations programs to offer water safety programs to area residents. The American Red Cross will cominue to be a leader in human services in the community. During the next fiscal year, we will focus on strengthening our volumeer resources by concernrating our recruitment efforts on the permanem residents of Johnson County. We will also be enhancing our service delivery through the second expansion of our currein office. With this next expansion, we will almost double our current space which will allow us to teach larger classes in both CPR/First Aid and volunteer disaster training. -11- -463- AGENCY: American Red Cross Grant Wood Area Chapter 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 FISCAL YEAR 1998 OBJECTIVES Overall 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: Improve service effectiveness in disaster relief and response. Tasks: 1. Identify the financial, social, and emotional impact of a disaster on different socio- economic families to determine the Red Cross short - and - long term strategies needed within the chapter by surveying 25 households affected by disasters. Improve service quality provided by volunteers by 10% through enhanced career development. Increase the number of disaster volunteers to 30 so that three rotating teams can be developed. Objective: Tasks: Increase individual and household awareness of the importance of disaster and hazard prevention and preparedness. Establish at least one new education parmership to assist an at-risk population in safety awareness/intervention. Continue to expand Battery Up and safety presentations within Johnson County to include at least one more community and two more elementary schools in the rural areas of the county. Survey a minimum of 50 clients served by past Battery Ups to determine what educational impact the service has provided. -464- -12- AGENCY: American Red Cross Grant Wood Area Chapter Johnson County Office Objective: Increase awareness in the community of the chapter's role in the International Red Cross Movement. Tasks: 1.. Provide at least one community education workshop about International Humanitarian Law. Programs. Place in community locations (all libraries and community centers) printed information about Red Cross International Social Services and Tracing Resources Needed to Accomplish Program Tasks: 2. 3. 4. 5. 6. Seven new Disaster volunteers One cellular phone Training materials Brochures and community education materials Full-time Program Assistant One additional 'pager for Disaster Action Team volunteers Cost of Emergency Services: FY 1997:$66,003 FY 1998:$78,068 FY 1998:$83,837 -13- -465- AGENCY: American Red Cross Grant Wood Area Chapter Johnson County Office HEALTH SERVICES FISCAL 1999 OBJECTIVES Goal: Objectives: Tasks: Objective: Tasks: Educate individuals living in Johnson County so they can prevem, prepare for, and respond to accidents and emergencies. Instruct a minimum 2,132 of individuals in Johnson County in CPR and First Aid techniques. Develop, prim, and distribute a community CPR and First Aid course schedule. Conduct a CPR Saturday in Johnson County with a minimum of 50 participants. o Develop and implement a tool to survey students about their perception of ability and confidence to respond to an emergency. Instruct a minimum of 3,500 individuals in Johnson County in water safety and lifeguarding Skills in parmership with local water safety organizations. Meet with local aquatic directors to identify needs for water safety and lifeguarding instructor classes. Work with aquatic directors to promote water safety classes and programs to Johnson County residents. Objective: Tasks: Serve as an information resource to local AIDS service organizations, schools, and other social services agencies. 1. Survey the local agencies for the information and training needs. Cominue to partnership on AIDS awareness activities for AIDS awareness month and World AIDS Day. Continue to serve as a member of Healthy and Positive Imervemions Committee for AIDS service organizations in Johnson County. -14- -466- Resources Needed to Accomplish Program Tasks: 2. 3. 4. 5. Update equipment for baby and child manikins Marketing materials, class schedule brochure Ten new CPR and First Aid instructors Community Outreach Program Manager Full-time Program Assistant Cost of Program: FY 1997: FY 1998: FY 1999: $51,336 $69,394 $80,663 -15- -467- 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 111198 ~- 12/31198 411198 - 3131/99 711198 - 6~30~99 Director: Nancy Spalj Agency Name: School Children's Aid Address: 509 S Dubuc[ue Phone: 3 ! 9-339-6800 Completed by: Joan Buxton Approved by Board Chair: ,.~1~3.-~,¢~)/~ ~- on 10/17/97 10/1/98 - 9/30/99 ~date) COVER PAGE Program Summaw:(Pleasenumberprogmms ~ co~espondtolncome & Expense D~ail, i.e. Program 1,2,3, etc.) 1. Glasses - provided for school-aged children in' Johnson County in need of financial assistance. 2. Clothing for individuals - provided for school-aged children in Johnson County in need of financial assistance. 3. Medical - provided for school-aged children in Johnson. County in need of financial assistance. 4. Dental - provided for school-aged children in Johnson County in need of financial assistance. 5. Medication - provided for school-aged 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 Johnson County City of Coralville 4/1/96 - 4/1/97 - 4/1/98 - 3/31/97 3/31/98 3/31/99 $ $ $ 7016 7016 11,196 FY97 FY98 FY99 $ $' $ % of Total Budget 60.4% -468- AGENCY School Children's Aid BUDGET SUMMARY ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR Enter Your Agency's Budget Year -~ 1. TOTAL OPERATING BUDGET (Total a + b} a. Carryover Balance (Cash from line 3, previous column) 96 97 98 18486 ! 7668 1. RR 1-.R- 2. for individuals 3. 4. 5. 6. 7. miscellaneous 8. school supplies 9. class reQistration b. Income (Cash) TOTAL EXPENDITURES (Total a + b) a, Administration b. Program total (List Programs below) qlasses clothinq medical dental clothing for emergencies ;3. ENDING OPERATING BALANCE (Subtract 2 - 1) 4. RESTRICTED FUND BALANCE (Total from page 5) 5. IN-KIND SUPPORT (Total from page5 ) 6. NON-CASH ASSETS 1593 279 4t8' 16893 173Rq 1Ra~O 18207 17250 18400 n 0 n 18207 1 79K~ 3342 3500 6326 6500 6500 3558 3000 3300 2722 2700 3000 584 250 500 357 250 ~50 1036 650 13R ~o ~0n Ii I[ 279 438I 9666 10192 Notes and Comments: 1 All funds are general operating funds. *Briefly~escribehowiocalfundswerespentlastyear: All funds were spent to provide services directly to school-aged children. -2- -469- AGENCY School Children's Aid INCOME DETAIL 1. Local Fundino Sources a. Johnson County b. City of Iowa City c. United Way d. City of Coralville eo f. 2. Grants. State. Federal. Foundations a. b. C. 3. Net Sales of Services Isources} a. Fee adiust b. C. 4. Net Sales of Materials {sources) a. b. C, 5. Contributions/Oonations a. United Way Desionated Givino' b. Other Contributions 6. Soecial Events a. Iowa City Road Races b. C. ACTUAL LAST YEAR 1996 6922 THIS YEAR BUDGETED NON- PROJECTED NEXT YEAR DIRECTED 1997 1998 FUNDING I~o~ I~o~o I ,6922 7016 10150 428 I 300 [ 300 [ 42B 300 3O0 PROGRAM 1 ~lasses 1000 1000 I I 300 I 300 2500 I 2500 7269 8614 [ 6500 2682 3114 2500 45875500 4000 ~.o~I ~o.~I~ooo ~o3~o~ ~ooo ~/A 450 150 200 R400 I I I 7. Interest Income J N/A J ~T/A 8. Other - List Below Includina Miscellaneous I 8 7 ! J 3 6 0 a. Donated credit 350 150 h. Parent payment 495 200 c. Miscellaneous 26 1 0 TOTAL INCOME (shown also on DaQe 2, line lb) [ 16893 I ! '738 q Notes and Comments: PROGRAM -~1ot~ing fo: J 3050 3050 2000 2000 I000 1000 450 150 200 -470- -3- AGENCY Sinboo1 ~h~ldren's Aid INCOME DETAIL (continued) Local Fundinn Sources a. Johnson County b. City of iowa City c. United Way d. City of Coralville f. Grants. State, Federal, Foundations b. C. d. 3. Net Sales of Services (seurces) a. Fee adjustment b. 4. Net Sales of Materials (sources) b. O. 5. Contributions/Donations a. United Way Desinnated Givinn b. Other Contributions 6. Special Events - List Below a. Iowa City Road Races b. C. 7. Interest Income 8. Other - List Below Includinn Miscellaneous a. Donated credit b. Parent payment c. Miscellaneous 1. ,L INCOME (shown also on parle 2, line lb) Notes and Comments: PROGRAM PROGRAM Me~cal Den%al I 13oo I 2oo 1300 200 PROGRAM PROGRAM PROGRAM Clot~ing Me~ica '~.m~ ~"q Mi~C I 3ooo I 5oo I 250 PROGRAM SchOol 750 3000 500 250 750 I I I I I 2000 I 3300 I 200 $upp -471- 3a AGENCY School Children's Aid INCOME DETAIL (continued) Local Fundinfi Sources a. Johnson County b. City of Iowa City c. United Way d. City of Coralville e. f. Grants. State, Federal. Foundations 3. Net Sales of Services (sources) a. b. C. 4, Net Sales of Materials {sourcesl a. b. C. §. ContributionslDonations a. United Way Oesifinated Giving ho Other Contributions Special Events - Ust Below a. Iowa City Road Races b. C. 7. Interest Income 8. Other - List Below Including Miscellaneous a. Donated ~r~d~. b. Dar~n(-. lpRym~ni-. C. ~ scellaneous TOTAL INCOME (shown also on page 2, line lb) I Notes and Co~ents: PROGRAM 100 PROGRAM PROGRAM PROGRAM 4 5 6 I PROGRAM 7 I I I I I I PROGRAM 8 .472- 3b PROGRAM EXPENDITURE DETAIL 1. Salaries 2. Employee Benefits and Taxes 3. Staff Development 4. Professional Consultation 5. Publications and Subscriptions 6. Dues and Memberships Mortgage, Rent, and Propmy Tax 8. Building and Maintenance 9. Equipment Purchase/RentatlMaintenance 10. Utilities 11. Telephone 12. Office Supplies and Postage 13. Printing and Publicity 14. Local Transportation Insurance 16. Audit 17.. Interest 18. Other (Specify): 19. Financial assitance Miscellaneous 21. School suDDlies 2~ 23. 24. TOTAL EXPENSES (shown also on page 2, line 2) Notes and Comments: Professional consultation AGENCY qchonl ~h(ldrcn's Aid ACTUAl. THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR N/A N/A N/A N/A N/A N/A N/A 1 1 1 3702 3350 3500 ~/~ N/A N/A N/~ N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A M/~ N/A N/A N/A N/A N/A N/A ' N/A . ~/a N/A N/A N/A N/A N/A N/A N/A N/A N/A 13112 13000 13'JOO 357 250 250 1036 650 750 ADMIN. 18207 17250 18400 includes fees for medical PROGRAM PROGRAM ~las~es ind~lothes 3800 -6500 3800 6500 and dental consultation. -4- -473- AGENCY School Children's Aid PROGRAM EXPENDITURE DETAIL (continued) 1. Salaries 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. ' gullcling Maintenance 9. Equipment Purchaxe/Rental/Malntenence 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): 16. Financial ~,ssistance 20. Miscellaneous 21. School supplies 22. 23. 24. 25. TOTAL EXPENSES (Show also on page 2, line 2b) Notes and Comments: ] .Professional consultation PROGRAM Meo~ical 3300 PROGRAM PROGRAM PROGRAM PROGRAM PROGRAM Cloth Den~al Me~ica ~m=r~ Mi~c SchOol sc.~. 1 200 3000 500 3300 200 3000 500 includes fees for medical and 250 250 dental 75O 750 consultation. -474- 4a AGENCY School Children's Aid PROGRAM EXPENDITURE DETAIL (continued) 1. Salaries 2. Employee Benefits and Taxes 3. Staff Development 4. Profe.~ional Consultation Publications and Subscriptions 6. Dues and Memberships 7. Mortgage, .Rent and Property Tax 8. Building I~'iintenance 9. Equipment Purchase/Rent allMaintena~,c~ 10. Utilides 11. Telephone 12_ Office Supplies and Postage 13. I~nting and Publicity 14. Local Transportation Insurance 16. Audit 17. interest 18. Other (Specify): 19. Financial assistance Miscellaneous 21. School supplies 22. 23. 24. 25. TOTAL EXPENSES (Show also on page 2, line 2b) Notes and Comments: PROGRAM clBss re~;~ s 100 100 PROGRAM PROGRAM PROGRAM PROGRAM PROGRAM 4 5 6 7 8 4b -475- AGENCY .