Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
1998-11-17 Info Packet (2)
CITY OF CORALVILLE CITY OF IOWA CITY - JOHNSON COUNTY UNITED WAY FY00 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 Arc of Johnson County (Association for Retarded Citizens) .........................................................16 Big Brothers/Big Sisters .................................................................................................................37 Cdsis Center .................................................................................................................................54 Dental Services for Kids ................................................................................................................77 Domestic Violence Intervention Program (DVIP) ..........................................................................90 Eldedy Services Agency ..............................................................................................................112 Emergency Housing Project (EHP) .............................................................................................134 Evert Conner Center ....................................................................................................................154 4 C's (Community Coordinated Child Care) ............' ....................................................................1 it2 Free Lunch 191 Free Medical Clinic ......................................................................................................................203 Goodwill Industries of Southeast Iowa ........................................................................................224 Greater Iowa City Housing Fellowship ........................................................................................244 HACAP - Hawkeye Area Community Action Program ................................................................261 Handicare .........................................· ...........................................................................................277 Hillcrest Family Services .............................................................................................................292 ICARE ..........................................................................................................................................308 IC Hospice ...................................................................................................................................325 Legal Services .............................................................................................................................340 LIFE Skills, Inc.. ...........................................................................................................................360 Lutheran Social Service ..............................................................................................................378 Mayor's Youth Employment Program .........................................................................................400 MECCA - Mid-Eastern Council on Chemical Abuse ...................................................................419 Mental Health Center ...................................................................................................................436 Neighborhood Centers (Broadway/Pheasant Ridge/Clear Creek) of Johnson County ............. 460 Rape Victim Advocacy Program .................................................................................................478 Red Cross ....................................................................................................................................494 School Children's Aid ..................................................................................................................515 Special Care Dental Program (Geriatric Mobile Dental) .............................................................533 United Action for Youth ................................................................................................................548 Visiting Nurse Association (VNA) ................................................................................................569 Youth Homes ...............................................................................................................................593 Jccoghs/agfundg/$reqsts.toc,doc The page numbers (lower corner) got confused. I meant for them to be in the lower right corner for pages on the right and lower left for the left side. Somehow we got an extra (repeat) sheet (page 281) and it threw the location of the numbers off (but not the numerical order). The numbers after page 281 are located on the inside lower corner. I debated about reprinting but couldn't justify the additional paper it would take. Linda Severson ATE Wed., Nov. 18 HUMAN SERVICE AGENCY FUNDING HEARING SCHEDULE FOR FY00 All hearin s to be held at the Department of Human Services, ~11 N. Governor, Iowa City, 339-6169 x323 6:30 7:00 7:30 8:0O 8:30 ,AGENCY P & A Discussion and Recommendations Lutheran Social Service (Page 378) MECCA (Page 419) Eldedy Services Agency (Page 112) Neighborhood Centers (Page 460) IOWA CORALVILLE CITY REQUESTS JOHNSON COUNTY UNITED WAY Wed., Dec. 2 6:30 7:00 7:30 8:00 8:30 P & A Discussion and Recommendations Red Cross (Page 494) Cdsis Center (Page 54) Domestic Violence Intervention (Page 90) Emergency Housing Project (Page 134) X X X X X X X X X X X X X Wed., Dec. 9 6:30 7:00 7:30 8:O0 8:30 P & A Discussion and Recommendations Rape Victim Advocacy (Page 478) Mayor's Youth Employment (Page 400) Big Brothers Big Sisters (Page 37) HACAP (Page 261 ) Wed., Dec. 16 6:30 7:00 .7:30 8:00 8:30 9:00 P & A Discussion and Recommendations United Action for Youth (Page 548) Youth Homes (Page 593) Arc of Johnson County (Page 16) Free Medical Clinic (Page 203) ICARE (Page 308) X X X X X X X X X X X X X X X X X "ed.,Jan. 6 6:30 7:00 7:30 8:00 8:30 P & A Discussion and Recommendations Alliance for the Mentally III (Page 1 ) Mental Health Center (Page 436) Visiting Nurse Association (Page 569) Free Lunch (Page 192) Wed.,Jan. 13 6:30 7:00 7:30 8:00 8:30 P & A Discussion and Recommendations Hospice (Page 325) Legal Services (Page 340) Special Care Dental Clinic (Page 533) Evert Conner Center (Page 154) Wed.,Jan. 20 6:30 7:00 7:30 8:00 8:30 P & A Discussion and Recommendations Dental Services for Kids (Page 77) Handicare (Page 277) School Children's Aid (Page 515) 4C's (Page 172) Wed.,Jan. 27 6:30 7:0O 7:30 8:00 8:30 P & A Discussion and Recommendations Goodwill (Page 224) Gr. Iowa City Housing Fellowship (Page 244) Hillcrest (Page 292) LIFE Skills (Page 360) Wed., Feb. 3 Alternate night in case of inclement weather Wed., Feb. 10 · 7:00 Planners' meeting ad., March 3 7:00 AIIocators' meeting · County funding determined by Johnson County Board of Health X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X Agency Alliance for the Mentally III 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 Lunch Free Medical Clinic Goodwill Greater Iowa City Housing Fellowship HACAP Handicare Hillcrest ICARE Io, City Hospice Legal Services LIFE Skills Lutheran Social Service Mayor's Youth Employment MECCA Mental Health Center Neighborhood Centers Rape Victim Advocacy Red Cross School Children's Aid Special Care Dental Program United Action for Youth Visiting Nurse Association CURRENT LOCAL ALLOCATIONS Johnson Coralville County FY99 FY99 $1,500 * $3,500 $20,000 $3,950 $66,917 Iowa City FY99 $36,000 $37,254 UnitedWay UWFY99 $1,000 $27,933 $25,683 $68,489 $2,500 $3,000 $51,965 $50,000 $44,741 $2,400 $19,798 $58,500 $36,453 $600 $10,500 $9,000 $18,640 $1,000 $88,589 $5,700 $15,071 $3,000 $78,223 $49,376 $6,259 $24,155 $7,625 $13,925 $19,574 $7,811 $17,164 $10,000 $12,590 $1,000 $25,246 $1,000 $16,100 $16,198 $2,200 $3,000 $38,000 $9,160 $1,500 $281,317 $26,800 $26,000 * $15,750 $47,902 $54,844 $62,782 $2,400 $13,000 $13,000 $16,794 $1,000 $6,055 $4,977 $13,920 $8,500 $14,000 $1,200 $84,984 $58,000 $31,977 $119,315 $63,125 Youth Homes $750 $68,200 $~ 7,769 TOTAL $25,000 $938,961 $409,700 $754,489 'Th \rc and Mental Health Center are now funded on a fee for service (individual billing) instead of a block grant. ~ccoghs~gfundg~currall.doc 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 ~ed Cross United Action for Youth Youth Homes TOTAL CONTINUATION Preliminary Recommendations CITY OF CORALVILLE HUMAN SERVICE AGENCY FUNDING Funding Allocated % Increase FY98 FY99 98 to 99 $1,350 $1,500 11.0% 3,300 3,500 6.0% 2,900 3,950 36.2% 2,700 3,000 11.0% 1,500 2,400 60.0% 500 600 20.0% 800 1,000 25.0% 2,000 2,200 10.0% 1,000 1,500 50.0% 2,200 2,400 9.0% 600 1,000 66.6% 1,050 1,200 14.2% 600 750 25.0% ,20,500 ,25,000 21.9% Request $1,500 5,000 4,345 3,600 5,000 800 1,050 4,000 7,350 2,600 1,000 10,000 3,000 $49,245 FYO0 Increase Dollar Percent Increase Increase $0 0.0% 1,500 42.8% 395 10.0% 600 20.0% 2,600 108.3% 200 33.0% 50 5.0% 1,800 81.9% 5,850 390.0% 200 8.3% 0 0.0% 8,800 733.3% 2,250 300.0% ,24,295 97.1% New Requests --Existing Agencies HACAP ICARE TOTAL NEW REQUESTS TOTAL CONTINUATION PLUS NEW REQUESTS ,20,500 $25,000 21.9% $1,250 ,1,250 N/A 500 500 N/A $1,750 ,1,750 N/A $50,995 ,26,045 104.0% iii 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 ' 'AL AGENCY CONTINUATION CONTINGENCY TOTAL CONTINUATION Preliminary Recommendations CITY OF IOWA CITY HUMAN SERVICE AGENCY FUNDING Funding Allocated % Increase FY98 FY99 FY98 to FY99 Request $34,557 36,000 4.2% $42,000 35,480 37,254 5.0% 40,969 47,000 50,000 6.4% 60,000 56,800 58,500 3.0% 60,255 8,500 9,000 5.8% 9,500 5,440 5,700 4.7 % 5,985 6,425 7,625 18.6% 7,850 9,600 10,000 4.1% 10,500 37,080 38,000 2.5% 45,000 26,000 26,800 3.0% 29,400 52,000 54,844 5.4% 71,705 12,500 13,000 4.0% 13,500 4,740 4,977 5.0% 5,226 56,500 58,000 2.6% 65,000 $392,622 $409,700 4.3% $466,890 $5,541 $5,541 $398,163 $409,700 3.8% $472,431 FY00 Increase Dollar 96,000 3,715 10,000 1,755 500 285 225 500 7,000 2,600 16,861 500 249 7,000 $57,190 $0 $57,190 Percent 16.6% 9.9% 20.0% 3.0% 5.8% 5.0% 3.0% 5.0% 18.4% 9.7% 30.7% 3.8% 5.0% 12.0% 14% 0% iV jccoghs~agfundg~fund-ic3.doc Preliminary Recommendations JOHNSON COUNTY HUMAN SERVICE AGENCY FUNDING FYO0 Increase Agency Funding Allocated % Increase FY98 FY99 98 to 98 Request Big Brothers/Big Sisters Crisis Center Domestic Violence Int. Dollar Elderly Services Agency Emergency Housing Project Free Medical Clinic~ HACAP Percent $17,498 $20,000 14.2% $25,000 $5,000 25.0% 58,917 66,917 13.5% 73,609 6,692 10.0% 47,340 51,965 9.5% 62,208 10,243 20.0% 17,998 19,798 10.0% 22,000 2,202 11.1 % 9,200 10,500 14.1% 11,500 1,000 9.5% 84,376 88,589 5.0% 93,018 4,429 5.0% 23,030 24, 155 4.9% 25,000 845 3.4% ICARE~ 16,050 17,164 6.9% 18,025 861 5.0% Lutheran Social Service 16,068 16, 1 O0 0.002 % 16, 1 O0 -0- 0.0% Mayor's Youth Employment 2,500 3,000 20.0% 4,000 1,000 33.0% MECCA 273,317 281,317 29.2% 304,000 22,683 8.0% Neighborhood Centers R Victim Advocacy Reu Cross 37,902 47,902 26.3% 61,425 13,523 28.2% 12,360 13,000 5.1% 13,50O 500 3.8% 5,767 6,055 5.0% 6,358 303 5.0% United Action for Youth Visiting Nurse Assn.~ Youth Homes 81,484 84,984 4.3% 95,000 10,016 11.8% 126,840 119,315 ~5.9% 117,518 -1,797 -1.5% 66,200 68,200 3.0% 68,400 200 0.002% $938,961 4.6% the Johnson County Board of TOTAL $896,636 $1,016,661 $77,700 Health to the Board of Supervisors. ~These agencies funding are recommended by 8.2% V :coghs~agfundg'JundJ~3.doc Agency Alliance for Mentally III Arc of Johnson County Big Brothers/Big Sisters Crisis Center Dental Services for Kids Domestic Violence Int. Elderly Services Agency Emergency Housing Prj. 4 C's Free Lunch Free Medical Clinic Goodwill Gr. IC Housing Fellowship HACAP/Headstart Handicare Hillcrest ,RE Iowa City Hospice Legal Services LIFESkills Lutheran 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 TOTAL NEW REQUESTS Evert Conner Center .'AL CONTINUATION PLUS NEW REQUESTS UNITED WAY HUMAN SERVICE AGENCY FUNDING Allocated UWFY98 $0 27,933 24,660 64,800 0 42,958 35,000 17,500 14,470 0 74,472 49,376 6,010 13,925 18,794 7,500 11,590 0 24,240 0 16,198 9,160 25,890 15,000 60,280 16,125 13,920 7,016 11,260 30,703 61,285 17,769 $ 717,834 Allocated % Increase UWFY99 98 to 99 $1,000 N/A 27,933 0.0 % 25,683 4.1% 68,489 5.7 % 2,500 100.0 % 44,741 4.1% 36,453 4.1% 18,640 6.5 % 15,071 4.1% 3,000 N/A 78,223 5.0 % 49,376 0.0 % 6,259 4.1% 13,925 0.0 % 19,574 4.1% 7,811 4.1% 12,590 8.6 % 1,000 N/A 25,246 4.1% 1,000 N/A 16,198 0.0 % 9,160 0.0 % 26,000 0.4 % 15,750 5.0 % 62,782 4.1% 16,794 4.1% 13,920 0.0 % 8,500 21.1% 14,000 24.3 % 31,977 4.1% 63, 125 3.0 % 17,769 0.0 % $754,489 4.3 % Request $1,500 35,000 32, 100 75,338 2,000 53,689 38,000 20,000 18,276 4,000 82,116 80,000 7,500 14, 244 27,406 9,500 15,500 5,000 30,600 5,000 22,000 12,000 52,000 16,500 86,100 17,250 17,139 9,186 14.000 50 000 64 546 22.000 $939,490 $6.000 6,000 $945,490 UWFY00 Increase Dollar $500 7,067 6,417 6,849 -500 8,948 1,547 1,360 3,205 1,000 3,893 30,624 1,241 319 7,832 1,689 2,910 4,000 5,354 4,000 5,802 2,840 26,000 750 23,318 456 3,219 686 0 18,023 1,421 4,231 $185,001 $6,000 6,000 $191,001 Percent 50.0 25.2 '25.0 10.0 -20.0 20.0 4.2 7.3 21.2 33.3 5.0 62.0 19.8 2.2 40.0 21.6 23.1 400.0 21.2 400.0 35.8 31.0 100.0 4.7 37.1 2.7 23.1 8.0 0.0 56.~ 2.2 23.8 24.6 N/A N/A 25.3 % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % % vi !cc,0gh$/,agfundg~f~__n~l_~.doc Agency 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 Evert Conner Center 4C's Free Lunch Program Free Medical Clinic Girl Scouts Goodwill Greater Iowa City Housing Fellowship HACAP/Headstart Handicare Hillcrest Hospice ICARE Legal Services Lekotek Life Skills Lutheran Social Service Mayor's Youth Employment MECCA Mental Health Center Neighborhood Centers Nest of Johnson County, The Pentacrest/Pathways 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 UWFY96 UWFY97 (;1,992 (;2,428 ,1,750 (;1,589 ,1,926 ,2,884 (;6,795 ,7,497 (;855 ,1,018 ,3,908 (;5,839 ,1,109 (;278 (;7,006 ,6,859 (;3,923 (;2,353 (; 1,539 ,1,802 (;972 (;1,030 ,1917 ,2,157 (;4,925 (;4,974 (;1,595 (;1,894 (;1;961 (;1,152 ,428 Designated UWFY98 (;2,571 (;1,973 ,968 ,4,836 (;6,644 ,834 (;4,154 (;1,457 ,8,752 (;3,575 (;2,074 ,1 619 (;3 367 (;6 171 ,2 346 $1 537 ,1.230 Designated UWFY99 (;2,194 (;2,695 (;1,795 ,6,553 (;8,358 ,750 (;7,668 (;1,987 ,11,326 ,3,364 (;2,139 (;2,473 ,3,305 (;5,465 (;3,118 ,2,372 ,2,347 (;1,539 (;1,090 (;1,055 (;1,955 (;3,422 ,2,420 ,2,549 (;3,601 ,747 (;68 ,345 ,726 ,7,135 (;5,694 ,10,403 ,13,532 (;3,308 (;3,336 (;3,151 ,5,570 (;493 ,716 (;748 (;1,414 (;165 ,73 (;85 (;274 (;275 (;190 ,952 (;2,033 (;2,846 (;1,280 ,1,566 (;4,079 (;639 (;595 (;1,472 (;1,392 (;1,608 (;523 ,1,184 ,1,947 (;1,170 ,907 ,1,124 (;1,644 (; 1,166 ,786 (;2,662 ,1,509 (;0 ,1,567 ,587 ,1,687 (;843 ,1,867 (;2,454 (;5,960 (;4,216 ,4,350 (;6,518 (;1,994 ,2,682 ,3,114 (;4,985 (;474 ,301 ,757 ,974 ' ,425 (;1,133 (;1,005 (;1,065 (;2,572 (;3,263 (;5,000 ,150 (;50 ,50 ,3,668 (;3,112 (;4,167 ,8,003 (;2,321 (;3,583 (;2,772 ,4,013 (;25,271 (;7,744 ,29,609 ,26,793 ,119,772 ,89,688 $128,689 ,167,925 ~jccoghs%agfundg%desgnlv2.doc 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." viii USING THE BUDGET AND ACCOUNTABILITY QUESTIONNAIRE Budget page 1 includes a summary of agency programs as well as budgetary information. There is a listing of local funding for last year and the current year, as well as the agency's request for next year. The local funding figures are based on the funders' calendars (7/1 to 6/30 for govemmental funders and 4/1 to 3/31 for United Way). Page I is the only page in the entire budget and program packet that is not based on the individual agency's budget year. The agency's budget year is noted in the upper left comer of Budget page 1. Budget pages 2-4 provide figures based on the agency's own budgetary year (calendar, fiscal, federal, etc.). Budget pages 2-4 include figures for a three-year period: the past, present and proposed budget years. Budget page 2 presents an overview of the agency's finances. Line 1 shows total funds available; it includes carryover and income. Line 2 is the total of expenditures; line 3 is the difference between lines 1 and 2. In-kind support and non-cash assets are also summarized on this page. A new section this year, the agency explains how last years local funding was spent. Budget page 3 and 3a if necessary provides a detailed account of the agency's income. Remember that this page is based on the agency's own budget year, not the funders'. This page includes only cash income, not in-kind. The total income is on the last line. Because this section involves a breakdown of proposed income for next year by program, it may be two pages for those agencies that have more than two programs. Budget page 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: Restdcted 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 saladed positions page(s) provide information on staff positions, benefits, salaries, and percent changes. The Agency Accountability 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 last year's goals and progress and measurable objectives for the coming year with the tasks and resources necessary to accomplish them. HUMAN SERVICE AGENCY BUDGET FORM Director: Carol Porch City of Coralville Agency Name: Alliance for the Mentally Ill of JC Johnson County City of Iowa City Address: P. O. Box 3087, Iowa City 52244 United Way of Johnson County Phone: (319) 337-5400 ruerid CHECK YOUR AGENCY'S BUDGET YEAR Approved by Chair Board: 1/1/99-12/31/99 X 10/1/99- 9/30/00 4/1/99 - 3/31/00 (dam) 7/1/99- 6/30/00 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 aspe¢ of the treatment or care of persons with mental illnesses. A library 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 community. Through our local, state, and national organizations we seek to improve treatment and services for persons with brain diseases. Our members serve on county and state bodies, meet with legislators, write letters, and try to promote parity with the care and treatment available for other illnesses. About 450 copies of our monthly newsletter are sent to members, .deal, COunty, and state officials, care proriders, and all of the local agencies that serve persons with men hal 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 matters 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 pmviders 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 advocacy groups. We fund the production of a brochure, Tell Me Where to Turn, that describes the resources and care providers available to persons with mental illnesses in Johnson County. Local Funding Summary: 4/1/97 - 4/1/98 - United Way of Johnson County - - Does Not Include Designated Gvg. City of Iowa City Johnson County City of Coralville 4/1/99 - % of Total 3/31/98 3/31/99 3/31/00 Budget $0 $i,000 $1,500 , 12 FY98 FY99 FY00 """"'- 0 0 0 0 0 0 0 0 0 0 0 0 jccoghs/xlbudg.xls - I - - I - AGENCY: Alliance for the Mentally I11 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 ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR 1997 1998 1999 23,247 18,993 13,843 11,855 8,156 2,668 11,392 10,837 11,175 15,091 16,325 12,700 504 375 200 14,587 15,950 12,500 7,720 6,700 6,900 1,362 3,750 1,400 5,505 5,500 4,200 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: 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 of University Hospi,tals, $1500 to the Mental Health Cente: $900 to the Visiting Nurses Assoc, $1900 to NAMI and NAMI of Iowa, $600 to NARSAD, -2- jccoghs/xlbudg.xls - 2 - INCOME DETAIL ~...,ocal Funding Sources- a. Johnson County b. City of Iowa City c. United Way of Johnson County d. City of Coralville e. f. 2. Grants - State, Federal, Foundations a. b. c. d. e. f. 3. Net Sales Of Services (sources) a. b. c. 4. Net Sales of Materials a. NARSAD Cards c. 5. Contributions/Donations a. United Way Designated Giving b. Other Contributions 6. Speci~ Events a. Iowa City Road Races b. Garage Sale C. 7. Interest Inco/ne 8. Other - List Below a. Membership dues b. c. ITOTAL INCOME (same as p. 2, line Notes and Comments: AGENCY Alliance for the Mentally I11 of Johnson County ACTUAL THIS YEAR LAST YEAR PROJECTED o l 750 0 0 0 0 BUDGETED NEXT YEAR [1,375 0 0 0 0 750 1,375 0 0 NON- DIRECTED PROGRAM PROGRAM FUNDING 1 2 O I 625 I 750 0 625 750 ol ol ol ol ol o oi ol ol ol ol o 876 700 700 876 700 700 ol ol o 3,8241 2,9101 2,8001 0l 0l 0 2,571 I 2,030 2,000 1,253 880 800 4,1151 3,3771 3,3001 O I O I 0 945 800 800 3,170 2,577 2,500 218 I 0 I 0 I 2,3591 3,1001 3,0001 2,359 3, 100 3,000 I ol ol o 11,392 10,837 11,175 0 625 750 Since no income is generated directly by the three programs, past income has been considered as non-directed. The projected allocation of United Way income is $750 toward the te. .lone answering service (provided by the United Way office prior to FY99) and $625 toward the cost of producing and mailing the newsletter. jccoghs/xlbudg.xls - 3 - '3- PROGRAM EXPENDITURE DETAIL ACTUAL LAST YEAR 1. Salaries 0 2. Employee Benefits & Taxes 0 3. Staff Development 0 4. Professional Consullation 0 5. Publications &Subscriptions 0 6. Dues and Memberships 1,887 7. Motgage, Rent and Property Tax 0 8. Building &Maintenance 0 9. Equipunent Purchase/Rental 0 10. Utilities 0 11. Telephone 365 12. Office Supplies &Postage 1,320 13. Printing and Publicity 2,514 14. Local Transportation 0 15. Insurance 0 16. Audit 0 17. Interest 0 18. Other (Specify): AMI=Iowa 1,500 19. National Alliance 400 20. NARSAD 600 21. Grants to local agencies 5,505 22. Meeting Expenses 1,000 23 24 25 TOTAL EXPENSES ( p. 2, line 2) 15,091 Notes and Comments: Item # 13 for 1998 includes projected expenses of $2800 to print the Tell Me Where to Turn Brochure. AGENCY Alliance for the Mentally Ill of Johnson County NON- PROGRAM PROGRAM THIS YEAR BUDGETED DIRECTED 1 2 PROJECTED NEXT YEAR FUNDING 0 0 0 0 C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2,000 2,000 0 2,000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 750 850 0 0 850 1,200 1,000 200 400 200 4,255 2,200 0 2,000 200 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1,500 1,500 0 1,500 0 400 400 0 400 0 600 600 0 600 0 5,500 4,000 0 0 0 120 150 0 0 150 16,325 12,700 200 6,900 1,400 -4- jccoghs/xlbudg.xls - 4 - PROGRAM EXPENDITURE DETAIL (continued) PROGRAM 3 'Salaries 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 Property Tax 0 8. Building &Maintenance 0 9. Equiptment Purchase/Rental 0 10.Utilities 0 11. Telephone 0 '12. Office Supplies & Postage 200 13. Printing and Publicity 0 14. Local Transportation 0 15. Insurance 0 16. Audit 0 17. Interest 0 , Other (Specify): 0 19. National Alliance 0 20. NARSAD 0 21. Grants to local agencies 4,000 22. Meeting Expenses 0 23 24 25 TOTAL EXPENSES ( p. 2, line 2) Notes and Comments: AGENCY Alliance for the Mentally Ill of Johnson County PROGRAM PROGRAM PROGRAM PROGRAM PROGRAM 4 5 6 7 8 4,200 0 0 0 0 0 jccoghs/xlbudg.xb - 4a - -5- RESTRICTED FUNDS: Restricted by: Restricted for: AGENCY A/liance for the Mentally I11 of Johnson County ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR TOTAL RESTRICTED FUND (also showu page 2, line 4) 0 0 0 MATCHING GRANTS Grantor/Matched by !TOTAL MATCHING GRANTS (also shown pg. 3, line 2) 0 0 0 IN-KIND SUPPORT DETAIL Services/Volunteers Material Goods ~pace, Utilities, etc. )ther: (Please specify) I'OTAL IN-KIND SUPPORT (also shown on page 2, line 4) ~ ,~otes and Comments: 6- jccoghs/xlbudg.xls - 5 - SALARIED POSITIONS AGENCY Alliance for the Mentally Ill of Johnso Position/Title "X"all that a3ply Last FTE* Salary This Next Actual This Budgeted % Year Year Last Year Year Next Year Change TOTAL FTE's and SALARIES 0 * Full-time equivalent: 1.0=full-time; 0.5=half-time; etc. 0 0 0 0 0 jccoghs/xlbudg.xts - 6 - AGENCY: Alliance for the Mentally III of Johnson County ACCOUNTABILITY QUESTIONNAIRE Agency'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. B. Board of Directors: 1. Please attach a list of your agency's Board of Directors (page 7A) 2. Frequency of meetings: Monthly 3. Briefly descdbe board orientation and ongoir~g training opportunities: A one-hour meeting is held prior to each rnonth~/program meeting to discuss expenditures, projects, and future plans for the organization. C. Finances: 1. Are there fees for any of your services? Yes __ No X a. If YES, descdbe circumstances. b. Are they flat fees or sliding fees ? 2. Does your agency have: an internal audit external audit financial review X Frequency Monthly 3. Has your agency filed the Annual Report with the Secretary of State? Yes X No 4. Has your agency filed Form 990 with the IRS? Yes X No Please discuse your agency's fundraising efforts, if applicable. We have an annual garage sale that generated $2600 this year. Other major sources of income are membership dues, contributions from organizations in the community (mostly for special projects), Iowa City Road Race, United Way designated giving, and sales of NARSAD cards & supplies. D. Management: There are no paid staff members. 1. Does each professional staff have a written job description? Yes No 2. Is the agency Director's performance evaluated at least yearly? Yes No By Whom? ~ AGENCY E. Program/Services: The organization is a support. education. and advocacy ~Troup and does not charge for any direct 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 during last two complete budget years. Refer to form instructions for definition of duplicated and unduplicated. -7- -8° AGENCY: Alliance for the Mentally III of Johnson County BOARD OF DIRECTORS President: Vice-President: Secretary: Tre as u rer: Editor: Carol Porch Mary Anne Madden Margalea Warner Brace Friedrich Beth McCabe -7A- AGENCY: Alliance for the Mentally III of Johnson Counly Enter Years How many Johnson County residents (including la. Duplicated Iowa City and Coralville) did your agency serve? Count 1997 1998 (a) (a) lb. Unduplicated (a) (a) Count How many Iowa City residents did your agency 2a. Duplicated serve? Count 2b. Unduplicated Count How many Coralville residents did your agency 3a. Duplicated serve? Count 3b. Unduplicated Count 4. How many units of service did your agency pro- 4a. Total vide? 4b. To Johnson County Residents (a) The newsletter is mailed 10 times per year to about 450 addresses, including all facih'ties for persons with mental illnesses. 188 families have paid dues at least once during the past two years. An average of about 40 persons attend the monthty program meetings and approximate!y 12 attend a support group meeting. Several thousand copies of the Tell Me Where to Turn brochure will be distributed during this year. The telephone service is provided by four or five members on a continuous basis. No records of ethnicity or age of persons who attend our functions are kept; about 95% of the dues-paying members are residents of Johnson County. 5. Other Areas Served: Do you provide services to areas outside of Johnson County? No 6. Client Profile (for last complete year, if available): (See comment under item #4) Age Gender Ethnicity 0 - 5 Female African American 6 - 17 Male Native American 18 - 29 Asian 30 - 61 Hispanic 62 - 75 Caucasian/Non-Hispanic 75 + Multi-racial o10- -8- AGENCY: Alliance for the MentalIV III of Johnson Count,/ Evaluation and Review: Please discuss how your agency measures the success of its 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? No [Give several examples] What plans does your agency have to increase efficiency and effectiveness? 1) We are considering having a small office space in conjunction with another agency. 2) We will largely fund the production and distribution of a brochure that lists all services available for persons with mental .illnesses in Johnson County. Previous editions have been widely used by clients and service providers. 3) We will attempt to improve our records conceming in-kind donations of goods and services by our members. In what ways will the needs of your service population change in the next five years: The reduction in the use of institutional settings along with the advent of managed care has required family members to provide more of the care for persons with chronic mental illnesses; Thus the need for a support, education, and advocacy group to serve these family members is increasing. AGENCY: Alliance for the Mentally III of Johnson County 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: 11. Do you have a waiting list or have you had to tum people away for lack of ability to serve them? What measures do you feel can be taken to resolve this problem: No waiting lists. 12. How many people are currently on your waiting list? In what way(s) are your agency's services publicized? Through publid~y releases, individual interviews with media, outreach letters, and, most importantly, our monthly newsletter 13. United Way involvement by your agency: ("X" if agency participates) a. Agency Directors Meetings ~ b. Agencies Representative to Funding Hearings c. Business Blitz d. Day of Caring e. Kick Off f.' Victory Reception Y,,. g. Other AGENCY -10- AGENCY: Alliance for the Mentally III of Johnson County AGENCY HISTORY The Alliance for the Mentally III 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 III (NAMI, the umbrella organization with neady 200,000 members) The group then expanded to include family members and individuals 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. We have also made small grants to local agencies for items to improve services to persons with sedous mental illnesses (SMI). Some examples during the past three years include seed grants to Hillcrest Supported Living for their revolving fund to assist with emergency expenses for persons with SMI, funds to the IMPACT program at University Hospitals to provide enrichment activities for which they cannot be reimbursed, funds to the Visiting Nurses Association to provide aids for medication compliance, and funds to the UIHC Behavioral Health Services, Life Skills, Inc, and the Crisis Center for books and other educational materials to assist family members and other who care for persons with SMI. We also support the AMI of Iowa state office and NARSAD, the major private organization that supports scientific research for brain diseases. 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. -11- -~3- GOAL 1: Goal 2: GOAL 3: AGENCY: Alliance for the Mentally III of Johnson County FY98 GOALS Provide support for families of persons with mental illness and to clients who themselves have a mental illness. 1. We have continued to support "cadrig and shadrig" groups that have monthly meetings. 2. We have employed a phone answering service to assist persons with questions to contact one of several members who have volunteered for this service. This service replaced a function previously provided by the United Way office staff. 3. We arranged for a winter party and a summer picnic for persons with mental illnesses and their family members to enjoy a social occasion together. 4. We have helped to produce Tell Me Where To Turn, a brochure that lists services of all types that are available in Johnson County to persons with mental illnesses. We will be the major source of funding for the production and distribution of this widely-used brochure. Educate ourselves and others about the nature of mental illnesses. 1. We had monthly program meetings with speakers who discussed many aspects of services for the mentally ill. Examples included psychiatrists from UIHC, the head of the UI School of Social Work, staff persons from Goodwill programs, the Grant Wood AEA, the Abbe Center, Iowa Protection and Advocacy, the Community .Mental Health Center, and the Evert Conner Center. 2. We continue to provide books, tapes, and pamphlets at our monthly meetings. In addition, we have transferred our library of materials to the Community Mental Health Center to make them available for a wider audience. 3. We have funded the purchase of reference books and materials for three local service agencies. Advocate for improved and expanded services for persons with severe and persistent mental illness. 1. We will present our annual awards in October to Dr. Gerry Clancy (UIHC IMPACT Program), Claudine Hards (volunteer activities at the state and local levels), and Dean Moore (CEO of Quality Care, which provides employment to several persons with mental illnesses). 2. In addition to our membership dues, we have contributed over $2000 this year to the state and national organizations that are the primary advocacy groups for persons with mental illnesses. 3. We will contribute approximately $5000 this year to local service agencies to assist them with special projects designed to enhance the quality of services provided to persons with mental illnesses. 4. We devoted one of our monthly program meetings to a meeting with the Johnson County CPC to discuss unmet service needs for persons with mental illnesses. 5. Our members have served on the Boards of Directors of Goodwill, Chatham Oaks, the Mental Health Center, and Hillcrest. Other examples include service on the MHDD Planning Council and as President of AMI of Iowa. -12- AGENCY: Alliance for the Mentally Ill of Johnson County AGENCY PROGRAM GOALS AND OBJECTIVES GOAL: To continue our role as the primary volunteer organization in Johnson County that provides support, education, and advocacy for families of persons with mental illnesses. Objective A: To give emotional support to others affected by mental illnesses. Tasks: 1. Organize two monthly support group meetings. 2. Provide support through continuous access to a member by phone. 3. Provide several annual social events for both families and clients. Objective B: Tasks: To educate ourselves and others in the community about the scientific advances in the treatment of mental illnesses as well as the common concerns and problems for family members of persons with these illnesses. 1. Organize monthly meetings with knowledgeable, professional speakers. 2. Provide books, tapes, and pamphlets at meetings. 3. Provide information and assistance through the mail and by phone. 4. Provide books and other educational materials to local service agencies to aid their support of family members. 5. Provide support to NARSAD (National Association for Research on Schizophrenia and Depression). 6. Provide our local newsletter to service providers and community leaders in addition to our own members and other persons affected by mental illnesses. Objective C: To advocate for improvements in existing services for persons with mental illnesses as well as to encourage the development of community resources to replace the statewide services that are being discontinued. Tasks: 1. Organize and present annual awards to volunteers and professional care providers. ~ 2. Testify at hearings,' serve on local committees, boards and task force groups that discuss policies for persons with mental illnesses. 3. Advocate through letters and conversations about the needs of persons with mental illnesses. 4. Provide support to the National Alliance for the Mentally III and to NAMl-lowa for national and statewide advocacy activities. HUMAN SERVICE AGENCY BUDGET FORM City of Coralville Johnson County City of Iowa City UhI L. J Wa31, r.d' JUth,au,! C'~u,ttlr CHECK YOUR AGENCY'S BUDGET YEAR 1/1/99-12/31/99 411/99 -- 3/31/00 711/99 -- 6/30/00 Director. Rod Sullivan Agency Name: Am of Johnson County Address: 1700 First Avenue. Suite 16 Phone: (319)351-5017 Completed by: Rod Sullivan Approved by Chair. Judy Wadh 1011/99 -- 9/30/00 COVER PAGE Program Summary: (Please number programs to correspond to Income & Expense Detail, Le. Program 1.2, 3, etc.) 1. IN-HOME SUPPORT SERVICES: These are services that enable 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 shod-term Respite Care, Supported Community Living, Consumer Directed Attendant Care, and Home and Vehicle Modirm~tion. 2. ADVOCACY/AWARENESS: This is when the Arc acts on behalf of persons with developmental disabilities and their families. These actions may ~ helping people to locate the necessary supports; monitoring the supports that exist within the community; informing people with developmental disabilities and thek families of the program and opportunities that are available; informing the community as to the causes and prevention of mental retardation; educating the poputmion on the roles of people with 'disabilities in the comity; and monitoring governmental actions that impact this population. Finally, The Arc has established a Self-Advocacy Group, which works to empower people with devaloprnental disabilities to address the iss_,e~ that are important to them, and to learn advocacy skills. 3. COMMUNITY PROGRAMS: This program provides educational progrmnming for people with disabilities and their families, as well as sodalization oppodunities for people with disabilities. The Arc offers a v.~je range of community programs, including forums for County Board of Supen/isors candidates, and to discuss Spedal Education Programming in the Iowa City Community School District. Other community programs inducle Parent Suppod Groups, the monthly newsletter, and the Natural Ties program. 4. SUPPORTED EMPLOYMENT: le enter to further our mission to increase employrm~t opportunities for people with disabilities, The Arc provides assistance with job seeking, job development, job placement, on-the-job training, and follow-along suppert. Local Funding Summary: United Way of Johnsen County - Does Not Include Designated Gvg. City of Iowa City Johnsen County City of Coralville 4/1/97 - 4/1198 - 4/1/99 - % of Total 3/31/98 3/31/99 3131/00 Budget $27,933 $27,933 $35,000 10% · FY98 FY99 FY00 $0 $0 $0 (:)% $0 $0 $0 0% $1350 $15OO $1500 .6% -16o BUDGET SUMMARY Enter Your Agency's Budget Year -->'7 / 1 - E/3 0 1. TOTAL OPERATING BUDGET (Total a + b) a. Carryover Balance (Cash from line 3, previous col- umn) b. Income (Cash) 2. TOTAL EXPENDITURES (Total a + b) a. Administration b. Program total (List Programs below) 2. 3. 4. 5. 6. 7. 8. In-Home Services Advocacy/Awareness Community Programs Supported Employment ACTUAL THIS YEAR LAST YEAR PROJECTE D FY98 FY99 630,868 554,319 379,586 308,119 251,282 246,200 322,749 280,619 16,137 17,000 306,612 263,619 164, 107 192,786 27,506 29,333 65,280 5,000 49,719 36,500 BUDGETED NEXT YEAR FY00 623,615 272,115 351,500 351,500 17,000 334,500 252,035 27,800 5,000 52,500 3. ENDING OPERATING BALANCE (Subtract 2 - 1) 308,119 272,115 272,115 4. RESTRICTED FUND BALANCE (Total from page 7) 0 0 0 5. IN-KIND SUPPORT (Total from page 7) 10,235 10,950 12,000 6. NON-CASH ASSETS 123,613 112,705 101,797 Notes and Comments: Line 6 = Historical cost, not Fair Market Value. Fair Market Value would be substantially less. *Briefly describe how local funds were spent last year: Local funds supported United Way Respite (see service Community Programs. descriptions), Advocacy/Awareness, and -17- INCOME DETAIL 1. Local Fundina Sources a. Johnson Counh' b. City of Iowa City c. United Way d. City of Coralville e. f. 2. Grants- State. Federal. Foundations a. b. c. d. 3. Net Sales of Services (sources1 a. In~Home Services b. Supported Employment c. 4. Net Sales of Materials (sourues1 8. b. c. 5. Contributions/Donations a. United Way Desianated GMna b. Other Contributions 6. Special Fvents a. Fundraisina b. c. 7. Interest Income 8. Other- List Below Includina a. MembershiD b. c. TOTAL INCOMF (shown also on Daae 2. Notes and Comments: AGENCY ACTUA THIS BUDGET NON- PROGR PROGR L YEAR ED DIRECT AM AM LAST PROJECT NEXT ED t 2 29.283 29.?83 36.500 0 4.200 27.800 0 0 0 0 0 0 0 0 0 0 0 0 27,933 27,933 35,000 0 4,200 27,050 1,350 1,500 1,500 0 0 750 0 203641 229286 245000 0 181543 192786 205000 0 22098 36500 40000 0 0 0 0 0 5270 6000 7000 7000 1744 2000 2500 ~500 3526 4000 4500 4500 2064 4000 5000 5000 2064 4000 5000 5000 8954 9000 9000 2000 2070 2500 3000 3000 2070 2500 3000 3000 251282 246200 351500 17000 0 1000 0 0 0 245000 0 205000 0 0 0 0 0 0 , 0 ,O 249200 27800 -18- AGENCY INCOME DETAIL (continued) ._ 1~ Local Fundina SourCes a, Johnson County b, City of lowa City c, United Way d, City of Coralville e. f, 2, Grants- State, Federal, Foundations a, b, c, d. 3, Net Sales of Services (sources1 8. b, c, 4, Net Sales of Materials (sources1 a, b, C. ~5. (;::ontributi.Ons/DonatiQns ._ a, United Way Desianated Givina b, Other Contributions 6, Special Fvents - List Below a, Fundraisina b, C. _ ~, Iqterest Income 8, Other - List B~Jow Ir)~ludinCLMiscella_- a, Membership b. C. _ TOT _AL INGOMF ,(thoWp also on ,l~ae 2, .. Notes and Comments: PROGR AM 3 4500 0 0 3750 750 500 0 0 0 0 0 0 5000 PROGR AM 4 0 0 0 0 0 500 40000 0 0 0 0 0 TO00 0 0 525~_ PROGR AM [PRk-O~R I PROGR PROGR A AM AM I PROGRAM EXPENDITURE DETAIL ACTUAL LAST 1. Salaries 115934 2. Employee Bener~s and Taxes 18780 3. Staff Development 760 4. Professional Consultation 3808 5. Publications and Subscriptions 302 6. Dues and Memberships 8386 7. Mortgage, Rent, and Property Tax 2937 8. Building and Maintenance 138 9. Equipment Purchase/Rental/Mainte- 17588 nance 10. Utilities 1481 11. Telephone 2376 12. Ofr~e Supplies and Postage 5558 13. Printing and Publicity 557 14. Local Transportation 2417 15. Insurance 3875 16, Audit 2850 17. Interest 0 18. Other (Specify): 19. contract labor 122808 20. miscellaneous 7262 21.. building depreciation 4932 22. 23. 24. 25. TOTAL EXPENSES (shown also on page 2, 322749 line 2) Notes and Comments: AGENCY THIS YEAR PROJEC TED 108623 16339 661 3313 263 7296 2555 120 7468 1288 2067 4835 485 2103 3371 2480 0 106202 6318 4932 280619 BUDGET ED NEXT YEAR 125401 20191 1488 3964 348 8919 2925 150 9900 1500 2379 5700 595 2500 3900 2900 0 151000 6087 4932 351500 ADMIN, 6074 978 72 192 17 432 142 7 480 72 115 276 29 120 187 139 0 7139 292 237 17030 PROGR AM 88578 14261 1050 2800 245 6300 2065 105 7000 1050 1680 4025 420 1750 2730 2030 0 108233 4261 3452 252035 PROGR AM 2 10123 1630 120 320 28 720 236 12 8O0 120 192 480 48 200 3~2 232 0 11365 487 395 27800 PROGRAM EXPENDITURE DETAIL PROGR (continued) AM 3 1. Salades 1772 2. Employee Benef~s and Taxes 286 3. Staff Development 22 4. Professional Consultation 56 5. Publications and Subscriptions 6 6. Dues and Memberships 126 7. Mortgage, Rent and Property Tax 42 8. Building Maintenance 3 9. Equipment Purchase/Rental/Mainte- 140 nance 10. Utilities 22 11. Telephone 34 12. Office Supplies and Postage 82 13. Printing and Publicity 9 14. Local Transportation 35 15. Insurance 55 16. Audit , 42 17. Interest 0 18. Other (Specify): 19. contract labor 2114 20. miscellaneous 85 21. building depreciation 69 2_2. 23. 24. 25. TOTAL EXPENSES (Show also on page 2, 5000 line 2b) Notes and Comments: AGENCY PROGR AM 4 18854 3036 224 596 52 1341 440 22 1480 f 224 358 857 373 581 432 0 21889 907 735 52500 PROGR AM 5 PROGR AM 6 PROGR AM 7 PROGR AM 8 -21 - AGENCY RESTRICTED FUNDS Restdctedby: Restricted for: ACTUAL LAST YEAR THIS YEAR PROJECTE D BUDGETE D NEXT YEAR Total Restricted Funds (also shown page 2, line 4) MATCHING GRANTS Grantor/Matched by: (VVe have not actually applied for any grants, but plan on doing so. ) Budgeted Current Budgeted Nex~ Total Matching Grants (also shown on page 3, line 2) 1000 IN-KIND SUPPORT DETAIL Services/Volunteers Matedal Goods Space, Utilities, etc. Other: (Please specify) Board Involvement Board calculations = 12 members x <4 hours/month x 12 months x $15/ho u r TOTAL IN-KIND SUPPORT (Shown also on page 2, line 5) Notes and Comments: FY98 2350 325 0 7560 10235 FY99 2600 350 0 8000 10950 FY00 3000 500 0 850O 12000 -22- s RIED POSITIONS Position Executive Director Respite Care Coordirrator Program Development Coordinator Family Services Coordinator Employment Specialist Program Assistant Clerical Assistant 'X' all that apply Paid Healt Retire % Last Lve h Plan Bene- Year. Ins fits 32 x x 20 1.0 32 x x 20 1.0 32 x x 20 1.0 32 x x 20 0.1 32 x x 20 1.5 x x x 0 0.5 x x x 0 0.1 AGENCY FTE* A ACTUAL LAST YEAR Th is Next Year, Year 1.0 1.0 38901 0.0 0.0 24672 1.0 1.0 19031 THIS YEAR PROJEC TED 37420 0 23616 BUDGET- ED NEXT YEAR 38600 0 24800 % CHANGE 3% 0% 5% 1,0 1,0 358 22339 23450 5% 1.0 1.0 24247 23508 24450 4% 0.5 1,0 7863 8500 19000 11.7% 0, 1 0.0 862 870' 0 0% :ota, ,~alaries & FTE *Full-time equivalent: 5.2 1.0 = full-time; 0.5 = half-time; etc. 4.6 5,0 115934 108623 125401 iccoghsV0udgetZdoc 9% AGENCY: A. Agency's Mission Statement or Pdmary .Purpose: The Arc of Johnson County is committed to being a leader in offedng 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. B. Board of Directors: 1. Please attach a list of your agency's Board of Directors (page 7A) 2. Frequency of meetings: two hours monthly, Dlus one annual retreat 3. Briefly describe board orientation and ongoing training opportunities: Every new Arc Board member receives a two-hour orientation, involving the Board President, Executive Director, and staff. This is held at The Arc, and includes a great deal of observation. Twenty minutes of every Arc Board meeting is set aside for board development. Please refer to attached Board Manual for further details on board orientation.. C. Finances: 1. Are there fees for any of your services? Yes ~ No a. If YES, describe circumstances. Some families that receive County-Funded Respite pay for a portion of the cost of services. This is determined by Johnson County. b. Are they flat fees or sliding fees -/, ? 2. Does youragencyhave: anin~malaudit externalaudit )<. financialreview Frequencyannually Has youragencyfiledthe AnnualReportwith the Secretary of State? Yes "/,, No 4. Has your agency filed Form 990 with the IRS? Yes '><, No 5. Please discuss your agency's fundraising efforts, if applicable. A modest amount of funds are raised through a direct mailing campaign. Other than this, the Arc has not done much fundraising in the past decade. The current Board and staff are committed to changing this. We have greatly increased our United Way involvement; we are actively recruiting new members; we are pursuing all applicable grants; we have begun to advertise planned giving as a viable option; we are brainstorming ideas for a good annual fundraising event; and we are very seriously moving ahead with plans to undertake a Social Entrepreneurship venture. -24- ""7 President.' Vice Pres: Treasurer: Secretary: Board.' THE ARC OF JOHNSON COUNTY BOARD OF DIRECTORS (AUGUST, 1998) Joined Board 1996 Judy Warth - 127 West Forevergreen Road North Liberty IA 523 17 (h) 626-3248 (w) 356-0860 (mobile) 515/238-8583 Fax: 356-8574 Email: jwarth@aol.com Doug Thompson - 2001 Waterford Dr. Coralville, IA 52241 (h) 351-5225 (w) 337-7326 Fax: 351-8998 Email: DOUGARYGIN~aol.com 1993 Melanie Alberts - 925 West Park Road Iowa City, IA 52246 (H) 338-0857 1995 Sondra Kaska - 103 E. College St., Suite 300 Iowa City, IA 52240 (h) 338-4038 (w) 358-6690 fax 358-8054 1996 Loft Bean - Bon Aire, Lot 369 Iowa City, IA 52240 (H) 337-2120 Tim Clan/:y - 302 South Gilbert Street, #1216 Iowa City IA 52240 (H) 354-1067 1997 1997 AI Dix- Hy-Vee, 1720W~erfrontD~ve, Iowa City IA 52240 (W)354-7601(H)339-1106 1998 Kathryn Kurth - Small Business Development Center, U of I, 108 Pappajohn Bus. Adm. Bldg., Iowa City IA 52242-1000 (W) 335-3742 (H) 337-9374 fax 353-2445 1998 William Kurth-9 South Linn, Apt. 3 Iowa City, IA 52240 (H)351-2382 1995 Brenda Lacina - 2331 Nevada Avenue Iowa City, IA 52240 (H) 337-7005 1997 Mike Ostlund-2402 Gable S~eet, Iowa City IA 52240 (H) 354-7208 1998 Keith Ruff-601 SouthGilbert Street Iowa City, IA 52240 (H)354-3912 1997 Brad Stiles - 722 Oakland Avenue Iowa City, IA 52240 (H) 338-5580 1997 Term Expires 2000 1999 1999 2000 1999 1999 2000 2000 1999 1999 2000 1999 1999 AGENCY: D. Management: Does each professional staff have a wdtten job description? Yes ,X Is the agency Directors performance evaluated at least yeady? Yes y,. No By Whom? Board of Directors AGENCY Arc of Johnson County No 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.) In-Home Services: Respite Care: Respite is defined as cedng for a person with a disability in order to give the pdmary caretakers some relief. This allows families time away dudng pedods of stress or cdsis, to tend to business, or simply to take a break. Respite is funded three ways: 1. HCBS Waiver Respite -(Persons with disabilities who are eligible for Title 19) unit of service/cost = one hour/S12.00 July 1, 1997- June 30, 1998 - 7333 hours of HCBS respite provided 2. County Respite -(Persons with disabilities who are not eligible for Title 19) unit of service/cost = one hour/S12.00 July 1, 1997- June 30, 1998 - 2508 hours of County respite provided 3. United Way Respite -(Persons with disabilities who are not eligible for Title 19 or County respite) unit of service/cost = one hour/S12.00 July 1, 1997- June 30, 1998 - 280 hours of United Way respite provided Supported Community Uvin.<3 (SCL): SCL allows individuals to work toward specific goals with the help of skilled professionals. SCL is funded two ways: 1. HCBS Waiver SCL -(Persons with disabilities who are eligible for Title 19) unit of service/cost = one hour/S22.32 Apdl 1, 1998- June 30, 1998 - 280 hours of HCBS SCL provided 2. County SCL -(Persons with disabilities who are not eligible for Title 19) unit of service/cost = one hour/S22.32 March 1, 1998- June 30, 1998 - 37 hours of County SCL provided Consumer Directed Attendant Care (CDAC): CDAC gives individuals the opportunity to make personal choices regarding their care. CDAC is funded through the HCBS Waiver for peolple who are Title 19 eligible. unit of service/cost = one hourl$18.00. March 1, 1998- June 30, 1998 - 40 hours of CDAC provided. Home and Vehicle Modification (H&V): H&V allows changes to be made to existing homes and vehicles that allow full access for the person with a disability. H&V is funded through the HCBS Waiver for people who are Title 19 eligible. The Arc has no rate, but serves as a "pass through". Local contractors bill the Arc, which in turn bills HCBS. No H&V have been done to date. -26- AGENCY: Advocacy/Awareness: In response to a previous request from the United Way, The Arc has begun to measure Advocacy in units of one hour. These units are provided free of charge, and funded largely through the United Way. From January 1 to June 30, 1998, The Arc provided at least 380 hours of Advocacy. We say "at least" 380 hours, simply because while the staff had been used to doing Advocacy, they had not been used to documenting these efforts. Awareness has been more difficult to quantify; while Advocacy is a direct service, Awareness is indirect. There is no set unit for Awareness, nor any charge for the service. Awareness is also funded pdmadly through the United Way. Community Programs: Community Programs include forums, Parent Support Groups, the monthly newsletter, Compuplay, and the Natural Ties Program. There is no unit for Community Programs, nor is there any charge. The Arc is looking at ways to better measure the impacts of our Community Programs. United Way funding supports these programs. Supported Employment: Job seeking, job development, job placement, on-the-job training, and follow-along support are all components of the Supported Employment Program. Supported Employment is funded three ways: Department of Vocational Rehabilitation Funding :Currently using an outcome-based method of payment. Successful completion of each outcome means $1500 per person for the Arc. HCBS Waiver Funding (People who are ineligible for Voc Rehab funding, but eligible for Title 19) unit of service/cost = monthly needs of the consumer (minimum of two contacts)/$257.75 County Fundin.e: (People who are ineligible for Voc Rehab and HCBS) unit of service/cost = one hour/S38.38 We propose to continue to use United Way funding to support programs that cannot be funded by other means. This would include some services in three of our four programs. In-Home Support Services: United Way dollars will allow The Arc to continue to provide Respite for individuals who are not eligible for other funding. Advocacy/Awareness: The Self-Advocacy Group, along with at least 760 hours of other Advocacy, is not billable to any other payor. This is completely funded by the United Way. Community Pro.c~rams: Parent Support Groups, the monthly newsletter, community forums, Compuplay, and the Natural Ties Program are all examples of Community Programs that will continue to be funded by the United Way. The Arc has received rave reviews for these programs, and has experienced a corresponding increase in utilization. We continue to search for alternative sources of funding, but resources remain scarce. Managed Care has greatly impacted The Arc over the past 2-3 years, yet needs continue to mount. We will need an increase in our United Way allocation in order to expand programming to meet these demands. AGENCY: 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. For the purposes of comparison, I was unable to determine the method that previous administrators had used to determine these counts. My estimations of the number of people served fall considerably short of previous years, yet the number of people receiving services has increased. I cannot explain this discrepancy. e How many Johnson County residents (including iowa City and Coral- ville) did your agency serve? How many Iowa City residents did your agency serve? How many Coralville residents did your agency serve? How many units of service did your agency provide? 5. Other Areas Served: Enter Years ; FY1997 FY1998 I a. Duplicated 7636 1908 Count lb. Unduplicated 3375 Count 2a. Duplicated 4795 Count 2b. Unduplicated 2070 Count 3a. Duplicated 792 Count 3b. Unduplicated 332 Count 881 1205 554 553 210 4a. Toml 25465 8650 25350 4b. To johnson County Residents Do you provide services to areas outside of Johnson County? Yes Area(s) served: Iowa, Cedar, and Washinclton Counties Services provided: Resl~ite and SCL; varYin.~ amounts of advocacy and awareness Funding Sources: Counties; HCBS 7912 AGENCY Arc of Johnson County 6. Client Profile (for last complete year, if available): The Arc does not track this information. Age Gender Ethnicity 0 - 5 Female African Amedcan 6 - 17 Male Native American 18 - 29 Asian 30 - 61 Hispanic 62 - 75 Caucasian/Non-Hispanic 75 + Multi-racial 7. Evaluation and Review: A. Please discuss how your agency measures the success of its programs. The Arc is evaluated by the State of Iowa Department of Human Services for all programs that use HCBS funding. We are proud to report that The Arc received a Three Year Certification with Excellence, the highest recommendation that DHS can give. Using an outcome-based survey method, DHS determined that 26 out of a possible 28 outcomes were present for people served by The Arc. There is also an extensive self-evaluation process; surveys are sent to every consumer, family, Case Manager, employer, and In-Home Services Provider, as well as an array of others who deal with The Arc. About 40% of our surveys came back, and the results were ovenNhelmingly positive. The Arc is a membership organization, which empowers the members to offer their opinions at any time, and to vote at the annual meeting. We also ask for feedback every month in our newsletter. Finally, and most importantly, we try to stress that we maintain an open-door policy, meaning that anyone can share their ideas at any time. Does your agency have performance objectives? [Give several examples] Please see the Goals and Objectives section. What plans does your agency have to increase efficiency and effective- ness? Please see the Goals and Objectives section. 44 -29- AGENCY: A f' C, 8. In what ways will the needs of your service population change in the next five years: The Arc has proven over the years that we are sensitive to the needs and wants of the people we serve. We have demonstrated the ability to modify our programs to suit these needs. This is due, in large part, to the fact that we are doing a good job of evaluation (see questionS). From a planning standpoint, the biggest issue facing The Arc is money. When The Arc was receiving a block grant from Johnson County, we could move quickly to meet changing needs. Our current fee-for-service status does not allow such flexibility. Because flexibility is of great importance to us, we are attempting to develop innovative methods of funding. This will be the focus of our planning efforts over the next 5 years. Please discuss any other problems or factors relevant to your agency's pro- grams, funding or service delivery: As stated eadier, Managed Care (or Managed Cost) has greatly impacted The Arc. This is happening concurrently with an increase in emerging disability groups (such as ADHD). Research and experience show us that without services, these individuals are prone to institutionalization, abuse, and delinquency. Many of these individuals fall outside of the cdteria established by Managed Care corporations. As these needs increase, our resources must keep pace. Additionally, continued deinstitutionalization places a greater burden on community-based agencies. We are frequently asked to provide services to people who posses greater needs and require more staff time. While we are very supportive of this change, we need adequate resources to effectively serve these individuals. 10. List complaints about your services of which you are aware: Because The Arc places such an emphasis on getting feedback from many sources, we occasionally receive comments that could be labeled as complaints. This happens very infrequently, but when it does, we attempt to deal with every complaint individually and in person. We listen intently. We address all complaints as a staff, in order to get a broader perspective on the issues. Finally, we try to actually address the complaint. Due to this process, I do not know of any "outstanding" complaints about our services. We cannot please everyone all the time, but we can listen, and truly give consideration to their ideas. When we successfully accomplish this, we get venj few complaints. 11. Do you have a waiting list or have you had to turn people away for lack of ability to serve them? What measures do you feel can be taken to resolve this prob- lem: We have no waiting list, and are, in fact, poised for growth. How many people are currently on your waiting list? -30- AGENCY: Arc 12. In what way(s) are your agency's services publicized? We have a monthly newsletter that is seen by over 1000 people every month. We do direct mailings, and are listed two ways in each phone book. We have brochures spread throughout the county. The Arc takes advantage of our long-standing relationships with local newspaper and radio personalities. Arc staff make a number of presentations to community groups. Finally, we have made a concerted effort to become more visible, attending every possible community event, particularly those involving the United Way. Despite all these efforts, we must also market The Arc to our funders- Johnson County, the City of Coralville, and the United Way, among others. This is an often-overlooked publicity effort; we need to show you that we are worthy of our funding. 13. United Way involvement by your agency: ("X" if agency participates) Agency Directors Meetings X Agencies Representative to Funding Headngs X Business Blitz X Day of Cadng __X Kick Off X Victory Reception X__ Other Or¢lanize Directors lunch; Board President serving as Chair of United Way Ddve at Hospital Schools; Director serving as Chair of 1998 A.eencv Campal.on; Participated in even/interview for new Director; Attended welcome for new Director and farewell for former Director,' Volunteer to work on outcome-based methods; Started payroll deduction for United Way; Perfect attendance at Directors MeetinGs; Health Insurance discussions; Attended a meeting of the United Way Board; Donated several hundred dollars worth of items to other United Way agencies {'including a copier); Organized a team for Road Races; Staff serving as volunteers in Road Races office. -31 - AGENCY: AGENCY HISTORY AGENCY: The Arc of Johnson County Throughout its 41 year history, The Arc of Johnson County (The Arc) has acted as an advocate for the rights of citizens with mental retardation and developmental disabilities. When the notice appeared in the Iowa City Press Citizen over 41 years ago asking for interested persons to come to a meeting, Johnson County had no educational, recreational, vocational, or residential programs for individuals with mental retardation and developmental disabilities. Fast forward to 1998, and Johnson County has model programming in all in four areas. The Arc has been instrumental in creating these programs, and in advocating for programs which provide individuals with mental retardation and other developmental disabilities with services that non-disabled people take for granted. Many services which The Arc developed now exist as separate entities. The Iowa City Community School District Special Education Program and Goodwill Industries of Southeast Iowa ware both nurtured by The Arc. In 1970, members of The Arc began discussing possible alternatives to institutionalization. tn June 1971, Systems Unlimited Inc. was founded by seven members of The Arc 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 to meet the recreational needs of individuals with mental retardation and developmental disabilities. Despite all these successes, there is still considerable work to be done. The current Mission Statement of the Arc is as follows: "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 learn, live, work, and play." This may strike some as unnecessary; after all, Johnson County now has many wonderful services, right? Yes, there are many wonderful services available. And due in large part to the efforts of The Arc, we have managed to "raise the bar" when it comes to the rights of people with developmental disabilities. We are in the middle of a civil rights battle. And as long as people with disabilities struggle to obtain their civil rights, The Arc will be there to help. This is our current mission, and until we have reached our goal, also our future plans. -32- AGENCY: Arr, FY98 GOALS Following is our progress on the FY98 goals. Reporting upon the completion of these goals strikes me as a Catch-22. While I am happy to report that all of these goals were met, I do not believe that the goals were propedy targeted. Maintaining the daily activities of the agency may be an appropriate goal in certain situations, but I believe that The Arc needs to set its sights considerably higher. Accomplishing the goals that were set forth last year was not a particularly daunting task. We have chosen to be a bit more ambitious this time around. We are not certain if our FY99 goals are the type you are looking for, but we feel that they are the type we need to set for The Arc. We sincerely hope that you will share your vision regarding these matters. In-Home Services GOAL: 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 and long-term respite care. PROGRESS: The Arc has almost doubled the amount of respite provided in the past year. Respite services are being utilized by more families, more often. Additionally, SCL and CDAC services have expanded the options for families served by The Arc. Advocacy/Awareness GOAL: Act on behalf of persons with disabilities and their families by: responding to requests for information and support; seeking support services and monitoring exjsting programs; informing persons with disabilities and their families of available services and supports; informing the community regarding the nature of disabilities, family issues, and the causes and prevention of mental retardation and developmental disabilities; and monitoring governmental actions that impact this population. PROGRESS: The greatest progress in terms of Advocacy/Awareness would have to be the development of the Self-Advocacy Group. This has not only helped The Arc to achieve the above-stated goal, but it has allowed the people The Arc serves to reach this goal for themselves. Community ProGrams GOAL: Secure for children and young adults with mental retardation and developmental disabilities community services which enhance their skills and development while they live at home with their families. PROGRESS: The Arc has expanded all of the community programs that we offer. Attendance is up at the Parent Group; there are several Natural Ties matches; the newsletter can now be accessed via the Internet; and we have greatly increased the number and scope of our community forums. Supported Employment GOAL: Increase employment opportunities for persons with mental retardation and developmental disabilities in Johnson County; to perform job development, placement, training, and follow-along services. PROGRESS: The Arc has almost doubled the amount of service provided in the past year. People served by The Arc are working more hours and earning higher wages than ever before. jccoghs~agenavai.doc 4 = '33- AGENCY GOALS FORM Agency Name Arc of johnson County Year FY'00 Name of Program All Goal: To reduce the amount of financial loss- suffe~e.~ by The, Arc. Objective A: Increase income. Tasks: 1. Increase the amount of SCL and CDAC provided. 2. Increase the amount of Supported Employment provided. 3. Increase Arc membership. 4. Increase fundraising efforts. Objective B: Decrease exp~nses. Tasks: 1. Staffrestructuring. 2. Changing insurance carriers. 3. Stress efficiency in travel, utilities, postage, phone calls, etc. The Arc already possesses all the necessary resources for accomplishing this goal. Goal: Undertake a "Social Entrepreneurship" venture. Objective A: Develop an alternative source of income. Objective B: Increase income. Objective C: Increase flexibility of available f~mds. Objective D: Reduce reliance on primary funtiers. Objective E: Add a needed service to the community. Objective F: Provide employment opportunities for persons with disabilities. Tasks: (Relate to each Objective) 1. Identify community needs. 2. Identify businesses that meet these n,(~s. 3. Of these businesses, pick one that is: a. Affordable. b. Congruent with the Mission of The Arc. c. Within our ability to manage. d. Able to turn a profit. 4. Invest in/start/buy this business. -34- Resources needed to accomplish tasks 1. Staff time and expertise. 2. Board time and e>~pertise. 3. Membership time, expertise, and approval. 4. Outside consulting 5. Are financial reserves. Program: In-Home Sendoes Goal: Improve responsiveness in the In-Home Services Program. Objective A: Provide families and caregivers with access to staff at any time. Tasks: 1. 2. 3. 4. 5. 6. Develop an on-call system of staffing. Establish on-call policies and procedures. Provide training to on-call staff Provide training to those who may use the on-call staff Determine a method of reimbursement for on-call staff. Monitor usage and effectiveness of system. Objective B: Purchase and implement cellular phone. Tasks: 1. 2. 3. Shop for phone and service agreement that meets Arc needs. Purchase phone and agreement. Train on-call staff on phone operation. Resources needed to accomplish program tasks 1. Executive Director time. 2. Arc resources. Program: Advocacy/Awareness Goal: Increase effectiveness of Advocacy/Awareness efforts. Objective A: Inform and educate interested parties (Awareness). Tasks: 1. 2. 3. 4. 5. Increase membership. Increase Arc visibility in the community. Develop a good working relationship with State and National Ares. Enhance Arc library offerings. Network with other community members and groups. Arc Objective B: Act on behalf of people with disabilities (Advocacy). Tasks: 1. 2. 3. 4. 5. 6. Increase amount dinput from people with. disabilities and their families. Increase input from other service providers. Pass this input on to ~mders/governments/~ols/etc. Hold more frequent meetings of Governmental Affairs Committee. Participate in local, state~ and.fedexal planning sessions. Continue to nurture Self-Advocacy Group. Resources needed to accomplish program .tasks 1. Staff time. 2. Member time. 3. Are resources. Progrmm: Community Programs Goal: Increase utilization of Community Programs. Objective A: Bolster Parent Group. Tasks: 1. 2. 3. 4. Survey parents as to wants and needs. Provide flee on-site respite. Publicize the group. Provide more and different speakers. Objective B: Bolster Natural Ties Program. Tasks: 1. 2. 3. 4. Publicize program. Recruit and train volunteers. Bring in National representatives. Increase ongoing support. Objective C: Bolster Community Forums. Tasks: I. 2. 3. Survey members for appropriate forum topics. Publicize forums. Alert affected officials/others. Resources needed to accomplish these l~sks 1. Staff time. 2. Arc resources. -36- 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: Barbara Curtin Agency Name: Big Brothers Big Sisters of Johnson County Address: 4265 Oak Crest Hill Rd SE Iowa City, IA 52246 Phone: 337-2145 Completed by: a u i . Approved by Chair Board: (date) 1/1/99 - 12/31/99 4/1/99 - 3/31/00 7/1/99- 6/30/00 X 10/1/99- 9/30/00 COVER PAGE Programs: 1. One-to-one match Drop, ram. The purpose of our one-to-one mentoring program is to provide youth with an adult volunteer to assist them to become competent, confident and caring individuals. Professional staff screen, train and supervise all matches. Single adults, couples and families are eligible to volunteer. Research data, evaluation surveys and anecdotal evidence support our statement that Big Brother Big Sister volunteers have a significant positive impact on the lives of children. 2. Groun Prot, rams GAP, YES and Focus on Girls fill a void for many youth. Our afterschool programming provides educational and recreational experiences in areas where there are few other opportunities. Transportation is provided by Big Brother Big Sister staff or volunteers, thus overcoming a common barrier. University of Iowa students, senior citizens and community members volunteer for these programs. With changes in our welfare system and cutbacks in other programs there is an increasing demand for our group programs. Local Funding Summary: United Way of Johnson County - - Does Not Include Designated Gvg. city of Iowa City Johnson County City of Coralville 4/1/97 - 4/1/98 - 4/1/99 - % of Total 3/31/98 3/31/99 3/31/00 Budget $24,660 $25,683 $32,100 12.0% FY98 FY99 FY00 ~ 34,557 36,000 42,000 15.7% 17,489 20,000 25,000 9.4% 3,300 3,500 5,000 1.9% jccoghs/xlbudg. xls -37- AGENCY: Big Brothers Big Sisters of Johnson County BUDGET SUMMARY Enter Your Agency's Budget Year ==> 1. Total Operating Budget (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 One-to-one match program 2 Group programs- GAP, YES and Focus on Girls 3 ACTUAL TH/S YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR FY 98 FY 99 FY 00 239,831 239,403 267,398 33,930 15,914 18,598 223,917 220, 805 248,583 64,264 63,371 71,264 159,653 157,434 177,319 123,378 121,664 137,021 36,275 35,770 40,298 7 8 3. ENDING OPERATING BALANCE (Subtract 2 - 1 ) 4. RESTRICTED FUND BALANCE (Total from page 5) 15. IN-KIND SLIPPORT (Total from Page 5) 6. NON-CASH ASSETS I 27,914 22,500 27,000 593,484 611,288 629,626 Notes and Comments: Because of our partnership with Johnson County Extension we have very little overhead costs and can direct more funds to programming. Local funds were spent to support salaries for the Director and and the case manager staff. This staff is necessary to recruit, screen, train and supervise the volunteers who work directly with the youth. The increase in the carryover from FY97 from 33,282 to 33,930 is due to an accounting adjustment. The ending balance is necessary to prevent cash flow problems during the year. -38- jccoghs/xlbudg .xls -2- INCOME DETAIL 'C' Local Funding Sources' I 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 [ 27,914 I a. State Crime Prevention Grant 10,671 b. Decat Match for Grant listed above 5,650 c. State of IA Juvenile Justice Grant 11,593 d. e. f. 3. Net Sales Of Services (sources) I 0 I a. b. C. 4. Net Sales of Materials ] 0 ] L C. 5. Contributions/Donations [ 14, 165 a. United Way Designated Giving 5,695 b. Other Contributions 8,470 6. Special Events [ 83,364 a. Iowa City Road Race 1,979 b. Bowl For Kids' Sake 81,385 c. 7. Interest Income ] 8. Other - List Below [ a. b. C. TOTAL INCOME (same as p. 2, line lb) Notes and Comments: AGENCY Big Brothers Big Sisters of Johnson County NON- ACTUAL THIS YEAR BUDGETED DIRECTED PROGRAM PROGRAM LAST YEAR PROJECTED NEXT YEAR FUNDING 1 2 80,2641 86,789[ 104,1001 31,100[ 65,000[ 8,000 17,489 20,000 25,000 15,000 10,000 34,557 36,000 42,000 42,000 24,918 27,289 32,100 15,100 10,000 7,000 3,300 3,500 5,000 1,000 3,000 1,000 22,5001 27,0001 o l 12,000] 15,000 12,000 10,000 10,000 5,500 5,000 5,000 5,000 12,000 12,000 ol ol ol ol o ol ol ol ol o 14,5001 14,5001 6,500 6,000 6,000 4,000 8,500 8,500 2,500 99,500I 103,000I 33,000 3,000 3,000 3,000 96,500 100,000 30,000 O] 60,000 60,000 0[ 1941 2001 2001 200 ol ol ol o 8,000I 2,000 ] 6,000 10,000 10,000 0 205,901 223,489 248,800 70,800 137,000 41,000 Thc significant increases that we are requesting will allow us to continue addressing the increased requests for our services. jccoghs/xlbudg.xls - 3 - PROGRAM EXPENDITURE DETAIL Agency Bie Brothers Bi~ Sisters of Johnson County NON- ACTUAL THIS YEAR BUDGETED DIRECTED LAST YEAR PROJECTED NEXT YEAR FUNDING 1. Salaries 141,606 145,904 160,460 44,209 93,166 23,085 2. Employee Benefits & Taxes 25,348 29,551 33,373 8,305 19,305 5,763 3. Staff Development ~ 3,400 2,000. 2,000 500 1,000 500 4. Professional Consultation 5. Publications & Subscriptions 6. Dues and Memberships * 12,360 0 6,000 1,000 4,500 500 7. Morgage, Rent and Property Tax 8. Building & Maintenance 9. Equiptment Purchase/Rental _10. Utilities ~11. Telephone 871 900 1,000 250 500 2.t '12. Office Supplies & Postage 1,779 3,000 4,000 2,000 1,000 1,000 13. Printing and Publicity 803 1,000 1,500 500 750 250 14. Local Transportation 2,032 2,000 2,500 250 1,500 750 15. Insurance 7,073 7,000 8,000 1,000 6,800 200 16. Audit 17. Interest 18. Other (Specify): ~ 19. GAP Program Activities 4,445 5,000 5,000 5,000 !20. Bowl For Kids' Sake [ 9,862 12,000 13,000 13,000 21. Contributions &Gifts 50 250 250 250 22. Miscellaneous ** 4,898 3,000 2,000 , 2,000 23. One-to-one Match Progam Expen 8, 187 8,000 8,500 8,500 24. Sunshine Van ' 1,203 1,200 1,000 1,000 PROGRAM PROGRAM 1 2 TOTAL EXPENSES ( p. 2, line 2) 223,917 220,805 248,583 71,264 137,021 Notes and Comments: [ * In order to save $500. dues for FY 99 were paid to Big Brothers Big Sisters of America in June of FY 98. ** Our portion of the match for our Juvenile Justice Grant is paid out of this line item. ~ ~ jceogks/rdbudg. xls - 4 - 40,2t· - AGENCY Big Brothers Big Sisters of Johnson County Rk~_ ;RICTED FUNDS: Restricted by: Restricted for: State of Iowa Crime Prevention GAP program DECAT Match for Crime Prevention grant State of Iowa Juvenile Justice Focus on Girls ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR 10,671 12,000 10,000 5,650 5,500 5,000 11,593 5,000 12,000 TOTAL RESTRICTED FUND (also shown page 2, line 4) 27,914f 22,500] 27,000] MATCHING GRANTS Grantor/Matched by ;-;tate of IA Crime Prevention Grant/Matched by Johnson Co. DEC 5,650 5,500 5,000 FOTAL MATCHING GRANTS (also shown pg. 3, line 2) IN-KIND SUPPORT DETAIL Services/Volunteers ~atefial Goods ~pace, Utilities, etc. )ther: (Please specify) 566 vol. X 57,460 @ $10hr = phone system/office machines office space Johnson Co. Extension office supplies FOTAL IN-KIND SUPPORT (also shown on page 2, line 4) %tes and Comments: 574,600 591,830 609,590 8,000 8,248 8,490 8,262 8,510 8~765 2,622 2,700 2,781 jeeoghs/xlbudg.xls - 5 - SALARIED POSITIONS AGENCY FTE* Big Brothers Big Sisters of Johnson County Salary "X"all that apply Position/Title '~ ~ ~ ~ Last This Next Actual This Budgeted % Year Year Year Last Year Year Next Year Change Executive Director 31 X X 20% 1.00 1.00 1.00 41,263 42,921 44,209 3% Case Manager Supervisor 20 × X 19% 0.80 0.80 0.80 27,081 28,164 29,009 3% Case Manager 25 X X 20% 1.00 1.00 1.00 27,075 28,158 29,003 3% Case Manager 25 X X 23% 0.80 1.00 1.00 16,479 19,761 20,354 3% GAP Coordinator 25 X X 24% 1.00 1.00 1.00 17,000 19,500 20,085 3% GAP summer program assistants * * 0.25 0.25 0.25 4,200 NA Supervision Specialist X 6% 0.38 0.38 0.38 8,508 7,400 7,800 5% Volunteer Coordinator 13 X X 31% 0.50 10,000 NA TOTAL FTE's"'and'~ALXRIES ] 5 5 6 141,606 145,904 160,460~ 10% · Full-time equivalent: 1.0--full4me; 0.5=half-time; etc. '* Summer GAP assistants are being paid by Johnson County Extension beginning in FY99. · ** The Supervision Specialist is an hou~y position; no benefits are paid for this position except IPERS. -42- jccoghs/xlbudg. xls - 6 - AGENCY: Bi.q Brothers Bi.q Sisters of Johnson County ACCOUNTABILITY QUESTIONNAIRE A, Agency's Mission Statement or Primary Purpose: The purpose of Big Brothers Big Sisters of Johnson County is to empower youth through mentoring, to become competent, confident and cadng adults. B. Board of Directors: 1. Please attach a list of your agency's Board of Directors (page 7A) 2. Frequency of meetings: monthly 3. Briefly descdbe beard orientation and ongoing training opportunities: New Board members are paired with an experienced Board member and receive a Board information notebook. Board members receive an annual presentation by staff regarding all programs as well as a monthly report from the Director. Training is provided by Big Brothers Big Sisters of Amedca on an as needed basis. Members are also made aware of appropriate local training opportunities. C= Finances: 1. Are there fees for any of your services? a. If YES, descdbe circumstances. b. Are they flat fees Does your agency have: an intemal audit extemal audit Frequency annually X Yes No X or sliding fees ? X financial review X report. 