~hnnl mh~ 1 ~ren'; Aid RESTRICTED FUNDS Restricted by: Restricted for: ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR 96 97 98 Total Restricted Funds (also shown page 2, line 4) ;" MATCHING GRANTS GrantodMatched by:. Total Matching Grants (also shown on page 3, line 2) :' ' IN-KIND SUPPORT DETAIL Sm'vic~Nolunt~rs 125 volunteer hrs ~ 22.50/hr 2812 Donated used clothing and school MateriaiGoods ~,,ppl~ 23051 Spa~'Utiliti~'etC'sec, ~o~t~ge, ~u~q~, phone qORq Other:(Pleasespecify} 4 miles/wk ~ 31e/miles 52 Reduced charges fo.r glasses and TOTAL IN-KIND SUPPORT (Shown also on page 2, line 5) 140R4 9666 NotesandComments: includes school supplies for 112 students ~ $15/ea includes SchOol supplies for 156 students ~$15/ea includes school supplies for 200~students ~ $15/ea includes 28 free eye exams ~ $35/ea includes 31 free eye exams ~ $35/ea includes 35 free eye exams ~ $35/ea 2812 2 ?qRK q14~ 52 5 171Q 10192 2812 3 52 6 11308 -476- AGENCY ,~hool Children's Aid' SALARIED POSITIONS Paid NONE 'X" all that apply Health Retire ins Pbn Benefits Last Year This Year Next Year A~UAL ~ YEAR BUDG~ED ~ PR~E~. NE~ Y~R ~ Y~R % CHANGE Total Salaries & FTE 'Full-time equivalent: 1.0 - full-time: 0.5 - half-time; etc. -6- -477- AGENCY: School Children's Aid ACCOUNTABILITY QUESTIONNAIRE A. Agency's Mission Statement or Pdmary Purpose: To provide assistance (medical, needy school children that will successful participation in the dental, glasses, clothing) for result in the student's more school program. B. Board of Directors: 1. Please attach a list of your agency's Board of Directors N/A 2. Frequency of meetings: N/A 3. Bdefiy describe board orientation and ongoing training opporturii'fies: N/A Our staff consists of Nancy Spalj, Sue Dombroski and Aimee Shibata. We communicate every day and share information and responsibilitles. C. Finances: 1. If your agency charges a fee for services, descdbe your fee structure. No fees charged. o one) Does your agency have an' internal audit, external audit or a (circle Frequency n nnu~, 11y 3. Has your agency filed the Annual Report with the Secretary of State? Yes No X 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.) Communication with faculty through indistrict newsletter. also send requests to local churches. We Management: 1. Does each professional staff have a written job description? Yes X No 2. Is the agency Director's performance evaluated at least yeady? Yes No X By Whom? Director is evaluated every three years'by superintendent job performance. -7- for overall -478- Eo AGENCY: School Children' s 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.) Aid A unit of service is defined as an interaction with a student and the family that provides a specific service and/or material products to help the'student become ~ore sucdessful 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 ---- 95 96 la. Duplicated Count 427 508 lb. Unduplicated Count 336 383 How many Iowa City residents did your agency serve? 2a. Duplicated Count 277 309 2b. Unduplicated Count 3a. Duplicated Count 210 257 How many Coralville residents did your agency serve? 3b. Unduplicated Count 115 52 4a. Total 427 508 How many units of service did your agency provide? 4b. To Johnson County Residents 427 508 1996 Number of students receiving school supplies 112 5. Other Areas Served: 139 199 Do you provide services to areas outside of Johnson County? No Area(s) served: N/A Services provided: N/A Funding Sources: N/A -8- -479- AGENCY: School Children's Aid 6. Client Pmfile(~rlastcomplete year, Eavailable): We use our equity statement which is inclosed, We do not keep data or ask individuals what their gender or ethnicity is but our funds are available to all students. We do require that they be of Age Gender EthniciW school age. 0 - 5 M Aftcan Amedcan 6 - 17 F Native Amedcan 18 - 29 Asian 30 - 61 Hispanic 62 - 75 White 75 + Multi-racial 7. Evaluation and Review: ~ Please discuss how youragencymeasums ~e success ofi~ pmgrams. 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 youragen..cyhave pe~ormanceo~e~ives? [Give several example~ The criteria used to determine eligibility for School Children's funding is the same as that used to determine free or reduced lunch. There is some limit to the amount allowed for each family~$25.00:'per child for clothes or shoes; $100 for glasses. C. Whatplansdoesyouragencyhave ~in~ease efficiencyand effe~iveness? We have set some time constraints so clients can utilize other opportunities in the community ie, church clothing distribution. Parents are given permission to shop at used clothing stores. We call ahead and give permission for a set amount and are billed directly. A great deal of our time is after our regular work hours. 8. In what ways will the needs of your se~ice population change in the next five yeam: We expect an increase in need because of changes in our population and th~ decline in federal funds. Our school district is increasing in size which means we will have an increase in need due to the number of students we~serve. -480- -9- A~ency~ 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, madtal 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 Madan 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. -481- AGENCY: School Children's Aid 9. Please discuss anyotherpmblemsor~ctom mlevanttoyouragency's pmgmms, ~nding orsewicedelivery: The number of requests is especially high the first thing ~n the fall when we are very busy. We are working to set some more efficient procedures to effectively meet these demands. 10. List concem~complain~ aboutyoursewices ofwhichyou am awam: Not aware of any complaints. 11. Do you have a waiting list or have you had to turn people away ~r lack of abili~ tose~e ~em? What measums doyou ~elcan be ~kento msolvethisproblem: Not this year. In 1996, due to lack of funds, we had...a moratorium of spending of funds. We have limited the amount of spending/family so we won't run out of funds. How many people are currently on your waiting list? N/A 12. In what way(s) are youragency's sewices 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 Heatings __ c. Business Blitz d. Day of Cadng __ e. Executive Development Seminars__ f, Kick Off g. Victory Reception __ h. Volunteer Action Center i. Other we g-lv~ after hours, making t~ ol]r ~gPncy by home visits, etc. shopping -10- -482- AGENCY: School Children's Aid 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 Ai.d was established as a private corporation in 1959 by Frank Bates, director of health and physical education for the Iowa City Community 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 197!, School Children's Aid became a member agency of United Way of Johnson County. Our purpose remains to provide financial assistance for the purchase of health services (medical, dental, glasses, clothing) for identfied school children who have health problems that would interfere with the successful participation in the school program. See Agency Program Goals and Objectives Statement, Pg.12 -11- -483- AGENCY: .qchool Children ",,=: Aid AGENCY PROGRAM GOALS AND OBJECTIVES (Several pages are provided, please add any additional pages you may need with your agency name as a header.) Year 1998 GOALS Goal: To provide financial assistance for purchase of health services for identified school children who have health problems that would interfer with full participation in the school program. Objective A: In 1998 provide for the health needs of at least 140 school-aged children in Johnson County. In addition School Children's Aid Fund will provide needed clothing for least 175' school-aged 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 personnel a listing of health problems that would impact a child's optimal functioning in school. Objective B: In 1998 to work with the Iowa City Community School District volunteer coordinator.'to continue to develop volunteer involvement with our program. Objective C: In 1998, increase alternative funding from outside resources. Task 1: Encourage Hospice Race participation by more Iowa City Community School District staff. Task 2: Continue to apply for funds from churches and other programs. -484- -12- 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 111198 - 12/31/95 4/1/98 - 3/3 1/99 711198- 6/30/99 X 10/1/98- 9/30/99 Director: Dr. Howard Cowen Agency Name: Special Care Dental Program Address: S251 DSB, U of Iowa Phone: 335-7373 Completed by' Dr. Ho)nraxd ~ow~ Approved by Chair Board: ~/~//~~ 9/12/97 (date) 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 long-term care facilities in five o~,unties surrounding and including Johnson County. The program now serves four nursing homes in Johnson County. ~- 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 trealments, etc.) is offered to participating nursing home residents every 6 months. The Portable Outreach Program will continue as an extension of our mobile dental program to see various populations who 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 f'mancial 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 treatmnet, including the homebound and hospice patients. Local FuMing Summary United Way of Johnson County - - Does Not Include Designated Gvg. c,~, of Iowa City Johnson County City of Coralville 4/1/96 - 4/1/97- 4/1/98 - % of Total 3/31/97 3/31/98 3/31/99 Budget $10,000 5;11,260 $14,000 0.75 FY96 FY97 FY98 ~ -1- -485- BUDGET SUMMARY AGENCY: 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 Dental Services 2 3 4 5 6 7 8 Special Care Program ACTUAL LAST YEAR FY97 15,420 1,170 14,250 17,856'* THIS YEAR PROJECTED FY98 14,309 -2,436 16,745 14,650 BUDGETED NEXT YEAR FY99 18,959 -341 19,300 18,000 17,856 14,650 18,000 17,856 14,650 18,000 3. ENDING OPERATING BALANCE (Subtract 2 - 1 ) 4. RESTRICTED FUND BALANCE (Total from page 5) 5. IN-KIND SUPPORT (Total from Page 6. NON-CASH ASSETS Notes and Comments: *This is general operating funds **This includes: 1(2436)* I[ (341) 959 [ 34,100 35,600 37,250 1) $9040. to Special Care Clinic and nursing home residents 2) $3950. to Homeless Persons 3) $4866. to Johnson County indigents tiefly describe hon' Local funds were spent last year: These funds were spent for direct dental services such as: exams, cleanings, x-rays, fillings. extractions, root canals, and removable dental appliances (e.g., dentures and partials). -2- -486- 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. Johnson County DHS 2. Grants - State, Federal, Foundations a. b. C. d. e. i'. 3. Net Sales Of Services (sources) a. b. C. 4.1" Sales of Materials (sources) b. C. 5. Contributions/Donations a. United Way Designated Giving b. Other Contributions 6. Special Events a. Iowa Ci.ty Road Races b. ¢. 7. Interest Income 8 Other - List Below b. C. TOTAL INCOME (same as p. 2, line Notes and Comments: AGENCY Special Care Program ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR 13,3141 15,4451 18,000 I NON- DIRECTED FUNDING ol 10,314 11,945 14,000 3,000 3,500 4,000 I ol ol ol ol PROGRAM 1 18,000 14,'000 4,000 01 I ol ol ol ol ol I ol ol ol ol ol 0 700 0 [ ~no [ 0 600 0 700 378 700 558 600 558 600 o I 0 0 o I o I 14,250 16,745 19,300 700 ~ool 600 n i 19,300 PROGRAM 2 0 0 0 0 - 3 - -487- PROGRAM EXPENDITURE DETAIL ACTUAL LAST YEAR 1. S~hries 2. Employ~ Benefits & Taxes 3. Staff Development 4. Professional Consultation 5. Publications & Snbscfiptions 6. Dues and Mtmbcrships 7. Mortgage, Rent and Propmy Tax 8. Building Maintenance 9. Equipment PurchaseJRental/Maim. 10. Utiliti~ 11. Telephone 12. Office Supplies & Postage 13. Printing and Publicity 14. Local Transportation 15. Insurance 16. Audit 17. Interest 18. Other (Specify): 19 Direct Assist. to qualified patients 17,856 20 21 22 23 24 25 TOTAL EXPENSES ( p. 2, line 17,856 Notes and Comments: AGENCY Special Care Program THIS YEAR BUDGETED ADlvilNIS~- PROJECTED NEXT YEAR TION 14,650 18,000 0 14,650 18,000 0 PROGRAM 1 18,000 18,000 PROGRAM 2 0 -488- -4- AGENCY Special Care Program RESTRICTED FUNDS: Restricted by: Restricted for: ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR tTOTAL RESTRICTED FUND (also shown page 2, line 4) MATCHING GRANTS Grantor/Matched by ITOTAL MATCHING GRANTS (also shown pg. 3, line 2) IN-KIND SUPPORT DETAIL Services/Volunteers Material Goods Space, Utilities, etc. Other: (Please specify) Faculty Salary ITOTAL IN-KIND SUPPORT (also shown on page 2, line 4) Notes and Comments: 4,100 7,800 9,000 13,200 34,100 4,300 4,500 8,200 8,600 9,400 9,900 13,700 14,250 35,600 37,250 - 5 - -489- SALARIED POSITIONS "X" those that apply AGENCY Last This Next Year Year Year Special Care Program Salary Actual This Last Year Year Budgeted % Next Year Change TOTAL FTE's and SALARIES [ 0 * Full-time equivalent: 1.0=full-time; 0.5=half-time; etc. _ 6. 0 0 0 0 0 -490- AGENCY Special Care Program ACCOUNTABILITY QUESTIONNAIRE A. Agency'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: lfyour 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 Annually external audit financial review X monthly 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 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. 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 -491- AGENCY Special Care Program ao 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 for our agency is defined as a specific dental 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 insetvice and cleaning and marking of all resident's dentures. Please supply information about clients served by your agency during the last two coml~lete 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- FY96 FY97 la. Duplicated count 298 331 lb. Unduplicated count 90 98 2. How many Iowa City residents did your agency serve.'? 2a. Duplicated count 248 2b. Unduplicated count 70 271' 74 3. How many Coralville residents did your agency serve? 4. How many units of service did your agency provide? 3a. Duplicated count 50 55 3b. Unduplicated count 20 21 4a. Total 9426 9591 4b. To Johnson County 646 679 Residents * Includes 24 homeless residents with 52 visits 5. Other areas served: Do you provide service to areas outside of Johnson County? Area(s) served: Eastern Iowa and Western Illinois Services provided: Same Yes Funding Sources: None -492- 8 AGENCY Special Care Progrnm Client Profile (for last complete year, if available): 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: 1) 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 (98) of Johnson County residents this year, including a continued high number of homeless persons (24). This followed with a record high number (679) of units of services provided. Does your agency have performance objectives? (give several examples.) No. 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 iustitutionalized 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 managed health care. We will continue to apply for other grants and keep our eyes open for all possible avenues of fund raising. -493- 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 on]y 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 concerns and 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) ate 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. c) A brochure is used to explain the program to patients, their families and their financially responsible parties. d) 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 B!i~z d. Day of Caring e. Executive Development Seminars f. Kick Off g. Victory Reception h. Volunteer Action Center i. Other X X -494- I0 AGENCY Special Care 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.) 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 10 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 for 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 every year. 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 (FY97). 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 Geriatric 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 (98) 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 seventh year we have provided care for the homeless population of Johnson County, providing care to 24 people. This compares to 20 last year and 32 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 possible restructuring of Medicaid. The demand for dental services is expected to increase as our population lives longer and retains more of their own teeth, leaving even a greater problem for access to 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 occasional 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 32 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 get 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 members of our local community. 11 -495- AGENCY 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 Dental Program are: l) 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. 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. 3) The mobility of the dental unit 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. n) 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. 5) The dental student will gain experience in treatment planning for patients with multiple medical disorders and associated drug therapy. 6) Students will learn to develop "rational" (vs. ideal) treatment plans based on the individual needs of the geriatric and medically complex patient. 7) 8) 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. 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. Tasks: The facilities and equipment in the Geriatric Mobile Dental Unit/Special Care Clinic allows the provision of all dental treatment procedures. Examinations, x-rays, preventive dental care, routine fillings, crowns, root canal therapy, minor oral surgery, construction of dentures and denture repairs are provided to nursing home residents, homebound elderly, frail elderly, and the medically and mentally complex residents of Johnson County. -496- 12 AGENCY Special C~-e Prog~n AGENCY PROGRAM GOALS AND OBJECTIVES, continued 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 1 full-time dental hygienist 1 full-time clinic clerk ? 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 25 foot 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. 13 -497- HUMAN SERVICE AGENCY BUDGET FORM City of Coralville Johnson County City of Iowa City United Way of Johnson County CI-IECK YOUR AGENCY'S BUDGET YEAR t11198-12131199 4/1/98- 3/31/99 7/1/98- 6/30/99 X Director: Agency Name: Address: Phone: Jim Swaim United Action for Youth 410 Iowa Avenue, Iowa City 319-338-7518 Completed by: Jim Swaim Approved by Chair Board:("-C~~.~~~,~ 9/30/99 on September 10, 1997 (date) COVER PAGE Program Summary: (Please number programs to correspond to Income & Expense Detail, i.e. Program 1, 2, 3, etc.) 1) Counselinu/lntervention: Provides counseling, intervention, 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 relationship 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 the 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 Develovment: Provides programs to reduce/prevent delinquency, substance abuse, unplanned teen pregnancy, and child maltreatment 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. ! Cit?, of Iowa City i Iohnson County ! Cita, of Coralville 4/1/96 - 4/1/97 - 4/1/98 - % of Total 3/31/97 3/31/98 3/31/99 Budget 27,675 30,703 48,000 5.4% FY97 FY98 FY99 ~ 54,900 56,500 60,000 6.7% 77,234 81,484 89,000 10.0 % 1,050 1,050 7,500 0.8% -498- - 1 - AGENCY United Action for Youth BI"~GET Enter Your A§ency'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 Programs Below) 1. Counseling and Intervention 2. Prevention and Youth Development 3. 4. 5. 6 7. 8. ACTUAL LAST YEAR 7/1/96-6/30/97 743,82s (3,630) 747,458 752,483 82,773 669,710 316,043 353,667 THIS YEAR PROJECTED 7/1/97-6/30/98 865,078 (8,655) 873,733 865,015 86,502 778,513 406,557 371,956 .3. ENDING OPERATING BALANCE (Subtract 2-1 ) 4. RESTRICTED FUND BALANCE (Total from page 5) 5. IN-KIND SUPPORT (Total from Page 5) u. NON-CASH ASSETS 4,160 3,980 122,000 145,000 362,585 365,565 BRIEFLY DESCRIBE HOW LOCAL FUNDS WERE SPENT LAST YEAR: Local funds were spent last year to support the general operating costs of the Youth Center, counseling and prevention programs and to match several state and federal grants BUDGETED NEXT YEAR 7/1/98-6/30/99 893,363 63 893,300 893,310 92,073 801,237 427,185 374,052 531 4,110 153,300 364,485 -2- -499- AGENCY United Action for Youth INCOME DETAIL 1. Local Funding Sources Actual This Year Budgeted Non-directed Last Year Projected Next Year Funding 231,995 261,759 272,500 37,445 Program 1 Counseling 106,840 Program 2 Prevention 128,215 a. Johnson County 77,234 81,484 89,000 b. City of Iowa City 54,900 56,500 60,000 c. United Way 28,437 35,040 48,000 d. City of Coralville 1,050 1,050 7,500 e. Johnson County Decat 55,490 67,685 47,000 f. Johnson County Child Care 14,884 20,000 21,000 2. State, Federal, Foundations 367,208 461,511 461,300 a. Iowa Dept of Criminal Justice 1{)9,419 171,740 142,000 b. Fedend HI-IS, Admin for Children & Families 125,937 105,864 148,000 c. Iowa Depts of Human Serv/Educ/Health 120,574 168,182 162,800 d CDBG, Iowa City 0 8,725 0 e. Foundations 11,278 7,000 8,500 3. Net Sales of Services 124,033 131,163 139,000 a. Medicaid 42,543 72,400 60,000 b. FADS/4 Oaks 0 12,000 13,000 c. Juvenile Court - 30,981 38,000 40,000 d. Iowa City Schools 50,509 8,763 26,000 4. Net Sales of Materials 604 600 600 5. Contributions/Donations I 8,426 11,000 12,000 a. United Way Designated Giving 1,819 2,000 2,000 b. Other Contributions 6,607 9,000 10,000 6. Special Events 2,743 5,000 5,200 a. Iowa City Road Races 988 1,000 1,200 b. Concerts 0 1,000 1,000 c. Small Events 1,755 3,000 3,000 7. Interest Income 264 300 300 8. Other (including misc) [ 12,185[ 2,400 2,400I a. Work Study/Other 6,990 2,400 2,400 b. Maintenance fees/MYEP & SHSI* 5,195 0 0 Total Income (same as pg 2, line lb) 747,458 I 873,733 893,300 16,020 36,490 36,490 10,800 24,600 24,600 4,800 21,600 21,600 1,125 3,000 3,375 4,700 21,150 21,150 0 0 21,000 38,330 198,800 224,170 4,000 98,000 40,000 20,050 85,300 42,650 14,280 12,000 136,520 0 0 0 0 3,500 5,000 12,600 114,700 11,700 6,000 54,000 0 0 13,000 0 4,000 36,000 0 2,600 11,700 11,700 45 195 360 1,200 4,8ooI 6,000 200 800 1,000 1,000 4,000 5,000 1,150 1,150 2,900 300 300 600 250 250 500 600 600 1,800 100 1001 100 1,2001 600] 600 1,200 600 600 0 0 0 92,0701 427,185 I 374,045 Notes and Comments: * UAY no longer shares space or parking with MYEP or SHSI, so maintenance fees will be zero. -500- - 3 - AGENCY United Action for Youth PROGRAM EXPENSE DETAIL 1. Salaries 2. Employee Benefits and Taxes 3. Slaff Development 4. Professional Consultants 5. Publications & Subscriptions 6. Dues and Memberships 7. Mortgage, Rent, & Property. Tax 8. Building & Maintenance 9. Equipment Purehase/Rental/Mamt 10. Utilities 11. Telephone )ffice Supplies & Postage 13. Printing & Publicity 14. Local Transportation 15. Insurance 16. Audit 17. Interest 18. Program Activities and Supplies 19. Contract Services 20. Teen Morns $1/day & Food 21. Miscellaneous TOTAL EXPENSES (same as pg 2, line 2) Notes and Cormments: Actual This Year Budgeted Non-directed Last Year Projected Next Year Funding 522,484 587,640 622,030 62,203 96,479 130,000 139,000 13,900 5,752 5,700 4,000 400 25 100 780 380 151 150 800 0 1,341 1,200 1,200 400 8,143 8,200 8,400 1,260 6,869 15,725 8,000 1,200 2,568 4,000 4,800 720 6,956 7,000 7,600 1,140 7,146 7,400 7,600 1,140 3,167 3,000 3,200 480 6,566 6,000 6,200 930 6.310 6,400 6,200 620 14,525 15,000 16,000 2,400 3,401 3,200 3,400 3,400 14,428 14,500 15,000 1,500 9,112 8,000 12,000 0 29,323 34,200 19,000 0 7,589 7,500 8,000 0 148 100 100 0 752,483 865,015 893,310 92,073 Program 1 Counseling 311,015 69,500 2,000 200 400 400 3,360 3,200 2,160 3,420 3,420 1,440 2,790 2,480 7,200 0 6,750 2,000 3,800 1,600 50 427,185 Program 2 Prevention 248,812 55,600 1,600 200 400 400 3,780 3,600 1,920 3,040 3,040 1,280 2,480 3,100 6,400 0 6,750 10,0 O0 15,200 6,400 50 374,052 - 4 - -501- AGENCY Urnted Action for Youth PROGRAM EXPENSE DETAIL RESTRI C'Iqk'D FUNDS: Restricted by: UAY Board All State and Federal Grants Contracts * Restricted for: Health Benefits Grant Objectives Contracted Services these funds always have a zero balance at year end [~rOTAL RESTRICTED FUND (also shown page 2, line 4) ACTUAL TI-IIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR 4,160 3,980 4,110 367,208 461,511 461,300 124,033 131,163 139,000 ] 4,160 3,980[ 4,110] MATCHING GRANtrs Gra~torfMatched by Criminal Justice / City, County, United Way, Decat U.S. Department of Health, Human Service / City, County, United Way Iowa Depts. of Health, Human Services, Education / City, County, United Way, Decat, West Liberty Schools TOTAL MATCHING GRANTS (also shown page 3, line 2) 109,419 171,740 14Z000 35,000 45,000 125,937 105,864 148,000 29,800 l&300 120,574 168,182 162,800 22,000 24,200 355,930 445,786 452,800 86,800 85,500 36,500 32,600 23,100 92,200 _IN-KIND SUPPORT DETAIL Services/Volunteers* Material Goods: donated food, music/rec equip., furniture, bldg. materials Space, Utilities, etc.: teen morns childcare, ropes course, meeting space Other TOTAL IN-KIND SUPPORT (also shown on page 2, line 4) Notes and Comments: *Volunteers for FY99:3000 b_rs @ $8; 440 hrs ~$20; and 50 hrs~ $50. Total $35,300. 5 VISTA volunteers ~, $14,000 and 2 interns ~ $9,000. Total $88,000. 96,000 118,000 123,300 14,000 15,000 18,000 12,000 12,000 12,000 0 0 0 122,000 145,0001 153,300 -502- -5- SA'LARIED POSITIONS AGENCY United Action for Youth 'X~ those that apply l~rE~ Salary Position ~ ~ ~, .~ Last This Next Actual This Budgeted % ** ~ ~ Year Year Year Last Year Year Next Year Change Executive Director 26 X X 1.00 1.00 1.00 44,150 47,450 47,925 ! % Associate Director 26 X 11% 0.50 1.00 1.00 22,556 39,600 40,392 2% Pediatric Nurse Practioner 18 X 7% 0.75 0.60 0.60 17,561 18,000 18,720 4% Family Counselor 21 X X 11% 0.90 0.90 0.90 28,273 30,080 31,283 4% Youth & Family Counselor 21 X X 10% 1.00 1.00 1.00 27,982 30,080 31,283 4% Youth Counselor 21 X X 11% 1.00 1.00 1.00 27,081 30,080 31,283 4% Youth Counselor 18 X 8% 1.00 1.00 1.00 22,468 24,830 25,823 4% Youth Counselor 21 X 7% 0.75 1.00 1.00 17,740 25,500 26,520 4% Youth Center Coordinator 21 X X ! 