4. Has your agency filed Form 990 with the IRS? Yes No 5. Please discuss your agency's fundraising efforts, if applicable. Has your agency filed the Annual Report with the Secretary of State? Yes No NA Because of our relationship with Extension we do not need to file this NA see above 40% of our operating budget is raised through Bowl For Kids' Sake. This annual event is held the last Saturday in February. Local businesses, schools, churches, civic groups and individua!s support this event as Corporate Sponsors, Lane Sponsors and bewling teams. Last year over 1,300 people bowled and over 7,000 people made pledges. This event has become a community tradition and is an excellent example of the generosity of this community. 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 yeady? Yes X No By Whom? Board President &Extension Director -7- BIG BROTHERS BIG SISTERS® Board member list Officers: President: President Elect: Treasurer: Secretary: Members: Bob Goodfellow Ross DeValois Tiffani Shaw Ed Ring Stacy Bergene Peg Carstensen Gary Fabian Glen Gullikson Joe Holland Sandra Lawrence Jim Linn Chip Miller Vernona Myers Mary Jo Seaba John Schneider Sheri Swartzendruber Dick Tobias Melodic Warth Tim Webber Goodfellow printing Mid America Securities UI Foundation ACT Iowa State Bank & Trust Homemaker Greenwood & Crim ACT Attorney ICCSD Iowa City Police Department Iowa Realty ICCSD Mercy Hospital NCS UIHC Hawkeye Food Systems UIHC Hills Bank & Trust AGENCY: Biq Brothers Bi.cl Sisters 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 provided, direct or indirect.) One-to-one mentoring - 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. 38,688 units of service were provided in FY'98 at a cost of $3.19 per unit. The cost per unit of service for a match has been decreased with the use of the Supervision Specialist position. 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. 24,660 units of service were provided in FY'98 at a cost of $1.47. o 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? Enter Years FY'97 FY'98 la. Duplicated 774 839 Count lb. Unduplicated 563 640 Count 2a. Duplicated 400 415 Count 2b. Unduplicated 299 336 Count 3a. Duplicated 135 151 Count 3b. Unduplicated 112 122 Count How many units of service did your agency provide? 4a. Total 4b. To Johnson County Residents 5. Other Areas Served: Do you provide services to areas outside of Johnson County? NO 59,432 63,348 59,432 63,348 -8- -45- AGENCY: Bi,q Brothers Biq Sisters of Johnson County Client Profile (for last complete year, if available): figures are for calendar year 1997. Age Gender Ethnicity 0 - 5 Female 262 African American 38 6 - 17 501 Male 239 Native Amedcan 18 - 29 Asian 34 30 - 61 Hispanic 14 62 - 75 Caucasian/Non-Hispanic 375 · 75 + Multi-racial 40 7. Evaluation and Review: A. Please discuss how your agency measures the success of its programs. 1. We use a program Outcome Evaluation tool developed by Big Brothers Big Sisters of Amedca. Matches at least 6 months old receive the survey annually. 2. An annual in person evaluation is conducted by the case manager with the parent, child and volunteer to asses the progross toward the match goals. 3. A committe of the Board conducts an annual review of case files and case managers conduct a quarterly peer review. 4. Every 5 years Big Brothers Big Sisters of Amedca conducts a two day on-site visit. 5. GAP (group activity program) youth, volunteers and parents receive an evaluation survey at the end of each GAP session. B. Does your agency have performance objectives? Yes 1. Provide supervised recreational and educational afterschool activities for at dsk youth in our GAP program. Outcome: Dudng FY'00 90 youth will participate each semester with 80% reporting increased self confidence and decision making ability. 2. Provide Big Brother Big Sister volunteers for 100 new youth dudng FY'00. Outcome: 80% of these youth will demonstrate increased self confidence, more positive attitudes toward school and increased ability to avoid delinquent behavior. C. What plans does your agency have to increase efficiency and effectiveness? 1. We will increase our use of volunteers for routine office work. 2. We will expand our collaborative efforts in the areas of grant writing and program deliveq/. 3. All staff will have access to computers and email for contact with volunteers, supporters and other agencies. 8. In what ways will the needs of your service population change in the next five years: Requests for our afterschool programming, summer program and one-to-one volunteers will increase. We have seen an increase dudng the last year. -46- -9- AGENCY: Biq Brothers Bi.cl Sisters of Johnson County Please discuss any other problems or factors relevant to your agency's programs, funding or service delivery: It continues to be a challenge to meet increasing service needs with decreasing resources. Our agency fundraising efforts are 40% of our operating budget and the competition for these funds is increasing every day. With only one person responsible for administration, public relations and fund raising we are reaching the limit of our capacity to respond to needs without significant increases from local funders. 10. List complaints about your services of which you are aware: The fact that boys wait to be matched about one year is a common concern. GAP program is an excellent way to respond to that problem. The 11. 12. 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 a waiting list for our one-to-one match program. We address this problem by offering one of our group programs and by continually publicizing the need for volunteers. How many people are currently on your waiting list? 7__5 We do not have an official waiting list for our group programs but the requests for places in these programs has exceeded the availability during the past year. In what way(s) are your agency's services publicized? 1. Newsletter 2. Public Service Announcements 3. Newspaper articles 4. Posters and Brochures 5. Speaking engagements to Churches, Service Clubs and Schools. 6. Local fairs and community events. 13. United Way involvement by your agency: ("X" if agency participates) a. Agency Directors Meetings X b. Agencies Representative to Funding Hearings X c. Business Blitz X d. Day of Caring X e. Kick Off X f. Victory Reception X g. Other: United Way speaking engagements -10- AGENCY: Bi.q Brothers Biq Sisters of Johnson County AGENCY HISTORY In 1974, Johnson County Extension received funds to support a "big sisters" program. A part-time urban aide managed the program under the supervision of the 4H Youth staff. In 1975 urban funds to Johnson County were discontinued. At the same time a local Optimist Club was about to end its "uncles" program. A proposal was submitted to the City Council of Iowa City for a part-time Director for a new Iowa City PALS program. PALS combined the "big sisters" and "uncles" programs. The PALS program became a youth program of Johnson County Extension and receives significant in-kind support. The proposal stipulated that PALS would have its own Advisory Board, professional staff and would be responsible for salades and other operating costs. In January 1976, the City Council approved a $7,000 allocation and a part-time Director was hired. During the first year the Director contacted Big Brothers Big Sisters of America for assistance in establishing a program. Formal affiliation as an agency in formation was granted in 1978. Provisional status was granted in 1979 and in 1980 the "Iowa City" part of the name was dropped and the Board approved the acceptance of Johnson County clients outside of the Iowa City/Coralville metropolitan area. Big Brothers Big Sisters of Johnson County was approved as a full affiliate of Big Brothers Big Sisters of America in 1986. In response to a large waiting list, the GAP, group activity program, was first organized in 1983. Due to a lack of funding and a lack of support by Big Brothers Big Sisters of America, the program was discontinued in 1984. This program is an example of Big Brothers Big Sisters of Johnson County being ahead of its time. By 1989, the cdtical need for a group program was very apparent and the climate had changed. The National organization was very supportive and local service clubs helped to launch the program. In 1991 GAP received the first Exemplary Program award granted by the Big Brothers. Big Sisters of America. The program was presented as an excellent program to be replicated by other Big Brother Big Sister agencies. Gap has grown from serving 30 youth in FY89 to 518 youth in FY98. Service Clubs, United Way, DECAT and state grant money currently support this program. The continuation of this program depends upon the willingness of all local funders to increase their support. We will continue to access appropriate grant money but additional local support is critically needed at this time. Our newest group program, Focus On Girls, was initiated to assist teenage gids to strengthen their self confidence by exploring career opportunities, volunteering for special projects and learning group decision making skills. Each girl is matched with a Big Sister who participates in the group activities as well as spending one on one time with her Little Sister. The program has been funded by a state grant for the last three years and we are seeking additional funds to continue it. Our one-to-one match program continues to grow at a steady pace. Our program outcome evaluations show that regular contact with a Big Brother Big Sister volunteer is having a positive effect on our youth. The challenge is to convince more people that they have room in their life for a child. Single adults, couples and families can volunteer and we will continue to work hard to get our message out to all members of the community. We know that our program works. We have research data and anecdotal evidence to prove it and we have many children who have already benefited from it. We are completing a planning process that will take Big Brothers Big Sisters into the next century as a strong vibrant program. -48- -11- AGENCY: Bi.q Brothers Bi.cl Sisters of Johnson County FY98 GOALS Please state FY98 goals and report status of progress/completion. FY 98 Goals & Objectives Progress Match Program Objective A: Provide volunteer mentors for 236 youth from single-parent families in Johnson County. Maintain a closure rate of 30% or less. We exceeded this objective and provided mentors for 248 youth in our one-to-one match program. Our closure rate was 27%. Objective B: Provide supervision for 165 We exceed this objective and provided active matches. supervision for 184 active matches. Group Programs Objective A: To offer an after-school supervised educational and recreation group activity program (GAP)for 75 youth each semester. Recruit screen and train at least 50 volunteers for GAP each semester. Objective B: Provide a Leadership opportunity for 2 youth each semester. Objective C: Continue to work with the University of Iowa and the Retired Senior Volunteer Program in the YES ( Youth and Eldedy in Service Program) We exceeded this objective by matching 92 youth the first semester and 95 youth with the second semester. We exceeded this goal by recruiting 91 volunteers the first semester and 88 volunteers the second semester. We have not been able to realize this objective. Transportation and supervision are the barriers to this objective. We were only able to match 8 youth in YES but are working on encouraging more participation for FY99. The lack of UI students available is what reduced the number served. -12- -49- AGENCY: Bicl Brothers BiG Sisters of Johnson County Agency Program Goals and Objectives Mission Statement The mission of Big Brothers Big Sisters of Johnson County is to advocate for a strong community through positive adult/youth relationships by providing opportunities for youth to develop a sense of self worth and responsibility. Vision for BBBS of Johnson County in the 21st Century Big Brothers Big Sisters, youth program of Johnson County Extension, will be a responsive, collaborative program setting the standard for quality service and superior performance specializing in positive adult/youth relationships. The vision sets forth the following commitments for the future: Responsive: BBBS will respond quickly to changing community needs by embracing innovation and creativity. Collaborative: BBBS will expand our work with other groups for the good of the community. Sets the standard: BBBS will work at being the best in service delivery. Quality Service: BBBS clients, volunteers and parents will report the services they receive meet or exceed their expectations. Superior performance: BBBS will set new benchmarks for itself and others. -50o -13- AGENCY: Bi.cl Brothers Bi.q Sisters of Johnson County Goals and Objectives for FY 00 One-to-one Match Dro~lrarn Goal: To create positive mentoring relationships for youth which help them realize their full potential as responsible men and women. Objective A: Provide volunteer mentors for 100 new youth in FY 00. Tasks: * Hire a Half-time volunteer coordinator. * Develop a comprehensive volunteer recruitment strategy * Provide screening and training for 100 new one-to-one volunteers * Conduct volunteer training sessions monthly * Conduct Parent Child orientation meetings quarterly for 25 parents and children * Provide program information quarterly to all school counselors Objective B: * Provide supervision for 225 active matches * Maintain a case manger staff of 2.8 FTE * Maintain a Supervision Specialist at.38FTE * Provide at least two training opportunities for staff * Continue annual case file review by a Board committee and quarterly peer case file review * Provide weekly staff meeting time to process child and volunteer applications and facilitate communication among staff Resources needed for one-to-one match program: *2.BFTE case managers, .38FTE Supervision Specialist, .5 FTE Volunteer Coordinator, .25 FTE administration and supervision from Director * office space, phones, computers and supplies for 5 staff Direct Costs of One-to-One Match Program: FY 99 114,642 FY 00 137,021 -14- AGENCY: Bia Brothers Bi,cl Sisters of Johnson County Grou~7 Pro~Trarns Goal 2: To provide positive educational and recreational opportunities for youth to increase their self confidence and communication and decision making skills. Objective A: To offer after-school GAP ( Group Activity Program) for 90 youth each semester. Tasks: * Develop a comprehensive volunteer recruitment strategy * Recruit, Screen and train at least 80 University of Iowa students as GAP volunteers each semester * Identify at least 8 GAP sites * Identify 90 youth each semester for GAP * Continue to collaborate with other youth agencies on grants and programming * develop a Program Outcome Evaluation tool for after-school GAP -52- Objective B: Provide a supervised educational and recreational summer program for youth in area mobile home parks and under served areas Tasks: * Secure funding from Johnson County Extension for 2FTE summer staff positions * Hire and train summer staff * Identify 8 sites for summer GAP * Design curriculum for summer GAP with the assistance of Iowa State University Specialists * Develop a program Outcome Evaluation tool for summer GAP Objective C: Continue to expand group programming opportunities through YES ( Youth and Elderly in Service) and Focus On Girls ( program for junior high girls}' Tasks: * Coordinate YES Program to include twelve Big Brother Big Sister youth meeting weekly for a semester with a senior volunteer and a student. * Coordinate Focus On Girls to include twelve youth from area junior high schools who participate in small group activities and one-to-one activities with Big Sisters -15- AGENCY: Bi.cl Brothers Bi.cl Sisters of Johnson County Resources needed for group programs: * 1 FTE Coordinator for GAP program * 2% of a case manager's time to coordinate YES * 5% of a case manager's time to coordinate Focus on Girls * supplies and reference materials for GAP * office furniture, computer and phone for GAP Coordinator Direct Cost of Group Programs: FY 99 28,646 FY 00 40,298 -16- °53- 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: Ellen McCabe Agency Name: Crisis Center Address: 1121 Gilbert Court, Iowa City Phone: 351-2726 (business line) Completed by: Ellen McCabe Approved by Chair Board: 7~fJ//~ 1/1/99-12Bl/99 4/1/99- 3BllO0 711199- 6/30/00 X 10/1/99- 980/00 August 19,1998 (date) COVER PAGE Program Summary: (Please number programs to correspond to Income & Expense Detail, i.e., Program 1, 2, 3, etc.) PROGRAM 1: Crisis Intervention a. Crisis Counseling b. Suicide Prevention, Intervention, and Postvention c. Information and Referral d. Community Education and Outreach PROGRAM 2: Food Bank - Emergency and supplemental food assistance for Johnson County Residents PROGRAM 3: Emergency Assistance Local Funding Summary: United Way of Johnson County - - Does Not Include Designated Gvg. a. Services for Transients b. Clothing Assistance c. Information and Referral d. Trinity Fund, Food Chain Assistance, Crowded Closet, etc. e. Help-At-Hand/Case Management Services f. Project Holiday Food Assistance e. Miscellaneous/Special Services 4/1197 - 4/1/98 - 4/1/99 - 3/31/98 3/31/99 3/31/00 $64,800 $68,489 $75,338 City of Iowa City Johnson County' City of Coralville $ 35,480 $ 37,254 $ 40,969 $ 58,917 $ 66,917 $ 73,609 $ 2,900 $ 3,950 $ 4,345 % of Total Budget 19% 10% 18% 1% -54- -1- AGENCY: Crisis Center BUDGET SUMMARY Enter Your Agency's Budget Year ==> 1. TOTAL OPERATING BUDGEF (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. Crisis Intervention 2. Food Bank 3. Emergency Assistance 4. Building Project ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR FY98 FY99 FY00 679,190 616,809 387,03 1 (5) 97,008 (1) 193,962 (3) 51,179 (5) 582,182 (2) 422,847 (4) 335,852 (5) 485,228 565,630 336,349 (5) 45,910 47,451 49,328 439,318 518,179 287,021 (5) 83,765 89,812 93,412 115,498 121,130 134,574 49,293 56,126 59,035 190,762 251,111 0 (5) 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: FY98 Ending Balance: 545.00 1,194.00 4,000.00 11,089.00 16,951.00 29,828.00 130355.00 Memorials On Call/All Night Line Health Insurance and Retirement Building and Equipment Food, Transportation, Diapers, etc. Operations Building Project 193,962.00 FY98 Ending Balance 1. Included $47364 Future Building Fund 2. Included $254,939 for Building Project - Capital Campaign ($104,939), and CDBG Grant ($150,000). Income without Building Project - $327,243. 3. Includes $130355 for Building Project. 4. Includes $105,185 for Building Project - Capital Campaign ($30,185), and CDBG Grant ($75,000). Income without Building Project - $3 17,662. 5. Decrease reflects end of Building Project. 6. Increase includes completion of Building Project. 1 :iFLY DESCRIBE HOW LOCAL FUNDS WERE SPENT LAST YEAR: The Crisis Center provided emotional and material support services to Johnson County residents and ixansients 24 hours a day, every day of the year. -2- INCOME DETAIL [. 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 f. UI Student Senate !2. Grants - State, Federal, Foundations ~ Mental Health Center b. FEMA c. UI Faculty & Staff Services d. e. f. 3. Net Sales Of Services (sources) b. c. 4. Net Sales of Materials (sources) I b. ! c. ? 5 Contributions/Donations ~ a. United Way Designated Giving t b. Other Contributions !6. Special Events a. Iowa City Road Races b. Mall Campaign c. Fund Raising Activities 7. Interest Income 8. Other- List Below a. Reimbursements & Returned Checks b. Building Project AGENCY Crisis Center ACTUAL THIS YEAR BUDGErED NON- PROGRAM PROGRAM LAST YEAR PROJECTED NEXT YEAR DIRECTED 1 2 FY98 FY99 FY00 FUNDING CI FB 192,277l 204,577] 221,702[ 27,049] 73.517] 79,820 58,917 66,917 73,609 7,361 25,763 25,763 35,480 37,254 40,969 4,097 14,339 14,339 65,726 70, 197 76,279 13,256 20,595 28,698 2,900 3,950 4,345 435 1,520 1,520 23,176(1) 18,000 19,000 1,900 3,800 9,500 6,078 8;259 7,500 7,500 12,241 [ 5,085[ 5,000] O I O] 4,300 5,833 0 (2) 0 4,908 5,085 5,000 1,500 0 (3) 0 4,300 I ol ol ol ol ol o I ol ol ol ol ol o I 57.121 I53.0ool53.5oo I3.330l11,775128,370[ 47,000 I 4,500 49,000 ] 3,330 I 1,125 10,650 I 2,250 26,120 I 53.751 I 51,800 1 52,8001 16,4251 8,055 I 21,830 1,785 1,800 1,800 1,800 22,041 22,000 22,500 6,075 2,925 10.0(X) 29,925 28,000 28,500 8,550 5,130 11,830 I 5.6301 ' 1,2oo (4)1 850 (4)1 850 1 I I I 261,1621 107,1851 2,0001 2,0001 o l 0 6,223 2,000 2,000 2,000 254,939 (5) 105,185(6) 0 (9) TOTAL INCOME(same as p. 2. line lb) 582, 182(7) 422,847 (8) 335,852 (9) 'Notes and Comments: 49,654 93,347 134,320 1. Included a one-time gift of $5,000. 2. Mental Health Center contract ended 12/98 due to change in County funding. 3. Faculty and Staff contract lasted for one year - decided against contracting for services to fill in for UI service staff. 4. Interest income will decline due to end of Building Project. ' 5. Building Project FY98 Income - Capital Campaign ($104,939) and CDBG funds to purchase building ($150,000). 6. Building Project FY99 Income - Capital Campaign ($30,185) and CDBG funds for rehabilitation ($75,000) 7. Income without FY98 Building Project - $327,243. 8. Income without FY99 Building Project - $3 17,662. 9. Building Project ends in FY99. -56- -3- INCOME DETAIL (cont) V. cal Funding Sources- a. Johnson County b. Ci~' of Iowa City c. United Way of Johnson County d. Ci5.' of Coralville e. Area Churches f. UI Student Senate 2. Grants - State, Federal, Foundations a. Mental Health Center c. UI Faculty & Staff Services a. e. f. 3. Net Sales Of Services (sources) a. b.' c. 4. Net Sales of Materials (sources) a. b. ~. ,_.ontributions/Donafions a. United Way Designated Giving b. Other Contributions 6. Special Events a. Iowa City Road Races b. Mail Campaign c. Fund Raising Activities 7. Interest Income 8. Other - List Below a. Reimbursements & Returned Checks b. Equipment Sales/Mist. c. Building Project TOTAL INCOME(same as p.2Jinelb) Notes and Comments: PROGRAM 3 EA 41,316 14,722 8,194 13,730 870 3,800 AGENCY Crisis Center PROGRAM PROGRAM 4 5 PROGRAM 6 o] 70o1 ol 01 ol 700 PROGRAM 7 PROGRAM 8 ol o ol ol ol ol ol oI I I ol ol ol ol ol o I lo,o251o l o l o l o l o l 6,4901 O I O I O I O I 0 I I I ol ol ol I I 58,53 1 0 0 0 0 0 - 3a - -57- PROGRAM EXPENDITURE DETAIL AGENCY Crisis Center 1. Salaries 2. Employee Benefits & Taxes 3. Staff Devel ./Vol. Recognition 4. Professional Consultation 5. Publications & Subscriptions 6. Volunteer Training 7. Storage Space Rent 8. Building Maintenance 9. Equipment Purchase/Rental/Maint. 10. Utilities 11. Telephone/Pager/Answefing Service - 2am to 8am 12. Office Supplies & Postage 13. Printing and Publicity 14. Local Transportation 15. Insurance 16. Audit 17. Fund Raising 18. On Call/All Night Line 19. Food 20. Transient Transportation 21. Special Services - diapers. etc. '22. Miscellaneous/Conlingeney 2.3. Building Purchase/Rehab. 24 ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR FY98 FY99 FY00 129,287 141,982 (1) 145,946 26,621 32,566 37,303 6,783 6,600 7,400 1,255 1,300 1,500 2,650 2,200 2,600 4,020 4,020 4,300 3,709 2,900 (2) 3,300 7,709 6,000 7,500 6,636 5,000 (2) 5,300 ADMINISTRA- TION 29,120 7,965 370 25 150 130 165 375 265 PROGRAM I CI 47,253 12,929 3,330 TOTAL EXPENSES(p. 2, line 2) Notes and Comments: 750 1,300 825 1,500 1,325 PROGRAM 2 FB 44,131 10,565 2,590 450 780 4,000 1,980 4,500 2,385 10,949 11,7D0 12,400 620 6,200 3,720 4,268 4,300 4,950 248 2,227 1,733 8,679 9,400 10, 150 254 4,568 3,730 2,157 2,300 2,500 1DO 300 2,000 6,709 7,436 7,800 1,341 3,230 2,260 2,340 2,500 2,600 2,600 7,394 5,000 5,500 5,500 5,680 6,215 6,800 6,800 44,997 46,000 50,000 48,500 7,607 8,300 8,700 5,013 6,300 7,300 5,238 (3) 2,500 2,500 125 875 1,250 186,137 (4) 251,111 (5) 0 (6) 485,228 565,630 336,349 (6) 49,328 93,412 134,574 1. Increase includes additional work-study employees. 2. Decrease reflects end of carrying two properties during the Building Project. 3. Includes $4,736 payment for roof on 321 E. First Street after hail storm. 4. FY98 Building Project Expenses. 5. FY99 Building Project Expenses. 6. Building Project ends in FY99. -58- -4~ PROGRAM EXPENDITURE DETAIL (continued) PROGRAM 3 1 %laries 25,442 ~. Employee Benefits & Taxes 5,844 3. Staff Devel./Vol. Recognition 1,110 4. Professional Consultation 5. Publications & Subscriptions 6. Volunteer Training 7. Storage Space Rent 8. Building Maintenance 9. Equipment Purchase/Rental/Maint. 10.Utilities 11. Telephone/Pagers/Answe~ng Service - 2am to gain 12. Office Supplies & Postage 13. Printing and Publicity 14. Local Transportation 15. Insurance 16. Audit 17. Fund Raising 18. Other: On Call/All Night Line Food 20. Transient Transportation 21. Spedal Services 22. Miscellaneous/Contingency 23. Building Purchase/Rehab. 24 25 150 390 300 330 1,125 1,325 1,860 742 1,598 100 969 1,500 7,300 250 TOTAL EXPENSES (p. 2, line 2) Notes and Comments: AGENCY Crisis Center PROGRAM PROGRAM 4 5 PROGRAM 6 PROGRAM 7 PROGRAM 8 59,035 0 0 0 0 0 -59- AGENCY Crisis Center RESTRICTED FUNDS: Restricted by: FEMA/Donors Crisis Center Board Crisis Center Board Crisis Center Board,Donors Restricted for: Food, Diapers, etc. Building Maint. & Equipment Health Ins. & Retirement Reserve Ne~v Building Purchase & Rehab. ]TOTAL RESTRICTED FUND(also shown page 2, line 4) ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR FY98 FY99 FY00 8,000 8,000 8,000 11,089 11,089 11,089 4,000 4,000 4,000 ~59,828 30A85 (1) 0 (D l$ m2,917l $s3,274 o> ] $23,089 o) I MATCHING GRANTS Grantor/Matched by Not Applicable TOTAL MATCHING GRANTS 0~ 01 O[ IN-KIND SUPPORT DETAIL Services/Volunteers - 57,000 volunteer hours @ $10.00/hour Material Goods - food, clothing, diapers, bus tickets, etc. Space, Utilities, etc. - donated training and storage space Other: supplies, equipment, ads, fund raising support, etc. TOTAL IN-KIND SUPPORT (also shown on page 2, line 4) Notes and Comments: (1) Building Project ends in FY99. 570,000 580,000 580,000 250,000 260,000 270,000 3,000 3,000 3 ,GO0 9,000 9,000 9,000 832,000 ~ $ 852,000 I $ 862,000 -5- AGENCY Crisis Center SALARIED POSITIONS "X" all that apply Position Paid Health Retire % Last Lye Ins Plan Benefits Year Director 47 X X 21% 1 Coordinator 47 X X 24% 1 Supervisor CI 47 X X 29% 1 Supervisor FB/EA 47 X X 31% 1 , Office Manager 47 X X 31% .80 Asst. Supervisors .44 ACTUAL THIS BUDGET- % lAST YEAR ED CHANGE YEAR PROJECT- NEXT ED YEAR This Next Year Year FY 98 FY 99 FY 00 1 1 40,901 42,316 43,585 3% 1 1 30,663 32,196 33,000 2.5% 1 1 20,283 22,050 22,711 3% 1 1 19,585 20,565 21,195 3% 1 1 15,616' 19,655 20,255 3% 1~ 1 2,239 5,200 5,200 0% TotaISalaries&FTE 5: ? 6 6 129,287 141,982 145,946 2.8% 'Full-time equivalent: 1.0 - full-time; 0.5 - half-time; etc._ ...... .~co~hs~ud;e~.doc * ~ q.l-time Office Manager resigned after nearly seven years with the agency. Juced ETE and Salary due to turnover process. ** Assistant Supervisors 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 - -61 - 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, nonjudgmental, 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 ageney's Board of Directors Frequency of meetings: MontMy 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 mall 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. During Fiscal Year 1998, we raised $104,000 witb the "More Than Just Bricks And Mortar" Capital Campaign to support the new building. We successfully generated this support without reducing private giving for existing services. 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? Board of Directors - 7 - -62- Crisis Center CRISIS CENTER BOARD OF DIRECTORS 1998-1999 Tom Suter, Chair (7/01) 2255 Balsam Court Iowa City, IA 52240 337-4292 (H), 354-1242 (O) Kevin Manning, Vice Chair (3/99) 1103 Cambria Ct. Iowa City, IA 52246 351-2812(H), 356-4652 (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) Kathleen Farrell,Corp. Pres.(3/99) 1422 Franklin St. Iowa City, IA 52240 337-5300 (H), 353-2253 (O) Floyd Akins (9/01) 1309 Goldenrod Drive Iowa City, IA 52246 354-5881 (H) Julia Davis (4/01) 55 Rita Lyn Court Iowa City, IA 52245 351-4882 (H) John Gavin (6/01) 2050 Glendale Road Iowa City, IA 52245 354-5230 (H) Sonia Ettinger (8/00) 230 Magowan Avenue Io~va City, IA 52246 338-6778 (H) Steve Hirst (5/00) 135 Bowling Green Place Iowa City, IA 52245 339-8309 (H) Lois Kelly (5/99) 3670 Whitetail Ln. NE Iowa City, IA 52240 626-2251 (H), 356-6078 (O) Bruce Nestor (10/99) 311 Iowa St. Bank Bldg. Iowa City, IA 52240 628-1143 (H), 339-7576 (O) Leonard Phillips (4/00) 1503 Rochester Ave. #1 Iowa City, IA 52245 Karen Thielman (5/99) 518 S. Clinton St. Iowa City, IA 52240 338-6077 (H), 338-9960 (O) Robert Weir (5/00) 1905 ~Flanigan Court Iowa City, IA 52246 338-6976 (H), 335-6706 (O) 9/16/98 -Ta- AGENCY Crisis Center E. Program/Services: Please define your agency's units of service (service definition, length of time, cost per unit of service, number of units provided, direct or indirect.) 1 unit = 1 person receiving assistance (e.g. 4 people in household receiving food = 4 units of service) Len~h of time ranges front a brief phone contact to several hours of intense problem solving. Cost per unit of service: Crisis Intervention - $11.38 per unit (plus donated 24 hour volunteer coverage) Food Bank/Emergency Assistance - $2.81 per unit (plus donated 24 hour volunteer coverage, food, clothing, diapers) Please supply information about clients served by your agency during the last two complete budget years. 1. How many Johnson County residents (including Iowa City and Coralville) did your agency serve? Enter Years- FY97 FY98 la. Duplicated count 51,546 51,919 lb. Unduplicated count 16,793 17,825 2. How many Iowa City residents did your agency serve? 2a. Duplicated count (a) (a) 2b. Unduplicated count (a) (a,b) 3. How many Coralville residents did your agency serve? 3a. Duplicated count (a) (a) 3b. Unduplicated count (a) (a,c) 4. How many units of service did your agency provide? 4a. Total 62,106 66,822 4b. To Johnson 61,133 65,912 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 1,723 Unduplicated Iowa City households in Food Bank/Emergency Assistance. (c) We served 271 Unduplicated Coralville households in Food BankIEmergency Assistance. 5. Other Areas served: Do you provide services to areas outside of Johnson CoUnty? No* Area(s) served: Services Provided: *We provide services for transients who are stranded in Johnson County. These services include information and referral. transportation assistance. ready-to-eat food, diapers. etc. - 8 - AGENCY Crisis Center Client Profile (for last complete year, if available): Age 0 - 5 1,044 6-17 1,664 18 - 63 10,499 63+ 188 ]lGender Female 63 % Male 37 % Ethnicity Caucasian/Non-Hispanic 70% (a) Non-Caucasian 30% (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 12-18. In addition, a performance review of FY' 98 performance objectives is presented on pages 19-20. C. What plans does your agency have to increase efficiency and effectiveness? The Crisis Center Board, staff, and volunteers completed a five-year plan in September, 1996. The group identified 76 critical issues that could affect the Center and the members of our community during the next few 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 close attention to the feedback from formal surveys of clients, volunteers, and other service providers in the community, and to implement changes and improvements. Moving to an adequate facility this year will strengthen our ability to serve the citizens of Johnson County. In what ways will the needs of your service pophlation change in the next five years: We predict that we will experience a 11210 percent increase in services in the next five years. Welfare reform and managed mental health care are intensifying the Crisis Center's role as the safety net in Johnson County. We believe that the needs of the people who come to us for help will continue to increase in number and in complexity; we believe that feelings of hopelessness will become more common among those we serve. - 9 - AGENCY Crisis Center Please discuss any other problems or factors relevant to your ageney'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 mount of food that we provide is limited by donations and financial support. We are concemed about the physical safety of the volunteers and staff and have taken steps to decrease the risk of physical injury by clients. 10. List concems 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 - them are three lines but we do not always have three volunteers. 11. Do you have a waiting list or have you had to tum 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 mount of material assistance that we provide depends 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. 12. 13. How many people are currently on your waiting list? 0 In what way(s) are your ageney'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 involvement by your agency: ("X" if agency United Way Membership UI Counseling Service Vol. Action Network White Pages Word of Mouth Yellow Pages hatemet Inter-agency meetings participates) g. h. i. Agency Directors Meetings X Agencies Representative to Funding Hearings < X (92-95) Business Blitz 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 - 10 - AGENCY Crisis Center AGENCY HISTORY (Please summarize the history of your agency, telling of your purpose and goals, past and current activities and future plans. 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 281h anniversary this year, has been a record of responding to community needs. Telephone "hotline" counseling and suicide prevention began for a few evening hours in 1970, and this service remains the foundation of the Crisis Intervention Program. Walk-in Counseling was added in 1972, and the Center was first able to offer 24-hour counseling in 1976. In addition to other Intervention Program services, the Crisis Center and its Volunteers serve as the after-hours contact for the 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 straggling with poverty to work towards self-sufficiency, the Help-At-Hand Program was developed in 1992. The Program encourages Food Bank clients to establish goals and enhance skills in such areas as budgeting, job hunting, and interviewing. The Center has added new parmerships in recent years. We have teamed up with Trinity Episcopal Church to form the Trinity Fund - providing checks to clients with small unmet financial needs. In addition, the Crisis Center now distributes Crowded Closet vouchers to clients to help meet their needs for household items and clothing. 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 govemed 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 intemal and extemal 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 m 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. 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 $225,000 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 and raised more than $104,000 in Fiscal Year 1998 to support the project. ~ The Crisis Center building at 321 East First Street, which we occupied for eleven years, no longer met the needs of children and families in our community. We took possession of the former Crowded Closet property at 1121 Gilbert Court, Iowa City on October 1, 1997. Mter completing renovations we moved into the new Center on October 1, 1998. The former Center was sold to ICARE. The Crisis Center will continue to monitor the needs of the community. The Board and staff will continue to formally review the Five-Year Plan every six months. We remain committed to continuous improvement. - 11 - Crisis Center -68- FY 1998 PERFORMANCE REVIEW AGENCY PROGRAM GOALS AND OBJECTIVES CRISIS INTERVENTION SERVICES GOAL: To provide free, immediate, anonymous, and confidential crisis and suicide intervention; and information and referral to anyone in Johnson County. Objective A: In FY98, we provided crisis intervention counseling to 6,972 people through 24-hour telephone service and walk-in service from 11 a.m. to 11 p.m. every day. Our projected goal was services for 7,000 people. Objective B: In FY98, we provided information and referral to 2,83 1 people on the crisis lines and during face-to-face contacts. Our projected goal was services for 4,000 people. Objective C: In FY98, we provided suicide intervention to 357 people through 24-hour phone service and walk-in services from 11 a.m. to 11 p.m. Our projected goal was services for 300 people. Objective D: In FY98, we provided suicide postvention services to 158 people. Our projected goal was 70 people. Objective E: In FY98, we provided suicide prevention services to 27 area school groups, other agencies, etc. Our projected goal was to provide prevention services to 20 groups. Objective F: In FY98, we provided community education and outreach through training sessions, presentations, and other special events to 3,254 people. Our projected goal was presentations to 5,000 people. FOOD BANK SERVICES GOAL: To provide emergency and supplemental food assistance to Johnson County residents. Objective: In FY98, we provided households and individuals with food assistance during 21,923 client contacts. Our projected goal was 18,200 client contacts (350 households a week). 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 FY98, we provided support to promote independence from assistance programs whenever appropriate through Help-At-Hand/Case Management services. We evaluated the needs and concerns of 2, 150 households and provided on-going support through regularly scheduled follow-up contacts. Our projected goal was to reach 2,000 households. (continued) Crisis Center Objective B: In FY98, we provided 1,051 Johnson County households with clothing assistance. Our projected goal was to provide clothing to 950 households. Objective C: In FY98, we provided 1,496 households with emergency assistance in obtaining diapers, baby food, and infant formula. Our projected goal was providing these services to 1,000 households. Objective D: In FY98, we provided local bus tickets to 1,185 individuals. Our projected goal was to provide bus tickets to 1,100 individuals. Objective E: In FY98, we provided financial assistance with 307 vouchers and checks through various funds (e.g., Trinity Fund, Food Chain, St. Anthony's Bread, Crowded Closet, etc.). We did not have a set goal for this service. Objective F: In FY98, we provided 8,014 information and referral contacts. Our projected goal was 9,000. Objective G: In FY98, we provided miscellaneous services to 257 households (including mail service, utilizing telephone, copying documents, etc.). Our projected goal was to provide these services to 200 households. Objective H: In FY98, we provided skills trainin.g to 105 households. Training topics included - budgeting, self-advocacy, smart shopping, application assistance, job hunting and interviewing. Our projected goal was to provide skills training services to 450 households. Objective I: In FY98, we provided 910 stranded transient households with emergency food, clothing, and/or transportation assistance (bus ticket, gasoline, minor car repair, etc.). Our projected goal was to provide assistance to 800 stranded transient households. - 13 - -69° -70- 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: To provide free, immediate, anonymous, and confidential crisis and suicide intervention, and information and referral, to anyone in Johnson County. Objective A: In FY00, provide crisis intervention counseling to 7,000 people through 24-hour telephone service and walk4n 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. Continue 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, Alliance for the Mentally Ill, and other agencies that provide mental health services. 14. Maintain liaison with answering service to insure calls are Wansferred correctly from 11 p.m. to 8 a.m. 15. Advertise available counseling services. Objective B: In FY00, provide information and referral to 3,500 people during crisis contacts. Tasks: 1. Find information from the local, regional, and national level to update the computefized referral resource program. 2. Maintain information on a wide-variety of subjects, services, agencies, etc. 3. Train volunteers and staff to use and update the computer system. 4. Sponsor an annual Agency Fair to increase volunteer understanding of the services available for clients in the community. Objective C: In FY00, 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: I. 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) - 14 - AGENCY Crisis Center 3. Provide suicide intervention and information to suicidal clients and concemed others. 4. Advertise available intervention services. 5. Maintain relationships with Community Mental Health, Poison Control, emergency rooms, law enforcement agencies, Domestic Violence Intervention Project, Rape Victim Advocacy Program, United Action for Youth, and other organizations that provide services to clients who are at high risk of suicide. Objective D: In FY00, provide suicide postvention services for 70 people. Tasks: 1. Provide suicide support groups for people who have lost someone to suicide. 2. Provide support for those concerned about a suicidal person. 3. Provide support for people who have attempted suicide. 4. Recruit and train Crisis Intervention volunteers to provide postvention services. 5. Advertise available postvention services. 6. Maintain liaison with funeral homes, hospitals, and other groups who come in contact with people who would benefit from postvention services. Objective E: In FYO0, provide suicide prevention services to 20 area school groups, other agencies, etc. Tasks: 1. Recruit and train volunteers to assist with presentations. 2. Provide suicide education to students, staff, and administrators in schools -- including the University of Iowa. 3. Provide other agencies with suicide education. 4. Maintain a library of current information on suicide. Objective F: In FY00, 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/praeticum 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 tmining~ 15. Professional liability insurance. 16. General liability insurance. (continued) - 15 - 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) $ 84,812 in FY99 $ 95,412 in FY00 FOOD BANK SERVICES GOAL'. To provide emergency and supplemental food assistance to Johnson County residents. Objective: In FYO0, provide households and individuals with food assistance during approximately 18,200 client contacts (350 households a week). Tasks: 1. Recruit, screen, train, schedule, supervise, and evaluate volunteers. 2. Increase Food Bank volunteer pool to 70 volunteers (currently 61 volunteers). 3. Provide monthly in-service training for staff and volunteers. 4. Screen and interview clients prior to receiving food. 5. Maintain/cultivate relationships with local businesses, individuals, groups, and churches that donate food. 6. Conduct Project Holiday Food Distribution - provide food to make a holiday meal for 1 ;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, etc.) to obtain food at 14 cents 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 publ!c assistance programs, etc. ' 13. Purchase and prepare food for distdbution. 14. Establish and maintain relationships with groups that pick up food donations. - 16 - (continued) -72- AGENCY Crisis Center Resources needed to accomplish Food Bank Services tasks: 1.70 trained volunteers. 2. Staff salaries and benefits. 3. Volunteer training manuals and handbooks. 4. Agency brochures to advertise services. 5. Office supplies such as pens, paper, maps, tape, etc. 6. Printing for recruiting volunteers, communicating with volunteers, recording client contacts, etc. 7. Publicity to recruit volunteers - mailings, recruiting brochureS, posters, advertisements in newspapers, radio, TV etc. 8. Three telephone lines - two incoming and one outgoing. 9. Postage. 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. Fumished waiting room. 15. Fumished interview rooms. 16. General liability insurance, mileage, and rented vehicles for picking up food orders. 17. Rented warehouse for storage. 18. Plastic pallets to keep food off the floor. 19. Two-wheel cans, four-wheel carts, step stools, ladders, freezers, refrigerators, etc. 20. Grocery sacks, haggles, 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) $ 118,130 in FY'99 $ 131,748 in FY00 EMERGENCY ASSISTANCE SERVICES GOAL: To provide Johnson County residents with a variety of, emergency assistance that is ndt available elsewhere. To provide emergency assistance to anyone stranded in Johnson County. Objective A: In FY 00, provide non-financial support to promote independence from assistance programs whenever appropriate through Help-At-Hand/Case Management services. Evaluate the needs and concems of approximately 2,000 households and provide on-going support through regularly scheduled follow-up contacts. - 17 - (continued) -73- 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 FY00 provide 1,400 Johnson County residents with clothing assistance. Tasks: 1. 2. 3. 4. 5. 6. Maintain relationship with Goodwill Industries and the Cwwded 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 and the Crowded Closet. 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 FY00, provide 1 ,,100 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 FY00, provide local bus tickets to 1,300 individuals. Tasks: 1. 2. 3. 4. Maintain relationship with the City of Iowa City which provides the bus tickets. Train volunteers to provide bus tickets. Maintain records of services provided and submit reports in a timely manner. Utilize donated bus tickets. Objective E: In FY00, 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. Maintain relationships with the funding resource. ; 2. Maintain trained On-Call volunteer team. 3. Follow procedures developed by the funding resource and agreed to by the Crisis Center when issuing vouchers. · 4. Maintain accurate records of checks and vouchers issued. (continued) - 18 - AGENCY Crisis Center Objective F: In FY00, 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 proriders 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 FY00, provide miscellaneous serVices to 200 households (including mail service, utilizing telephone, copying documents, etc.). Tasks: Record accurately services provided. Objective H: In FY00, 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. Obtain appropriate skills training materials for clients (brochures, worksheets, etc.) 4. Maintain records of clients served. Objective I: In FY00, 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 referrais 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. Seventy 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) - 19 - 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. Cost of Program: (Does not include administrative expenses) $ 51,426 in FY99 $ 57,035 in FY00 - 20 - 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 1/1/99-12/31/99 4/1/99 -- 3/31/00 7/1/99 -- 6/30/00 X Director: Jerry D. Walker Agency Name: Dental Care/Kids of J.Ctv Address: S201, DSB, U of Iowa Phone: 319-335-7483 Completed by: Anita M. Forbes Approved by Cha~ ~'~J-L'¢7-~ on 9~30-98 10/1/99 -- 9/30/00 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 KIDS 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 ~vill 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 ~e State of Iowa and have been trained in the area ofpediatric 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 u~on the guidelh~es established by the College of Dentistry for predoctoral dental students' t~es and typically are approx. hnately 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 4/1/97- 4/1/98- 4/1/99 - 3/31/98 3/31/99 3/31/00 $2,500 92,000 FY98 FY99 FYO0 % of Total Budget -1- -77- AGENCY Denial Care for Kids 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 col- umn) b. Income (Cash) 2. TOTAL EXPENDITURES (Total a + b) a. Administration b. Program total {List Programs below) 1. 2. 3. 4. 5. 6. 7. 8. ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR 7/1/97-6/3o/98 7/1/98-6/30199 7/1/99-6/30/00 12,958 12,723 7,573 10,607 9,105 5,223 2,351 3,618 2,350 3,853 7,500 7,573 3,853 7,500 7,573 3,853 7,500 7,573 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: 9,105 5,223 0 0 0 0 17,253 18,118 19,021 0 0 0 Though we had a decrease in the demand for our services of the recent years, there continues to be an unmet need for dentistry for children. *Briefly describe how local funds were spent last year: 'All funds were spent on dental services. -78- - 2 - AGENCY Dental Care for Kids of Johnson County INCOME DETAIL 1. Local Fundine S~rces a. Johnsun County b. City of Iowa City c, United Way d. City of Coralville e, f. 2. Grams -Stale. Federal. Foundations a, b. c. d. 3, Net Sales of Services (sources) a. b. c. 4. Net Sales of Materials (sourcesl a. b. e C. 5. Contributions/Donations a. United Way Desionated Giving b. Other Contributions 6. Soecial Events a. Iowa City Road Races b. c, 7. Int~"f~lt Income __8, Other- List Below Including Miscellaneous a. b. c. TOTAL figCOME Ishown also on oaoe 2. line 1hi Noles and Comments: ACTUAL LAST YEAR 629 629 THIS YEAR PROJECTED 2.375 2,375 994 993 994 993 O 0 728 [ 250 728 250 2.351 BUDGETED NEXT YEAR 2.000 2,000 0 3.618 100 100 0 250 250 2.350 NON- PROGRAM PROGRAM DIRECTED 1 2 FUNDING 2.00O 2.000 0 100 0 250 250 2.350 -3- -79- AGENCY Dental Care for Kids of Johnson County PROGRAM EXPENDITURE DETAIL 1. Salaries 2. Employee Benefits and Taxes 3. Staff Development 4. Professiona~ Consultation 5. Publications and Subscriptions 6. Dues and Memberships 7. Mortgage, Rent, and Property Tax 8. Buidin9 and Mairdena~ce 9. Equ~gment Purchase/Rental/Maintenance 10. Utilities 11. Telephone 12. Office Supples and Postage 13. Printing and Publicity 14.. Local Trmsportation 15. insurance 16. Audit 17. Interest 18. Other (Spa:Ely): Fees for Service 19. 21. 22. 23. 24. 25. TOTAL EXPENSES (shown also en page 2, line 2) Notes and Comments: ACTUAL LAST YEAR 3,853 3,853 THIS YEAR PROJECTED 7,500 BUDGETED PROGRAM PROGRAM NEXT YEAR ADMIN. 1 2 7,573 7,573 AGENCY Dental Care for Kids of Johnson County RESTRICTED FUNDS Restricted by: Restricted for: ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR NIA NIA N/A Total Restricted Funds talso shown page 2. the 4) 0 0 0 MATCHING GRANTS Grantor/Malched by: NIA NtA NIA Total Matching Grants (also shown on page 3, line 2) 0 0 0 IN-KIND SUPPORT DETAIL ServiceslVolunteers ' Material Goods Space, Utililies, elc. Other: (Please specify) TOTAL IN-KIND SUPPORT (Shoe also on page 2, kle 5) Notes and Comments: *Director-5%; Receptionist-5"/.; Accounts-5%; Assistant-lO% 11,673 12,259 12,867 5,580 5.859 6,152 17,253 18,118 19,021 - 5 - -81- AGENCY Dental Care for Kkls of Johnson Counly SALARIED POSITIONS Posilion Paid Lye N/A "X" all that apply Health Retie % Ins Plan Benefits Last YeBr This Year ACTUAL THIS BUDGET* LAST YEAR ED YEAR PROJECT- NEXT ED YEAR Next Year % CHANGE Tolal Salaries & FTE 'Full-time equivalent: 1.0 - I~ll-time; 0.5 - half-time; etc. jccoghs%budget2.doc -82- - 6 - AGENCY: Dental Care for Kids of Johnson County ACCOUNTABILITY QUESTIONNAIRE A. 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 quality for Title XIX or other third-party coverage, B, Board of Directors: 1. Please attach a list of your agency's Board of Directors (page 7A) Not Applicable 2. Frequency of meetings: 3. Briefly describe board orientation and ongoing training opportunities: Finances: 1. Are there fees for any of your services? Yes X No __ a. If YES, descdbe circumstances. 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 pdvate practice. (See Appendix 1 ) b. Are they flat fees X or sliding fees ? 2. Does your agency have: an internal audit X external audit X financial review X Frequency review ready and state audit even 3 years 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. NA D. Management: 1. Does each professional staff have a written job description? Yes X No 2 Is the agency Dimctor's performance evaluated at least yearly? Yes X No By Whom? Dept. of Pediatfic Denljstry and Collecle of Dentistry (5 year review 1997) ~ 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.) A unit of service consists of a clinic visit for diagnostic, preventive. emergency, or restorative treatment. Please supply information about clients served by your agency during last ~wo complete budget years. Refer to form instructions for definition of duplicated and unduplicated -7- :3. AGENCY: Dental Care for Kids of Johnson County 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? Enter Years 1996-97 1997-98 la. Duplicated 96 62 Count lb. Unduplicated 35 24 Count 2a. Duplicated 78 39 Count 2b. Unduplicated 27 14 Count 3a. Duplicated 16 12 Count 3b. Unduplicated 7 5 Count How many units of service did your agency provide? 4a. Total 4b. To Johnson County Residents 96 62 96 62 5. Other Areas Served: Do you provide services to areas outside of Johnson County? Area(s) served: NA Services provided: NA NO. Funding Sources: NA AGENCY Client Profile (for last complete year, if available): Age 0-5 8 6 - 17 16 18 -29 0 30 - 61 0 62 - 75 0 75 + 0 Gender Female 8 Male 16 Ethnicity African American Native American Asian Hispanic Caucasian/Non-H ispanic Multi-racial NA NA NA NA NA NA -84° -8- AGENCY: Dental Care for Kids of Johnson County Evaluation and Review: A. Please discuss how your agency measures the success of its 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 unserved. 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. B, 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. C. 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. -9- -85- AGENCY: Dental Care for Kids 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 conceming this problem. 10. 11. List complaints about your services of which you are aware: None that we are aware of at this time. Do you have a waiting list or have you had to turn people away for lack of ability to serve 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. 12. 13 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; U of Iowa Campus Fair, Head Start, 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" if agency participates) Agency Directors Meetings Agencies Representative to Funding Hearings Business Blitz Day of Caring Kick Off Victory Reception Other Business Fair X AGENCY -86- . -10: AGENCY: Dental Care for Kids of Johnson County 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.) Dental Services for Indigent Children of Johnson County has provided dental treatment 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 Pediatdc Dentistry at the College of Dentistry from 8:00 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 disease which affects neady 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_jr 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, the Johnson County Health Clinic, Head Start and the Campus Fair. These contacts have helped us in the past years and we will continue working with them in the future. -11- AGENCY: Dental Care for Kids of Johnson County FY98 GOALS Please state FY98 goals and report status of progress/completion. Goal: To provide dental services to indigent children of Johnson County who are not eligible for help from other assistance programs. We see every patient that contacts our clinic and falls within the guidelines of the program. -88- -12- AGENCY: Dental Care for Kids 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 KIDS OF JOHNSON COUNTY Year: FY00 Name of Program: SAME DENTAL SERVICES FOR KIDS OF JOHNSON COUNTY Goal: To provide dental services to indigent children of Johnson County who are not eligible for help from other assistance programs. Objective A: To provide the greatest amount of quality dental services with the money appropriated for these children. Tasks: 1. Fees will be kept to a minimum by utilizing predoctoral dental students as the primary care givers under the direct supervision of the faculty at the College of Dentistry. 2. Increase the patient population to include those eligible children in outlying Johnson County. 3. Provide for transportation needs of the patients as they adse. Resources: Resources will come from the Department of Pediat~c 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. jccoghs~agenavai,doc -13- HUMAN SERVICE AGENCY BUDGET FORM Ciw of Coralville Johnson County City of Iowa City United Way of Johnson County CHECK YOUR AGENCTS BUDGET YEAR 1/1/99-12/31/99 4/1/99- 3/31/00 7/1/99- 6/30/00 COVER PAGE X 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 Board Chair:~t,~tz~/ 10/1/99- 9/30/00 9/30/98 (date) Program Summary: (Please ntunber programs to correspond to Income & Expense Detail, i.e., Program 1, 2, 3, etc.) PROGRAM 1 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 agerides, court advocacy, no contact order advocacy, hospital and sodal service advocacy, and hw 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 trained actorcling to Iowa Criminal Code 236. PROGRAM 2 CI-BIIRENS PROGRAM: Provide 24 hour shelter for children accompanied by mom. DVIP provides basic needs, such as school supplies, food, clothing, and other needed items. A children's phy area is provided in both the main level and lower level of the shelter. Other services provided/supported/developed by the one chld advocate on staff include the following: play and an therapy, field trips, phy time, school advocacy, counseling, court advocacy, tutoring, support group and conflict resolution. All DVIP staff and volunteers providing direct services to ch~dren are trained according to Iowa CYiminal Code 236. PROGRAM 3 COMMIINITY/EDHCATION: DVIP provides community education, training, and informational presentations on domestic violence issues, services, imervention, and prevention. DVIP provides training to approximately 100 volunteers per year according to Iowa Criminal Code 236. PROGRAM 40I. rIREACH: DVIP offers domestic violence services in the following counties: Johnson, Jones, Cedar, Washington, and Iowa Counties. Iowa, Cedar and Washington Counties are staffed two days each week in rented and donated office spaces. Jones County is staffed full time in Anamosa. The Commtmity Oulreach Coordinator and Counselor work full time in johnson County. Services include: Individual counseling, support group, no-contact order advocacy, court, human services, medical and hw enforcement advocacy. Each county has it's own local coalition against domestic violence or human service consortittrn that DVIP are members of. All DVIP staff and volunteers providing direct service in our outreach programs are Irained according to Iowa Criminal Code 9.36. PROGRAM 5 FIIRNITHRE 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 landfills. Furniture is donated, then distributed and delivered to families. Loca] Funding Summary: United Way of Johnson CounW - - Does Not Include Designated Gvg. City of Iowa CiW Johnson Cotrely City of Coralville 4/1/97 - 4/1/98 - 4/1/99 - % of Total 3/31/98 3/31/99 3/31/00 Budget $42,958 $44,741 $53,689 9.02% FY98 FY99 FY00 ~ 47000 50000 60000 10.08% 47340 51840 62208 10.45% 2700 3000 3600 0.61% °90- AGENCY: Domestic Violence Intervention Program 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. Admmisla'ation b. Program Total (List Progs. Below) 1. Residential Services 2. Children 3. Community/Educational Services 4. Outreach: Johnson Jones,Cedar,Iowa,& Washington Counti 5, Furniture Project ACTUAL LAST YEAR 7/97-6/98 581,414 30,362 551,052 538,917 130,784 408,133 187,550 32,393 54,668 107,322 26,200 THIS YEAR BUDGETED PROJECTED NEXT YEAR 7/98-6/99 7/99-6/00 642,704 627,559 42,497 32,497 600,207 595,062 610,207 595,062 153,515 142,036 456,692 453,026 191,233 193,435 39,756 32,742 65,668 64,737 132,585 134,519 27,450 27,593 3. ENDING OPERATING BALANCE (Subtract 2 - 1 ) 4. RF3TRICTED FUND BALANCE (Total from page 7) 3. IN-KIND SUPPORT (Total from Page 7) 6. NON-CASH ASSETS Notes and Comments: 365, 136 402,877 357,797 260,766 260,047 260,047 561,300 535,000 510,000 * la. Carryover Balance: DVIP plans to apply $10,000 of this towards the Mortgage principle during current fiscal year. * 2a & b. All programs expenditures higher during current fiscal year due to 53 weekly pay periods instead of 52. ~ 2a. Administration expenditures increased during current fiscal year due to added position in office support d~aing FY98. , Adm expenditures also higher due to anticipated lmnp sum principle payment of $10,000 to mortgage from carryover funds. ' 2b, #2. Children's Svcs expenditures higher during current fiscal year due to restricted funds received ~'om ICCSD and Target Foundation. ' 2b, #3. Community/Education Svcs expenditures higher during current fiscal year due to fadlitathtg local coxfference. * 2b, #4. Outreach Services have been expanded each year to facilitate growing need in ourtreach services. * 6. Non-cash assets estimate based on a 4% depreciation rate, over a 25 year period. * P -;e~y describe how local funds were spent last year: t:t~..,s were used to help cover salaries not covered by direct service grants. Funds were also used for utilities and supplies. _ 9 _ -91- AGENCY Domestic Violence Intervention Program /NCOME DETAIL ACTUAL LAST YEAR 7/97-6/98 1. Local Funding Sources- 144,231 a. Johnson County 47,340 b. City of Iowa City 47,000 c. United Way of johnson County 42,958 d. City of Coralvine 2,700 e. Jones County 1,000 f. United Way of East Central Iowa 3,233 2. Grants- State, Federal, Foundations [320,990 a~ CDBG/I. and~ll 23,137 b. Crime Victim 70,602 c. Emergency Shelter 9.3,500 d. Family Violence Prevention 33,520 e. FEMA 5,429 f. Violence Against Women 27,078 g. VOCA 137,724 3. Net Sales Of Services (sources) [284 a. Services 284 b. c. 4. Net Sales of Materials (sources) [ 0 a. Manuals 0 b. Poetry Books 0 c. 5. Contributions/Donations [ 33,524 a. United Way Designated Giving [ 10,714 b. Other Contributions 22,810 ~. Special Events [ 49,777 a. Iowa City Road Races 3,506 b. Direct Mail, Newsletter 40,398 c. Souper B owl &other fundraisers 5, 8 7 3 7. Interest Income [ 039 8. Other- List Below [ 1,607 a~ Sale of donated Vehicles 1,156 b. PopSales 451 c. Miscellaneous 0 THIS YEAR PROJECTED 7/98-6/99 I xsl,ssl 51,840 50,000 44,741 3,000 0 2,000 [373,942 24,508 83,273 30,600 32,588 8,046 30,735 164,192 300 300 0 0 0 32,744 11,326 21,418 41,000 3,500 25,211 12,289 380 260 0 260 0 BUDGETED NON- PROGRAM NEXT YEAR DIRECTED 1 7/99-6/00 FUNDING Resident Svcs 181,497I 109,5331 39,671 62,208 40,708 11,650 60,000 38,500 11,650 53,689 27,725 15,864 3,600 2,600 507 0 2,000 328,862 [ 11,600 [ 117,693 25,200 67,000 14,381 30,600 11,600 19,000 32,000 5,262 5,262 33,800 135,000 79,050 3001 01 0 300 PROGRAM 2 Children 0 25,650 0 25,650 o I 01 01 01 0 0 33,s00101 11,071 I 1,500 22,000 [ I 6,500 4,571 ] 50,0001 20,0001 25,0001 5,000 5,000 25,000 0 25,000 20,000 15,000 s001 b001 01 4031 4031 O I 0 403 403 0 01 I I 7,092] I 7,092 0 01 TOTAL INCOME (am~ as p. Notes and Comments: *le. '2b. '2c. '2g. '6b. 551,052 600,207 595,062 142,036 193,435 32,742 Jones County local funding decreased due to budget restrictions within Jones County Family Council. Crime Victim Compensation trigher durm4~ current fiscal year due to overlap Of FY98 funds received in FY99. Emergency Shelter Gram increased during current fiscal year: $3000 for operations and $4000 direct service monies for homeless prevention FEMA projected higher for current fiscal year due to late payment for FY98 received in FY99. VOCA Funds higher during current fiscal year due to overlap of FY98 funds received in FY99. Direct Mail support received higher during FY98 due to overlap of funds received from final mailing of FY97. Other fundraisers higher during FY99 and FY00 due to anlicipated new fundraisers. _~_ 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. Jones County L United Way of East Central Iowa 2. Grants - State, Federal, Foundations ] a. CDBGfLandfffi 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) k 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. Free Art & Fun, Souper Bowl, et 7. Interest Income [ 8. Other - List Below a. Sale of donated Vehicles b. Pop Sales c. Miscellaneous TOTAL INCOME (~,.e ~ v. ,, Notes and Comments: AGENCY Domestic Violence Intervention Program PROGRAM PROGRAM PROGRAM 3 4 5 Comm/Fj. Outreach Furn Proj. 22,0001 7,900~ 2,a931 7,250 1,600 1,000 7,250 1,600 1,000 7,500 2,600 100 393 PROGRAM PROGRAM PROGRAM 6 7 8 01 01 2,000 30,300I 118,419] 25,200I 25,200 52,619 01 01 32,000 30,300 3oo1 30O 33,800 ol olol ol ol ol ololol 7,137JS,2oolo lo l o l o l 7,137 J 5,000 3,200 J J J s,oool o l o l o l o l 0 0 0 5,000 0 0J 0J 0J J J J ol ol ol ol ol o 64,737 134,519 27,593 0 0 0 PROGRAM EXPENDITURE DETAIL AGENCY Domestic Violence Interrvention Program ACTUAL THIS YEAR BUDGETED ADMINISTRA- PROGRAM LAST YEAR PROJECTED NEXT YEAR TION 1 7/97-6/98 7/98-6/99 7/99-6/00 Resident Svcs. 1. Salaries 353,644 412,148 412,126 84,390 131,342 2. Employee Benefits &Taxes 58,571 72,505 71,836 14,846 22,793 3. Staff Development 6,553 2,274 2,500 250 750 4. Americorps, Work Study 474 0 0 5. Publications &Subscriptions 214 180 200 200 6. Dues and Memberships 713 700 700 700 7. Mortgage, Rent and Property Tax 1,036 12,125 2,400 8. Building Maintenance 8, 199 7,280 8,500 4,000 3,000 9. Equipment Purchase/RentalAVlaint. 24,400 11,796 11,800 11,600 10. Utilities 16,490 18,207 18,500 7,000 10,000 PROGRAM Children 24,730 4,262 250 1,000 500 11. Telephone 12,456 14,700 15,000 750 7,850 12. Office Supplies & Postage 11,344 9,701 10,000 5,000 1,000 13. Printing and Publicity 1,986 1,663 1,500 1,500 14. Local Transportation 6,802 7,436 7,500 500 500 is. Insurance 10,864 10,635 11,000 3,500 4,000 16. Audit 3,420 2,200 2,200 2,200 17. Interest 661 77 100 100 1~5. Other {Spec-~ly}: 19. Direct Aid 1,155 4,824 5,000 5,000 20. Restricted Expenditures 2,501 7,754 0 21. Food 1,073 1,233 1,200 1,200 22. Fundraising Expenses 14,477 12,084 12,500 5,000 6,000 23. Miscellaneous 542 685 500 500 24. Contracted Labor 4,353 0 0 25. Hood Control/Reimbursement (3,011) 0 0 0 500 500 500 500 TOTAL EXPENSES (p. 3, fine ,) 538,917 610,207 595,062 142,036 193,435 32,742 Notes and Comments: * 1 & 2. Salaries and benefits higher during current fiscal year due to added staff positons and 53 weekly pay periods instead of 52. * 1 & 2. Salaries and benellis antidpated lower during next fiscal year due to remm to 52 weekly pay periods. '3. Staff Development includes 6 staff allending National Conference during FY98. '7. Current year anticipation of making $10,000 lump sum prindple payment on Mortgage out of cm-ryover funds. '8. Building Maint. higher during FY98 due to flooding problems. Extra expenditures to try and correct said problems, materials only. '9. Equipment: DVIP received additional funding to update current office equipment during FY98. ' 16. Audit: DVIP received full audit during FY98. FY99 and FY00 cost reduced by obtaining a "compfiation' report instead of full audit. Full audit will be performed every 3rd year. 17. Interest paid on a loan taken out by DVIP during FY98 to help in recovery of previous year operating loss. 19. Direct Aid expenditures increased from FY98 due to increased funding from Emergency Shelter Grant tbr Homeless Prevention. 20. Restricted Expenditures higher during current fiscal year due to monies received from ICCSD and Target for Children's Prograin. 24. Contracted Labor for FY98 includes monies spent in an attempt to correct flooding problems. Labor costs only. 24. Contracted Labor has been incorporated into building maintenance and salaries. 25. Flood Control expenses were paid by DVIP during FY97 an,d.4.FY98, reimbursed by insurance in FY98. PROGRAM EXPENDITURE DETAIL (CONTINUED) i. Salaries 9~..Employee Benefits & Taxes 3. Staff Developmere 4. Americorps, Work Study 5. Publications & Subscriptions 6. Dues and Memberships 7. Mortgage, Rent and Property Tax 8. Buildihg Maintenance 9. Equipment Purchase/Rental/Mamt. 10. Utilities 11. Telephone 12. Office Supplies & Postage 13. Pfin~-g and Publidty 14,. Local Transportation 15. Insurance 16. Audit 17. Interest 18. Other (Specify): 19. Direct Aid 20. Children's Restricted Expenditures 21. Food 22. Fundraising Expenses 23. Miscellaneous 24. Contracted Labor 25. Flood Control/Reimbursement TOTAL EXPENSES (p. 2, line 2) Notes and Comments: AGENCY Domestic Violence Intervention Program PROGRAM PROGRAM PROGRAM 3 4 5 Comm/Ed Outreach Fun~ Proj 48,962 101,278 21,424 8,525 17,641 3,769 500 750 PROGRAM PROGRAM PROGRAM 6 7 8 2,400 500 200 750 250 750 4,250 900 2,500 500 500 500 5,000 500 500 2,000 500 1,250 250 64,737 134,519 27,593 0 0 0 AGENCY Domestic Violence Intervention Program RESTRICTED FLIND S: RESTRICTED BY: A. Family Violence B. Crime Victim C. VOCA D. Emergency Shelter E. FEMA F. E. Central Iowa United Wa G. CDBG/Landfill H. Violence Against Women I. Mortgage RESTRICTED FOR: Direct Services, Violence Preventio Direct Services, Supplies Direct Services, Supplies Utilities, Ins., Homeless Prevention Food, Household Cedar, Jones, Iowa Counties Furniture Project Jones County Program Bldg Mortgage Pmts, Playground ITOTAL RESTRICTED FLIND (also shown page 2, Line 4) MATCHING GRANTS GRANTOR/MATCHED BY Emergency Shelter Salaries Family Violence Volunteer Hours @ $12.96 VOCA Volunteer Hours @ $12.96 IOTAL MATCHING GRANTS (also shown pg. 3, line 2) ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR 7/97 to 6/98 7/98 to 6/99 7/99 to 6/00 33,520 32,588 32,000 70,602 83,273 67,000 137,724 164, 192 135,000 23,500 30,600 30,600 5,429 8,046 5,262 3,233 2,000 2,000 23, 137 24,508 25,200 27078 30735 33800 40913 26935 26935 365136 ] 402877 ] 357797 24170 31500 31500 13080 10963 10963 43750 32813 32813 81,000~ 75,276~ 75,2761 IN-KIND SLIPPORT DETAIL Services/Volunteers Material Goods Space, Utilities, etc. Other: (Please specify) Direct Svc, Clerical, Mamt Hrs. @ Food, Household Johnson, Wash, Cedar,Iowa: Office,Storage [TOTAL IN-KIND SLIPPORT (also shown on page 2, line 4) Notes and Comments: * Restricted Funds: * Restricted Funds: * Restricted Funds: * Restricted Funds: * Matching Grants: * In-Kind Support: * In-Kind Support: 230,066 230,947 230,947 21,600 21,600 21,600 9,100 7,500 7,500 260,7661 260,047 [ 260,047 B, C, E. Current year monies received higher due to overlap of FY98 funds received in FY99. D. Current year monies increased: $3000 for operations and $4000 for Homeless Prevention. I. FY98 monies received included additional donations received to payoff Clildren's outdoor playgrotmd area. I. FY99 and FY00 receipts anticipated to be lower due to pledge completions during FY98. All changes due to funding increases, decreases, thus changing match requirements. Services/Volunteers: Hours now include time volunteers carry beeper to be available for services. Space, Utilities, etc: Decrease during FY99 and FY00 due to relocation in Washington and Cedar counties from donated office space to rented office space. -96- SALARIED POSITIONS AGENCY Domestic Violence Intervention Program "X' those that apply FTE* Salary Position '~. ~. ~ ~ Last This Next Actual This Year Year Year Last Year Year Executive Director 40 x x 18% 1.00 1.00 1.00 37657 38,605 Financial Coord 40 x x 18% 1.00 1.00 1.00 22840 25,505 Shelter Coord-Days 40 x x 18% ! .20 1.00 1.00 27208 21,200 Shelter Coord-Nights 48 x x 23% 1.20 1.20 1.20 20326 22,896 Shelter Coord-W/end 48 x x 23% 1.20 1.20 1.20 20066 22,896 Volunteer Coord 40 x x 18% 0.60 1.00 1.00 11448 21,200 Education Coord 40 x x 18% 1.00 1.00 1.00 25736 26,755 Child Advocate 40 x x. ! 8% i .00 1.00 1.00 23271 23,977 Counselor 40 x x 18% 1.00 1.00 1.00 21131 23,320 Rural Outreach 40 x x 18% 1.00 1.00 1.00 20616 23,320 Rural Outreach 40 x x 18% 0.25 0.40 0.40 4313 7,800 Rural Outreach 40 x x i 8% 0.75 1.00 1.00 12983 22,423 Shelter Coord-Fri 12 n/a 0.50 0.30 0.30 10983 5,724 Shelter Coord-Fri 12 n/a 0.20 0.00 0.00 3744 0 Shelter Coord-PT 8 n/a 0.00 0.20 0.20 0 3,744 Shelter Coord-Eve 20 x x 18% 0.00 0.50 0.50 0 10,600 Furniture Project 40 x x 18% 1.00 1.00 1.00 20,800 21,200 Office Coord 40 x x 18% 0.75 1.00 1.00 13,420 19,398 Supervisor 40 x x 18% 0.70 1.00 1.00 21,099 27,284 Shelter Coord 40 x x 18% 0.50 0.25 0.00 9,945 5,250 Comm. Outreach Crd 40 x x 18% 0.60 1.00 1.00 11,520 22,368 Subs 14,538 16,683 Budgeted Next Year 39,513 26,274 21,424 23,138 23 138 21 424 27 538 24 730 23 566 23 566 7,976 23,566 5,896 0 3,856 10,918 21,424 19,603 27,572 0 22,604 14,400 % Change 2% 3% 1% I% 1% 1% 3% 3% 1% 1% 2% 5% 3% 0% 3% 3% 1% 1% 1% 0% 1% 0% TOTAL FTE's and SALARIES 15 17 17 * Full-time equivalent: l.O=fu!l-time; 0.5=half-time; etc. *Salaries for current year higher than budgeted next year, with increases, due to I extra pay period during current year C7th odd year") 412,126 2% -97- AGENCY: ACCOUNTABILITY QUESTIONNAIRE DVIP A. Agency's Mission Statement or Primary Purpose: The pdmary 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, religious and economic groups, ages, and lifestyles. The DVIP opposes violence as a means of control over others and supports equalitiy in relationships and the concept of helping women assume power over their own lives. B. Board of Directors: Please attach a list of your agency's Board of Directors (page 7A) See Attached Frequency of meetings: Monthly board meetings. Committees meet at least once a month and more when needed. Briefly describe board orientation and ongoing training opportunities: Beard orientation is complete within one month of becoming a board member. New members will meet with an interview teem, is voted into membership and meets individually with the Executive Director and Board Chair. Board members will receive a tour of the shelter, a history of DVIP, a board manual and a brief training. The board manual includes items such as: confidentiality statement, job descriptions, by-laws, personnel policies, legal contracts etc. Finances: 1. Are there fees for any of your services? a. if YES, describe circumstances. b. Arethey~atfees 2. Does your agency have: Yes NoX or sliding fees ? an intemal audit extemal audit X Frequency 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. 13% of DVIP's budget is from local fundraising eftotis by DVIP board of directors and staff. Last year DVIP hosted 5 fundraising events and participated in Hospice ROad Race. Fundraising events Included: 2 direct mailings (sponsor a night of safety), Softball tournament, Wine Tasting Event, And Souper Bowl. Menagernent: 1. Does each professional staff have a written job description? Yes 2. Is the agency Director's performance evaluated at least yearly? Yes __X__ No By Whom? Board Personnel Committee X No rid (.~ Oo 0 ~ I',,1 ~ 0 ~ kl ~ ~ Z L ~0'r k) cO 0 ---,- ~ °gz Z ~ -I~rnm IT! om -i ~ ~' x ~ d) 0 (1) ¢I) o _-. ,- s. "'I :~o rrl Oo Ill --, i---m 0 ~0 z 0 ~ 0 0 .-r0 oww ~o> I' --4:xlrn ~0 -9g- AGENCY: E. Program/Services: AGENCY DOMESTIC VIOLENCE INTERVENTION PROGRAM 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 Sewice 1. 24 hour shelter 2. Cdsis Hotline 3. Individual Counseling 4. Support Group 5. No Contact Orders 6. Other advocacy (legal, court, social service, housing etc.) Length of time I night to 90 days % hour (approx. average time) 1 to 2 hours 10 hours each week 3 hours each client 2 hours average each Cost per unit 14,16 7.02 per call $12.00 to 15.00 per hour $12 to $15 per hour $12 per hour $10.50 per hour Number of units provided 5,441 nights (482 people) 18,239 calls 628 people (942 hours) 350 people 94 orders (282 hours) 1,623 people (3,246 hours) e Please supply informaUon about clients sewed by your agency dudng last two complete budget years, Refer to form instructions for definition of duplicated and unduplicated. its duplicated numbers by county) How many Johnson County residents (including la. Duplicated Iowa City and Coralville) did your agency serve? Count (DVIP does not separate 1~7 1~8 NA NA lb. Unduplicated 1,007 1,057 Count How many Iowa City residents did your agency 2a. Duplicated serve? Count NA NA 2b. Unduplicated 670 724 Count How many Comlville residents did your agency 3a. Duplicated serve? Count NA NA 3b. Unduplicated 76 89 Count ~ How many units of sewice did your agency pro- vide? (this number includes duplicated clients) 4a. Total 1,978 2,695 4b. To Johnson County Residents AGENCY: Domestic Violence Intervention Program 5. Other Areas Served: Do you provide services to areas outside of Johnson County? Yes Area(s) served: Cedar, Iowa, Jones and Washington County Services provided: Counseling, advocacy, crisis hotline, groups, volunteering, education. Funding Sources: Victim Of Cdme Act, Cdme Victim Assistance, Violence against Women Act, and East Central United Way Donor Option Grants. 6. Client Profile (for last complete year, if available): Age 0 -5 107 6 - 17 130 18 - 29 253 30 - 6t 435 62 - 75 0 Unknown 360 Gender Fernale 866 Male 59 Unknown 36O Ethnicit}, African Anterim 234 Native American 1 Aslan 1 Hispanic 6 Caucasian/Non-Hispanic 408 Unkown 635 Evaluation and Review: A, Please discuss how your agency measures the success of its program. 1. Gathered verbal and written comments and suggestions from staff. 