0% 1.00 1.00 1.00 27,839 30,080 31,283 4% Youth & Family Counselor 21 X X 11% 1.00 0.75 0.75 30,051 18,000 18,720 4% Youth Counselor 21 X X 10% 1.00 1.00 1.00 27,689 30,080 31,283 4% Youth Counselor 21 X 7% 0.60 0.25 0.50 13,336 5,000 12,000 140% Teen Parents Coordinator 21 X X 10% 1.00 1.00 1.00 26,613 30,060 31,262 4% Youth Counselor 21 X X 8% 1.00 1.00 1.00 23,769 26,310 27,362 4% Your,. ,des 2 0% · 0.10 0.10 0.20 1,440 1,600 1,664 4% Family Counselor 2 X 0% 0.30 0.50 0.75 7,225 14,000 22,500 61% Business Director 21 X X 10% 1.00 1.00 1.00 29,759 30,640 31,866 4% Office Manager 21 X X 9% 1.00 1.00 1.00 24,808 26,350 27,404 4% Prevention Counselor/Data Mgr 21 X X 9% 1.00 1.00 1.00 19,179 22,750 23,660 4% Custodian 18 0% 0.40 0.40 0.40 5,598 7,200 7,488 4% Respite Care/Child Care 18 X 7% 0.80 1.00 1.00 17,604 22,280 23,171 Youth & Family Counselor 21 X X 11% 1.00 1,00 1.00 23,950 25,080 26,083 4% Child CareWorker (work study) 2 0% 0.00 0.10 0.10 0 1,200 1,248 4% i Vol unteer Coordinator 21 X X 10% 1.00 1.00 1.00 22,318 24,880 25,875 4% !Youth Worker/Tracker 15 X 0% 0.50 1.00 1.00 12,747 23,010 23,930 4% i lntems 0% 1.00 1.00 2.00 748 3,500 2,000 -43% I VISTAs X X *** 0% 7.00 5.00 5.00 0 0 0 0% TOTAL FTEs and SALARIES 27.60 26.60 28.20 522,484 587,640 622,030 6% Full-time equivalent: 1.0=full-time; 0.5=half-time; etc. -~ Large % changes are due to change in FTE ** Based on years of employment, not job class ~'~ X As receive an educational award at the end of service ~** Retirement is provided to all employees who have worked at UAY three of the last five years. ~*** UAY health benefits vary, based on family and flexible spending plan options. -6- -503- AGENCY United Action for Youth ACCOUNTABILITY OUESTIONNAIRE 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 themselves to a healthy future. B. 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: 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. Go Finances: 1. 2. If your agency charges a fee, describe your fee structure. Does your agency have: internal audit external audit X Frequency annually N/A financial review Has your agency filed the Annual Report with the Secretary of State? Yes X No Has your agency filed Form 990 with the IILS 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 small events. We hope to expand our concerts and other fundraising. Management: 1. Does each professional staff have a written job description? 2. ls the agency Director's performance evaluated at least yearly? Yes X No By Whom? by the board Yes X No -504- 7 UAY BOARD MEMBER LIST BRAVERMAN, CORDELL TREASURER 1015 OAKCREST ST IOWA CITY, IA 52244 HM: 338-7826 WK: 338-7058 EXPIRES 6~30~96 GRADY, PAT BUILDING COMMITTEE 597 UNDER RD NE IOWA CITY, IA 52240 HM: 337-9813 EXPIRES 6/30~98 JONES, JO PERSONNEL COMMITTEE 3201 MUSCATINE AVE #1 IOWA CITY, IA 52240 HM: 351-1333 WK: 335-1723 EXPIRES 6~30~96 KUDSK, ELIZABETH CHAIR 1607 E COURT ST IOWA CITY, IA 52240 WK: 335-8471 HM: 338-3132 EXPIRES 6/30/98 SUSAN JUNIS YOUTH BOARD MEMBER 1627 DOVER ST IOWA CITY, IA 52240 HM: 338-0879 QUIGLEY, MARY FUNDRAISING COMMITTEE 526 TERRACE RD IOWA CITY, IA 52245 HM: 337-3817 WK: 356-4402 EXPIRES: 6~30~97 ROGERS WESTON, KAY SECRETARY BUILDING COMMI'i-I'EE 3 PENDALE TERRACE NE IOWA CITY, IA 52240 HM: 338-3066 WK: 351-8811 EXPIRES 6/30/97 WRIGHT, TERESA 4340 WINTER EAGLE TRAIL SE IOWA CITY IA 52240 WK: HM:354-3799 -505- to 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 comvlete budget years. Refer to form inslamctions 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? 5. Other areas served: Enter Years- 7/1/95 - 7/1/96 - 6/30/96 6/30/97 la. Duplicated count lb. Unduplicated count 1,473 1,821 2a. Duplicated count 2b. Unduplicated count 1,078 1,247 3a. Duplicated count 3b. Unduplicated count 228 239 4a. Total 20,897 23,655 4b. To Johnson County Residents 19,968 21,845 Do you provide service to areas outside of Johnson 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 (1owa County), and Iowa Department of Human Services (all 5 counties) 8 -506- AGENCY United Action for Youth Client Profile (for last complete year, if available): youth only under?:t0'.'i. ::::':.47 ':..:::i ~.Female.': · · 669:::.: 'African.American ·':~.120 · 1:0-12::...'~.' .'t69 'i Male" '716'. Native American .~ 8 13-1.5:~.. '~-.:. ';6~.I:~' :'.'i'." ,.~..' ... , ... ' ::Asian"'~:' 'i .'i ':.. . .... ....55 i'6-.tg" "" ' ;.41:! · ':; '.: · ":'~ · '.'" Flisp~mi¢'": :" ' 2i6' '8'+ · 1'37 ':~ Caueasian/Non-FIispanic 987 · · . Multi-racial many Evaluation and Review: A. Please discuss how your agency measures the success of its programs: Besides self evaluation, UAY uses the U of I 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 part of a national research project to evaluate its impact on teen pregnancy and child development. Does your agency have performance objectives? (give several examples) (Teen Parenting Class) Objective #1: 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 high 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 stress. (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 effectiveness? UAY's youth and family service teams review on a regular basis how to improve effectiveness and efficiency. This year the school based resource center effectively planned service revisions after the reduction of a decat grant. Our business office is also trying to keep up with the growth of funding requirements. We are currently engaged in more colIaborative 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 3'ear. 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. -507- 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 administxation requirements 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. The conversion of DHS to a managed care system will result in more persons seeking service outside the system. We have had a large increase in prevention and youth development activity. 10. List concerns and complaints about your services of which you are aware: I am not aware of concerns or service complaints. Some parents and youth, fruslxated in conflict, express anger at a particular suggestion or event, such as reporting abuse. UAY still needs to improve 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 had a waiting list for families wanting family counseling, but there is none at this time. We provided other services to individual youth on the waiting list and have increased staff'mg 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? 0 12. In what way(s) are your agency's services publicized? Through fliers, paid advertisements, public service announcements, posters, speaking engagements, interviews, open houses, referral sources, runaway hotline, significant visibility 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" if agency participates) g. h. i. Agency Directors Meetings X Agencies Representative to Funding Hearings X Business Blitz X Day of Caring X Executive Development Seminars X Kick Off X Victory Reception X Volunteer Action Center X Other Coordinating VISTA grants -508- 10 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 future. UAY receives funds, in addition to its local support, from 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. 'AY makes a special effort to respond to requests from the police, court, Youth Homes, DHS, Crisis Center, ,zmergeney Housing Project, DVIP, RVAP, 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 teen pregnancy and teen parenting. It is a current participant in the national Community Youth Development (CYD) project sponsored by the DeWitt 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 its 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 situational 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 co!laborative projects with other agencies to impact tmancy (Big Brother/Sister), teen pregnancy (Neighborhood Centers/planned parenthood/FADS) and hometessness (Youth Homes/Four Oaks). - ~3 - -5.09- United Action for Youth AGENCY GOALS For the Year 1998/1999 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. COUNSELING/INTERVENTION PROGRAM (Goals I and II) 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 risk. 3. 4. 5. 6. 7. 8. Maintain significant contact with an estimated 1300 young people in their own environment (see youth development). Provide counseling to individuals and families in Johnson County (an estimated 2000 counseling contacts with 300 individuals will occur). Provide an estimated 300 direct crisis interventions to individuals as needed. Maintain one-to-one and group interaction with 500 youth directed at individual problem solving and improved self.esteem. Facilitate support groups during the year, especially in areas in which youth share a common interest (at least 4 on-going groups). Maintain an outreach office that is an accessible, comfortable atmosphere where young people can drop in for. assistance. Act as an advocate for youth when requested or appropriate. 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 after regular hours). Objective B: To provide accurate information to youth and families in response to their concems 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 with Cdsis Center, Community Mental Health, and other agencies facilitate public awareness aimed at preventing teen suicide (5 workshops reaching 100 individuals). Maintain an up-to-date resource file of helpful information at the outreach office which includes materials for distribution. Facilitate workshops in other areas of interest to young people (75 workshops reaching 2000 individuals). Refer individuals to other agencies or resources to meet needs unmet by UAY (500 referrals of 150' individuals and families). 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.). 5. 6. 7. -510- 12 United Action for Youth Goal I1: To provide for the pdmary prevention of delinquency, drug abuse, child abuse and pregnancy by organizing activities and projects that enhance and contribute to the health and development of young people and their families. Obiective A: To organize activities, 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 Johnson County (at least 5 in area schools and 2 in non-school settings). Coordinate recreational/leisure 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 United Action for Youth (at least 2 youth staff, 60 volunteers and 2 board members). Operate a peer counseling phone line utilizing 40 trained teen volunteers to confidentially respond to the concerns of young people. Encourage and help develop positions of responsibility within other community groups for young people including positions on agency boards and public service committees. Obiective B: To improve general awareness of and professional response to the maltreatment of children, especially adolescents, in Johnson County. 2. 3. 4. 5. Actively participate in efforts with other agencies to coordinate intervention, treatment and follow-up for victims of maltreatmenL Respond to immediate intervention needs of adolescent victims of maltreatment. Provide training andeducation to parents, youth and other professionals that will enable them to recognize child maltreatment and respond appropriately. Continue the development and use of situational drama with young people which emphasizes issues related to adolescent maltreatment and delinquency prevention. Provide skills training and assistance to teen parents using the Nurturing and Bavolek programs. Obiective C: Act as a resource to other agencies in meeting the needs of young people accepting referrals to provide UAY's services to individuals, groups and families. Provide in-home services to families refen'ed by the court to prevent out of home placement. Consult with and coordinate UAY's services with 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. 13 -511- United Action for Youth Obiective 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 well being 2. 3. 4. 5. Conduct outreach to families using school and neighborhood based settings and in- home visits to reach parents asking for help. (at least 400 parents contacted) Organize four parent skill training workshops annually to provide parents skill training. (at least 30 families participating) Facilitate regular parent participation in area forums for youth and family services, including the community cdme prevention program and teen parent program. Conduct at least two family service retreats to enhance parent skill and family functioning. (at least 12 families participating) Provide in-home counseling to families seeking assistance prior to needed intervention by the juvenile court and child welfare system. (at least 50 families) PREVENTION PROGRAM (Goals II and III) Goal II1: To 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. Obiective A: Provide creative leaming environments in which young people can learn about elec~onic media, communication arts, and traditional forms of artistic expression, as well as team building and adventure based self esteem enhancement. 2. 3. 4. 5. 6. 7. 8. Maintain a sound and music studio which is equipped for instructional use by young people for multi-channel recording and sound reproduction. 