2. Distributed exit questionnaires to filter users, including 3,6, & 9 month follow- up questionnaires after departing shelter. 3. Gathered data from court and police records. 4. Annual staff and board retreat including pedodic follow-up of goals & Objectives. Does your agency have performance objectives? [Give several examples] '1. DVIP board and staff will each hold annual retreats to determine and evaluate annual goals, objectives and direction of agency.. 2. DVIP will serve victims, their children and family members as well as community members in the area of domestic abuse and the dynamics of sarn~. 3. DVIP will make use of community volunteers in all service areas. Whet plans does your agency have to increase efficiency and effectiveness? DVIP has a year goal to develop a forrnalized procedure for evaluation and measurable outcomes of data and services. F'Y99 will be one of pulling a process together that can be used in future years. DVIP's objectives in developing a formal procedure include the following: to help meet the external demand for information, to present our successes, to help develop or improve services, to discover what works and what doesn't work for clients, and to provide agency accountability. -lol- AGENCY: Domestic Violence Intervention Program In what ways will the needs of your service population change in the next five years: DVIP has and will continue to be affected by welfare reform. Whereas welfare reform has protective language wdtten for battered women, them are number of "hoops" women have to jump through to prove her case of abuse. This is also true for women who are battered who are also legal or illegal immigrants. DVIP has increased its staff by 1 to keep up with these two issues. Women seeking shelter often have an added concern of meeting the demands of welfare reform while trying to remain physically safe. Uprooting their family and coming to shelter can set a woman back by several months if not years. For those women on welfare it can mean further devastation and lack of resources for finances (moving, job security, child care, support system.). DVIP is actively compiling information about the number of women on welfare from out of the Johnson County area Vs the number in the county. It is not unusual for women who are abused to leave one area for another based on her physical safety. DVIP estimates the out of county numbers may drop due to the restrictions of weftare reform. 9. Please discuss any other problem or factors relevant to your agencys program, funding or service delivery: The one problem that remains for DVIP to address is paying off the rest of the mortgage on the building. Whereas the Board of Directors has done excellent work at chipping away at a $350,000 mortgage, our goal is to get the building paid for as soon as possible. With $160,000 left to pay DVIP board is using creative ways to pay off the mortgage. DVIP is very finandally stable at this time and will use some of it's community fundraising toward the retirement of the mortgage. 10. List complaints about your services of which you are aware: Shelter rules such as no spanking, and curfew draw the most criticism from shelter residents. While DVIP is sensitive to women's needs and opinions, we recognize the need for rules in a communal type setting. 11. Do you have a waiting list or have you had to tum people away for lack of ability to serve them? What measures do you feel can be taken to resolve this problem: DVIP's shelter program does occasionally get full and we do turn people away from the Shelter. DVIP has a standard policy to actively call around to other nearby shelters to se~, if they have room. DVIP does not tum people away from our other services. 12. How many people are currently on your waiting list? As of 10/3/98- 3 families (12 people) In what way(s) are your agency's services publicized? Phone book Newsletter Volunteer Alert Local News Stations Radio Brochures Human Services Resource Guide Cable TV Local Papers Human Service Agency Network -102- IL0 AGENCY: Dometic Violence Intervention Program 13. United Way involvement by your agency: ("X" if agency participates) Agency Directors MeeUngs Agencies Representative to Funding Hearings Business B!itz Day of Caring Victory Reception x._ X X X i I -;03- AGENCY HISTORY - DOMESTIC VIOLENCE INTERVENTION PROGRAM The Domestic Violence Intervention Program really began as a grassroots, volunteer run program in 1976 and 1977. In 1977, the University of lowa'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 community's 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 Victims of Spouse Abuse was born. The Crisis Center took over the service prOvision role from WRAC until the Domestic ~olence 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 Program. 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 effect, 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 shdter 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 1991, we received additional state funding to expand our outreach and services beyond Johnson 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 and 7 part-time staff. DVIP's. budget has grown to 600,000; 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 15,500 women and children. In 1998 we servedover 450 women and children in shelter. -104- AGENCY: FY98 GOALS Please state FY98 goals and report status of progress/completion. Objective A: DVIP will continue to provide leadership to the Johnson County Coalition Against Domestic Violence. Complete. DVIP attends monthly meetings, rotates rums in providing elected officers, is instrumental in training for the 24 agencies that are members of JCCADV. DVIP also has representatives who sit on each JCCADV sub cornmittee's. Objective B: DVIP will provide unduplicated shelter services to 350 battered women and their children. Complete. DVIP provided shelter to 245 women and 237 children. Objective C: DVIP will provide an estimated 1,500 women, children and men with 24 hour access to the DVIP Cdsis Hotline. Complete. DVIP had 18,239 crisis calls in FY98. Objective D: DVIP will serve an estimated 300 women in support group. Complete. DVIP has 10 groups. In all 350 new women attended groups sessions. Objective E: To provide 350 women with counseling services. Complete. DVIP provided 359 women with individual counseling. Objective F: To educate the community about problems facing women who are victims of domestic abuse; including services available, dynamics of abuse, intervention, prevention, and program needs. On-going. DVIP offers a speakers bureau presentation to all groups who want a speaker. FY98 DVIP spoke to over 100 organizations with over 1,500 people present. Objective G: To provide services that address the r';cds of children affected by violence and offer parent suppod and alternatives to physical punishment. Complete. DVIP offers individual counseling for children, needs assessment, parent/child suppod group, children's support group, art group, pre-school activities, summer programming, and tutoring programs. Objective H: DVIP will substantially lower irs mortgage by Dec. 1998. On-going. DVIP has made almost $60,000 in payments FY 98 DVIP has 160,740 yet to raise to retire the mortgage. Objective h DVIP will participate in the local Domestic Abuse Response Team (DART). Complete. DVIP is a member of the DART. DVIP's role in DART is to work dosely with the Iowa City Police Department to follow-up criminal domestic abuse cases. DVIP will go to victims homes along with ICPD and will offer information about domestic violence and community resources available to them. Objective J: DVIP will participate in State advisory committee about state certification for victim service providers. On-going. The state is in the early stages of forming this committee and the direction it will take. Objective K: DVIP will provide free furniture to people in the Johnson County community who do not h~lve resources to purchase such fumiture on their own. Complete. DVIP Furniture Projed is once again funded through CDBG (Community Development Block Grant) and the Iowa City Solid Waste Department. This funding offers DVIP a fulltime staff person to coiled and distribute furniture. Objective L: DVIP will continue to seek staffing from the AmedCorps Program. Complete. DVIP's application for an AmedCorps member has been accepted for FY99. AGENCY: Objective M: DVIP will continue to network with area agencies. Complete. DVIP has strong interagency collaborative leadership among agendes who also serve domestic violence victims. There are currently 23 agencies who are members of the Johnson County Coalition against Domestic Violence. We continue to attend the vadous United Way functions offered each year as well as offer a standing semester 3 hour session on domestic abuse to the School of Social Work. A DVIP representative also partialpates in the following agency trainings: Womens' Resource and Action Center, Cdsis Center, Emma Goldman Center, and the Batterer's Education Program. DVIP has on-going collaborative efforts with MECCA, Neighborhood Centers, Greater Iowa City Housing Fellowship, and Emergency Housing Project. Objective N: DVIP Board of Directors will develop. Plan, and host fundraising events in FY98. Complete. The DVIP Board planned and hosted several local fundraising events this last year. The direct mail, our most successful event raised Over $40,000. Other events, such as, the Softball Tournament, the Wine Tasting Event and the Souper Bowl raised between $1,000 and $2,500 each. In fiscal year 1999 DVIP will host it's first annual road race in connection to the Iowa Arts Festival in June. !06- AGENCYDomestic Violence Intervention Pro_cram 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 Coumies. As many 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 recruit other agencies 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 theLr homes to escape being battered on a 24 hour a day basis. This service is an unduplicated service in the Johnson County and surrounding area in that it is the only domestic violence shelter offered in Johnson County. All services are offered to all socioeconomic classes, and without discrimination to people with disabilities or who are otherwise disadvantaged. TASKS: I. To maintain accountability to women, board and community by remaining staffed 24 hrs. a day. 2. Provide training set by Iowa Criminal Code 236 to all staff and volunteers that do direct service work. 3. Build volunteer pool to 125 by providing four trainings in fiscal year 99. 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 1999, 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 FY99. 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 stafffvolunteers with community information and referrals as well as community resources. 5. Maintain the 1-800 hotline for FY99. 6. Maintain the emergency cell phone service for victim by coordinating efforts with 360 comunications US Cellular. -107- DOMESTIC VIOLENCE INTERVENTION PROGRAM OBJECTIVE D: DVIP will serve an estimated 300 women in a support group setting in FY99. TASKS: 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 ofit's groups in FY99 by mailing and posting ~yers throughout the Johnson county area. 3. Will provide a trained group facilitator and use curriculum that is specific to domestic violence OBJECTIVE E: To provide 350 women with counseling services; 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. OBJECFIVE F: To educate the community about problems facing women who are victims of domestic violence; including services available, dynamics of abuse, intervention, prevention, and program needs. TASK: 1. Maintain a wide distribution of printed materials. 2. Solicit groups, especially of high risk, professionals, and adolescents to speak to. 3. Develop a media packet about services, and Speakers Bureau. 4. Solicit other Human Service Agencies to train their personnel about the dynamics of domestic abuse. 5. Continue to educate health professionals at UIHC and Mercy on domestic violence issues. 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 educationally as well as emotionally while child is dealing with crisis. 3. Maintain a safe space for children in shelter for activities and groups. 4. To address parent concerns and children's needs as pan of intake and planning. 5. To offer support groups for children in shelter with a trained facilitator. - o8- /(- DOMESTIC VIOLENCE INTERVENTION PROGRAM OBJECTIVE H: DVIP will substantially lower it's mortage by December 1999. TASKS: 1. DVIP will develop a strategic plan to pay the mortage by Dec. 1999. 2. DVIP Board of Director's will communicate with assigned contacts in an effort to raise funds to pay the mortgage. 3. The DVIP Board Chair and Executive Director will work in partnership to train new board members about DVIP's final phase of it's campaign. OBJECTIVE I: DVIP will participate in the Iowa City's newly formed Domestic Violence Response Toam (DVRT). TASK: 1. DVIP along with the Police Investigator will follow up on domestic violence police calls, offering support to the victim in each case. 2. DVIP staff will offer court advocacy to victims - walking the victim through any court procteding s they may need to attend as a result of being victimized. 3. To evaluate program by state standards and !o~al experiences. 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 ofotber state's procedures for certification. OBJECTIVE K: To provide free furniture to people who do not have the resources to purchase such furniture on their own. TASK: 1. To make community aware of the need for donated furniture by use of service organization newsletters, speaking engagement, and media. 2 To continue efforts to secure volunteers for pick up and delivery of furniture. 3. To continue to network with area agencies to help meet furniture needs in the Johnson County area. iq 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 stale 2. To meet grant deadlines for said grants. 3. Will evaluate the necessity of above programs annually. ORW, C'FIVE M DVIP does and will continue to network with area agencies as needed for community education, resident and clientele needs, and interagency cooperation. TASK: 1. DVIP will continue to collaborate with other agencies for the purpose of serving DVIP residents. 2. DVIP will continue to attend various community functions, including other Untied Way Agency functions, City and County functions as well as most United Way functions and Chamber of Commerce activities such as social seminars, Business PM and Businee PM's. 3. DVIP W'dl continue to operate as a lead agency in the Local Coalition Against Domestic Violence in the effort to offer safe, comprehensive services to battered women working with the many local agency and individual members. 4. DVIP will continue it's training/education efforts in the community including participating in the 'Crisis Centers 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. 4. 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. 5. DVIP will continue to make any necessary referrals to any and all agencies that will he helpful to residents and others who seek DVIP services. These referrals will be made in person, on the phone and through the mail. OBJECTIVE~ N: DVIP Board of Directors will develop, plan, and host fundraising events in FY99. TASKS: ~ 1. Will indentkey fundraiser (s) to replace the DVIP Annual Fine Art and Fun by September 1997. 2. Will participate in monthly or bi-monthly planning meetings for said events. 3. Will assist in recruiting volunteers for firedraising events. 4. WHI record chronological order of events to include: tasks, antisipated completion of task, contact names, etc. etc. -110- OBJECTIVE O DVIP will maintain contact with former board members. TASKS 1. DVIP will up-date board addresses of board members from 1979. 2. DVIP will keep former board members apprised ofall DVIP activities and send newsletters. 3. DVIP will continue to keep former board members informed about new trends, research and evolutions of domestic violence issues on the local, state and national levels. 9 HUMAN SERVICE AGENCY BUDGET FORM City of Coralville Johnson Codnty City of Iowa City United Way of Johnson County CHECK YOUR AGENCY'S BUDGET YEAR 1/1/99-12/31/99 4/1/99- 3/31/00 7/1/99- 6~30~00 X 10/1/99- 9/30/00 Director: Agency Name: Address: Phone: Completed by: Approved by Chair: Jean H. Mann Elderly Services Agency 28 South Linn 356-5217 Jean H. Mann Barbara Womer (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: 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 Proqram and Volunteer Coordination: (a) RSVP provides seniors with a shopping list of opportunities for volunteer efforts at 90 different places, and provides insurance to protect them, mileage and public recognition. (b) Volunteer efforts of University students studying aging in school and volunteering through religious/social/community organizations. Housing ReDair: provides housing repairs, and modifications to accommodate disabilities, with the goal of making people's homes safer so they can remain in them as long as possible. Case Mana.clementJcountv 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 20-30 human service professionals on the team, figures waiver costs submits for approval, and provides quality-assurance oversight for all agencies involved. Local Funding Summary: United Way of Johnson County - - Does Not Include Designated Gvg. City of Iowa City Johnson County City of Coralville -~2- 4/1/97 4/1/98 - 4/1/99 - % of Total 3/31/98 3/31/99 3/31/00 Budget $35,000 $36,453 $38,000 12.74% FY98 FY99 FY00 - $56,800 $58,500 $60,255 20.20% $17,998 $19,798 $22,000 7.37% $1,500 $2,400 $5,000 1.68% 1 AGENCY: Elderly Services Aqencv BUDGET SUMMARY Enter Your Agency's Budget Year ==> 1. TOTAL OPERATING BUDGET (total a+b) a. Carryover Balance (Cash from line 3, previous column) ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR FY98 FY99 FY2000 301,169 308,149 324,295 15,911 25,971 25,971 b. Income (Cash) 2. TOTAL EXPENDITURES (Total a+b) a. Administration b. Program Total (List Progs. Below) 1 Chore 2 Assessment & Intervention 3 Retired Senior Volunteer Program 4 Housing Repair & Modification 5 Case Management for the Frail Elderly 6 7 8 285,258 282,178 298,324 275,198 282,178 298,324 49,400 51,443 52,412 225,798 230,735 245,912 43,066 44,~77 45,053 42,746 45,279 46,756 47,226 47,830 50,794 32,644 26,500 27,795 60,116 67,049 75,514 3. ENDING OPERATING BALANCE (Subtract 2 - 1 ) 4. RESTRICTED FUND BALANCE (Total from page 5) 5. IN-KIND SUPPORT (Total from Page 5) 141,949 143,243 149,214 161,154 184,963 184,963 6. NON-CASH ASSETS 20,839 19,000 17,000 Notes and Comments: ~ The actual ending balance in column 1 for FY98 is made up of $8,745 in RSVP grant for FY99, $2,194 in accounts payable and $15,032 in operating funds for FY99. *Briefly describe how local funds were spent last year: Iowa City's allocation paid for 65% of the chore coordinators salary & 89.45% of the Executive Director's. CDBG money for housing repair went to contractors, a construction consultant & related office expenses. Jo Co's money: a percentage of Chore, Assessment & Intervention & RSVP programs City of Coralville: a percentage of the chore program United Way: supported every program of the agency (chore, A&I, RSVP, Hse Rep & CMFE) -2- AGENCY: Elderly Services Aqencv 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 IC Housing Repai~Mod. f. Subsidized Chore - Jo. Co. 2. Grants- State, Federal, Foundation a. Heritage Area Agency on Aging b. Medicaid Elderly Waiver c. 3. Net Sales Of Services (sources) a. Assessments (IA Fdn Med. Care) b. c. 4. Net Sales of Materials (sources) I 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. Miscellaneous b. RSVP sales/sponsors c. TOTAL INCOME (same as p. 2, line 1 ACTUAL THIS YEAR BUDGETED NON- LAST YEAR PROJECTED NEXT YEAR DIRECTED FY98 FY99 FY2000 FUNDING 155,347I 154,538I 163,255I 42,706I 17,998 19,798 22,000 56,800 58,500 60,255 41,244 35,364 36,840 38,000 1,500 2,400 5,000 1,462 28,658 26,000 27,000 15,027 11,000 11,000 93,727I 103,524I 107,0001 93,420 103,224 106,400 307 300 600 4,3711 2,5001 2,602I o l 4,371 2,500 2,602 PROGRAM 1 Chore 32,112I 14,067 6,303 742 11,000 12,600I 12,000 600 PROGRA"' 2 A&I 26,123 1,845 22,822 1,456 15,000 15,000 0I 2,602 2,602 5,7731 O I O I 5,773 0 0 0 ol 18,374I 17,147 3,469 3,364 14,905 13,783 5061 500 506 500 17,364I 3,406 3,364 14,000 3,406 500I 500 500 500 341 I 3,031 341 341 2,690 0I 0 0 4,844I 3,019 2,316I 950 2,316 150 0 800 0 285,258 282,178 4,814 .2,789 1,000 1,789 4,8oolI · ,ooolo lo 1,000 298,324 52,412 45,O53 46,756 Notes and Comments: AGENCY: Elderly Services Aqency INCOME DETAIL (cont.) 1. Local Funding Soumes- a. Johnson County b. City of Iowa City c. United Way of Johnson County d. City of Coralville e. CDBG IC Housing Repair/Mod. f. Subsidized Chore - Jo. Co. 2. Grants -State, Federal, Foundations ) a. Heritage Area Agency on Aging b. Medicaid Elderly Waiver C. 3. Net Sales Of Services (sources) I a. Assessments (IA Fdn Med. Care) b. C. 'Net Sales of Materials (sources) I 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. Miscellaneous b. RSVP sales/sponsors c. TOTAL INCOME (same as p. 2, line lb) Notes and Comments: PROGRAM PROGRAM PROGRAM 3 4 5 RSVP IC Hse Rep CMFE I 14,7221 27,7951 19,7971 12,592 7,563 497 297 4, 150 1,633 7,242 498 842 27,000 24,400 I 24,400 ol 55,000I 55,000 PROGRAM PROGRAM PROGRAM 6 7 8 ol ol o ol ol ol ol ol ol ol ol ol ol ol ol 9,883101 7031 01 01 01 1,979 703 7,904 ol ol ol ol ol o I I 441 I I ~,7891o] o l o l~1 1,789 27,795 50,794 75,514 0 0 0 - 3a - PROGRAM EXPENDITURE DETAIL AGENCY: Elderly Services AqencV ACTUAL PROGRAM PROGRAM LAST YEAR 1 2 FY98 FY99 FY2000 Chore A & I 1. Salaries 162,609 179,068 190,700 27,600 30,920 35,700 2. Employee Benefits &Taxes 30,674 33,708 37,158 5,272 4,539 7,930 3. Staff Development 777 1,668 800 200 0 200 4. Professional Consultation 4,714 4,700 5,000 5,000 0 0 5. Publications &Subscriptions 87 100 100 100 0 0 6. Dues and Memberships 581 565 575 325 0 0 7. Mortgage, Rent and Property Tax 0 0 0 0 0 0 8. Building Maintenance 0 0 0 0 0 0 9. Equipment Purchase/Rental/Main 10,543 2,000 2,000 0 0 837 10. Utilities 0 0 0 0 0 0 11. Telephone 3,275 3,900 4,000 395 330 355 12. Office Supplies a Postage 5,708 6,400 6,400 750 1,164 927 13. Printing and Publicity 3,464 3,600 3,800 549 0 407 14. Local Transportation 5,274 4,900 4,500 1,000 100 400 15. Insurance 5,511 6,200 6,200 5,800 0 0 16. Audit 3,100 2,500 2,700 2,700 0 0 17. Interest 0 0 0 0 0 0 18. Other (Specify): see notes 19 Program Expenses 1,532 1,269 1,341 171 0 0 20 Miscellaneous 779 100 550 550 0 0 21 Contractors/Hse Rep 24, 187 21,200 22,500 0 0 0 22 Subsidized chore 8,427 8,300 8,000 0 8,000 0 23 Fund raising costs 3,956 2,000 2,000 2,000 0 0 24 25 TOTAL EXPENSES ( p. 2, line 2) Notes anti Comments: THIS YEAR PROJECTED NEXT YEAR BUDGETED ADMINISTRA TION 275,198 282,178 298,324 52,412 45,053 46,756 4. Professional Consultation: Accounting fee paid to Great Balancing Act 6. Includes NASW fees, state license costs, RSVP lobbyist (required by contact) 19. Donations spent on housing needs of rural Jo Co residents, Jo Co Fair & related expenses. 21. Payments to independent contractors for housing repair/modification 22. Client reimbursements for subsidized chore work 23. Fundmiser mailing, RSVP pillows, afghans, Riverside Theatre benefit -4° 2. 3. 4. 5. 6. PROGRAM EXPENDITURE DETAIL (continued) PROGRAM Salaries Employee Benefits & Taxes Staff Development Professional Consultation Publications & Subscriptions Dues and Memberships 7. Mortgage, Rent and Property Tax 8. Building Maintenance 9. Equipment PurchasetRental/Maint. 10. Utilities 11. Telephone 12, Office Supplies & Postage 13. Printing and Publicity Local Transportation 15. Insurance 16. Audit 17. Interest 18. Other (Specify): see notes 19 Program Expenses 20 Miscellaneous 21 Contractors/Hse Rep 22 Subsidized chore 23 Fund raising costs 24 25 TOTAL EXPENSES ( p. 2, line 2) Notes and Comments: AGENCY: PROGRAM PROGRAM 3 4 5 RSVP IC Hse Rep CMFE 37,220 3,880 55,380 5,930 601 12,886 100 0 300 0 0 0 0 0 0 250 0 0 0 0 0 0 0 0 224 0 939 0 0 0 600 420 1,900 1,500 200 1,859 1,800 194 850 1,600 0 1,400 400 0 0 0 0 0 0 0 0 1,170 0 0 0 0 0 0 22,500 0 0 0 0 0 0 0 21. 22. 23. 50,794 27,795 75,514 Professional Consultation: Accounting fee paid tO Great Balancing Act Includes NASW fees, state license costs, RSVP lobbyist (required by contract) Donations spent on housing needs of rural Jo Co residents, Jo Co Fair & related expenses. Payments to independent contractors for housing repair/modification Client reimbursements for subsidized chore work Fundraiser mailing, RSVP pillows, afghans, Riverside Theatre benefit Elderly Services Aqencv PROGRAM PROGRAM PROGRAM 6 7 8 RESTRICTED FUNDS: Restricted by: Bd Supervisors/Jo Co Health Dept IA Dept EIder Affairs Iowa City Heritage AAA ESA Board AGENCY: ACTUAL LAST YEAR FY98 TOTAL RESTRICTED FUND (also shown page 2, line 4) MATCHING GRANTS~ Grantor/Matched by IA Dept EIder Affairs (RSVP) Iowa City: Hse Rep Heritage AAA: Chore Heritage: Assess & Inter. Heritage: Case Management TOTAL MATCHING GRANTS: IN-KIND SUPPORT DETAIL ServicesNolunteers: home visits/chore help/community service2 Material Goods: Space, Utilities, etc.: Senior Center office space & utilities Other: (Please specify) TOTAL IN-KIND SUPPORT (also shown on page 2, line 4) Notes and Comments: ~ does not match page 3, line 2 Elderly Services Aqency THIS YEAR BUDGETED PROJECTED NEXT YEAR FY99 FY2000 2ServicesNol's: FY98: -118- Restricted for: Subsidized Chore 15,027 11,000 11,000 RSVP 14,000 24,400 24,400 IC Sm Housing Repair 28,658 26,000 27,000 Chore 11,824 11.824 12.000 Assessment &Intervention 13,410 14,000 15.000 Case Management 49,788 53,000 55.000 Purchase of computers 4.398 0 0 Office asst. salary 4,844 3,019 4.814 141,949~ 143,243~ 149,214] Local funders Local funders Local funders Local funders Local funders SEE NOTES 14,000/12,667 24,400/12,409 24,400/14,225 28,658/3,917 26,0001500 27,000/795 11,824/13,940 11,824/20,953 12,000/21,112 13,410/20,580 14,000/25,837 15,000/26,123 49,788/8,534 53,000/11,843 55,000/19,797 59,638~ 71,542 ~ 82,052~ 152,514 176,323 176,323 8,640 8,640 , 8,640 161,154~ 184,963~ 184,963 RSVP matched by United Way and Johnson County funds; Housing Repair matched by United Way and City of Iowa City allocation Case Management matched by Iowa City, Coralville, United Way & Johnson Co. Chore, Jo Co, Iowa City, Coralville; A&I: U. Way, Coralville, & Johnson Co. 966 hrs @$1 0/Practicum Student; 23,809 hrs @ $7 by senior and student volunteers. -5- AGENCY: Elderly Services Agency SALARIED POSITIONS "X"all that apply FTE* Salary Position Last This Next Year Year Year Executive Director 32 X X 18% 1.0 1.0 1.0 Chore Coordinator 25 0 X 13% 1.0 1.0 1.0 RSVPNolunteer Coordinator 32 0 X 13% 1,0 1.0 1.0 Case Management Facilitator~ 22 X X 21% 0.8 1.0 1.0 Assessment & Intervention 25 X X 21% 1.0 1.0 1.0 Office Assistant2 12 X X 21% 0.54 0.79 1.0 Housing Repair Project Coord. 0 0 0 8% 0.04 0.04 0.04 Actual This Budgeted % Last Year Year Next Year Change 43,000 44,720 46,000 2.86% 27,700 29,000 30,000 3.45% 29,500 31,000 31,700 2.26% 22,113 27,000 28,700 6.30% 26,500 28,000 28,800 2.86% 11,296 16,848 23,000 37.00% 2,500 2,500' 2,500 0.00% ~Case Management Facilitator's position was vacant for 2.5 months in FY98. 2In FY98 the Office Assistant worked .54 FTE. In FY99 increased funding allowed raising number of hours to .8 FTE. In FY2000, interest from bequest allows funding this line full time. aaid leave: vacation and holidays plus one personal day each. ~ ~rcentage of benefits: health & dental, FICA, disability, long-term care & Worker's Comp. TOTAL FTE's and SALARIES 5.39 5.83 6.04 162,609 179,068 190,700 8.50% *Full-time equivalent: 1.0=full-time; 0.5=half-time; etc. -6- AGENCY Elderly Services Agency ACCOUNTABILITY QUESTIONNAIRE Agency's Mission Statement or Primary Purpose To help people 60 and over remain safely in their homes for as long as possible by planning, coordinating, and delivering paid and volunteer services. Board of Directors: Please attach a list of your agency's Board of Directors (page 7A) Frequency of meetings: monthly, except for July Briefly describe board orientation and ongoing training opportunities: 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: Are there fees for any of your services? Yes X No If YES, describe circumstances. $25 at time of signing 1st shared lease Are they flat fees or sliding fees X ? housing Does your agency have an: internal audit external audit Frequency annually xx financial review 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 Please discuss your agency's fundraising efforts, if applicable. We send out an annual fundraising letter in July to clients and their families. We hold a Riverside Theatre fund-raiser in May. We solicit donations from campus sororities, and RSVP sells afghans & pillows (although' we are decreasing that effort & increasing recruitment of sponsors for the RSVP newsletter). Management: Does each professional staff have a written job description? Is the agency Director's performance evaluated at least yearly? Yes XX No By Whom? Board of Directors Yes X No - 120- -7- President Barbara Womer 742 Andy Court N. Liberty 626-6662/356-2957 Vice President Glenys Wi!!iams 1911 Brown Deer Rd 338-1838 Secretary ]oyce Carman 34 N 7th Ave 338-4071 Treasurer Stan Miller 400 Plaza Center One 354-1500 Executive Director Jean H. Mann 315 Kimball Rd 356-5217/338-0265 Directors Susan Boyd 620 River St. 339-5948 Jodie MacDonald Byers 731 Grant St. 351-8766 1996 52317 1995 52241 Co~iville 1997 52245 1993 52240 Fax: 351-0109 52245 Fax: 356-5417 1998 52246 1993 52240 SrDS sS q Ss IggE ]oan Buxton 1998 2655 Hillside Drive 52245 338-5986 Charles W. Davidson 1502 First Avenue #4 351-8340 Lane Davis 249 Magowan Ave 351 - 1154 Gary Haymond 3005 Sweetbriar Ave 351-3186/338-1522 Fax: 338-9601 John Haefner 1425 Burry Drive 337-9458 Chris Knapp 2 Lime Kiln Lane 338-0909/356-9080 Fax: 356-9002 Joan 'Parsons 3887 Locust Ridge Rd NE 351-2008 Roberta Patrick 515 Oakland Ave 338-0309 1993 52241 Co~lville 1997 52246 1993 52245 1998 52246 1994 52240 1997 52317 North Liberty 1996 52240 -121- AGENCY Elderly Services Agency 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: $1.80 per unit of service; number of units provided: 23,574, indirect. RSVP: Service definition: volunteer community service to young & old; unit of service: volunteer hours; length of time: one volunteer hour; cost: $1.89 per unit of service; number: 23,476; indirect. Case Mana.qement: Service definition: after elderly are assessed and certified to need a nursing home's level of care, devising, coordinating & tracking plans to enable them to remain at home. Team comprised of 30 agencies, 3 hospitals, and nursing homes; unit of service: one Iowa assessment or reassessment; length of time: ten hours each; cost: $324; units provided: 215, indirect. Housina Repair: Service definition: repairs and modifications to elderly/handicapped households; units of service (]) small repairs; length of time: n/a; cost: $291 per unit of service; 18 households, indirect, (2) modifications: length of time: n/a, cost $2,518 per household, 7 households, indirect. Assessment & Intervention: service definition: assess needs of vulnerable, frail elderly and help meet those needs by providing information, making referrals & monitoring case, length of time: one hour of service; cost: $22 'per unit of service; number of units provided: 2080, indirect. 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 (including Iowa City and Coralville) did your Count 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? 1 b. Unduplicated Count 28. Duplicated Count 2b. Unduplicated Count 38. Duplicated Count 3b. Unduplicated Count 48. Total FY97 FY98 12,826 13,888 1,636 1,736 10,515 10,940 1,295 1,287 3,637 3,800 177 181 59,524 69,145 4b. To Johnson County Residents 58,149 ,65,200 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 Funding Sources: Heritage Area Agency on Aging -122- -8- AGENCY Elderly Services Agency Client Profile (for last complete year, if available): Age 6-17 3 18-29 0 30- 61 '37 62- 75 544 Female 1261 Male 475 75+ 1147 '4 cli~,nts refuggd'to reveal their':~geT' 7. Evaluation and Review: Effinioity African American 17 Native American 3 Asian 13 Hispanic 7 Caucasian/Non- 1696* Hispanic Multi-racial Please discuss how your agency measures the success of its programs. ESA agency staff sets 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. We determine client satisfaction in 'each program by asking them, using a variety of means, if they are pleased with what we are providing. B. Does your agency have performance objectives? (give several examples.) 1. Help 750 elderly maintain their residences by providing 10,000 hours of assistance with household chores by 6/30/2000 2. Provide 65 elderly 12,000 hours of in-home care by 6/30/99 3. Inform 1,650 elderly about services available to help them remain safely in their homes (by 12J31/98) assessing thoroughly those who appear to be at risk for losing their independence (15%) and making appropriate referrals (by 6/30/99). 4. Coordinate a case management team of 25-35 professionals twice a month for consultations on problems associated with the delivery of community based long term care What plans does your agency have to increase efficiency and effectiveness? In FY98, the Board of Directors began the process of strategic planning in a formal, evaluative manner. They set a five-year plan, with a one-year tactical plans (annual goals), survey of pdor accomplishments, and a review of current year accomplishments each month at the Board meeting. The five-year plan includes (in addition to providing current programs) identifying, planning & implementing new or expanded services, exploring and implementing new marketing strategies, developing continuin education strategies for staff and board members, and expanding formal evaluation~ of agency performance (to be done by professionals outside the agency) In what ways will the needs of your service population change in the next five years?: Our five-year plan is based on the assumptions that (1) there will be an increase in the elderly population, (2) an increase in the numbers of frail elderly requiring long-term care at home, (3) changes in health care delivery and financing (e.g. HMO's, health network partnerships. -123- AGENCY Elderly Services Agency -124- 9. Please discuss any other problems or factors relevant to your agency's programs, funding or service delivery: Interest in shared housing arrangements among older people declined over the last year or two. We try every way we can to advertise and attract the kind of older homeowner we think benefits most from this program (80 years old, single, impaired, living in a good- sized home), but haven't been able to increase our numbers for a couple of years. 10. List concerns and complaints about your services of which you are aware: A. There is great need for low-cost, hands-on respite care. Our chore & respite referral service cannot provide supervision & training of employees that State regulations require for such hands-on care without assuming the role of an employer. We have neither the staff required nor the funding to employ workers directly, but people ask us because our referrals for the chore program are so affordable. They assume we can do the same thing for trained respite. We have the same kind of problem with shared housing. B. People outside Iowa City (in Johnson County)want the same kind of services provided in Iowa City. Funding limitations mean we cannot always meet those needs. C. There is a shortage of workers. People want housecleaning services and expect us to provide help to do that. We cannot always find qualified, dependable help. 11. Do you have a waiting list or have you had tp turn people away for lack of ability to service them? What measures do you feel can be taken to resolve this problem: A. 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. B. The respite care situation requires attention from the community of service providers before the problem can be solved. We plan this year to bring together all providers of respite care, put together an informational brochure on what respite is available, how much it costs, make that available to the public, and then work with others to make respite available at an outside-the-home setting (day care center, church, nursing home) in an attempt to get around the worker shortage. How many people are currently on your waiting list? none 12. In what way(s) are your agency's services publicized? Staff appear on TV, radio and at public gatherings to talk about programs. We are the brochure center of the aging community if you need information on housing, services available from other agencies, nursing homes, case management (for doctors, family, & relatives). We do an annual mailing to 1,700 people about services. We advertise in the "Senior Center Post" and the Heritage Area Agency on Aging's "Involvement" newsletter. 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 Executive Development Seminars X Kick Off X Victory Reception X Volunteer Action Center X Other Directors' Rep to United Way Board X -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 by planning, coordinating, and delivering paid and volunteer services. 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 criminal 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 hired an outreach worker to reach older people directly. We trained 50 student volunteers to visit and call our frailer older clients, looking for signs of changes that might put their independence at risk. 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 $26,000 for small repairs, ramps, bathroom modifications.) In FY95, the Heritage Area Agency on Aging cohtributed 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 Foundation awarded $45,000 to start a case management program. After the grant was over, the City, County, United Way and the Heritage Agency continued financial support. Heritage has administrative oversight of the program and has assumed more and more financial responsibility. In 1990, the state funded RSVP half-time. ESA combined that program with other volunteer efforts. 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. By the end of 1995, ESA computerized reporting/recording efforts. In 1996, RSVP began its association with the Iowa City School District, working with older volunteers to staff programs to help students learn improve academically. 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, as well as money for an up-to-date computer system that allowed us to establish a network within the agency, making it easier to keep records on clients. A bequest in FY98 from the Franklin Estate allows us to use the interest to pay added hours for the office assistant for FY99. Case management now operates in Iowa and Washington Counties as well as Johnson. With the help of the Johnson County Community Network, ESA now has its own Web site so that people from other areas can find out about all the services for older people available in the county. RSVP won an annually renewable Federal grant in FY98 for FY99 to support its continued efforts in the public schools, this time teaching the youngest children (K-3) who rank at the bottom of the class on reading skills. Future plans include: Expanding our network of computers to allow us to hook into the rest of the Senior Center, and finding funds for the national information and referral data base called ISiS (with the goal of making that available to everyone at the Center). The Board's five-year strategic plan includes continuing and expanding our programs and services as appropriate to meet needs; developing new marketing strategies, new continuing education strategies for Board and staff, and expanding the formal evaluations of agency performance (and bringing in outside experts like Sam Levey, from Hospital and Health Administration at UI). -~- ,~. AGENCY Elderly Services Agency FY98 GOALS Please state FY98 goals and report status of progress/completion. Chore Program: I. To help 737 elderly maintain their residences by providing 9,000 hours of assisiance with household chores. Served 740 with 9,908 hours (including 978 volunteer hours) A. Refer 80-90 workers with good job references, a clean police record, experience with ordinary chore work and knowledge of tools, to be hired by eldedy clients at an affordable wage: done B. Advertise, screen, interview, refer and provide oversight for an average of 20-40 workers in an average of 363 jobs each month, negotiating a wage of $6 an hour (plus gas money if worker's machine is being used: done C. Administer Johnson County Health Department Subsidized Chore Program... aiming to serve 60-65 clients: done, served 64 D. Assess clients using the FASE: assessed all clients with the NAPIS (mandated by government) in place of the FASE E. Screen agency clients brought in through outreach programs for those who might need help with chores by checking their FASE: screened all clients F. Solicit and consider views of recipients by having them make written comments on the service agreements as to their satisfaction with work done, and by telephoning 5 randomly selected clients: done II. To provide 65 people with 12,000 hours of in-home cam: Provided 12,758 hours A. Refer 12-15 workers with experience in cadng for older people, a clean police record and good job references to be hired for non-skilled home care: referred 12 B. Assess each client using the FASE: assessed all clients using the NAPIS (mandated by government) in place of the FASE C. Work with case management to set up case plans using chore services when appropriate: done, provided chore help for 28 case management clients in Johnson County III. To find volunteers to provide 1,000 hours at no cost to eldedy with greatest economic and social needs: Provided 978 hours. a) Recruit 100 to 150 volunteers to provide 600 hours of help with chores done b) Coordinate efforts of professional societies volunteering help done Assessment and Intervention/Shared Housing I. To inform seniors of services focused on helping them remain safely in their homes, assessing thoroughly those who appear to be at risk for losing independence, and making appropriate referrals. A. Complete 150 FASE evaluations on frail elderly: completed 110 FASE evaluations through ESA staff, another 76 done by other agencies (which we encourage). B. Send personalized letters to 1,550 clients by 12/31 on services, rent and property tax reimbursement forms and deadlines: sent 1,650 at Christmas and 50 more later on. Did not send information on rent and property tax reimbursement, because the Courthouse did, but sent new brochures. C. Coordinate 6 presentations on services through VNA at rural flu clinics: did two, not effective, abandoned effort. D. Provide info on services at VNA Senior Center flu clinic to 300 people: done E. Administer 75 Iowa Assessment tools: completed 110 F. Send letter to all home-delivered meals' clients each month, asking to visit them to tell them about services available: done, made 152 visits and brought in 13 people to case management G. Train 30 volunteers to make 850 home visits to frail elderly clients: 31 college-age volunteers provided 862 home visits H. Develop a computerized info and referral service: not done; did not receive funding grant II. To coordinate a shared housing program to provide support for 25 elderly people trying to maintain their independence by remaining in their own homes A. Recruit 30 frail at dsk older people: 28 people enrolled in the program B. Screen and match 25 homeowners and tenants: not done, only able to match 14 (most of the others lived in surroundings not attractive to tenants; two lived in the country) AGENCY Elderly Services Agency Housing Repair Program I. Identify 65 low & moderate income older people & people with disabilities who live in Iowa City, Coralville and rural Johnson County who are in need of home repairs and modifications revolving around their safety: Changed focus of program to complete major modifications (bathrooms handicapped accessible, mostly) in seven households and minor repairs in 20 others. A. Provide an experienced contractor as project superintendent for 10 hours a month to evaluate repair jobs and detail specifications & monitor completion of the work: done, Jane Hagedorn hired. B. Refer jobs to 10-15 local contractors, using names taken from the Housing Rehabilitation approved list: done: hired 16 local contractors to complete repairs and modifications C. Administer program according to guidelines set out in Handbook for Small Housing Repair: done D. Refer elderly Iowa City residents in need of extensive home repair to Residential Accessibility Program, the Housing Rehabilitation Program or the Emergency Repair program: done E. Provide small housing repairs to the homes of 3-5 people from Coralville & 10 people from the rural areas of Johnson County. completed household repairs and modifications in two rural homes. 2. Provide housing modifications to enable people from Iowa City with disabilities involving ambulation/movement to remain in their homes A. Build 1 or two ramps: done, one ramp B. Provide bathroom modifications for 2-4 low income elderly: done; completed major bathroom modifications in six homes (average cost $2,230) Case Management Program I. To provide 130 very frail, sick people with all the options available to them in their fight to stay out of a nursing home as long as possible & to devise, implement and monitor plans of care to help them do so. A. In Johnson County 1. Complete 100 Iowa Assessments: not done, completed 68 (case management facilitator position vacant 3 months). 2. Complete 250 FASE's: not done, completed 135, changed focus on doing more FASE's to doing only those thought to need assessments (statewide change) 3. Complete 30 reassessments: done, completed 103 4. Bring in 70 new clients: done, brought in 70 5. Coordinate a team of 20-30 professionals meeting every other week: done 6. Work with HAAA staff on four regional consortium meetings: done 7. Formalize plans of care for all clients active in CMFE program & update: done 8. Write a letter to each client's MD stating goals of case management system, outlining the proposed plan of care and asking for suggestions/opinions: done 9. Screen home-delivered meals' clients interviewed by staff & refer for CMFE if needed: done, contacted f52 people by mail, about half requested home visits, f3 were brought into case management after assessment 10. Solicit & consider views of recipients of services by asking them to sign care plan: done B. Washington County 1. Complete 10 Iowa Assessments: done, completed 32 2. Hold 24 CMFE team meetings: done 3. Encourage agencies to complete 25 FASE's: almost, completed 23 4. Formalize plans of care for all clients active in CMFE program & update: done 5. Write a letter to each ciient's MD stating goals of case management system, outlining the proposed plan of care and asking for suggestions/opinions: done ~ 6. Solicit & consider views of recipients of services by asking them to sign care plan: done C. Iowa County 1. Complete 5 Iowa Assessments: done, completed 20 2. Hold 12 CMFE team meetings: done, by the end of the fiscal year, meeting every 2 weeks 3. Encourage agencies to complete 10 FASE's: done, completed 19 D. Complete 2 quality assurance reports: done 1. Appoint one social worker and one nurse from outside agencies to review the files: done 2. Relay information on deficiencies in the quality assurance report to the team in order to raise standard of team performance: done -13- 127- AGENCY Elderly Services Agency Retired & Senior Volunteer Program I. Provide a structured outlet for seniors wishing to give their time to the community through schools, human service support A. B. C. D. E. F. G. agencies, non-profit groups, nursing homes and the University, as well as providing recognition an~ for their efforts Maintain membership in RSVP by at least 220 people 55 or older: done, enrolled 3fO Contribute at least 21,000 hours of community service: done, contributed 22,831 hours Support 75 volunteer stations: done, supported 90 Publish a newsletter quarterly: done Make 15 media contacts and presentations: done Hold recognition celebrations for volunteers twice dudng the year. done Raise $3,751 for a 30% match for CNS grant dollars: done Administration of All Programs I. Increase effectiveness and efficiency of ESA's programs and support funders' efforts to serve older people. A. Analyze job descriptions at the annual evaluation of each staff member, combining and realigning tasks to increase job performance: done B. Encourage staff initiative in redesigning programs to improve service delivery: done C. Examine agency programs critically. working with the Board of Directors to 1. analyze outcome measures, looking at cost per unit of services: done, continuing 2. evaluate relevance of each program to needs of older people and our ability to meet those needs effectively: done, part of strategic planning process 3. evaluate unmet community needs in light of ESA's mission, working with local organizations to meet the needs of the elderly: done, continuing (e.g. a goal for this year is a respite care information booklet). Director serves on County-appointed ParaTransit Committee to work on transportation issues; Director serves on Jo Co Task Force on Aging; State Dependent Adult Protective Advisory Council; State Dependent Adult Assessment Task Force) 4. set up a computer network in the agency among the staff so that a) info on clients can be shared (among staff): done b) a national I&R data base can be installed to quickly provide info on services to older people and their families: not done, not funded 5. Act as a liaison between City/County staff and older people to explain policies and procedures changing as a result of governmental mandates: done, continuing. -128- -|4- 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.) Elderly Services Goal is to help people 60 and older remain safely in their homes for as long as possible by planning, coordinating and delivering paid and volunteer services. I. CHORE PROGRAM To help 750 elderly maintain their residences by providing 10,000 hours of assistance with household chores by June 30, 2000 Tasks: 1. To refer 90 workers who have a clean police record, experience with ordinary chore work, own tools and have good work references 2. Advertise for, screen, interview and refer an average of 20 to 40 workers each month, at a suggested wage of $6 - $8 an hour 3. Administer the Subsidized Chore Program for low-income clients with disabilities, aiming to serve at least 65 clients, pdmadly for the removal of snow and lawn mowing, providing at least 1,100 hours of help. SpeciaJ preference will be given to those people with the greatest economic and social needs, with special attention to rural eldedy and low income minorities 4. Screen each client, using the National Aging Program Information System tool (NAPIS), thus assisting in the identification of those with the greatest economic and social needs, making referrals as appropriate. 5. 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. 6. Evaluate objectives in January and May for outreach effectiveness, program and cost efficiency, and progress toward meeting objectives. To provide 65 people 12,000 hours of in-home care by June 30, 1999. Tasks: 7. Refer 12 - 15 workers with expedence in caring for older people, a clean police record and good job references to be hired for non-skilled home care. Assess each client using the NAPIS (National Aging Program Information System tool) Work with the case management team to set up case plans using chore services when appropriate Ao To find volunteers to provide 1,200 hours of services at no cost elderly with the greatest economic and social needs, especially those in rural areas, by June 30, 2000 Tasks: 10. Recruit 100 to 150 volunteers from social fraternities, sororities, and community organizations to provide 500 hours of seasonal help with chores for low income elderly. 11. Coordinate annual service days with Regina senior class and city of Iowa City employees for 700 hours of seasonal help with chores for low income elderly. ~ 12. Coordinate efforts of professional societies when 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: One full-time chore coordinator plus administrative oversight of director Desk, chairs (2), storage space for records, book shelves, office space & supplies Computer, answering machine, pdnter, calculator, copier, telephone & fax Office supplies, postage, etc. AGENCY Elderly Services Agency Cost of the chore program: FY99:$44,077 FYO0:$45,053 II. ASSESSMENT AND INTERVENTION To inform 1,650 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: 1. To train a practicum student to assist staff in the completion of 135 Functional Abilities Screening Evaluations on frail elderly 2. Send personalized letters to 1,650 clients by December 31, 1999 to inform them about services available. Include new agency, housing, case management brochures. 3. Provide information on services at the Senior Center VNA flu clinic to 300 people. 4. Administer the Iowa Assessment Tool to 65 new elderly clients referred for assessments and 70 referred for reassessments. 5. Mail a letter to all Home Delivered Meals' clients each time we receive a list from Senior Dining, asking permission to visit to discuss services, visit, when possible, and bnng as many people as appropriate (aiming for 15) into case management. 6. Solicit the views of all agency clients on the efficacy of our programs through a mailing in the early spdng asking for their evaluation. 7. Train 30 volunteers to make 850 home visits to frail elderly clients. 8. Evaluate objectives in January and May for outreach effectiveness, program efficiency & progress toward meeting objectives. To coordinate a shared housing program to provide support for 18 elderly people trying to maintain their independence by remaining in their own homes Tasks: 1. To recruit 18 frail, at-risk older people who are interested in sharing their homes in exchange for services, companionship and a reasonable rent. 2. To advertise for prospective tenants through the University and local media sources. 3. To screen and match 18 homeowners and tenants, monitoring the relationship to assess client satisfaction making referrals to available services as needed to support the older person 4. Evaluate objectives in January and May for effectiveness, program efficiency and progress toward meeting objectives. Resources needed for Assessment & Intervention Full-time licensed social worker, volunteer (practicum student) & administrative oversight Desk, chairs (2) storage space for records, bookshelves, office space Computer, answering machine,. calculator, copier, telephone & fax Travel money for assessments, training and meetings Cost of Assessment and Intervention FY99:$45,279 FYO0:$46,756 Ill. RETIRED & SENIOR VOLUNTEER PROGRAM To improve quality of life by providing 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 -130- -16- AGENCY Elderly Services Agency Tasks: 1. 2. 3. To maintain membership in RSVP to at least 285 people 55 and over To contribute at least 23,000 hours of community service To publish a quarterly newsletter listing volunteer opportunities and recognizes individual volunteer efforts. To make 15 media contacts and presentations about RSVP To hold recognition celebrations for volunteers twice during the year. To ensure renewal of grants to match National Corporation for National Service dollars. Resources needed for RSVP: Full-time RSVP director, part-time office assistant and 285 volunteers, plus support of the Executive Director Desks, chairs(3), storage space, book shelves, office space & office supplies Computers, answering machines, printers, copier, modem, telephone & fax Funds for travel to reimburse volunteers, for recognition of volunteer and for RSVP directors travel costs Cost of RSVP: FY99: $47,830 FY00: $50,794 IV. HOUSING REPAIR PROGRAM By June 30, 1999, Identify 40-50 low-income older people and/or people with disabilities who are in need of home repairs and modifications in order to improve the safety of their environment Tasks: 1. Provide an experienced contractor as project superintendent for 10 hours a month to evaluate repair jobs and detail specifications and assign work to contractors from Iowa City's Housing Rehabilitation Program list. 2. Refer jobs to 15-20 local contractors, using names taken from the Iowa City Housing Rehabilitation Program approved list. 3. Complete repairs in 20-30 homes and major modifications in four. 4. 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 planning staff, updating the program booklet at the beginning of FY2000. 5. 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. 6. Evaluate objectives in January and May for outreach effectiveness, program efficiency and progress toward meeting objectives. Resources needed for the Housing Repair program: Part-time construction consultant, and Executive Directors time to process requests for assistance. Reputable local contractors approved by the Iowa City Housing Rehabilitation Staff. Storage space for records, office supplies Access to computer, answering machine, printer, calculator, copier, telephone & fax Cost of Housing Repair: FY99:$26,500 FY00: $27,795 IV. CASE MANAGEMENT PROGRAM A. To coordinate a Case Management Team of 25-30 professionals that meets twice a month consultations about problems associated with the delivery of community-based long-term care for -]?- 1.':tl- AGENCY Elderly Services Agency Tasks: 1. 2. 3. 4. 11. 12. 13. Screen 160 elderly people using the Functional Abilities Screening Evaluation (FASE) to identify clients at high-risk for institutionalization. Conduct a formal assessment using the Iowa Assessment tool on 95 clients identified as high- risk, and 110 reassessments. Admit to the case management team 85 new clients who are at risk for institutionalization as demonstrated by their performance on the Iowa Assessment Tool. Convene a twice-monthly meeting for the members of the case management team to discuss the problems associated with filling clients' unmet needs and the coordination of formal and informal services for them. Coordinate regional Case Management Advisory Committee meetings in cooperation with the Heritage Area Agency on Aging. Formalize plans of care for all clients active in the Case Management Program and update them at prescribed intervals Organize, plan and conduct (in coordination with Hedtage Area Agency on Aging) eight formal training sessions on the administration of assessment tools and procedures used by the Case Management Program for members of participating agencies. Organize, plan and conduct informal retraining sessions for members of participating agencies on the administration of assessment tools and procedures used by the Case Management Program. Complete a quality assurance report on the policies and procedures of the Case Management Program as directed by the Iowa Department of EIder Affairs. Conduct a recruitment program to bring in 5 new members to the case management team, especially from housing sites, nursing homes, and any other new agencies providing care to older people in their homes. Advertise case management on "Senior Center TV" and through Public Access Television at least twice during the year. Design an information packet to accompany agency brochures for the benefit of consumer- based organizations. Increase funding to allow for expansion of Office Assistant's time to full-time. Resources needed to accomplish Case Management Two full-time staff members and the help of a practicum student, plus the support of the Director. Three desks and office space Three office chairs Filing cabinets Office supplies Telephones and answering machines Computer, printer, copier, printing service Training materials for Iowa Assessment and FASE tools Travel money for mileage Cost of Case Management Program FY99:$67,049 FY00:$75,514 V. ADMINISTRATION OF ALL PROGRAMS Objective: Tasks: 1. 2. 3. To increase agency effectiveness and efficacy Analyze job descriptions combining and realigning tasks to increase task efficiency. Encourage staff initiative in redesigning programs to improve service delivery to clients Raise funds to expand office assistant's job to full time.. 32- -18- AGENCY Elderly Services Agency 5. 6. 7. 8. 9. 10. 11. 12. Serve on the ParaTransit Advisory Committee to help meet the needs of people with disabilities vis-a-vis transportation Serve on the Dependent Adult Protective Advisory Council appointed by the Governor to better serve older people who are being abused Work with other professionals at the state level to design an assessment tool to use in working with abuse cases Explore possible partnerships with existing and planned local health networks to advocate the inclusion of long-term care components Working with the Board, explore new fund raising and marketing strategies Develop continuing education strategies for staff and Board members. Establish and undertake formal evaluation of agency performance by identifying consultants to evaluate agency Long Range Goals planning and provide insight on strategic planning Begin a cycle, every three years, to solicit opinions on agency performance from members of the community and other organizations or appropriate professionals serving the elderly Work with other United Way agencies to meet needs of older people in collaborative, innovative ways Resources'needed to administer programs: Full-time executive director, part-time office assistant Desk, chairs (2), storage space for records, bookshelf, office space & supplies Computer, answering machine, printer, fax, modem, calculator, copier, telephone Cost of Administration: FY99: $51,443 FYO0: $52,412 4~'1_ HUMAN SERVICE AGENCY BUDGET FORM City of Coralrifle Johnson County City of Iowa City United Way of Johnson County Director: Julia K. Rembert Agency Name: Emergency Housing Project Address: PO Box 3146 / 331 N. Gilbert Phone: (319) 351-0326 Completed by: Julia K. Reinbert CHECK YOUR AGENCY'S BUDGET YEAR AVVroved by Chair Board: "~,4~ Z"d,-~ c/qg'wd--- 1/1/99-12/31/99 X__ 10/1/99- 9/30/00 /0 - 7-~'~/ 4/1/99- 3/31/00 - (date) 7/1/99- 6/30/00 COVER PAGE Program Summary: (Please number programs to correspond to Income & Expense Detail, i.e., Program 1, 2, 3, etc.) Program 1, Shelter: The Emergency Housing Project (EHP) provides short-term housing to those who desire to achieve their maximum possible self-sufficiency. Others with critical housing needs are accomodated as space permits. In 1997, EHP housed 643 persons for a total of 9,048 nights stayed. The shelter component also consists of breakfasts, and a nightly snack. EHP provides 'food, shower, and laundry facilities, and a marl and message service to many people not staying at the shelter. EHP also verities homeless status for persons seeking housing assistance through the Iowa City Housing Authority. 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. Since 1995, 59% of Early Bird participants have achieved 10096 of their goals. In 1997, only 13% of Early Bird participants returned to EHP for additional services. ~'The Wrong Stuff," EHP's alcohol- and drug-abuse program is designed to assist those guests who are either currently in recovery, or who have exhibited signs of current abuse. The program is mandatory for appropriate guests and consists of counseling and referral. Program 3, Transitional Counseling: In 1996 and 1997, EHP assisted in developing housing and supportive services for single, previously homeless people. On July 1, 1998, that program spun off to be the independent agency "Successful Living." Program 4, Job Training: EHP, along with nearly 30 other area agencies applied for 1999 HUD funding to provide job training and placement services for chronically unemployed homeless people. It will likely be funded. If so, EHP will administer and provide case management for this program. Program 5, Family Space: EHP is networking with community partners to provide additional shelter space and services for homeless families. If adequate resources and partnerships are assembled, that program will begin in May 1999. Local Funding Summary: United Way of Johnson County - - Does Not Include Designated Gvg. City of Iowa City Johnson county City of Coralville 4/1/97 - 4/1/98 - 411199 - % of Total 3/31/98 3/31/99 3/31/00 Budget $ 17,500 $ 18,640 $ 20,000 9 FY98 FY99 FYO0 ~ $ 8,750 $ 9,000 $ 9,500 4 $ 9,200 $ 10,500 $ 11,500 5 $ 500 $ 600 $ 800 0.5 AGENCY: Emergency Housing Project 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. Shelter 2. In-house Counseling 3. Transitional Housing 4. Job Training 5. Family Space ACTUAL THIS YEAR LAST YEAR PROJECTED 1997 1998 160,887 160,331 BUDGETED NEXT YEAR 1999 224,658 3,813 -4,748 -6,101 157,074 165,079 230,759 165,635 166,432 21%792 49,930 54,011 48,766 115,705 112,421 171,026 90,168 90,534 91,801 9,736 11,418 16,105 15,801 10,469 0 0 0 47,911 0 0 15,209 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 Value of shelter building (1) Notes and Comments: 1. Drop in value accounts for depreciation of property and equipment. 43,920 52,984 101,250 47,350 46,130 50,240 100,000 81,926 80,000 BRIEFLY DESCRIBE HOW LOCAL FUNDS WERE SPENT LAST YEAR: Local funds were used to support all of the administrative and programmatic work at EHP, from turning on the lights to buying counseling time to purchasing paperclips. Local funds are the backbone of EHP's operation. They also serve as matching fun& for state, federal, and other grants. -135- INCOME DETAIL 1. Local Funding Sources- a. Johnson Coux~ty b. City of Iowa City c. United Way of Johnson County d. City of Coralville e. Faith Groups (1) 2. Grants - State, Federal, Foundations a. FEMA b. Emergency Shelter Grant Program c. CDBG - Transitional d. CDBG - Job Training e. HUD Job Training f. IFA Rehab g. Misc. small grants (2) 3. Net Sales Of Services (sources) a. Agency reimbursements(3) b. 4. Net Sales of Materials a. CDs b. 5. Contributions/Donations a. United Way Designated Giving b. Other Contributions 6. Special Events a. IA City Road Rac~s b. Home w/a Heart c. Concert 7. Interest Income 8. Other - List Below a. Line of credit advance b. Mist AGENCY Emergency Housing Project NON- Shelter Counseling ACTUAL THIS YEAR BUE~ETED DIRECTED PROGRAM PROGRAM LAST YEAR PROJECTED NEXT YEAR FUNDING 1 2 56,718 57,555] 66,709I 14,909 42,800{ 3,000 _ 8,600 9,850 11,000 6,000 5,000 0 8,000 8,750 9,250 4,250 5,000 o 16,920 18,355 19,659 4,659 15,000 0 500 600 800 0 800 0 22,698 20,000 26,000 0 17,000 3,000 44,912 56,084 104,250 14,000 32,250 3,000 1,530 5,086 5,250 0 5;250 0 33,167 36,393 48,000 14,000 25,000 3,000 9,223 11,505 0 0 0 0 0 0 4,000 0 0 0 0 0 44,000 0 0 0 0 500 0 0 500 0 992 2,600 3,000 0 1,500 0 37 5001 1,500 0 3001 1,200 37 ' 500 1,500 0 300 1,200 0 2,00o 3,000l 2,00o 01 1,000 0 2,000 3,000 2,000 ] 0 ] 1,000 21,083 18,339[ 22,000 9,000 13,000[ 0 2,074 2,139 ] 2,000 2,000 0 ] 0 19,009 16,200 20,000 7,000 13,000 0 26,156 30,101 33,000 9,0001 3,5001 8,000 8,538 10,887 13,000 2,000 0 0 11,675 15,000 15,000 7,000 3,500 4,000 5,943 4,214 5,000 0 0 4,000 305 3001 loo 1001 el o 7,863 200l 200 2o0 o l 0 7,00~ 0 0 0 0 0 863 200 200 200 0 0 TOTAL INCOME (same as p. 2, line Notes and Comments: 157,074 165,079 230,759 49,209 91,850 16,200 1. 1999 increase in faith group results from special grants for Family Space. 2. Foundations include Gannett, Rotary Club, Lutheran Brotherhood, Pilot Club, etc. 3. In 1998, the Iowa City VAMC received an anonymous $2100 donation to provide services to homeless veterans. EHP is being reimbursed for counseling provided to homeless veterans until the donation is exhausted. -136- INCOME DETAIL (cont) 1. ,~.,cal Funding Sources- a. Johnson County b. City of Iowa City c. United Way of Johnson County d. City of Coralville e. Faith Groups 2. Grants- State, Federal Foundations a. FEMA b. Emergency Shelter Grant Program c. CDBG ~ Transitional d. CDBG - Job Training e. HUD Job Training f. IFA Rehab g. Misc. small grants ~. Net Sal~s Of Services (sources) a. Agency reimbursement b. 4. Net Sales of Materials a. CDs b. 5. Contribueons/Donations a. United Way Designated Giving b. Other Contributions 6. ,c ;al Events a. ~,~ City Road Races b. Home w/a Heart c. Concert 7. Interest Income 8. Other - List Below a. Line of credit advance b. Misc. iTOTAL INCOME (same as p. 2, linelb Notes and Comments: Tram. Corms. PROGRAM 3 0 0 0 0 0 0 0 0 0 0 0 o o 0 0 0 o 0 0 O[ 0 0 o o o ol O[ 0 o 0 Job Training PROGRAM 4 0 0 0 0 0 0 0 0 0 4,000 0 0 0 0 0 0 0 0 0 1,000 o 0 0 o 4 ,000 AGENCY Emergency Housing Project Family Space PROGRAM 5 . ,6,000 0 0 0 0 6,000 7,500 0 6,000 0 0 0 0 1,500 0 0 0 o 0 0 4,5OO 4,00o 0 0 0 o 0 18,000 PROGRAM EXPENDITURE DETAIL 1. Salaries 2. Employee Benefits & Taxes 3. Staff Development 4. Prof. Consultation (Bookkeeping 5. Publications & Subscriptions 6. Dues and Memberships 7. Mortgage, Rent and Property Tax 8. Building & Maintenance 9. Equipment Purchase/Rental 10. Utilities 11. Telephone 12. Office Supplies & Postage 13. Printing and Publicity 14. Local Transportation 15. Insurance 16. Audit 17. Interest 18. Other (Specify): Garbage Collec 19. Water and Sewer 20. Household Supplies 21. Food 22. Guest Transportation 23. Guest Overflow Lodging 24. Guest Emergendes 25. Misc. AGENCY Emergency Housing Project NON- Shelter ACTUAL THIS YEAR BUDGETED DIRECTED PROGRAM LAST YEAR PROJECTED NEXT YEAR FUNDING 1 104,859 101,703 134,342 32,210 52,262 21,447 19,159 26,070 6,181 10,439 426 750 1,000 300 250 910 1,020 1,200 1,000 0 0 150 200 50 50 293 150 150 75 0 0 0 8,100 0 0 2,968 4,000 4,000 0 4,000 1,015 4,000 2,500 500 500 4,807 5,850 7,400 0 5,600 2,526 2,600 3,680 750 1,000 3,636 2,900 4,000 1,250 750 5,337 3,200 4,500 2,000 500 426 750 1,000 200 700 3,766 4,100 4,200 2,000 2,200 1,835 2,100 2,100 2,100 0 0 250 50 50 0 1,980 2,100 Z100 0 Z100 3,048 3,500 3,700 0 3,700 1,913 2,700 3,500 0 2,800 2,602 3,000 3,200 0 2,800 617 750 800 0 700 533 900 750 0 750 217 500 750 0 500 474 550 500 100 200 TOTAL EXPENSES ( p. 2, line 2) Notes and Comments: PROGRAM 2 12,168 1,362 100 0 25 0 0 0 500 0 850 750 250 0 0 0 0 0 0 0 0 0 0 . 0 100 165,635 166,682 21%792 48,766 91,801 16,105 AGENCY Emergency Housing Project Family Space PROGRAM PROGRAM PROGRAM' 3 4 5 1. ,aries 0 35,400 2,302 2. Employee Benefits &Taxes 0 7,736 352 3. Staff Development 0 300 50 4. Prof. Consultation (Bookkeeping) 0 200 0 5. Publications & Subscriptions 0 50 25 6. Dues and Memberships 0 75 0 7. Mortgage, Rent and Property Tax 0 0 8,100 8. Building & Maintenance 0 0 0 9. Equiptment Purchase/Rental 0 1,000 0 10. Utilities 0 0 1,800 11. Telephone 0 600 480 12. Office Supplies &Postage 0 1,000 250 13. Printing and Publicity 0 1,500 250 14. Local Transportation 0 0 1130 15. Insurance 0 0 0 16. Audit 0 0 0 17. Interest 0 0 0 1L /ther (Specify): Garbage Collect 0 0 0 19. Water and Sewer 0 0 0 20. Household Supplies 0 0 700 21. Food 0 0 400 22 Guest Transportation 0 0 100 23. Guest Overflow Lodging 0 0 0 24. Guest Emergendes 0 0 250 25. Misc. 0 50 50 PROGRAM EXPENDITURE DETAIL (continued) Trans. Couns. Job Training TOTAL EXPENSES ( p. 2, line 2) Note~ and Commentsi' 0 47,911 15,209 -139- AGENCY Emergency Housing Project RESTRICTED FUNDS: Restricted by: Emergency Shelter Grant Program Corn. Development Block Grant FEMA HUD Funds Com. Development Block Grant ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR :~TOTAL RESTRICTED FUND (also shown page 2, line 4) Restricted for: Salaries 33,167 36,393 48,000 Transitional Counseling 9,223 11,505 0 Shelter Operations 1,530 5,086 5,250 Job Training 0 0 44,000 Job Training 0 0 4,000 43,920 52,984 ] 101,250 MATCHING C-RANTR Grantor/Matched by Emergency Shelter Grant Program Donations/Local Fund. 33,167 36,393 48,000 TOTAL MATCHING GRANTS (also shown pg. 3, line 2) 33,167 36,393 48,000 ,IN-KIND SlIPPORT DETAIl, Services/Volunteers General services at $5.50/hour. Material Goods Space, Utilities, etc. Other: (Please specify) Poster/CD layout, printing, etc. TOTAL IN-KIND SUPPORT (also shown on page 2, line 4) Notes and Comments: 14,850 14,235 15,000 27,50O 26,895 28,240 0 0 0 5,0O0 5,000 7,000 47,350 ~ 46, 130] 50,240 -140- icco~hs/xlbud*.xl~ _ r, SALARIED POSITIONS AGENCY Emergency Housing Project Position/Title "X"all that a3ply FTE* Salary · ~a ~ .~ Last This Next Actual This Budgeted % Year Year Year Last Year Year Next Year Change Director X X X 24 1.00 1.00 1.00 31,500 Shelter/Early Bird/Faro Sp Couns. (1) X -- X 16 1.00 1.00 1.00 22,688 Shelter Counselor (2) X X X 28 1.00 1.00 1.00 17,434 ShelterFFrans Corms. & Vol. Coord. (3) X X X 34 1.00 1.00 1.00 14,590 34,325 30,000 -13% 24,117 25,229 3% 18,007 18,221 3% 15,630 13,520 -16% 0.10 0.25 0.25 258 2,243 6,533 291% X X X NA 0.50 .... 7,230 0 0 NA 0.10 0.25 0.25 2,727 4,233 3,900 -5% ........ NA 0.50 0.50 0.00 8,432 3,148 --- NA X X X 26 .... 1.00 ..... 24,000 NA X X X 27 .... 0.50 ...... 10,400 NA 1 .... 0.50 ...... 1,200 NA Shelter Counselor (4) Shelter Supervisor Wrong StufffYrans. Counselor Transitional Counselor Job Training Program Coordinator Job Training Program Clerical Asst. Family Space Practicum Student TOTAL FTE's and SALARIES * Full-time equivalem: 1.0=full-time; 0.5=half-time; etc. /I AGENCY: Emergency Housing Project ACCOUNTABILITY QUESTIONNAIRE A. Agency's Mission Statement or PdmaW Purpose: The mission of the Emergency Housing Project is to meet the short-term needs of the homeless. Our first priority is to work with those whom, in our judgment, wc can assist to achicvc maximum possible indep~denc¢. Wc will accommodate others with critical short-term housing nee~ls as our limited space and resources allow. Assistanc~ will be offered in a safe and healthy environment, with respect for the dignity of each person. B. Board of Directors: 1. Please attach a list of your agency's Board of Directors (page 7A) 2. Frequenoy of meetings: Monthly. Social meeting in May, no meeting in July. 3. Briefly describe board orientation and ongoing training opportunities: New Board members attend an orientation at the shelter, during which time the Board Chair leads them through the history, policies, and budget of the organization. EI-ff"s Director conducts a tour of the house and answers any questions. The Board Chair and EHP's Director apprise Board members of educational oppommities and materials pertinent to EHP' s mission and work. C. Finances: 1. Are there fees for any of your services? Yes __ No X a. If YES, describe circumstances. b. Are they flat fees or sliding fees ? On occasion, EI-IP will receive a voucher for services from ~c University of Iowa 'Hospitals and Clinics ($ ] 0/night) or the Vaerans Affairs Medical Center (VAMC) ($9/night). 2. Does your agency have: an internal audit external audit X financial review Frequency _Annually 3, Has your agency filed the Annual Report with the Secretary of State? Yes X No 4. Has your agency filed Form 990 with the IRS? Yes __X No 5. Please discuss your agency's fundraising efforts, if applicable. Home with a Heart Open House and Direct Mail Solicitation. Each January, EI~ mails approximately 2,000 letters inviting friends of EHP to attend an open house and/or make a donation. The open house is on a Sunday nearest February 14. The fundraiser 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. In 1995, 1997, and 1998, EH? held fundraising concerts featuring local artists. The concerts and CDs resulting from the 1997 and 1998 shows have been very successful fundraisers. EHP has plans to continue the tradition. Hospice Road Race. EHP has been a strong participant in the Road Race. Each year, the Board of Directors raises approximately $10,000 through the Race, pledge by pledge. 42- -7- Jan Caylor New Song Episcopal PO Box 5522 Coralville, IA 52241 Joan Eimas, Vice Chair Trinity Episcopal 4 S. Mr. Vernon Dr Iowa City, IA 52245 Paul Horiek Zion Lutheran 1411 OaklawnAve Iowa City, IA 52245 Joyce Left First United Methodist 12 Lakeview Dr NE Iowa City, IA 52240 Ed Moreno Unitarian Universalist 34 Samuel Drive Iowa City, IA 52245 Esther Relish Agudas Aehim 66 Pefro Dr Iowa City, IA 52246 Emergency Housing Project 1998 Board of Directors Kathy Clark, Chair Congregational UCC 150 Oakridge Ave Iowa City, IA 52246 Karen Dinsmore Coralville United Methodist 1705 Oak Lake Park Rd. Coralville, IA 52241 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 Jane Kinney Faith UCC 321 Fairview Iowa City, IA 52245 Mike Kratz VA Medical Center Highway 6 Iowa City, IA 52246 James McCue, Secretary St. Mary's 447 S. Summit Iowa City, IA 52240 Patti Mitchell St. Mark's United Methodist 133 Green Mtn. Drive Iowa City, IA 52245 Mary Palmberg First Presbyterian 1718 Wilson St. Iowa City, IA 52245 John Rauer First Christian 100 Cardiff Circle Iowa City, IA 52246 Carol Solberg, Treasurer Gloria Dei e/o ACT, PO Box 168 Iowa City, IA 52243 Kevin Wemer St. Patrick's 3020 Wayne Ave Iowa City, IA 52240 7a .143- AGENCY: Emergency Housing Project D. Management: 1. Does each professional staff have a wdtten job description? Yes __X__ No 2. Is the agency Directors performance evaluated at least yearly? Yes __X__ No By Whom? The Board of Directors, Staff Advisory Committee 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.) Shelter: Units of service are the cumulative total nights stayed by all clients during the year. The 1999 projected cost of running the shelter is $91,801. Assuming 29 guests each night, EHP spends $14.79 per guest (a decrease from last year's cost per unit) 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. In an average month, our services are 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 to visit the hospital, wait for a soon-to-arrive check, or get out of inclement weather. In 1997, EHP had 388 transient visitors for a total of 819 nights stayed for an average of 2.11 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 1997, EHP had 303 long-term visitors for a total of 8,229 nights stayed for an average of 27.16 days per Early Bird stay. 