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. Identify participants who may be in need of outreach or other services described in goals I and II and facilitate their use of such services. Provide space for other arts related activities as it is available and arranged for use by young people. Provide individual and group instruction in the use of studio equipment and facilities, Involve artists, student intems, and other volunteers as resources to participants. Operate and staff the studio and Youth Center so that they are convenient for use by drop-ins (open aftemoons, evenings, and weekends). Coordinate adventure based learning activities for youth and families using the ropes course and outdoor events. Obiective B: Facilitate the active participation by youth in community events and programs which allow them to demonstrate their talents and concerns for others. 2. 3. 4. Organize workshops and projects that involve youth with other populations, including persons with disabilities, other cultures, older persons, and younger children. Help facilitate the active use of public access opportunities available to youth, including those at the public library and recreational center. Help facilitate the organization of performances and exhibitions by young people in order to display their talents to others in the community. 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. 14 HUMAN SERVICE AGENCY BUDGET FORM City of CoraMlle Johnson County City oflowa City United Way of Johnson County CHECK YOUR AGENCY'S BUDGET YEAR 111/98 - 12/31/98 4/1/98- 3/31/99 7/1/98- 6/30/989 Director: Rosalie Rose Agency Name: Visiting Nurse Association Address: 485 Highway I West Phone: 319-337-9686 Completed by: Rosalie Rose Approved by Chair Board: Do _ Pars~ __ x 10/1/98 - 9/3 0/99 Se, ptemb.e_r 24, 1997 (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. HOME CARE AIDE SERVICES - Services provided in the home for the purpose of maintaining individuals at home; includes peesonal care assistance,'housekeeping, grocery shopping, laundry, en, ands, etc. 4. ELDERCARE ~ Health care/or ,~eniors provided at housing and meal sites; services'include screening, counseling, direct care and education. 5. COMMUNITY PROGRAM - Case Management services, heaRh consultation with other human service agencies; and health prevention services, screening and education for the general public, businesses and schools. 6. SENIOR HEALTH PROGRAM - Health care for'"wel!" 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 enrollment in program). Local Funding Summary United Way of Johnson County - - Does Not Include Designated Gvg. City of Iowa City hnson County t City of Coralville 4/1/96 - 4/1/97 - 4/1/98 - % of Total 3/31/97 3/31/98 3/31/99 Budget $59,500 $61,285 $63,125 2.95% FY97 FY98 FY99 ~ $ 124,340 $ 115.846 $ 119.3155.58% -1- -513- BUDGET SUMMARY AGENCY: Enter Your Agency's Budget Year -~-~> 1. TOTAL OPERATING BUDGET (total a+b) a. Carryover Balance (Cash fi'om line 3, previous column) b. Income (Cash) 2. TOTAL EXPENDITURES (Total a+b) a. Administration b. Program Total (List Progs. Below) I Skilled Home Care 2 Health Promotion 3 Home Care Aide Services 4 Eldercare 5 Community Program ._ I I 6 Senior Health Program I I 7 Family Investment Program Visiting Nurse Association ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR DEC31,1996 DEC31,1997 DEC31,1998 2,482,837 2,497,269 2,459,944 221,188 276,149 313,864 2.261,649 2,221,120 2.146,080 2,206.688 2.183,405 2,133,620 ~ 353,070 349,345 341,379 1,853,618 1,834,060 1,792,241 1,507,547 1,482,470 1,448,668 60,613 59,974 58,606 207,976 214,952 210,051 52,087 51,537 50,362 13,161 13,022 12,725 7,229 7,153 6,990 5,005 4,952 4,839 13. ENDING OPERATING BALANCE (Subtract 2 - 1 ) 4. RESTRICTED FUND BALANCE (Total from page 5) 5.1N-K_hNI) SLIPPORT (Total from Page 5) NON-CASH ASSETS 0 80,000 40,000 49,430 43,585 48,198 14,676 17,000 16,500 Notcs and Conrelents: 'Brielly describe how local funds were spent. Local funds were used to provide sen'ices to those unable to pay using; .4.,.,,x~ a sliding fee scale. Cash 16.953 Liabilities Accts R~ less allow for bad debt 262.029 Accounts Payable 23.809 Contract Adjustments Receivable 43.623 Contract Adjustments Payable 9.989 r~ . 'a 57.362 ~ ,,.pal,. Expenses 11.873 Accrued Wages & Tax Withholdings Equipment 84.067 Total Liabilities 91. Less Accumulated Deprecia 69.391 Fund Balance 257.994 14.676 Total Liabilities & Fund Balance 349.12-'4 349.154 Total Assets -2- -515- -514- INCOME DETAIL 1. Local Funding Sources- b. Cid' oflo~ CiD' c. Uniuxl Way of Johnson Count3.' d. City of Coralville e. Dept of Huma~ Ser~'ic~a/DECAT f. 2. Gr-,a~s - Slate, Federal, Foundations a. Medicare Home Care & Flu Vax b. Medicaid Home Ca~e & Waiver c. Ioxx~ Department ofPublic Hemlth d. Bre~Cen~cal Canc~ E~rly Detection e. 3. Net Sales Of Stn'vices a. Home Ca~e Se~iees b. Cnmmunity Servioes c. ~d~rc~c 4. Net Sales of Matehals (souses) a. Tee & Swea! S!:dn Sales AGENCY _V.i?i?r~_~_ _N ur?~e_. _A.s_S _oct ati~ ...... 184,665 180,932 182,746 124,340 120,093 117,581 59,500 '"NON- PROGRAM 'PROGRAM DIRECTED 1 2 FUNDING Sk Home Care Health Prom 1,125 72,040 58,200 750 9,750 58,200 60,839 62,665 375 62,290 0 825 0 2,500 0 0 0 1,790,620 1,076,869 459,832 251,854 2,065 1,726,294 1,074,183 426,609 216,200 9,302 11,710,034I260,13811,249,846I0 1,047,800 170,894 867,406 0 423,709 74,069 341,440 0 230,000 9,650 41,000 0 8,525 5,525 0 0 84,930 86,185 86,000 21,340 18,500 500 46,204 44,086 44,000 5,000 18,500 500 27,726 30,200 30,000 15,840 0 0 11,000 11,899 12,000 500 0 0 0 739 500 500 0 0 0 739 500 500 0 0 .5. Contributions/Donations 9,075 a_ United Way Designated Giving 3,112 b. ~ Con~ibutions 5~963 6. Special Events 19,448 a. Ioxx~ City Road Races 4,639 b. Direct Mail Fundraising 14,809 C. 7. laterest h~ome 2,358 8 Other - Lis~ Below 170,553 a_ Commercial Insurance 170,100 b. Miscellaneous 452 c. U of 1E-r Contract 0 90,167 10,200 600 9,600 4,167. 4,200 0 4,200 86,000 6,000 600 5,400 16,807 18,500 I 1,850 16,650 2,807 3,000 300 2,700 14,000 15,500 1,550 13,950 2,500 2,500 2,500 117,496 135,600 53,564 99,071 98,000 15,964 82,036 840 900 900 0 17,585 36,700 36,700 0 oj 0 0 0 0 0 Ol 0 0 0 0 TOTAL INCOME (same as p. 2, line tb) 2,261,649 2,221,120 Notes and Corrmae~ts: 1 c. ~ of Human ~c~ - F~ f~ H~ C~ ~ ~c~ ~ ~ ~ ~ 2c. Iox~a ~t of~lic H~[~ - F~ds ~x~ f~ ~c H~ N~ H~c C~ .Mde S~c~ S~i~ H~I~ ~u ~d F~ily ~t ~ ~b mnme ~y f~ ~ ~oxld~ ~ ~ c~mty ~m~ e.g. Hill~. 3c. ~xmc ~y f~ ~ic~ ~x.qd~ at Scm~ ho~mg ~d ~ 5b. B~u~l reacted by Bt~d -3- 2,146,080 341,617 1,448,672 8b. M~::cllzncous - Reimbursement for salary 58,700 -516- INCOME DETAIL (.cont) 1. Local Funding Sourees- a. Johnson Count3' b. City of Iowa Cid' c. United Way of Jnhnr~n County. d_ City of Coral~lle c. Dept ofHuman Services/DECAT f. [2. Grants - State, Federal, Foundations a. Medi~-e Home Care & Flu Vax b. Medicaid c. Iowa Department of Public Health d. Breast/Cervical Cancer Early Detection e. f. 13. Net Sales Of Sen.~ces (sources) i a. Home Care Services t b. Community Sen4ces c. Eldercare Services 4. Net Sales of Materials (sources) a. Tee & Sweat Shirt Sales b. 5. Contributions/Donations a. United Way Designated Giving b. Other Contributions 6. sp~a~ E~:m~ a. Iowa Cid' Road Races b. Direct Mail Fundraising G. 7. Interest Income S. Other - List Below a. Commercial Insurance b. Miscellaneous C.. TOTAL INCOME (same asp. 2, lmelb) Notes and Comments: AGENCY ¥isitin 'Nurse Association PROGRAM .PROGRAM PROGRAM. PROGRAM 3 4 5 6 HCA ServicesEldercareCommunity Senior Health ~7,500I 30,3811 2,0001 ],500 .~ 0,~ 81 2,000 1,500 15,000 " PROGRAM 7 Fam Invest 0 0 PROGRAM 8 0 0 0 0 0 0 0 0 2,500 0 0 0 0 0 6,850 0 0 6,850 0 176,2001 .9,5001 3,0001 4,500 0 9,500 0 0 8,200 0 0 0 168,000 0 0 4,500 0 0 3,000 0 ol 0 0 0 ol 0 2o,ooo IlO,SOO I14,160 I 1,000 I 20,000 0 0 0 0 0 14,160 0 0 10,500 0 1,000 ol ol ol ol "0 0 .0 0 0 0 0 0 0 ol ol ol ol ol ol ol ol ol ol ol I I I I ol ol ol ol 7,000 6,850 213,700 50,381 19,160 0 0 0 0 0l- 0 0 - 3a- -517- PROGRAM EXPENDITURE DETAIL ACTUAL LAST YEAR t~.. Salaries 1,589,033 _. Employee Benefits & Taxes 264,716 3 Staff Development 5,920 I4 ~ol~omi Consultation 8,716 ]5 Publications &Subsenptions 4,601 16 Dues and Memberships 6,775 I; Mortgage, Rent and Propen3' Tax 36,762 ~ Building Maintenance 1,411 "Equipment Purchase/Rental/Maint. 13,964 [ lu. Utilizes 6,257 i I. Telephone 15,635 12 Office Supphes & Postage 24,31 l 13 F~nting and Publici~ 21,091 14 Local Transportation 86,871 ~5. Insurar~ 10,931 ~6. / 't 5,506 i 7 Interest 0 ~x Other(Specil~,'): Reeftorment 5,619 19 Contract Services 2,008 2C~ Medical Supplies 47,738 Commu~' SeTvice EXT~"'Iztses ] 1,540 ProlL~ssional Serv PT, OT, $P 22,440 Miscellaneous 6,767 Depreciation 8,076 AGENCY THIS YEAR PROJECTED 1,550,038 289,177 4,700 3,800 4,500 6,000 38,840 1,060 14,000 7,330 18,840 25,106 .21,325 86,500 12,100 5,200 195 8,600 3,225 28,000 13,500 20,630 6,739 14,000 VOTAL EXPENSES ( p. 2. tine 2) 2,206,688 2,183,405 Notes and Comments: 'r,)Ii's. sionni Comulmfion - 96/w~-reditation E.~et~ 'ubli~:atiom.,Sab~tiplions - Pu~lxa~: of S~andardizral ~ Nlc~mr~menls ,u~ - lhd not rolex,. mcmb~-t,ship m N~tl .a.~oc tbrHomc Care in96 .l,,,lga~ Rentflax - Reined largcr 's~exmd office quipmerit ]~rchl~r~. Rent, Maint - Purchase of computer hardware. software. printers. elc. Visiting Nurse Association BbT)GETED ADMINISTRA- PROGRAM PROGRAM NEXT YEAR 'ilON I 2 Sk Home Care Health Prom 1,500,000 240,000 1,025,396 41,050 285,000 45,600 194,862 7,800 4,500 720 2,918 147 3,800 608 2,464 124 4,500 720 2,918 147 6,050 968 3,922 198 38,875 6,220 25,703 1,271 5,000 800 3,339 64 14,130 2,261 9,161 462 7,400 1, ! 84 4,797 242 18,000 2,880 11,878 589 25,500 4,080 16,931 834 21,865 3,498 14,776 715 87,000 13,920 57,201 3,091 13,000 2,080 8,728 425 5,500 880 3,565 180 0 0 0 0 9,000 1,440 5,888 94 5,500 880 3,665 80 28,000 4,480 22,077 216 13,500 2,160 0 141 15,000 2,400 12,600 0 5,500 880 3,665 180 17,000 2,720 12,214 556 2,133,620 341,379 1,448,668 58,606 Transportalion - Increased mileage rat~ m 96 to 0.29 mad 0.30 in 97 Medical Supplies -'Exix-tt~ is 6epencL-nt on patient ncmd Nfisc~llanco~s - non-recurring c.xpc~ses c.g. Volunteer ree%~fitiom paler supplies, namc ta~. tee & s~ent shin sales etc. Recruitment - Frt:qu~nt turnover in Home C. arc .aide positions -518- -4- PROGRAM EXPENDITURE DETAIL (continued) AGENCY Visiting Nurse Association PROGRAM PROGRAM PROGRAM PROGRAM PROGRAM 3 4 5 6 7 HCA Services Eldercare Communiv,.' Semor Health Faro Invest 1. Salaries 148,800 27,150 9,130 4,905 3,569 2. Employee Benefits & Taxes 28,272 5,159 1,735 922 650 3. Staff Development 527 126 32 18 12 4 Professional Consultation 445 107 27 15 10 5. Publications & Subscril~ions 527 126 32 18 12 6. Dues and Memberslfips 709 170 43 24 16 7. Mortgage. Rent and Propert).. Tax 4,556 592 276 152 105 8. Building Maintenance 586 141 36 20 14 9. Equipment Purchase/Rental/Maim 1,656 397 100 55 38 l 0. Utilities 867 208 53 29 20 11. Telephone 1,900 506 128 70 49 12. Offlee Supplies & Postage 2,589 717 181 99 69 I13. hinting and Publicity 1,963 614 155 85 59 ! 4. Local Transportation 10,196 1,700 418 339 135 Insurance 1,224 365 92 51 35 Audit 645 155 39 21 15 Interest '0 0 0 0 0 Other (Spec~-): Recruitment 1,325 253 0 0 0 Contract Services 645 155 39 21 15 Medical SuppLies 782 287 49 109 0 Community Service Ex~euse 0 11,101 1 O0 0 0 22. Professional Serv PT, OT, SP 0 0 0 0 0 23 Miscellaneous 545 155 39 21 15 24. Depreciation 1,292 178 21 16 1 25 210,051 50,362 12,725 6,990 4,839 TOTAL EXPENSES (p. 2. line 2) Notes and Comments: PROGRAM 8 0 - 4a - -519- AGENCY ¥isiting'Nurse Association. RESTRICTED FUNDg: ACTUAL THIS YEAR BUDGETED LAST ~T_~AR PROJECTED NEXT YEAR Restricted by: Restricted for: Board undecided 80,000 40,000 TOTAL RESTRICTED FUND (also shown page 2, line 4) I ol 8o,ooo[4o,oool MATCHING GRANTS Grantor/Matched by Work Study - VNA pays 25% up to $5.50/hr and 100% above $5.50 1289./1245. FOTAL MATCHING GRANTS (also shown pg. 3, line 2) [ 2,534 0[ '.N-KIND SUPPORT DETAIl, ;errices/Volunteers - daterial Goods ;~ace, Utilities, etc. )ther: (Please specify) students ['OTAL LN-KIND SUPPORT (also shown on page 2, line 4) ~ote~ and Comments: 30,692 35O 10.692 7,696 49,4301 24,405 400 10,905 7,875 43,5851 28,500 450 11.123 8,125 48.198 -520- - 5 - SALARTED POSITIONS po~iti~ -x- tho~ Last Executive Director 47 x x 17.2 Operations Manager 37 NA x 18.6 Cliaical S~x~ces Manager~ x2 42 x x 19.