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 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 pro- vide? Enter Years 1996 1997 la. Duplicated 167 196 Count lb. Unduplicated 140 167 Count 2a. Duplicated 144 156 Count 2b. Unduplicated 120 132 Count 3a. Duplicated 14 16 Count 3b. Unduplicated 13 14 Count 4a. Total 9,677 9,048 4b. To Johnson 2,949 3,323 County Residents - 144- -8- AGENCY: Emergency Housing Project 5. Other Areas Served: Do you provide services to areas outside of Johnson County? Not applicable. All services are provided in-house. Area(s) served: Services provided: Funding Sources: 6.- Client Profile (for last complete year, if available): Age Gender Ethnicity 0 - 5 21 Female 114 Afdcan Amedcan 90 6 - 17 42 Male 529 Native Amedcan 3 18 - 29 139 Asian 4 30 - 61 420 Hispanic 37 62 - 75 14 Caucasian/Non-Hispanic 493 75 + 7 Multi-racial 16 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 fiatfilled their Early Bird agreements, from 0 - 100%. For example, a participant would be rated as completing 100% of their agreement if s/he left EHP with long-tom housing, a job, and some money. Someone who found and maintained a job and saved money but left EHP before locating housing would have completed 75% of his/her agreement. Since 1995, 59% of Early Bird participants have left the shelter 100% successfia!ly. Security Upon Ex/t. The EHP director regularly analyzes the rate of return (recidivism rate) of EHP participants to determine the security of their placement upon exit. In 1997, only 13% of Early Bird participants returned to the shelter. B. Does your agency have performance objectives? [Give several examples] Staff members co-creato performance objectives for themselves with the Executive DireCtor, tailoring them to their positions. Overall, they include: treating guests 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 oppommities, 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. -9- -145- AGENCY: Emergency Housing Project C. What plans does your agency have to increase efficiency and effectiveness? Multi-tasking. EHP staff people wear many hats, and continue to pile them on. In 1999, one staff person will be responsible for shelter night supervision, Early Bird case management, and case management for Family Space. Collaboration. EIIP is extremely interested in collaboration to provide more effective services to mutual clients: In a very recent example, EItP is working with a group of agencies which provide services to homeless children. Our goal is to better provide transportation for children attending daycare and school. Motel Charges. When at capacity, EHP occasionally provides motel lodging for one night for people in dire need. In 1998, EHP staff found better-priced overflow lodging, helping our funds go farther. 8. 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-IP is grong dramatically. In 1995, 43 children stayed at EHP. In 1997, 63 had been served. Multi-needs Guests. Since May 1998, we have been seeing more guests with multiple and high needs. These are guests with many barriers to success including substance abuse issues, erratic work histories and habits, and mental and physical health needs. Multi-needs guests take longer to complete the program, resulting in fewer beds opening up less frequen~y, leaving more homeless people tinserved. 9. Please discuss any other problems or factors relevant to your agency's programs, funding or service delivery: Crowding and Future Needs. From July through October 1998, EI-IP and many area shelters have been full every day. This is highly unusual for this time of year. Staff members speculate that we are increasingly seeing very hard to serve guests (see Multi-needs Guests, above). Because of the still-growing economy, EHP guests motivated and able to work can find a job within one week. However, most positions do not offer a living wage, increasing that person's risk of cycling through homelessness again and again. Further, when the economy slows, we expect increased demand for our already stretched services. 10. List complaints about your services of which you are aware: Inability to house couples/families together. Because of limited space, men and women are divided into separate bedrooms, with small children being housed with the mother (thus far, EH1~ has not served a single father with a small child). This further damages the already stressed family and causes trauma to the children. EHP would partially address this problern in its program, Family Space. 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 accommodate all who seek services. 11. Do you have a waiting list or have you had to tum people away for lack of ability to serve them? What measures do you feel can be taken to resolve this problem: We do not have a waiting list; services are first come, first served, based on available space. When full, we make referrals, sometimes assist with transportation to another site, and infrequently place guests in a motel. Creating more space would provide more room for guests. However, we could not raise the necessary operating funds to dramatically increase space available. In Family Space, our new project to house more homeless families, we will expand our programming on a two-year, trial basis. -146- -10- AGENCY: Emergency Housing Project How many people are currently on your waiting list? __NA__ 12. In what way(s) are your agency's services publicized? EHP's services are publicized in many ways, including print and broadcast media, periodic newsletters, brochures in local libraries and agencies, Board minutes (distributed to member religious organizations), and staff speeches at community group meetings.. 13. United Way involvement by your agency: ("X" if agency participates) a. Agency Directors Meetings X b. Agencies Representative to Funding Headngs c. Business Blitz X d. Day of Cadng X e. Kick Off X f. Victory Reception __X,,_ g. Other providing brochures, information, appearances, etc. when requested (e.g., ACT's Campaign activities, etc.) -11- -147- AGENCY: Emergency Housing Project 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.) Our Mission and Beelnnlne. The Emergency Housing Project (EHP) is a private, secular, not-for-profit agency started in 1983 by local faith groups and human 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 Street. 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 Early Bird Procram. EHP hired a full-time director in July 1993. Shortly after, EHP introduced the "Early Bird" case management program through which participants develop and agree in writing to pursue goals. Participants receive counseling on budgeting, interpersonal and life skills, and information and referral to other needed social services. Further, EHP fostered agency relationships allowing a psychiatrist, psychiatric nurse, and outreach counselor to make weekly visits to provide mental health services on-site to guests who need them. EHP provides supportive services and various homeless prevention efforts to many former participants and low-income Johnson County residents. EItP also provides "The Wrong Stuff," a substance abuse counseling program. The Success ofEarlv Bin$ In February of 1994, EHP limited the number of persons served per night from approximately 40 to 29. 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. Since 1995, 59% of Early Bird participants have achieved 100% of their agreed-upon goals. The Transition to Self-Sufliciencv. EHP continues to push the envelope in searching for or creating opportunities for homeless and low-income people to transition into serf-sufficiency. In 1996, EHP won awards from the City of Iowa City and the Housing and Community Development Commission, and the Community Development Block Grant program for its innovative approach to homelesshess. In March of 1996, EHP entered a partnership with the City of Iowa City and D & K Properties, a private boardinghouse owner. In our Transitional Project, EHP provided Early Bird-style supportive services to residents of three boardinghouses, for which we received a 1997 HUD "Good Practices" award. EHP administered this program until July 1, 1998, at which time a new agency, Successful Living, began operating. Procram Direction~ EHP is now much more than a shelter. In 1983, we provided lodging and food with little structure and no supportive services. In 1998, we provide shelter, support, and a jump-start to independence for 29 people at a time. We work hard with EHP participants in our Early Bird program so they won't have to come back and stay with us in the future. Because homeless people know that to stay at EHP they will need to work toward self-sufficiency, we are not a "magnet" for people not interested in moving forward in their lives. Job Training. Further, EHP is addressing factors in our community that contribute to homelessness. People without steady incomes cannot maintain even affordable housing. In 1997 and 1998, EItP 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 the top-rated idea in Iowa by a state-level committee, including representatives df the Iowa Department of Economic Development and the Coalition on Housing and the Homeless. If funded, the proposal would bring over $1 million into Johnson County to be used by many agencies to serve at least 100 people. Family Space. EHP has struggled with housing families. We are limited by space constraints in terms of the number of families we can serve. Further, our building layout and hours are not as family-friendly as we wish them to be. Depending on funding resources, in May 1999, we will begin Family Space. In Family Space, we will rent two apartments for the exclusive use of homeless families. We are partnering with the University of Iowa's School of Social Work to provide a graduate student liaison for the families. Family Space guests will receive the same successful Early Bird programming and assistance as other EHP guests. -148- -12- AGENCY: FY98 GOALS Please state FY98 goals and report status of progress/completion. Emergency Housing Project Program Shelter In-House Counseling Transitional Counseling Job Training Goal · To house, comfort, and feed homeless people each night in an environment conducive to human dignity. · To provide resources that help homeless people in JohnsOn County remain linked with the rest of the world. · To provide individually tailored, success-oriented case management and counseling to EHP residents. To help previously homeless Johnson County residents make a successful and permanent transition into the greater community. With other Iowa agencies, to help chronically unemployed Johnnon County homeless people become as self-sufficient as possible through employment. Status Ongoing. Ongoing. Ongoing. Completed. Pending. -149- AGENCY: Emergency Housing Project AGENCY PROGRAM GOALS AND OBJECTIVES, FY00 Goal: To shelter and provide services to at least 600 homeless persons in Johnson County. SHELTER PROGRAM Objective A: To house, comfort, and feed up to 29 people each night in a safe environment conducive to human dignity. 1. Provide hospitality and related services. 2. Recruit and orient at least 25 volunteers per year to assist in hospitality provision. 3. Assess each resident to determine strengths, needs, and compatibility with shelter program. Objective B: Tasks: To provide resources that help at least 100 homeless persons in Johnson County remain linked with the rest of the world. 4. 5. Resources needed 1. 2. 3. Cost of Shelter Provide evening laundry and shower services to at least 10 homeless persons/night. Serve as a mail and message center for 100 homeless people not necessarily staying at EHP. Provide avenue for socializing with others from 5-10 pm each night. Recruit and orient at least 25 volunteers per year to supervise socialization hours. Provide local phone access for persons in need. for the Shdter Program: , Three night shift workers, 15% of the Direetor's time, 5 hours of Volunteer Coordination each week. Shelter facilities (house, bedroom furniture, other fumiture, linens, food, etc.,). Office equipment (computer, copy machine, fax, phones, filing cabinets, desks). Assorted resources (books, televisions, VCR newspapers, personal care items, cleaning products ). Office supplies. House maintenance supplies. Program: FY 98 $90,534 FY 99 $91,801 -15o- -14- AGENCY: Emergency Housing Project AGENCY PROGRAM GOALS AND OBJECTIVES To help at least 250 people who are homeless and in Johnson County become as self- sufficient as possible through the Early Bird Case Management program. SHELTER PROGRAM Objective A: To assist 65% of Early Bird Case Management participants find and maintain jobs, locate housing, and leave the shelter with financial savings. Tasks: 1. Assess each gucst to determine strengths, needs, and goals on which he/she will work while in shelter. 2. Create a contract with each resident concerning agreed upon goals during the shelter stay. 3. Refer residents to substance abuse counseling or treatment, the Community Mental Health Center's homeless outreach counselor, the University of Iowa Hospitals and Clinics' IMPACT program, or other resources as necessary. 4. Follow up at least weekly with Early Bird participants concerning progress made or challenges faced in fulfilling agreement. 5. Evaluate progress made during stay at shelter. 6. Celebrate success by giving 25 graduating case management participants a "Welcome Home Kit," a basket filled with items necessary for living on one' s own. 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. 5. Assorted resources. 6. Office supplies. Cost of In-House Counseling Program: FY 98 $11,418 FY 99 $16,105 -151- AGENCY: Emergency Housing Project AGENCY PROGRAM GOALS AND OBJECTIVES Over three years, to assist 110 chronically unemployed homeless persons become as self- sufficient as possible through employment. JOB TRAINING PROGRAM Objective A: With other Iowa City agencies, to provide job training, placement, and corollary services for up to two years to 30people in 1999, and 40 people in both years 2000 and 2001. Tasks: 1. Create individually tailored employment success plans for 100 participants over 3 years. 2. Provide resources, internship and job training sites, education, peer support, job placements, and supervision as appropriate for each participant. 3. Provide housing or make referrals to appropriate temporary housing placement options to all participants. 4. Re, emit at least 15 agencies willing to provide job training placement opportunities at their sites. 5. Obtain competitive employment for 85% of those with that goal. 6. Obtain supported employment for 85% ofthose with that goal. 7. Minimize program length to an average of 12 months. 8. Obtain stable housing for 85% of participants. 9. Obtain an average competitive employment wage of $ 1 95/week. 10. Obtain an average supported employment wage of $137/week. Emergency Housing Project resources needed for the Job Training Program: 1. Case manager, clerical and bookkeeping half-time staff person, 50% of Director's time. 2. Office space and equipment. 3. Assorted resources. 4. Office supplies. Emergency Housing Project cost of Job Training Program: FY 98 $0 FY 99 $47,911 -16- AGENCY: Emergency Housing Project AGENCY PROGRAM GOALS AND OBJECTIVES Goal: Provide shelter and services in a more effective and family-friendly environment. FAMILY SPACE PROGRAM Objective A: From May to Decen~ber 1999, to provide at least 12 additional homeless families with housing and Early Bird case management services. Tasks: 1. Secure location for rental apartment to be used for homeless families. 2. Provide hospitality and related services to at least 12 additional homeless families in 1999. 3. Asse~s each family to determine strengths, needs, and goals on which they will work while in shelter. 4. Create a contract with each family concerning agreed upon goals during the shelter stay. 5. Enroll all children in school, daycare, or appropriate other arrangement. 6. Refer guests to substance abuse counseling or treatment, the Community Mental Health Center's homeless outreach counselor, the University of Iowa Hospitals and Clinics' IMPACT program, the Iowa City Community School District's LINKS program or other resources as necessary. 4. Follow up at least weekly with Early Bird participants concerning progress made or challenges faced in fulfilling agreement. 5. Evaluate progress made during stay at shelter. 11. Celebrate Success by giving graduating case management participants a "Welcome Home Kit," a basket containing items necessary for independent housekeeping. Emergency Housing Project resources needed for the Family Space program: 1. Case manager, University of Iowa School of Social Work practicum student, 5% of Director's time. 2. Apartment space. 3. Assorted resources. 4. Office equipment. 5. Office supplies. Emergency Housing Project cost of Job Training Program: FY 98 $0 FY 99 $15,209 jccoghs~agemrv~i.do¢ -17- .153- HUMAN SERVICE AGENCY BUDGET FORM Director: Ethel Madison City of Coralville Johnson County City of Iowa City United Way of Johnson County CHECK YOUR AGENCY'S BUDGET YEAR Agency Name: Even Conner Rights & Resources Address: 20 East Market Street Phone: 319-338-3870 Completed by: Ethel Madison/Jean Bott Approved by Chair Board:~ 1/1/99 - 12/31/99 4/1/99 - 3/31/00 7/1/99- 6/30/00 X 10/1/99 - 9/30/00 October 2, 1998 (date) COVER PAGE Program Summary: (Please number programs to correspond to Income & Expense Detail, i.e., Program 1, 2, 3, etc.) 1 - Independent Living Skills training is provided to consumers in the areas of self-advocacy, assistive devices, socialization, health care, sexuality, financial & time management, homemaking, community resources, leisure and recreation. 2 - Advocacy The Conher Center provides self-advocacy training for ersons with diabilities, as well as supporting their efforts defending legal, human, and civil fights on local, state and federal levels. ' 3 - Peer Support Services Through the Conner Center, persons with disabilities come together to share common experiences with each other, provide support and practical day-to-day problem solving. Local Funding Summary: United Way &Johnson County - - Does Not Include Designated Gvg. City of Iowa City Johnson County City of Coralville 4/1/97 - 4/1/98 - 4/1/99 - 3/31/98. 3/31/99 3/31/00 $0 $0 $6,000 FY98 FY99 FY00 0 0 0 0 0 0 0 0 0 % of Total Bu, dget 2% 0% 0% 0% jccoghs/rdbudg.xls ;4- -1- AGENCY: Evert Conner Rights & Resources CIL 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 Independent Living Program 2 Advocacy 3 Peer Support Services ACTUAL LAST YEAR July '97 - June '98 231,979 THIS YEAR PROJECTED July '98 - June '99 221,344 BUDGETED NEXT YEAR July '99 - June '00 243,597 458 1,282 1,282 231,521 220,062 242,315 230,697 220,062 242,315 28,499 33,009 38,897 202,198 187,053 203,418 109,920 99,028 107,692 41,525 39,611 43,077 50,753 48,414 52,649 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: The carryover balance is the cash balance in the agency's checking account. 8,032 8,434 8,855 33,954 35,164 36,664 BRIEFLY DESCRIBE HOW LOCAL FUNDS WERE SPENT LAST YEAR: ast year local funds consisted of reimbursement of services from DHS which was used in the independent living program for PAS for consumers and for staff salaries. - 2 - .lss- INCOME DETAIL ACTUAL LAST YEAR I. Local Funding Sources- ~8,127 a. Johnson County b. City of Iowa City c. United Way of Johnson County e. DHS - Johnson County 3, 177 f. DHS - Iowa County 4,950 2. Grants - State, Federal, Foundations [218,884 a. Title VII - RSA 150,658 b. Department of the Blind/Voc Rehab. 42,915 c. DVRS - Part B 12,100 d. Grant - University of Missouri 3,889 e. Grants - Other 9,322 f. United Way of East Central Iowa 0 3. Net Sales Of Services (sources) I161 a. Braille Materials 161 b. c. 4. Net Sales of Materials [ 0 a. b. c. 5. Contributions/Donations [ 3,284 a. United Way Designated Giving ] 763 b. Other Contributions 2,521 6. Special Events [ 0 a. Hospice Road Race b. Other Events c. ,7. Interest Income I 0 .4. Other- List Below I 1,065 a. Miscellaneous/Reimbursements 1,065 b. c. TOTAL INCOME (same as p. 2, line lb) Notes and Comments: 231,521 AGENCY Evert Conner Rights & Resources CIL NON- THIS YEAR BUDGETED DIRECTED PROJECTED NEXT YEAR FUNDING 12,3001 17,3401 01 PROGRAM PROGRAM 1 2 IL Advocac 17,340 ~ 0 1,500 5,400 5,400 199,6101 153,924 20,588 12,000 5,000 2,890 5,208 1501 150 0l 1,500[ 500[ 1,000 6,002[ 2,000 4,002 O[ 500[ 5001 6,000 5,670 5,670 215,3251 36,7471 155,000 32,997 26,000 12,000 5,000 2,325 15,000 3,750 1501 15ol 150 150 6,000 5,670 5,670 82,852 36,556 26,000 9,840 1,906 8,550 0[ 01 01 01 1,500 [ 1,500 500I 500 1,000 1,000 7,500 [ 0 2,500 5,000 ol I 500 [ 500 [ 500 500 7,5001 2,500 5,000 220,062 242,315 38,897 107,692 43,077 32,798 2, 160 5,000 419 2,700 0 43,077 156- -3- INCOME DETAIL (cont) 1. Local Funding Sources- a. Johnson County b. City of Iowa City c. United Way of Johnson County PROGRAM 3 Peer Support 01 AGENCY Evert Conner Rights & Resources CIL PROGRAM PROGRAM PROGRAM PROGRAM PROGRAM 4 5 6 7 8 ol ol ol ol o 2. Grants - State, Federal, Foundation a. Title VII - RSA b. Deparanent of the Blind/Voc Rehab. c. DVRS - Part B d. Grant - University of Missouri e. Grants - Other f. United Way of East Central Iowa f. Grants - Other/Miscellaneous 3. Net Sales Of Services (sources) a. Braille Materials b. c. 4. Net Sales of Materials b. c. 5. Contributions/Donations [ a. United Way Designated Giving b. Other Conmbutions 6. Special Events ] a. b. c. 7. Interest Income I !8. Other - List Below I a. Miscellaneous/Reimbursements b. c. TOTAL INCOME {same as p. 2, linelb) Notes and Comments: 52,649 52,649 01 0[ ol ol ol ol o ol ol ol ol o 52,649 ol ol ol ol o ol ol ol ol ol ol I ol ol ol ol ol o ol ol ol ol ol o o o 0 0 -157- PROGRAM EXPENDITURE DETAIL ACTUAL THIS YEAR LAST YEAR PROJECTED 1. Salaries 155,398 146,271 2. Employee Benefits &Taxes 25,069 23,403 3. Staff Development 3,893 3,000 4. Professional Consullation * 6,243 6,200 5. Publications & Subscriptions 0 0 6. Dues and Memberships 430 300 7. Motgage, Rent and Property Tax 21,584 21,516 8. Building & Maintenance 739 500 9. Equiptment Purchase/Rental 0 1,210 10. Utilities 1,127 1,200 11. Telephone 5,224 4,000 12. Office Supplies &Postage 3,350 3,500 13. Printing and Publicity 0 1,000 14. Local Transportation 2,564 1,850 15. Insurance 810 1,000 16. Audit 2,700 2,700 17. Interest 18. Other (Specify): 19 Bank Charges 20 0 20 Fundraising Expense 59 500 21 Miscellaneous 77 99 22 On Line Services 243 250 23 Program Supplies 1,167 1,563 AGENCY Even ConnerRighB & Resources CIL NON- PROGRAM PROGRAM BUDGETED DIRECTED 1 2 NEXTYEAR FUNDING IL Advocacy 163,483 24,522 73,567 29,427 26,157 3,924 11,771 4,708 3,500 525 1,575 630 6,200 930 2,790 1,116 0 0 0 0 300 45 135 54 22,000 3,300 9,900 3,960 500 75 225 90 1,500 225 675 270 1,440 216 648 259 4,160 624 1,872 749 3,600 540 1,620 648 1,000 150 450 180 2,000 300 900 360 1,000 150 450 180 3,000 3,000 0 0 0 0 0 0 0 0 0 0 0 0 500 75 225 90 100 15 45 18 275 41 124 50 1,600 240 720 288 TOTAL EXPENSES ( p. 2, line 2) 230,697 220,062 242,315 38,897 107,692 43,077 Notes and Comments: Professional Fees = Accounting Services = $1,805; Consultation - $ 233; Interpretors - $1,822 & PAS for Consumers = $ 2,383. -4- PROGRAM EXPENDITURE DETAIL (continued) PROGRAM 3 Peer Support ,.'Salaries 35,966 2. Employee Benefits &Taxes 5,755 3. Staff Development 770 4. Professional Consultation * 1,364 5. Publications &Subscriptions 0 6. Dues and Memberships 66 7. Morgage, Rent and Property Tax 4,840 8. Building &Maintenance 110 9. Equiptment Purchase/Rental 330 10. Utilities 317 11. Telephone 915 12. Office Supplies & Postage 792 13. Printing and Publicity 220 14. Local Transportation 440 15. Insurance 220 16. Audit 0 Interest 0 18. Other (Specify): 19 Bank Charges 20 Fundraising Expense 21 Miscellaneous 22 On Line Services 23 Program Supplies 24 25 0 110 22 61 352 TOTAL EXPENSES ( p. 2, line 2) Notes and Comments: AGENCY Evert Conner Rights & Resources CIL PROGRAM PROGRAM PROGRAM PROGRAM 4 5 6 7 PROGRAM 8 52,649 0 0 0 0 0 - 4a - -159- AGENCY Evert Conner Rights & Resources CIL RESTRICTED FUNDS: ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR Restricted by: Restricted for: Donor - DVRS \ IDB Career Development/Employment Donor - University of Missouri Civil Rights Training 42,915 20,588 26,000 3,889 5,000 5,000 TOTAL RESTRICTED FUNrD (also shown page 2, line 4) 46,8o41 25,588] 31,000[ MATCHING GRANTS Grantor/Matched by None TOTAL MATCHING GRANTS (also shown pg. 3, line 2) 0 01 IN-KIND SUPPORT DETAIl, S errices/Volunteers Material Goods Space, Utilities, etc. Other: (Please specify) see below 8,032 8,434 8,855 l' 'O AL IN-KIND SLIPPORT (also shown on page 2, line 4) [ 8,032l 8,4341 8,855 ~l T Notes and Comments: Volunteers serve on the agency's Board of Directors; produce the agency's newsletter on a quarterly basis; serve as support office staff and help with special events. The number of volunteer hours last year was 1,004. The volunteer hours were valued at $8 per hour. -160- 5 SALARIED POSITIONS AGENCY Even Connet Rights &Resources CIL Position/Title Director PAS/Peer Counselor Advocacy. Services Coordinator Career/Skills Advisor Office Manager Outreach Consultant Systems Change Advocate Staff PA Office Manager (CR)* Deaf Services Coordinator (CR)* Outreach/Awareness (CR)* Outreach/Awareness (CR)* Special Project/Grant Resource Developer "X"all that apply ~ ~ Last Year o% 1.00 X ll% 1.00 X ~% 1.00 X ~ 1.00 X ~3~ 1.00 o~ 0.75 X ~5% 0.75 0% 0.20 0% 0.25 0% 0.34 o~ 0.00 o~ 0.00 0% 0.25 o~ 0.10 FTE* Salary This Next Actual This Budgeted Year Year Last Year Year Next Year 1.00 1.00 34,000 34,000 34,000 1.00 1.00 18,900 18,900 18,900 1.00 1.00 19,250 18,800 20,000 1.00 1.00 19,600 18,700 20,000 1.00 1.00 16,640 16,640 18,000 0.75 1.00 13,841 12,155 18,000 0.50 0.50 14,230 10,176 10,583 0.40 0.00 2,455 4,900 0 0.25 0.50 3,780 4,000 8,000 0.00 0.00 6,177 0 0 0.25 0.50 0 4,000 8,000 0.25 0.50 0 4,000 8,000 0.00 0.00 4,625 0 0 0.00 0.00 1,900 0 0 % Change 0% 0% 6% 7% 8% 48% 4% -100% 100% 0% 100% 100% 0% 0% *Employees who work in the Cedar Rapids office. TOTAL FTE's and SALARIES ] 7.64 7.40 * Full-time equivalent: 1.0=full-time; 0.5=half-time; etc. 8.00 155,398 146,271 163,483 12% - 6 - -'t6't- 62- AGENCY: Evert Conner Rights & Resources CIL ACCOUNTABILITY QUESTIONNAIRE A. Agency's Mission Statement or Primary Purpose: Our mission is to assist individuals with disabilities to maintain control over day to day activities and to advocate for themselves in order to achieve greater independence and full participation in an integrated society. B. Board of Directors: 1. Please attach a list of your agency's Board of Directors (page 7A) 2. Frequency of meetings: Monthly 3. Bde~y describe board orientation and ongoing training opportunities: 4. New board members are provided with a board manual, which includes the Center's By-laws, policies & procedures, mission statement, budget, goals and objectives and board duties and responsibilities. In addition a board manual produced for orientation purposes is made available. Board members are provided with board training annually if only by senior members. Whenever affordable board members attend other beard trainings. The director or another qualified staff member will provide independent living philosophy training to all new members. C. Finances: 1. Are there fees for any of your services? Yes X No __ a. If YES, describe circumstances. The Center charges for services requested by counties and Vocational Rehabilitation on behalf of consumers. In addition we charge a fee for technical assistance to businesses seeking barder removal or sensitivity training. b. Are they flat fees X or sliding fees ? 2. Does your agency have: an internal audit external audit X financial review Frequency __annually 3. Has your agency filed the Annual Report with the Secretary of State? Yes 4. 5. X No Has your agency filed Form 990 with the IRS? Yes X__ No Please discuss your agency's fundraising efforts, if applicable. The majority of funds raised by the Center are threugh grant wdting. In addition we participate in the Hospice Road Race, an annual ADA Celebration which generates some funds, and we are planning to hold an auction which if successful will become an annual event. At some point in the future, the board plans to develop a membership, which is also designed to raise funds. D. Management: 1. Does each professional staff have a wdtten job description? Yes __ 2. Is the agency Director's performance evaluated at least yeady? X No -7- Edward Blake BOARD MEMBERS LIST Evert Conner Rights Resources CIL Todd Case Timothy Clancy (Vice Chair.) Matthew Goodlaxson (Treasurer) Ester Materon-Arum Nancy Ostrognai Bob Tiegmier LaVeme Tutson Byford Wheeler (Chair) -7a- -163- AGENCY: Evert Conner Rights & Resources CIL Yes __X__ No By Whom? The board of directors AGENCY Evert Conner Rights & Resources CIL E. Pmgrarn/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.) A unit of service = hours. The cost per unit is: $41.94/hour 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. 164- -8- AGENCY: Evert Conner Rights & Resources CIL How many Johnson County residents (including Iowa City and Coralville) did your agency serve? How many Iowa City residents did your agency serve? Enter Years 1997 1998 1 a. Duplicated 56 62 Count I b. Unduplicated 49 55 Count 2a. Duplicated 12 16 Count 2b. Unduplicated 41 46 Count 3. How many Coralville residents did your agency 3a. Duplicated 0 0 serve? Count 3b. Unduplicated 5 7 Count 4. How many units of service did your agency pro- 4a. Total 4,650 5,500 vide? 4b. To Johnson 2,450 2,550 J County Residents 5. Other Areas Served: Do you provide services to areas outside of Johnson County? Yes Area(s) served: Linn, Benton, Jones, Cedar, Iowa, and Washington Counties Services provided: peer counseling, information and referral, IL skills training and individual and systems advocacy. Other services are provided upon request from consumer. Funding Sources: Department of Education, Division of Vocational Rehabilitation Services, United Way of East Central Iowa, Great Plains (ADA Project) AGENCY Evert Conner Rights & Resources CIL Client Profile (for last complete year, if available): Age Gender Ethnicity 0 - 5 Female 31 Afdcan Amedcan 6 - 17 Male 24 Native American 18-29 14 Asian 6 3 1 30 - 61 41 Hispanic 62 - 75 Caucasian/Non-Hispanic 44 75 + Multi-racial I -9- -165- AGENCY: Evert Conner Rights & Resources CIL 7. Evaluation and Review: A. Please discuss how your agency measures the success of its programs. A compliance and performance report is made at the end of the federal fiscal year to the Rehabilitation Services Administration (RSA). In addition a site review is made by RSA. The consumer's request the services provided by the Center and they evaluate the services that they receive. The board reads the consumer evaluations and the comprehensive report made to RSA. In addition the staff and board members hold an annual retreat to evaluate services and to make plans for the future of the organization. Does your agency have performance objectives? [Give several examples] The Center staff and board are having a retreat in October to develop a new five-year plan, which will include goals, objectives and measures for the five-year plan. C. What plans does your agency have to increase efficiency and effectiveness? We will continue to provide staff and board development, develop advison/councils and increase our volunteer base. In addition we will use the annual retreats to work through problems, and to develop work plans for the next fiscal year. 8. In what ways will the needs of your service population change in the next five years: According to a recent report from Independent Living Research and Utilization (ILRU), the need for independent living services will increase because the disability population is expected to increase considering the elderly population and other contributing factors leading to disability. Since the national trend is leaning more toward people with disabilities living in their own homes instead of in institutions the provision of the following services should increase: personal assistance services (PAS), and PAS management training, peer counseling, advocacy and self-advocacy skills training. In addition the type of services offered by CILs will also increase because of self-determination. Providers in Iowa are just boginning to talk about self-determination. Self-determination is the principle under which Centers for Independent Living establish programs and implement services. -166- -10- AGENCY: Evert Conner Rights & Resources CIL Please discuss any other problems or factors relevant to your agency's programs, funding or service delivery: According to the national movement and recent surveys consumers are in need of additional civil dghts, PAS and self-advocacy training. There is a lack of adequate accessible and affordable housing, transportation and recreation activities available to people who have disabilities. Other populations that are under served by this and other agencies are individuals who are blind and those who are deaf. In addition our current funding does not allow us to increase staff or to pay staff an adequate salary. 10. List complaints about your services of which you are aware: The complaint we hear the most is that we are not very well known. And often people question the advocacy services because they are unable to see individuals with disabilities as equals and deserving of full participation in the community in the same manner as everyone else. 11. Do you have a waiting list or have you had to turn people away for lack of ability to serve them? What measures do you feel can be taken to resolve this problem: We are unable to offer complete services to individuals whoare blind and those who are deaf because of our limited staff and the knowledge base needed to work with that population. It is the practice of Centers to hire individuals who experience those types of disabilities to provide the service and technical assistance to other staff. How many people are currently on your waiting list? 0 12. In what way(s) are your agenc~'s services publicized? We often have articles in the pdnt media, through radio, and public access TV. Brochures are sent out and are at the public library, a quarterly newsletter is published and mailed to more than 200 individuals and organizations. 13. United Way involvement by your agency: ("X" if agency participates) a. Agency Directors Meetings b. Agencies Representative to Funding Headngs c. Business Blitz d. Day of Cadrig e. Kick Off f. Victory Reception g. Other X X AGENCY._Evert Conner Rights and Resources Center for Independent Living -11- -167- AGENCY: Evert Conner Rights & Resources CIL 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.) Independent Living, Inc./dba Evert Conner Rights and Resources Center for Independent Living was established and incorporated in August of 1979. The Mental Health/Mental Retardation, and Developmental Disabilities Unit of the Department of Human Services of Johnson County provided the funding. The initial purpose of the agency was to establish a peer counseling and advocacy support group for persons with mental health, mental retardation and developmental disabilities diagnoses residing in Johnson County. The project was to provide information, socialkecreation opportunities and education concerning facilitating a method to address their needs. Business meetings were initiated to offer discussions for disseminating information conceming legislative issues on disabilities. The meetings also served as a forum for discussions regarding housing needs, household management, job opportunities and self-advocacy. The consumers established a speaker's bureau. Its purpose was to inform the community of disability dghts and issues, address concems of those to become advocates, and promote the deinstitutionalization and mainstreaming of consumers into the community. In 1982, the agency became a member organization of United Way of Johnson County. With additional funding, the agency increased staff and provided educational classes in the areas of communication skills, self-esteem, sexuality, community resources, prevocational skills and vocational skills training. We also taught classes in assertivehess/decision making, consumer economics, safety, hygiene, relaxation and coping with stress. Through a purchase of service contract with the Department of Human Services IL, Inc offered additional services including job coaching. In 1987, IL, Inc. applied for nonproffi status In 1992, IL, Inc. decided to attempt to establish a full-fledged Center for Independent Living (CIL) because of exhibited need, It seemed that all guidelines were being followed to allow us that affiliation with the exception of federal recognition. We applied for federal funding to establish a CIL fitting the federal definition and guidelines. we were approved for funding for five years which is ending September 30, 1998. A second five year grant was awarded and will begin October 1, 1998. The federal definition for a CIL is: A pdvate, non-profit, community based, consumer-controlled organization providing services on a cross-disability basis. CILs must be govemed and staffed by a majority of persons with disabilities (at least 51%), and they must provide 4 core services which are: Advocacy, IL skills training, Peer counseling, and Information & referral. They must also offer other services and peer support in other areas as requested by the consumer. Currently we serve the following counties: Johnson, Washington, Iowa, Cedar, Linn, Benton and Jones. -~68- -12- AGENCY: Evert Conner Rights & Resources CIL FY98 GOALS Please state FY98 goals and report status of progress/completion. Because of the Centers mission and vision statement most of our goals are on going. Our vision is to become a strong advocacy organization that will act as a catalyst for the civil dghts movement of persons with disabilities and as an exemplary model for the community to ensure that people with disabilities have choice in their lives and are seen as equals in the community. Goal 1 To Continue to provide quality IL services and training to ensure that the IL philosophy and civil dghts laws are implemented. Letters were sent to each county and meetings were set up to provide IL philosophy training. At the meetings surveys were provided to determine the current needs. In addition we met with city officials in Linn and Washington Counties to offer technical assistance and training conceming individuals with disabilities. CR police department has used our assistance twice concerning how to work with the deaf population, and they will offer training to the deaf community in this fiscal year. Goal 2 To establish relationships to ensure consumer choice and that community sees people with disabilities as equals. Two Councils on Disability Rights and Education (CDRE) have been established to ensure consumer input into community accessibility, three' advisory groups have been established to offer technical assistance to the Center. We have developed a relationship with Voc Rehab at the local and state levels. We continue to work with business owners and legislators conceming disability issues. Goal 3 Continue to establish and implement fundraising activities to ensure adequate funding is available to operate the Center. The Center has been successful in wdting several small grants. Two were wdtten to United Way of East Central Iowa to their county donor and time limited programs. We received funding from each of them. In addition we received funding from the ADA Project in Missoud to assist in our civil dghts and capacity building services, and from the Division of Vocational Rehabilitation Services and Iowa Department for the Blind. Additional fundraising efforts have been the ADA Parade and Celebration and pdvate donations. We are currently developing an auction to become an annual event. ~ -13- AGENCY: Evert Conner Rights & Resources CIL 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: The Center will continue to provide quality IL service to ensure that existing and new consumers will maintain the ability to make informed choices and will advocate for their dghts to participate fully in an accessible community and to manage their day to dayactivities. Objective 1: By July 30, 1999 the Center board and staff will develop a plan to implement 5 IL philosophy training sessions, 3 self-advocacy training sessions, and the 4 core services will be provided upon request from consumers in addition to other services identified by consumers in the seven counties. (ED responsible) Activities: 1. 2. 3. 5. 6. Goal 2: Plan a two day retreat to develop a staff work plan to provide services. Review consumer evaluations, discuss staff and Center problems and creative solutions. Include consumers and others in the community in the planning process. Target areas to provide training. Target team to provide training in each targeted area. Discuss training format; and develop new materials if needed. To act as a catalyst for the civil dghts movement of persons with disabilities, and as an exemplary advocacy model for the community. Objective 2: By June 30, 2000, provide 7 education and awareness sessions to the general community concerning the civil rights of people with disabilities and provide 7 civil dghts training sessions to consumers and will plan 3 legislative forums. We will continue to provide individual advocacy upon request of consumers and systems advocacy when needed. (Advocacy Services Coordinator, and advocacy team responsible) Activities: 1. Target communities for awareness sessions. 2. Target consumers for training sessions. 3. Develop team that will assist, and plan strategy. 4. Plan where legislative forums will be held 5. Assist consumers with issues of discrimination and accommodations. -170- o14- AGENCY: Evert Conner Rights & Resources CIL Goal 3: Center will continue to enhance and provide peer services and peer counseling training to ensure that consumers become role models that will provide support for each other to facilitate choice and a better quality of life.. Objective 1: By November 30, 1999 at least 3 peer counseling classes will be held, and peer matches will be made upon request, and peer counseling will be provided to assist with personal assistance services (PAS) Activities: 1. Target areas that need peer-counseling training. 2. List individuals willing to become peer counselors to assist others with disabilities. 3. Provide technical assistance to consumers who need PAS management training. 4. Update PA lists. Goal 4 To ensure that adequate funding is available to expand and populations of all ages and cultures in seven counties. Objective 1: implement IL services to all disability By August 30, 1999, continue to create a resource development plan that will allow an increase in Center funding. (Board fundraising committee, staff and volunteers responsible) Activities: 1. Board finance committee, staff and volunteers will develop plans for fundraising 2. We will develop plans for the ADA program. 3. We will develop plans for the Auction 4. We will participate in the Hospice Road Race 5. We will continue to apply to United Way of Johnson County 6. We will continue to apply to United Way of East Central Iowa 7. We will continue to write for other available funding through RFPs. -15- -171- PROGRAM EXPENDITURE DETAIL AGENCY 4Cs Community Coordinated Child Care NON- PROGRAM ACTUAL THIS YEAR BUDGETED DIRECTED 1 LAST YEAR PRO3ECTED NEXT YEAR FUNDING 1 Salaries 194,433 196,398 212,426 22,259 77,215 2 EmployeeBenefits&Taxes a 19,682 31,217 38,237 4,006 13,899 ~. Staff Development 3,025 2,000 2,000 1,000 4. Professional Consultation 3,831 b 4,502 5,331 3,887 ~. Publications &Subscriptions 740 c 1,000 1,000 600 ', Dues and Memberships 250 300 300 100 7. Morgage, Rent and Property Tax 6,306 6,306 6,306 6,306 q. Building &Maintenance d 7,259 3,000 3,500 3,500 ~. Equipment Purchase/Rental 15,188 6,000 6,000 4,000 e i9. Utilities 3, 131 3,400 3,600 3,600 1. Telephone 4,311 4,200 4,200 3,000 ' 2 Office Supplies & Postage 6,439 6,128 6,500 422 4,500 3 Printing and Publicity 4,294 4,382 4,400 281 3,060 4. Local Transportation 2,305 f 7,053 3,000 150 286 5 insurance 5,526 g 7,500 7,500 265 1,000 ,, Audit 1,350 h 2,500 3,000 3,000 ? Interest 0 s Other (Specify): ') Miscellanous 4,405 IProvider reimbursements 178,693 169, 150 175,000 1 Home Ties Meals 7, 189 9,678 10,000 : Mayor's YouthTreenplace 19,897 PROGRAM 2 78,290 14,093 500 331 200 100 899 403 399 300 2,027 5,500 10,000 )TAL EXPENSES (p. 2, Ih~e 2) 468,357 484,611 ]~ 492,300 30,383 ores and Comments: not all employees were eligible for health insurance for the full year A professional accounting firm is taking over responsibilities that had previously been done internally , Subscriptions include Interact access. Includes one-time remodeling expenses. Includes purchase of office equipment and phones. Variety Clubs of America has awarded Home Ties a Sunshine Van. We will pay a one time acquisition fee of $4,000. Insurance costs will rise with the van. The agency will have a full audit each year. The agency will spend down a portion of carryover to meet expenses. 125,953 113,048 AGENCY: 4Cs Communicty 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. Non-directed funding b. Program Total (List Progs. Below) 1 Resource and Education 2 Home Ties Child Care Center 3 Child and Adult Care Food Program 4 5 ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR 7/1/97 -6/30/98 7/1/98 - 6/30/99 7/1/99 - 6/30/00 522,205 538,464 543,070 54,105 53,848 53,853 468,100 484,616 489,217 468,357 484,611 492,300 27,397 24,546 30,383 440,960 460,065 461,917 121,967 127,252 125,953 107,895 112,569 113,048 211,098 220,244 222,916 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: 447,997 407, 151 430,024 77,890 76,470 75,380 253,835 260,500 270,500 (a) Ending balance includes $10,837 encumbered funds for Home Ties and a reserve to prevent cashflow problems during the year. BRIEFLY DESCRIBE HOW LOCAL FUNDS WERE SPENT LAST YEAR: Local funds were used to augment services at Home Ties, and to provide services to low-income familes ar Midcare givers. Jccoghs/)dbudg.xls - 2 - -173- INCOME DETAIL 1. Local Funding Sourees- a. Johnson County/DECAT b. City of Iowa City c. United Way of Johnson County d. City of Coralvi!le e. University of Iowa I: Johnson County/MHDD 2 Grants -SUtte, Federal, Foundations a. IA Child Care D~velopment Grant b. Child Care Food Program c. USDA Food Program/HT d. IA Child Care Grant c. Empowerment t~ ~ Net Sales Of Services (sources) a. Comm Ed/Referrals/Emp. Cont b. 4. Net Sales of Materials b. ~ Contributions/Donations ~I a. United Way Designated Giving I b. Other Contributions t,. Special Events a. Iowa Road Races b. Family Fun Day ! ~. Other - List Below ~ a. Rent b. Reimbursement ACTUAL LAST YEAR 169,716 81,321 AGENCY 4Cs Community Coordinated Child Care NON- THIS YEAR BUDGETED DIRECTED PROGRAM PROGRAM PROJECTED NEXT YEAR FUNDING I 2 174,454I 162,050I 5,304 [ 77,746I 79,000 65,022 70,000 70,000 14,621 15;89 18;76 13.76 8,000 9,000 73,774 c 63,774 73,774 d 30,369 275,3231 ] 273;66 293;50 32,664 34,524 36;5o 234,643 e 213,831 22o,ooo 8,016 9,678 10,000 f 5233 7,000 g 10,000 20,000 ,o,6,61 I ,5,4211 15,421 10,616 15,421 15,421 4,028 18,425 1,925 16,500 69,746 44,325 34,325 27,000 l 0,000 7,000 10,000 10,000 4,166] 11255 ] 0 4,166 11;55 I o ol ol o ol o 7,064 [ 10,470 10,596I 0 { 3,048 7,548 1237 2,473 I 2,596 ~ 13.98 1298 5,827 7,997 8,000 1,750 6250 2,596 I 3,900 4;001 200 1,0001 3,000 1,869 2,900 3,000 1,000 2,000 727 1,000 13.00 200 1,000 2,785 '] ' ' 2'~700 ' 2,700 ' 2,700 [ 0 I 4,405 1,000 1,0001 1,000 1,000 4,405 TOTAL INCOME (same asp. 2, line Ib) 468,100 484,616 489,217 31,795 137,374 116,548 Notes and Comments: ..... a ) DECAT funding is no longer available, all current funds are from Johnson County. b) UI thnded a pilot reimbursement program for which funds were not utilized by students; therefore, this year's funding was reduced by the carryover. c) 4Cs and Mayor's Youth operated a pilot program for developmentally challenged youth; depending on :t,~ding this program may be repeated again next year. . d) Decrease due to a reduction in federal reimbursement rates. : c) The State (under Title XX) pays for some families at Home Ties. . I) Johnson County Empowerrnent funds may be available. 74- iee~hCAclh,d. vk 1NCOME 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. Iowa Child Development Block Grant b. Child Care Food Program C. d. e. f. 3. Net Sales Of Services (sources) 3. b. C. 4. Net Sales of Materials b. C. 5. Contributions/Donations a. United Way Designated Giving b. Other Contributions 6. Special Events a. b. .C. 7. Interest Income 8. Other - List Below a. b. C. TOTAL INCOME (same as p. 2, linel b) Notes and Comments: AGENCY 4Cs Community Coordinated Child Care PROGRAM PROGRAM PROGRAM PROGRAM PROGRAM PROGRAM 3 4 5 6 7 8 203,500 203,500 ol I I I I 203,500 :75- PROGRAM EXPENDITURE DETAIL AGENCY 4Cs Commumty Coordinated Child Care ACTUAL TH/S YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR 1, Salaries 194,433 196,398 212,426 2 Employee Benefits & Taxes a 19,682 31,217 38,237 ~. Staff Development 3,025 2,000 2,000 4. Professional Consultation 3,83 1 b 4,502 5,331 [5. Publications &Subscriptions 740 c 1,000 1,000 c; Dues and Memberships 250 300 300 ; 7 Morgage, Rent and Property Tax 6,306 6,306 6,306 is Building &Maintenance d 7,259 3,000 3,500 i9 Equipment Purchase/Rental 15,188 6,000 6,000 e ! 10. Utilities 3,13 1 3,400 3,600 NON - DIRECTED FUNDING 22,259 4,006 1. Telephone 4,311 4,200 4,200 2. Office Supplies & Postage 6,439 6, 128 6,500 3. Printing and Publicity 4,294 4,382 4,400 4 Local Transportation 2,305 f 7,053 3,000 5. Insurance 5,526 g 7,500 7,500 )6,, Audit 1,350 h 2,500 3,000 17. Interest 0 18. Other (Specify): 422 281 150 265 3,000 19 Miscellanous 4,405 20 Prorider reimbursements 178,693 169,150 175,000 21Home~esMeals 7,189 9,678 10,000 22 Mayor's Youth/Teenplace 19,897 2~ 24 25 FOTALEXPENSES(p. 2,1ine2) 468,357 484,611 [I 492,300 30,383 Notes and Comments: a) not all employees were eligible for health insurance for the full year b) A professional accounting from is taking over responsibilities that had previously been done internally c ) Subscriptions include Internet access. d) Includes one-time remodeling expenses. c) Includes purchase of office equipment and phones. I) Variety Clubs of America has awarded Home Ties a Sunshine Van. We will pay a one time acquisition fee of $4,000. g) Insurance costs will rise with the van. 10 The agency will have a full audit each year. <1 ~ The agency will spend down a portion of carryover to meet expenses. PROGRAM 1 77,215 13,899 1,000 3,887 600 100 6,306 3,500 4,000 3,600 3,000 4,500 3,060 286 1,000 125,953 PROGRAM 2 78,290 14,093 500 331 200 100 899 403 399 300 2,027 5,500 10,000 113,048 76- PROGRAM EXPENDITURE DETAIL (continued) PROGRAM 3 ~. Salaries 34,656 2. Employee Benefits &Taxes 6,239 3. Staff Development 500 4. Professional Consultation 1,113 5. Publications &Subscriptions 200 6. Dues and Memberships 100 7. Mortgage, Rent and Property Tax 8. Building & Maintenance 9. Equiptment Purchase/Rental 1,101 10.Utilities 11. Telephone 797 12. Office Supplies & Postage 1,179 13. Printing and Publicity 759 14. Local Transportation 537 15. Insurance 735 ' ~. Audit t/. Interest 18. Other (Specify): 19 20 Provider Reimbursements 175,000 21 22 23 24 25 TOTAL EXPENSES ( p. 2, line 2) Notes and Comments: PROGRAM 4 4Cs Community Coordinated Child Care PROGRAM PROGRAM PROGRAM 5 6 7 222,916 0 0 0 0 PROGRAM 8 0 - 177- AGENCY 4Cs Community Coordinated Child Care RESTRICTED FUNDS: ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR Restricted by: DECAT/Johnson County University of Iowa Child Care Development Block Child Care Food Program Board Restricted for: Home Ties Program Objectives Resouce & Education Program Objectives Reserve (a) ITOTAL RESTRICTED FUND (also shown page 2, line 4) 81,321 65,022 70,000 73,774 63,774 73,774 32,664 34,524 36,250 234,643 213,831 220,000 25,595 30,000 30,000 447,997 407,151] 430,024 ,MATCHING GRANTS [G rantor/Matched by ~University of Iowa Work-study/4Cs 10,935/3,827 11,000/3,850 13,000/4,550 TOTAL MATCHING GRANTS (also shown pg. 3, line 2) 10,935/3,827 [ 11,000/3,850 13,000/4,550 IN-KIND SUPPORT DETAIl, %rvicesNolunteers child care/clericaF~nacial/legal (b) ~aterial Goods food/equipment/supplies ;pace, Utilities, etc. 1st Mennonite Church/Toy Library )ther: (Please specify): Training FOTAL IN-KIND SUPPORT (also shown on page 2, line 4) ~otes and Comments: 33,340 29,270 25,180 12,350 13,000 14,000 31,000 33,000 35,000 1,200 1,200 1,200 77,890[ 76,470 75,380 a) A portion of reserve ~mds were used to cover an operating loss; this year the balance will be restored through reimbursement. SALARIED POSITIONS AGENCY 4Cs Community Coordinated Child Care I "X"all that apply FTE* Position/Title ~ ~ ~ ~ Last This Next Year Year Year Executive Director 28 x 23 1.00 1.00 1.00 Associate Director - 1.00 0.00 0.00 Receptionist/Secretary 28 x 23 0.00 0.79 1.00 Prog Coord Resorce & Referra 28 x 23 1.00 1.00 1.00 Prog Coord Education 28 x 22 1.00 1.00 1.00 Prog Coord CCFP 28 x 23 1.00 1.00 1.00 Nutritionist 8 5 0.63 0.63 0.63 Prog Coord Home Ties 28 x 22 1.00 1.00 1.00 Lead Teacher 28 x. 24 1.00 1.00 1.00 Assistant Teacher 28 x 25 1.00 1.00 1.00 Child Advocates - - 3.00 3.00 3.00 Toy Librarian 8 5 0.50 0.63 0.63 Finance Coordinator - 0.13 0.00 0.00 Salary Actual This Budgeted % Last Year Year Next Year Change 42,175 a 34,268 35,868 5% 26,207 b 0 0 c,d 16,000 18,900 5% 17,680 19,000 19,950 5% 17,616 21,500 22,575 5% 16,893 20,000 21,000 5% 8,907 d 7,500 10,500 5% 19,611 23,768 24,843 5% 16,120 18,500 19,425 5% 9,842 e 17,000 17,850 5% 10,936 f 11,000 13,000 18% 6,886 7,862 8,515 8% 1,560 g 0 0 TOTAL FTE's and SALARIES 12.26 12.05 12.26 194,433 * Full-time equivalent: 1.0--full-time; 0.5=half-time; etc. (a)A new director was hired at a 1st year wage (b)Reorganization eliminated the associate director position. ( c ) A full time secretary was hired, replacing work-study (d) The position was vacant during the hiring process (e) Salary went from $5.15 per hour to $8.00 per hour (f) Child Advocates are paid through UI Work-study (g) The agency will utilize the services of an external bookkeeping service to carryout the functions of this position (h) Increase includes an initiative to upgrade positions 196,398 212,426 (h)7.5% -179- AGENCY: 4Cs Community Coordinated Child Care ACCOUNTABILITY QUESTIONNAIRE Agency's Mission Statement or Pdmary 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. B. Board of Directors: Please attach a list of your agency's Board of Directors (page 7A) Frequency of meetings: monthly Briefly descdbe board orientation and ongoing training opportunities: A mentor is assigned to a new board member for the first six months of the term. The agency director conducts a board orientation which includes reviewing recent past meeting minutes and a review of the board manual, which is discussed systematically at board meetings. Board members also attend regional training workshops, participate in a board retreat and in the 4Cs conference. C. Finances: 1. Are there fees for any of your services? Yes _X No If YES, descdbe circumstances. Referral lists and Toy Library memberships range from $0 to $30 based on a sliding scale of family income and size. There is no fee to families at Home Ties. Participants pay from $0 to $15 per class. Are they flat fees n.~_o or sliding fees: yes from $0 to $30 2. Does your agency have: an intemal audit extemal audit X financial review X Frequency annually for each 3. Has your agency filed the Annual Report with the Secretary of State? Yes X No 4. Has your agency filed Form 990 with the IRS? Yes X No Please discuss your agency's fundraising efforts, if applicable. Grant applications to government and private endowment sources. Requests are made to service dubs and churches. Annually, a direct mail campaign is conducted. The agency participates in the Hospice Road Race, and each summer we hold a camivah Family Fun Day. Management: 1. Does each professional staff have a wdtten job description? Yes X No 2. Is the agency Director's performance evaluated at least yearly? Yes X No By Whom? Board of Directors 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.) -7- 180- AGENCY: 4Cs COMMUNITY COORDINATED CHILD CARE BOARD OF DIRECTORS President: James Pusack, Professor German Department, College of Liberal Arts 528 Phillips Hall University of Iowa 52242 Vice-President: Alice Atldnson, Professor Curriculum Instruction, College of Education N238 Linquist Center University of Iowa 52242 Treasurer: Jonathan Haas, Consultant 2545 Quincy Road N.E. Solon, Iowa 52333 Secretary: Kim Horras, Administrative Assistant Administration, Facility Services C118GH. University of Iowa Hospitals and Clinics Ruth Allender, Center Program Director 1704 Ridgeway Drive Iowa City, Iowa 52245 Julia Mears, Attorney Meats Law Paul Helen Building Iowa City, Iowa 52242 3 vacant positions will be filled by January, 1999. 7a -181- AGENCY: 4Cs Community Coordinated Child Care Resource & Referral: phone call, personal contact, child care directory and/or home provider information. A unit of service is calculated in 15 minute increments or per piece of distributed materials. This is a direct service. Each unit of service is valued at $3.50 Education & Training: phone call, personal contact, education class attendance. Unit of service is 15 minutes for contact and length of class for education class attendance (a two hour class would be one unit of service). This is a direct service. Each unit of service is valued at $15 per class, and $4.00 per contact. Toy Library: phone call, personal contact, circulation, workshop attendance and each membership. Unit of service is 15 minutes, per piece circulated, or per membership, This is a direct service. Each unit of service is valued at $6.00. Child Care Food Program: phone call, personal contact, number of children and adults in the program, menu review, home visit, education class attendance. Unit of service is 15 minute contact or per individual in program. This is both a direct and an indirect service. Each unit of service is valued at $9.82 Home Ties Child Care Center: phone call, personal contact, children's attendance, meals served, parent counseling, attendance at family night. A unit of service is per child care day at $19.75 per unit; or per hour for individual contact with parents at $10.34 per unit. This is a direct service. Please supply information about clients served by your agency dudng last two complete budget years. Refer to form instructions for definition of duplicated and unduplicated. Enter Years FY97 FY98 How many Johnson County residents (including la. Duplicated Iowa City and Coralville) did your agency serve? Count 13,814 14,989 lb. Unduplicated 8,772 9,520 Count How many Iowa City residents did your agency serve? 2a. Duplicated 6,453 7,978 Count 2b. Unduplicated 6,270 6,892 Count How many Coralville residents did your agency serve? 3a. Duplicated 2,974 3,011 Count 3b. Unduplicated 1,973 2,184 Count 4. How many units of service did your agency provide? 4a. Total 24,512 25,970 4b. To Johnson 23,840 25,063 County Residents 5. Other Areas Served: Do you provide services to areas outside of Johnson County? Yes Area(s) served: Washington County Services provided: Resource and Education services: Referrals for parents, participants in education classes pay a fee. Funding Sources: Iowa Child Care Development Block Grant and University of Iowa -8- -182- AGENCY: 4Cs Community Coordinated Child Care = Client Profile (for last complete year, if available): Age Gender Ethnicity 0 ~ 5 3,858 Fernale 7,836 African American 784 6 - 17 854 Male 3,793 Native Amedcan 41 18 -20 1,816 Asian 212 21 - 30 2,474 Hispanic 554 31 + 2, 112 Caucasian/Non-Hispanic 9,637 unknown 515 Multi-racial 401 Evaluation and Review: Please discuss how your agency measures the success of its programs. Each parent receives an evaluation form with their list of referrals. Pre and post- survey forms are given to every participant at Home Ties. Each education participant completes an evaluation form after a class. We participated in a large campus-wide child care survey. Phone calls are made to parents, caregivers, and agencies to solicit feedback. B. Does your agency have performance objectives? Parents and providers are to receive assistance with one phone call; we do not want to have to call them back. Parents must receive a minimum of three choices for child care referrals. Parents must receive their requested information within two working days. Providers are called every six weeks to maintain a current database. Providers receive their food program check within 5 days from the time the funds are released to us from the State. Families at Home Ties meet their individually established goals. C. What plans does your agency have to increase efficiency and effectiveness? Cross-train all personnel to handle client needs. Implement restructuring through personnel changes and job responsibilities. We have eliminated the associate director position and hired a secretary, thus allowing program coordinators more responsibility and staff time to dedicate to their respective programs and eliminated their need to answer the phone. Continue improvement of tools available for spff: computer software and hardware, and network training. ' In what ways will the needs of your service population change in the next five years: Our State is half way through the first round of the Welfare to Work initiatives which stipulate that families must be off public assistance after five years of use. The families who use Home Ties and who struggle with finding care through our Resource and Referral program will need increased assistance to maintain stability. The Welfare to Work programs continue to increase family responsibility with fewer -9- -1RR- 10. 11. 12. 13. AGENCY: 4Cs Community Coordinated Child Care resources for these parents. Parents who will be unable to receive public assistance will need to rum to employers for subsidy of their child care. Both infant and school-aged children's programming must be increased in the coming years. The significance of brain research requires that caregivers receive additional training to provide care that allows children to reach their optimal brain development. Additionally, the age group between 10 and 13 years has been identified as an at-dsk stage. Parents of these children are seeking after school programming that provides not only supervision but enrichment. Recruiting and preserving quality caregivers will be a challenge with the enticements of higher wages at almost any other job and the lack of social respect for child care workers. The Empowerment Zone may increase community awareness and commitment on the importance of caregiving for our youngest citizens. Home-based providers move in and out of the profession more frequently. Our community must send the message that cadng for children is an important job and make it attractive for quality caregivers to stay in the profession. Please discuss any other problems or factors relevant to your agency's programs, funding or service delivery: Keeping well-qualified staff continues to be a challenge although we have experienced much improvement this year. However~ the nutritionist for the food program position has tumed over almost every year. This is a part-time position with few benefits. List complaints about your services of which you are aware: We receive complaints that parents are not able to find infant care. In September, our database indicated three infant openings were available from the 220 providers on our database. Do you have a waiting list or have you had to tum people away for lack of ability to serve them? What measures do you feel can be taken to resolve this problem: There is a waiting list for CPR, I st Aid, and Universal Precautions training classes. We added more classes in the Fall to accommodate the need. Home Ties does have a waiting list, in part, due to the age of children who need to receive care. Infant slots are usually full with continued requests for infant openings. DECAT funding is not sufficient to cover staffing costs at Home Ties. Our resolution includes funneling any increases in United Way funding into Home Ties. We also continue to work with parents utilizing stop gap measures to meet the family's need until openings become available. How many people are currently on your waiting list? 30 Education; 12 Home Ties In what way(s) are your agency's services publicized? Internet Web Page; UI taped information system, Public Access channel; agency brochures, newsletters, child care director; employer referral, yellow page ads; classified as in newspaper; press releases for special events; workshops and meetings; flyers; Chamber of Commerce; JCACOG listing; United Way brochure; newspaper feature stodes; television and radio interviews; speaking engagements; word of mouth. United Way involvement by your agency: ("X" if agency participates) -184- -10- ao AGENCY: 4Cs Community Coordinated Child Care Agency Directors Meetings X Agencies Representative to Funding Headngs X Business Blitz X Day of Cadng X Kick Off X Victory Reception X Other:. Board Members involved in the University Campaign X -11- -18,5- AGENCY: 4Cs Community Coordinated Child Care AGENCY HISTORY The foundation upon which 4Cs was built in 1972 is the same basis for service delivery today: we respond to community needs related to child care. Twenty-seven years ago, our focus was limited to assisting parents in their caregiver search by publishing a child care directory. Recently, demands have required us to address a complex and multi-faceted child care delivery system. The following is a brief outline of the three major programs of 4Cs: Resource and Education is operated as a member of the Iowa Child Care and Eady Education Network. Allocations from the Child Care and Development Block Grant and the University of Iowa fund the many components of this program. A statewide network provides computedzed, comprehensive, current information on child care providers. Last year, this facet of the program served 1,050 different families, 91% of whom received free services. Included in that figure are over 700 requests made for infant care. We distributed 7,000 child care center directories, and disseminated consumer education materials to each of 1,050 families. Technical assistance is available to providers and parents through telephone counseling, individual appointments and group meetings. Equipment use and other forms of support are available from the infant education enhancement program, Best Beginnings. This past May, a staff member attended RIE (Resources for Infant Educarers) training under the auspices of renowned child advocate, Magda Gerber. RIE is a specialized, well-respected curriculum based on caring for children by stimulating optimal brain development dudng infancy. Researchers are convinced that the first three years are vital to a child's later success. By having a certified RIE instructor on staff, 4Cs is able to meet the community's demand for excellence in infant care. Sick and emergency child care is another resource administered under this program. Parents attend an orientation which outlines the parameters of the program and addresses basic health questions. Caregivers receive extensive training and a background check before they go to the parent's home to provide the care. 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 First Aid, CPR, Mandatory Reporting of Child Abuse, Universal Precautions; and monthly classes are held for new home-based providers. Additionally, regular training classes are held for the Child Care Food Program and Best Boginnings. Each spdng our conference Our Children, Every Child reaches 300 participants with information from basic care to enhancement programs that endch the lives of children, parents, and providers. This fall we are scheduled to hold our first mini-conference to address the needs of providers training for back to school. Currently, 150 families and centers are members of our Toy Library representing more than 600 children who benefit from the toys. Multicultural, anti-bias, educational toys and activities are the focal point of the self-circulation system. Home Ties is a child care cenier for homeless or near-homeless families of Johnson County. This program is a vital connection for families reaching self-sufficiency. Dudng the first year, our center capacity was for 11 children. We found that we were full at all times, and needed to maintain a waiting list. Unfortunately, a waiting list is not an option for a homeless family; therefore, last year we raised our license to accommodate 22 children. Some of the families who are transitioning out of Home Ties will be able to use Title XX funding to remain in care until a permanent arrangement is found. This continuity offers the least amount of disruption to children. Through a gracious gift of the Mennonite Church, Home Ties operates at 405 Myrtle Avenue, Monday through Friday from 7:30 a.m. to 5:30 p.m. Home Ties is comprehensive in its approach to reaching families. Upon admission, families are given information about health care options; goals are set up with resource support from the program coordinator; and families are asked to identify ~ barriers so that an individualized plan can be developed. The Child Care Food Proqram is a federally-funded program which disburses cash payments to registered home-based providers enrolled in the program. A program emphasis is on educating children and caregivers on the importance of good nutrition. In exchange for submitting menus, each month providers receive partial reimbursement for the food they serve. Some providers left the program last year due to the federally mandated cuts in reimbursement rates. Benefits from the Food Program reach an estimated 700 children who are served daily nutritious meals. -186- -12- AGENCY: 4Cs Community Coordinated Child Care FY98 GOALS Please state FY98 goals and report status of progress/completion. PROGRAM i RESOURCE AND EDUCATION GOAL: To provide information about local child cam to residents of Johnson County. PROGRESS: Responded to over 1000 referral requests Disseminated over 10,000 brochures, newsletters, directories, consumer education items Responded to 650 walk-in customers with requests for information Responded to an estimated 2412 telephone counseling requests Added 16 new previders to database Trained 12 sick and emergency child caregivers Conducted 55 classes reaching 966 participants Presented 32 speaking engagements to 17 different organizations Performed 100 hours of outreach to other agencies Submitted 20 news releases to 4 different publications for a circulation of 256,200 Circulated 13,800 toys Provided 371 hours of technical assistance to providers PROGRAM 2 CHILD CARE/HOME TIES CHILD CARE CENTER 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 resources people and agencies to address areas of concern and need, while coordinating effort with the Domestic Violence Intervention Program, Emergency House Project, Mid-Eastem Council on Chemical Abuse, Cdsis Center and Department of Human Services. PROGRESS: Provided care for 255 days for an average daily attendance of 14 children Served 378 different children from 239 families Served 1020 breakfasts, 2482 lunches and 4026 snacks 83% of parents achieved their goal of finding work 99% of parents achieved their goal of attending school or work 58% of parents located housing 67% of parents attended counseling, substance abuse or parenting classes 100% of parents attended DHS, medical or legal appointments as agreed PROGRAM 3 CHILD CARE FOOD PROGRAM GOAL: To provide monetary (reimbursement) assistance so nutritious meals may be prepare~J and served to children and to assist children in developing desirable eating habits and positive attitudes toward a variety of foods. PROGRESS: Visited 225 home-based child care programs Observed 85 meals Disseminated 2000 pieces of educational information Reviewed 2900 menus Conducted 6 health, safety or nutrition workshops Disseminated 750 newsletters -13- -187- AGENCY: 4Cs Community Coordinated Child Care AGENCY PROGRAM GOALS AND OBJECTIVES PROGRAM 1 - RESOURCE AND EDUCATION GOAL: To provide information about local child care to residents of Johnson County. Objective A: Provide telephone or walk-in resources and referral services, 40 hours per week to an estimated 3000 individuals including parents seeking child care and providers seeking clients with an emphasis on low income families. Tasks: 1. Provide full time office coverage with at least one staff person available to conduct parent intakes and answer questions conceming child care referral and resource information. 2. Compile information on Johnson County licensed child care centers, preschcols, and related programs for dissemination. 3. Compile information on child care home for dissemination. 4. Maintain information on all forms of child care options. 5. Advertise services via local newspapers, flyers, posters, the Intemet and other electronic media. 6. Maintain information on community resources and refer people as needed. Objective B: Tasks: 1. 2. 3. Offer child care educational opportunities to an estimate 3000 people through group presentations and individual phone or walk-in consultations. Distribute consumer education materials with all referrals. Publish a directory of child care centers in Johnson County. Conduct 50 training sessions on developmentally appropriate practices, child guidance and other child related topics. 4. Conduct 12 speaking engagements for community service groups. 5. Provide enhancement training to infant caregivers. Objective C: Operate a Toy Library for an estimated 300 low and moderate income families. Tasks: 1. Publicize services to UI Family Housing, Neighborhood Centers and other locations that would serve low income families. 2. Provide a selection of 2000 developmentally appropriate toys 3. Remain open a minimum of 25 hours each week. Objective D: Tasks: Re~ o u rces: Advocate for children and child related issues on local, regional, and national level. 1. Attend committee and board meetings of organizations conducting children's programming, including, but not limited to: Johnson County Council on Child Abuse, Iowa City School District, Empowerment Board, Cluster Board and others. 2. Attend regional and statewide conferences on child related issues. 3. Respond to interview requests and wdte articles and letters for the media. 4. Co-sponsor events that advocate for children, such as The Week of the Young Child. 2 full-time staff members 5 part-time staff members office space and utilities desks, chairs, table computer, phone, copier, fax, pdnter book shelves, books, and other resource materials office supplies insurance -188- -14- AGENCY: 4Cs Community Coordinated Child Care Cost: infant equipment funds $127,252 FY99 $125,953 FY00 PROGRAM 2 -HOME TIES CHILD CARE CENTER GOAL- To operate with no waiting list, a licensed child care center providing quality, short-term child care to Johnson County families experiencing cdsis related to being homeless, near- homeless, substance abuse treatment, DHS emergency services and families receiving other forms of public assistance. Objective A: To maintain a child care center license for 22 children with an average daily attendance of 16 children. Tasks: 1. Comply with DHS requirements to operate a child care center in the State of Iowa. 2. Maintain a staff of three full:time, and up to 6 part-time employees, 3. Serve two meals and two snacks each day. 4. Provide developmentally appropriate activities for children between the age of 6 weeks to 12 years old. 5. Perform outreach to sites that parents may visit to inform them about Home Ties services. 6. To accommodate all requests for child care services within 5 days thus eliminating a waiting list. Objective B: Assist parents in goals toward self-sufficiency. Tasks: 1. 2. 3. 4. 5. 6. Establish an individualized plan for 300 families based on identified barriers. Meet with parents weekly to check on progress toward meeting their goals. Establish informal networks among parents to foster natural support systems Make referrals to appropriate agencies. Counsel parents in taking steps to meet specifics goals. Advocate for parents in situations related to child care, and development. Objective C: Provide transportation for 150 homeless or near-homeless families to attend Home Ties. Tasks: 1. Secure a van to transport families to and from Home Ties. 2. Secure insurance to meet State of Iowa guidelines 3. Establish route of homeless shelters and other designated sites to pick-up families. Reso u rces: 3 full-time staff members 8 part-time staff members cdbs, cots, blankets, and sheets highchairs, tables, chairs strollers, toys, car seats 15 passenger van insurance program space, utilities office supplies, copier, fax, phone eating supplies, bottles, pans refrigerator, stove, sinks -15- -189- AGENCY: 4Cs Community Coordinated Child Care cleaning supplies, arts & crafts supplies, diapers food for breakfasts, snacks Cost: $112,569 FY99 $113,048 FY00 PROGRAM 3 - CHILD CARE FOOD PROGRAM GOAL: To provide reimbursement to home-based child care providers as incentive for serving meals that meet the USDA guidelines; and to provide nutrition education to children, caregivers, and parents to foster a lifetime habit of good nutrition. Objective A: County. Tasks: 1. 2. 3. 4. 5. Provide nutrition education to 70 home-based child care providers in Johnson Conduct a minimum of 3 home visits per year to each provider enrolled in the program. Conduct 6 workshops on health, safety, or nutrition each year. Provide nutrition information and program requirements in a monthly newsletter. Provide a menu analysis each month with a review of pOsitive and corrective items. Publicize program to enroll new providers upon request. Objective B: Provide reimbursements to 70 home-based child care providers in Johnson County. Tasks: 1. Receive and process weekly menus, meal records and requests for reimbursements. 2. Wdte and mail checks within 5 days of receiving check from the State. 3. Communicate regularly with the Iowa Department of Education, Child Nutrition Division. Resources: I full-time staff member 3 part-time staff members desks, chairs, fax, copier, phones office supplies transportation to home visits book shelves, books, and other resources computer, printer funds to reimburse providers Cost: $220,244 FY99 $222,916 FY00 jccoghs~agenavai,doc -~9o- -16- HUMAN SERVICE AGENCY BUDGET FORM City of Coralville Johnson Coun~ City of Iowa City United Way of Johnson County CHECK YOURAGENCY'S BUDGET YEAR 1/1/99 -- 12/31/99 X 4/1/99 -- 3/31/00 7/1/99 -- 6/30/00 Director DelodsTvedte Agency Name: Free Lunch Address: 120 North Dubu{3ue St. Phone: 337-6283 Completed by: Delods Tvedte Approved by ehah:.. /-~ ~ on {~/' z/ '7 ~ 10/1/99 -- 9/30/00 COVERPAGE Program Summary: (Please number programs to correspond to Income & Expense Detail, i.e. Program 1,2, 3, etc.) The Free Lunch Program began in 1983, so is celebrating its 15t~ year in operation. It is an exciljng time to be the Directo~ In 1989, the Free Lunch Program became a designated United VVay Agency. 35 Church groups, neighborhood associations and s~udent organizations have committed themselves to accept the responsibility of serving a meal one day per month. Each group serves a heallhy meal, and cleans up the facility al~erselving lunch from 12:00-1:00. Commodities purchased by or donated to the Free Lunch Program may be used. These are available on localion. John~s Grocery delivem Four gallons of milk daily. Local Funding Summary: United Way of Johnson County - DoesNot Include Designated Gvg. 4/1/97 - 4/1/98 - 4/1/99 - % of Total 3/31/98 3/31/99 3/31/00 Budge{ $0 $3,000 $4,000 25% FY98 'FY99 FY00 City of Iowa City $0 $0 $0 0 Johnson County $0 $0 $0 0 City of Coralville $0 $0 $0 0 -1- -191- BUDGET SUMMARY EnterYourAgency°s Budget Year ---> 1. TOTAL OPERATING BUDGET (Total a + b) a. Carnjover Balance (Cash from line 3, previous col- umn) b. Income (Cash) 2. TOTAL EXPENDITLRES (Total a + b) a. Administration b. Progem total (List Programs below) 1. 2. 3. 4. 5. 6. 7. 3. ENDING OPERATING BALANCE (Subtract2 - 1) 4. RESTRICTED FUND BALANCE (Total from page 7) 5. IN-KIND SUPPORT (Total flora page 7) 6. NON-CASH ASSETS Notesand Comments I. total operating budget 14,793 ACTUAL LASTYEAR 1/1/97-12/31 14,793 3,757 11,036 11,966 3,757 73,800 THISYEAR PROJB::TED 1/1/98-12/31 18,083 3,757 14,326 15,335 ~3,317 73,800 BUDGETED NEXTYEAR 1/1/~9,12/31 19,367 3,317 16,050 16,700 2,667 73,800 -192- *Briefly describe how local funds were spent lastyear: -2- AGENCY Free Lunch Program INCOME DETAIL |nhn~r~n (~nllntv b. CitvoflowaCity c. UnitedWay d. CitvofCoralville O. f. ACTU~/, THISYEAR BUDGETED LAST PROJRCTED NEXTYEAR YEAR 2,250 3,?50 IN IN Clher_ I let RelntulnPI.rhnokJiePPllnnmn~ I ~ finn I ? ~Q1 I R RNN ~ ~.m~ A ANN A ~ql ~ ~NN b. I~vi~s 200 300 300 c. Milk ~o~ 0 3.000 3.000 T~TAl.lNPNM~feh~l~nnnn~oe~ lln~ I 11 N~ I 1JI~ I i~N~ ~ntF~ ~nH ~nmmmte' NON- PROGR~ 131~EC~ED M FUNDING ! I I I I I I I I I I I I I I I I I I I I PROGIR M 2 I -3- -193- AGENCY Free Lunch Program PROGRAM EXPENDITURE DETAIL ~cr~ ~asvoa~ BUDGErED LASTYEAR PROJ~TrED NEXTYEAR ADMIN 1. Salaries 1,800 1.800 1.800 2. Employee Benefits andTax~es 0 0 0 3. Staff Development 0 0 0 4. Professional Consultation 0 0 0 5. Publications ard Subscri!lions 0 0 0 6. Dues and Mcmbemhips 0 0 0 7. Mort gage, Ren t, and Property Tax 0 0 0 8. Btildng andMintenance 4,800 7,505 7, 100 9. Equipment PurchaserRental/Maintenance 760 550 1,000 10. Utilities 11. Telephone 420 550 600 12. Offiog Supplies and Postage 150 400 450 13. Printing and Ptblicity 150 150 150 14. LocalTranspo~ation 0 180 200 15. Instrance 0 0 0 16. Audit 0 0 0 17. Interest 0 0 0 18. Other(Specify) Kitchen Supplies 3,886 1,200 2,400 19. Milkl:~gram 0 3,000 3,000 20. 21. 22. 23. 24. 25. TOTALEXPENSES (shown also onpage 2, ine 2) Pi~OGIIAM PROGRAM I 1 Notes and Comments: 12. Thank you notes for Hospice Road Rage participants andothers who donated to Free Lmch. 13. New brochure will beprinted. 14. 550 niles at $Q 25 per mile, charged only formiles toHawkeye Wholesale &Hacap in Ch~arRapids. 18. Kitchen supplies --Staple foods--coffee. creamer, sugar. mffce filters. vegetables, frti t. jti ce, napkins. Silverware, ctps and glasses. pots end pans, soap for dishwasher. pot and pen soap. Clorox. Gloves for sen, ers. 19. 4 gallons of milk delivered6 daysa ,.~eek. Cost per day between $9.00 andS10.00. -194.. -4- RESTRICTED FUNEB Restricted by: Restricted foe AGENCY Free Lunch Prod:ram A~AL TII~YEAR BUDGEtED LASTYEAR PROJi/ci!~D NEXTYEAR Total Restricted Funds (~l so shown page 2, Iine 4) MATCI-MNG GRANTS Gran~or/Matchedby: Total Matching Grants (also shown on page 3. line 2) IN-KIND SUPPORT DETAIL Services/Volunteers Material Goods Space, Utilities, etc. Other. (Heasespecify) 2,400vo. x3hr. x$6.00 Es t. $75.00 for food dai }y TOTALIN-KIND I/PPORT(Shown also on page 2, line 5) Notes and Comments: 43.200 43,200 43,260 23.400 23,400 23,403 7,200 7,200 7,200 73,803 73,803 73,803 -5- -195- AGENCY FreeLunch Program SALARIED POSITIONS t'X" all that apply Position hid Paalla Retire % Lye lm Hart Benefits ~nnrdln~tnr FTE· Last Th~s Next Year Year Year AC'rU.~L THISYEAR BUDGET- LAST PROJIL'7- ED YEAR ED NEXT YEAR -196- Total Salaries & FFE Ful 1- ti me equi val ent: 1.0 = fd 14i me; O. 5 = hal f-ti me; etc. -6- 1,800 1,800 1.800 .w..oghsXbu~t2 0/0 AGENCY: ACCC)I JN 'I'AIHI .1'1 Y QI JESTIONNAIRE A. Agency's Mis~jioll Slalelnenl or Plimaty P(nlmse: To prei~re ~ nutritious meal. 6 days ~ week, with atti Lu. lu, renpucLhlg tt~e privacy of the guests "an full plate, ~ no questions asked". B. Board el Directors: "can do" happy open door, a 1. Please atlach a list of your a ency's Board of Direclots 7A) 2. Fsequency of rneelinOs: ~ times a year (page 3. Bi iefiy describe board orienlalion and onOoing training opporlunilies: E, Fil lanci,~s: I. Ale IIl(.:l u luu5 h)l Lilly (}I y()ili' Sel'vii;lJS'? Yes __ No X u. tl YES, descrihu ciictnnslancus. b. Am Ihey Ilal fees or sliding lees 2. Does youl agela;y have: an i~,ternal audit external audit financial review Frequency yearly Has your agency filed the Annual Report wilh the Secretary of Slate? Yes No X 4. I las your agency filed Forn'~ 990 will~ Ihe IRS? Yes No X 5. Please discuss your agency's fundraising elferrs, if applicable. IJrochllt'e~s h[Hlaed OUt &L Colniaunity Bervic,~ Fair and Consultat fort of e err,° people via telephune and compu'Ler Mai lagt::lllcl i1: 1. Does euch ptolessional slalf have a wrillen job description? Yes X No 2. Is Ilie a~ency Director's perlonnance evaluated at leasl yearly? Yes No By Whon~? The Board _ AGENCY _ Free },unch Program Pfogl'al l I/SOl VN ;US: Please aleline your aUency's unils of service (service delinilion, I~nglh of lime, cosl per unil numl}er el units i}rovided, direcl ol indirecl.) I unit equ~:Ls 1 meal fo~ 1 person 1. da~ a'L ~,, A~enu~ cost of Please sul~ply n flus malign aleout clients ue~ed by your agency during last Iwo ~Dlfi~ budget years. Refer Ic~ lurn i u m h't zclions lur cleli~ fition of duplicated and unduplicaled. -7- -197- AGENCY: Free LunCh Program I. I low nlally ,Johllsoll County residems (including Iowa Cily and Coralville) did your agency serve? Enler Years la. Duplicated Counl Ib. Unduplicaled Counl 2. How many Iowa Cily residenls did your agency 2a. Duplicaled serve? Count 2b. Unduplicaled Counl 3. H.w naany C.ralvillu residesis did yo, ff agency 3a. Duplicaled serve? Count 31}. Unduplicaled Count 4. I tow n lal |y ul ills oi service did your ag~;ncy provide? 4a. Tolal 4b. To Johnson Counly Residesis 5. Other Areas Served: We serve transients as residents Do you provide services to areas oulsjde of Johnson County? Area(s) served: Services provided: well as 1996 1997 29,t~27 29,2r~6 ? ? Johnson County Funding Sources: AGENCY Cliunl Prolile (for lasl complele year, if availal,le): An eJ ucated guess (percentage) Age Gender Elhnicity 0 - 5 4 Femal~ 207~ African American [0 6 - 17 6 Male 80~ Native American 3 1~ - 29 [0 Asian 2 30 - 13 1 7[, Hispanic ].0 62 - 75 ~(~ Caucasian/Non-Itispanic 75 ~ 5 + Multi-racial -198- -8- AGENCY: Free ],unch ]'ro~ram Evulualion and Review: A. Please discuss how your agency measures the success of its programs. ~.~rve a meal 6 days a week to everyone who comes to lunch. B. I')ocs your agency have performance ohjectives? [Give several examples] To provide meals in a clean h.apl,y environment. To continue to keep shelves stocked ~ith goal q~lity food. To do scheduling for groups so they ~ve sufficient hal. each day. I C. Wha plan~ do~s your agency have Io increase efficiency and effectiveness~F To l~ve each group take a t~n each month cleaning the kitchen. To continue to have th~ floors scrubbed & .axed once a uaon th. Con thaui. n~ san[ tary measures. hi Wl li]l Way5 Will Ihu nu~ds of your service i)(}l)lllaljoll {:hall{le ju Ihe nexl fiv{~ yez.s: ]noreases have been occurin~ due to ck~n~es in we[fare laws. -9- -199- AGENCY: Free; l,unch J'ro[~ram Please discuss any olher problems or factors relevant Io your agency's programs, funding or service delivery: Costs are increasing as groups use disposals instead of Hashing dishes, due to tb.e constraints, age of those ~erving aM amount of help. Higher percent of elderly volunteers due to younger people ~orki. ng and they can only volunbeer on lunch hour. '10. · 1 I. 12. Lisl complaints aljoul yetlr services of which you are aware: ethers do not like wha~ is being served - complain often on khld of coffee served - Food to st~chy, not flavorful or riot enough protein. Do you Ilave u wailing list or have yon had to t.rn people away for lack of abilily Io serve lirare? WIi~I measures do you feel can be lakes Io resolve lifts problem: ~ome groups ~vc ].imtted financial backing, so we try to sul}i~hlmen~ their expenses. Fx'ovide supplies in t'o~ ~ntx'y for elaergency needs. ~utetim~s portions are limited because not enough fo~l is available. Groups have to estimate each day how mny will be served. I inw many penpie are currently on your waifin~ In wl~ut ws~(s) are your s9encF's se~ices publiclze~? l~ubl 1c Service announcements Wox~] of mouth Public Service directories 13. t J, ntccl Way i,~volvemenl by yot,r agency: ("X" if agency panicipates) AUcl ll;y I)ireclors Mealit los b. A(Ji;I a;ias I;~el}l e, sea ilalive Io Fundirlg I learings Bl~siness Blilz d. Day el Caring e. Kick Off Viclo~ Receplion g. O II mr David ~jchuldt,m__~mber of Uniteel Way_ Board. AC~EI'iCY' ......................................................... -20~ - 1 O- AGENCY: Free: bunch AGENCY HISTORY (Using Illis page ONLY. please sL,nmarize Ihe I~islory o| your agency, emphasizing Johnson Coun|y. pasl and cunenl aclivilies and hmu'e plans. Please ,pdale annually.) The Free Lunch Frogram evolved when therapists Honnye W.ielan~ and Carol l~ar became aware that some of their clients at Com.~unity i~ental tlealth C~nter ,t~t'u not t:aLing well and were le~ir~ isolated lives. A l,enLen BfbJe ~Lu~y ~roup from ~. l,lary's enthusiastically respox~ted to the idea o~' cv~:aL.[n~ a free communfty meal and Free Lunch wa3 estab].~shed in February 19~U. IniLi~l.]y, ll,~a]5 were surved once a Heek, BY ]989 the program had expa~n{it:d L{~ 6 d~tyfl a Heuk an.t had bucome a designated United Way a~ency. [)vet ]O(),Ou(~ mca].s had been served by tile tenLh anniversary in 1993 by ~9~ 'tliat humbur had doubled to over 2ou,OUo m~als. it has become such a ~oo;l i..ru~r'am that it h~s a reputation across the country. Uet{.~een lJ{] an.J tH.) community groups take turns serving meals. These are ~ervcd ].li Lhu t~es].ey House o~1 Dubuqu~ ~t. The Wesley l"oundatio[], the ~]i.z'ecLo~'shi{~ of David Schuidt provides the facilities to the Free L~]ch i'roS'ram. Th- Frogram provides, in return, some reimbursemenL ~zxpe~ls{~s for ,L[/iLies, cleaning supplies, and building maintenance. In the past f,w yuars Lhe program i~s remodeled the kiLchen facilities by A~uLtin~ iu a triple sink for food preparation and dish ~ashing, adding a c~)mlllcrCi~iL dfshwa~hcr, a seOo,d disposal, and new stove, countertops a,d r,~l'riEcratox.s. Free bunch was also able to help ffnancial].y with the installation of a handicapped accessible elevator. Fruu l,uuch -ou[d like to see itself disappuaring in the futl~e but i,sLead scus needs are increasing as the safety net for the needy is disa. l'tn~az'ing. lu response, Free Lunch is setLins its goals to accommodate Lhe riuud~ u.r ti]~ poor and home Jess for meals and continually strives to imt)orve Lhc quz~lity of its services. lu Huv~;mber, ]-997, a coat rack was fnstalled i.n thu kitchen so v{~/~iHL{:u['5 i4ou[,[ []~ivc a t, lacu to han{~ coals alld jackets. l,'L'~c i.uuch (l~cgi,uilig January, 1998? slatted the Flflk Program, ,Job,'5 (;t'oc.:r-y d,ziivcrs h gallon~ a day, 6 days a week, The cost b,~L~,;un ~]9-(~(~ L<, .i;l(~.O(} per day. As a rule, older l)eop[~: are ch~irtU: ,:ach da.y, and Lhi~ has eliminated the buying and hav.i. ng to c~,vcy i, Lhi=~ -11- -201- AGENCY: FY98 GOALS Please stale FY~)8 goals and report sidles o[ i~rogress/complelic. I. 1. lb continue givir~ people the opportunity to help .ith Free Lu,ich, so groups will have enoi~h help each day. 2. A m:w Free Lunch brochure.· is being developed. 3. Nell Christ.,-~s tree for guests. To try to involve as ,~ny people as neede. d in helping witl~ the C|lr[stmas la|ea],; food, transportation, gil:'ts, |]elping Christmas Day to prepare and serve the meal. .5. (Jom'atil]ue ujth the a.a~lk Fl'ograa|. 6. Alunainu~l splash boan~s in the stove aFea. 7. |4e~ k]tchc'n stove. -202- 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 1/1/99 - 12/31/99 4/1/99- 3/31/00 7/1/99- 6/30/00 Co-Director: Sandy Pickup Agency Name: Iowa City Free Medical Clinic Address: 120 N. Dubuquc Phone: 3374459 Completed by: Sandy Pickup Approved by~~'2 ~'~6~ ~ 10/1/99- 9/30/~ O c7 Z * ? (~te) X COVER PAGE Program Summary: (Please number programs to correspond to Income & Expense Detail, i.e., Program 1, 2, 3, etc.) 1. Health Care Delivery - General out patient care including medications, in clinic testing, testing sent out, needs assessments and referrals. 2. Financial Assistance Programs - Voucher programs to assist residents of Johnson County not able to afford medications, medical supplies, eyeglasses, hearing aids, cancer screening and other preventive health needs. 3. HIV Counseling and Testing - Offers free, confidential HIV testing, counseling and education .tbout HIV infection and AIDS. 4. HIV Outreach - Grant funded program providing HIV education, counseling and testing to high.risk and under served populations in Johnson County. 5. Scholarship - Funds donated by a past volunteer. This money is awarded to 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 Comlville 4/1/97 - 4/1/98 - 4/1/99 - 3/31/98 3131/99 3/31/00 $74,472 $78,223 $82,116 5440 5700 5985 84376 88589 93018 800 1000 1050 % of Total Budget 36% 3% 40% 0% jccoghs/xlbudg. xls ] -203- AGENCY: Iowa City Free Medical Clinic BUDGET SUMMARY Enter Your Agency's Budget Year ==> i. TOTAL OPERATING BUDGET (Total a+b) a. Can'yover Balance (Cash from line 3, previous column) b. Income (Cash) ~-. TOTAL EXPENDITURES (Total a+b) a. Non-directed funding b. Program Total (List Frogs. Below) 1. Health care delivery 2. Financial Assistance 3. HIV Counseling and testing 4. HIV 0utreach 5. Scholarship 6 7 8 ACTUAL LAST YEAR 7/1/97-6/30/98 THIS YEAR PROJECTED 7/1/98-6/30/99 329,053 343,978 55,098 273,955 243,955 46,245 197,710 138,738 6,678 17,202 34,092 1,000 85,098 258,880 247,519 51,055 ~9~ 464 154363 6,125 14,603 20,873 500 BUDGETED ]] NEXT YEAR 7/1/99-6/3 0/00 330,433 96,459 233,974 o'237,236 ] 48,495 188,741 163,674 6,256 18,311 0 500 .. ENDING OPERATING BALANCE (Subtract 2 - 1 ) L RESTRICTED FUND BALANCE (Total from page 5) i. IN-KIND SUPPORT (Total from Page 5) ,. NON-CASH ASSETS 85,098 5,848 13,000 96,459 4,500 226,500 13,000 4ores and Comments: 98 beginning balance ind. 1~' 98 ending balance ind. Checking 3, 142 Checking 5,633 Savings 58,849 Savings 82,620 Liabilities (6,893) Liabilities (3,155) Total 55,098 Total 85,098 ~RIEFLY DESCRIBE HOW LOCAL FUNDS WERE SPENT LAST YEAR: \11 health care delivery and medication assistance was provided with local funds. Some administrative cosks or all programs were paid with local funds. 93,197 4,700 23 1,000 13,000 204- jccoghs/xlbudg.xls - 2 - INCOME DETAIL i l. Local Funding Sources- ! a. Johnson County ~ b. City of Iowa City c. United Way of Johnson County d. City of Coralv~le c. f. 2. Grants - State, Federal, Foundations a. CDC HIV grant b. ICAP c. State HIV Outreach d. c. f. 3. Net Sales Of Services (sources) 3. b. C. 4. Net Sales of Materials (sources) a. b 5. Contributions/Donations ~ a. United Way Designated Giving ! b. Other Contributions !6. Special Events a. Iowa City Road Races b. Fundraising letters c. 1% Business Day i7. Interest Income !8 Other - List Below i a. Miscellaneous b. ResUicted gilts ~ C. AGENCY Iowa City Free Medical Clinic ACTUAL ]'HIS YEAR BUDGEFED NON- PROGRAM LAST Y~EAR PROJECTED NEX'F YEAR DIREFlED 1 FUNDING HCD 166,0311 174,4801 183,203 ] 48,493[ 128,954[ 84,376 88,589 93,018 9_3,277 66,363 5,440 5,700 5,985 2,909 3,076 75,415 79,191 83,150 22,307 58,465 800 1,000 1,050 1,050 47,2651 40,000I 15,0001 0l 13,650 15,000 15,000 [ 20,000 20,000 0 13,615 5,000 0 0 0 0 ol I ol ol ol ol ol I. ol ol ol ol ol 32,2481 26,0001 16,6001 22,0001 4,000 12,600 I 15,1451 11,4001 11,8201 o l 3,295 3,000 3,000 10,560 7,400 7,820 1,290 1,000 1,000 4,0541 3,0001 3,1501 9,212 I 4,0001 4,2001 o l 2,551 0 0 6,661 4,000 4,200 16,300 4,000 12,300 11,820 3,000 7,820 1,000 3,1501 200 [ 0 200 ;:TOTAL INCOME (same as p. 2, line Notes and Comments: 273,955 258,880 233,973 48,493 160,424 HIV Outreach grant b. and c. are unavailable in FY00 PROGRAM 2 FA 2,756 1,378 0 1,378 0 0 0 0 0 0 0 0 ol ol ol 3'5C~1 3,5ool 6,256 -3- INCOME DETAIL (cont) l. Local Funding Soumes- a. Johnson County b. City of Iowa City c. United Way of Johnson County d. City of Coralville c. f. 2. Grants - State, Federal, Foundations a. CDC HIV grant b. ICAP c. State HIV Outreach d. e. f. '3, Net Sales Of Services (sources) ~ a. ! b. C. !4. Net Sales of Materials (sources) a. b. C. 5. Conthbutions/Donaljons a. United Way Designated Giving b. Other Contributions ~6. Special Events a. Iowa City Road Races b. Fundraising leuers c. 1% Business day 7. Interest Income 8. Other - List Below a. Miscellaneous b. Restricted gifts C. AGENCY Iowa City Free Medical Clinic PROGRAM PROGRAM PROGRAM 3 4 5 HIV test Outreach Scholarship 3,oool ol ol 2,000 ~5,oool ol ol PROGRAiM 6 PROGRAM 7 PROGRAM 8 ',TOTAL INCOME (same as p. 2, line Notes and Comments: 0 0 ol ol o I ol ol ol ol ol o I ol ol ol ol ol o I 3ool 'ol ol ol ol o I ol ol ol ol ol o I I I I I I ol ol 5ool ol I ol o 18300 0 500 0 0 0 HIV Outreach grant b. and c. are unavailable in FYoo - 3a - -206- PROGRAM EXPENDITURE DETAIL AGENCY Iowa City Free Medical Clinic ACTUAL THIS YEAR BUDGETED ADMINISTRA- LAST YEAR PROJECTED NEXT YEAR TION r ;alaries 148,790 155,088 148,40 1 36,800 2. ,Employee Benefits & Taxes 30,028 31,711 31,628 7,907 3. Staff Development 1,139 2,000 2,000 1,000 4. Professional Comultation 526 1,700 210 110 5. Publications & Subscriptions 2,759 2,575 575 6. Dues and Liceme fees 325 135 140 7. Mortgage, Rent and Property Tax 12,754 13,175 13,834 1383 8. Building Maintenance 2,074 2,050 2, 152 9. EquipmentPurchasedRental/Maint. 1,759 550 565 100 10. Lab Services 2,037 1,700 1,785 11. Telephone 2,743 2,736 2,873 280 12. Office Supplies &Postage 2, 112 2,294 1,900 190 13. Printing and Publicity 4,696 4,849 3,935 14. Local Transportation 288 802 400 200 15. Insurance 8,331 8,300 8300 16. Audit 17. Clinic Improvements 1321 200 210 Other (Specify): Scholarship 1,000 500 500 19. MD Contracted 1,782 0 0 20. Supplies-Climc 6,268 5,799 6,088 21. Supplies-Pharmacy 5, 160 4,080 4,284 22. Client Assistance 6,678 6, 125 6,256 23. Volunteer Recognition 478 500 59,25 24. Fundraising 202 500 525 525 25.Misc 705 150 150 PROGRAM 1 HCD 99,818 19,448 1,000 100 475 140 11,851 2,152 465 1,785 2.568 1,630 2,685 100 8300 210 0 5,988 4,284 525 0 150 TOTAL EXPENSES ( p. 2, line: 243,955 247,519 237,236 48,495 163,674 Notes and Comments: Line 17. is included in Health Care Deliver3' on page 2. This includes remodeling type projects that were not funded in last years CDBG grant. Funding for these projects is obtained from private contributions. PROGRAM 2 FA 6,256 6,256 -4- -207- PROGRAM EXPENDITURE DETAIL (continued) 1. Salaries 2. Employee Benefits & Taxes 3. Staff Development 4. Professional Consultation 5. Publications & Subscriptions 6. Dues and License fees 7. Mortgage, Rent and Property Tax 8. Building Maintenance 9. Equipment Pm'chase/Rental/Maint. 10.Lab Services 11. Telephone 12. Office Supplies & Postage 13. Printing and Publicity 14. Local Transportation 15. Insurance 16. Audit 17. Remodeling 18. Other (Specify): Scholarship 19. MD Contracted 20. Supplies- climc 21. Supplies-Pharmacy 22. Client Assistance 23. Volunteer Recognition 24. Fundraising 25. Misc. PROGRAM 3 ItlV Test 11,783 4,273 100 600 25 80 1,250 100 loo TOTAL EXPENSES (p. 2, line 2) Notes and Comments: Funding for HIV Outreach is not certain in FY 00 AGENCY Iowa City Free Medical Clinic PROGRAM PROGRAM 4 5 Outreach Scholarship 0 0 PROGRAM 6 PROGRAM 7 0 0 0 0 0 0 5OO PROGRAM 8 -208- AGENCY Iowa City Frcc Medical Clinic R__k RICTED FUNDS: Restricted by: Restricted for: Donor Scholarship Donors Client assistance ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR 500 500 500 5,3~ 4,000 4,200 ITOTAL RESTRICTED FUND (also shown page 2, line 4) t.MATCHING GRANTS Grantor/Matched by 5848 I 45000 ~ . 4700 JTOTAL MATCHING GRANTS (also shown pg. 3, line 2) OI OI OI IN-KIND SUPPORT DETAIL Services/Volunteers -14,000 medical and non medical hours 211,000 Material Goods - donated medications, lab tests and supplies 11,000 Space, Utilities, etc. Other: (Please specify) ITOTAL IN-KIND SUPPORT (also shown on page 2, line 4) I 222,000l Notes and Comments: These are estimated costs based on current market medical costs. 215,000 219,000 11,500 12,000 226,5001 23 1,000 jccoghslxlbudg. xls -5- -209- SALARIED POSITIONS AGENCY Iowa City Free Medical Clinic Position/Title "X"all that avply Volunteer Coordinator 41 X X 20% Financial Coordinator 41 X X 20% Patient Services Coordinator 41 X X 20% HIV Coordinator 41 X X 36% Physician Assistant 6 Physician Assistant 6 Office Manager ' 41 X X 33% Dental Assistant Physician 7 Lab Technician 6 Work Study FTE * Salary., Last This Year Year 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 0.13 0.13 0.13 0.13 0.53 0.63 0.07 0.07 0.24 0.30 0.04 0.13 0.40 0,30 Next Actual This Year Last Year Year 1.00 29,558 30,842 1.00 30, 158 31,442 1.00 29,108 30,392 0.50 28,336 22,880 0.13 3,715 4,539 0.13 4,211 4,659 0.63 8,800 13, 150 0.07 1,092 1,200 0.30 12,005 13,520 0.13 694 1,664 0.30 1,113 800 Budgeted % Next Year Change 31,877 3.4% 32,477 3.3% 31,427 3.4% 11,783 -48.5% 4,686 3.2% 4,806 3.2% 13,615 3.5% 1,200 0.0% 14,016 3,7% 1,714 3.0% 800 0.0% TOTAL FTE's and SALARIES 5.5 * Full-time equivalent: 1.0=full-time; 0.5=half-time; etc. Paid leave = Holidays, personal days, vacation and sick leave jccoghstxlbudg.xls -6- % of benefits does not include paid leave. 4.3% AGENCY: Iowa City Free Medical Clinic ACCOUNTABILITY QUESTIONNAIRE A. Agency's Mission Statement or Primary Purpose: To provide a wide range of quality health care services to our patients (without charge). FMC is open to anyone who either for financial reasons or reasons of confidentialtry cannot seek health care elsewhere and/or do not qualify for federal, state or county assistance programs and do not have private health insurance. B. Board of Directors: 1. Please attach a list of your agency's Board of Directors (page 7A) 2. Frequency of meetings: January, March, May, Au.clust, September, November (a retreat is sometimes held in June) 3. Bdefly describe board orientation and ongoing training opportunities: New Board members are given a note book of FMC By-laws and other information. They are asked to attend one of our clinics to see the work we do and become familiar with the operation. C. Finances: 1. Are there fees for any of your services? Yes __ No X There is no fee for service but we ask patients to contribute $5, "more if you can, less if you can't". a. If YES, describe circumstances. b. Are they flat fees or sliding fees ? 2. Does your agency have: an internal audit external audit Frequency annual review by a board member financial review X 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 fu. ndraising efforts, if applicable. 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, Personnel committee -7- -211- IOWA CITY FREE MEDICAL CLINIC BOARD OF DIRECTORS Name Year elected Term Expires · Jacqueline Croat 9-98 3 -01 Judy Ellyson 8-97 3-00 Linda Garand 8-93 3-99 Barbara Russo-Johnson 3-98 3-01 Lmda Murray 1-98 3-01 Joel Rand 9-98 3-01 Gretchen Rice 9-98 3-01 Sue Riedl 3-96 3-99 David Rosenthai 3 -96 3 -99 David Schuldt 5-71 non-voting member Jolm Sopher (chair) 11-94 3-00 Dale Wailerich 11-94 3 -00 Bill Wirth 1-97 3-00 7a -212- AGENCY: Iowa City Free Medical Clinic 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.) Patient visits: in person contact. An average clinic visit (Health Care Delivery) includes contact with at least 5 medical and lay volunteers. Clients may receive free medications and lab tests. Average time spent with clients is one hour. Average cost of unit of service for Health Care Delivery was $29 in FY 98. Average amount of Financial Assistance given was $25. Average cost of HIV Testing and Counseling was $5. Please supply information about clients served by your agency during last two complete budget years. Refer to form instructions for definition of duplicated and unduplicated. o o 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 pro- vide? * includes UI students Johnson County) 5. Enter Years FY 97 FY 98 1 a. Duplicated 4569 5487 Count 1 b. Unduplicated 2366 2639* Count 2a. Duplicated 2369 3130' ** Count 2b. Unduplicated. 995 1394* ** Count 3a. Duplicated 304* ** Count 3b. Unduplicated 160 ** Count 4a. Total 8133 7210 7139 6143* 4b. To Johnson County Residents "Does not include HIV clients (no way of differentiating Iowa City from Other Areas Served: Do you provide services to areas outside of Johnson County? We see patients at FMC who come from other counties. Area(s) served: Linn, Cedar, Muscatine. Benton, Jefferson, Washinfiton, Out of State Services provided: Health Care Delivery, Financial assistance & HIV testing Funding Sources: We have anticipated requesting funding from some of these out of county areas as we gather statistics about the numbers of people we see from those counties. -8- -213- AGENCY: Iowa City Free Medical Clinic °, Client Profile (for last complete year, if available): Age 0 - 5 157 6 - 17 304 18-29 1575 30-61 1905 62-75 195 75 + 18 Gender Female 2369 Male 1785 Clinic visits only Ethnicity* Afdcan American 12% Native American 1% Asian 5% Hispanic 9% Caucasian/Non-Hispanic 40% Multi-racial 1% * Based on 6 months record Keeping of race. 32% gave no answer to this question. 7. Evaluation and Review: A. Please discuss how your agency measures the success of its programs. A quality assurance program is in place. A chart review system assures that FMC protocols and guidelines have been followed. Patient satisfaction surveys are done annually. FMC is currently researching outcome measurement in regard to the health care we provide. B. Does your agency have performance objectives? [Give several examples] Test at least 20 % HIV clientele off site. Maintain the high quality of care through chart review, patient surveys and other outcome measurement. Monitor opportunities for expansion of services and collaborative projects. 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 continue to see an increasing number of clients with chronic health problems such as diabetes and hypertension. It will be important to make sure that the health needs of this population are met, in an environment with fewer resources for medication and assistance with lifestyle change. -9- -214- AGENCY: Iowa City Free Medical Clinic Please discuss any other problems or factors relevant to your agency's programs, funding or service delivery: As we t.ry to meet the needs of our patient population by offering more hours of availability, we sometimes run into volunteer staffing difficulties. In relying on program cooperation with UI Family Practice and Mercy Hospital we have been able to expand our hours. Unfortunately, when these facilities need to change staffing or program focus, we must find new ways to continue the service. It can sometimes be a challenge finding resources and volunteers. 10. List complaints about your services of which you are aware: Can't get a dental appointment. Can't talk to a human...always get the answering machine. Lack of parking. 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: When our clinics are full we encourage patients to check back with us to see if there have been cancellations, or we offer the next clinic appointment time. Clients may also leave their name and number for a possible call-back if there has been a cancellation. How many people are currently on your waiting list? NA 12. In what way(s) are your agency's services publicized? Posters, brochures, referring agencies, speaking engagements, newspaper articles, phone book, word of mouth and classified ads. 13. United Way involvement by your agency: ("X" if agency participates) Agency Directors Meetings Agencies Representative to Funding Headngs Business Blitz Day of Cadng Kick Off Victory Reception Other Ioao on all literature, T-shirts acknowledgment in all presentations and appearances X X X X X X and letterhead. Campaign tours, · -10- -215- AGENCY: Iowa City Free Medical Clinic 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 Medical Clinic (FMC) 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. Dudng 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 Spdng of 1972 FMC has been located in the lower level of Wesley House at 120 N. Dubuque. Since opening 27 years ago, over 58,000 patients have been seen for a total of over 133,800 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 odented". Sinks were put in each room, heating and air-conditioning installed, improved lighting and ~oodng is a great help to staff and volunteers and acoustical paneling increases pdvacy. 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. Other services offered include dental care, eye exams, Mercy Night, initial prenatal exams, dermatology, physical therapy, dietitian and psychiatric nurse practitioner counseling. One of the pdmary reasons we have been able to maintain our odginal commitment to free health care for all, is the dedicated participation of a large volunteer staff. Physicians, lab technicians, pharmacists, physician assistants, nurses, medical students, patient advocates, receptionists and HIV counselors come together with staff to created an environment of cadng and support for one another and our patients. Services that have been added in FY 98 include two retired gynecologists who see women with gynecological problems on Thursday mornings and a retired pediatdcian seeing children on Tuesday mornings. Quality assurance rs an ongoing part of FMC commitment to providing quality health care to our clients. Our Patient-in-Need Program continues to be invaluable in keeping patients with chronic medication needs supplied with the proper medications. -216- -11- AGENCY: Iowa City Free Medical Clinic FY 98 GOALS Please state FY 98 goals and report status of progress/completion. 1. Health care delivery A. To provide free, general outpatient health care to residents of Johnson County. We saw over 4,000 patient visits and added a Thursday morning clinic. Three retired physicians began volunteering to see patients. B: There were over 9,000 phone contacts in FY 98. Staff spoke to a number of community groups about FMC. 2. Financial Assistan~',e Program Medication and Medical Supply fund provided 187 vouchers totaling $3374. Eye glass Assistance Program supplied 53 vouchers totaling $2253, Headng Aid Fund supplied 7 vouchers totaling $420. Preventive Health Fund provided 12 vouchers totaling $412. Cancer Prevention Fund provided 2 vouchers but work with many agencies willing to provide free mammograms to clients has been a great help to women. 3. HIV Counseling and Testing A. Goal to test 1300 was not met. 974 clients were tested. Total contacts including post tests was 1785. This is an 83% return of people getting their results (clients need to return in person to receive test results) 1567 phone contacts. B, Served on a number of committees. A. Unknown B. Established off site testing at MECCA C. Unknown D. Served on Committee with Conner Center Staff E. Not satisfactory F, Contributed to Pow Wow time and materials. Materials to vadous student groups G. Not satisfactory. Knowledge, Attitudes and Beliefs (KAB) survey needs to be developed. -12- -217- AGENCY: Iowa City Free Medical Clinic AGENCY PROGRAM GOALS AND OBJECTIVES NAME OF PROGRAM: HEALTH CARE DELIVERY FY 00 Goal: To provide free, general outpatient health care to residents of Johnson County. Objective A: In 1999/2000 provide free health care (direct patient contact) on Monday and Thursday evenings, Tuesdays 9am-4pm, Thursday mornings, one Wednesday evening per month and one other day a week (off site) for an estimated 5,000 client contacts. Tasks: 1. Schedule Clinic evenings with 12-14 lay volunteers and 10-12 medical volunteers. 2. Provide ongoing recruiting and orientation for medical volunteers. 3. Provide ongoing recruiting and training for lay volunteers. 4. Provide Clinic evening supervision to volunteers. 5. Provide periodic training sessions for volunteers. 6. Publish newsletter to provide internal communication and update medical information to volunteers. 7. Schedule paid staff to cover the office 9am-3pm Monday through Thursday to accomplish: a. administrative duties b. patient follow-up c. phone answedng d. counseling walk-in clients and providing information and referrals, doing pregnancy tests, blood pressure checks and HIV test results. e. administering voucher programs 8. Procure space and staff for off site medical care to under served populations in Johnson County. 9. Administer Patient - in -Need Program (PINP) a. Maintain record keeping and ordedng information for each patient. b. Keep on hand, correct forms for medication ordering. c. Organize pharmacy storage area for PINP medications. Objective B: To provide community information and referrals for medical and related social services. Tasks: 1. Maintain current and updated referral information for which the clinic receives frequent requests. 2. In 1999/2000 transmit this information to an estimated 9,500 people through phone contacts, walk-ins and clinic visits. 3. Provide educational presentations to agencies, civic groups, professionals and the Clinic's service population. 4, Develop or order informational materials geared towards our patient population, and making them easily available. Resources Needed to Accomplish Program Tasks 1. Three full-time paid staff persons. 2. One pan-time paid physician, 10-12 hours a week. 3. One 1t4 time paid examiner position. 4. One 25 hour per week office manager. 5. Three (or four) phone lines. 6. Supplies for Clinic, Lab, Pharmacy and Office 7. Professional liability insurance. 8. Waiting room, lab space, pharmacy space, Clinic space, office space. COST OF PROGRAM: FY 99 $154,363 FY 00 $163,674 -13- -218- AGENCY: Iowa City Free Medical Clinic NAME OF PROGRAM: Financial Assistance Programs FY 00 MEDICATION AND MEDICAL SUPPLY VOUCHER PROGRAM Goal: To provide emergency assistance to residents of Johnson County who cannot afford needed medications or medical supplies. Objective A: To provide vouchers for medication and medical supplies from 9am- 3pm Monday through Thursday. Tasks: 1. Maintain contact with Iowa City and Coralville pharmacies. 2. Maintain a record keeping system. 3. Maintain a referral list of Johnson County agencies EYEGLASS ASSISTANCE PROGRAM Goal: To provide assistance to residents of Johnson County who cannot afford eyeglasses. Objective A: To provide vouchers for eyeglasses and exams from 9am-3pm Monday through Thursday. Tasks: 1. Maintain contact with Iowa City/Coralville Optometrists. 2. Maintain a record keeping system. 3. Maintain contact with the Lions Club, providing statistical information and updates on the program. HEARING AID ASSISTANCE PROGRAM Goal: To provide assistance to residents of Johnson County who cannot afford hearing aids. Objective A: To provide vouchers for headng aids from 9am-3pm Monday through Thursday. Tasks: 1. Maintain contact with Iowa City/Coralville audiologists. 2. Maintain a record keeping system. 3. Maintain contact with Lions Club providing statistical information. PREVENTIVE HEALTH FUND Goal: To provide assistance to Johnson County residents who cannot afford, diabetes equipment, or other preventive health needs. monitoring Objective A: To provide vouchers for preventive health items from 9am-3pm Monday through Thursday. Tasks: 1. Maintain contact with Iowa City businesses and physicians regarding referrals and purchase of preventive health services. 2. Maintain a record keeping system. 3. Seek funding for this program. -14- -219- AGENCY: CANCER PREVENTION FUND Goal: To provide financial assistance to people who cannot Tasks: Iowa City Free Medical Clinic afford cancer screening tests. Objective A: To provide vouchers for cancer screening for patients. 1. Maintain contact with referring physicians. 2. Maintain a record keeping system. Resources needed 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 pro.qram FY 99 $6,125 FY 2000 $6,256 -220- -15- AGENCY: Iowa City Free Medical Clinic NAME OF PROGRAM: HIV Prevention Counseling and Antibody Testing FY 00 GOAL: To provide HIV prevention counseling and confidential HIV antibody testing to clients, and to collaborate with other agencies in our community to provide prevention and referral information regarding HIV infection. Objective A: To provide HIV prevention counseling and testing, and posttest counseling to approximately 1000 clients in 1999~2000. Tasks: 1. Schedule 2°3 volunteer counselors for 2-3 clinics each week. 2. Recruit and train new volunteers as needed. 3. Provide monthly in-service training sessions for volunteers. 4. Provide off site services to 20 % of clients seeking HIV testing and counseling. 5. Offer financial reimbursements for conferences on AIDS to HIV counselors. 6. Inform the community of the service through advertising and speaking engagements. 7. Collaborate with the County and State Health Departments, local physicians, and other community agencies in providing care and support for those who test HIV positive. 8. Perform administrative duties to accomplish the above. Objective B: To provide for the community prevention and referral information regarding HIV infection. Tasks: 1. Maintain current information available for public use, consisting of books, magazine and j0umal articles, pamphlets on HIV/AIDS, and an updated referral book. 2. Keep staff informed by providing current reading materials and opportunities to attend conferences and workshops. 3. Schedule and fulfill speaking engagements within the community. 4. Maintain a collaborative relationship with ICARE, Johnson County AIDS Project, and other HIV related services. Resources Needed to Accomplish Pro.Gram Tasks 1. One part time paid staff person. 2. Phone lines. 3. Lab and photocopy supplies. 4. Office and counseling space. 5. Educational materials. Cost of Prof3. ram FY 99 $14,603 FY 2000 $18,311 (Partially provided by CDC grant) -16- -221 - AGENCY: Iowa City Free Medical Clinic NAME OF PROGRAM: Strate.qies for Community Outreach Prevention Education (SCOPE) Goal: Reduce the dsk of HIV infection among high dsk and under served populations in the greater Iowa City/Johnson County area Objective A: Reduce risk of HIV infection among gay and bisexual men Tasks: 1. Collaborate 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/Bi Men's Health Night at the Clinic, providing HIV prevention counseling and testing, STD screening, and general health awareness activities. 4. Create and/or sponsor ads promoting prevention activities and/or presenting prevention messages and testing information in local gay media 5. Research the feasibility of providing off-site testing in other settings Objective B: Reduce dsk of HIV infection among injecting drug users, users of other chemicals, and their partners. Joint program between FMC and Mid-Eastern Council on Chemical Abuse (MECCA). Tasks: 1. MECCA will provide HIV prevention education to all inpatient clients, and to outpatient clients whenever possible. FMC will provide education and training for MECCA staff. 2. Voluntary, confidential HIV counseling and testing will be offered to all MECCA clients as an off- site testing program of FMC. FMC will provide lab equipment and supplies, chart management and reporting, and personnel to perform counseling and testing. Objective C: Reduce dsk of.HIV infection in communities of color. Tasks: 1. Establish relationships with UI Cultural Centers and collaborate with groups which represent communities of color. 2. Provide or collaborate in providing programming on HIV to groups within the African-American, Hispanic, and Asian populations. 3. Recruit HIV test counselors from among communities of color. Objective D: Reduce dsk of HIV infection among sexually active, at dsk youth and young adults Tasks: 1. Provide or collaborate in providing small-group, facilitated programming at youth facilities including Youth Homes and United Action for Youth, and for adjudicated youth through the court system. 2. Create and/or sponsor ads with prevention messages and testing information, targeted for youth, in high school newspapers in Iowa City and other Johnson County schools. ~ 3. Provide or collaborate in providing small-group, facilitated programming on HIV to sexually act'ive UI student population, many of whom previously resided in high incidence urban areas. 4. Recruit students and other young adults to serve as peer educators. 5. Provide or collaborate in providing small-group, facilitated programming for sexually active young adults not within the UI student population. 6. Create and/or sponsor ads with prevention messages and testing information, targeted for young adults, in community newspapers and other media. -222- -17- AGENCY: Iowa City Free Medical Clinic Objective D: Secure funding for Objectives A through D. Tasks: 1. Research possible sources for grants 2. Apply for grants COST OF PROGRAM FY 99 $20,873 FY 00(contingent upon renewal of grants from the Iowa CommunityAIDS Partnership and federal funding of prevention through state and county departments of health) -18- -223- HUMAN SERVICE AGENCY BUDGET FORM Director: John Watson City of Coralville Johnson County City of Iowa City United Way of Johnson County CHECK YOUR AGENCY'S BUDGET YEAR 1/1/99-12/31/99 4/1/99- 3/31100 7/1/99- 6/30/00 Agency Name: Goodwill Industries of SE Iowa Address: 1410 First Avenue, Iowa City. IA 522.( Phone: (319) 337-4158 10/1/99 - 9/30/00 September 17, 1998 - (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 after hospitalization. Program 4: Facility Training provides training and employment opportunities for persons with disabilities at our main plants and our retail stores. This program may be time limited as the person transitions into Employment Services or long term if the person so chooses. Program 5: Self Support includes our operational activities which are designed to provide real work and also revenues to help support our rehabilitation efforts. Self support includes our donated goods collection/production/sales, the beverage container recycling project, and facility/community-based subcontracts with local business and industry. Local Funding Summary: United Way of Johnson County - - Does Not Include Designated Gvg. City of Iowa City Johnson County .. city _of Coralville 4/1/97 - 4/1/98 - 3/31/98 3/31/99 $49,376 $49,376 FY98 FY99 4/1/99 - ; % of Total 3/31/00 i _ Budget .... $80,000 FYO0 0.88%' -1- '224' AGENCY: Goodwill Industries of SE Iowa BUDGET SUMMARY Enter Your Agency's Budget Year ==> 1. TOTAL OPERATING BUDGET (total a+b) ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR 1997 1998 1999 9,662,534 9,443,282 9,128,682 , a. Carryover Balance (Cash from line 3, previous column) b. Income (Cash) ~2. TOTAL EXPENDITURES (Total a+b) a. Non-Directed Funding (allocated to programs) b. Program Total (List Progs. Below) 1. Employment Services 2. Access Center 3. Case Management 4. Facility Training 5. Self support 6. 7. ~3. ENDING OPERATING BALANCE (Subtract 2 - 1 ) i4. RESTRICTED FUND BALANCE (Total from page 7) ~5. IN-KIND SUPPORT (Total from Page 7) 6. NON-CASH ASSETS 1,419,464 1,533,382 8,243,070 7,909,900 8,129,152 8,412,300 8,129,152 810,365 169,805 70,467 829,045 6,249,470 1,533,382 20,405 n/a 1,850,976 1,030,982 8,097,700 8,365,900 8,412,300 8,365,900 956,473 944,900 96,188 108,200 36,132 33,900 863,985 883,700 6,459,523 6,395,200 1,030,982i[ 762,782 o, 0 1,601,000 __. 1,391,000 Notes and Comments: PLEASE NOTE: 1. The program costs shown on this page are direct costs for each program plus non-directed funding costs. The non-directed 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\96 3. The ending balance on line item 3, column 1, is the organization's net asset balance (equity) at 12\31\97. * 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. -2- -225- INCOME DETAIL 1: Local Funding SOurces- a. Johnson County audit adj for united way 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. r2. Grants - State, Federal, Foundations . a. Federal - Progress with Industry ~ b. IBM&inn County c. Johnson County-MHWIR~DD d. Grant Wood Area Education e. DVRS-Community Based Assessment Grant I f- Carver Foundation 3. Net Sales Of Services (sources) 4 a. Purchase of Vocational Services c. i4, Net Sales of Materials (sources) a. Contract b. Retail Sales c. 5. Contributions/Donations r a. United Way Designated Giving b. Other Contributions ~6. Special Events a. Iowa City Road Races b. 17. Interest Inceme ~8. Other- List Below a. Rent Income b. :TOTAL INCOME ., * Allocation of Non-Directed Funding Incom 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 ROJECTE ~IEXT YEAR DIRECTED 1997 1998 1999 FUNDING 153,010 109,876 133,800 42,140 PROGRAM PROGRAMS 1 2 - 48, 195 49,376 72,400 57,400 15,000 62,675 60,500 61,400 29,000 120.146 164,700 84,000 27,043 23,300 1,750 16,000 22,196 35,303 33,854 42,100 48,000 83,300 36,000 I1,367,35411.52a.70011,621,000l 1,367,354 1,528,700 1,621,000 16,467,306 16,006.400 16,173,3001 2,689,766 1,807,000 1,580,500 3,777,540 4,199,400 4,592,800 86,526l 52,120 8 49.748 49~ 204 49 204 17,294t 16,5001 31,3851 31,4001 31,385 31,400 i8,243,070 7,909,900 34,8ool 200~ 200 17,0001 33,600~ 33,600 8,097,700 j8,243,070 7,909,900 8,097,700J 34,800 2,500 32,300 200 200 17,000 33,600 33,600 85,6001 (85'60~I 84,000 0 48,000 36,000 690,300 690,300 860,700 9,700~ 870,4001 0 34,300 34,300 49,300 1,100i 50,400' * SEE ATTACHMENT EXPLAINING ALLOCATION METHOD ON PAGE 3b. -226- -3- AGENCY Goodwill Industries of SE Iowa INCOME DETAIL (cont) !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 County-MItXMRXDD d. Grant Wood Aria Education e. DVRg-Community Based Assessment Grant f. Carver Foundation 3. Net Sales Of Services (sources) a. Purchase of Services b. c. i4. Net Sales of Materials (sources) a. Contract '>,¢tail Sales 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. Rent Income TOTAL INCOME * Allocation of Non-Directed Funding Income TOTAL INCOME AFTER ALLOCATION (same as page 2, line I b) Notes and Comments: PROGRAM 3 Case Mgmt 32,400 32,400 32,400] 300[ 32,700! PROGRAM PROGRAM PROGRAM PROGRAM 4 6 7 8 Facility Self Support 896,400 896,400 896,400 9,000 905,400 * SEE ATTACHMENT EXPLAINING ALLOCATION METHOD ON PAGE 3b. 6,173,300 1,580,500 4,592,800 6,173,300 65,500 6,238,800 -3a~ -227- GOODWILL INDUSTRIES OF SOUTHEAST IOWA UNITED WAY PROPOSAL 1999 Attachment to Page 3 1997 Actual 1998 Budget 1998 Budget Note to line 6: Sales Store Sales 3,777,541 4,199,400 4,592,800 Salvage 736, 138 453,200 370,800 Facility Contract 187,493 171,500 191,200 Supported Sites 147,852 163,800 168,600 JWOD Contracts 194,017 86,400 13,600 Container Project 1,307,662 852,100 814,700 Food Service 116,603 80,000 21,600 Total 6,467,306 6,006,400 6,173,300 ALLOCATION OF NON-DIRECTED FUNDING INCOME & EXPENSES Attachment to Page 3, 4, 5, & 6 ALLOCATION METHOD: Non-directed funding income and expenses are allocated by percentage of direct expense. Non-Directed Funding Allocation to Programs: ** Program 1: Employment Services Program 2: Access Center Program 3: Case Management Program 4. Facility Training Program 5: Self Support Total Allocation Budgeted Ne~ Year By% 1999 11.3% 1.3% 0.3% 10.6% 76.4% 100.0% Total Total Income Expenses (pg. 3, col. 4) (pg. 4, col. 4) 85,600 1,228,300 9,700 138,900 1,100 15,900 300 3,700 9,000 129,900 65,500 939,900 85.60~0 1,228,300 ** Allocations to programs are rounded to the nearest 100. -228- -3b- PROGRAM EXPENDITURE DETAIL AGENCY Goodwill Industries of SE Iowa I. Salaries 2. Employee Benefits & Taxes 3. Staff Development 4. Professional Consultation 5. Publications & Subscriptions 6. Dues and Memberships 7. Mortgage, Rent and Property Tax 8. Building Maintenance 9. Equipment Purchase/RentaL/Maint. I 0. Utilities ACTUAL THIS YEAR BUDGETED NON- LAST YEAR ROJECTE NEXT YEAR DIRECTED 1997 1998 1999 FUNDING 4,896,165 5.106,400 4,964,600 601,400 869,535 845,300 984,600 127.100 25,937 15,900 27,000 15,000 78,608 71.000 63,500 27,400 4,859 3.000 3,800 2,000 63,758 67,700 67,400 63,200 684,277 720,900 723,900 108,583 137,000 133,400 73,869 65,900 68,000 136.304 139,500 143,700 4,300 PROGRAM!PROGRAM 1 2 Employment Access Cente 599,800 60.500 115,800 14,800 3.000 2,300 40.500 9,300 2,300 3.500 11. Telephone 33,140 37,400 40,000 9,000 4,000 12. Office Supplies &Postage 69.080 72,900 69.700 34,700 13. Printing and Publicity 121.749 132.400 132,100 28,000 3,000 i 4. Local Transportation 137.008 154,400 142,700 17.500 20,000 15. Insurance 41.128 44,400 45,800 3,700 2,500 I{5. Audit 6.700 9.000 7,000 7,000 17. Interest 75,961 71.700 67.800 18. Other (Specifi/): Supplies 268, 118 303,500 257,900 j 19. Meetings and Conferences 7,367 8,000 8,000 8,000 120. Trash Removal 127,645 131,000 135,000 .21. Depreciation 299,361 275,000 280,000 280,000 23. TOTAL EXPENSES 8,129.152 8,412,300 8,365,900 1.228,300 806,000 [ * Allocation of Non-Directed Funding Expenses{ (1,228,300; 138,900 ~TOTAL EXPENSES after ~ 8,129,152 8,412,300 8,365,900[ o i 944,900 !_ALLOCATION ( p. 2, line 2) ! i [ Notes and Comments: * SEE ATTACHMENT EXPLAINING ALLOCATION METHOD ON PAGE 3b. 1,000 200 3,200 4,400 400 5,800 1,000 900 100 92,300 15,900 108,200 Note to line 2. Employee Benefits and Taxes: The increase in Employee Benefits and Taxes is due to an increase in health insurance premiums. 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 in 1998 for two new Quad City stores. Note to line 13. Printing and Publicity: The increase in Printing and Publicity for 1998 is due to an increase in retail stores. The agency calculates the ,dvertising budget as a percentage of retail sales. -4- -229- PROGRAM EXPENDITURE DETAIL (continued) PROGRAM 3 Case Mgmt !. Salaries 18,600 2. Employee Benefits & Taxes 4,500 3. Staff Development 500 4. Professional Consultation 2,500 i5. Publications & Subscriptions i6. Dues and Meml~rships 100 i~. Mortgage, Rent and Property Tax 2,000 18. Building Maintenance 200 9. Equipment Purchase/Rental/Maint. i 0. Utilities 400 i 1. Telephone 600 12. Office Supplies &Postage 300 13. Printing and Publicity 14. Local Transportation 400 15. Insurance 100 16. Audit 17. Interest r l 8. Other (Specify): Supplies 19. Meetings and Conferences ~20. Trash Removal L ~21. Depreciation 22 23 'TOTAL EXPENSES * Allocation of Non-Directed Funding Expenses 'TOTAL EXPENSES after ALLOCATION ( p. 2, line 2) Notes and Comments: AGENCY PROGRAM 4 Facility 583,300 152,500 1,000 300 1,900 1.400 900 500 11,600 400 Goodwill Industries of SE Iowa PROGRAM 5 Self Support 3, 101,000 569,900 6,500 33,600 1,800 1,300 681,400 123,900 62,500 129,200 24,600 28,000 99,600 92,300 39,000 67,800 257,900 135,000 PROGRAM PROGRAM PROGRAM 6 7 8 0 30,200 753,800 5,455,300 3,700 129,900 939,900 33,900~ 883,700 6,395,200 * SEE ATTACHMENT EXPLAINING ALLOCATION METHOD ON PAGE 3b. -230- -4a- AGENCY Goodwill Industries of SE Iowa RFSTRICTED FI INn.~: Restricted by: [Donor Restricted for: Access Center ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR 1997 1998 1999 20,405 0 0 i~I'OTAL RESTRICTED FUND (also shown pa~e 2, line 4) 20,405q 0 0 IMATCHING ~-RANTS Grantor/Matched by n/a nla n/a ::TOTAL MATCHING GRANTS (also shown p~. 3, line 2) 01 ~I_N-KIN~SUPPORT_ riFTAll !ServicesNolunteers ~Material Goods Space, Utilities, etc. Other: (Please specify) TOTAL IN-KIND SUPPORT (also shown on page 2, line 4) Notes and Comments: n/a n/a n/a n/a n/a n/a n/a n/a ' n/a n/a ~ n/a n/a 0 0 -5- -231 - SALARIED POSITIONS AGENCY Goodwill Industries of SE Iowa "X" Those that apply Position t. -~- ,~ ,~ Last Year EXECUTIVE DIRECTOR X X X 2s% 1.00 lOPERATIONS DIRECTOR X X X N/A 1.00 ASSOCIATE DIRECTOR X X X 3o% i .00 CONTROLLER X X X 3o% 1.00 RETAIL OPERATIONS MGR X X X N/A 1.00 iPERSONNEL DIRECTOR X X X 31% 1.00 COMMUNICATIONS DIRECTOR X X X 31% 1.00 [BUILDING SVS DIRECTOR X X X N/A 1.00 !PROGRAM COORDINATOR X X X a2% 7.50 VOCATIONAL SPECIALIST X X X 34% 13.40 STORE MANAGER X X X 34% 9.00 CASE MANAGER X X X 34% 1.25 [PERSONNEL TRAINER X X X 35% 0.75 iRETAIL SKILLS INSTRUCTOR X X X 33% 1.00 i INSTUCTOR SUPERVISOR X X X 3l°/o 40.75 !OFFICE SUPERVISOR X X X 35% 2.00 !JOB COACH X X X 3o% 25.28 i COMMUNICATIONS ASSIST. X X X 3s% 1.00 BOOKKEEPER X X X 35% 4.00 .' TRUCK DRIVER X X X 36% 5.00 j STORE CLERK X X X 34% 42.81 I MATERIAL HANDLER X X X 37% 32.48 'Total Staff '.Client Wages Te_[nporary Wages TOTAL FTE's and SALARIES * Full-time equivalent: i.0=full-time; 0.5=half-time; etc. 194.22 194.22 This Next Actual Year Year Last Year i.00 1.00 79,000 0.75 0.00 42,000 1.00 1.00 46,300 1.00 1.00 46,300 0.75 0.00 33,800 1.00 !.00 37,200 1.00 !.00 36,400 0.75 0.00 37,200 7.50 9.00 263,100 19.00 16.75 310,700 9.83 10.00 204,000 0.75 0.75 27,600 1.00 1.00 19,800 1.50 1.00 15,500 33.26 24.77 720,836 2.00 2.00 44,400 27.58 27.08 438,400 1.00 1.00 17,100 4.67 4.00 73,400 3.75 4.00 80,300 46.84 47.30 592,700 31.53 25.30 443,100 197.46 178.95 197.461 178.95 Salary This Budgeted Year Next Year 81,700 83,800 33,800 0 51,800 52,800 50,500 51,300 25,900 0 42,100 43,100 39,700 40,400 30,400 0 266,300 313,500 488,200 437,700 241,900 248,300 17,800 18,600 22,600 23,000 47,600 28,500 719,100 623,100 43,100 45,200 422,000 514,700 22,700 23,800 101,400 94,800 98,000 85,400 695,600 730,300 395,800 382,300 % Change 3% -100% 2% 2% -100% 2% 2% -100% 18% -10% 3% 4% 2% -40% -13% 5% 22% 5% -7% -13% 5% -3% 3,609,136 3,938,000 3,840,600 -2% 789,569 800,000 824,000~[ 3% 497,460 368,400 300,000!! -19% 4,89&165l 5,106,400][ 4,964,600li -232- -6- AGENCY: Goodwill Industries of Southeast Iowa A. Agency's Mission Statement or Primary Purpose: The mission of Goodwill Industries of Southeast Iowa is to advance the social and .economic independence of men and women with disabilities and other persons who may experience barriers to such independence. To achieve this purpose, Goodwill provides a variety of training, employment, and support services. B. Board of Directors: 1. (see attached) 2. Frequency of meetings: monthly 3. Briefly describe board orientation and ongoing training opportunities: Each new member receives a comprehensive evaluation focusing on Goodwill's services, operations, finances, culture and values and future plans. Every Board meeting includes training on issues such as: board member roles, disabilities, fundraising, etc. Finances: 1. Are there fees for any of your services? a. If YES, descdbo circumstances. b. Are they flat fees X Does your agency have: an internal audit Frequency Yes X No or sliding fees ? extemal audit X financial review 3. Has your agency filed the Annual Report with the Secretary of State? Yes X No 4. Has your agency filed Form 990 with the IRS? Yes X No 4. Please discuss your agency's fundraising efforts, if applicable. We have an annual membership drive. We are planning to have a capital campaign in 2000. Management: 1. Does each professional staff have a wdtten job description? Yes X__ 2. Is the agency Director's performance evaluated at least yearly? Yes __X__ No By Whom: Executive Committee of the Board No -7- -233- GOODWILL INDUSTRIES OF SOUTHEAST IOWA BOARD OF DIRECTORS 1998-1999 John Helbling Kathleen Krusie Lelia Helms Gordon Hinz OFFICERS Chairperson Vice Chairperson Secretary Treasurer -234- NAME/HOME ADDRESS BARTELME, Lois A., Ph.D. 2083 South Ridge Drive Coralville, IA 52241 354-3717 CAMPBELL, Alan B. 1650 Koehler Drive NW Apt. 347 Cedar Rapids, IA 52405-1571 366-4994 CUTTER, Loma 3464 Collie Court Cedar Rapids, IA 52411 378-1324 DUNGY, Claibourne I., MD/MPH 35 Lakeview Knoll NE Iowa City, IA 52240 351-9173 FELD, Donna, Dr., Ph.D. 4404 Hickory Wind Lane Marion, IA 52302 377-2602 GULICK, Kris, C.P.A. 2103 Linmar Drive NE Cedar Rapids, IA 52402 364-4219 OCCUPATION/ADDRESS Director of Learning LIVEware 5 222 Third Avenue S.E. Suite 5 Cedar Rapids, IA 52401 298-3455 298-3457 Fax Retired Hospital Administrator St. Lukes Hospital, Cedar Rapids Mercy Hospital, Iowa City Marketing Communications IntermecTechnologies/Norand Mobile Systems Division 550 Second Street SE Cedar Rapids, IA 52401 369-3894 University of Iowa Hospital & Cinics Department of Pediatrics 2569 JCP Iowa City, IA 52242-1083 356-3644 356-4855 Fax ** Powercomm Communication Consulting 377-5740 Phone/Fax Senior Consultant Clifton Gunderson PLC 17 ! 5 First Avenue SE Cedar Rapids, IA 52402 363-2697 363 - 1746 Fax ** YEAR ELECTED 1990 1988 1998 1993 1997 1990 TERM EXPIRES 1999 2001 1999 2000 1999 NAME/HOME ADDRESS OCCUPATION/ADDRESS YEAR TERM ELECTED EXPIRES HELBLING, John K. 2675 Rainier Court NE Cedar Rapids, IA 52402 364-8893 Director, Economic Development Alliant Utilities P.O. Box 351 Cedar Rapids, IA 52406 398-7290 398-4567 Fax 1990 2001 HELMS, Lclia B., Ph.D., J.D. 1850 Flanagan Court Iowa City, IA 52246 354-5901 Professor, PPLS College of Educ. The University of Iowa N465 Lindquist Center lowa City, IA 52242 335-5370 1994 2000 HERNANDEZ, Laun C. 115 Dawley Street NE Cedar Rapids, IA 52402 362-1912 Senior Consultant Crawford, Johnson, & Northcott 1300 50~ SWeet Suite 106 West Des Moines, IA 50266 (515) 221-2373 (515) 961-9182 Fax 1996 1999 HINZ, Gordon L. 2119 Leonard Circle Iowa City, IA 52246 338-5033 Vice President Hills Bank & Trust Company 1009 2~a Street Box 5820 Coralville, IA 52241 351-8000 351-2529 Fax 1990 1999 HOLZHAMMER, Reverend Robc~ E. (Rev. Canon) 2105Muscatine Avenue Iowa City, lA 52240-2119 338-0400 Rector Emeritus Trinity Episcopal Church 320 E. College SWeet Iowa City, IA 52240 337-3806 1992 2001 HRADEK, Elizabeth A. (Betsy) 1746 Winston Drive Iowa City, IA 52245 R.N., M.A. University of Iowa Hospital & Clinics 2929 JPP Iowa City, IA 52242 356-1754 1997 2000 KRUSIE, Kathleen 3121 Adirondack Drive NE Cedar Rapids, IA 52402 364-0549 Vice President Mercy Medical Center 701 10m SWeet SE Cedar Rapids, IA 52402 398-645 I 398-6912 Fax 1993 1999 -235- NAME/HOME ADDRESS OCCUPATION/ADDRESS YEAR TERM ELECTED EXPIRES MOORE, R. Dean 2998 Eagle Avenue NW Oxford, IA 52322 645-2868 MORAN, Katie 1530 East Avenue NW Cedar Rapids, IA 52405 366-2639 ROBINSON, Herb 2 Audrey Court NE Iowa City, IA 52240 338-9686 SCHREIBER, James 3940 Wyndham Drive NE Cedar Rapids, IA 52402 393-7300 SIMON, Dale 46 Pentire Circle Iowa City, IA 52245 337-2674 WATSON, John (Ex Officio) 403 Elmridge Avenue Iowa City, IA 52245 337-9225 CEO/Founder Quality Care, The Nature Care Co. P.O. Box 56i3 Coralville, IA 52240-5613 354-3108 358-5845 Fax Senior Manager McGladrey & Pullen, LLP 221 3 Avenue SE Cedar Rapids, IA 52401 Hair Care Business Leader Procter & Gamble Mfg. Co. 2200 Lower Museatine Road Iowa City, IA 52240 339-2284 339-2365 Fax Human Resources Director National Propane Alliant Tower, Suite 1700 200 First Sweet Cedar Rapids, IA 52401 365-1550 365-2627 Fax Dean - Iowa City Center Kirkwood Community College 1816 Lower Muscatine Road Iowa City, IA 52240 338-3658 351-3895 Fax President Goodwill Industries of Southeast Iowa 1410 South First Avenue P.O. Box 1696 Iowa City, IA 52240 337-4158 466-5487 Voice Mail 337-7369 Fax ** 1998 1998 1996 1995 1998 2001 2001 1999 2001 2001 -236- AGENCY: Goodwill Industries of Southeast Iowa E. Program/Services: Please define your agency's units of service (service definition, length of time, cost per unit of service, number of units provided, direct or indirect.) Service Definition Employment Services Job Coaching (direct) ACCESS Evaluation (direct) ACCESS Training (direct) Length of Time Cost/Unit % hour 99.57 3 - 4 days 9350 4 - 5 days 9500 , Please supply information about clients served by your agency during last two complete budget years. 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? Enter Years 1996 1997 la. Duplicated 295 281 Count lb. Unduplicated 248 235 Count 2a. Duplicated N/A N/A Count 2b. Unduplicated N/A N/A Count 3a. Duplicated N/A N/A Count 3b. Unduplicated N/A N/A Count How many units of service did your agency provide? 4a. Total 4b. To Johnson County Residents 72,000 70,500 33,000 32,000 5. Other Areas Served: Do you provide services to areas outside of Johnson County? Area(s) served: Linn County Services provided: Vocational Rehabilitation Funding Sources: DVRS and 24 counties -8- -237- AGENCY: Goodwill Industries of Southeast Iowa Client Profile (for last complete year, if available): Age Gender Ethnicity 0 ~ 5 Female 131 Afdcan Amedcan 12 6 - 17 12 Male 150 Native American 18-29 111 Asian 10 30 - 61 134 Hispanic 14 62 - 75 24 Caucasian/Non-Hispanic 245 75 + Multi-racial Evaluation and Review: A. Please discuss how your agency measures the success of its programs. We use a Walker and Associates program evaluation system to measure our effectiveness, efficiency and customer satisfaction. (see enclosed) Does your agency have performance objectives? (see enclosed) Co What plans does your agency have to increase efficiency and effectiveness? (see enclosed management report) 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 assistive 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. ~ -238- -9- AGENCY: Goodwill Industries of Southeast Iowa 10. 11. 12. 13. Please discuss any other problems or factors relevant to your agency's programs, funding or service delivery: · DVRS (a primary funding source) has developed a lengthy waiting list. At present they are funding only those with the most significant disabilities. · Our beverage container project is threatened by competition and the development of new technology (reverse rending machines). We have depended on this 18-year project as a source of income and jobs for people with disabilities. · We have become a partner in Workforce Development which positions us well to begin providing vocational services for persons with disadvantaging conditions. · Funding is limited in many 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. List complaints about your services of which you am aware: Waiting times for certain 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: Several of our services have waiting lists; some waiting times are 3 - 4 months. Some possible solutions include: Seek more grants. However, these are generally time limited. Lobby the national and state elected officials to provide more funding for people with disabilities. (We currently are involved in lobbying efforts at the state level). How many people are currently on your waiting list? 40 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 e. Kick Off X f. Victory Reception X g. Other -10- -239- AGENCY: Goodwill Industries of Southeast Iowa AGENCY HISTORY Goodwill Industries of Southeast Iowa was established in Iowa City in 1965 to provide rehabilitation, training and employment services to persons with disabilities and other disadvantaged persons who may experience barriers to competitive employment. The Goodwill program is designed to encourage and 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. Nine state grants have been awarded for innovative supported employment programs from 1985 to 1998. 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 1998, Goodwill began offering supported community living services for persons with brain injuries. During 1995, Goodwill began the ACCESS Program. This program is designed to provide evaluation of the need for and training in the use of assistlye 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 qf 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. o11- -240- AGENCY: Goodwill Industries of Southeast Iowa FY98 GOALS - 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. Results: In line to serve more than 175 Johnson County residents. Objective B: During 1998, place and maintain 40 Johnson County participants into competitive employment. Results: Projections indicate that we will place less than 40 individuals competitively. Objective C: During 1998, place and/or maintain 125 Johnson County participants in supported employment positions. Results: Projections indicate that we will place more than 125 individuals in supported employment positions. -12- -241 - 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 1999, provide vocational services to 175 Johnson County residents. Objective B: During 1999, place and maintain 40 Johnson County participants into competitive employment. Tasks: 1. Provide job seeking skills training. 2. Provide support groups to provide peer training and support. 3. Develop sufficient job sites. 4. Provide job coaching to individuals who have been placed. 5. As part of community education, speak to a variety of community groups. Objective C: During 1999, place and/or maintain 125 Johnson County participants in supported employment positions. Tasks: 1. Develop 30 new supported employment sites. 2. (See tasks for Objective B.) 3. Develop two additional community-based 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: 1998:956,473 1999:944,900 -242- -13- AGENCY: Goodwill Industries of Southeast Iowa AGENCY PROGRAM GOALS AND OBJECTIVES 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 assistlye technology. Objective A: During 1999, provide assistive technology evaluations for 40 Johnson County residents. Objective B: During 1999, 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 1999, 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-half FTE 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: 1998: 96,188 1999:108,200 -14- -243- HUMAN SERVICE AGENCY BUDGET ~FORM City '~if Coralville Johnson County City of Iowa City United Way of Johnson County CHECK YOUR AGENCY' S BUDGET YEAR Director: Maryann Dennis Agency Name: Greater IA City Housing Fellowship Address: P. O. Box 1402,1700 S. 1st Ave//25 Phone: (319) 358-9212 Completed by: Maryann DenniS_ Approved by Chair Board: ~ ' 1/1/99 - 12/31/99 4/1/99 - 3/31/00 7/1/99 - 6/30/00 x 10/1/99- 9/30/00 10/02/98 (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 rental housing at scattered sites throughout Iowa City. 58 units have been placed in service and house 164 people. An additional five houses have been purchased and are currently being rehabbed; GICHF offers homeownership opportunities for low-income households. Newly constructed houses are sold at affordable prices to qualified buyers, while GICHF retains ownership of the land. The home owner enters into a long term land lease agreement with GICHF. Program 2 Security Deposit Loan Program Sponsored by First National Bank, this award winning program offers no interest, one year loans to low-income households to pay a damage deposit. Grants are available for low-income Iowa City households to pay a utility deposit. Local Funding Summary United Way of Johnson County - - Does Not Include Designated Gvg. City of Iowa City Johnson County City of Coralville 4/1/97 - 4/1/98 - 4/1/99 - % of Total 3/31/9 3/31/9 3/31/00 Budget $6,010 $6,259 $7,500 0.01 FY98 FY99 FY00 ~ $0 $0 $0 $0 $0 $0 $0 $0 $0 _~44- jccoghs/x/budg. xls AGENCY: Greater Iowa City Housing Fellowship BUDGET SUMMARY Enter Your Agency's Budget Year = = > 1. TOTAL OPERATING BUDGET (Total a + b) a. Carryover Balance (Cash from line 3, previous column) b. Income (Cash) 2. TOTAL EXPENDITURES (Total a +b) a. Non-directed funding b. Program Total (List Progs. Below) 1 Affordable Housing 2 Security Deposit Loan Program 3 4 5 6 7 8 ACTUAL LAST YEAR THIS YEAR PROJECTED BUDGETED NEXT YEAR 1997 1998 1999 632,613 1,183,009 1,199,423 12,194 19,121 30,499 620,419 1,163,888 1,168,925 613,492 1,152,511 1,166,271 101,065 92,981 130,969 512,427 1,059,529 1,035,302 509,161 1,052,363 1,027,777 3,266 7,166 7,525 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: Line la. is a figure from GICHF's 1997 audit. 361,537 856,340 725,026 6,493 7,574 7,743 2,453,866 2,915,277 3,408,277 Pn[EFLY DESCRIBE HOW LOCAL FUNDS WERE SPENT LAST YEAR: To operate the Security Deposit Loan Program ic:nnc~h,~lxlhudct x'l,~ -245- 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 - Sate, Federal, Foundations a. City of Iowa City HOME Funds b. Sate of Iowa HOME Funds c. City of Iowa City CDBG d. Emergency Shelter Grant Program e. Federal Home Loan Bank f. 3. Net Sales Of Services (sources) a. Rent b. Management Fee 4. Net Sales of Materials 5. Contributions/Donations a. United Way Designated Giving b. Other Contributions 6. Special Events a. Fundraising b. Road Races 7. Interest Income 8. Other - List Below a. Insurance Claim & Tenant Reimburs b. Damage Deposits c. SDLP Fees and Loan Recovery d. Line of Credit - First National Bank e. Land Lease Fee f. Misc. AGENCY Greater Iowa City Housing Fellowship NON- ACTUAL THIS YEAR BUDGETED DIRECTED LAST YEAR PROJECTED NEXT YEAR FUNDING 5,760] 6,717]. 7,1881 7,188] PROGRAM PROGRAM 1 2 0[ 0 5,760 6,717 7,188 7,188 I 361,537 856,340 725,026 30,765 130,217 286,333 300,040 152,690 444,120 349,986 30,765 25,000 30,887 2,666 5,000 5,000 50,964 90,000 70,000 190,455l 261,761 [ 394,500I 41,6751 190,4551 259,361l 392,0281 39,203I I 2,4001 2,472l 2,472l ol ol ol ol 9,6431 11,1321 11,6891 11,6891 1,230 2,347 2,464 2,464 8,413 8,785 9,224 9,224 4,494 1,786~ 1,725[ 1,725[ 4,157 1,395 1,325 1,325 337 391 400 400 3401 4401 6001 600l 4S,190[ 25,712[ 28,197[ lo,4so] 13,410 2,600 2,730 5,400 11,612 14,312 675 1,080 675 28,000 320 480 480 705 10,100 10,000 10,000 689,261 300,040 319,221 70,000 352,825 352,825 0[ 0l I 17,042I 2,730 14,312 TOTAL INCOME (same as p. 2, line lb) 620,419 1,163,888 1,168,925 104,122 1,059,128 5,000 ,000 0 0 0 0 675 675 5,675 -246' ic'enoh~l'tlhnda vl~ - '~ - PROGRAM EXPENDITURE DETAIL AGENCY Greater Iowa City Housing Fellowship 1. Salaries 2. Employee Benefits & Taxes 3. Staff Development 4. Professional Consultation 5. Publications & Subscriptions 6. Dues and Memberships ACTUAL LAST YEA 48,436 6,552 1,036 3,861 169 543 5,980 175 5,219 7. Office Rent 8. Building & Maintenance 9. Equipment Purchase/Rental 10. Utilities 11. Telephone 1,294 12. Office Supplies & Postage 1,846 13. Printing and Publicity 360 14. Local Transportation 1,001 15. Insurance (Bonding) 16. Audit 2,525 17. Interest - Line of Credit 1,417 18. Other (Specify): Misc. Office 19. Housing Production/Purchases 340, 196 20. Repay Line of Credit 19,614 21. SDLP 3,266 22. FundRaising 266 23. Insurance on Properties 5,718 24. Mortgage Principal/Interest 116,712 25. Repairs/Maintenance/Supplies 27,914 26. Property Taxes/PILOT 9,510 27. Capital Improvements 9, 111 28. Misc. Housing Expenses 771 TOTAL EXPENSES ( p. 2, line 2) 613,492 Notes and Comments: NON- THIS YEAR BUDGETED DIRECTED PROJECTED NEXT YEAR FUNDING 57,500 1,174 6,075 195 379 5,520 1,592 1,795 2,989 715 1,441 1,539 2,600 62,000 62,000 10,978 1,233 1,233 6,379 6,379 205 205 398 398 5,796 5,796 0 1,671 1,671 0 1,885 1,885 3,139 3,139 751 751 1,513 1,513 800 800 2,730 2,730 PROGRAM PROGRAM I 2 693 728 728 776,040 725,026 30,765 694,261 7,166 7,525 7,525 9,185 11,005 11,005 195,296 241,835 241,835 30,000 54,000 54,000 32,145 16,494 16,494 8,887 9,332 9,332 810 850 850 1,152,511 1,166,271 130,969 1,027,777 7,525 -247- ioofieth~/y|h;ttl~ 't|~ ' 4 - · ~GENCY Greater Iowa City Housing Fellowship RESTRICTED FUNDS: ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR Restricted by: .',.~: .~ ~ ~ ...... c. City of Iowa City CDBG d. Emergency Shelter Grant Program e. Federal Home Loan Bank ] Restricted for: Housing Production Housing Production Housing Production SDLP & City Utilities Housing Production JTOTAL RESTRICTED FUND (also shown page 2, line 4) 130,217 286,333 300,040 152,690 444,120 349,986 25,000 30,887 2,666 5,000 5,000 50,964 90,000 70,000 361,537] 856,340] 725,026~ MATCHING GRANTS Grantor/Matched by c. Emergency Shelter Grant Program Property Tax Exemption Property Tax Exemption Staff Salaries 32,554 71,583 75,010 38,173 111,030 87,497 5,220 5,220 5,220 TOTAL MATCHING GRANTS (also shown pg. 3, line 2) [ 75,9471 187,8331 167,7271 IN-KIND SUPPORT DETAIl. Services/Volunteers Material Goods Space, Utilities, etc. Other: Professional Volunteers TOTAL IN-KIND SUPPORT !.~!.s.5~....§h.0..W.n.....p..n...p.~g..e 2 ,. l_in._e..4.)_. Notes and Comments: 3,573 3,374 3,543 2,520 1,000 1,000 4oo 3,2oo 3,2oo ................ ......7,743 SALARIED POSITIONS AGENCY Greater IA City Housing Fellowship "X"all that aaply Position/Title '~ ~ ~ Last Year Executive Director 15 x x 14% 1.00 Compliance Manager 10 x x 14% 1.00 FTE* Salary This Next Actual This Budgeted % Year Year Last Year Year Next Year Change 1.00 1.00 30,000 32,000 35,000 9% 1.00 0.88 18,436 25,500 27,000 6% TOTAL FTE's and SALARIES 2 2 ~ 1.SS 48,436 57,500 [ 62,000 * Full-t4me..~.uivalent: 1.0~l-fime; 0.5=half-time; etc. 7.50% AGENCY: Greater Iowa City Housing Fellowship ACCOUNTABILITY QUESTIONNAIRE A. Agency's Mission Statement or Primary Purpose: The mission o[ GICI-[F is to increase access to and availability of affordable housing for low-income people in Johnson County. B. Board of Directors: 1. Please attach a list of your agency's Board of Directors (page 7A) 2. Frequency of meetings: Monthly except August 3. Bdefly descdbe board orientation and ongoing training oppodunities: New Trustees am recruited and oriented by the Trustee Recruitment Committee and the Administrator. One third of the Trustees represent the low-income community. Trustee Committees are active. The Board has held two Planning Relreals since incorpomlion. Time is set aside at occasional Trustee meetings for in-service education with guest presenters C. Finances: 1. Are there fees for any of your services? Yes x__ No __ a. If YES, describe circumstances. b. Are they fiatfees x or sliding fees x ? 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 $20monthly land lease fee is Charged to home buyers. A $15 application fee is charged for Security Deposit Loan applicants. 