~ Home Care Aide Managers 42 x x 20 Quahw ~r 47 x x 17.8 Staff Nurses 47 x x 19.4 Auxiliary. Nmsc~ NE NE NE 7.7 RN OT/mcl m 96/97 sal NA NA NA 7.7 Physical Therapists 37 x x 16.9 Medical Social Workms NE NE NE 7.7 Occupational Therapist ]RE NE NE 7,7', Information System Coord 42 x x 22.3 Communi .ty Program Coord 28 NA x 13.1 I & R Coordinator 47 x x 20.7 Patient Billin8 Coo~linator 24 x x 26.4 Transcripfionists 12 NE NE 7.7 Voltmteer/Marketmg Coord 20 x x 23.7 Information SvstemAsst 19 NA x 13.6 Human Resouxe~ Specialist 37 x x 21.4 Boo-~eeper 32 NA x 13.1 Administrative Assistant 47 x x 20.3 Continuity Cam Assistant 32 x x 25.6 Secretary 42 NA x 13.3 Office Assistants 37 x x 22.1 File Clerk 16 x x 7.7 Dietician/Water Fitness NE NE NE 7.7 Scheduling Coordinator 32 x x 26.1 Maintenance NE NE NE 7.7 Home Care Aides 42 x x 20.5 HCA (h, zxtime/mcl 96/97 Sal NA NA NA 7.7 Home Care Aide Quali.ty Coord 42 x x 23.6 Team Assistant NA NA NA NA Work Study-Agency Portion NE NE NE NE Home Care Manager NE NE NE NE TOTAL FTE's and SALARIES * Fuji-time eqmval~nt: 1,0-=full-firne: 0.5=half-time: etc. 1.14 0.05 2.14 1.54 1.19 14.29 2.04 0.00 1.47 1.09 0.02 0.95 0.82 1.03 0.77 1.65 0.49 0.35 1.05 0.81 1.03 0.22 1.10 1.66 0.52 0.03 2.80 0.15 21.64 0.00 0.75 0.22 0.10 0.48 63.59 -6- AGENCY IrE* This Next Year Year 1.10 1.00 1.00 1.0O 2.18 2.00 1.54 1.50 1,09 1.00 13.57 12.70 1.36 0.00 1.30 0.85 0.10 1.00 0.81 1.01 0.75 1.39 0.35 0.53 1.02 0.88 1.02 1.00 1.00 1.28 0.44 0.10 1 A9 0.20 19.17 0.00 0.90 0.58 0.00 0.00 59.01 Visiting Nurse Association Actual This Last Year Year 52,343 53,903 2,005 37,174 68,355 71,385 48,407 49,372 44,053 46,151 486,924 463,013 2.00 57,852 52,035 0.05 0 0 1.60 72.406 64,826 0.50 26,657 21,117 0.25 1,155 6,393 1.00 22,817 23,973 0.75 24,984 24,149 1.00 28,765 29,220 0.75 14,899 13,949 1.10 24?226 21,019 0.65 8,989 8,042 0.50 7,774 9,131 1.00 24,911 26,456 0.75 20,526 21,310 1.00 30,679 31,043 1.00 3,661 17,045 1.00 18,938 19,167 1.35 26,563 20,460 0.50 8,160 6,765 1.00 52,150 29,537 0.15 3,573 4,109 18.50 363,638 343,056 0.65 0 0 1.00 20,826 23,043 0.00 3,774 11,045 0.00 1,245 0 0.t30 16,657 0 57.35 1,589.033 1,550,038 Not Eli$iblc NA = Not ,-~pplicablc Budgeted % Nex~ Year Change 54,974 2.0% 40,290 8.4% 72,426 1.5% 49,712 0.7% 46.842 1.5% 405,965 -12.3% 63,648 ~ 22.3% 5,420 ' 100.0% 84.800 30.8% 11,700 -44.6% 12,350 93.2°/i, 24,336 i.5% 24,492 1.4% 29,661 1.5% 13,147 -5.7% 17,323 -17.6% 12,054 49,9% 9,017 -1.2% 26,853 1.5o/o 19,344 -9.2% 18,013 5.7% 19,448 1.5% 23,880 16.7% 8,060_ 19.1% 2,100 -2.3% 17,472 -40.8°./0 3,120 -24.1% 313,043 -8.7% 12,000 100.0% 26,998 17.2% 0 0.0% 0 o% 0 0.0% 1.500.000 -3.2% -521- AGENCY: VISITING NURSE ACCOUNTABILITY QUESTIONNAIRE Agency's Mission Statement or Primary Purpose: The mission of the Visiting Nurse AssociaUon 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. ASSOCIATION Go Board of Directors: Please attach a list of your agency's Board of Directors - Attached Frequency of Meetings: Monthly with the exception of July and December Briefly describe board 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 Plan to hold retreat for Strategic Planning Finances: 1. 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. Sliding fee based on income, liquid assets, dependents, unusual circumstances. Community services - fiat-fees, e.g. Foot Clinic, Massage Therapy, Flu Clinics 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 4. 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 'Friends 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 yearly? Yes __x . No By Whom? Executive Committee of Board 7 -522- VISITING NURSE ASSOCIATION 1997 BOARD OF DIRECTORS S~a. DES, ALLAN 0992) 1128 DENBIGH DRIVE IOWA CITY IA 52246 337-2263 1 FAX 338-7907 PARKEJ~ ANN (1995) 724 ELUOTT COURT IOWA CITY IA 52246 337-9623 EXT 1721 FAX 338-0943 CLANCY, DR GERARD (1996) DEPT OF PSYCHIATRY 2953 JPP UNIVERSITY HOSPITALS IOWA CITY IA 52242 353-69~9 1 FAX 356-2587 COl. E, CATHY (1997) 603 BROWN STREET IOWA CITY IA 52245 335-1020 / FAX 335.-1956 FRYE, SUSAN (1994) 816 RIVER STREET ~OWA CITY IA 52248 337-5693 / FAX 337-216! HACKER, DR MARY (1994) ~ STEINDLER BLDG UOFI IOWA CITY IA 52242 ~_C---8342 HAMEL, REV ROBERT (1996) 15 WARWICK CIRCLE IOWA CITY IA 52240 HAWKINS, DR BENNY (1996) 60 PENFRO DRIVE IOWA CITY IA 52246 335-7238 HUBER, DIANE (19~F7) 1222 OAKES DRIVE IOWA CITY IA 52245 335-7122/FAX 354-0113 LEVEY, DR SAMUEL (1995) 2700 STEINDLER BLDG UOFI IOWA CITY IA 52242 335.9814 / FAX 335-9772 MAHLER, A J (1996) 116 S LINN IOWA CITY IA 52240 354-1524 PARSONS, DOUG (1994) FROHVVEIN OFFICE SUPPLY 218 SECOND STREET CORALVILLE IA 52241 338-7701 I FAX 338-7484 PRY~IL DENISE (1997) 4890 HWY6 SE IOWA CITY IA 52240 354-7121 RASLEY, DOROTHY {RUSTY) 1D CLUB HOUSE ROAD NORTH LIBERTY IA 52317 625-6231 I FAX 353-6548 992) ROSAZZA, TRIJDI (1~cj3) 453 UNDER ROAD NE IOWA CITY IA 52240 351-7477 ROSS, BYRON (1996) 2188 SCALES BEND ROAD NE NORTH UBERTY IA 52317 RUBRIGHT, EMILIE (1997) 3742 FOREST GATE DRIVE NE IOWA CITY IA 52240 351-1818 SCHM~)T, SUE (1992) 2793 BLACK DIAMOND ROAD SW IOWA CITY IA 52240 683-26101 FAX 683-2789 SCHNOEBELEN, PATTY (1997) 1704 10TH STREET CORALVILLE IA 52241 356-2414 / FAX 356-1102 SCHOOERBEK, PETER (1996) 4280 RED MAPLE TRAIL NE IOWA CITY IA 52240 335-0950 / 351-9136 STOCKMAN, TOM (1994) FIRST NATIONAL BANK P O BOX 1880 IOWA CiTY IA 52244 356-9012 / FAX 356-9002 -523- Eo Program/Services: AGENCY: VISITING NURSE ASSOCIATION 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 - Visits to home of patient admitted for service, length varies from thirty minutes to two hours. Charge per visit depends on discipline and program - from $94 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, etc.). Session - Unit of time for Eidercare 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 $32 per hour for Community Service to $24 per hour for HCA service. Contact - Duplicated number of individuals attending Eidercare sessions, Senior Health Program and other community services. 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. I I I Enter Years 1995 1996 1. How many Johnson County I la. Duplicated residents (including Iowa City and Count 1826 1953 Coralville) did your agency serve? lb. Unduplicated Home Care only I Count 989 1066 2. How many Iowa City residents did 2a. Duplicated Not Avail Not Avail your agency serve? Count I I 2b. Unduplicated Count 678 622 3. How many Coralville residents did 3a. Duplicated Not Avail Not Avail your agency serve? Count I I 3b. Unduplicated Count 131 152 4. How many units of service did your 4a. Total 48762 52297 agency provide? Home Care only 4b. To Johnson I I I County Residents 48762 52270 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, e.g. 50 mile radius of Iowa City Services provided: Nursing, Therapies, Medical Social Services and Home Care Aide Services Funding Sources: Third-party reimbursement, e.g. Medicare, Medicaid and Commercial Insurance 8 -524- AGENCY: VISITING NURSE ASSOCIATION Client Profile (for last complete year, if available): Not available with our current system. Age Gender I Ethnicity 0 - 5 M I Afdcan Amedcan 6 - 17 F Native Amedcan 18 - 29 Asian 30 - 61 Hispanic 62 - 75 White 75 + Multi-racial Evaluation and Review: A. 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 various 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 inservice 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. Any position that is vacated is reviewed thoroughly before replacement is considered. VNA is decreasing FTEs through attrition with intent to be more productive and decrease costs. 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 and paid for by a third party. VNA will have an increased patient population with psychiatric needs; this population is without resources for payment of services. -525- 10. 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 would 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. 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. 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 short periods of time in prior years, the agency has not found this necessary with adequate funds for the program through state, county and private funds. However, staffing the Home Care Aide Program is becoming increasingly difficult. The VNA may-need to develop a waiting list for non-essential services if staffing does not improve. 12. How many people are currently on your waiting list? In what way(s) are your agency's services publicized? Distribution of Agency Brochures and flyers, Video Presentation 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 and Occasional Paid Advertisement 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 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 - Former Agency Representative to UW Board of Directors, Agency Rep to businesses during campaign, Blood Pressures at businesses 10 -526- AGENCY HISTORY AGENCY: VISITING NURSE ASSOCIATION 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 Eidercare 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 diversified and opened another non-profit agency designed to maintain elderly at home (CARERESOURCES, Inc) The Adult Day Program joined the VNA; private 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 WlC 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 April 1. CARERESOURCES, Inc. ceased operation and joined the VNA on April 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 Early Detection Program grant; twelve graduate students completed a two-semester project, evaluating the VNA and developing strategic direction for the Board; the VNA was awarded Accreditation with Commendation 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 risk. Services are provided to Hillcrest residences, Systems Unlimited, Hope House and the Adult Day Program. 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. The VNA, in cooperation with the Health Status Improvement Committee of Mercy provides pneumonia vaccine for the elderly to reduce the incidence of pneumonia. 11 -527- Agency: Visiting Nurse Association VISITING NURSE ASSOCIATION GOALS AND OBJECTIVES - 1998 A. PHI! I'IR~pHY 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, sexual orientation, ethnicity, disability, disease entity, age, or ability to pay. · respects each individuars 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 strives to maintain the necessary human and financial resources to carry out the agency purpose. B. PURPOS; 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. The goal of the visiting Nurse Association is to provide home and community health services to residents of Johnson County through a vadety 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. -528- 12 Agency: Visiting Nurse Association D. oRJr:CTIV!=S 1. F;KILI F'~ CARl= PROGRAM nescription Visits made to persons, at their place of residence, to provide physician-directed health care to individuals with diagnosed health problems. Services 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 care 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. C~bjectives: 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 1998 is 37,000: Nursing 16,000 Physical Therapy 1,700 Speech Pathology 25 OccupationaITherapy . -' 200 Medical Social Services 375 Home Care Aide 18,700 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 12.50 FTE 1.85 FTE 0.25 FTE 0.05 FTE 1.75 FTE 2.00 FTE 0.75 FTE 0.70 FTE 0.65 FTE 12.00 FTE 1.50 FTE Registered Nurses Physical Therapists and Occupational Therapist Medical Social Service Staff Dietitian 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 Assistant) Home Care Aides HCA Support Staff and Scheduling Coordinators 13 -529- 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 $1,448,668 2. HFA! 7'H PROMOTION PROGRAM !3escdption 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, pediatric nurse, medical social workers and dietitian. Objectives a. Promote healthy lifestyles, educate and provide health consultation b. Specific services and volume for 1998 anticipated are: 1950 Nursing Health Promotion Nursing Maternal Health MSW Health Promotion Dietitian Health Promotion 1,400 Visits 200 Visits 300 Visits 50 Visits 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 .15 FTE .40 FTE .10 FTE .15 FTE Registered Nurse Supervisor (Clinical Service Managers) Medical Social Worker Support Staff (I & R Coordinator, MIS Coordinator, Scheduling Coordinator Office Support Staff Quality Manager -530- 14 Agency: Visiting Nurse Association HEALTH PROMOTION PROGRAM (CONTINUED) Resources (Continued) 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 $58,606 3. HOMF CARF AIr)F PROGRAM nescdl;)tion Services designed pdmadly to help the elderly, 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 provide 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 elderly, the ill and disabled. b. Provide protective services for dependent children and adults at risk 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 9,000 hours Maintain qualified home care aide 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, 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 7.15 FTE 1.00 FTE .15 FTE 1.50 FTE .15 FTE Home Care Aide Staff Supervisory Staff (Home Care Aide Managers) Supervisory Staff (Clinical Service Managers) Support Staff (Scheduling Coord, HCA Quality Coord, Office Assistant) Quality Manager 1 5 -53~- Agency: Visiting Nurse Association HOME CARE AIDE PROGRAM (CONTINUED) Resources (Continued) 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 $210,057 4. J=Lr)L=RCARF PROGRAM r3escri,otion Eidercare represents a sedes 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. C~bjectives 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 650 Sessions Tasks 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 .15 FTE .25 FTE .20 FTE Community Program Coordinator Registered Nurses Supervisory Staff (Clinical Service Manager) Support Staff (I & R Coordinator, MIS Coordinator, Scheduling Coordinator) Office Support Staff Massage Therapist under contract Student Nurses Volunteers Travel Reimbursement Medical Supplies and Equipment -532- 16 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 $50,362 5. COMMUNITY PROGRAMS r3escri.otion Health consultation and collaboration, screening and educational services provided at vadous community sites for the promotion of healthy life styles and early detection of health risk factors for Johnson County residents. O~ectives 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. Community Services 600 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; strive 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 .05 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 $12,725 1 7 -533- Agency: Visiting Nurse Association 6. .W~=NIOR HI=AL 71-1PROC, RAM nescr~tion 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 early 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 Special Events 15 sessions 8 sessions Maintain qualified professional staff Provide supervision and administrative support for staff Maintain Volunteer Program Maintain liaison with elderly 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 .05 FTE .10 FTE .10 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 $6,990 7. FAMI! 