2. Does your agency have: an internal audit extemal audit x Frequency financial review 3. Has your agency filed the Annual Report with the Secretary of State? Yes x No 4. Has your agency filed Form 990 with the IRS? Yes __x__ No 5. Please discuss your agency's fundraising elfotis, if applicable. GICHF participates in competitive funding cycles to secure financing for housing development. The "Doors of Iowa City" poster continues to successfully sell at Prairie Lights Book Store - GICHF receives 100% of the sales price. Member organizations contribute to GICHF. Management: 1. Does each professional staff have a wdtten job descdption'~ Yes x__ No 2. Is the agency Directors performance evaluated at least yeady? Yes __x__ No By Whom? Human Resources Committee of the Board of Trustees -25o- 7 ' ~s. Lisa Anthony ,121 Ash Street Iowa City, IA 52240 Mr. Jerry Dallam 18 Valley View Knoll NE Iowa City, IA 52240 Ms. Glorine Berry 4670 Sioux Avenue Iowa City, IA 52240 Mr. Charles Eastham 1152 E. Court St. Iowa City, IA 52240 Mr. Kevin Hanick 2346 Morman Trek Blvd. Iowa City, IA 52246 Richard Klausner 725 South Clinton Iowa City, IA 52240 Ms. Theresa Klingenberg 320 W. Benton St. Iowa City, IA 52246 Ms. Pat Levin 3 Fairview Knoll Iowa City, IA 52240 Mr. Brian Loring Neighborhood Centers of Johnson CO P O Box 2491 Iowa City, IA 52244 Ms. Patti Santangelo 3035 Stanford Ave. Iowa City, IA 52245 Mary McCue 447 S. Summit Iowa City, IA 52240 Ms. Tracy Voparil 35 Coneflower Ct. Iowa City, IA 52240 Mr. Roger Medsker 2345 MacBride Dr. Iowa City, IA 52246 Ms. Ruth Wagner 614 Keswick Iowa City, IA 52246 GREATER IOWA CITY HOUSING FELLOWSHIP BOARD OF TRUSTEES 1998 7(a) -251- E. Program/Services: AGENCY: Greater Iowa Ci_ty Housing Fellowship 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.) All services provided by GICHF are direct services. Affordable Rental Housing: one unit of service = rental for all ot part of one year for each household member. Rents are controlled by govermnental 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. Security Deposit Loan Program: one unit of service = one loan issued per household. (SDLP in operation from 8- 97 to 12-97 only, due to high expense of defaulted loans). City of Iowa City Utility Deposit: one unit of service = one deposit paid per household. Please supply information years. about clients served by your agency dudng last two complete budget ¸3. 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? Enter Years ---> 1996 1997 la. Duplicated ,sg. s7 rag. ~2o COtlilt Loans 60 Loans 12 I b. Unduplicated rag. 7s nsg. ~ is COillit Loans 60 Loans 12 2a. Duplicated Hsg 87 Hsg. 120 Count Loans 41 Loans 10 2b. Unduplicated Hsg. ~8 COtlilt Loans 41 3a. Duplicated ~sg. 0 Count t~ns 9 Hsg. 11 ~ Loans 10 Hsg. 0 Loans 2 3b. Unduplicated nsg. o rag. o COillit Loans 9 Loans 2 4a. Total Hsg. 87 rag. ~20 Loans 60 Loans 12 Hsg. 87 Loans 60 4b. To Johnson Cbunty Residents Refer to form instructions for definition of duplicated and unduplicated. Hsg. 120 Loans 12 -2s2- 8 AGENCY: Greater Iowa City Housing Felloxvship 5. Other Areas Served: Do you provide services to areas outside of Johnson County? No Client Profile (for last complete year, if available): Age 0 - 5 NIA 6 - 17 N/A 18 - 29 N/A 30 - 61 N/A 62 - 75 N/A 75 + N/A Gender Female 72 Male 46 Evaluation and Review: Ethnicity African American 47 Native American Asian Hispanic Caucasian/Non-Hispanic 60 Multi-racial 11 A. Please discuss how your agency measures the success of its programs, Affordable Housing - increase in the number of affordable rental housing units placed in service. Number of houses sold. Lease renewals. Vacant' rates. Security Deposit Loan Program - requesls for loans and applications received. Repayment rate of loans. Monthly statistical reporls. B. , Does your agency have performance objectives? [Give several examples] To decrease rents upon debt retirement to a level affordable for low-income families without rental subsidies. To beco~ne self-supporting, by funding administrative and operalional expenses with rental income. To increase funding sources by building the capacity of G1CHF through partnerships with other developers of affordable housing. To increase public awareness of tile housing crisis in our community and break down barriers/dispel myths about low-income families. C. What plans does your agency have to increase efficiency and effectiveness? GICHF continues to increase the capacity of staff through partnerships with for-profit and other non-profit developers and ongoing in-service/training. The Executive Director will complete the Housing Development Finance Professional certification program through the National Development Council. haproved maintenance and repair procedures are anticipated. A work order system has been implemented which has streamlined property management practices. An operational manual is being developed. New funding sources for housing development will be sougilt. 8. 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 xvill remain critical. The top two priorities of the City of Iowa City's five year City STEPS Consolidaled Plan for Housing, Jobs and Services are: 9 -253- AGENCY: Greater Ioxva City Housing Fellov,,ship 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 conslructed 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 tenter households is a major barrier. The local vacancy rate for rental units will stabilize, and more rental units will be available, increasing the demand for Security Deposit Loans. The cost of housing will continue to increase. Additional houses will be constructed to be sold at affordable prices to low-income households, while ensuring that all re-sales are income-targeted through continued land ownership by GICHF. 9. 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 ~vith several sources and strictly regulated uses. This results in intricate planning, implementation and monitoring. There is very little vacant, developable land in Iowa City. G1CHF has encountered resistance from neighborhoods to add lower cost housing in certain areas of Iowa City. Community misperceptions of "low-income" households presents a challenge to GICHF. GICHF has a priority to dispel stereo-types and NIMBYism. The local government prefers that GICHF avoid acquiring/constructing affordable housing south of Highway 6. The location and cost of placing hgusing 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. 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 exemplaD' 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. -254- 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: GICHF maintains an applicant pool for rental units. The eligible applicant pool remains constant at belween 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.. Tenant educalion about how to care for a house and be a good neighbor appears to be a local service need. How many people are currently on your wailing list? 50-60 Households 12. In what way(s) are your agency's services publicized? 10 AGENCY: Greater Iowa City Housing Fellowship GICtt~' sends press releases to local media announcing funding awards and new program implemeOtation. GICHF complies with all applicable affirmative marketing/fair housing requiren~enls as established by HUD and the City of Iowa City. It is the policy of the GICHF to attract eligible persons from all racial, ethuic, 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 adverlisements for vacant units in local media and prinled 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 Iowa 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 Couuty, the Domestic Violence Intervention Program and Youth Homes, Inc. 13. United Way involvement by your agency: CX" if agency participates) Agency Directors Meetings Agencies Representative to Funding Hearings Business Blitz Day of Caring - Let's have onel Kick Off Victory Reception Other New Director Mentorinc~ Profiram x x X 11 -255- AGENCY: Greater Iowa City Housing FellowshiF 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.) GICHF was incorporated as a non-profit in 1990. A grass roots organization, GICHF began as a response to tile severe shorlage of affordable housing in our community by representatives from area religious congregations. The mission of GICFIF 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. GICFIF has been designated a Community Housing Development Organization by HUD and has received local United Way designation. GICFtF employs two full- ti~ne 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. G1CHF 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 approaches for ~neeting the housing needs for low-inconm 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, GICFIF avoids areas of concentration. Additionally, this method increases mixed- income neighborhoods with the addition of affordable units in market rate neighborhoods. The rehabilitation of the houses helps to improve and preserve 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. GICHF currently owns and manages 63 rental unils, all of which are occupied by very low-income households. GICHF plans to increase its rental property portfolio by an additional 31 units in 1999. GICHF's rental housing has significantly impacted Iowa Cily. GICHF currently houses 173 people the majorit)' of which are children GICHF operates under a policy to increase the stock of affordable housing. Under this polic3', 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-inco~ne households without rental subsidies. GICItF constructs single family houses to sell to low-income home buyers. GICHF maintains ownership of the land and tile home buyer enters into a long lenn land lease. This structure reduces the cost of the house by eliminating the cost of the land for tile buyer. GICHF, as a non-profit !and owner, effectively removes the land from the speculative market, ensuring affordability over time. Newly conslrucled 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. GICHF has sold two homes ;md wilt construct three more this fall. Through a partnership with the City of Iowa City, the Association of Realtors, the Iowa City School District and local lenders, local high school students are constructing a house for GICHF to be sold next spring. 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. This is the only assistance of this kind available in Johnson Connty II is an a~vard Mnning program that has served over 200 families. Grants pay for City of Iowa City utility deposits. Loans and grants are made based on the availability of funds. 12 256- AGENCY: Greater Iowa City Housing Fellowship FY98 GOALS Please state FY98 goals and repod status of progress/completion. Affordable Housing GOAL: To increase the number of safe, decent affordable rental units in Johnson County. Objective B: Tasks: PROGRESS: rehab. 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. Funding secured and funding agreements signed. 15 properlies purchased as of 10-1-98. 5 properties under GOAL: To provide first time home ownership 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. 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. 13 -257- AGENCY: Greater Iowa City Housing Fellowship 3. Prepare long term land lease. 4. Select qualified buyer. 1. Complete sales transaction. PROGRESS: 2 houses constructed and sold. 3 lots purchased. 1 lot donated. Partnership with Realtors, City, Lenders and School District to construct school built house. Construction agreements signed. 2 completed applications from low-income households. Security Deposit Loan Program Objective A: 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. Tasks: 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. I 1. Submit required reports to funders if awarded ESGP funds. PROGRESS: Loan program fully operational. ESGP funds secured. 14 -258- AGENCY: Greater Iowa City Housing Fellowship AGENCY PROGRAM GOALS AND OBJECTIVES (Several pages are provided, please add any additional pages you may need with your agency name as a header.) 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 14 and construct 14 units of scattered site rental housing. 1. Secure financing from Iowa Finance Authority, 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 home ownership opportunities to income targeted households. Objective A: Tasks: Construct 4 single family homes for purchase by income-targeted buyers. 1. Obtain plans and specifications. 2. Negotiate construction management contract. 3. Secure construction financing. 4. Obtain building permits. 5. Complete construction. 6. Obtain certificate of substantial completion. 3bjective B: Market and sell houses 15 -259- AGENCY: Greater Iowa City Housing Fellowship' 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. Security Deposit Loan Program Objective A: 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. Tasks: 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. Resources Needed: one full-time Executive Director · 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 · public/private partnership 16 -260- 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 1/1/99 - 12/31/99 4/!/99 - 3/31/00 7/1/99 - 6/30/00 X Director: Don Mani, ccia Agency Name: HACAP Address: Po Box 789, Cedar Rapids, IA 52406 Phone: (319) 366-7631 Completed by: Chris Carman Approved by Chair Board: ~C) ~,-~'~'~~--4-~ 10/1/99 - 9/30/00 10/2/98 (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 Project- This program is an enhancement of the core Head Start program which traditionally just provides preschool classroom services m the mommg. Using local funds and a supplemental federal grant as it's base of support, the Family Service Center Project extends the hours and months of Head Start classroom services so that full-day, full-year child development services for 92 children can be offered to low-income families who are working or in school. The FSC Project also offers intensive support to families through Family Support Counselors and an interagency case management approach, which helps families coordinate sentices from multiple community agencies. Through funding from the Iowa Dept of Education and I-IHS for an additional full<Lay, full-day year classroom, the Family Service Center Project is able to serve 16 more children this year, than in previous years. Program 2: Shown at the request of local funders, Program 2 represents the balance of HACAP programming in Johnson County, for which local funding is not being requested. It is shown in this application to provide the complete view of HACAP activity in the area. It is important to note that the funds received for activities described under "Program 2" are received for the specific purposes described and are not able to be used toward the "Program 1" costs. Local Funding Summary United Way of Johnson County - - Does Not Include Designated Gvg. City of Iowa City Johnson County City of Coralville jccoghs/xlbudgoxls 4/1/97 - 4/1/98 - 4/1/99 - 3/31/98 3/31/99 3/31/00 $ 13,520 $ 13,925 $ 14,350 % of Total Budget 0.6% FY98 FY99 FY00 ~ $ 6,240 $ 7,625 $ 7,850 0.3% $ 22,360 $ 24, 155 $ 25,000 1.1% $ $ - $ 1,250 O.O5% -1- -261 - AGENCY: HACAP 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. Family Service Center Project 2. Balance Of HACAP Johnson County Services (no local funds requested) 3 4 5 6 7 8 ACTUAL LAST YEAR 1/1/97 to 12/31/97 505,916 505,916 505,916 66,592 439,324 439,324 THIS YEAR PROJECTED 1/1/98 to 1~31/98 770,004 770,004 770,004 105,132 664,872 664,872 BUDGETED NEXT YEA" 1/I/99 to 12/31/99 2,333,134 2,333,134 2,333,134 146,635 2,186,499 720,608 1,465,891 4. RESTRICTED FUND BALANCE (Total from page 7) 0 5. IN-KIND SUPPORT (Total from Page 7) 26,756 6. NON-CASH ASSETS 0 Notes and Comments: 0 21,510 0 01 0 72,600 0 lane l(a)- Itead Start, tlUD and corporate discretionary funds used to bring to zero balance BRIEFLY DESCRIBE HOW LOCAL FUNDS WERE SPENT LAST YEAR: I.ocal funds were used in the provision of full-day, full-year Head Start services, infant-toddler care services, family support services, and interagency service coordination for families. jccoghs/xlbudg.xls - 2- -262- AGENCY HACAJ' INCOME DETAIL ACTUAL TtHS YEAR LAST YEAR PROJECTED 1. Local Funding Sources- [ 42,120 [ 42,424 a. Johnson County 22,360 22,360 b. City of Iowa City 6,240 6,240 c. United Way of Johnson County 13,520 13,824 d. City of Coralvilte 0 0 e. f. 2. Grants- State, Federal, Foundations [ 423,196 ] 687,883 a. Iowa DHS (childcare subsidies) 6,068 25,500 b, HItS 318,228 483,583 c. Iowa Dept of Ed (State At Risk) 78,900 118,800 d. State CCDBG Grant funds 20,000 60,000 e. HUD f. Iowa Dept of Human Rights-Energy WX g. FaDSS Contract- 4 Oaks ] h. ESGP 3. Net Sales Of Services (sources) I 37,516 I 37,000 a. Parent fees for Infant-Toddler Care 37,516 37,000 _ b. Rent from HACAP Housing Units 4. Net Sales of Materials I 0 I 0 I 5. ContributiomqDonations 2,834 2,419 a. United Way Designated Giving 1,055 I 1,955 b. Other Contributions 1,779 464 6. sp~i~ E~em I 2501 2791 a. Road Race 250 279 b. c. 7. Interest Income I I 8. Other- List Below I 0 I 0 a. b. c. TOTAL INCOME (s~u~e ~s p. 2, line lb) Notes and Comments: I Ane 2a, 3b- Infant/toddler income BUDGETED NEXT YEAR 47,185 24,578 7,738 14,244 625 0 0 2,084,655 25,500 1,004,483 118,800 60,000 366,938 465,997 29,937 13,000 198,9001 37,500 161,400 01 1,500 644 250 250 0 0 0 0 0 0 505,916 770,005 2,333,134 NON- DIRECTED FUNDING I 146,6351 0 110,230 11,880 6,000 14,414 4,111 01 0 0 0 I Ol 146,635 Program 2 PRO GIU~M (no local funds 1 requested) 47,185 [ 0 24,578 0 7,738 0 14,244 0 625 0 633,529 ] 1,304,491 25,500 0 447,109 447,144 106,920 0 54,000 0 352,524 465,997 25,826 13,000 37,5001 161,400 37,500 0 161,400 I 01 0 2,144 ~ 0 1,500 ] 0 644 0 250 I 0 250 0 I 720,608 1,465,891 jccoghs/xlbudg .xls -3- -263- PROGRAI~I EXPENDITURE DETAIL AGENCY HACAP ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR 1. Salaries 286,098 460,199 773,169 2. Employee Benefits &Taxes 59,193 95,214 146,636 3. Staff Development 0 0 1,500 4. Professional Consultation 3,797 3,800 3,800 5. Publications & Subscriptions 0 0 0 6. Dues and Memberships 0 0 0 7. Motgage, Rent and Property Tax 32,410 81,240 199,220 8. Building &Maintenance 0 0 11,580 9. Equiptment Purchase/Rental 200 500 2,700 10. Uu|ities 0 0 16,600 11. Telephone 5,636 8,700 13,050 12. Office Supplies & Postage 351 400 2,990 13. Printing and Publicity 34 100 566 14. Local Transportation 2,870 3,200 19,900 15. Insurance 0 0 2,400 16. Audit 0 0 0 17. Interest 0 0 0 18. Other: Assistance to Households 0 715,321 (Weathertution/ Energy/ Housing Rehab) 19. Indirect Costs 66,592 105,132 146,635 20. Other Housing-related expenses 0 0 18,526 21. Renovations 26,402 220 500 22. Child Transportation 321 500 710 23. Contracted Child Care Services 3,177 3,000 242,731 24. Classrooom Supplies 18,835 7,000 10,800 25. Parent Group Activities 0 800 3,800 NON- PROGRAM Pn,~gra[n. 2 DIRECTED 1 {no local funds FUNDING requested) 474,194 298,975 89,934 56,702 0 1,500 3,800 0 0 0 0 130,480 68,740 0 11,580 500 2,200 0 16,600 10,000 3,050 400 2,590 100 466 3,200 16,700 0 2,400 0 0 0 0 0 715,321 146,635 0 0 0 18,526 500 0 500 210 3,000 239,731 7,000 3,800 800 3,000 TOTAL EXPENSES ( p. 2, hne 2) Notes and Comments: Line 3 Line 4 I.ine 7 Line 10 lane 21 l.ine 23 505,916 770,004 2,333,134 146,635 720,608 1,465,891 Staff development costs related to Head S~rt comes out of other agency resources Paymen( to case management agencies and other non-HACAP family services This line item includes HACAFs occupancy costs. For example, Program 1 's share of cost for occupancy at Broadway Neighborhood Centers, janitorial services, snow removal, etc. In October. 1998, HACAP shifted certain service sites from its Indirect Cost Pool, to direct program charging, based on usage. This change has the effect of lowering the percentage of lndirect costs in FY'99 and '00 budgets. but increasing Mortgage/Rent cost included. Utihty costs at Coralville and Iowa City were included in agency indirect rate in FY'97 and FY'98. Adrmnis~xative expense One-time funds were available from the federal Head Start system for playground improvements and general safety-related repairs. Child care provided for families to attend trainings. meetings, etc.- In FY'00 includes classrc~m services for 74 children at NCJC and Handicare Other expenses are included in ttACAP Head Starrs regional administrative and support budgets, such as: stall development office supplies, pubhcations, memberships, insurance and meals. -264- jccoghs./xlbudg.xls - 4 - AGF3qCY ttACAP F'~qTRICTED FUNDS: ACTUAL lAST YEAR THIS YEAR PROJECTED I~UDG ETED NEX'F YEAR Restricted by: Restricted for: TOTAL RES. TRIL~I'ED FUND (also ~ho.wn page 2, line 4) 01 MATCHING GRANTS Grantor/Matched by a. Iowa DHS (childcare subsidies) $ hHHS $ c. Iowa Dept of Ed (State At Risk) $ d. State CCDBG GTant funds e. HLrD $ f Iowa Dept of Hmnan Rights-Energy WX $ ~aDSS Contract- 4 Oaks h. ESGP 6,068 318,228 78,900 20,000 423,196 25,500 $ 483,482 $ 118,800 $ 60,000 $ $ $ $ $ 687,782 I $ 25,500 1,006,568 118,800 60,000 366,938 465,997 29,937 13,000 2,086,740 IN-KIND SUPPORT DETAIl, Services/Volunteers (Classroom volunteers ~ $5.45 per hour) Material Goods Space, Utilities, etc.- Donated Head Start space Other: (Please specify)- AM pr~hool provided by NCIC 11,156 0 15,600 0 Notes and Comments: 8,910 0 12,600 0 21,5'10[ 9,000 0 3,600 60,000 72,600 i~ogh~abuag.,as - 5 - -265- SALARIED POSITIONS AGENCY ItACAP- Program 1- Fan~lv Ser~4cc Center Position/Title Family Support Counselor Family Support Couuselor Family Support Counselor Teacher- FSC I Teacher- FSC 11 Teacher Assoc- FSC Teacher Assoc- FSC Teacher Assoc- FSC Teacher Assoc- FSC Lead Toddler Worker- FSC Lead Infant Worker- FSC Teacher Asso- Infant/Toddler Teacher Assoc- FSC- Floater Housekeeper/Aide Teacher-Coord Waterfront Teacher - Watertoni 11 Teacher- Waterfront 11I Teacher Assoc- Waterfront I Teacher Assoc- Waterfront I Teacher Assoc- Waterfront I Teacher Assoc- Waterfront 1I Teacher Assoc- Waterfront 11 Teacher Assoc- Waterfront II Teacher Assoc- Waterfront 115I Teacher Assoc- Waterfront III Teacher Assoc- Waterti-ont [12I Housekeeper/Aide "X"all that apply ~ l,ast This Year Year 27 X X l~a 1.00 1.00 27 X X l~,i, 1.00 1.00 27 X X 19% 0.00 1.00 27 X X 19% 1.00 1.00 27 X X 1~'o 1.00 1.00 27 X X 19% 1.00 1.00 27 X X l~aX 1.00 1.00 27 X X l~a 1.00 1.00 27 X X 19%! 1.00 1.00 27 X X 1~'o 0.25 1.00 27 X X l~i, 0.25 1.00 17 X X l~a 0.25 0.63 17 X X 19°,,~ 0.25 0.63 27 X X lenA, 1.00 1.00 27 X X l~'0 1.00 1.00 27 X X 19% 1.00 1.00 27 X X 19% 0.00 1.00 27 X X 1 ~i 1.00 1.00 27 X X 19% 1.00 1.00 27 X X 19% 1.00 1.00 27 X X 19% 1.00 1.00 27 X X 19% 1.00 1.00 27 X X l~.i~! 1.00 1.00 27 X X 19% 0.00 1.00 27 X X 19% 0.00 1.O0 17 X X 1~/~ 0.00 0.63 14 X X l~,i, 0.00 0.50 ITI'E* Salary Next Actual This Budgeted % Year Last Year Year Next Year Change 1.00 19,544 21,715 22,367 3% 1.00 19,544 21,715 22,367 3% 1.00 0 21,715 22,367 3% 1.12)0 19,544 21,715 22,367 3% 1.00 19,544 21,715 22,367 3% 1.00 14,115 16286 16,786 3% 1.00 14,115 16,286 16,786 3% 1.00 14,115 16286 16,786 3% 1.00 14,115 16,286 16,786: 3% 1.00 3,529 18,458 19,023 3% 1.00 3,529 18,458 19,023 3% 0.63 3,529 10260 10,575 3% 0.63 3,529 10,260 10,575 3% 1.00 11,940 14,115 14,549 3% 1.00 21,172 23,887 24,603 3% 1.00 19,544 21,715 22,367 3% 1.00 0 21,715 22,367 3% 1.00 14,115 16,286 16,786 3% 1.00 14,115 16,286 16,786 3% 1.00 14,115 16,286 16,786 3% 1.00 14,115 16,286 16,786 3% 1.00' 14,115 16286 16,786 3% 1.00! 14,115 16,286 16,786 3% 1.00 0 16,286 16,786 3% 1.00 0 16,286 16,786 3% 0.63 0 10,260 10,575 3% 0.50 0 7,064 7,270 3% TOTAL FTE's and S~S 18.00 25.39 25.39 286,098 [ 460,199 474,194 * Full-time equivalent: 1.0 tilll-time: 05=half4ime; etc. Notes: (1) Infant-Toddler staff began working late in fall, 1997, accounting for the lowered FTE shown for "last ','ear" (2) This year, FIACAP also significantly revised its x,,age and benefit schedule to operate better in a competitp,,c labor market. "This Year" salades on this page increased an average of 1670 over "Last Year" salaries. HACAP's standard benefit package was reduced. but employees were given more choice regarding the benefits they wished to select, with pre-tax dollars used Io pay for family health insurance coverage "Next Year" salary adjustments will be at a more conventional level (30 o) (32) The total "This Year" salary level is also higher lhan "Last Ycar's" due to the full-year Infant-Toddler operation and the additional full-da~, full-year ttead Start classroom (Waterfront 3), funded bv the Iowa Dept of Education and flitS. 3% jccoghs/xlbudg.xls - 6 - -266- SALARY DETAIL SALARIED POSITIONS AGENCY HACAP- Program 2 (no local $ requested) Position/Title Johnson Co Service Director/ South Regional Manager* * 27 X X 19% Soc. Srvces/Fam Sup. Coord 27 X X 19% Iowa City Service Worker 27 X X 19% Coralville Serx4ce Worker 27 X X 19% HS/Housing Counselor 27 X X 19% Family Support Counselor 27 X X 19% Family Support Counselor 27 X X 19% Nurse 27 X X 19% Johnson Classroom Ops Coord' 27 X X 19% Housing Maintenance Sprvsr 27 X X 19% Maintenance Sprvsr I 27 X X 19% VFE* SalaD' Last This Year Year Next Actual This Budgeted % Year Last Year Year Next Year Change 1.00 42,737 NA 1.00 24,972 NA 1.00 18,458 NA 1.00 18,458 NA 1.00 21,715 NA 1.00 21,715 NA 0.50 10,858 NA 0.75 17,915 NA 1.00 24,972 NA 1.00 23,018 NA 1.00 20,412 NA Teacher - Faith 27 X X 19% Teacher Assoc- Faith 27 X X 19% 0.54 11,726 NA 0.53 8,632 NA Teacher- North Liberty 27 X X 19% Teacher Assoc- N. Liberty 27 X X 19% Teacher Assoc- Co. Floater 27 X X 19% 0.54 11,726 NA 0.53 8,632 NA 0.80 1L029 NA TOTAL FTE's and SALARIES 0 0 13.19 0 0 298,975 * Full-time equivalent: 1.0=full-time: 0.5=half-time; etc. ** This is a regional HACAP position, which is housed in Johnson Co, but includes support to Washington & Iowa Counties as well. Page 6a -267- AGENCY: Hawkeye Area Community Action- Program ACCOUNTABILITY QUESTIONNAIRE A. Agency's Mission Statement or Pdmary 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. B. Board of Directors: 1. Please attach a list of your agency's Board of Directors (page 7A) 2. Frequency of meetings: 10 meetings per year 3. Bdefiy describe board orientation and ongoing training opportunities: Current board members act as mentors for new board members. A board manual is used in orientation of members. A board retreat is held annually for planning purposes. Training is also available through state and national associations. Each year board members attend the National Association of Community Action Agencies' annual training conference. Finances: 1. Are there fees for any of your services? Yes __X__ No ~ a. If YES, descdbe circumstances. Fees are charged for infant and toddler care, as we do not have base grants significant enough to cover the full cost of these services. b. Are they flat fees or sliding fees X ? Does your agency have: an internal audit X Frequency ANNUALLY extemal audit X financial review X 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. HACAP's fundraising efforts focus on federal and state funding streams (both on-going and discretionary grants), with supplemental and match funds sought through formal local funding systems. Head Stad parent groups, on occasion, conduct small fund-raisers for center activities. HACAP has also been the beneficiary of fundraising events sponsored by other organizations. 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 yeady? Yes __X__ No By Whom? HACAP BOARD EXECUTIVE COMMITTEE 268- -7- FY 98 HACAP Board of Directors Board Member B. Larry Johnson Vacant George Ellis Vacant Maggie Grosvenor Kathy R3i~sback Rick Gerard Medin Moore Virginia Bordwell Sandy Thompson Geoff Eastbum Sharon King Tammy Kesterson Bob Ballantyne Ann Tompkins Diane Hodge Mary Larew Mark Young Vacant Tim Fitzgerald Henry Herwig Lyle Hanson Marty Cutter June Loney Carole Moore Diana Anderson Ed Brecht John Brandt Jonathan Jordahl Keith Jordan Liz Selk L.D. "Skip" Adams Vacant Bob Chadima Adene Foerstner Office President Secretary Vice-Pres. Treasurer Exec Comm. Committee Administration Administration Administration Administration Administration Administration Administration Administration Administration Administration Administration/Ex-Officio Administration/Ex-Officio/AIt Administration/Ex-Officio Administration/Ex-Officio Community Relations Community Relations Community Relations Community Relations Community Relations Community Relations Community Relations Community Relations Community Relations/Ex-Officio Community Relations/E,x-Officio Planning Planning Planning Planning Planning Planning Planning Planning Planning/Ex-Officio Planning/Ex-Officio/AIt Planning/Ex-Officio Organization Name Guaranty Bank & Trust Civic Center la Cty Board of Supervisors Rinderknecht Associates Gruhn Law Firm United Methodist Church Firstar Bank City of Cedar Rapids Healthy Linn Care ?(a) -269- AGENCY: Hawkeye Area Community Action Pro.qram 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.) Family Service Center Project: Service definition: 1 day of classroom-based child development service per child. Length of time: 10 hours per day. Cost per unit of service: $25.87. Number of units provided: Each child enrolled in a HACAP Head Start full-day classroom is offered 253 day of programming per year. In total the 92 children enrolled in the Family Service Center Project are offered 23,276 cumulative days of service per year. Please supply information about clients served by your agency dudng last two complete budget years. Refer to form instructions for definition of duplicated and unduplicated. Enter Years 1996-97 1997-98 1. How many Johnson County residents (including 1 a. Duplicated 26,257 26,335 Iowa City and Coralville) did your agency serve? Count 1 b. Unduplicated 5,866 5,883 Count 2. How many Iowa City residents did your agency 2a. Duplicated 17,396 17,426 serve? Count 2b. Unduplicated 3,587 3,603 Count 3. How many Coralville residents did your agency 3a. Duplicated serve? Count 4,526 4,541 3b. Unduplicated 1,081 1,087 Count 4. How many units of service did your agency pro- 4a. Total vide? 4b. To Johnson County Residents 2,777,15~c 2,786,87c~ 215,041 215,707 5. Other Areas Served: Do you provide services to areas outside of Johnson County? Area(s) served: Yes- Johnson, Linn, Iowa, Benton, Washin.qton, and Jones Counties Services provided: Head Start, Housin.q, Enemy Assistance, Weathedzation, Child Health, WIC, Child Child Care Resource & Referral, Food Reservoir Program, Eldedy Services, Family Support, Financial Assistance. Funds requested in this application are used exclusively in Johnson County for the desi.qnated purposes. Funding Sources: HHS, HUD, Iowa Department of Education, Iowa Department of Human Rights, Iowa Department of Public Health, Iowa Department of Human Services, Iowa Chapter for the Prevention of Child Abuse, Iowa Workforce Development, United Way of East Central Iowa, United Way of Johnson County, City of Iowa City, Johnson County and a ran.qe of other city, county and local funtiers. -270- -8- AGENCY: Hawkeye Area Community Action Program o 6. Client Profile (for last complete year, if available): Age Gender Ethnicity 0 - 5 1,017 Female 58% Afdcan Amedcan 20% 6 - 17 1,628 Male 42% Native Amedcan .6% 18 - 29 1,092 Asian 5.4% 30 - 61 1,679 Hispanic 2% 62 - 75 331 Caucasian/Non-Hispanic 68% 75 + 136 Multi-racial 4% Evaluation and Review: Please discuss how your agency measures the success of its programs. A family assessment process tracks the growth of individual families. Families complete pre and post surveys 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. B. Does your agency have performance objectives? Yes 1) Children with a diagnosed disability will compdse at least 10% of the total Head Stad enrollment. 2) Families will be supported in maintaining a Head Start attendance rate of 85%. 3) Head Start families will receive a contact from their counselor every 45 days at minimum. C. What plans does your agency have to increase efficiency and effectiveness? A pdmary focus of HACAP has been the increased provision of full-day, full-year Head Start services to meet the needs of families affected by welfare reform. The effectiveness and impact of Head Start is diminished when the hours and days of care do not match family need. HACAP has made significant progress in Johnson County in increasing the percentage of Head Start slots which are full-day, full-year. Of the 187 children in Johnson County who receive child development services provided or funded through HACAP, 132 (70%) are enrolled in full-day, full-year programs. HACAP will continue to seek supplemental funding streams to continue to address this pdodty. In what ways will the needs of your service population change in the next five years: Welfare reform will continue to increase the need of full-day services for families. This need will especially impact families with infants and toddlers. Our current funding sources align well for expanding Head Start to full-day, but we do not have large federal or state grants in Johnson County to provide infant and toddler care. We also anticipate an increase in daycare need with the addition of new jobs in Johnson County. Affordable housing in Johnson County continues to be a significant need facing the families that HACAP serves. We believe that comprehensive approaches are needed to support low- income families under stress, as their eligibility for public assistance runs out. A key to achieving true economic self-sufficiency is education and job training. Head Start is one of a handful of child development services that will currently provide full-day child care while parents are in school or job training. -9- o271- AGENCY: Hawkeye Area Community Action Program Please discuss any other problems or factors relevant to your agency's programs, funding or service delivery: Acquiring funding for program development and expansion continues to be complex and requires the management of multiple funding sources. In addition, more funding is of a competitive nature and requires evidence of community need and support. Space for full-day, full-year child care services is not available on a donated or reduced-cost basis, as some space has been in the past for morning preschool services. Thus, the need for stable space has to be met through long term leases at close to market rates. Like other employers in Eastern Iowa, the tight job market has made it increasingly difficult to find applicants for openings. 10. 11. 12. 13. List complaints about your services of which you are aware: We are not aware of any complaints regarding HACAP's Head Start services. Do you have a waiting list or have you had to tum people away for lack of ability to serve them? What measures do you feel can be taken to resolve this problem: There is typically a waiting list for the full-day, full-year Head Start services which are the focus of the Family Service Center project. We believe this is a trend which will continue with welfare reform. The best measures for resolving this problem are sustaining current funding for these services, and the continued search on HACAP's part for additional state and national funding. How many people are currently on your waiting list? 54 on waiting list for Head Start in Johnson Co. 10 on waiting list for Infant-Toddler care In what way(s) are your agency's services publicized? Brochures and posters have been created for individual programs and for county services. Press releases, public service announcements, partnerships with media on specific projects and group presentations are used to increase general public awareness. HACAP staff inform other agencies of our services through interagency meetings, agency tours and written updates. United Way involvement by your agency: ("X" if agency participates) a. Agency Directors Meetings b. Agencies Representative to Funding Hearings c. Business Blitz d. Day of Cadng e. Kick Off f. Victory Reception g. Other X X X X X Agency tours, United Way business and community information booths -272- -10- AGENCY: Hawkeye Area Community Actior~ Program AGENCY HISTORY (Using this page ONLY, please summadze the history of your agency, emphasizing Johnson County, past and current activities and future plans. Please update annually.) The Hawkeye Area Community Action Program 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 services to Linn and Jones Counties. 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 of the counties have agency service centers, and the ones in Johnson County are located at 2007 Waterfront in Iowa City and at 2441 10th St. in Coralville. 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 through private, local, state and federal funding mechanisms. HACAP has sponsored the Head Start program in Johnson County since 1968. years, Head Start services have had a variety of locations and program structures. locations are: Over the Current 1) Iowa city Family Service Center 2) Coralville Family Service Center 3) Faith Head Start Classroom 4) Nodh Libedy Classroom 48 children receive full-day service 36 children receive full-day service/8 children receive pad-day service 15 children receive pad-day service 16 children receive pad-day service 5) Contract with Neighborhood Centers Of Johnson County for classroom services at: a)Pheasant Ridge Neighborhood Center-16 children receive full-day service in collaboration w/NCJC state grant b) Broadway Neighborhood Center- 16 children receive full-day service/16 children receive pad-day service 6) Contract with Handicare for full-day classroom services to 16 children dudng the coming year (pad of an Head Stad expansion grant). -11- -273- AGENCY: Hawkeye Area Community Action Program FY98 GOALS Please state FY98 goals and report status of progress/completion. The following status report on FY'98 goals focuses upon items specifically related to the Family Service Center Project for which local funding is received: FY98 Objective: Provide children enrolled at participating Head Start centers with nutritionally balanced meals and snacks. Status: 53,335 nutritious meals meeting USDA standards were served to children enrolled in the Family Service Center sites dudng the 12 month 1997-98 program year. FY98 Objective: Provide interagency case management services, extended hour child care and intensive family development services to 60 high need families. Status: 74 families received these services dudrig the last year. FY98 Objective: Recruit 4 low income individuals, or their representatives, for election to the HACAP Board of Directors Status: In FY'98 4 low income representatives were seated on the HACAP Board, including a Head Start parent from Johnson County. FY98 Objective: Hire 3 current or former Head Start parent as paid staff in the program Status: Dudrig the past year, four current or former Head Start parents have been hired as paid staff in the program. FY98 Objective: Provide access to emergency assistance by maintaining two service centers in Johnson County. Status: This has been achieved. FY98 Objective: Provide an extended Head Start environment to 100 children in an effort to assist working parents or parents in school with full day child care needs. Status: In the last 12 months, HACAP Head Start in Johnson County has had a full-day capacity of 104 children. FY98 Objective: Facilitate the full immunization of children enrolled in the Family Service Center project Status: This has been achieved. FY98 Objective: Facilitate completion of dental exams among children enrolled in the Family Service Center project. Status: This has been achieved. -274- -12- AGENCY: Hawkeye Area Community Action Profiram 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 OVERALL GOAL OF HEAD START IS TO BRING ABOUT A GREATER DEGREE OF SOCIAL COMPETENCE IN PRESCHOOL CHILDREN FROM LOW-INCOME FAMILIES. SOCIAL COMPETENCE REFERS TO THE CHILD'S EVERYDAY EFFECTIVENESS IN DEALING WITH BOTH HIS OR HER PRESENT ENVIRONMENT AND LATER RESPONSIBILITIES IN SCHOOL AND LIFE, FAMILY SERVICE CENTER OBJECTIVE A: To provide full-day classroom Head Start programming to 80 three to five year old children, and Infant-Toddler care to 12 children from 0 to 36 months. TASKS: · To assure that funds are propedy used the program should maintain at least a ninety per cent (90%) utilization of available slots. · To make sure that the educational experience is able to have maximum impact the student must attend eighty five per cent (85%) of available class days. FAMILY SERVICE CENTER OBJECTIVE B: To assure that classroom meals served to Head Start children meet nutritional guidelines and that they are propedy handled to assure safety. TASKS: · A visit to each full day site is performed by the HACAP Children and Adult Care Food Program Coordinator (CACFP) three times a year. · Each classroom must file weekly menus for review by a certified dietitian. FAMILY SERVICE CENTER OBJECTIVE C: To aid families in understanding and developing a positive attitude toward the family involvement in education. TASKS: · Head Start Social Service Counselors will meet with at least every 45 days to address child and family issues. · Each teacher will make two home visits with each family to engage the family in the educational experience of their child. This will equal 32 home visits for each teacher in a year. Provide for thirty five families Family Support Counseling. This intensive service provides for weekly or bi- weekly in home services designed to help the family work on a broad range of parenting and life skills training. A Case Management Team is assembled to work on the needs of the family. · Involve twenty parents from the Classroom Parents Groups for each class in the Johnson County Head Start Operations Committee and the six county Head Star Policy Council. FAMILY SERVICE CENTER OBJECTIVE D: To provide the classroom staff with additional training and certifications to meet classroom standards and to enhance the educational experience of the children. TASKS: · Provide four all day in service sessions for all Head Start classroom personnel, Head Start Social Service Workers, and Family Support Counselors dudng the school year. -13- -275- AGENCY: Hawkeye Area Community Actior~ Pro.qram Provide six training sessions or purchase outside instruction to certify new employees in First Aid and renew certifications for existing employees every three years. Provide six training sessions or purchase outside instruction to certify new employees in CPR and renew certifications for existing employees every year. Provide six training sessions or purchase outside instruction to certify new employees in Mandatory Child Abuse Reporting procedures and renew certifications for existing employees every five years. Provide four training sessions in the Mantit system to all new employees and provide updates and refresher training sessions for existing employees. Conduct 35 cdminal background investigations on new employees and conduct investigations on existing employees every five years. To facilitate the ordedy transition to a school system. FAMILY SERVICE CENTER OBJECTIVE E: TASKS: Provide 40 packets of immunization records and other information required by a school system. · Teachers will make 16 contacts with potential schools to know needs for a particular school. · Head Start staff will initiate 17 staffings with schools, Grant Wood AEA and parents to develop an IEP for Head Start students identified by Grant Wood screenings, Head Stad teacher referral, or Counselor referrals that indicate disabilities exist. RESOURCES NEEDED FOR HEAD START FAMILY SERVICE CENTER PROJECT: The resources needed for this project are reflected in the Program 1 column of the budget and the Program 1 staff plan provided. ~276- -14- HUM. AN SERVICE AGENCY BUDGET FORM City of Coralville Johnson Counly CiLx., of Iowa City United Way of Johnson County CHECK YOUR AGENCY'S BUDGET YEAR IIII99-12131F. X 411199- 3/31/00 711199- 6~30~00 __ I 0/1109 * 9/30/00__ Completed by: Approved bv Chair Board: Director: ANN RiLEY Agency Name: HANDICARE. INC. Address: 2220 9TH ST. CORALVILLE Phone: 319/354-7641 DAWN M. MORGAN jO '2- (date) COVER PAGE Program Summar,.': (Please number programs to correspond to Incon~e & Expense Detail, i.e.. Program 1, 2.3, etc. ) PROGRAM 1 DAYCARE AND SCHOOL COMPLEMENT SERVICES FOR CHILDREN WITH SPECIAL NEEDS To provide specialized sep.'ices to meet the needs of famihes and their children with multiple handicaps: ages infancv to fifteen years. in the least restrictive environment, PROGRAM 2 DAYCARE AND SCHOOL COMPLEMENT SERVICES FOR CHILDREN WITHOUT SPECIAL NEEDS To provide child de'.'elopmenl activities for 98 - 128 children without special needs up to twelve years of age in an environment tha~ that includes children with special needs Funding assistance to compensate difference m Title XX and Transition daycare payments. Local Funding Sumn~aO:: 411/97 - 411/98 - Untted Wa3 of Johnson Count.~· - - Does Nol Include Designated Gvg. City of Iowa City Johnson County 3/31 f98 S!8,794 F~98 3/31/99 $ t 9.574 FYgc~ City or Coral','ille 4/1/99 - % of Total 3/31/00 Budgel S27.406 '2.6 FY00 -277- AGENCY: HANDICARE, INC. BUDGET SUMMARY Enter Your Agenc.v's Budget Year = = > 1. TOTAL OPERATING BUDGET [Tota~ a. Carq,mover Balance l:Cas}', m~rcnY, li~e 3. previous coluwm) b. I~¢wY~e 2. TOTAL EXPENDITURES .ITi'otal a-b) a. N,m',-difected ~unding b. Progr-.:pn',Total g..i~t Prog~. B. elow) 1 DAYCARE FOR CH]I. DREN (JITH SPECIAL B'EE: 2. DAYCARE FOR CHTT.EKP, EB {~iTHO[E SDECIAL ]X'EF..DS 3 5 G II II ACTUAL LAST YEAR 199? 1,011.84.t li I THIS YEAR PROJECTED 1998 1.058,54:8 II '1 BUDGE'I. _, NEXTYEAR 1999 1.131,5~i6 71.815 59.881 70.448 9{0.029 998]2? 1.0G1,098 952,023 988.100 1.05{.533 79.678 83,770 92,161 872.3.15 90{,330 962.372 387.237 312.871 190358 505.108 591.45~ 771..11.1 :3. ENDING OPERATING BALANCE [S~.~btract 2-1 ] .1. RESTRICTED FUND BALAI'.rCE [Total IEro'rr, l:.age ?] 5. IN-KIB'D SUPPO1Tr [Total raGrow, Page 7] G. NOB-CASH ASSETS Notes a~,d CowYr ents: 59.821 {1 70,448 .10,081t 72,210 111.15{] 80,878 721,975~ 729.429 ENDING BALANCE FUNDS INCLUDE COVERAGE FOR COMPENSATED ABSENCES; EQUIPMENT REPAIR FUND FUNDRAISING MONEY AND SCHOLARSHIP FUNDS 105.600 }! :.-':.9.130 728,071 BRIEFLY DESCRIBE HOW LOCAL FUNDS WERE SPENT LAST YEAR: :B:.mdica,'e pro..,i,'led ~eci.-~li-.ed da~care services t,D 19 cl',ildt'er, eT'mm'olle,.9 ,..n-mrler ,'egul.:,r da!,t,::a,'e rates. -278- AGENCf EANDICARE, INC. INCOME DETATT- 1. Local F,~d~g Sou~ces- a. Johnson County b. City o[ Iowa City c. United Way of Johnson Counb' d. CiIy of Coralville e. [. 2- Grants - Slate. Federal Foundalions a. VaneIv Club b. Headslafl HACAP c. d. C. f. 3. Net Sales Of Sc~:ices <sources) a. Priva~ parent sales b. Department of Human Sewices b. c. 5. Conlribufions~onalions a. United Way Designaled Giving b. Od~er Comributions j6. Special Evenis a. Iowa Cilv Road Races b. BBQ and Candy Sal~ 7. fnterest income 8. Olher - Lisl Below ~a. Nutrition b. misc C. T~g It{COME [sarr, e az p. ~o~es ~d Ccrrrcm~ts: ACTUAL LAST YEAR 18.3881 18.388 866,662 550.031 315,183 1.448 0 8,812 2,549 6,263 3,773 219 :3;554 2.8801 39.714 32.943 6,771 940.029 TIffS YEAR PROJECTED 1%377 19.377 36,2501 36.250 885.317 563,384 321,133 800 0 9,601 3,601 6,000 4,158 558 3,600 1.2221 42,802 38,007 4295 998.727 BUDGETED NEXTYEAR 25,449 25.449 64.000 7,000 57.000 908.299 584.316 322,183 1.800 0 10,500 4,000 6.500 .4.100 500 3,600 1.800 46.950 41,850 5,100 1;061.098 NON- DIRECTED FUNDING 0 PROGRAM 1 o 1.000 3.500 3,500 1.000 90.649 58,431 32,218 157,434 24,200 132,334 900 0 1,800 100 100 93,549 5,250 2,000 3,250 2,050 250 1,800 23,425 20.925 2,500 191.559 PROGRAM 25.449 25.449 59.500 3.500 56.000 660.216 501.685 157,E.31 900 0 5,250 2,000 3,250 2,050 250 1,800 23.425 20.925 2,500 775.890 PROGRAM EXPENDITORE DETAIL AGENCY HANDICARE 1. Salaries 2. Employee Benefits & Taxes 3. Staff Development 4. Professional Consultation 5. Publications & Subscriptions 6. Dues and Memberships 7. MoPgage. Rcnl and Property Tax 8. Building & Mainlcnancc 9. Equiptmcnt P. rchase/Rental 10. Utilities 11. Telephone 12. Office Supplies & Postage 13. Printing and Publicity 14. Local Transportation 15. Insurance 16. Audit 17. Inleresl 18. Other (Specify): 19 food & 20 reef. & ed 21 workstud>.' 22 raise. 23 supplies supplies 24 I ACTUAL LAST YEAR BSi .983 82.475 1.416 297 { NON- THIS YEAR BUDGETED I DIRECTED PROJECTED NEXT YEAR ] FUNDING 577,8.il5 721.764 59.000 90.146 95379 5.271 1,602 8,000 800 350 500 500 25 300 700 78341 78344 78.94t 14,830 14.998 15.750 19.660 12.986 1t.000 13,545 18.593 24,000 3.449 1,000 5.100 3,868 4/t88 4,600 170 520 520 215 1.120 1.200 7239 8.800 9.200 1.710 2,000 2.200 564 476 476 25 TOTAL EXPENSES [ p. 2. Ih',e 2] Notes ..rod Ccrrm'r~.~r, ts: 57,329 57,900 58,200 8.5t7 9,893 %900 536 1.200 1.500 2,221 1.938 2,000 952,023 7.894 1.400 1,200 520 2.700 2,200 476 200 988.100 1,0i4.533 92.161 PROGRAM 77.35.i 8,894 350 35.525 7.875 6.300 11.400 2.550 2,300 200 3,250 29.100 t.950 900 190358 PROGR 575,4013 81,814 7,200 350 35,525 7,875 6.300 11,400 2.550 2,300 1,000 3,5'~q . 29,100 1.500 9013 771,414 -280- AGENCr:~" HANDICARE RESTRICTED FUI{DS: f ACTOAL THIS YEAR BUDGETED LAST YEA~ PROJECTEIi. NEXT YEAR Restricted VARIETY CLUB HEADSTAET HACAP BOARD OF DIRECTORS BOARD OF DIRECTORS Restricted Eor: B~G NEW VAN LOW INCOME FULL TIME KIDS EQUIPMENT ~ BU]LblNG COMPEN'SATED ABSENCES 1997 1998 1999 36,250 7.000 6,360 57.000 17.479 7.600 13,600 22602 22000 28000 ITOTAL RESTRICTED FUND [al~o ~hown pace 2. li, e 4] 40081 72210~ 105600[[ MATCHING GRANTS Gran~of,'Ma~ched bU rTOTAL ,MATCEING GRANTS [also sho~m pq. 3, line 2] I 0 0 01 IN-KIND SUPPORT DETAIL ServiceflVolur~teef~ AEA STUDENTS. BOD PA]~'.EI~ Matedal Goods. Space, Utilities, etc. BIBS BEDDING PLAY EQUIP_ Notes and Cov-,~;;ents: 97,154 71,318 79,130 14,000 9,560 10,000 so.sT l AGEI,I'Cf HANDICARE RESTRICTED FUNDS: ~ACTUAL TEISYEAR~BUDGETEDI LAST YEAlq PROJ'ECTED NEXT YEAR,, Restricted ]:,~: VARIETY CLUB HEADSTART HACAP BOARD OF DIRECTORS BOARD OF DIRECTORS Restricted ]::~G NEr~q VAN LOS~q INCOME FULL TIME KIDS EOUIPMEICI' ~. BUILDING EEl: COMPENSATED ABSENCES 1997 1998 1999 36,250 7,000 6360 57,000 17,479 7.600 13.600 22602 22000 28000 i TOTAL RESTRICTED FUND (also sho~m paqe 2. line 4:00811 72210 ~ 105800 MATCHING GRANTS G,'antor~Ma~cl',ed by ]TOTAL HATCHINS ~3RAI~-~: {alSO shoWn ~. 3. Nine ot IN-KIND SUPPORT BETA]l, S"ices~'Volur, teers Material Goods Space. Utilities, Other: [.Please specilS,,,:t AEA STUDEiNTS. BUD PARElf. BIBS BEDDING PLAY EC~UIP TOTAL IN-KIND SUPPORT {also shoWn o~ page 2, line 4] I l~otes al~d 97,154: 14:.000 111,1541 71,318 cJ.560 80,878i 89 13hi -281- SALARIED POSITIONS AGENCY Handicare Position/Title EXECLTiVE DIRECTOR ON SITE SUPERVISOR FINANCE COORDINATOR INTAKE ADMIS COOED. SPEC NEED COOED AS DIE LE:~D TEACHERS ASSISTANT LEADS CO-LEAD TEACHERS SICK BAY COORDINATOR PERMANENT TEACHER AIE TEMPORARY TEACHER AlE HEALTH AID BOOKS ASSISTANT FACILITY COORDINATOR FOOD SERVICE ~L~.NAGER KITCHEN ASSISTANTS MAINTENANCE CREW 24 24X 24 2~ 2-1 X 5 24 X 2'~ X 10 24 X 10 24 0X 11 0 0 12 24 X 4 24 X 6 24 X 6 0 Last Titis Next Acm.al Titis Year Year Year Last Year Year 1.00 1.00 1.00 42.803 43.908 0.00 0.70 1.00 16.920 1.00 1.00 1.00 25,673 26,73!:' 1.00 1.00 1.00 20.020 20.861 1.00 1.00 1.00 23,237 24.209 11.00 11.40 13.00 101,795 164,789 11.00 11.40 13.00 12°,'53 131.733 2.00 1.80 0.00 28.728 27.5,15 1.00 1.00 1.00 1',778 19,305 '.00 '00 ",00 75.391 "2.624 4.00 3.80 4.00 42.082 4i.348 0.40 0.00 0.00 5,613 0 0.50 0.60 0.60 5.19, 6.104 1.00 1.00 1.00 20.208 27:2C9 1.00 1.000 1.00 19,323 19,968 1.50 1."5 2.50 19.08® 23258 1.00 0.90 0.00 t 1.384 11.170 II h Budgeted Next Year ,Change ~5,005 20.800 20,0 2',408 21.382 24.876~ 2% 182,132i 10% !55,480 180b 0 -100% 19,'88 8e.5~0 11~ 45.498 lo% 0 0Oo 6.200 27.082 ~0 468 200 ~? 'O0 41°:. 11.455 2% TOTAL FTE's and SALARIES t Full-tm~e eqtfivalent: 1.0=~dl-ume', 0.5=half tUne~ etc. 45 054.083 077.846 721.704 -282- AGENCY: ~$1)I~ IRl]. ACCOUNTABILITY QUESTIONNAIRE A. Agency's Mission Statement or Primary Purpose: To ~ early interv~ticn, child ~t activities in the most natural ewi~u.~t a fu]j-~cn sc~l camp]~mt [~ t~at [~ 9cc-i~l iTatic~ ~ a[~te ch~ce. B. Board of Directors: 1. Please attach a list of your agency's Board of Directors (page 7A) 2. Frequency of meetings: M:]qlI{Y 3. Briefly describe board orientation and ongoin traintrio oppo unilies:. w:itt of of ~ ~ m ~ s~ of ~. ~ ~ ~ ~ ~tt~ ~y. Finances: 1. Are lhere fees for any of your services? Yes X No __ a. If YES, describe circumstances. b. A~e they flat fees sas (m) Does your agency have: or sliding fees ? an internal audit external a.dit X financial ~eview X Frequency A~N,~TIY 3. Has your agency filed the Annual Repod with the Secrelary of State? Yes X No 4. Has your agency filed Form 990 with the IRS? Yes X No Do 5. Please discuss your agency's fundraising elfotis. if applicable. or a ~_11 .q~les e~mt hall m large' activit~ .iS -plaTE~ due to -low rurber of staff. Management: 1. Does each professional staff have a written job description? Yes X No Yes X No i. ~ of ~~ Program/Services: Chmfulldayofdaycare=ltmitofsendce Please define your agency's units of service (seEvice definition, length of tilne, cost per unit of service, number of units provided. direct or indirect.) Please supply information about clients served by your agency during last two complete bridget years. Refer to form instructions for definilion ot duplicated and unduplicaled. -7- -283- Doug Marten~ 622-8059 (W) HANDICARE'S BOARD OF DIRECTORS President 354-5900 (H) Amana Corporation Dave VerWoert 393-4261 (H) 363-5741 Group Specialist Insurance Deb Vogt 335-7019 CPA College of Nursing 338-3214 (H) Tony Freund 356-4880(W) Randy Hudachek 335-4500(W) 351-2438 (H) Nurse Vets Administration 351-4506 (H) Water Quality Control Patrick Gordon Treasurer 351-4307(W) Independent Consultant 338-0593(H) Roman Terrill 351-1056(W) Vice President 353-4821 (H) Velva Potter Ron Gerth 335-4500(W) Secretary 626-3063 (H) Kirk Leifert 356-9000 Bank consultant Fred Brown 356-6080 computer analysis 339-8633(h) Handicare Employees Work Number is 354-7641 Ann Riley Executive Director 354-8418 (H) RN Nancy Nagel Assistant Director 643-5499 (H) Rec Therapist Dawn Morgan Finance Coordinator 455-2590 (H) ANNIVERSARY DATE OF JOINING BOARD: Join' Ann Riley Oct. 1981 Nancy Nagel June 1990 Dawn Morgan Dec. 1985 Doug Martens Jan. 1993 Deb Vogt Feb. 1993 Tony Freund Sept. 1995 Randy Hudachek Mar. 1996 Dave VerWoert Oct. 1995 Patrick Gordan May 1997 Roman Terrill Dec 1997 Velva Potter Mar 1998 Ron Gerth Apr 1998 Kirk Leiffert Sept. 1998 Term Jan. 2000* Feb. 2000 Aug. 1998 Feb. 2000 Sept. 1998 April 1999 Nov 1999 Feb 2000 Mar 2000 Aug 2000 -Ta- AGENCY: t o :3. Enter Years g6 97 How many Johnson Counly residents (including 1 a. Duplicated Iowa City and Coralville) did your agency serve? Count [!/'A II/A 1 b. Unduplicated 219 253 Count How many Iowa City residents did your agency serve? 2a. Duplicated Count [~]/A 2b. Unduplicated:: Count 54 How many Coralville residents did your agency 3a. Duplicated · serve? Count I~VA 3b. Unduplicaled 90 109 Counl How many units of service did your agency pro- vide? 4a. Total 32,721 31,286 4b. To Johnson Courtly Residents ,,t2)~471 29,743 5. Other Areas Served: Do you provide services Io areas outside of Johnson County? Area(s) served:Gsdar, Wa~, Scott, Po~shiek, Lirn HLm, at::jre, Iota, ]Ebsmer CeLnties Services provided: Rar'ly Int~',~5~t:i.en dayca~ a-d a_FteL',:ad',3ol a-d school conp:L,:mmt r'qyr. a~. Funding Sources: PH,~I-P ~ pqr~nt',~, I't1~, I,,H,l' nF FIn'R'I ,~rpS, Cnnty BrrHr~ Client Profile (for last complete year, if available): Age 0-5 6-17 18 - 29 30 - 61 62 - 75 75 + Gender :~9 Female 93 72 Male 118 Ethnicity African American ~15 Native American 5 Asian 8 Hispanic , 3 Caucasian/Non-Hispanic 1,6/-~'~ Multi-racial 16 -8- -285- ectivities. Parents of ~ with rH .~H 14 ties ~d witl~ caq ~ f~,l lcc pmrt ~ to meet tier fa~li~s finanial r~n~. to trovide bhe a4~n~a~ticrs r~d~a for bhe ~ wibh di.~]ities. 3. Fa-dicare's ~ w~]] l~o~rb a ~flety of deve/q3r~-a]]y ap[sro[riate 4. Pa-dicare w~ 11 ~met all stat~ re~alaticn~ for c~ ld care cem~ a'd n. fcriticn 5. Rn~icamwillnmintainit's~a-dgro_rdstoasstre~,,~l ~in C. ~bat ~ does your s~e~y ba~ to intorose effic~ a-d eff~ztiv~ss? 8. In~hat~eyswill t:t'~reeds of:ya.r semd.cepzpd..Hrnd'a-geintherextfi~,eyears: We mHn4r~te ~ r~ts f~ ev,a,.'drg ~ wee~qm-d kurs for ~11 ~ ra-bo, es of d'-d lrh-en sirDe ~e have nDre thin do3bled the ~ of fa~i l4~ that are ~ tE'ents that uH14~ -2B6- - 9 ~ AGENCY: H~DI~, I1'13. 9. Please discuss any other problems or factors relevant to your agency's programs, funding or service delivery: LL~ ~11 ~ in Coralvi11~ tl-ds f~11 ~e are firdirE it extremely difficult to rotice goed staff b~nse of ~ immssirg ~e ompetiticn. We offer be~_fits to perumint staff krc ~1.~o ..Ld~nrk sldl],~ a'd ~screlities to get good wDd<ir~ teens wibhin the toms.: ',, We lm~ fam:l that a~r _~D% of a~ clientel frcm ~ fall e~rol]mmt are Title X~ or ~a~si- ~ ~r'~bmplaints about your services of which you are aware: (Tl~-roGn fm-h~ ccrsis~ is the cmpl-int ~,e 1-~m-. N~ F~.-,=s in the staf£ line ,.~ 11. Do ~ou have a waiting list or have you had to turn people ~way for lack of ability to serve them? What measures do you feel can be taken to resolve this problem: has h~l[~] t]~at ~e ~Pt=d bhe na~ infmt/cne ~ oM ~ ~ ~. How many people are currently on your waiting list? 93 12. In what way(s) are your agency's services publicized? Z,C's (hild Care Centas tro:hre; Pa'dica'e's ]:u:du'es are also aml].~,hle at tbivsrsity of Icks I-bspital Schools a-d lccal Fa~Lly Practice Offices a-d 'Ii-E ARZ. Ija~tb-~e_ is also listed in t~e ~ ~ ~, md the ~v~ll e ~ of OmmeE~]~ochre. Waare also li.~t~rl in the re~sletter at the Ca~M~ll. 13. United Way involvement'l~y your agency: CX" if agency participates) Agency Directors Meetings X Agencies Representative to Funding Headngs Business Blitz 'X"' Day of Caring '%" Kick Off V'mtory Reception X Other Gi,,~e sge-cy to. ms, pm'tici~ta in ccnl:my -10- -287- AGENCY Handicare, Inc. AGENCY H I STORY LUsing this page ONLY, please summarize the history of your agency, emphasizing Johnson County, telling of your purpose and goals, past and current activities and future plans. Please update annually.) ~tandicare's early intervention, supported inclusion child development dab' .:~are program has been in operation since'October 1, 1981. We have grown from ~. small cent el' of 15 children to one that currently provides service to 150 ~t-,ildren 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 :l,e most natural environment. Our program offers daycare and preschool ~ctivities to 139 infants through five years of age. Twenty eight of these .t~ildren have a diagnosed disability with thirteen of these children ~cceiving funding assistance. We also provide a school complement program for 72 children between the ages of six and fifteen. T~'enty four of these ~:i~ildren have a diagnosed disability Kith three children unable to receive |'urding. We believe it is important to make adaptations to help a child ;.-~articipate rather than make exceptions or to exclude them. ~ have a team of professionals that work together to coordinate and provide :=-'vices that meet the individual needs of families and children. This team i. ~udes a ,'egistered nurse, a recreation therapist, and certified teachers. Handicare's Board of Directors and staff also work with community profession- c, ls to ensure that each child receives the highest qualitS; of care possible. I~, January 1997 we began a partnership with Headstart. The first year we ...ffered 4 - 1/2 time slots for preschool children from Headstart's waiting list. In 1998 Headstart will add eight full time children. The funds are ~om a federal grant ti Headstart mandating full day and year round services t~ c!~i]dren. This collaborative effort offers quality programs to more ~:hildren from low income families without the expense of beginning new }l~adstart programs. ::,~, July 29, 1998 we expanded Handicare's hours of operation to include -~Venings and weekends. The Board of Directors felt this was necessary' do to. the growing number of parents requesting daycare during' these unmet and ai,addressed times. Providing daycare on evenings and weekends allows single [;srent families greater opportunities to become self sufficient and work their required hou,'s of employment according to the welfare reform acl. L.-ing lhe same daycare prorider also gives the cffildren greater stability. Handicare's request, ~27.~06, from United ~'ay will be used to provide ~ervices for 24 more children receiving federal funding' assistance. In the past only 109~ of tt-ie children enrolled received Promise Jobs, Tran~=itiona] or T~lle XX funding due to the low reimbursement rate. The difference between ~' federal funding assistance and our private parent fees is S17,806. The :, ..aining S9,600 would be used to provide a .25 per hour wage increase to our ~:irect care staff in an effort to achieve an entry level wage that is more ,',.;mpetitive with commercial employers. -288- 11 AGENCY Handicare Inc. AGENCY'GOALS FORM :kgency Name: Handicare, Inc. Year: 1998 ~',ames of Programs: Frogram 1 - DAYCARE AND SCHOOL COMPLEMENT SERVICES FOR CHILDREN WITH SPECIAL NEEDS Program 2 - DAYCARE AND SCHOOL COMPLEMENT SERVICES FOR CHILDREN WITH OUT SPECIAL NEEDS DAYCARE AND SCHOOL COMPLEMENT SERVICES FOR CHILDREN WITH SPECIAL NEEDS :5oal: To provide specialized services to meet the needs of families and their children with multiple handicaps, ages infancy to twelve years, in a least restrictive environment. :)bjective A: Provide therapeutic intervention programming to an estimated 40 - 60 disabled children. Tasks: 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. (,bjective B: Enroll children with and without disabilities striving to maintain a minimum of 10 - 25% ratio of children with disabilities under three years of age and maintain or exceed a 7% ratio of children with disabilities between the ages of three and five. ~ Provide job training to young adults with various disabilities interested in pursuing careers in child care, food service or janitorial tasks. T~sks: 1. Provide job training opportunities this year to JTPA, Mayor's Youth, Vocational Rehabilitation or Goodwill Threshold participants and to high school community service volunteers. Hire trainees when a job opening becomes available and the trainee proves qualified or funding assistance is available. 12 -289- AGENCY Handicare, Inc. C, bjective C: Provide support services to families that have a child with _~pecial needs· ]'asks: 1. 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 Handi care. Decreasing staff resulls 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. Tasks: 1. Offer aclivities that promote each child's socialization skills with disabled and non-disabled peers. Provide oppo,'tunities for the children to learn to choose appropriate leisure activities. DAYCARE FOR CHILDREN WITHOUT SPECIAL. NEEDS 'joal: To provide child development activities for 90 - 120 non-disabled children, infancy to 12 years of age, in an environment that includes citildren with special needs. ,Z, bjective A: To provide preschool and child development activities to non-disabled children. Task 1: Provide one direct care staff to eve,'y 4 -6 children attending within each classroom. 2. Enroll child,'en witl'~ and without disabilities striving to maintain a minimum of 10 - 25% ratio. :i.,jective B: To provide a program for children that complements their school activities and is a safe environment for them while their parents work. 'iasks: 1. Offer activities that promote the children's socialization skills with peers disabled and non-disabled alike. Provide opportunities for ct;ildren to learn to choose appropriate leisure activities. -290- 13 i'Y98 Goals AGENCY Handicare C, ur goals for service are on going and we are always striving to improve. We are beginning the process to obtain NAEYC status with the help of the Headstart grant. In January 1997 we refinanced our mortgage to drop the interest and payments $1800 per month. We also financed $30,000 to add to a \artery Club grant in order to build a lifetime warranty retaining wall and level the playground areas. A cement basketball court and riding track were tncluded along with new Little Tikes climbing equipment in the sand area. These areas were always a concern with our Licensing Consultant. tlandicare was able to provide job training to three individuals but we were ~Inable to hire these staff as extras due to funding restraints. ~e did offer ~,_,mmunity Service opportunities for many local junior high and high school :tudents for their class requirements. !tandicare provided specialized dayca,'e services to 19 children who were .~,rolled under regular daycare rates. These children received individualized =;-~'ssions, behavior management, early intervention services or medical ~ssistance. A number of these children were recommended to us by the ;~epartment of Human ServiCes, Grantwood AEA or UniversitS; of Iowa Hospitals ~i~e to our therapists, health professionals and our enhanced staff to child :'atio even though the children did not meet the qualifications for =.pecialized daycare funding. We also served six children whose families paid :>rivately for the specialized services. 14 -291 - 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 1/1/99-12/31/99 4/1/99- 3/31/00 7/1/99- 6/30/00 10/1/99- 9/30/00 11/1/98 - 10/31/99 Director: Gary Gansemer Agency Name: Hillcrest Family Address: 2005 Asbury Rd Phone: (319) 583-7357 Completed by: Paul Porter/Anne Armknecht Approved by Chair Board: ;~cZc.~-~~,t-'~j 9/25/98 (date) Services Dubuque IA COVER PAGE Program Summary: (Please number programs to correspond to Income & Expense Detail, i.e., Program 1, 2, 3, etc.) Hillcrest Supported Living (I-ISL) provides a team of Visiting Counselors who specialize in assisting individuals diagnosed with mental illness. Counselors tea& 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 St. in Iowa City. This nine-bed home is run cooperatively by the tenants and one live-in HSL staff person. Typically, tenants pay for their own Room and Board costs utilizing their disability income. HSL has a Purchase of Service contract with the State of Iowa and is accredited by the Joint Commission on Accreditation of Healthcare Organizations, as well as the State of Iowa Division of MH/DD Services. 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 re- hospitalizations, goal attainment, consumer education, empowerment, and increasing the quality of life for those we are here to serve. Local Funding Sunmm~ United Way of Johnson County Does Not Include Designated Gvg. City of Iowa City Johnson County [City of Coralville 4/1/97 - 4/1/98 - 4/1/99 - 3/31/98 3/31/99 3/31/00 $7,500 $7,811 $9,500 FY98 FY99 FY00 % of Total Budget 2% 292- jccoghs/xlbudg.xls - ] - BUDGET SUMMARY AGENCY: Hillcrest Family Services 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 Hillores Supported Living 2 3 4 5 6 7 8 3. ENDING OPERATING BALANCE (Subtract 2 o 1 ) 4. RESTRICTED FUND BALANCE (Total from page 7) 5. IN-KIND SUPPORT (Total from Page 7) 6. NON-CASH ASSETS Notes and Cornmerits: ACTUAL LAST YEAR 11/1/96-10/31/97 THIS YEAR BUDGETED PROJECTED NEXT YEAR 11/1/97-10/31/98 11/1/98-10/3 398,418 395,794 - 387,472 39,058 49,328 6,771 359,360 346,466 380,701 349,090 389,023 380,701 71,171 80,797 77,510 277,919 308,226 303,191 277,919 308,226 303,191 2,236 2,625 2,700 0 0 0 238,215 242,283 242,283 BRIEFLY DESCRIBE HOW LOCAL FUNDS WERE SPENT LAST YEAR: 1. To maimain current room and board costs for tenants at 728 Bowery Street boarding house. 2. To offset recreation and sodalization programming costs for consumers. 3. To assist in overall program operation due to State imposed rate freezes for last nine years. jccoghs/xlbudg.xls - 2 - -293- INCOME DETAIL 1. Local Funding Sources- a. Johnson County b. City of Iowa City c. United Way of Johnson County d. City of Coralville e. f. 2. Grants - State, Federal, Foundations a. b. C. d. e. f. 3. Net Sales Of Services (sources) a. P.O.S. Supportive Living b. Counseling & Therapy c. 4. ~qet Sales of Materials _. Room & Board b. c. 5. Contributions/Donations a. United Way Designated Giving b. Other Contributions 6. Special Events a. Iowa City Road Race b. c. 7. Interest Income 8. Other - List Below a. b. C. TOTAL INCOME (same as p. 2, line lb) Notes and Comments: AGENCY Hillcrest ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR 7,1041 7,6861 8,7921 7, 104 7,686 8,792 Family NON- DIRECTED FUNDING 0[ Services PROGRAM 8,792l 8,792 I ol ol ol ol ol ol 302,9011 295,1351 328,549 302,901 284,903 309,549 0 10,232 19,000 41,996 1 41,904 1 4 1,9oo I 41,996 41,904 41,900 ol 328,5491 309,549 19,000 41,900l 41,900 I 7,1801 1,3641 1,0601 o l 1,0601 345 364 360 360 6,835 1,000 700 700 I 1791 3771 4001 0l 4001 179 377 400 400 I ol ol ol ol ol 359,360 346,466 380,701 380,701 PROGRAM 0 0 -294- jccoghshdbudg.xls - 3 - PRGGRAM EXPENDITURE DETAIL AGENCY Hillcrest Family Services ACTUAL THIS YEAR LAST YEAR PROJECTED 1. Salaries 223,607 244,896 2. Employee Benefits &Taxes 42,979 55,344 3. Staff Development 3,159 1,676 4. Professional Consultation 687 1,915 5. Publications & Subscriptions 332 276 6. Dues and Memberships 302 507 7. Morgage, Rent and Property Tax 14,560 16,260 8. Building &Maintenance 5,885 5,881 9. Equiptment Purchase/Rental 871 4,437 10. Utilities 8,297 9,273 11. Telephone 3,827 4,201 12. Office Supplies & Postage 3,967 6, 167 13. Printing and Publicity 386 429 14. Local Transportation 15,951 16,815 15. Insurance 2,782 2,820 16. Audit 361 251 17. Interest 219 256 ~8. 0 0 891 892 3,389 2,984 16,638 13,743 Other (Specify): 19. Recreation 20. Recruitment/Employee Physicals 21. Food/Kitchen Supplies 22 23 24 25 TOTAL EXPENSES ( p. 2, line 2) Notes and Commems: NON- PROGRAM BUI~ETED DIRECTED 1 NEXT YEAR FUNDING 240,064 53,967 186,097 55,807 12,947 42,860 1,500 1,500 0 1,075 0 1,075 250 0 250 500 0 500 16,200 3,726 12,474 6,080 0 6,080 370 0 370 9,870 1,283 8,587 4,400 572 3,828 5,540 720 4,820 400 0 400 16,705. 2,172 14,533 2,960 385 2,575 280 238 42 250 0 250 0 0 0 750 0 750 2,600 0 2,600 15,100 0 15,100 349,090 389,023 380,701 77,510 303,191 PROGRAM 2 0 j~bud~.xls -4- -295- AGENCY Hilicrest Family Services RE~, RICTED FUNDS: ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR Restricted by: Restricted for: Client Emergency Need Funds 2,236 2,625 2,700 ~TOTAL RESTRICTED FUND (also shown page 2, line 4) I 2236I 26251 2700 MATCHING GRANTS Grantor/Matched by TOTAL MATCHING GRANTS (also shown pg. 3, line 2) 01 O[ 01 IN-KIND SlIPPORT DETAH, Services/Volunteers Material Goods Space, Utilities, etc. Other: (Please specify) ITOTAL IN-KiND SLIPPORT (also shown on page 2, line 4) Notes and Comments: -296- jccoghs/xlbudg.xls - 5 - SALARIED POSITIONS AGENCY Hillcrest Family Services Position/Title "X"all that apply Last This Year Year Utilization &Review X X X 23% 0.02 0.01 Human Resource Director X X X 23% 0.02 0.02 Assistant Executive Director X X X 23% 0.01 0.01 Executive Director X X X 23% 0.03 0.03 Director of Finance X X X 23% 0.02 0.02 Clinical Director X X X 23% 0.03 0.01 Director of Adult Services X X X 23% 0.05 0.05 Quality Improvement Coord. X X X 23% 0.00 0.03 Finance Assistant X X X 23% 0.02 0.02 Systems Operator/Payroll X X X 23% 0.05 0.05 Computer/Acct. Receivable I X X X 23% 0.04 0.04 Computer/Acct. Payable X X X 23% 0.03 0.03 Computer/Acct. Receivable II X X X 23% 0.00 0.01 Program Coordinator X X X 23% 1.00 1.00 Therapist X X X 23% 0.15 0.65 Assit. Program Coordinator X X X 23% 1.00 1.00 Visiting Counselor #1 X X X 23% 1.00 1.00 Visiting Counselor #2 X X X 23% 1.00 1.00 Visiting Counselor #3 X X X 23% 1.00 1.00 Visiting Counselor ~4 X X X 23% 1.00 1.00 Visiting Counselor #5 X X X 23% 1.00 0.37 Visiting Counselor #6 X X X 23% 1.00 1.00 Visiting Counselor #7 X X X 23% 0.50 0.50 visiting Counselor #8(Boarding House'' X X X 23% 1.00 1.00 Visiting Counselor #9 X X X 23% 1.00 1.00 Visiting Couselor #10 X X X 23% 1.00 0.92 Secretary X X X 23% 0.40 0.50 Executive Secretary X X X 23% 0.02 0.02 Secretary/Statistician X X X 23% 0.05 0.05 Human Resource Hiring Assist. X X X 23% 0.01 0.00 Maintenance X X X 23% 0.12 0.10 Cleaning 0.00 0.02 Salary Next Actual This Year Last Year Year 0.00 299 642 0.01 550 639 0.01 404 593 0.02 2,513 1,922 0.01 1,010 1,075 0.00 734 158 0.07 1,169 1,853 0.03 0 788 0.01 492 579 0.03 1,071 1,339 0.02 778 765 0.02 406 421 0.02 0 90 1.00 33,698 33,805 0.25 3,511 16,885 1.00 20,655 21,774 1.00 16,181 17,330 1.00 17,000 17,000 1.00 12,968 17,258 1.00 17,234 17,392 0.50 15,869 6,297 1.00 15,740 17,000 0.50 8,428 8,589 1.00 11,920 17,000 1.00 16,996 17,000 1.00 16,050 15,600 0.50 5,360 6,906 0.01 428 448 0.03 909 957 0.01 430 0 0.10 804 2,531 0.02 0 260 Budgeted % NextYear Change 0 -100% 335 -48% 515 -13% 1,624 -16% 535 -50% 0 -100% 2,672 44% 973 23% 263 -55% 643 -52% 343 -55% 290 -31% 304 237% 34,439 2% 6,953 59% 22,427 3% 17,510 1% 17,000 17,510 1% 18,167 4% 8,755 39% 17,510 3% 8,755 2% 17,000 17,510 3% 17,000 9% 7,177 4% 231 -48% 591 -38% 193 100% 2,571 2% 268 3% # TOTAL FTE's and SALARIES 12.57 * Full-time equivalent: 1.0=full-time; 0.5=half-time; etc. 12.46 12.17 223,607 244,896 240,064 ] 2% jccoghs/xlbudg.xls -6- -297- [] Hillcrest Family Senices AGENCY ACCOUNTABILITY QUESTIONNAIRE A. Agency's Mission Statement or Primary Purpose Hillcrest Family Services seeks to strengthen individual and family life. We are committed to instilling hope in those we sen'e. At Hillcrest we teach skills and provide information and resources that people need to make choices and gain control of their lives. As a caring ministry of the United Methodist Church and the Presbyterian Church (USA), Hillcrest is an advocate for children, youth, and adults in need. We work in parmership with the church and community to provide a full range of services that give people the opportunity to live life to the fullest. B. Board of Directors: 1. Please attach a list of your agency's Board of Directors 2. Frequency of meetings: Every two months 3. Briefly describe board orientation and ongoing training opportunities: The members of the governing Board receive formal orientation of the agency's goals, objectives, programs and methods of orientation. Board members are given a complete packet of program information and their mvn copy of the 56 page Board of Trustees' Manual. A four to six hour presentation is made and facility tours are held. Training includes information regarding programs off erred, clients served, development and public relations, community based rograms, policies, finance, agency history, etc. · l~nances: 1. If your agency charges a fee, describe your fee structure. Hillcrest Supported Living has an hourly fee for direct services and an hourly fee for group services. We have a Purchase of Service with the State of Iowa. The HSL Boarding House also has Room and Board charges, which are usually paid by the clients. Room and Board charges have remained the same since we opened the home in 1989. , Does your agency have: internal audit Frequency annually external audit yes financial review Has your agency filed the Annual Report with the Secretat->' of State? Yes No X Has your agency filed Form 990 with the IRS Yes X No 5. Please discuss your agency's fundraising efforts, if applicable. We do ve~' little fund raising locally. In 1994 we had a fund drive for our new five bed group home. We also try to raise funds through the Hospice Road Race. The majority of our fund raising efforts are focused in the Dubuque area. D. Management: 1. Does each professional staff have a written job description? Yes X No 2. Is the agency Director's performance evaluated at least yearly? Yes X No By Whom? Asst. Executive Director -298- HILLCREST FAMILY Board of Trustees May, 1998 SERVICES CLASS OF 1999 Doug Brotherton. 2823 Hickory Hill, Dubuque 52001 Frank W. Coe, 315 McKinsie Ct. NE, Cedar Rapids 52402 Sharon Faley, 1770 Dover Court, Dubuque 52003 Thomas J. Gill, D.D.S., 808 8th Avenue, Coralville 52241 Randy Hoff, Barnsteadrrhermolyne. 2555 Kerper Blvd., Dubuque 52001 Stephen W. Scott, 100 W. 12th, P. O. Box 703. Dubuque 52004-0703 319/583-5865 h 319/369-2783 O 319/588-0308 H 319/351-6611 O 319/556-2241 O 319/588-0547 O CLASS OF 2000 Bill Cherrier, ESCO Electric, P. O. Box 708, Marion 52302 Jacki Guinn, 998 Indian Ridge. Dubuque 52003 Richard J. Hartig, 703 Town Clock Plaza, Dubuque 52001 Steve Horman, 5780 Sun Valley Drive. Dubuque 52002 Julie Johnson, 1762 Dover Ct., Dubuque 52003 Chuck Naylor, One CyCare Plaza, Suite 810, Dubuque 52001 Stephanie Savage, 3 Jonquil Ct., Galena 61036 Donald L. Wendel, 812 11th Street, SE, Apt. 6, Dyersville 52040 Steven D. Yoder, 51 Laredo Court, Iowa Cty 52246 Ext. 205 VM-244 319/377-6655 O 319/582-0991 H 319/588-8700 O 319/557-9200 O 319/588-9325 H 319/588-1970 O 815/777-4921 H 319/875-2536 H 319/295-1331 O CLASS OF 2001 Carolyn H. Brown, 1154 Oakes Drive, Iowa City 52245 Tom Buelow, 2881 Northridge Drive, Dubuque 52001 Carolyn Collins, 16512 Forest Gate Road, Dubuque 52001 Sharon Finnin, 4355 Dodge St., Dubuque 52003 Ext. 121 Rev. Jeffrey S. Goldsmith. Westminster Presbyterian Church, 2155 University Avenue, DubuqUe 52001 Mrs. Evelyn E. Jackson, 2312 Pasadena #74, Dubuque 52001 Cheri Loveless, 1965 Embassy West, 'Dubuque 52002 Rev. Carroll Robinson, Box 236, Miles 52064 Doug Stillings, Dubuque Bank & Trust, 1398 Central, Dubuque 52001 Roger Stutsman, 3714 500th St. SW, Riverside 52327 319/337-2816 H 319/589-2202 O 319/557-7788 H 319/583-8825 O 3.19/583-1729 O 319/583-0738 H 319/556-4409 H 319/682-7824 H 319/589-1976 O 319/679-2347 H EX OFFICIO Bishop Charles W. Jordan, Methodist Church Conference Center. 500 E. Court Ave. #C, Des Moines 50309-2019 The Rev. Leonard (Len) M. Eberhart, 1199 1/2 Main. Dubuque 52001 Rev. Gary D. Torrens, Presbytery of East Iowa, 1700 1st Ave., P. O. Box 3068, Iowa City 52244-3068 515/283-1991 O 319/556-4286 O 319/354-9220 O nr/6/11/98 -Ta- -299- I'l Hillcrest Family Services 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.) A unit of service is one hour. Our direct service hourly rate is $35.90 and our group service hourly rate is $10.69. The mount of service each client receives monthly is dependent upon their individual needs. Boarding House monthly costs are as follows: Board is $175.00, Single room is $260.00, Double room is $180.00. Please supply information about clients served by your agency during the last two com01ete budget years. Refer to form instruction~ for definition of duplicated and undupl icated. 1. How many Johnson County residents (including Iowa City and Coralviile) did your agency serve EnterYears- 1997 i998 la. Duplicated count 97 102 lb. Unduplicated count 86 2. How many Iowa City ~esidents did your agency serve? 2a. Duplicated count 2b. Unduplicated count 89 3. How many Coralville residents did your agency serve? 4. How many units of service did your agency provide? 3a. Duplicated count 3b. Unduplicated count 4a. Total 1O158 11,706 4b. To Johnson,County 7102 8,979 Residents Other areas served: Do you provide service to areas outside of Johnson County? yes Area(s) served: Linn and Dubuque County Services provided: Supported Community Living (SCL) Hillcrest Family Services serves Eastern Iowa with a large variety ot children, adult and family services, focusing mainly in the Dubuque, .Clinton, Linn, and Johnson County areas. Funding Sources: Purchase of Service for SCL -300- [] Hillcrest Family Services AGENCY Client Profile (for last complete year, if available): Age II Gender 11 Ethnicity 0 - 5 Female 61 AfricanAmerican 5 6-17 Male 42 NativeAmerican 1 18 - 29 9 Asian 1 30 - 61 92 Hispanic 62 - 75 2 Caucasian/Non-Hispanic 96 75+ Multi-racial Evaluation and Review: A. Please discuss how your agency measures the success of it's programs. The Hillcrest Family Services Quality Council meets at least monthly to provide leadership for the process of continual improvement in the quality of services provided to our clients. We utilize statistics generated by satisfaction surveys we send out upon discharge to clients, their families and case workers, as well as aftercare questionaims to clients six months after discharge. Hillcrest Supported Living (HSL) operates a Consumer Advisory Group which meets monthly. We have an extensive agency wide Utilization Review Process which is managed by our Quality Improvement Coordinator. Further, we complete monthly, quarterly and yearly statistics on a variety of performance objectives. Also, information is generated regarding the number of units and types of services delivered. Treatment plans are compared to reports of service delivery to ensure needs and wants are being met. Client Record Reviews are completed by the program coordinator on a regular basis. Finally, we are reviewed by the State of Iowa as well as the Joint Commission. B. Does your agency have performance objectives? (give several examples.) Hillcrest Family Services continues to strive to be the premier social service agency for Eastern Iowa. We continue to ~vork re,yard 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 dam in order to improve services. 2) Hillcrest Services will be affordable, cost effective and immediately available to the clients and customers. Staff will be responsive to client needs and will be highly visible as professionals in the community. 3) Treatment teams will be committed to their clients' success, have shared values and be empowered with appropriate decision matting responsibility to work within their teams to meet their clients' goals. C. what plans does your agency have to increase efficiency and effectiveness? Hillcrest Family Services committment to, and process of, continuous quality improvement is key to increasing our efficiency and effectiveness now and in the future. Quality indicators are continually scrutinized and developed to assist us in the improvement of all areas of service delivery. New and innovative programs are in the process of development. Alternative funding streams are also being developed in response to the ever increasing problem of poverty experienced by our clientele. Further, we continue to streamline our organizational 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 comsumers of mental health sen'ices means less state and county assistance to consumers. Waiting lists for funding as well as client copayments for services will continue to make it difficult for clients to improve the quality of their lives without risking poverty. Further, as the populalion that we serve increases in age, we anticipate a higher degree of physical/medical needs that must be , 9 -301 - [] Hillcrest Family Services AGENCY 9. Please discuss any other problems or factors relevant to your agency's programs, funding or service delivery: The need for services for people with mental illness remains high as funding continues to decrease for this population. Insurance coverage for mental illness related needs is inadequate as compared to other types of medical needs. Rates that we are ailo~ved to charge for our service have been frozen for nine years. An increased array of supported living arrangements are needed in Johnson Count),. 10. List complaints about your services of which you are aware: We have had waiting lists for our services. We had consumers complain that our van was too small and in very poor condition. In September, 1997 we purchased a new 15 person van. 11. Do you have a waiting list or have you had to turn people away for lack of ability to service them? What measures do you feel can be taken to resolve this problem: We have had waiting lists for our service. In October of 1998 we will hire an additional staff person. How many people are currently on your waiting list? 3 12. In what way(s) are your agency's services publicized? Hillcrest Family Services uses the media, public speaking to civic, school and social groups, brochures, Hillcrest Calling ( a quarterly newsletter to 19,000 people ) and public service announcements to make our services known. HSL provides a monthly newsletter which is distributed to clients and professionals in the community. Further, we plan to continue to become more involved as an agency with the United Way. 13. United way involvement by your agency: ("X" if agency participates) g. h. i. Agency Directors Meetings X Agencies Representative to Funding Hearings Business Blitz Day of Caring Executive Development Seminars Kick Off X Victory Reception Volunteer Action Center Hospice Road Race clients and staff participated 10 -302- AGENCY Hillcrest Family Services AGENCY HISTORY (Using one page ONLY, please summarize the history of your agency, emphasizing Johnson County, telling of your purpose and goals, past and current activities and future plans. Please update annually.) Hillcrest Family services began serving Johnson County in September, 1976 with the opening of the Iowa City Residence for women, a residential care facility for chronically mentally ill adult women. This facility was located at 3 13 N. Dubuque St. and licensed by the Iowa Department of Health for seven women. The purpose of the facility was to bring the person from a public or private mental health hospital or institution and help them learn skills so they could lead independent lives in the community. In 1983, Hillcrest expanded the Io~va City Residence (ICR) to fourteen beds for both men and women at a new 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 MFFMR/DD to develop a Supervised Apartment Living Program for persons with mental illness in Johnson Count)'. Visiting Counselors work with the persons in their homes. Such a program helps prevent rehospitalizations and improves the quality of life for many of the mentally ill persons living in apartments and family homes in Johnson County. In 1987, Hillcrest Family Services served 17 mentally ill men and women in Johnson County through the Hillcrest Supported Living (HSL) Visiting Counselor Program. However, it became clear that some clients needed more intensive support services than HSL could provide, including increased crisis intervention services. Some clients found it too difficult to go from the smctured enviroment of the Hillcrest Residence Program directly into an apartment of their own. To meet these needs, in January, 1988 HSL began expansion of staff and services in the Iowa City HSL Program In January of 1989 we did the same for HSL in Cedar Rapids. Currently, HSL is staffed by a Coordinator, Assistant Coordinator, six full time Visiting Counselors, nvo pan time Visiting Counselors and a pan 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 senAces 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 remodel 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. In 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 Supported Living office. In 1998 we began providing Psychiatric Rehabilitation services out of our Iowa City office. HSL and the HSL Boarding House continue to serve adults diagnosed with mental illness in the Johnson County community. Our current census is 103. This is the first time we have served over 100 consumers. 11 -303- AGENCY: Hillcrest Family Services FY 98 GOALS Please state FY 98 goals and report status of progress/completion. 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 learning activities, including socialization and recreational opportunities. 6. Investigate and develop new funding streams. Progress/Completion: HSL has, for the first time in our history, a census of over 100. We continue to hire staff as referrals increase. We currently have 4 staff members receiving Psychiatric Rehabilitation Certification through Kirkwood Community College. Due to a steady flow of referrals, we have had no need to case find in the community. HSL averages over 17 activities for our clients per month. This is an increase from last year. United Way funding assists us in direct and indirect costs for these recreational and socialization events. We continue to be funded primarily through our Purchase of Service in the HSL Program. However, funding streams for our additional mental health programs in Johnson County have expanded. Objective B: Develop community awareness about the increasing needs of persons with mental illness in this community. Task: 1. Advocate for individual client needs in the community. 2. Voice concerns regarding mental health needs to local, state and federal sources. 3. Utilize the Hillcrest Speakers Bureau. 4. Develop and utilize a strategic marketing plan regarding the needs of persons with mental illness. Progress/Completion: Hillcrest continues to be a strong advocate for persons with mental illness. Our philosophy teaches empowerment and self advocacy as important program components for staff and consumers alike. It is the topic of frequent team discussions. The Director of Adult Services as well as many other management personnel continue to speak to church and civic groups. Hillcrest is in the process of utilizing the Semler marketing agency to assist us in strategic marketing plan development and utilization. -304- Objective C: Provide a nine bed Boarding House for persons with mental illness in Iowa City. Task: 1. Provide a safe and healthy living cnviroment. 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. Progress/Completion: The 728 Bowcry Boarding house continues to operate at over a 95% occupancy rate. We did replace the roof last year. Further, Hillcrest has hired a full time 12 maintenence person to take care of all our Iowa City and Cedar Rapids facilities. This has made a dramatic difference in the quality of our homes. We continue to have at least monthly House Council meetings with tenants. At these meetings tenants problem solve, review and adapt rules to meet their needs, and listen to occasional speakers of interest to them. Financial assistance from the United Way has allowed us to keep the same Room and Board charges the same as were in place when we opened in 1989. These costs are almost always paid for by the tenant, therefore we do not want to raise these costs if at all possible. Objective D. Provide a quality program that includes well trained, educated and concerned staff. Task: 1. 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. Progress/Completion: Hillcrest continues to hire bachelor level staff who are dedicated to the field of mental health. Due to low salaries, this will continue to be a challenge to accomplish. Hillcrest has just developed a three year goal to have all staff trained in Psychiatric Rehabilitation. We also send staff to trainings and workshops as needed. Due to the fact that the program coordinator has over thirteen years experience in the field of mental health, many trainings are done on site. Further, HSL staff have nearly daily access to the Hillcrest Mental Health Therapist for clinical assistance as well as trainings. The program coordinator serves on the Johnson County MH/DD Planning Council, as well as being on the Board of DireCtors of another Johnson County United Way agency. She also attends the Johnson County Mental Health Task Force, and a monthly providers lunch meeting. The Joint Commission is due to review our agency in 1999. We were reviewed this year by the State of Iowa Division of MH/DD Services. We were given a three year accreditation, which is the longest accreditation length available. We are currently researching trainings available for dual diagnosis consumers, due to our continuous quality improvement procedures indicating this as a high priority need. We continue to have a difficult time making financial ends meet. The State of Iowa has frozen community based service costs for over nine years, therefore we are charging the same rates as we did in 1989. Until the State of Iowa legislature allows us to increase our rates based upon current costs we will continue to struggle financially. 13 -305- ~ Hillcrest Family Services AGENCY AGENCY PROGRAM GOALS AND OBJECTIVES (several pages are provided, please add any additional pages you may need with your agency name as a header) Goal: To provide an expanded Supported Living Program and Boarding House for adults diagnosed with mental illness living in Johnson County. 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. Provide partial financial assistance for group learning activities, including socialization and recreational opportunities. 5. Investigate and develop new housing options. Objective B: Develop community awareness about the increasing needs of persons with mental illness in this community. Task: 1. Advocate for individual client needs in the community. 2. Voice concerns regarding mental health needs to local, state and federal sources. 3. Utilize the Hillcrest Speakers Bureau. 4. Develop and utilize a strategic marketing plan regarding the needs of persons with mental illness. 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. 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 concemed staff. Task: 1. 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. 14 -306- [] Hillcrest Family services AGENCY AGENCY PROGRAM GOALS AND OBJECTIVES (several pages are provided, please add any additional pages you may need with your agency name as a header) Goal: To provide an expanded Supported Living Program and Boarding House for adults diagnosed with mental illness living in Johnson County. Objective A: Continue expansion of the program to accommodate incoming referrals. Task: 1. Hire additional Visiting Counselors as needed. 2. Develop housing components tO meet consumer preference. 3. Continue training in psychiatric rehabilitation. 4. Provide partial financial assistance for group leaming activities, including socialization and recreational opportunities. 5. Investigate and develop new funding streams. Objective B: Develop community awareness about the increasing needs of persons with mental illness in this community. Task: 1. Advocate for individual client needs in the community. 2. Voice concerns regarding mental health needs to local, state and federal sources. 3. Utilize the Hillcrest Speakers Bureau. 4. Utilize our strategic marketing plan regarding the needs of persons with mental illness. Objective C: Provide a nine bed Bciarding House for persons with mental illness in Iowa City. Task: 1. Provide a safe and healthy living enviroment. 2. Maintain and improve the facility. 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: 1. 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 quality assurance and continuous quality improvement procedures on a daily basis and adjust services as data indicates. 5. Begin specific staff training in the area of dual diagnosis and empowerment. 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. 15 -307- HUMAN SERVICE AGENCY BUDGET FORM City of Coralville Johnson County City of Iowa City United Way of Johnson County Director: Laura Hill Agency Name: IA Center for AIDS Resources Address: PO Box 2989, Iowa City Phone: 338-2135 Completed by: CHECK YOUR AGENCY'S BUDGET YEARApproved by Chair Board: 1/1/99-12/31/99 4/1/99- 3/31/00 7/1/99-6/30/00 X 10/1/99- 9/30/00 Laura Hill Sept. 17,1998 (date) COVER PAGE Program Summary: (Please number programs to correspond to Income & Expense Detail, i.e., Program 1, 2, 3, etc.) Program 1: Direct Services a. Case Management b. Crisis intervention c. Information & referral d. Case conferences e. Home/hospital visitations f. Buddy & Care Teams 1. g. Emergency financial assistance Program 2: Resources & Education a. Resource and lending library b. ADS awareness events c. Quarterly newsletter d. Monthly Service Updates Individual & group counseling Assistive Technology Loan Closet Supply closets Transportation, errands, chore assistance, grocery shopping, etc. Social & recreational events d. Educational workshops, inservices, groups e. Community inservices about HIV/AIDS psychosocial and intervention strategies Local Funding Summary: United Way of Johnson County - - Does Not Include Designated Gvg. 4/1/97 - 4/1/98 - 4/1/99 - % of Total 3/31/98 3/31/9~ 3/31/00 Budget City of Iowa City Johnson County (a) City of Coralville (b) 0 a) ICARE receives funding from the Johnson County Dept. of Public Health (b) ICARE requested $200 in FY98 and $500 in FY99 jocoghs/xlbudgxls - I - $11,590 $12,590 $15,500 8.58% FY98 FY99 FY00 9,600 10,000 $10,500 5.81% 0 $500 <1% -308- AGENCY: Iowa Center for AIDS Resources & Education (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) 1. Direct Services Program 2. Resources & Education Program 3 4 5 6 7 8 ACTUAL THIS Y/EAR BUDGETED LAST YEAR PROJECTED NEXT YE,' FY98 FY99 FY00 160,397 309,366 180,597 45,191 22,354 18,041 115,206 287,012 162,556 138,043 291,325 164,765 15,565 34,959 17,340 122,478 256,366 147,425 79,609 166,638 96,373 42,869 89,728 51,052 3. ENDING OPERATING BALANCE (Subtract ** 4. RESTRICTED FUND BALANCE (Total from page 7) 5. IN-KIND SUPPORT (Total from Page 7) 6. NON-CASH ASSETS *** Notes and Comments: 12,000 12,700 62,850 70,520 63,000 10,000 160,000 160,000 *Carry over balance was adjusted by $405 due to adjusting entries. **Carry over balance, June 30, 1998: Operating Funds: Payroll Taxes Payable: TOTAL ***Purchase of facility in FY99 $24,135.00 ($1,781.00) $22,354.00 BRIEFLY DESCRIBE HOW LOCAL FUNDS WERE SPENT LAST YEAR: Funds were used for the Direct Servic, and Resources & Education Programs and for administrative costs. The Case Worker salary was funded through a grant and a servR contract. Financial Assistance was funded through donatations and grants. jccoghs/xlbudg.xls -309- INCOME DETAlL 1. Local Funding Sources- a. Johnson County b. City of Iowa City c. Urnted Way of johnson County d. City of Coralville e. f. 2. Grants - State, Federal, Foundations a. Iowa Commumty ADS Part. (a) b. Miscellaneous c. d. e. f. 3. Net Sales Of Services (sources) a. SE IA HIV CARE Consortium b. c. 4. Net Sales of Materials ~ AIDS Awareness Materials AGENCY ICARE NON- ACTUAL TH/S YEAR BUDGETED DIRECTED LAST YEAR PROJECTED NEXT YEAR FUNDING 37,4841 40,4811 44,5251 44,525 16,050 17,164 18,025 18,025 9,600 10,000 10,500 10,500 11,834 13,317 15,500 15,500 0 0 500 500 PROGRAM PROGRAM 1 2 19,0001 15,0001 15,0001 o l 10,0001 5,000 15,000 0 0 0 0 0 4,000 15,000 15,000 0 10,000 5,000 14,3401 14,3401 14,3401 0l 14,340 14,340 14,340 0 14,3401 0 14,340 0 1,181 I 3,5001 4,0001 2,0001 1,000l 1,000 1,181 3,500 4,000 2,000 1,000 1,000 Co 5. Contributions/Donations ] 15,893 [ 16,040 ] 16,0401 4,575 a. Urnted Way Designated Giving [ 4,574 ] 4,575 [ 4,575 ] 4,575 b. Other Contributions 11,319 11,465 11,465 0 6. Special Events (b) [ 22,750 [ 36,500 I 37,5001 0 a. Pancake Breakfast 11,882 17,000 17,500 0 b. Road Races 1,072 2,000 2,500 0 c. Miscellaneous 9,796 17,500 17,500 0 7. Interest Income I 1,417 I 1,000 I' 1,000l 1,000 8. Other - List Below [ 3,141I 160,151 I 30,151 [ 1,651 a. Miscellaneous 152 151 151 151 b. Facility purchase (c) 2,989 160,000 30,000 1,500 c. FOTAL INCOME (same as p. 2, line lb 115,206 287,012 162,556 53,751 Notes and Comments: (a) ICAP funding lost in FY99 (b) intensifying fundraising w/strategic plan {-> FY99includes $120,000 CDBG, $30,000mortgage &$10,000 Capital Campaign Y00 includes $30,000 Capital Campaign to pay off morgage 5~732[ 5,732] 01 5,732 5,732 18,7501 18,750 8,750 8,750 1,250 1,250 8,750 8,750 16,5oo1 12,ooo 0 0 16,500 12,000 66,322 42,482 jccoghs ,' xlbudg.xls - 3 - -310- PROGRAM EXPENDITURE DETAIl, AGENCY ICARE NON- ACTUAL THIS YEAR BUDGETED DIRECTED LAST YEAR PROJECTED NEXT YEAR FUNDING 1. Saiaries (a) 83,429 71,538 74,130 7,606 2. Employee Benefits &Taxes 14,950 14,000 15,235 573 3. Staff Development 1,053 0 500 0 4. Professional Consultation 796 1,000 1,200 60 5. Publications & Subscriptiom 115 100 100 0 6. Dues and Memberships 40 50 50 0 7. Morgage, Rent and Property Tax (b) 3,000 3,010 0 0 8. Building &Maintenance 2,065 3,000 3,500 70 9. Equiptment Purchase/Rental 2,386 1,500 1,575 79 10. U~ties (d) 0 2,700 3,600 72 11. Telephone 2,836 3,300 3,465 173 12. Office Supplies &Postage 5,022 5,700 5,985 120 13. Printing and Publicity 3,207 3,400 3,570 179 14. Local Transportation © 1,270 700 500 25 15. Insurance (e) 1,003 2,000 2,100 210 16. Audit 450 500 525 525 17. Interest 0 0 0 0 18. Other (Specify): Miscellaneous 293 215 225 113 19. Financial Assistance 7,764 11,000 11,000 0 ~0. Fundraising 4,635 5,500 5,775 5,775 21. Volunteer Training 289 400 420 0 22. Programs 2,034 1,000 1,050 0 ~3. Bank Charges 270 250 260 260 24. Facility Purchase (f) 1,136 160,000 30,000 1,500 25 TOTAL EXPENSES ( p. 2, nne 2~ 138,043 290,863 164,765 Notes and Comments:' (a) new staff hired and AA position cut in FY99 (b) FY98 is rent; FY99 is rent & mortgage; FY00: mortgage paid offwith Capital Campaign © FY98 & part of FY99 includes parking fees (d) no utilities paid in FY98. Estimat~ on curtt, nt utilities at new location. More accurate figures may be available at time of Budget presentation. (e) insurance rates increase with facility purchase (O includes Capital Campaign, facility purchase & fees jccoghs/xlbudg.xls - 4 - 17,340 PROGRAM 1 45,416 9,943 500 780 0 40 0 1,925 945 1,980 2,599 1,496 892 425 1,050 0 0 0 11,000 0 357 525 0 16,500 96,373 PROGRAM 2 21,108 4,719 0 360 100 10 0 1,505 551 1,548 693 4,369 2,499 50 840 0' 0 112 0 0 63 525 0 12,000 51,052 -311- AGENCY ICARE 1~ ZFRICTED FUNDS: ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR Res~icted by: Board of Directors Restricted for. Emergency Fund FY98 FY99 FY00 NA 12,000 12,700 ~TOTAL RESTRICTED FUND (also shown page 2, line 4) 0 12,000 12,700 MATCRING GR ANTS Grantor/Matched by NA [TOTAL MATCRING GRANTS (also shown pg. 3, line 2) 0 0 0 IIN-KIND SUPPORT DF, TAII, Services/Volunteers: 3,983 hours @ $10/hr ** !Material Goods: office supplies, furniture/appliances, fundraisin Space, Uffiities, etc. Other: (Please specify)Captial Campaign: furniture, paint, etc. ~TOTAL IN-KIND SUPPORT (also shown on page 2, line 4) Notes and Comments: 39,830 45,000 43,000 16,500 17,000 18,000 6,520 6,520 0 0 2,000 2,000 62,850[ 70,520 63,00p jccogbs/x~u~g.xJs - 5 - 312- SALARIED POSITIONS AGENCY ICARE Position/Title Executive Director Program Coordinator (a) Case Worker (a) Administrative Assistant (b) "X"all that a3ply 48 x 18 38 X 15 38 x 15 Salary Last This Next Actual This Year Year Year Last Year Year 1.00 1.00 1.00 33,540 33,600 0.87 0.94 1.00 17,378 18,000 1.00 1.02 1.00 21,808 19,000 0.58 0.06 0.00 9,716 938 Budgeted % Next Year Chang 35,280 5% 18,%0 5% 19,950 5% 0 TOTAL FTE's and SALARIES * Full-time equivalent: 1.0=full-time; 0.5=half-time; etc. ~hv~/~rdg.xls b) Position cut due to funding cut 3.45 3.02 3.00 82,442 71,538 74,130 5% -6- -3~3- ACCOUNTABILITY QUESTIONNAIRE A. Agency's Mission Statement or Pdmary Purpose: AGENCY: ICARE AGENCY NAME: ICARE To endch the quality of life for persons living with and affected by HIV/AIDS. Through the distribution of information and services, we aim to foster the self-empowerment necessary to live productively and positively in the face of HIV/AIDS. B. Board of Directors: 1. Please attach a list of your agency's Board of Directors (page 7A) 2. Frequency of meetings: monthly. Committees: monthly & as needed 3. Bdefly describe board orientation and ongoing training opportunities: Orientation: Members receive a Board Manual with relevant agency and board information, receive a tour of the agency, and meet staff. The Executive Director and Board Chair meet with new members to review: 1) the manual; 2) board roles and responsibilities; 3) expectations; 4) conflict of interest; and 4) job descriptions. Board members sign Board Member Agreements, Conflict of Interest Statements, and Board Expectation Statements. Ongoing: Discussions occur individually as needed and dudng board and committee meetings. Time is set aside when possible dudng beard meetings specifically for board education. Written materials are distributed to board members by the Executive Director as they become available. Materials for board training are distributed as available. C. Finances: 1. Are there fees for any of your services? Yes __ No x a. If YES, describe circumstances. b. Are they flat fees or sliding fees ? 2. Does your agency have: an intemal audit x Frequency annually extemal audit__ financial review x (intemal audit by beard and financial review by outside entity) 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. Fundraising events include: 1) World AIDS Day Beneft Reception; 2) Talent Show; 3) Direct Mail Solicitation; 4) solicitation through newsletter;, 5) Pancake Breakfast; 6) Road Races; and 7) sales of AIDS awareness materials. Our Development Committee includes community members. Grants are actively sought. We are also involved in a Capital Campaign fundraising effort to raise funds for the new fadlity. New events held for the Capital Campaign: book sale, garage sale, Run for the Roses, and I~ake sale. D. Management: Does each professional staff have a written job description? Yes x No Is the agency Directors performance evaluated at least yeady? Yes x No By Whom?Personnel Committee then to full Board. 7 -314- AGENCY NAME: ICARE BOARD OF DIRECTORS Julie Katseres, Vice Chair, Acting Chair University of Iowa Hospitals and Clinics Becky Mills, Secretary Johnson County Department of Public Health Chad Kepros, Treasurer Bray & Klockau PLC Laurie Haag Women's Resource and Action Center Michael Lensing Lensings Funeral and Cremation Services Brian Shepley St. Mary's Catholic Church, Wilton Linda Schoenstedt Community Member John Westefeld University of Iowa 7A -31 5- E. Program/Services: AGENCY: ICARE AGENCY ICARE 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) Direct Services: Vadous emotional, practical, matedal or financial support services. Unit: one service provided per person/family. Due to the vadety of services, length of time vades and the cost per unit is not defined. FY98:350 people/4388 units of service. Direct service. 2) Resources and Education: Educational and awareness workshops, programs, materials and events. Unit: Library: one usage per person/family; events: one event = one unit. FY98: Library: 70 people, 131 units of service. Events: 3923 people/39 units of service. Indirect service. Please supply information about clients served by your agency dudng last two complete budget years. Refer to form instructions for definition of duplicated and unduplicated. Enter Years How many Johnson County residents (including la. Duplicated Iowa City and Coralville) did your agency serve? Count FY97 FY98 10,561 10,902 lb. Unduplicated 4,191 4,230 Count 2. How many Iowa City residents did your agency 2a. Duplicated 8,920 8,976 serve? Count 2b. Unduplicated 3,143 3,172 Count 3. How many Coralville residents did your agency 3a. Duplicated 2,112 1,090 serve? Count 3b. Unduplicated 1,584 792 Count 4. How many units of service did your agency pro- 4a. Total vide? 4b. To Johnson County Residents 15,468 15,751 13,225 13,388 5o Other Areas Served: 18 other counties in southeast Iowa. Do you provide services to areas outside of Johnson County? yes Area(s) served: 18 other counties in southeast Iowa Services provided: mainly case manaQement, but other direct services as needed and available. Johnson County residents receive Ddodtv for non-case manaqement services. Funding Sources: Southeast Iowa HIV C.A.R.E. Consortium. arants. donations. fundraisers -316- 8 AGENCY: ICARE AGENCY: ICARE ClientPm~le(forlast cempleteyear, ifavailable): Age * Gender * Ethnicity -** 0 - 5 0 Female 82 Afdcan Amedcan 6 6 - 17 10 Male 120 Native Amedcan 18 - 29 61 As,an 2 30 - 61 91 Hispanic 2 62 - 75 CaucasianlNon-Hispanic 35 75 + Multi-radal · For Direct Services Program only. Some categories are unknown. ** For HIV+ Case Management Only. 7. Evaluation and Review: A. Please discuss how your agency measures the success of its programs. ICARE uses several methods: 1) anonymous client satisfaction & need surveys; 2) verbal client feedback (on going and at service termination); 3) service previder feedback (verbally & through surveys); 4) Client Relations Committee (a board subcommittee); 5) staff feedback; 6) volunteer feedback: verbally (individually and through meetings); anonymous surveys; and exit interviews; 7) formal program evaluations (vades, dependent upon grant and funtier requirements); 8) general membership meetings; 9) adherence to minimal standard of care; 10) units of service provided and continued service requests; 11) strategic planning; and 12) suggestion/comments box. B. Does your agency have performance objectives? [Give several examples] 1. Each staff member has performance objectives based on the agency's annual goals. 2. The board sets annual performance objectives for the agency (see pages 15-17), board, and board committees. 3. Objectives are set based on the strategic plan. C. What plans does your agency have to increase efficiency and effectiveness? The board began our flint strategic plan this year. One year, immediate goals were set to meet the needs of our consumers and the community. The goals will be reviewed this year and 3 year goals set. Formal program surveys will be conducted to obtain feedback from: clients, volunteers, service providers, and staff. The Client Relations Committee will be actively involved in this process. Meetings will be held with the community and service providers to receive feedback on unmet community needs. We have purchased a larger fadlity to better meet the needs of the community: services will be enhanced and programs implemented based on the feedback. 8. In what ways will the needs of your service population change in the next five years! We antidpate an increase in the number of individuals served with an additional increase in the number of rural clients served. For individuals who are seeing positive results with the new medications, issues pertaining to returning to the work force, continuing education, and job training will be pdonties. Relationship, finandal, and transpodation will also be important issues. Prevention and awareness are essential to combat the seeming societal complacency regarding HIVIAIDS. 9 -317- AGENCY: ICARE 9. Please discuss any other problems or factors relevant to your agency's programs, funding or service delivery: There are public misperoeptions that: 1) the new drugs are a 'cure" for AIDS; 2) the numbers of persons living with AIDS are decreasing; and 3) funding is no longer important for AIDS. We lost ICAP funding partially due to a misperception that we are duplicating services of the Johnson County Department of Public Health. The funding cut forced us to cut the Administrative Assistant position to divert funding to the Case Management Program. The University of Iowa Hospitals and Clinics now also has a contract with the Southeast Iowa HIV C.A.R.E. Consortlure to provide case management, thus we are competing with HIHC for funding. 10. List complaints about your services of which you are aware: We rely heavily upon practicum students and volunteers - many of our volunteers are University students, thus turnover is an issue. Turnover results in a lack of continuity of care. The inability to provide a service immediately (such as transportation) when requested due to lack of volunteers or staff time can be an issue. Some clients feel we should not have any guidelines for financial assistance. 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 are times when we are unable to provide a service as quickly as we would like due to a lack of volunteers. Intakes occasionally have be delayed a couple of days due to lack of staff time. We have been unable to provide needed services to concemed others due to lack of volunteers or staff time. We are increasing efforts to recruit more non-student volunteers and are looking for grants and funds to increase staff. How many people are currently on your waiting list? _0 This depends on the time of year. Dudng University breaks we typically experience volunteer shortages which result in 'waiting' lists for services. t2. In what way(s) are your agency's services publicized? ICARE brochure Interagency meetings IntemetJWeb Press Releases Information booths/fairs Chumhes Volunteer Action Network Iowa City Public Library Program brochures Paid advertisements ICARE newsletter Media stories/articles Speaking engagements Word of mouth SE IA HIV Consertium Statewide Consortium Fliers/posters United Way Monthly Service Updates Public Service Announcements Interagency referrals Johnson Cty. Services Directory Regional/national directories Phone books 13. United Way involvement by your agency: ("X" if agency participates) a, Agency Directors Meetings b. Agencies Representative to Funding Headngs c. Business Blitz d. Day of Cadng e. Kick Off f. Victory Reception g. Other subcommittees as available h. x xCin Dast) x in past whenever possible x -318- 10 AGENCY: ICARE AGENCY HISTORY AGENCY: ICAR..E (Using this page ONLY, please summarize the history of your agency, emphasizing Johnson County, past and current activities and future plans. Please update annually.) ICARE has been providing HIVIAIDS related services to the community since 1986. HIV creates a rapidly changing disease, resulting in changing community needs. ICARE continues to quickly and sensitively respond to the changes and needs of the community. Although the media portrays HIV infections as decreasing, persons living with HIV/AIDS are living longer, thus our numbers of services provided continue to increase. The agency developed in 1986 out of a support group for persons living with AIDS. Services were added and priorities changed to reflect the rapidly changing nature of the disease and community needs. The first paid staff person was hired as a part-time Director in 1986 and was increased to full-time within three months. A half-time Program Assistant position was created in 1994 and increased to full-time in 1997. A half-time Case Worker position was created in 1995 with a grant from the Iowa Community AIDS Partnership (ICAP); with ICAP funding, this position was also in increased to full-time. A half-time Secretary was added in FY97 and increased to a three-quarter time Administrative Assistant in FY98. However, the Administrative Assistant position was cut in FY99 when we lost ICAP funding. The agency continues to experience service growth: the number of services provided and the number of service requests have both increased. Client demographics and the types of service requests have changing - requests for transportation, chores, and other practical needs have increased, while requests for Buddies and Care Teams have decreased. Individuals are seeking assistance with issues pertaining to retuming to work, completing or continuing education, relationships, and for referrals for other ongoing issues such as chemical dependencies, mental illness, and learning disabilities. The number of drop-in and walk-in contacts has increased. Rural issues such as transportation and isolation continue to be concerns. ICARE was awarded a $120,000 Community Development Block Grant in May 1998 to purchase a facility located at 321 First Street in Iowa City and a Capital Campaign to raise additional funding was begun. We are excited about the benefits and possibilities that the larger and more accessible facility will provide to the community. ICARE will be able to enhance the services provided, add additional programming, and reach a larger number of people. This is a vital year of growth for us and the services we provide to the community. Goals have been set within our strategic plan to address the changing needs of the community, the facility purchase, and combating public perception that HIV is no longer a health concern to the community. 11 -319- AGENCY: ICARE FY98 GOALS Please state FY98 goals and report status of progress/completion. Direct Services Program Objective A: To provide emotional support and crisis intervention to an estimated 90 persons living with HIV/AIDS, their families and loved ones and to an estimated 900 people who contact ICARE dudrig office hours. Status: 3323 services were provided to 47 persons living with HIV/AIDS and 1056 services were provided to 303 concerned others. This is a 10% increase. Objective B: To provide four groups: one therapy and one support group for persons living with HIVIAIDS, a support group for families and friends of persons living with HIVIAIDS, and a bereavement support group. Status: One ongoing weekly HIV/AIDS support group was provided. The therapy group was not provided due to lack of funding. The Families and Friends Support Group and Bereavement Support Group were dropped due to lack of attendance and lack of funding for advertising and outroach. Objective C: to provide financial, material, and practical support services such as cooking, housekeeping, transportation, and running errands to an estimated 90 clients. Status: 1) Financial: 23 individuals wero provided with financial assistance a total of 126 times; 2) Material: 15 individuals used our supply closets a total of 58 times; 3) Practical: 6 individuals were in the Buddy/Care Team programs and received 173 services, 7 individuals received errand and chore assistance 32 times, and 7 individuals roceived transportation 32 times. We were unable to respond to all requests due to a lack of volunteers or untimely requests. Objective D: to provide Buddy volunteers for an estimated 18 clients. Objective E: to provide Caro Teams to an estimated 8 clients. Status: Six individuals/families roceived Buddy/Caro Team services a total of 173 times. Objective F: to provide case-management services to an estimated 55 clients. Status: 1640 case-management services wero provided to 55 clients/families. A 12% increase. Objective G: to provide monthly social and rocreational activities for an estimated 90 clients and their families and loved ones. Status: Eight social and recroational activities were provided. -32o- 12 AGENCY: ICARE Resources and Education Program Objective A: to provide resource materials to an estimated 300 people who will use the resource library approximately 400 times. Status: 70 individuals used the library 131 times (an increase of 7%). The Library was not a priority for us due to lack of funding. Objective B: to provide 12 educational programs about AIDS psychosocial issues and service provision to agencies and classes and 16 community outreach programs. Status: 11 educational programs were provided to 464 individuals and 16 outreach/awareness programs were provided to 867 individuals (we provided one less activity but had an increase of 118% in attendance. We were without a Program Assistance for several weeks, thus were unable to provide more activities). Objective C: to provide 6 educational workshops about HIV/AIDS issues to persons living with HIV/AIDS, 4 to their families and loved ones, and 4 to the community. Status: 8 workshops were provided to 113 individuals (we provided 4 less workshops but had an increase of 31%). Workshops were combined for population groups due to lack of funding. Objective D: to mail a quarterly newsletter to an estimated 4000 people. Status: The ICARE News was mailed 2479 people (9645 total for the year) and distributed to approximately another 2000 people throughout the year. Note: Objectives were set based on amounts requested from local funders and estimated income from fundraising, grants, and donations. Objectives are modified mid-year based on income expectation. 13 -321 - 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 Pro~3ram Goal: To provide emotional, practical, and financial support to persons living with HIVIAIDS, their families and loved ones, and to persons concerned about and/or affected by HIV/AIDS. Objective A: In FY00, to'provide at least 1450 counseling, emotional support, and information/referral, and cdsis intervention contacts to an estimated 50 persons living with HIVIAIDS, and to an estimated 300 people who will contact ICARE. Tasks: 1. Increase Direct Services Volunteer pool from 48 to 58. 2. Increase the number of non-student volunteers. 3. Recruit, train, coordinate, and provide ongoing supervision for volunteers. 4. Schedule one volunteer for each two hour shift during office hours of 9AM to 5PM Monday through Fdday. 5. Obtain grant support for direct service provision. 6. Provide support groups based on client and community needs. 7. Publicize services through the media, posters, brochures, newsletters, and Service Updates. 8. Provide monthly staff trainings and weekly staff meetings for staff. Objective. B: In FY00 to provide: 1)at least 140 financial suppert contacts to at least 26 individuals; 2) at least 75 matedal assistance (loan closets) contacts to at least 26 individuals; and 3) at least 100 practical support services (such as cooking, transportation, housekeeping, running errands) to at least 45 individuals. Tasks: 1. 2. 3. 4. 5. Obtain funding through grants and fundraising events. Recruit, train, coordinate, and supervise volunteers. Recruit non-student volunteers. Obtain in-kind donations for matedal support. Conduct outreach by advertising through the media, posters, brochures, newsletters, and Service Updates. Objective C: In FY00, to provide at least 1340 case-management contacts to at least 50 individuals. Tasks: 1. 2. 3. 4. 5. 6. Fulfill SE Iowa HIV CARE Consortium requirements. Schedule full-time Case Worker dudng peak office hours. Recruit, train and supervise Student Case Workers. Coordinate services and collaborate with appropriate service providers. Provide ongoing staff training. Obtain additional funding through grants. Objective D: In FY00, to provide monthly social and recreational activities to an estimated 30 individuals. Tasks: 1. Obtain grants and other funding. 2. Obtain in-kind support. 3. Schedule events and provide transportation and child care as needed, 4. Conduct clients needs assessment to determine types of activities. -322- 14 AGENCY: ICARE Resources needed to accomplish Direct Service Program Tasks: 1. Grants and other funds. 2. 100% of Case Worker time, 50% of Program Coordinator time, and 45% of Executive Director time. 3. 58 Direct Services Volunteers. 4. Three telephone lines and 5 telephones. 5. Three staff offices, a volunteer office, 2 group rooms, training room, and 2 Loan/Material Closet Rooms. 6. Office equipment and supplies. 7. Material/Loan Closet supplies. Cost of Program for FY00:$97,073.00 15 ,3~3- AGENCY: ICARE AGENCY PROGRAM GOALS AND OBJECTIVES Agency Name: ICARE Name of Program: RESOURCES AND EDUCATION Goal: To provide education programs and resource materials to persons living with HIV/AIDS, concerned others, the community, and service pmviders. Objective A: In FY00, to provide resource materials to an estimated 85 individuals who will visit the library over 125 times. Tasks: 1. 2. 3. 4. 5. 6. 7. Obtain in-kind donations of HIV/AIDS related written and video materials. Purchase HIVIAIDS brochures and magazines. Coordinate purchasing with Johnson County AIDS Project to prevent purchase duplication. Schedule and supervise Volunteer Resource Library Coordinator. Schedule and supervise On-Line Volunteer Researchers. Advertise library through media, brochures, newsletters, and posters/fliers. Distribute written materials on a quadedy basis throughout the community. Objective B: In FY00, to provide 12 educational workshops/groups, 12 speaking engagements, and 18 awareness events/booths to individuals living with HIVIAIDS, concerned others, and the community. Tasks: 1. Recruit, train, coordinate, and supervise volunteer fadlitators. 2. Survey clients, volunteers, and service providers for suggested topics. 3. Purchase and prepare necessary materials. 4. Obtain grants and other funding. 5. Publidze events through the media, posters, newsletters, online, and Service Updates. 6. Coordinate and collaborate with other service providers, including the Healthy and Positive Interventions Committee. Objective C: In FY00, to distribute an educational quarterly newsletter to approximately 4000 individuals. Tasks: 1. Recruit, train, and supervise a Newsletter Coordinator Volunteer. 2. Recruit Volunteer Journalists. 3. Recruit clients to write client specific articles. 4. Increase mailing list from 2479 to 2700 and distribution list from 4 to 8. Objective D: In FY00, to develop and maintain an educational website visited 'by approximately 100 individuals. Tasks: 1. Recruit and supervise volunteer to develop and maintain website. 2. Identify educational matedal to pest on website. 3. Respond to on-line inquiries. Resources needed to accomplish tasks: 1. Grant and other funding. 2. 50% of Program Coordinator time and 35% of Executive Director time. 3. 65 Special Events Volunteers. 4. Videos, books, brochures, magazines, and other library materials. 5. One computer with on-line capabilities. 6. Office supplies, television, and VCR. 7. Meeting room for educational programs and workshops. 8. Library room and reading room for library visitors. Cost of Program for FYO0:$51,692.00 -324- 16 HUMAN SEHVICE A(,,iENt;Y lUUD(.iE I i-UHM City of Coralville Johnson County City of Iowa City United Way of Johnson County CHECK YOUR AGENCY'S BUDGET YEAR 1/1/99 -- 12/31/99 X 4/1/99 -- 3/31/00 7/1/99 -- 6/30/00 Director: Maggie Elliott Agency Name: Iowa City Hospice, Inc. Address: 613 Bloomington Street Phone: Completed by: Approved by Chair: on 10/l/99 -- 9/30/00 351-5729 Maggie Elliott · COVER PAGE Program Summary: (Please number programs to correspond to Income & Expense Detail, i.e. Program 1, 2, 3, etc.) Program 1: Hospice Care Hospice care is based on a philosophy of care, which embraces death as a natural part of life. The patient's desire to die with dignity and with as much control as possible is supported through state of the art control of pain and other uncomfortable symptoms, and by addressing the psychosocial issues causing the patient and family discomfort. These goals are supported by a hospice interdisciplinary team which is available 24 hours a day, 7 days a week in both the home, long term care facility and inpatient setting. Bereavement care is provided to family members and anyone in the community who has lost a loved one. Program 2: The Caregiver Assistance Program The Caregiver Assistance Program will provide time-limited assistance for patients who desire to stay in their home, and who, without this resource, would not be able to. Caregiver assistance will be provided by hospice volunteers and limited funds will be made available to those who demonstrate financial need to hire paid caregivers. This program will support families when: · A stable environment turns quickly into one that has more demanding needs. · The caregiver is required to be out of the home for a period of time. · When there is no caregiver available. · At the end of life when demands are escalated. Local Funding Summary: United Way of Johnson County -- Does Not Include Designated Gvg. City of Iowa City Johnson County City of Coralville 4/1/97 - 4/1/98 - 4/1/99 - % of Total 3/31/98 3/31/99 3/31/00 Budget -~0 $1,000 85,000 .0032 FY98 FY99 FY00 $ $ $ -325- AGENCY: Iowa City Hospice, Inc. 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 Hospice Care 2 Caregiver Assistance Fund 3 4 5 7 8 3. ENDING OPERATING BALANCE (Subtract 2 - 1 ) 4. RESTRICTED FUND BALANCE (Total from page 7) 5. IN-KIND SUPPORT (Total from Page 7) 6. NON-CASH ASSETS ACTUAL LAST YEAR THIS YEAR PROJECTED BUDGETED NEXT YEAR 1997 1998 1999 1,202,400 1,282,500 1,556,000 54,000 152,000 82,000 1,148,400 1,130,500 1,474,000 1,050,400 1,200,500 1,471,000 117,200 122,000 156,000 933,200 1,078,500 1,315,000 933,200 1,078,500 1,305,000 0 0 10,000 1,800 1,400 1,400 111,590 122,750 130,200 113,390 123,150 13 1,600 Notes and Comments: Income and expenses are budgeted to increase in 1999. This is due to an anticipated increase in the number of patients served. BRIEFLY DESCRIBE HOW LOCAL FUNDS WERE SPENT LAST YEAR: Funds were used to support the bereavement services Iowa City Hospice provides to the community. jccoghs/xlbudg.xls - 2 - -326- INCO1VIE DETAIL AGENCY ~,, c~ x~h, ~ NON- ACTUAL TH/S YEAR BUDGETED DIRECTED PROGRAiVI PROGRA/vI LAST YEAR PROJECTED NEXT YEAR FUNDING 1 2 1. Local Funding ~ 0 1,000 5,000 0 0 5,000 a. Johnson County b. City oflows City c. Unit~l Way ofJdmsou C~ 0 1;000 5,000 0 5,000 d. City of Coralville f. 2. Grants - Stal~, Federal, Fou 0 0 0 0 0 0 b. d. f. 3. Net Sni~ Of Services (noun 926,000 g60,000 1,194,000 0 1,1~4,000 0 Third pan'y payn~nts 926,000 860,000 l, 1 ~1,000 l, 194,000 0 b. 4. Net Sales of~s 0 0 0 0 0 0 b. 5. Conlributions/Donstions 150,400 191,500 190,000 185,000 5,000 a. United Way Designated C 10,400 13,500 15,000 15,000 0 b. Other Contributions 140,000 17g,000 175,000 170,000 6. Special Ewmts 57,000 61,000 66,000 0 66,000 0 Hawkeye Medical Supply Rac 40,000 45,000 50,000 50,000 0 Annual Mail campaign 12,000 l 0,000 10,000 10,000 0 Elks Hospice Golf Event 5,000 6,000 6,000 0 6,000 0 7. Interest Inocme 15,000 17,000 19,000 0 19,000 0 8. Other - List Below 0 0 0 0 0 0 b. TOTAL FNCOIVIE (same as p. 1, 148,400 1,130,500 1,474,000 0 1,464,000 l 0,000 Notes and Comments: The major soume of funding for Iowa City Hospice is Medieare. Medieare payments are based on the nttmber of days a patient/family is under hospice care, regardless of the patienrs needs or the cost of the care. Increased funds in 1999 are anticipated. This is a result of an increase in the number of patients served --and the number of days under hospice care- in 1999. PROGRAM EXPENDITURE DETAIL AGENCY Iowa City Hospice NON - ACTUAL THIS YEAR BUDGETED DIRECTED LAST YEAR PROJECTED NEXT YEAR FUNDING .. Salaries 536,000 561,000 614,000 142,000 2. Employee Benefits &Taxes 50,000 53,000 58,000 14,000 3. Staff Development 11,000 12,000 12,000 4. Professional Consultation 5. Publications &Subscriptions 2,000 6. Dues and Memberships 7. Morgage, Rein and Property Tax 8. Building & Maintenance 9. Eqmptment Purchase/Rental 9,000 10. Utilities 11. Telephone 10,000 12. Office Supplies &Postage 13,400 13. Priming and Publicity 3,000 14. Local Transportation 31,000 15. Insurance 11,000 .6. Audit 1,500 17. Interest 18. Other (Specify): 19. Patiem related expenses 290,000 20. Contracted Services 16,500 21. Fundraising/grants 12,000 22. Computer 54,000 23, Buildinganvestmem Fund 24 25 2,000 2,000 12,000 17,000 15,000 18,000 13,000 16,000 3,000 5,000 32,000 42,000 8,000 8,000 2,000 2,000 290,000 376,000 20,000 14,000 20,000 0 60,000 163,500 221,000 TOTAL EXPENSES ( p. 2, 1Lne 2) Notes and Comments: PROGRAM 1 471,500 43,950 12,000 2,000 17,000 18,000 16,000 5,000 42,000 8,000 2,000 366,550 20,000 60,000 221,000 1,050,400 1,200,500 1,471,000 156,000 1,305,000 Expenses are increasing due to an anticipated inc~ase in patients and Iowa City Hospices n~w policy to insure financial stability which incluctm reserving money for emergencies and for housing administrative offioes. PROGRAM 2 500 50 9,450 10,000 -328- jecoghs/xlbudgxls -4- AGENCY Iowa City Hospice, Inc. RESTRICTED HINDS: ACTUAL THIS YEAR BUDGETED LAST lEAR PROJECTED NEXT YEAR Restricted by: Donor Donor Donor Restricted for: Equipment Children's Bereavement care Children's Library 1997 1998 looo 400 - 1,000 1,000 · 1,000 400 400 400 TOTAL RESTRICTED FUND (also shown page 2, line 4) 1800 [ 1400 I 1400 MATCHING GRANTS Grantor/Matched by I'TOTAL MATCHLNG GRANTS (also shown , pg. 3, line 2) 0 0 0 IN-KIND SlIPPORT DETAIl. , ServicesNohnteers : Material Goods Space, Utilities, etc. Other. (Please ~ecify) 'TOTAL IN-KIND SUPPORT (also shown on page 2, line 4) Notes and Comments: 93,590 104,250 111.200 18,000 18,500 I '~,t~) 111,590 122,7501 130.2t~0 jccoghs%lbudg. xls °5- -329- SALARieD POSITIONS Position/Title "X"all that a~ply Typist Finance Director x x x 100 Chart/flier Environmental Coordinator x x x 50 Year Office Coordinator Patient Cam Coordintor Executive Director Bereavement Coordinator Chaplain Home Health Aide Home Health Aide Home Health Aide Nurse Nurse Nurse Nurse Nurse Nurse Nurse On-Call Nurse On-CaU Nurse Social Worker Social Worker Volunteer Coordinator Quality Assurance Development Director AGENCY Iowa City Hospice, Inc. FTE* Salary This Next Actual This Budgeted % Year Year Last Year Year Next Year Change 0.25 0.125 0.0125 4240.00 2520.00 2380.00 0% 1 1 0.05 0.05 0.5 0.5 x x x 100 1 1 x x x 100 1 1 x x x 100 1 1 x x x 50 0.5 0.5 x x x 50 0.5 0.5 0 0.85 0.9 x x x 60 0.6 0.6 80 0.8 0.8 x x x 80 0.80 0.800 x x x 80 0.80 0.80 x x x 60 0.60 0.60 x x x 60 0.60 0.60 x x x 60 0.60 0.60 x x x 60 0.60 0.60 x x x 100 1.00 1.00 x x x 100 1.00 1.00 x x x 60 0.00 0.60 x x x 80 0.80 0.80 x x x 80 0.80 0.80 x x x 50 0.50 0.50 x x x 50 0.00 0.50 x x x 50 0.00 0.00 1 30100.00 31490.00 32750.00 4% 0.05 660.00 2570.00 2670.00 4% 0.5 g875.00 8630.00 8975.00 4% 1 27150.00 28500.00 29640.00 4% 1 44200.00 46000.00 47800.00 4% 1 51100.00 53325.00 55540.00 4% 0.75 4715.00 15950.00 24000.00 33% 0.5 16000.00 16960.00 17640.00 4% 1 12000.00 13200.00 16640.00 26% 0.6 16770 14115 14700 4% 0.8 22,337 17,735 12,350 -31% 0.80 9,620 28,120 29,245 4% 0.80 17,080 39,475 41,055 4% 0.60 20,260 28,120 29,235 4% 0.60 28,240 23,000 20,000 -13% 0.60 28,800 17,580 18,000 4% 0.60 30,560 23,000 24,000 4% 1.00 44,165 0 0 1.00 35,871 36,500 38,800 4% 0.60 0 20,340 21,155 4% 0.80 32,880 31,580 32,845 4% 0.80 31,340 33,220 35,200 4% 0.50 19,037 13,250 13,780 4% 0.50 0 16,000 16,640 4% 0.50 0 0 20,000 100% -330- TOTAL FTE's and SALARIES 16 * Full-time equivalent: 1.0=full-time; 0.5=half-time; etc. iccoehs/xlbuda. rjs -6- 17 18 536,000 561,000 614,000 17% AGENCY: Iowa City Hospice, Inc. ACCOUNTABILITY QUESTIONNAIRE A. Agency's Mission Statement or Pdmary Purpose: Hospice is a philosophy of cam for patients and their families who have a life-limiting prognosis. Our services are available 24-hours a day, 365 days a year. Services include physician care, nursing services, medical appliances and supplies, drugs for symptom management and pain relief, short-term inpatient and respite care, home health aide services, physical, nutritional and other therapies, and counseling. The Camgiver Assistance Program will provide time limited care for patients who desire to stay at home and who, without this resource, would not be able to. The Caregiver Assistance Progrem will support patients/families through hospice volunteers and by providing access to funds to hire paid caregivers, if there is a financial need. The program will assist patients/families if any/all if the following circumstances exist: · A patient is living alone or the caregiver is frail or unable to provide adequate care. The patient is close to death and wants to stay at home. · All other resources have been utilized to assist in patient care. · The patient's needs do not require continuous care under the Medicare Hospice Benefit. The caregiver is required to be out of the home for a pedod of time. The patient/family may pay a portion of the cost of the caregiver service based on their income level. The funds will be. limited to $1,000 per patient. B. Board of Directors: Please attach a list of your agency's Board of Directors (page 7A) Frequency of meetings: monthly Briefly describe beard orientation and prigping training opportunities: New Board members receive an initial orientation from the Executive Director. This includes an overview of hospice services, finances, strategic plan, and an overview of daily operations. Board members am then assigned to a committee(s), depending on their strengths, and interests. C. Finances: 1. Are them fees for any of your services? Yes for the Careeiver Assistance Preeram No X for hospice care a. If YES, descdbe circumstances. Patients/families will be able to access up to $1,000 if they demonstrate a financial need. b. Are they flat fees or sliding fees x ? -7- -331 - Iowa City Hospice Board of Directors 1998-1999 Richard Hurtig, President Pat Clinton, Vice-President Tim Rossi, Treasurer Harriet Echtemacht, Secretary Dick Corcoran Teresa Creswell Sue Kersevich Ina Lowenberg Martha Lubaroff Kirk Payne Carol Twedt Diane VanErsvelde Craig Willis -332- 7a Does your agency have: an intemal audit AGENCY: Iowa City Hospice, Inc.__ external audit X financial review Frequency annual 3. Has your agency filed the Annual Report with the Secretary of State? Yes X No 4. Has your agency filed Form 990 with the IRS? Yes X No 5. Please discuss your agency's fundraising efforts, if applicable. The Elks/Hospice Golf Event Hawkeye Medical Supply Hospice Road Race Annual campaign (direct mail) Management: 1. 2. Does each professional staff have a written job description? Yes X Is the agency Directors performance evaluated at least yeady? Yes x No By Whom? Board of Directors with staff input No 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.) Hospice care is provided to anyone in the community who has a limited prognosis. In addition, patient has a prognosis of 6 months or less. The unit of service used is the days under hospice care. The average cost per day is $122.00. -8- -333- AGENCY: Iowa City Hospice, Inc.__ Enter Yea rs 1996 1997 How many Johnson County residents (including 1 a. Duplicated Iowa City and Coralville) did your agency serve? Count lb. Unduplicated 110 146 Count How many Iowa City residents did your agency 2a. Duplicated serve? Count 2b. Unduplicated Count How many Coralville residents did your agency 3a. Duplicated serve? Count How many units of service did your agency pro- vide? 3b. Unduplicated Count 4a. Total 4b. To Johnson County Residents 7549 9411 7340 8326 5. Other Areas Served: Do you provide services to areas outside of Johnson County? Area(s) served: Muscatine. Linn, Iowa, Louisa. Cedar. and Washinaton Services provided: Hospice care & bereavement services Funding Sources: Third Dartv Davments, community suDDort and memodal donations AGENCY Iowa City HosDice, Inc. Client Profile (for last complete year, if available): Age 0-5 6-17 18 - 29 30 - 61 62 - 75 75 + Gender Female Male Ethnicity Afdcan Amedcan Native American Asian Hispanic Caucasian/Non-Hispanic Multi-racial -9- -334- AGENCY: Iowa City Hospice, Inc.__ Evaluation and Review: Please discuss how your agency measures the success of its programs. Iowa City Hospice measures the success of programs though satisfaction surveys to individuals served including family members, physicians, and community agencies, business and healthcare facilities that we work with to affect quality end-of-life care. The Staff Quality Improvement Committee and the Hospice Board Quality Assurance Committee evaluate the results of the surveys. Recommendations for program changes are forwarded to the Strategic Planning Committee. Does your agency have performance objectives? [Give several examples] Performance objectives are based on 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 would include: All admissions to hospice care will be within 24-48 hours. What plans does your agency have to increase efficiency and effectiveness? Iowa City Hospice uses a team approach to address issues of efficiency and effectiveness. Individuals may identify areas where improvement is needed. Or efficiency-measures may come from a departmental or organization level. Currently, each department is evaluating and developing 3 areas where efficiencies can be realized. In what ways will the needs of your service population change in the next five years: Iowa City Hospice has seen a dramatic increase in the acuity level of our patients. For hospice care, this has made a difference in staffing - more staff are needed to care for the same number of patients. And, it has made a difference financially. Hospice care is paid a daily rate, regardless of the needs of the patients. As the patient's needs increase, the level of care increases, as do the need for equipment, supplies and medications. As Hospices must pay for all of the costs related to the terminal diagnosis, our reimbursement remains constant while the cost of patient care increases. There appears to be an ongoing need for caregiver assistance on an ongoing basis. Hospice is attempting to address these needs on a short-term basis with the Caregiver Assistance Program. HoWever, as more people work, it' has become increasingly difficult to find caregivers -either volunteers or paid - to cover some patient needs. For Iowa City Hospice, this will be an area where we will be constantly looking for innovative solutions to meet the needs of our patients/families. -10- -335- = AGENCY: Iowa City Hospice, Inc. Please discuss any other problems or factors relevant to your agency's programs, funding or service delivery: Patients are being admitted to hospice care later in the disease process and in more acute situations. Since hospice care is paid on a daily rate, and that rate has not changed substantially since the 1980's, it is necessary to look for outside funding to cover the daily costs of patient care. 10. List complaints about your services of which you are aware: Family members comment they wish they had taken advantage of the services hospice provides eadier. 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 no waiting list for hospice care. How many people are currently on your waiting list? 12. In what way(s) are your agency's services publicized? Through newsletters, press releases, community health fairs, volunteer programs, brochures and newsletters. 13. United Way involvement by your agency: ("X" if agency participates) ao Agency Directors Meetings _x Agencies Representative to Funding Headngs Business Blitz x Day of Cadng Kick Off x Victory Reception _x Other __Organize awareness campaign surrounding the Hawkeye Medical Hospice Road Race. ,~ -11- AGENCY HISTORY AGENCY Iowa City Hospice, Inc. (Using this page ONLY, please summarize the history of your agency, emphasizing Johnson CountV 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 community members formed a task force to bring the concept of hospice, a program of caring for the terrainally ill and their family members 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 Medial Director, Charles E. Driscoll, MD, in 1982. The first class of volunteers was trained tin the fall of 1982. These hospice supporters, along with a patient care coordinator who was hired in 1983, enabled Iowa City Hospice to provide care to their first patient in March 1983. In July 1987, Iowa City Hospice became'Medicare certified. Today, iowa City Hospice serves approximately 200 patients and their families a year with 200 active volunteers, 5 medical directors, and a staff of 25. Throughout it's short history, Iowa City Hospice has consistently maintained a community-based orientation. Excellent care has been given to all patients and families through the dedication of volunteers, professional staff, and families. The mission of Iowa City Hospice is ... To provide patient-centered palliative care and service to anyone affected by a terminal illness. Our mission is supported by a set of values we call our Organizing Principles of Practice, which are · 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 · Educate patients, families and the community on how to direct their own care · Provide palliative care leadership to the healthcare community · Recognize the importance to family and support systems This year, as Iowa City Hospice celebrates 15 years of service in the community. Through the years, Iowa City Hospice has provided hospice care to over 1,000 patients and bereavement support to countless family members, friends and individuals in the communities we serve. The strength of our organization over these 15 years is a reflection of the strength of our community support. The future for Iowa City Hospice holds many challenges and opportunities. Our strategi~ plan is a working document addressing both areas. Our three-year vision includes: · Improving access to hospice care · Enhancing the quality of care and support systems · Maintaining a competent staff sufficient to provide quality hospice services · Obtaining third party payments enhanced by private resources sufficient to accomplish our goals. -12- -337- AGENCY: Iowa City Hospice, Inc. FY98 GOALS Please state FY98 goals and report status of progress/completion. Iowa City Hospice's goals for 1998 included: To become the bereavement resource for the communities we serve. This goal is to be achieved through: A. Expand bereavement services B. Perform community bereavement assessment C. Develop training and ongoing support for bereavement volunteers D. Educate community on issues of bereavement and bereavement resources. Objective Expand bereavement services Perform community bereavement assessment Develop training and ongoing support for bereavement volunteers Educate Community on issues of bereavement and resources, Task -Presentations to community -Hire part-time bereavement coordinator -Evaluate community needs -Develop bereavement resource pld -Develop questionnaire -Send questionnaire -Tabulate results -Analyze results -Develop list for community -Recruited bereavement volunteers -Develop training session -Provide bereavement training -Develop system for involvement -Provide ongoing support -Continue to provide education sessions -Development bereavement presentations -Access free media & publications ' -Continue to develop bereavement library Outcome '98 10 completed (10/98) Hired Oct '9 Done Spring/Summer Not accomplished, Completed spdng '98 Sent spdng '98 Summer '98 Fall '98 To be completed Six recruited November '98 Nov/Dec '98 Nov '98 Ongoing 3 major sessions done Jan '98 ~ Ongoing Press'releases Spdng '98 & ongoing -13 -338- Goal: Iowa City Hospice Caregiver Assistance Program -Goals 1999- Provide time-limited assistance for patients/families who desire to stay in their home environment, and who, without this resource, would not be able to. Objective A: To communicate the CaregiverAssistance Program to patients/families, Hospice Care Partners and the community. Task 1 Prepare written material to-be given to every patient/family at initial hospice meeting and in the patient/family manual. Task 2 Communicate program to Hospice Care Partners through newsletters. For Care Partners who refer patients on a regular basis, communicate through newsletter and direct verbal communication. To be distributed by end of 1998. Task 3 Communicate program to the community through newsletter, press releases and speaking engagements. Task 2 Task 3 Objective B: To provide additional training to hospice volunteers who are interested in providing ovemight cares. Task 1 Identify 6-10 hospice trained volunteers who are interested in the providing overnight care. Prepare training program for 6-10 hospice volunteers including the special needs of patients at the end-of-life and self-care techniques. Evaluate program on: Usage: # hours requested~illed Satisfaction of the volunteers, family members and Care Partners Objective C: To provide funding sources for the patients/families who demonstrate financial need. Task I Identify 5 potential funding sources. Task 2 Contact sources. Prepare appropriate funding requests for all by end of 1998. Task 3 Contact 200 former hospice families, informing them of the program and asking for their assistance. Resources Needed: 1. Two part-time social workers, volunteer coordiantor and financial director 2. Supplies for communication efforts. 3. Donated space for volunteer training. -14- -339- HUMAN SERVICE AGENCY BUDGET FORM Cit:,.' of Coralville Johnson County City of Iowa CiW Urnted Way of Johnson County CHECK YOUR AGENCY'S BUDGET YEAR 111199-12/31/99 411199- 3131/00 "lIB9- 6/30/00 __ X__ 10/1/99- 9/30/00__ Director: Dennis Groenenboom Agency Name: Legal Scrvices Corporation of Iowa Address: 430 Iowa Ave Iowa City, IA 52240 Phone: 319-351-6570 Completed by: Jan Rutledge Approved by Advisory. Board: COVER PAOE Program Summan,: (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 Summa.ry: T. hi~xed Way of Johnson County .- - Lk~es~_h_'_°.Li_m!_c!.u_~_e_D~e~sl_g_n_at___e.d._Gv_.gL .... <7~,v o[ iowa johnson Counb, Cnv o[ Coralville 313 1 t98 $24,240 FY'98 '98 - 3/31B9 $25,246 FY99 4/1/99 - 3/31/00 $30,600 F'YO0 ~ % of Total Budget 8.8% -340- -1- AGENCY: ~ega[ Services Corporation of Iowa BUDGET SUMMARY Enter Your AF, ency's Budget Year ==> '1. TOTAL OPERATING BUDGET (Total a-b) a. Carmover Balance (Cash from line 3, previous column) h. lncome (Cash) 2. TOTAL EXPENDITURES (Total a+b) ~ a. Non-directed funding h. Program Total (List Progs. Below) I Legal Advice and representation 2 3 5 7 8 .3. ENDING OPEP, ATING BALANCE (Subtracl 2 - 1 ) .4. RESTRICTED FUND BALANCE ('Total from page 7) 5. IN-KIND SUPPORT (Total from Page 7) ',. NON-C:~,H ASSETS - Net Furniture & Equipment Notes and Comments: Line 1A Line 4 Regional office carryover balances revert to LSCI's state wide net assets to cover deficits in other cost centers. 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 from the Johnson County United Way were used to provide free legal services to low-income re~idents of Johnson County, in areas identified as high-priority. The funds pa,d for part of the salary of an attorney. and a law clerk, and for related expenses such as teiepimne and travel. ACTUAL LASTYEAR 1997 290,364 THIS yEAR PROJECTED 1998 330,063 290364 290,364 9,932 280,432j 330,063 330,063 10,525 319338 0 0 98.534[ lo.888{ 0 99,0~7 6,074] BUDGETEF NEXT YEAr, 1999 349,596 349,5961 349,596 9,583 340,013{ 99,047 ' 1.622~{ -2- INCOME DETAIL :!_: Lo. cal Fundi_ng So,rces- a. Johnson County b. City of Iowa Ci.ty c- United Way of Johnson County d. City of Coralville e. Southeast Iowa Area on Aging f. Burlingto,~ United Way 2. Grants - State, Federal, Foundations a. Legal Services Corporation , b. IOLTA c. State of Iowa d. VAWA/VOCA e. f. 73. Net Sales Of Services (sources) a. Publications b. C. i4. Net Sales of Materials b. Contributions/Donations [' a. United Way Designated Giving 2 b. Other Contributions i6. Special Events ~ a. Iowa City Road Races i_ b. Iowa Lawyers Campaign i c. :7. Interest Income ~. Other - List Below i a. i iTOTAL INCOME {same as p. 2. line Notes and Comments: ACTUAL LAST YEAR AGENCY THIS YEAR PROJECTED Legal Services Corporation of Iowa NON- BUDGETED DIRECTED PROGRAM NEXT YEAR FUNDING 1 _1 23,780 8,075 2,000 0[ 52,119 5,700 0 60 0 837 1,000 0 22 3,880 290,364 24,987 7,425 3,000 0 185,698 43,300 56,.573 4,167 0 60 o! 7081 Oi !45 I 4,000 330,063 29,259 29,259 6,250 3,000 0 190,656 47,630 67,888 01 01 7081 I Oi 145 4,000 349,596 i 9,583 6,250 3,000 Ol 67,888 0 0 708 0 145 4,000 o{ o 9,583 { 340,013 LSCI, as a recipient of funding from the national Legal Services Corporation (LSC), is required by law and regulation to provide written notice to potential f~nding sources that their funds may not be used in any manner inconsistent with the LSC Act, Section 504 of Public Law 104-208 and the 1997-98 LSC appropriation bills. The services contemplated by this application are permissible activities under the LSC Act, aPproPriation bills and applicable regulations. PROGRAM 2 -3- -342- PROGRAM EXPENDITURE DETAIL AGENCY Leaal Scrvices Corporation of Iowa ~I. Salanes ~2. Employee Benefits & Taxes !3. Stdf Development !4. Professional Consultation ~5. ~lblica~mns & Subscnptmns ~6. Du~ ~d M~bemhips .,.. Mo~c, Rent and Propc~ T~ ~8. Building & Maimchance ~9. Eqmptment Nrch~cnt~ ~I 1. Tclcphonc ' 12. Office Suppli~ & Post~e ~ 13. Pnnhn~ ana ~sbhcfiy :14. LocalTr~spo~alion ~15. Insurance ~ 17. Interest :Tq. Libra~ Msinenance ~30. Litiaation Expense 23 :TOTAr_ EXPENSES ( p. 2, line 2) Notes and Comments: ACTUAL LAST YEAR 180,289 41,339 1,158 21,780 1,560 6.197 2.773 11,099 6.973 97 2,471 3 361 57 6 =745 4,465 290,364 THIS YEAR PROJECTED 212,684 45,556 1,164 21,780 1,560 4.870 2.832 12,816 7,608 480 2,976 3,617 6O 7,056 s.oo4! 330.063 BUDGETED NEXT~AR 228,177 47,013 1,170 21,780 1.560 4,870 NON- DIRECTED FUNDING 7,837 1,746 PROGRAM 1 220,340 45,267 1,170 21,780] 1,560j 4,870 3200 13,960 8,108 480 3214 3,800 60 3.200 13,96d' 8.,108 480 3,214~ 3,800 ~ 6O 7.200 5.004 349.596 9,583 7,200{ 5.oo4! 340,013 PROGRAM 2 AGENCY Legal Scrvicc~ Corporation of Iowa ~STRICTED FUNDS: Restricted by: Rcstricted for: :S.E. Iowa Area ARencv on Aging Civil legal assistance to people over age 60 in S.E. AAA i service area. FOTAL RESTRICHED FUND (also shown page 2, line ACTUAL THIS YEAR LAST YEAR PROJECTED 8,075 7,425 8075 7425 BUDGETED NEXT YEAR 6,250 6250 MATCHING GRA!~ :Grantor/Matched by 'S.E. Iowa ~ matched by IOLTA & LSC funding i~OTAL MATCHING GRANTS (also shown PR. 3, line 2) 8075/1846 7425/1896 8075/1846 {7425/1896 t6250/1896 6250/1896 ;I__N-KIND SUPPORT DETAIl. i Services/Volunteers :.Material Goods - Donated library materials '.Space, Utilities, etc. :tDjhcr: (Please specify) TQ_TAL IN-KIND SUPPORT (also shown on paKc 2, line Notes and Comments: 97,467t 1,067 98,534 97,980[ 1,067. 99,047i 97,980 1,067 99,047 Voh, nteer Sen, ices: 1007 Donated tn honse attorney hours: Donated in house law clerk hours: Donated in house secretary hours: 298 x 11.18 = 3,331 755 x 9.44= 7.316 155 x 7.87 = 1,220 Attorneys participating in LSCI's Volunteer Lawyers Project donated 1,0jr. O hours in Johnson County 85,600 -344- SALARIED POSITIONS AGENCY Legal Services Corporation of Iowa Position/Title -x,,~in that apply ?,<'~m,'~ing Attomey x x ~Staff Attorneys x x iSu_u_u_u_~port Staff x x ~Law Clerks ~f Last Year 21 1.00 19 3.20 29 2.00 8 0.30 I TO'rAL FTE's and SALARIES 6.5 [] Full-time equivalent: 1.0=full-time; 0.5=half-time; etc. FTE' Year 1.00 4.00 2.00 0.40 Next Year 1.00 4.00 2.001 0.50 Last Year 43,780 100,467 34,532 1,510 S~aary ) This . Budgeted Year I Next Year 44,200 46, 100 126,350 136,163 38,334 39,914 3,800 6,000 % Change 7.4 180,289. 212,684 223,177i 4.30% 7.77% 4.12% 57.89% 7.28% -6- -345- AGENCY: Legal Services Corporation of Iowa ACCOUNTABILITY QUESTIONNAIRE Be Ce Agency's Mission 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 invoMng basic necessffies, fundamental rights or safety. LSCI seeks to improve the lives of people IMng in poverty by providing high quality legal services, and empowers clients with self-advocacy skills through legal education. LSCI strives to treat all people with respect and dignity and works to dispel prevailing myths and misconceptions about low-income people. Board of Directors: Please attach a list of your agency°s Board of Directors (page 7A) Frequency of meetings: Four times 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 the evening before the weekend of a meeting. In addNon, the Director meets regularly with new Board members for training purposes. Finances: 1. Are there any fees for any of your services? Yes No X a. If YES, describe circumstances. b. Are they flat fees or sliding fees ? 2. Does your agency have: an internal audit external audit X Frequency annually __ financial review Has your agency filed the Annual Report with the Secretary of State? Yes. X No __ 4. Has your agency filed Form 990 with the IR$? Yes X No __ 5. Please discuss your agency's fundraising efforts, if applicable. This year, LSCI conducted its third donor solicitation event through the Iowa Lawyers Campaign for Legal Services. This event benefits the Legal Services Corporation of Ibwa, the Legal Aid Society of Polk County and HELP Legal Assistance, Inc. The campaign is endorsed by the Iowa State Bar Association. Last year, over $60,000 was raised through this statewide campaign. -7- -346- LSCI BOARD OF DIRECTORS BUCHANAN, SCOTt G.