'Y INV,=STMFNT PROGRAM nescdption 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. 18 -534- FAMIL¥ INVESTMENT PROGRAM (CONTINUED) Agency: Visiting Nurse Association O~ectives 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 1998 is: Family Investment Program 200 Referrals 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; strive to provide high quality services Market services to increase public awareness of available resources Resources .20 FTE .10 FTE .10 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 $4,838 1 9 -535- '~,N SRRVICR AGI~.NCY BUDGET FORM City of Iowa City Johnson County City of Iowa City United Way of Johnson County Director: Agency Name: Phone: Completed by: Bill McCarty/Kelli Malone Youth Homes, A Division of Four Oaks, Inc. of Iowa 1916 Waterfront Dr. Iowa City, IA 52240 (319) 337-4523 Jenny Van Der Weide/William McCarty/Kelli Malone CttECK YOUR AGENCY'S BUDGET YEAR 111/98 - 12/31/98 4/1/98 - 3/31199 7/1/98 - 6/30199 X 10/1/98 - 9/30/99 Approved by Board Chair: Darlene Elbert on 10/06/97 (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 residemial 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 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. Family Services - Includes family-centered services, family preservation, special needs adoption, and foster care. These programs provide a continuum of services that help rebuild or maintain family relationships. Local Funding Summary: United Way of Johnson County - Does Not Include Designated Gvg. City of Iowa City Johnson Cottory City of Coralville % of Total 4/1/96 - 3131197 4/1197 - 3131198 4/1/98 - 3/31199 Budget 16,675 17,769 25,000 1.1% FY97 FY98 FY99 0 0 5,000 0.2% 64,272 66,200 75,000 3.4% 600 600 3,000 0.1% -536- BUDGET SUMMARY AGENCY: Youth Homes 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. Family Services 6. Addiction Prevention & Adventure Program Svc. ~) 7. Anchor- Day Treatment ~) ~- 3. ENDING OPERATING BALANCE (Subtract 2 - 1) 4. RESTRICTED FUND BALANCE (Total from pages ) 5. IN-KIND SUPPORT (Total from pages) 6. NON-CASH ASSETS Notes and Comments: I) These programs have been discontinued due to loss of funding. 2) Sold Jefferson St. property. 3) Loss of Federal Grant. ACTUAL LAST YEAR 7/1/96-6/30/97 2,430,680 THIS YEAR PROJECTED 7/I/97-6/30/98 2,220,080 BUDGETED NEXT YEAR 7/1D8-6~0/99 2,209,147 696,745 707,178 841,297 1,733,935 1,512,902 1,367,850 1,723,502 1,378,783 1,376,123 351,987 211,367 226,409 1,371,515 1,167,416 1,149,714 303,630 319,989 304,040 277,329 289,153 303,082 184,045 3) 76,265 112,285 186,619 204,552 201,686 201,936 277,457 228,621 33,208 0 0 184,748 0 0 707,178 841,297 833,024 0 0 0 49,334 55,000 60,500 837,720 :) 710,166 700,000 Briefly describe how local funds were spent last year: Local funds were used as match to state and federal grants as well as to fund local kids in our programs. -2- -537- INCOME DETAIL AGENCY: Youth Homes 1. Local Funding Sources a. Johnson County b. City of Iowa City c. United Way d. City of Coralville e. loh~_non County Dept 21 Shelter POS Supplement 2. Grants - State, gederal, Foundations a. Dept. of Health & Human b. Juvenile Crime Prevention Allocation d. Other 3. Net Sales of Services (sources) a. DHS Purchase of Service b. Medicaid Purchase of Service t iher 4. Net Sales of Materials (sources) 5. Contributions/Donations a. United Way Designated Giving b. Other Contributions 6. Special Events a. Iowa City Road Races b. Youth Homes EvenCs 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) Note_ ..nd Comments: ACTUAL LAST YEAR 104,490 64,272 0 16,948 600 22,670 THIS YEAR PROJECTED 111,327 66,200 0 19,527 600 241,213 102,325 73,416 0 28,250 28,250 NON- PROGRAM PROGRAM BUDGETED DIRECTED 1 2 NEXT YEAR FUNDING YES RTC 133,000 0 25,000 0 75,000 0 0 0 5,000 0 0 0 25,000 0 0 0 3,000 0 0 0 25,000 25,000 0 25,000 0 106,250 3,000 0 0 0 0 0 0 28,250 0 0 0 66,600 14,075 15,000 0 0 0 72,947 60,000 63,000 3,000 0 0 1,304,963 1,261,900 1,100,000 0 335,000 335,000 383,674 418,400 400,000 0 300,000 0 478,294 609,745 525,000 0 0 325,000 442,995 233,755 175,000 0 35,000 10,000 0 0 0 0 0 0 5,172 3,000 3,500 0 700 700 3,146 3,000 3,500 0 700 700 2,026 0 0 0 0 0 33,907 600 600 0 0 0 528 600 600 0 0 0 33,379 0 0 0 0 0 3,172 1,062 1,000 1,000 0 0 41,018 32,688 23,500 0 9,500 5,000 4,844 10,957 5,000 0 0 0 18,529 21,200 18,500 0 9,500 5,000 17,645 531 0 0 0 0 1,733,935 1,512,902 1,367,850 4,000 370,200 340,700 2d. Other - FADSS Expansion Funds, FEMA, Emergency Shelter Grant (DED), Innovative Substance Abuse Prevention 3c. Other - Juvenile Court, Private Pay, DHS Certificates, MERIT, Johnson County Wrap Around, Other County Shelter POS Supplement 5b. & 6b. - Fund raising income and expense now appears in Four Oaks Foundation budget, designated for Youth Homes. They do not appear in this budget until expensed by the programs. ~3~ -538- II~COME DETAIL (continued) AGENCY: Youth Homes 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 Service Allocation d. Other 3. Net Sales of Services (sources) a. DHS Purchase o£ Service b. Mcdicnid Purchase o£ Service c. Other 4. Net Sales of Materials (sources) $. Contributions/Donations a. United Way Designated Giving b. Other Con~butions 6. Special Events a. Iowa City Road Eaccs b. Youth Homes F¥cnts ?. Interest Income 8. Other- List Below Including Miscellaneous a. Ecnt Ecimburscmcnt from Clients b. Dept. o£Fducation-Food Reimbursement ¢. Other TOTAL INCOM£ (Show also on Page 2, line lb) %'ores and Comments: PROGRAM PROGRAM 3 4 SCILS PAL 18,000 58,000 5,000 45,000 2,000 2,000 10,000 10,000 1,000 1;000 PROGRAM 5 FAMILY SVCS 32,000 25,000 1,000 5,000 1,000 30,000 0 0 0 43,250 0 0 0 28,250 30,000 0 15,000 0 30,000 0 30,000 100,000 125,000 205,000 100,000 0 0 0 0 200,000 0 125,000 5,000 · 0 0 0 700 700 700 700 700 700 0 0 0 200 200 200 200 200 200 0 0 0 0 0 . 0 153,900 5,000 4,000 0 5,000 0 0 0 4,000 0 0 0 231,150 267,900 PROGRAM 6 PROGRAM 7 -3a- -539- PROGRAM EXPENDITURE DETAIL AGENCY: Youth Homes 1. Salaries* 2. Employee Benefits and Taxes 3. Staff Development 4, Professional Consultation 5. Publications and Subscriptions 6. Dues and Memberships 7. Mortgage Interest, Rent, and 9roperty Tax 8. Building ]~4~intenance 9. Equipment Purchase/Rental/ 10.Utilities 11.Telephone 12. Office Supplies and Postage 13. Printing and Publicity 14. Local Transportation 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 (FADDS) 24. Miscellaneous TOTAL EXPENSES (Show also on Page 2, line 2) Notes and Comments: Administrative Salaries Included in Line 1 ACTUAL THIS YEAR BUDGETED NON - LAST YEAR PROJECTED NEXT YEAR DIRECTED FY96 - 97 FY97 - 98 FY98 - 99 FUNDING 1,036,214 856,593 853,941 147,032 168,522 152,667 144,457 30,877 24,482 13,695 15,000 2,000 6,324 11,972 12,000 3,000 1,961 516 600 100 9,073 2,761. 2,500 2,500 PROGRAM PROGRAM 1 2 YES RTC 189,770 194,630 27,970 26,152 4,000 4,000 1,000 2,000 100 100 0 0 81,703 37,636 39,500 2,000 8,200 7,200 20,844 17,335 15,000 2,000 4,000 4,000 17,178 10,524 11,600 2,000 4,000 3,500 26,233 14,860 15,500 2,500 3,500 3,500 20,856 16,067 16,500 2,000 5,000 3,500 33,118 14,965 15,500 2,500 4,000 3,500 20,798 4,327 5,200 1,700 1,000 1,000 42,549 35,458 35,350 4,000 6,000 6,000 19,035 . 20,654 21,275 4,000 4,000 4,000 4,755 2,124 2,700 2,700 0 0 528 0 0 0 0 0 80,777 59,011 64,000 15,000 12,000 12,000 38,382 30,850 32,000 0 14,500 12,000 16,426 16,037 16,500 500 6,000 5,000 20,299 13,060 13,500 0 4,000 3,500 13,808 13,165 13,500 0 5,000 7,500 12,701 30,743 30,000 0 0 0 6,936 3,263 0 0 0 0 1,723,502 1,378,283 1,376,123 226,409 304,040 303,082 205,140 153,116 148,941 25,644 33,099 33,947 -4- -540- PROGRAM EXPENDITURE DETAIL (continued) AGENCY: Youth Homes 1. S~hries * 2. Employee Benefits and Taxes 3. Staff Development 4. Professional Consultation 5. Publications and Subscriptions 6. Dues and Memberships ?. Mortgage Interest, Rent, and Property Tax 8. Building Maintenance 9. Equipment Purchase/Rental/ Maintenance 10. Utilities 11. Tellhone 12. Office Supplies and Postage 13. Printing anti Publicity 14. Local Transportation 15. Insurance 16. Autiit 17. Interest 18. Other (Specify): D~r~ciation Expense 19. Food 20. Household Supplies 21. Recreation anti Skill D~¢lopmcnt Supplies 22. Clothing anti Personal 23. Contract Services (FADDS) 24. Miscellaneous TOTAL EXPENSES (Show also on page 2, line 2b) Notes and Comments: * Administrative Salaries Included in Line 1 PROGRAM PROGRAM PROGRAM 3 4 5 SCILS PAL FAMILY SVCS 68,542 113,672 140,29~ 14,193 21,414 23,851 500 500 4,000 0 0 6,000 100 100 100 0 0 0 2,600 18,000 1,500 2,500 2,000 500 1,500 500 100 2,000 3,500 500 2,000 1,500 2,500 1,000 2,000 2,500 500 500 500 3,350 8,000 8,000 2,500 4,500 2,275 0 0 0 0 0 0 8,000 12,000 5,000 500 5,000 0 1,000 3,500 500 500 5,000 500 1,000 0 0 0 0 30,000 0 0 0 112,285 201,686 228,621 11,955 19,826 24,470 PROGRAM 6 PROGRAM 7 AGENCY: Youth Homes RESTRICTED FUNDS Restricted by:. Board Board Donor ACTUAL LAST YEAR 1996 - 1997 Total Restricted Funds (also shown page 2, line 4) THIS YEAR PROJECTED 1997- 1998 BUDGETED NEXT YEAR 1998 - 1999 Restricted for: Lands, Building, Equipment 0 0 0 Cash Reserve 0 0 0 Donor Spedties 0 0 0 0 0 0 MATCHING GRANTS Grantor Matched by: Department of Health & Human Services/County Juvenile Crime Prevention Grant/County, DECAT Community Service Allocation/No Match Other/County, Depreciation, Inkind o Total Matching (also shown on page 3, line 2) 1996-1997 73,416/24,399 28,250/16,659 66,600/0 72,947/69,882 241,213/110,940 1997-1998 0/0 28,250/17,000 14,075/0 60,000/25,000 102,325/42,000 1998-1999 0/0 28,250/17,000 15,000/0 63,000/28,000 106,250/45,000 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: 1) Emergency Shelter Grant (DED)/County $ and Depr. Iowa Dept. of Public Health/United Way $ and County FADSS Miscellaneous 1996:1997 29,121 20,213 49,334 1996- 1997 21,400/22,510 23,686/47,372 0/0 27,861/0 72,947/69,882 1997-1998 33,000 22,000 55,000 1997 - 1998 25,000/25,000 0/0 32,000/0 3,000/0 60,000/25,000 1998- 1999 36,300 24,200 60,500 1998 - 1999 28,000/28,000 0/0 32,000/0 3,000/0 63,000/28,000 2) -542- -5- SALARIED POSITIONS AGENCY: Youth Homes "X" all that apply FTE* Paid~ Health2) Retire3) %') Last This Next POSITION Leave Ins Plan Benefits Year Year Year Admini._qrative Y Y Y 16.95 5.00 4.02 3.92 Supervisors/Managers Y Y Y 21.10 11.39 8.27 8.27 Therapists Y Y Y 19.85 5.81 6.35 6.35 Direct Care Staff y Y Y 29.07 13.39 8.29 8.29 Part-Time N N Y 10.65 15.31 13.84 13.84 Night Counselors y Y Y 30.01 1.42 2.42 2.42 Clerical Y Y Y 21.89 1.14 1.64 1.64 Other Staff Y Y Y 10.65 0.17 0.47 0.47 ACTUAL TI~ YEAR BUDGETED LAST PROJECT- NEXT YEAR ED YEAR 1996 - 1997 1997- 1998 1998 - 1999 205,140 153,116 148,941 ( 3)% 262,312 190,467 190,000 0% 151,202 165,291 165,000 0% 187,947 107,672 108,000 0% 185,622 167,851 168,000 0% 17,022 29,052 30,000 3% 23,718 34,178 35,000 2.4% 3,251 8,966 9,000 0% 53.63 45.30 45.20 1,036,214 * Full-time equivalent: 1.0 -- full-time; 0.5 = half-time; etc. 856,593 853,941 0% a. = New Position - partial year funding b. = Change in FTE 1. Full-time employees (an employee regularly scheduled 35 hours or more per week) accrue paid leave at an individually established rate per month of paid employment. The rate is based on the employee's education and experience and is based on the following guidelines: 0 - 5 years experience 5 + years experience or BA and 1 year BA + 3 years or MA/MSW BA + 5 years or MA/MSW + 2 years BA + 7 years or MA/MSW + 5 years 12 days/year 15 days/year 18 days/year 21 days/year 24 days/year In addition to paid leave, full-time employe~s receive 6 paid holidays and 24 hours of personal time each calendar year. 2. Available to all regular staff averaging thirty (35) hours per week or more. The retirement plan is a profit sharing plan. To become eligible, employees must put in 12 months of service and work at least 1,000 hours in that first year. For future contributions and vesting, employees must continue to work 1,000 hours each year thereafter. 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. -6- -543- AGENCY Youth Homes ACCOUNTABILITY QUESTIONNAIRE A. Agency's Mission Stat~auent 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's 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 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,~-xtemal audit)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 ILLS? 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 for the year have included five direct mailings (newsletter,.holiday), a major event, and individual solicitation of businesses and individuals for cash and/or in-kind donations for specific activities (for example, 25th Anniversary Celebration). A planned giving program is being established through the Four Oaks Foundation, where funds may be designated to Youth Homes. A capital campaign is being considered, to fund improvements to the Waterfront Drive site. 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 yeafly? Yes X No By Whom? President of Four Oaks -544- -7- YOUTH HOMES COMMUNITY BOARD 1997- 1998 Reelect in 1999 Reelect in 1998 314 310th Street West Branch, Iowa 52358 341-2102 ~ 643-2087 (H) 341-2122 0e) Mark Danielson, President P.O. Box 2447 Iowa City, Iowa 338-7551 (W) 354-0428 (H) 338-6902 (F) Ruth Bonfiglio 711 12th Avenue Coralville, Iowa 52241 351-6488 (H) David Kacena, Vice-President P.O. Box 2929 Iowa City, Iowa 52244 354-3100 (W) 354-2385 (H) 331-1312 (M) Jim Brenn~nan 2346 Mormon Trek Bird Ste 2000 Iowa City, Iowa 52246 351-8811(W) 351-7172(H) 351-8035(F) Duane Swartzendmber P.O. Box 1880 Iowa City, Iowa 52244 356-9000(W) 338-1233(H) 356-9020(1:) Scott Means 2313 Mormon Trek Bird Iowa City, Iowa 52246 Billie Townsend 713 Whiting Avenue Iowa City, Iowa 52245 JaneWalker 2934 StanfordAvenue IoxvaCity, Iowa52245 356-9128(W) 354-9083 (H) 356-9118(F) 335-9615(W) 354-5995(H) 335-0353(W) 335-2021(F) G~off Wilming P.O. Box 5613 212 1st Street Coralville, Iowa 52241 Ron Wright, Treasurer P.O. Box 1700 Iowa City, Iowa 52244 354-3108 (W) 648-3004 (I-I) 356-5813(W) 358-9824(H) 356-5849(F) fiIc: f:Lqavck::ommitle~yh~:mrd'~meml sL9 7.Lain -7a- Mental Health/Developmental Disabilities Services D'aycare Sliding Fee Scale (per half day) Number in household 2 3 4 5 6+ Family Pays Annual Income Over This Amount 5/22./97 $5,302 $10,610 $15,915 $21,220 $31,830 $42,440 $6,665 $13,330 $19,-995$26,660 $39,990 $53,320 $8,025 $16,050 $24,075 $32,100 $48,150 $64,200 $9,385 $18,770 $28,155 $37.540 $56,310 $75,080 $10,745 $21,490 $32,235 $42,980 $64,470 $85,960 $0 $2 $4 $6 $8 $10 91t N. Governor Street. Iowa City, Iowa 62245-594t Phone (3t9) 339-6169 x337 · FAX 337-2705 * Moblie 330-0784 · E mall Cmosher~dhs~tate.la.us Affiliated ~vffh Johnson County Social ~ervices -546- -7b- FOUR OAKS SERVICE CODES 9/1197 FAMILY CENTERED A1-10 A1-20 A2-10 A2-20 A3-50 A5-10 A5-20 Therapy & Counseling, Individual Therapy & Counseling, Group Skill Development, Individual Skill Development, Group Psychosocial Evaluation Supervision, Individual Supen/ision, Group FAMILY PRESERVATION B1-50 Short Term Program B1-70 Full Program FAMILY FOSTER CARE PROGRAM C1-10 Cl -20 C2-10 C2-20 C3-50 C5-10 C6-50 C7-50 Therapy & Counseling, Individual Therapy & Counseling, Group Skill Development, Individual Skill Development, Group Assessment & Care Plan Development Family Foster Care Supervision Initial Home Studies Annual Review/Update Home Studies GROUP CARE D2-60 D2- 9O D2-61 D2-91 D3-60 D3-90 D5-10 D5-11 D5-20 D6-10 D6-11 D6-20 D7-10 D7-11 Group Home Program-Service Group Home Program-Maintenance RTC- Iowa City (Courtlin)- Sen/ice RTC-lowa City (Cour'din)-Maint. JMRT & STOP Programs-Service JMRT & STOP Programs~- Maintenance Add'l Therapy & Counseling, Child Ind. Add'l Therapy & Counseling, Child Ind-lA City Add'l Therapy & Counseling, Child Group Add'l Therapy & Counseling, Family Ind. Add'l Therapy & Counseling, Family Ind-lA City Add'l Therapy & Counseling, Family Group Add'l Family Skill Development, Individual Add'l Family Skill Development, Ind-lA City ADOP~ON B01-01 B01-02 B01-03 B01-04 B01-05 Adoption Home Study Adoption Pre- Placement Adoption Post-Placement Adoption Group Adoption Renewal INDEPENDENTL~iNG B26- 01 Scattered B26-02 Scattered- Iowa City B26- 04 Cluster- Iowa City B26-16 Group .PMIC SHELTER ('B19-92) P. AL -7c- $33.28 haft hr $18.05 half hr $23.15 half hr $11.67 half hr $48.68 haft hr $23.86 half hr $7.42 half hr $55g.80 family $1996.24 family $33.28 haft hr $18.05 half hr $23.15 haft hr $11.67 haft hr $47.13 haft hr $36.30 half hr $546.00 study $249.46 study $78.10 day $18.86 day $81.72 day $33.93 day $93.36 day $29.10 day $32.92 half hr $13.12 half hr $0.00 half hr $33.13 half hr $12.89 haft hr $18.32 half hr $20.95 half hr $14.01 half hr $967.05 study $64.70 hour $64.69 hour $64.19 hour $447.16 study $50.49 hour $62.00hour $85.00hour $27.90 hour $131.12 day $76.6t day $29.93 half day -547- AGENCY: Youth Homes 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: 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 face-to-face service -- 1 unit 1 hour face-to-face service = 1 unit 1/2 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 agency serve? Enter Years ~> 1995 - 1996 1996 - 1997 la. Duplicated Count 423 306 lb. Unduplicated Count 178 242 2a. Duplicated Count 273 258 3. How many Coralville residents did your agency serve? 2b. Unduplicated Count 3a. Duplicated Count 138 200 42 24 ¸4. How many units of service did your agency provide? 3b. Unduplicated Count 27 20 4a. Total 34,573 30,498 4b. To Johnson County Residents 23,873 19,762 5. Other Areas Served: Do you provide services to areas outside of Johnson County? Area(s) served: Eastern Iowa Services provided: Residential Treatment. Emergency Shelter. Family Centered Services. FADDS. Independent Living. Substance Abuse Prevention. Adoption. Foster Care. Day Treatment. PMIC Funding Sources: State P.O.S.. Federal grants, County Cost Difference. private pay. Merit. Medicaid -548- - -8- AGENCY: Youth Homes 6. Client Profile (for last complete year, if available): Age Gender Ethnicity 0 - 5 0 M 118 African American 6 - 17 234 F 135 Native American 18 - 29 19 Asian 30 - 61 0 Hispanic 62 - 75 0 White 75 + 0 Multiracial 27 5 3 7 198 13 Evaluation and Review: A. Please discuss how your agency measures the success of its programs. · Achievement of individual clients outcomes. · Achievement of agency goals and objectives. · Annual assessments by various regulatory and funding bodies. · Results of research studies. · Results of agency Continuous Quality Improvement processes. · Results of client and referral source satisfaction surveys. · Results of internal outcome measurements compared to benchmarks. Does your agency have performance objectives? (Give several examples) Yes. See Attachment I C. 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 stabalize, but number of delinquent children will continue to grow. · Child abuse rate may not grow, but total number of abused children will likely continue to grow. -~9t -549- AGENCY: Youth Homes Please discuss any other problems or factors relevant to your agency's programs, funding, or service delivery: Managed Care will result in fewer dollars for services, with only the most troubled children receiving intensive services. There will be dramatic changes in how services to children are delivered. 10. List concerns and complaints about your services of which you are aware: 1. That the merger between Four Oaks and Youth Homes will result in a decrease of responsiveness to customers or that quality of services will be lowered. 2. Regarding the ANCHOR program: the program is not sufficiently confrontive, length of stay is too long, aftercare is not adequate. 3. Cant always handle severely acting out clients in some programs. 4. Reports are not always timely. 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: From time to time each program may have a waiting list. At other times there are vacancies. We monitor referrals and attempt to balance our capacity to serve referrals with the fluctuation of business. We have increased flexibility within our programs to meet the needs of our customers and the needs of children and families. We make every attempt to serve referrals made to this agency and when that is not possible, we also try and assist referring workers with alternative services or placements. How many people are currently on your waiting list? Chances Daily 12. 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 -550- -10- AGEN(~Y: Youth Homes 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 nnserved 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 reassigning programs 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 x~4th 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 of services, improved facilities, and an infusion of additional funds. After an exhaustive search, the property at 1916 Waterfront 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, Family Services, and the Administrative Offices. PAL and SCILS maintain separate sites. From 1994 to 1997, Youth Homes operated community-based delinquency programs for the Sixth Judicial District. Both programs (Intensive Supervision and ANCHOR) have since been discontinued. In 1996, Federal funding for APAPS (substance abuse prevention) and SCILS (homeless youth) was discontinued. Congress has eliminated the source of funding for APAPS, but there is reason to believe that funding for SCILS will be reinstituted in 1997. In 1995, National and State trends toward managed care caused the staff and Board to begin to prepare the agency to be successful in a managed care environment. This meant becoming more efficient, developing data management capacity, and focusing on outcomes. It also required Youth Homes to seek partners to spread the risks and costs of working in a managed system This led Youth Homes to Four Oaks, a Cedar Rapids based children's agency with a mission and values similar to Youth Homes. A~er exploring a variety ofparmering relationships, it was determined that the most efficient and effective relationship between the two agencies was a full merger. Youth Homes and Four Oaks legally merged on January 1, 1997, creating a new agency, Four Oaks, Inc. of Iowa. Youth Homes retains its name, its programs, and its Community Board. Four Oaks and Youth Homes' Johnson County operations were merged, with administrative functions centralized in Cedar Rapids and service delivery remaining in Iowa City. Youth Homes added Four Oaks' services such as adoption, family foster care, and family preservation. -11- -551- Four Oaks 1997 - 1998 Strategic Plan Summary FIVE CORE AREAS FOR SUCCESS MEASUREMENT: FAMILY-BASED APPROACH CUSTOMER SERVICE/SATISFACTION & CONSUMER SERVICE/SATISFACTION CHILD WELL-BEING CONTINUOUS IMPROVEMENT ORGANIZATIONAL FINANCIAL SECURITY II. LEADERSHIP OUTCOMES FOR SUCCESS MEASUREMENT: A. FAMILY-BASED APPROACH Community/Neighborhood-Based. Family and Community Integration Community-Based Education and Advocacy Expand Definition of Success Greater Access to Services for our Families B. CUSTOMER SERVICE/SATISFACTION AND CONSUMER SERVICE/SATISFACTION Nontraditional Partnering ..~ Expanded Ownership of Outcome Community Development and Capacity Building Intentional Partnering with the Schools Expanding Technologies (service and resource) Continuity of Cam Service Integration C. CHILD WELL-BEING Holistic Approach to Dealing with the Child D. CONTINUOUS IMPROVEMENT Creating Excellence Be Leaders in Doing all of These Things Expand Volunteer Program and Make More Accessible Follow-up Measurement and Analysis Staff Ownership Professional Development -552- 12 Employe~ Rrtention Document Outcomes Individual Accountability for Values Respect for Individuals Expand Systems Involvement (political activity) Integrity/Honesty in Relationships E. ORGANIZATIONAL FINANCIAL SECURITY Compete Effectively Exploit Fiexibilities (sys'~ms/funding/etc.) file: f:k~ave~.ommittek, nergefifostp197. ~wa 13 -553-