* (2000) Buchanan, Buchanan, Bibler, Buchanan & Handsaker 111 N. Dodge Street Algona, IA 505 11 515-295-3565 (Office) CUMMINS, MII.DRR':D (1999) 193 Jacolyn Dr., N.W.,//107 Cedar Rapids, IA 52405 319-396-6365 (Home) KINTIGH, THOMAS F.* (2001) 211 North Washington Ottumwa, IA 52501 5 15-684-6517 (Office) KUTZKO, DIANE* (2001) Shuttleworth & Ingersoll 500 Firsmr Bank Building P. O. Box 2107 Cedar Rapids, IA 52406-2107 319-365-9461 (Office) DEETH, LAURA (2001) 2009 Union Street Iowa City, IA 52240 319-338-0381 (Home) McELROY, VIRGINIA (1999) 100 West Clarinda Avenue Shenandoah, IA 51601 712-246-1574 (Home) FOWLER, JAMES F.* (2001) Wilson, Fowler & Fusco 209 N. Howard Street P. O. Box 197 Indianola, IA 50125 515 -961-5377 (Office) GRAY, JOHN C.* (2000) 70 1 Pierce Street, Suite 200 P. O. Box 3086 Sioux City, IA 51102-3086 (712) 255-8838 (Office) McHALE, JOHN M.* (2001) 233 Pearl Street P. O. Box 1078 Council Bluffs, IA 51502 712-328-3 157 (Office) SCHWARTZ, BARBARA* (2001) University of Iowa College of Law Iowa City, IA 52240 319-335-9092 (Office) 319-338-0674 (Home) JENKINSON, PAT (2001) 1414 E. Oak Algona, IA 505 11 515-295-5058 (Home) *Designates Attorney Members SMAIJ-EY, JEAN (2001) R.R. 8 Bloomfield', IA 52537 515-929-3247 (Home) S'rka-'~'Eg, JAMES C.* (2001) 1411 N. Elm Creston, IA 50801 5 15-7824355 (Office) Terms expire each year with the conclusion of LSCI's annual meeting. -7a- Rev. 8/29/98 REGIONAL AD~T/SORY COUNCIL MFa4BERS Clients: Roberta Patrick 515 Oakland Iowa City, Iowa 338-0309 (home) 52240 Laura Poisel Deeth 2009 Union Road Iowa City, Iowa 52240 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 -348- -Tb- 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 MUSCATINE 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 - -349- AGENCY: Legal Services Corporation of Iowa Management: 1. Does each professional staff have a written job description? Yes __ No X1 Is the agency Director's performance evaluate at least yeafly? 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 connec'don with one legal problem. LSCI "counts" a case at the time when it is closed. A case may involve only gMng 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. Enter Years --, 1996 1997 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? la. Duplicated Count StaffNLP2 StaffNLP 678/113 597/77 lb. Unduplicated Count3 2a. Duplicated Count 469/78 395/53 2b. Unduplicated Count 3a. Duplicated Count 111/19 95/14 3b. Unduplicated Count 4a. Total 1480/275 1408/180 4b. To Johnson County 67811 13 597/77 Residents Employees am provided a written job expectations memo In lieu of a job description. 2 The VLP (Volunteer Lawyers Project) is operated by LSCI to offer pro bono services to eligible clients. The first column represents cases closed by the Iowa City aft'; the second, cases closed by VLP attorneys in the Iowa City office service area. 3 LSCI keeps its data in terms of closed cases. not clients. LSCI's case management software does not allow us to separate out duplicated from unduplicated clients. Soma clients are sewed with more than one legal pmblern but the vast majority of clients are -8- -350- AGENCY: Legal Services Corporation of Iowa Other Areas Sewed: Do you provide services to areas outside of Johnson County? Area(s) served: Cedar, Des Moines, Henry, Louisa, Muscatine and Washington Counties. Services provided: Free legal services to low-income people in civil matters. Funding Sources: Legal Services Corporation (national grant source), Lawyers Trust Account Commission, Area Agency on Aging in Burlington, the Burlington Area United Way, the State of Iowa, the Iowa Lawyers Campaign for Legal Services and the Violence Against Women Act (VAWA). Client Profile (for last complete year, if available): * See below Age Gender Ethnicity 0 - 5 M 210 African American 113 6 - 17 F 467 Native American 6 18 - 29 Asian 9 30 - 61 Hispanic 21 62 - 75 White 528 75+ Multi-racial 0 * LSCI is not able to provide a breakdown according to the age categories listed above. The following is an age breakdown consistent with our computer software capabilities: Under 18:21 clients; 18-59:631 clients; 60 and over: 25 clients. 7. Evaluation and Review: A. Please discuss how your agency measures the success of its programs. LSCI uses both objective and subjective systems for assessing the performance and success of its program. The objective systems are tracked through the program's case management software. which is a database program that enables the Iowa City office to track services by number and types of cases handled, level of service provided, benefits received as the result of representalion and the outcome achieved on behalf of the client. This data can and is aggregated as a tool for assessing performance. The subjective systems for assessing performance include the use of a client satisfaction survey that is mailed to indMduals who have received legal assistance beyond bdef service and advice. The surveys are sent with a pestage paid return envelope to increase returns. LSCI also measures ils success by the number of client referrals generated through the collaborative working relationships it has established with local government officials, human service agencies, schools and private attorneys. ~ Most importantly, LSCI measures its success by the direct affect that legal assistance has on the lives of its clients. For example, LSCI offers domestic violence survivors help and hope in brealdng the cycle of violence. Legal assistance is more than a tool, it is an opportunity to give a survivor back her life and dignity. LSCI has been instrumental in obtaining protection and no contact orders for survivors, helped them to maintain shelter and obtained necessary financial support for survivors and their families. This assistance is crucial in giving domestic violence survivors the opportunity to start a new life, free from danger and fear. -9- AGENCY: Legal Services Corporation of Iowa Be Does your agency have performance objectives? [Give several examples] LSCI has the following performance objectives established for attorneys in the Iowa City office. Each experienced staff attorney is expected to handle, annually, a minimum of 400 client intakes, conduct 9-12 community legal education events, submit 3540 referrals to LSCI's Volunteer Lawyers Project, author sections for the Volunteer Lawyers Project PracUce Manual and actively engage interaction with private attorneys. LSCI staff attorneys are also required to be involved in complex litigation, including discovery and appeals; provide competent, high quality and aggressive representation in all cases handled; develop an area of spedalty and join the LSCI work group that addresses that specialty; and engage in 1-2 ac'dvities involving impact litigation. LSCI has annual goals for the number of cases dosed (18,000 - statewide) as a performance objective. In 1997, the Iowa City office was on target wibh this goal by closing 1,408 cases. LSCI also assesses performance through review of other sta~-"dcal data, such as tangible benefits received by the client and the number of indMduals benefitling from each case. In addition, client satisfaction questionnaires evaluate staff and service delivery performance by asking clients to rate the quality of the assistance they receive, treatment by staff and helpfulness of community legal education materials. e C. What plans does your agency have to increase efficiency and effectiveness? In eady 1997, LSCI added a Novell computer network in the Iowa City office. This networking system provides a full range of case management functions through its TurboCases software. This software features a tickler, docketing function, conflict checkjng and timekeeping systems. This automated system is of great assistance to suppert staff for performing client intakes, while increasing the efficiency of maintaining and repoffing client data. Staff also have intra-office e-mail capabilities, eliminating time and paperwork. This year the Legal Services Hotline for Older Iowans Project was inffiated by LSCI with funding, in part, from the Administration on Aging. The Hotline has expanded the availability of legal services to older Johnson County residents, without regard to income or assets. By placing a toll-free call, seniors can have their legal quesUons specifically addressed by an LSCI attorney. The Iowa City office also has future plans to benefit from an automated central telecommunications system, which will more efficiently put clients who call LSCI's 1-800 number directly in touch with the Iowa City office. In addition, a special study group is currently looking into the possibilities of LSCI more efficiently sewing its clients through the use of automated legal research tools. In what ways will the needs of your service population change in the next five years: Welfare reform legislation, and other possible cost-cuffing initiatives on the federal and state level, will continue to increase the need for legal assistance as people IMng in poverty try to deal with the confusion and financial burdens of welfare reform and the stress it puts on their family. According to LSCI statistical data, while housing, consumer and income maintenance issues have remained consistent (as have the caseloads for these issues), the composition of family law cases have changed dramatically and case numbers in this area continue to increase. Statistics for the State of Iowa show that the number of children IMng below poverty is increasing and, now, one in seven children lives in poverty. Also, the reported number of homeless children in Iowa continues to increase dramatically. Of the 26,000 lowarts who annually experience homelessness, 55% are children. Welfare caseloads have dropped considerably in Iowa, but more and more people are unable to provide besic necessities fortheir families, like food and shelter, on their income alone. The Iowa Department of Economic Development estimates that residents of over 188,000 households in Iowa are either IMng in substandard housing or paying over one-third of their income for housing. Other trends affe~ng families that are now prevalent in the area of family law involve domestic -]0- -352- AGENCY: Legal Services Corporation of Iowa 10. 11. 12. violence and children's issues. LSCI is handling increasing numbers of cases involving domestic abuse and child support. LSCI's Supplemental Security Income benefits cases, involving children with disabilities, also continues to increase dramatically. Please discuss any other problems or factors relevant to your agency's programs, funding or service delivery: LSCI's limited human and financial resources is the most prevalent programmatic problem the agency continues to face. Basically, LSCI has too few attomeys to meet the legal needs of over 25,000 low- income persons in the Iowa City office's seven-county service area. National studies document that only 20% of the legal needs of low-income persons are met. United Way funding remains critical for LSCI to maintain its current level of service, which is far below the need. Because the need far outweighs LSCI's resources, LSCI's Board of Directors established, and annually reviews, case priodty areas. The priorities involve legal problems arising from maintaining basic necessities, such as food, shelter, financial support, safety and an individual's fundamental rights. LSCI's priorities also place an emphasis on the most vulnerable populations, such as children, seniors, racially diverse persons and individuals with disabilities. In 1997, LSCI was unable to meet the legal needs of 460 low-income individuals in the Iowa City office due to its adherence to these priodty areas, income requirements and other federally mandated regulations. List complaints about your services of which you are aware: The major cdticism is based on the fact that a number of cases have to be tumed away. LSCI's limited human and financial resources makes it necessary to establish case priorities, as mentioned in ~f9 ofthis application. LSCI has a formal complaint process for clients and the public. In 1997. the Iowa City office had three formal complaints made, due to the denial of service because of pdority or income noncompliance. 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: Due to ethical considerations, LSCI does not maintain a wailing list. The Iowa City office continues to by to offset the problem of limited human and financial resources by involving local attorneys in the provision of pro bono legal services through LSCI's Volunteer Lawyers Project. The goal for the Iowa City office for 1998 is 150 volunteer lawyer referrals. In addition, the Iowa City office began an intake project in September 1997, involving private attorneys who volunteer their time and expertise by performing regularly scheduled client intakes at the Iowa City office. These volunteers assist clients through advice or bdef sentice. LSCI also continues to pursue other project and program funding sources to maintain and increase its se~ce provision. How many people are currently on your waiting list? LSCI does not have a wailing list due to ethical issues and the tact that the type of services LSCI provides to its clients is not conducive to a wailing list. LSCI's legal assistance involves critical legal issues, such as domestic violence, where prompt legal action is necessary and can make the difference between safety or further harm to a domestic violence victim or in some cases, life or death. In what way(s) are your agency's services publicized: Because LSCI has been providing civil legal assistance to low-income clients in Johnson County for over 21 years, local human service providers, private bar members, government agencies and the -]]- -353- AGENCY: Legal Services Corporation of Iowa 13. judiciary are well aware of its services and provide a number of referrals. LSCI also engages in outreach efforts though community legal education presentations. These presentations inform potential clients and service providers about the law and the availability of LSCI's services. For example, LSCI staff a~meys make legal education presentations at the Free Lunch Pregmm in Iowa City. LSCI also periodically issues press releases conceming legal services projects, such as eadier this year, to promote its Legal Hotline for Older Iowans Project. In addition, the Iowa City office has over twenty legal sauces brochures it distributes to individuals and various human sentice agencies. LSCI also publishes a quarterly newsletter, the Equal Justice Journal that is sent to over 7,000 low- income households statewide. In addilion, LSCI places extensive yellow page advertisements in the yellow pages of local phone directories, including Johnson County. 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 __ Executive Development Seminars X Kick Off X Victory Reception ;X Volunteer Action Center X Other in the past -]2- -354- AGENCY: Legal Services Corporation of Iowa AGENCY HISTORY In the late 1960's, the Hawkeye Legal Services Society was created as a delegate agency of Hawkeye Area Community Action Program, with funding from the U.S. Office of Economic Opportunity (OEO). When the OEO was phased out in the early 1970's, the U.S. Congress created the Legal Services Corporation (LSC). The Iowa City office became a grantee of LSC in 1974. In 1977, the Legal Services Corporation of Iowa (LSCI) was formed, with a goal of providing free cMI legal services to low-income Iowans in 98 of 99 counties, with the exception of Polk County, which maintained a separate Legal Aid Society. LSCI has remained the preeminent provider of legal services in Iowa, even in the face of federal and state budget fluctuations, since the 1980's. LSCI has continued to implement necessary fiscal measures to maintain the level of its service delivery to low-income Johnson County residents, while makjng every effort to secure financial support from other funding sources to offset the reductions in government support. The Iowa City office first received assistance from United Way in 1983, when United Way funded a half-time attorney position. Other secured funding sources have included the Interest on Lawyers Trust Account, focusing on mentally ill and homeless persons; the Violence Against Women Act for domestic violence survivors; and the Administration on Aging to assist seniors with critical legal problems. Since its inception in 1977, LSCI has established itself as a front runner in the area of poverty law, consistently keeping abreast of changing poverty law issues and monitoring their direct effect on clients. These issues have included the areas of domestic violence, homelessness, welfare reform, disability dghts and housing. LSCI has also been at the forefront for low-income persons affected by a major national, regional or statewide cdsis, such as the floods of 1993, the farm cdsis in the 1980's and most recently the flooding in 1998. 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 vadety of cases idenffiled as high pdority areas which involve safety, shelter, denial of fundamental liberties and other critical legal problems. Among these are income maintenance, health care issues, domestic violence, consumer law problems and special education issues. The staff also is involved in providing education to low- income persons as to their dghts and responsibili~es under the law, while helping clients develop self- advocacy skills. In the pest twenty years, LSCI has made a significant difference in the lives of the low-income people it has served. Families have been helped to maintain their homes and not suffer the hopelessness and degradation of becoming homeless, older Iowans have not had to choose between receiving critical health care or losing their homes and survivors of domestic violence have been able to start a new life without feadng fortheir lives and the lives of their children. LSCI will continue to use its resources to access equal justice for low-income Iowans now and in the future. FY 98 GOALS Please state FY98 goals and report status of progress/completion. GOAL h To provide low-income people of Johnson County with access to quality legal help, free of charge. The objectives under this goal included providing legal assistance to persons with the following kinds of problems or situaljons: homelessness; denial or termination of public benefits; need for relief from domestic abuse; denial of a free, appropriate public education to students with disabilities; evictions, landlord lockouts, housing discrimination, and other housing issues; garnishments, repossessions, utility disconnections and -]3- AGENCY: Legal Services Corporation of Iowa other consumer law problems; employment problems; and violations of the rights of the disabled or those in nursing homes. The Iowa City Office has provided high quality legal assistance to people with these kinds of problems or situations. There is no way to assure that the agency or court will rule in the clienrs favor, but by providing high quality professional legal assistance, LSCI assures that low-income people have an opportunity to present their concerns and problems in our judicial system. LSCI measures its impact in terms of providing access to our system of justice for those who have no other means of seeking redress. GOAL I1: To provide opportunities for low-income people in Johnson County to learn about their legal rights and responsibilities. The objective and tasks under this goal included holding at least six community legal education events, providing wdtten matedal to low-income persons explaining their dghts and letting service providers know about the services available from LSCI. In 1997 the Iowa City Office performed five community legal education events in Johnson County, including presentations on employment law, veteran's benefits, food stamps and welfare reform and guardianships. LSCI has many booklets designed for clients, written on about the sixth to eighth grade reading level, explaining legal dghts in a vadety of areas. LSCI provides these bookJets to clients, and also makes them available to any low-income person for free, and to others for a small charge. The Managing Attorney of the Iowa City office attends the United Way Agency Directors' meetings regularly. Recently, agency directors were provided with a Rolodex card, with the name and address for the office, and listing the kinds of cases LSCI handles. Agency directors were also provided with matedal about LSCI's Legal Hotline for Older Iowans Project, Goal IIh To continue efforts to enlist the assistance of the private bar. The objectives under this goal included referring 150 cases to the private bar and, in 1997, the office actually referred 167 cases from the Iowa City Office's service area. Another goal was to implement an intake project in bhe office, through which pdvate attorneys provide advice or bdef service to clients in the LSCI office. The Johnson County Bar Association appointed a committee to implement this project. The committee sets a rotating schedule of attorneys to come to the office on the second Thursday of the month, for about two hours, to talk to clients and offer advice. The committee has involved attorneys at the University of Iowa on the committee and in providing client service. Another attorney who works for the University volunteers to come on the first Thursday of the month, every month. The third objective was to conduct continuing legal education classes on a poverty law topic for attorneys. In 1997, the Iowa City office sponsored a training on Social Secudty benefits for disabled children under the SSI program. This training was offered on the Iowa Communications Network and attracted 103 partjcipants, statewide. -]4- -356- AGENCY: Legal Services Corporation of Iowa AGENCY PROGRAM GOALS AND OBJECTIVES Legal Services for Low-Income People in Johnson County GOAL: To provide low-income people of Johnson County with access to quality legal help, free of charge. Objective A: To provide legal assistance to homeless people in Johnson County. Tasks: 1. Continue outreach to people at the free lunch program; and Objective B: Tasks: Objective C: Tasks: Objective D: Tasks: Objective E: Tasks: 2. Prevent or alleviate homelessness by representing people in retaining or gaining housing and public benefits. To provide legal assistance for low-income people with public benefits problems: 1. Assist people with the following types of problems: a. Improper denial or reduction in the following benefits: e- Family Investment Plan (FIP) .e- Food Stamps ,r 'Frde XIX (Medicaid) ,r General Relief e- Medically Needy b. Improper denial of initial application or cessation (termination of current benefits) regarding disability benefits: Supplemental Secudty Income (SSI) Social Security Disability Insurance Veteran's Benefits To provide legal assistance for low-income people who are victims of domestic abuse. Represent victims of domestic abuse to secure legal remedies, including domestic abuse protective orders in court. To provide assistance with special educa~on problems and due process in schools. To assist clients with the following types of problems: a. Denial of a free, appropriate educaljon for students with disabilities; and b. Denial of due process dghts for students. To provide legal assistance for low-income people with housing problems: 1. Violations of landlord/tenant law: -357- AGENCY: Legal Services Corporation of Iowa Objective F: Tasks: Objeclive G: Tasks: Objective H: Tasks: ,r lock-outs ,e- seizure of property e- evictions ,r utility shut-offs 2, Housing discrimination; and 3. Illegal standards/procedures in federal housing programs. To provide legal assistance for low-income people with consumer law problems. 1. Assist clients with the following types of problems: a. Illegal garnishment of exempt property; b. Repossession of unlawfully detained personal property; c. Unlawful debt collection practices; d. Improper utility shut-offs; and e. Violations of state and federal Truth in Lending Act. To provide legal assistance for low-income people with employment law problems. 1. Assist clients with the following types of problems: a. Improper denial of unemployment compensation benefits or improper cessation of the same; and b. Job discrimination. To provide legal assistance for low-income people with individual dghts problems. 1. Assist clients with the following types of problems: a. Violations of the dghts of mentally ill or mentally handicapped persons to treatment in the least restrictive seffing, adequate individual program plans and proper use of psychotropic drugs; b. Violal~ons of residents' dghts in nursing homes or county care facilrdes; c. Disputes a client may have with his or her guardian or conservator; and d. Denial of civil rights based on a client's handicapping condition. -16- -358- AGENCY: Legal Services Corporation of Iowa GOAL: To provide opportunities for low-income people in Johnson County to learn about their legal dghts and responsibilydes. Objective A: To educate low-income people regarding their rights and responsibilities so they may become effective advocates for themselves. Tasks: 1o Hold at least six community legal education presentations on topics of particular interest to the poor; 2. Provide written materials explaining the law to local low-income people, through consultation with indMdual clients and at legal education presentations to groups; and 3. Inform other service providers of the written materials available through Legal Services to ensure wide distribution of such materials to low-income people. GOAL: To continue efforts to enlist the assistance of the pdvate bar. Objectk, e A: To refer 150 cases per year to the Volunteer Lawyers Project. Objective B: To implement an efficient and effective Intake Project, enlisting the aid of the pdvate 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 Continue the pad-time attorney posydon and law clerk posYdon funded in the past by United Way. Miscellaneous supplies for legal work, community education and outreach. 2. 3. 4. 5. 6. Travel expenses. Professional liability insurance. Office space, utilities and telephone. Li'dgation expenses. Cost of Needed Resources $30,600* annually for part-ljme attorney and law clerk. *LSCI actually "needs" more than $30,600, but is requesting only $30,600 from the Johnson County United Way. -]7- -359- tRJMAN SERVICE AGENCY BUiXiET t:ORM ~ity of Coralfille ' ~[ ohnson Count)' Cit)' of Iowa Cit:,.' , United Way of Johnson County ~ CHECK YOUR AGENCY'S BUDGET YEAR 1/1/99 - 12/31/99 4/1/99 - 3/31/00 7/7/99 - 6/30/00 X 10/1/99- 9/30/00 Director: Gillian J.I t. Fox Agency Name: LIFE Skills, Inc. Address: 1700 S. First Ave., Suite 25-E Phone: (319)354-2121 Completed by: Gillian Fox & Barb Bailey Approved by Chair Board: MaD' Larew /~'//~/¢d' (DATE) COVER PAGE Program SurnnmD': (Please number programs to correspond to Income & Expense Detail, i.c., Program 1, 2, 3, etc. ) 1. RTSS - Rehabilitative Treatment and Support Sen'ices provide counseling, skill development and supervision to families in crisis. CSALA - CommumD' Superxised Apartment LBing Arrangement This program serves individuals who may have developmental disabilities, mental retardation, mental illness, or those with emotional or behavioral difficulties are who at least 18 years of age. HCBS - Itome and Commumtv Based Services. This program serves children and adults who have mental retardation, brain injury, ttlV/AIDS, and individuals ~vho are ill or handicapped and/or elderly. Sen'ices are designed to provide mstruction and support in the home or comrnuni~'. Respite Sen'ices provide sen'ices to children and adults of all population groups served by the HCBS waiver. Respite senices are designed to provide short term relief in the absence of the family or guardian. 5. The Private Payee Program provides services to individuals who need assistance ~'ith money management. This program is being discor 6. The Supported Aging Services (SAS) Program provides supportive services to people of all ages, enabling them to live as independently as possible. 7. The' Oakdale Instructional Program provides instruction in anger management, marriage and parenting skills, and other social skills area: to inmates and patients at the Iowa Medical Classification Center at Oakdale. 8. Fundraising and Video Sales - Fundraising including the sales of a Video produced in conjunction vdth Systems Unlimited This video produced to address the needs of families of persons with special needs. Local Funding Summa_ry: United Way of Johnson Count)' - - i Does Not Include Desiga~atcd Gvg. CiW of Iowa City 4/1/97 - 4/1/98 - 4/1/99 - % of Total 'I(~3/~31598 03/31/99" i03/31/00 Budget ' i [ 1,000 '; FY98 FY99 FY00 k. 0 0 5,000 0.63%, 0 0 O! Oi 0 0! 0' jccoghs/xlbudg.xls -1- -360- AGENCY: LIFE Skills, Inc. Enter Your Agenc.Vs Budget Year --> 1. TOTAL OPERATING BUDGET (Total a+b) a. Carryover Balance (Cash _ from line 3, previous column) b. Income (Cash) 2. TOTAL EXPENDITURES CFotal a+b) ~-a. Non-dire_cted funding b~ Prog. ram Total (List Progs. Below) I Rehabilitative & Treatment Support Services AGENCY: July I through June 30 IJFE Skills, Inc. ACTUAIJ l 'IllIS YEAR LAST YEAR !i PROJECTED FY 1998 7~BUDGETED FY 1999 609,094 , (12,604) 704,538 19,056 FY2000 832,070 35,090 621,698 685,482 ] 796,980 /F 590,038 i 669,448 [ 759,375 48,468 53,830~! 59,215 541,570 615,618 700,160 __ 2 Communi.ty Supenised Apartment Living Arrangement 3 ttome and Commumty Based Sen'ices 4 Respite 5 Private Payee 6 Supported Aging Sen,ices Oakdale Instructional Program Fundraising and Video Sales 13. ENDING OPERATING BALANCE (Subtract 2 - I ) 4. RESTRICTEl) FUND BALANCE (Total from pa~ge 7) iS. IN-KIND SUPPORT (Total from Page 7) [6. NON-CASH ASSETS 195,434]L 179,698 194,673 179,527k 244,083[ 289,694~' 98,989.t 124,488" 131,431~ 51,2171 50,455 63,593 8,646'~ 1,492 1,193 1,200j 4,900 4,897 13,552 14,819 1,667 l 650 1,050 19,056 i 35,090[ 72,695 0,. 0 0 011 0 85,380., ~ 90,000 I 100,000; Notes and Comments: BRIEFLY DESCRIBE HOP,' L(X:AL FUNDS ~Y~RE SPENT LAST YEAR: Local timding has pro'.4ded the critical component of staff training and development. Traimng and development ~s an indirecl cost which is not allowable through our other funding sources. Without ongoing training and staff development LIFE Skills would bc unable to continue to provide up to date clinical intervention and education to consumers. Staff training and development siganficantly contributes to staff retention and lower staff turn over. ]ccoghs/xlbudg.xls - 2 - INCOME DETAIL ,. l,ocal Funding Sources- a. Jotmson County b. City oflowa City c. United Way of johnson County d. City of Corah411e AGENCY ACTI LAST YEAR 253 Tt[IS ~AR PROJECTED 747 LIFE Skills, Inc. B/rDGETED NEXT YEAR _ 5,000 253 747 5,000 NON- DIRECTED H,rNDING 0 PROG"RAM I 0 PROK3RA~M 2 0 2. Grab - State, Federal, Foundations b. c. d. 3. Net Sales UServices (sources) a. State Contrack~ b. Private Contracts V c. F'- ! 4. Net Sales of Materials a. Video Sales 5 Contnbutt I · on-~rDonattons 613:~90 675,410 601,060 671,180 12,830 4,230 681 681 2,015 780,000 768,000 12,000 800 600 800 600 3,000 4,000 7 I a. Lhaited Way Designated Gix'ing b. Other Caxtributions ~ 6. S~necial Events n a. Hospice Road Race F b. Direct Mail Campaign C. 7. lntere~ Income ':S ~tl~a- List Belox~ ' ' ' a. Miscellaneous Income b, Retimds and Allowances ~T()TAI, INCOME (same as p. 2, line lb) Notes and Comments: 1,615 1,500 2,000 40O 4,435 1,879 2,556 424 216 208 621,698 1,500 5,O00 2,000 3,0O0 100 425 275 150 685,482 2,00O 6,000 2,500 3,500 300 1,080 840 240 796,980 ,L ol 0 0 0 ] 198,000 345,000 198,000 345,000 ol o[ o 0] 01 0 0 300 1,080 840 240 1,380 198,000 345,000 jccoghs/xlbudg .xls -3- -362- INCOME DETAIL (cont) 1. Local Fundin~ Sources- i PROGR;LM 3 I HCBS AGENCY LIFE Skills, Inc. PROGRAiM PROGR.&M PROGRAM 4 5 6 Respite Payee SAS 0_L ...... i a. Johnson County b. City of lowa City c. United Way of Johns~n County PROGR.,MM Oakdale PROGRAXf 8 FR~'ideo 0 { 5,000 5,000 d. City of Coralville i3. Net Sales Of Sevvices (sources) , a. State Contract.~ b. Private Contractq I a. Video Sales I b. 5. Contributions/Donations L_a. United Way Designated Giving b. O~her Contributions [ 6. Special Ewmts a. Hospice Road Races b. Direct Mail Campaign ' c. 7. Interest Income Other -Ltst Below a. Miscellaneous Income b. Refimds and Allowances c. !T()TAL INCOME (same as p. 2, linelb) Notes and Comments: 125,000 125,000 0 125,000 s0,oooi s0,oool 0] 80,000 01 0 0 12,000 12,000 01 20,000 0 20,000 0 600 60O 0 0 4,000 2,00O 2,OO0 o ~ 6,000 2,5O0 3,500 l oi' ' o o 12,000 20'0~0 _ 15,600 iccoghs/xlbudg.xls -3a- PROGRA~'I EXPENDITURE DETAIL AGENCY LIFE Skills, lnc 1. Salaries 2. Employee Benefits & Taxes 3. Staff Development 4. Professional Consultation 5. Publications & Subscriptions ACTUAl, LAST YEAR 387,346 70,352 5,256 840 0 THIS YEAR PROJECTED 424,004 80,495 6,700 20,980 0i Bt.qX]ElnF,,D NEXT 0 87~138 7,600 27,750 0 NON- DIRECTED FLrNDING 54,300 4,155 PROGRAM [ PROGRiMM I ' 2 RTSS : CSALA 111.130i 191,740 23,101 38,818 2,000 ! 3,500 9,000 16,800 0 0 6. Dues and Memberships 7. Mortgage Rent and Propcqrty Tax 8. Building & Maintenance 9. Equipmenl Purchase/Rental 10. Utilities 11. Telephone 12. Office Supplies & Postage 13. Printing and Publicit>' 14. Local Transportation 15. Insurance 16. Audil 17. Interest 18. Other (Specify): i 19 Skill Development Supplies Consumer Food 21 Comumer Recreation [ 22 Depreciation Expense 23 Recruitment 24 Miscellaneotts Exp. 25 Respite/SAS Care Prorider Exp~ 229 200 325 15,517[ 15.600 15,600 925 975 1,030 2,601 2,515 3.250 0 0 0! 8.863 9,050 9250 5.420 5.315! 6.175 909 1,000 1,230 49.683, 49,880 58,735 4,451 4,348 4,845~ 0 7.500 8,500 1.682 760 750 2,808 3,041 3.720 1.973 2,115 2,675~ 440 515 645{ ! 1,258i ' 2,380 2,705i 3,256i 2.570 3.025i 1,477 7601 760 24,752 28.720 41,067 looI 15o 4,212 7.176 350 400 1.450[ 1,200 0 0 3,500 3.500 1,850 2.300 450 500 33.175 15.400 1.225 2,385 250 300 300 350 650i 2,000 lS0[ 475 780] 1,200 1.000i 1,500 0 0 01 0 ' 1 TOTAL EXPENSES ( p. 2, line 2) : 599,038 669.448 759.375 59.215 194,673 :Notei'and Conm~ents: ' ' Due to administrative restructuring, the accounting functions have been subcontracted which resulted in a significant incr~o.se in the professional consultation budget line. 289,694 /ccoghs/xlbudg.xls -4- PROGRAM EXPENDITURE DETAIL (continued) 1. Salaries 2. Employec Benc~ts & Taxes 3. StaffD~vclopment 4. Professional Consultation 5. Publications & Subscriptions 6. Dues and Memberships 7. Mortgage, Rent and Property Tax 8. BulldOg & N/ aintenance 9. Equipment Purchase/Rental 10. Utilities 11. Telephone 12. Office Supplies & Postage 13. Printing and Publicity 14. Local Transportation 15. Insurance 16. Audit 17. Interesl 18. Other (Specie): 19. Skill Development Supplies 22~0'0Consumer Food PROGRANI 3 HCBS 89.030 16,i64 1,300 5,500 0 25 2.di2 'i 55 300 0 1.250 725 155 8,700 740 AGENCY PROGRtLM 4 RESPITE 13,100 3,441 500 4,000 0 50' 1,560 125 300 0 1,000 550 125 1,210 495 3,000 15 100 100 10~ 10 121 Consumer Recreation Exp. 122 Depreciation Exp. [ 23 Recruitment Exp. i24 Miscellaneous Exp. !25 Respite/SAS Care Prorider Exp. 20 0 450 2:2 450 0 36.667 LIFE Skills, Inc. PROGRANI 5 PAYEE 0 0 0 0 0 0' 0 O! 0 0 0 0 0 0 O] 0 Ol 0 0 0 0! PROGRAM 6 SAS 0 250 0 PROGRA.\I 7 OAKDALE 13,000 1,059 0 700 0 PROGRAM 8 FR'%rlDEO 0 0 300 0 0 0 0 0 0 0 0 0 0 0 0' 0 750 0 250 0 0 0 ' 0 0 O: O] 0 0 0 0 Og _. 60 0 0 0 0 0 0 0 0 4.400 0 0 0' 0 O, 0 O{ 0 I 0 0 iTOTAL EXPENSES ( p. 2, line 2) 131.431: Notes and Comments: The Psyce Program is being discontiued ~ of October 1998, 63,593 0 4.900 14.819 1,050 ccoghs/xlbudg.xls -4a- -365- SALARIED POSffIO.N.'~' T~' ~_. ! __ [~":X "~l t4t *ppl.v PositionFfRle Executive Director Administrative Assistant Business Manager SCL Coordinator Respite/HCBS Coordinalor SCL Skills Counselors HCBS Skills Counselors FCS Skills Counselors 42~ x 19 32 x 19 29 x 24 41 x 20 35 x 19 27 x: 20 Lasl Year 1.0 1.0 1.0 1.0 5.0 27 x 27 x 20 4.0 20 5.5 ~ :~ .I 'E Skill . Inc. AGE,___CY I F . FTE*; Next Actual Year Lasl Year 1.0 39.525 1.0 19.920 1.0 29.120 1.0 30,077 1.0: 24.032 9.0 ~ 89. 120 6.0 50,049 4.5 105.503 SalaD' This Year 40,711 17.000 23,000 30,979 26,780 128,666 58,357 98.511 This Year 1.0 1.0 1.0 1.0 1.0 7.0 5.0 4.5 Budacted Next Year Change 41,932 3% 19,000 110,4, 25,000! , 8% 159,386 19°~o 64,607 10% 101,4661 . ! .* Full~m_e equivalent: 1.0=full-time; E. 5::l'alf-l~_eAc. ' ! i ', 21.5[ 24.5 387.346 i 424.004: 472.300 , I jccoghs/xlbudg.xls -5- -366- AGt:~NCY LIFE Skills. Inc. RESTRICTED FUNDS; Restricted by: Restricted for: ACTUAL LAST YEAR TIllS YEAR PROJECq'ED BUDGETED NEXT YEAR IT~OTAL RESTRICTED FUND (also shown page 2,.line 4) MATCHING GRANTS Grantor/Makhed by 0 I! TOTAL MATCHING GRANTS (also shown Pg~_~_x ~ 0 IN-KIND SUPPORT_DEIAIL Services/Volunteers Material Goods Space, Utilities, etc. Other: (Please specify) TOTAL IN-KIND SUPPORT (also shown on page 2. line Notes and Cornmenks: 0[ 0 LIFE Skills, Inc. received no In-Kind support in FY 1998. There are no current plans to solicit In-Kind for upcoming fiscal years. LIFE Skills is oonsidermg a plan ~tfich may result in the future restriction of some fun& bm at this time none exists. LIFE, Skills has no grants in process at this time. Iccoghs/xlbudg.xls -6- -367- AGENCY: LIFE Skills, Inc. ACCOUNTABILITY QUESTIONNAIRE Agency's Mission Statement or Primary Purpose: LIFE Skills, Inc. is a private, non-profit, educational 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. B. Board of Directors: 1. Please attach a list of your agency's Board of Directors (page 7A) 2. Frequency of meetings: Quaderly 3. 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: 1. Are there fees for any of your services? a. Does your agency have: an internal audit X Frequency _Periodically Yes X No If YES, describe cimumstances. Fees for DHS contracted services are established by DHS. Private pay consumers are charged the same fee that DHS pays. Flat fees are charged for non-DHS programs. Are they fiat fees X or sliding fees ? external audit X financial review X 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. LIFE Skills, Inc., participates in the annual Hospice Road Race and conducts an annual direct mail campaign. LIFE Skills, Inc., also submits grant applications and requests to service clubs and organizations. -7- -368- LIFE SKILLS, INC. BOARD OF DIRECTORS October 1, 1998 Mary Larew Dave Wacker Braverman, Cordell Maryann Dennis Mickey Motyko Dick Noble Vilia Tarvydas Marianne Jones Jay Harding Jeffrey Fields Jill Aikin President Vice President Sec./Treasurer Board Member Board Member Board Member Board Member Board Member Board Member Board Member Board Member -?A- -369- AGENCY: LIFE Skills, Inc. 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 AGENCY LIFE Skills, Inc. X No 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 during last two complete budget years. Refer to form instructions for definition of duplicated and unduplicated. Units of service vary depending on the program. For the RTSS program, a unit of service is one-half hour, the cost per units varies depending on the services offered. In RTSS there are three basic services: skill development, therapy and counseling, and protective supervision. The costs are $32.50, $28.87, and $17.03, respectively. We bill only for direct services. For FY 1998, we delivered 6,894 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 bills $47.36 per unit, with the exception of a handful of consumers who receive funding from the state, these are billed at $45.54 per unit. In FY 1998, we delivered 5,482 units of CSALA services. For HCBS (Home and Community Based Services), a one hour unit costs $32.00. In FY 1998, we delivered 3,247 units of HCBS services. Respite services are also offered by our agency. These services are billed at $12.00 per one hour unit. In FY 1998, we billed 4,194 respite units. Private Payee services will be discontinued. In FY 1998, we provided 390 units of service. The rate for private payee services was $27 per month for recipients of SSI and SSDI, and $20 per hour for all others. Finally, Our SAS (Supported Aging Services) program costs $15 per one hour unit. Last FY we billed 173 units. A description of programs can be found on cover page. -8- -370- AGENCY: LIFE Skills. Inc. 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 pro- vide? Enter Years 1997 1998 la. Duplicated 235 187 Count lb. Unduplicated 228 171 Count 2a. Duplicated 212 162 Count 2b. Unduplicated 200 151 Count 3a. Duplicated 18 12 Count 3b. Unduplicated 17 11 Count 4a. Total 15639 20380 4b. To Johnson 8904 13267 County Residents 5. Other Areas Served: Do you provide services to areas outside of Johnson County? Area(s) served: Services provided: Funding Sources: Linn Co., Washington Co., Cedar Co., Keokuk Co., CSALA, RTSS, HCBS, and Respite services. State POS, RTSS, contracts, and private pay consumers. 6. Client Profile (for last complete year, if available): Gender Female 123 Male 110 Age 0-5 24 6-17 68 18-29 30 30-61 102 62-75 9 75 + 0 Ethnicity African American 13 Native American Asian Hispanic 2 Caucasian/Non-Hispanic 216 Multi-racial 2 7. Evaluation and Review: -9- -371 - AGENCY: LIFE Skills, Inc. A. Please discuss how your agency measures the success of its programs. LIFE Skills, Inc. utilizes several methods to measure the success of it's programs. · Consumer Evaluations · Referring Agent Evaluations · Staff Evaluations · Quaderly Case Reviews · Number of New Referrals · Contract Renewal Rates In July 1998, the agency's State of Iowa Department of Human Services Project Manager conducted an on site administrative and clinical review of the CSALA and RTSS programs. All areas of reviewed and evaluated have generated extremely positive results. State contracts were renewed with no corrective action requirements. Does your agency have performance objectives? [Give several examples] LIFE Skills, Inc., maintains an extensive list of performance objectives which include 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 are free from abuse, neglect and mistreatment; consumers are supported in exercising their rights; and consumers have ways to develop new relationships. C. What plans does your agency 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. 8. 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. 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. LIFE Skills, Inc., has experienced an increase in referrals for services for individuals who have chronic mental illness. The agency has worked to provide increased training and support to staff clinicians to meet this changing service need. -372- _I0_ AGENCY: LIFE Skills, Inc. 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. Additionally, the agency is always struggling to fund staff training and the expansion of resources for clinical use. 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 complaint 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 serve them? What measures do you feel can be taken to resolve this problem: LIFE Skills, Inc., does not have a current waiting, nor has it ever had a waiting list. 12. How many people are currently on your waiting list? 0. 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, fiyers and brochures, news paper, press- release for special events, speaking engagements, on-going contact with referral sources and padicipation on local boards and committees. 13. United Way involvement by your agency: ("X" if agency participates) a. Agency Directors Meetings X b. Agencies Representative to Funding Hearings X c. Business Blitz X d. Day of Caring e. Kick Off X f. Victory Reception X g. Other -11- -373- AGENCY: LIFE Skills, Inc. AGENCY HISTORY (Using this page ONLY, please summarize the history of your agency, emphasizing Johnson County, past and current activities and future plans. Please update annually.) 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 eight 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 has continued to modify clinical programming to best meet consumer and funding challenges. The Representative Payee program was discontinued in September 1998. The program was a tremendous administrative burden and continued to run with an ever growing deficit. The Supported Aging Services Program continued 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 expanded to provide a critical component of care for families that include a member who has mental retardation, brain injury, who is ill or handicapped, elderly, or who has HIV/AIDS. 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 Instructional program was developed to provide educational services to general population inmates and patients of the Oakdale Medical Classification Center through a contract with the State Department of Corrections. LIFE Skills has developed and implemented a contract with the Merit 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. -374- -12- AGENCY: LIFE Skills, Inc. FY98 GOALS Please state FY98 goals and report status of progress/completion. Goal: LIFE Skills, Inc., will end the 1998 fiscal year with an increase in the agency's fund balance. Objective 1: To continue administrative restructuring to control administrative expenses with out hiring additional administrative staff. Tasks: · Remove accounting function from Business Manager position description and sub-contract accounting services. · Expand Business Manager position description to include additional administrative duties. Objective 2: To increase the efficiency of clinical staff by providing additional support and resources. Tasks: · Purchase additional computers to assist staff with the production of clinical notes and reports. · Increase billable hours by imposing higher face to face service delivery quotas. Objective 3: Meet referral requests with out imposing a waiting list for services. Tasks: · Maintain a clinical staff at levels, which allow for immediate response to service requests. · Provide training and support to maintain high levels of staff retention. Progress toward aoals and objectives for the 1998 fiscal year The goal of ending the 1998 fiscal year with an increase in the agency's fund balance was achieved through diligence, hard work, and patience. Tthe LIFE Skills, Inc., staff was able to achieve the objective of restructuring by expanding the duties in the Business Manager's position description and the agency's accounting duties were sub-contracted. Overall, the restructuring allowed for greater administrative efficiency. The objective of increasing clinical efficiency through the provision of additional support was achieved. The agency purchased four computers, which has greatly assisted clinical staff with case note and report production. Staff has increased their efficiency as well as the timeliness of task completion. The agency has increased the minimum of weekly face to face hour quotas for clinical staff. This measure has resulted in an overall increase in the total monthly billable face to face hours for the agency as a whole. LIFE Skills, Inc., has been extremely privileged to have the opportunity to hire and maintain a gifted clinical staff. The agency is fortunate that all staff have high clinical ethics and maintain a strong commitment to the agency. Staff retention continues to be high. The agency provides on-going training and support to all clinical staff. -13- -375- 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 suppod systems and resources to reduce the risk of harm to their children, families, or the community. OBJECTIVE: To provide at least 7,577 units of skill development, therapy and counseling, and protective supervision services to children and families during fiscal year 2000. Activities: Provide in-home and community based intervention, counseling. and supervision. · Provide treatment and education to assist individuals with achieving their case permanency plan or court ordered goals. · Facilitate collaboration, 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 7285 units of CSALA drop-in counseling during fiscal year 2000. 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. · Assist consumers in the maintenance of safe and appropriate housing and living arrangements. · 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 3,906 units of SCL services to children and adults in fiscal year 2000. -376- AGENCY: LIFE Skills. Inc. 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 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 brain injuries, individuals who are elderly, ill, handicapped or have HIV/AIDS. OBJECTIVE: To provide at least 6,667 units of respite to families during fiscal year 2000 Activities: · Provide shod-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, provider's home, or a community setting. · Monitor program compliance and providers. -15- -377- HUMAN SERVICE AGENCY BUDGET FORM Director: Pat Gei~sel City of Coralville Johnson County City of Iowa City United Way of Johnson County CHECK YOUR AGENCY'S BUDGET YEAR 1/1/99 - 12/31/99 4/1/99 - 3/31/00 7/1/99- 6/30/00 10/1/99 - 9/30/00 2/1/99 - 1/31/00 Agency Name: Lutheran Social Service of Iowa Address: 125 S. Dubuque Phone: (319) 351-4880 Approved ' '~ k X~ X (date) COVER PAGE Program Summary: (Please number programs to correspond to Income & Expense Detail, i.e., Program 1, 2, 3, etc.) 1. Family Counseling: Provide professional counseling services to families and individuals seeking assistance in resolving emotional problems or temporaN stress that they may be encountering. Sexual Abuse Treatment: Provide Professional individual, family, and group counseling for child victims of sexual abuse and their families. Focus is listening, relieving pain and trauma, supporting ongoing safety, and coping with the nature of the abuse. Pregnancy Counseling: Provide professional counseling service to expectant single parents faced with issues of pregnancy, parenthood, physical care arrangements, adoption, family and other significant relationships. Other Programs: Includes foster care; therapeutic foster care; family-centered services; adoption services; Alternative Correctional Education (ACE) day treatment and tracking; Preparing Adolescents with Skills for Success (PASS); Washin~on County Mental Health Counseling; Washin~on County School District counseling for children and families; and Mental Health Case Management for children and families in Washin~on County. Local Funding Summary United Way of Johnson County - ~ Does Not Include Designated Gvg. City of Iowa City J ~,,nson County City of Coralville 4/1/97 - 4/1/98 - 4/1/99 - °,/0 of Total 3/31/98 3/31/99 3/31/00 Budget $16,198 $16,198 S22,000 2. I8% FY98 FY99 FY00 ~ $16,068 S16,068 $16,100 1.59% -378- ic'cn~,h,uxrlhsldn ',rk - 1 - BUDGET SUlXlNIARY AGENCY: Enter Your Agency's Budget Year ----> 1. TOTAL OPERATING BUDGET (Total a+b) a. Carryover Balance (Cash from line 3, previous column) *See Notes and Comments b. Income (Cash) 2. TOTAL EXPENDITURES (Total a+b) I a. Non-directed funding - Administration b. Program Total (List Progs. Below) ~<* 1. ~'2. ×~3. 4. 5 6 7 8 Family & Individual Counseling Sexual Abuse Counseling Pregnancy Counseling Other Programs 3. ENI)LNG OPERATING BALANCE (Subtract 2 - 1 ) 4 RESTRICTED FUND BALANCE (Total from page 7) IN-KIND SUPPORT NON-CASH ASSETS (Total from Page 7) Notes and Comments: * LSS closes out each Center to -0- balance at the end of each fiscal veal ** Cost of Services to Johnson Counw residents only. Lutheran Social Service of Iowa ACTUAL THIS YEAR BUDGETEP LAST YEAR PROJECTED NEXT YEk 2/1/97 - 1/31/98 2/1/98 - 1/31/99 2/1/99 - 1/31/00 845,423 814,875 1,0O7,200 845,423 814,875 1,007,200 910,478 901,800 1,007,200 85,483 93,400 97,300 824,995 808,400 909,900 89,118 48,900 49,785 18,480 3,300 6,425 3,238 800 14,520 714,159 755,400 839,170 (65,055)1 (86,925) 0 BRIEFLY DESCRIBE HOW LOCAL FUNDS WERE SPENT LAST YEAR: -379- INCO~'~E DETAIL I. Local Funding Sources- a. Johnson County (Pregnancy Cnslng) b. CiW of Iowa City c. United Way of Jotresort CounW d. CiW of Coralville e. f. 2, Grants - State, Federal, Foundations a. Johnson CounD' (Couns& FC Retu4t') [ b. Washington County (~1 Hlth & Educ.) c. Foreman Fund (Sexual Abuse Corms.) d. Assure Project e. ACE: at. Correct. Education f. JCO-Monitor/Tracking Gnmt g. DHS Summer Life Skills , :. Net Sales Of Services (sources) a. Iowa Dept.of Human Services (P.O.S.) b.Program Ser,/ice Fees ~., -iNet Sales of Materials b. C. 5. Contributions/Donations a. United Way Designated Giving [ b. Other Contributions :.ii Special Events a. Road Race b c. ' Interest Income $. Other - List Below a. Miscetlaneous Income b C. iTOTAL INCON4E {same :~s p 2. line lb) and Comments: ACTUAL LAST 'liAR 31,858 16,068 15,790 334,204 1,705 83,796 3,827 81,557 123,669 21491 17, t59 431,238 317,187 114,051 47,554 1,642 45,912 346 346 253 253 AGENCY Lutheran Social Service of Iowa THIS YEAR PROJECTED 32,266 16,068 BUDGETED NEXT YEAR 38,100 16,100 16,198 NON- DIRECTED FUN~DING 4,260 1,580 PROGRAM 1 Fam. Couns. 17,062 22,000 454,756 34,925 95,026 3,800 69,000 215,080 36,925 0 283,529 213,120 70,409 2,680 17,062 482,600 0 I07,400 3,000 80,000 233,700 58,500 0 444,200 369,750 74,450 43,437 4,863 38,574 787 787 45,770 0 10,185 290 7,586 22,162 5,547 0 43,554 35,063 8,491 22,837 22,837 41,500 4,000 37,500 800 800 100 100 3,639 200 3,439 77 77 9,886 1,400 8,486 0 845,a53 814,875 1,007,200 97,300 49,785 PROGRAIM 2 Sexual Abuse 2,258 2,258 2,710 2,710 734 734 723 723 6,425 -380- lccolahs/xlbudtl.xls - 3 - INCOME DETAIL (cont) 1. Local Funding Sources- a. Johnson Coun.ty b. City of Iowa City c. United Way of Johnson Cotm.ty d. City of Coralville e. f. 2. Grants - State, Federal, Foundations a_ Johnson County b. Washington Coun.ty c. Foreman Fund (Sexual Abuse Couns.) d. Assure Project e. ACE: Alt. Correct. Education f. JCO-MonitorFFracking Grant g. DHS Summer Life Skills 3. Net Sales Of Services (sources) a. Iowa Dep~LofHuman Services P.O.S. b. Program Service Fees c. 4. Net Sales of Materials b. c. 5. Contributions/Donations a. United Way Designated Giving b. Other Contributions 6. Special Events a. b. C. 7. Interest Income 8. Other - List Below a. b. c. TOTAL INCOME Csame as p. 2, linelb) Notes and Comments: PROGRAM 3 Preg. Couns. 14,520 14,520 14,520 AGENCY Lutheran Social Service of Iowa PROGFL4,N4 4 Other Prog's 0 0 0 0 0 PROGRAM PROGRAM PROGRAM PROGRAM ] 5 6 7 8 434,120 0 97,215 0 72,414 211,538 52,953 0 377,809 334,687 43,122 0 0 0 0 0 27,241 2,400 24, 84 1 0 0 0 0 0 0 0 ol 839,170 -381- PROGRAM EXPENDITURE DETAIl, AGENCY Lutheran Social Service of Iowa NON- ACTUAL THIS YEAR BUDGETED DIRECTED LAST YEAR PROJECTED NEXT YEAR FUNDING 1. Salaries 542,699 529,400 575,460 53,600 2. Employee Benefits &Taxes 96, 143 99,300 126,610 11,800 3. Staff Development' 6, 571 5,050 7,320 1,600 4. Professional Consultation 50,874 43,200 49,650 1,900 5. Publications &Subscriptions 786 750 920 200 6. Dues and Memberships 921 1,000 955 725 7. Mortgage, Rent and Property. Tax 94, 837 100,000 105, 100 6,400 8. Building &Maintenance 3,801 4,000 4,500 1,600 9. Equipment Purchase/Rental 10, 192 8,250 7,700 2,600 10. Utilities 1,402 1,525 1,600 1,600 11. Telephone 16,145 15,300 17,175 1,900 12. Office Supplies & Postage 19,978 25,900 29,900 3,260 13. Prinling and Publicity 2,282 3,000 1,900 1,400 1_4. LocalTranspomtion 38,193 31,000 41,300 975 ~. Insurance 2,547 3,200 3,800 1,030 16. Audit 1,242 3,350 2,525 525 17. Interest 436 475 460 460 18. Other (Specify): 19. Specific Assistance to Individuals 4,75 1 4,650 8,200 0 0 300 20. Temporary Help 1,043 2,700 1,600 0 25 0 21. Staff Recruitment 1,687 3,500 3,800 200 10 35 22. Miscellaneous 1,657 1,650 2,925 1,225 15 5 23. Depreciation 12,291 14,600 13,800 4,300 525 30 24 25 910,478 901,800 1,007,200 97,300 TOTAL EXPENSES ( p. 2, line 2) Notes and Comments: PROGRAM 1 Faro. Court. 35,160 7,730 300 10 85 10 4,340 135 240 0 605 265 185 100 45 0 0 PROGRAM 2 Sexual Abuse 3,805 835 400 175 0 0 350 10 15 0 45 260 50 105 5 0 0 49,785 6,425 -382- -A- PROGRAM EXPENDITURE DETAIL (continued) 1. Salaries 2. Employee Benefits & Taxes 3. Staff Development 4. Professional Consultation 5. Publications & Subscriptions 6. Dues and Memberships 7. Mortgage, Rent and Property Tax 8. Building & Maintenance 9. Equipment Purchase/Rental 10.Utilities 11. Telephone 12. Office Supplies & Postage 13. Printing and Publicity 14. Local Transportation 15. Insurance 16. Audit 17. Interest 18. Other (Specify): 19. Specific Assistance to Individuals 20. Temporary Help 21. Staff Recruitment 22. Miscellaneous 23. Depreciation 24 25 PROGRAM 3 Preg. Couns. 10,800 2,375 0 50 20 0 925 30 10 0 50 60 20 100 10 0 0 0 0 0 25 0 45 TOTAL EXPENSES ( p. 2, line 2) Notes and Comments: 14,520 AGENCY Lutheran Social Service of Iowa PROGRAM 4 Other Prog's 472,095 103,870 5,020 47,515 615 220 93,085 2,725 4,835 0 14,575 26,055 245 40,020 2,710 2,000 0 0 7,900 1,575 3,530 1,680 8,900 PROGRAM PROGRAM PROGRAM PROGRAM 5 6 7 8 839,170 0 0 0 AGENCY LUTHERAN SOCIAL SERVICE OF IOWA K~iTRICTED FUNDS: ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR Restricted by: Restricted for: TOTAL RESTRICTED FUND (also sho~vn page 2, line 4) O] O] O~ MATCHING GRANTS Grantor/Matched by TOTAL MATCHING GRANTS (also shown pg. 3, line 2) 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: -384- SALARIED POSITIONS AGENCY Lutheran Social Service of Iowa 'X'all that apply _ ~ Year Center Director 37 X X 22% 1.00 MSW Caseworkers 37 X X 22% 7.99 BA Caseworkers 37 X X 22% 9.82 Secretarial Staff 32 X X 22% 2.51 State Office Support StaffAllot. N/A FTE* Salary This Next Actual This Year Year Last Year Year 1.00 1.00 34,658 35,364 6.01 7.07 217,142 169,120 11.59 12.07 192,318 221,620 2.50 2.33 47,821 47,835 N/A N/A 50,760 55,461 Budgeted % Next Year Change 36,365 2.83% 196,735 16.33% 240,895 8.69% 47,865 0.05% 53,600 TOTAL FTE's and SALARIES 21.32 ~ 21.10 * Full-time equivalent: 1.0=full-time; 0.5=half-time; etc. 22.47 542,699 529,400 i 575,460 6.73% jccoghs/xlbudg.xls - 6 - -385- AGENCY: Lutheran Social Service ACCOUNTABILITY QUESTIONNAIRE A. Agency's Mission Statement or Primary Purpose: The mission of Lutheran Social Service is to join and assist people in their struggle towards wholeness and empower them to achieve an improved quality of life. The provision of services to families and individuals focuses on prevention and treatment of social and psychological' problems. B. Board of Directors: 1. Please attach a list of your agency's Board of Directors (page 7A) 2. Frequency of meetings: Iowa City/Monthly; Statewide/Quarterly 3. Bdefiy descdbe board orientation and ongoing training opportunities: Orientation includes member's responsibilities, structure, meeting, reports, and agency tour. Members are informed of Lutheran Social Service goals, program services, staff and qualifications, consumer groups, funding sources and procuremerit, governmental laws relevant to Lutheran Social Service, relationships with other providers and funders. Orientation is viewed as a continuous process. Finances: 1. Are there fees for any of your services? No: Pregnancy Counseling a. If YES, descdbe circumstances. b. Are they fiat fees Does your agency have: an internal audit Frequency Annually external audit X Yes: Family Counseling and Sexual Abuse Treatment or sliding fees X ? financial review 3. Has your agency filed the Annual Report with the Secretary of State? Yes X No 4. Has your agency filed Form 990 with the IRS? Yes No _X (Exempt) 5. Please discuss your agency's fundraising efforts, if applicable. Statewide, the agency conducts direct mail campaigns and promotes planned giving. Agency participates in the Hospice Road Race ,~ Director pursues grant opportunities Staff promotes, seek sponsorships, and sells ticket for annual benefit concert by Wartburg College Wind Ensembleand Choir benefiting the Iowa City Center Management: 1. Does each professional staff have a wdtten job description? Yes X__ No 2. Is the agency Director's performance evaluated at least yearly?Yes Whom? Lutheran Social Service Eastern Regional Vice-President -7- No By 0 0 cq f""l ~ ~ ~ ,._, o c-,I ,.~0~--~ ~h c~ ~ 0 ..,C ^ ,-,- o 0 n c~ C~, 0 ~L1 r~ 0 .< 0 c~ C.:.1 0 C~. 0 < Z < 0 0 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 provided, direct or indirect) Unit of Service is: Direct client contact of one hour duration. Applies to: Family/Individual Counseling (FIC) Pregnancy Counseling (PC) Sexual Abuse Treatment (SAT) FIC cost = $56.34/hour PC cost = $82.09/hour SAT cost = $59.32 1997-1998 1,741 hours provided 44 hours provided 345 hours provided -388- -8- AGENCY: 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. Enter Years How many Johnson County residents (including la. Duplicated Iowa City and Coralville) did your agency serve? Count 1996-97 1997-98 1 b. Unduplicated Count ~ Q:u~ty 507 524 Total 1,053 956 How many Iowa City residents did your agency 2a. Duplicated serve? Count 2b. Unduplicated Count How many Coralville residents did your agency 3a. Duplicated serve? Count 3b. Unduplicated Count How many units of service did your agency provide? 4a. Total 12,032 13,694 4b. To Johnson 7,348 8,490 County Residents 5. Other Areas Served: Do you provide services 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 of Children in Washington County; Counseling for Washington School Distdct Children and Families. Funding Sources: Washington County Board of Supervisors; Iowa Department of Human Services; Washington School District; Iowa Department of Human Services, Mental Health Division -9~ AGENCY: Lutheran Social Service Client Profile (for last complete year, if available): Age 0-5 Total 45 6-17 ~otaI 325 18-2~ 26 - e~ TotaI 445 6~+ Cotnty 6 ~otai I0 Unknown Cc~nty 0 ~otaI I Gender Female 2_.84 518 Male 2.AO 438 Ethnicity African Amedcan Native Amedcan Asian Hispanic Caucasian/Non-Hispanic Multi-racial Jdrs~Camty Total 4 4 17 28 433 846 -390- - 1 O- AGENCY: Lutheran Social Service Evaluation and Review: A. Please discuss how your agency measures the success of its programs. Lutheran Social Service measures success of its counseling programs with a two- page client satisfaction questionnaire. This quality assurance measurement tool 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. Other indicators reviewed are client goals met, level of functioning, and level of services still required. Quarterly reports of the results are distributed to staff to review for quality improvement. 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 internally and by accrediting entities and rated in its counseling services. A Lutheran Social Service Quality Assurance Team checks files in all programs on a quarterly basis and if not in compliance for procedures, required documentation, and effectiveness, correctional action plans are completed and followed through. C, What plans does your agency have to increase efficiency and effectiveness? Lutheran Social Service is moving towards a more solution based, client strengths focused therapy which frequently leads to bdefer pedods of counseling needs. The office has worked hard to increase direct client hours and succeeded in its plan for more efficiency by reducing indirect hours. Scheduling appointments and billing is now being done by a central intake line further reducing counselors' paperwork. All standardized documentation and reporting forms are available on computers as well. In what ways will the needs of your service population change in the next five years: The majodty of the clients Lutheran Social Service serves in the three programs for which we are seeking funcjing are low income citizens. As changing welfare policies are implemented, it will be more difficult to access services. The three programs offer free or low sliding scale fees for those who otherwise might not be able to afford counseling or treatment. -11- 10. 11. AGENCY: Lutheran Social Service Please discuss any other problems or factors relevant to your agency's programs, funding or service delivery: Lutheran Social Service continues to seek funding for all programs and looks at methods to serve the community in a positive manner. Presently, the referrals for Pregnancy Counseling are down in number. We expect them to increase dramatically as the Iowa City Center has been chosen by Lutheran Social Service of Iowa as a pilot site for a major Pregnancy Counseling and Adoption Planning promotion for outreach, services, and Education. List complaints about your services of which you are aware: Client surveys indicate that the services continue to be effective and helpful in clients' lives. However, we have responded to the greater need for evening appointments to fit peoples' busier schedules. We are hiring more counselors on a part-time basis to staff those increased evening hours. Do you have a waiting list or have you had to rum people away for lack of ability to serve them? What measures do you feel can be taken to resolve this problem: Pregnancy Counseling has no waiting list and clients are seen almost immediately. The Sexual Abuse Treatment program is able to see clients quickly. The Family and Individual Counseling waiting list has been shortened through pedodic reviews and increased part-time Counseling hours. 13. How many people are currently on your waiting list?. 6 12. In what way(s) are your agency's services publicized? United Way Member ship Word of mouth Distribution of brochures Advertisements Yellow Pages Presentations to churches, other providers, professional News releases Community listings Open House Agency Web Page United Way involvement by your agency: ("X" if agency participates) Agency Directors Meetings ' Agencies Representative to Funding Headngs Business Blitz Day of Cadng Kick Off Victory Reception Other _Road Race X X When scheduled X X -12- -392- AGENCy:Lutheran Social Service 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.) Lutheran Sodal Service (LSS) of Iowa has been providing services to children and families for 128 years. It began as a non-profit stTatewide service agency with the purpose of providing social casework and treatment for dependent, neglected, orphaned, delinquent, and handicapped children. The purpose was to provide services to meet their needs in other than institutional facilities. In 1996 LSS was accredited statewide by the Iowa MH/MPJDD Commission as a Mental Health Provider. LSS is also licensed by the Department of Human Services (DHS) as a child-placing and child cadng agency. DHS (Licensing, Purchase of Service, and MH/MR/DD) make regular on-site visits and evaluations. LSS is also accredited by the Council of Accreditation of Services for Families and Children. Provision of services to Johnson County residents began in 1947 with the opening of the Iowa City Center. Presently, the Center offers the following services for children and families of Johnson County: Family and Individual Counseling; Pregnancy Counseling; Sexual Abuse Treatment Counseling; Family Centered Services; Foster Care Services; Adoption Counseling and Placement; ACE, a day treatment program for adjudicated youth which is in operation seven days a week, all year, and PASS, an after-school skill development program for youth on formal or informal probation. The programs for which LSS is seeking United Way and JOhnson County funding are Family and Individual Counseling, Pregnancy Counseling, and Sexual Abuse Treatment Counseling. Family and Individual Counseling is a service for individuals and families experiencing difficulties in relationships. Problems frequently dealt with include madtal discord, parent/child relationships, and individual difficulties. For those without insurance or Medicaid, there is a sliding fee scale based on the client's ability to pay for counseling. United Way funding is used for those clients who fall below or at the bottom of the fee scale. Pregnancy Counseling is a service, free to clients, which helps 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 concems, and birthing facilities, as well as information regarding financial resources. Statewide, LSS is greatly increasing its promotion of Pregnancy and Adoption Counseling Programs beginning with a pilot effort at the Iowa City Center. Training, outreach, and publicity of services and resources have begun. It is expected that many more clients will be referred and self-referred for services. LSS has been providing counseling services for fourteen years to victims of child sexual abuse and their family members. Presently support is being received from MERIT, Crime Victims Assistance, Johnson County Department of Human Services, 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-tmumatic stress symtomology. Family counseling helps parents and caretakers to keep the child safe, assists with the trauma, and enhances the child's coping. Groups help parents and children feel less isolated and drawn apart.. ~ Other services such as adoption services, family-based services, foster care, and therapeutic foster care, ACE, and PASS are essentially supported by client fees, contractual agreements with the Department of Human Services, church funds, and the Juvenile Court. Lutheran Social Service if committed to providing services to families and individuals and is enabled to do so through the support of Johnson County and Johnson County United Way. AGENCY: Lutheran Social Service FY98 GOALS Please state FY98 goals and repo~ status of prograss/completion. Name of Proclram: Family and Individual Counseling Goal: To provide counseling services to families, groups, and individuals in Johnson County Objective A; Dudng 1997-1 g98, provide 1500 direct hours of counseling intervention to troubled individuals, families, and couples in Johnson County. Provided 1741 diract hours of counseling Tasks: 1. Maintain prasent counseling staff and Iowa City Center. Accomplished. 2. Allocate approximately 29 direct hours of staff time weekly for the purpose of counseling Johnson County rasidents. Allocated 33.5 diract hours of staff time weekly. 3. Provide one evening per week of counseling services. Accomplished. 4. Provide information and referral services to families requiring service not offered by the agency. Accomplished. 5. Provide casework supervision and group clinical meetings to counseling staff. Accomplished 6. Provide scheduled in-service training sessions for counseling staff. Provided 12 in-services. Resources: 1. Allocate 125 direct case hours of staff time per month. Allocated 145 diract case hours of Staff time per month. 2. Make available necessary office space, phone, supplies, and equipment to staff. Accomplished. Cost of Proclram: 1741 direct hours @ $56.34/direct hour = $98,087. -394- AGENCY: Lutheran Social Service FY98 GOALS Please state FY98 goals and report status of progress/completion. Name of Proaram: Sexual Abuse Treatment Program Goal: To provide counseling services to Johnson County child victims of sexual abuse. Objective A; Dudng 1997-1998, provide 504 direct hours of counseling intervention to children and their families,. Provided 345 direct hours of counseling Tasks: 1. Maintain present counseling staff and Iowa City Center. Accomplished. 2. Allocate approximately 10 direct hours of staff time weekly for the purpose of counseling child victims and their families. Allocated 7 direct hours of staff time weekly. 3. Facilitate two support/educational groups for parents and caregivers of sexually abused children, Accomplished. 4. Provide two therapeutic groups for sexually abused children. Accomplished. 5. Provide one evening per week of counseling services. Accomplished. 6. Provide information and referral services to families requiring service not offered by the agency. Accomplished. 7. Provide casework supervision and group clinical meetings to counseling staff. Accomplished 8. Provide scheduled in-service training sessions for counseling staff. Provided 12 in-services. Resources: 1. Allocate 42 direct case hours of staff time per month. Allocated 29 direct case hours of Staff time per month. 2. Make available necessary office spaca, phone, supplies, and equipment to staff. Accomplished. Cost of Proqram: 345 direct hours @ $59.32/direct hour = $20,465. AGENCYz~Lutheran Social Service FY98 GOALS Please state FY98 goals and report status of progress/completion. 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; Dudng 1997-1998, provide 570 direct hours of staff time for the purpose of providing counseling. support and when indicated, placement service to individuals facing unplanned pregnancies. Provided 44 direct hours of counseling, support, and placement service. Tasks: 1. Maintain present counseling staff and Iowa City Center. Accomplished. 2. Allocate approximately 11 direct hours of staff time weekly for the purpose of counseling Johnson County residents with unplanned pregnancies. Provided less than one direct hour Per week. 3. Provide information and referral services to families requiring service not offered by the agency. Accomplished. 4. Provide casework supervision and group clinical meetings to counseling staff. Accomplished 5. Provide scheduled in-service training sessions for counseling staff. Provided 12 in-services. Resources: 1. Allocate 48 direct hours of staff time per month. Allocated 3.75 direct case hours of Staff time per month. 2. Make available necessary office space, phone, supplies, and equipment to staff. Accomplished Cost of Program: 44 direct hours @ $82.09/direct hour = $3,612. ***Direct hours, case advocacy, by MSW Practicum student not of hours. and education accomplished included in reported number -396- AGENCY: T,utheran~SociA1 Service AGENCY PROGRAM GOALS AND OBJECTIVES (Several pages are provided, please add any additional pages you may need with your agency name as a header.) Name of Proclram: Family and Individual Counseling Goal: To provide counseling services to families, couples and individuals who are residents of Johnson County. Objective A; During 1999-2000, provide 1100 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 92 direct hours of staff time weekly for the purpose of counseling Johnson County residents. 3, Provide two evenings 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. Resources: 1. Allocate approximately 92 direct hours of staff time per month. 2. Make available necessary office space, phone, supplies, and equipment to staff. Cost of Proclram1100 direct hours L~ $51.73/direct hour = $56,900 -1%- -397- AGENCY: T,nf-hprnn,qnr-'in] g~rviCe AGENCY PROGRAM GOALS AND OBJECTIVES (Several pages are provided, please add any additional pages you may need with your agency name as a header.) Name of Proclram: Pregnancy Counseling Goal: To provide counseling, support, environmental assistance, parenting skills training and, if requested, placement planning to Johnson County residents facing unplanned pregnancies and/or parenthood. Objective A; Dudng 1999-2000, provide 400 direct hours of staff time for the purpose of providing counseling, support, and when indicated, placement service to individuals and couples facing unplanned pregnancies. Tasks: 1. Maintain present counseling staff and Iowa City Center. 2. Allocate approximately 7.75 direct hours of staff time weekly for the purpose of counseling Johnson County residents who are facing unplanned pregnancies. 3. Provide two evenings 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. Resources: 1. Allocate approximately 33 direct hours of staff time per month. 2. Make available necessary office space, phone, supplies, and equipment to staff. Cost of Proaram: 400 direct hours @ $40.25/direct hour = $16, 1 O0 -398- AGENCY: I.utheran Social Service AGENCY PROGRAM GOALS AND OBJECTIVES (Several pages are provided, please add any additional pages you may need with your agency name as a header.) Name of Proaram: Sexual Abuse Treatment Program Goal: To provide professional counseling services to Johnson County child victims of sexual abuse. Objective A; Dudng 1999-2000, provide 120 direct hours of staff time for the purpose of providing counseling intervention to children and their families. Tasks: 1. Maintain present counseling staff and iowa City Center. 2. Allocate approximately 2.5 direct hours of staff time weekly for the purpose of counseling Johnson County child victims and their families. 3. Provide two evenings 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. 7. Facilitate two support/educational groups for parents and caregivers of sexually abused Children. 8. Provide two therapeutic groups for sexually abused children as continuation of their Individual counseling. Resources: 1. Allocate approximately 10 direct hours of staff time per month. 2. Make available necessary office space, phone, supplies, and equipment to staff. Cost of Proc~ram: 120 direct hours ~ $59.32/direct hour = $20,365 -399- HUMAN SERVICE AGENCY BUDGET FORM Director: Diane L. Hagarty City of Coralville Johnson County City of Iowa City United Way of Johnson County CHECK YOUR AGENCY'S BUDGET YEAR Agency Name: Mayor's Youth Employment Program Address: P. o. Box 307 Phone: 319-341-43060 Completed by: Diane L. Hagarty Approved by Chair Board: ~/~/.~r,~e C~. ~ ' 1/1/99-12/31/99 4/1/99- 3/31/00 7/1/99- 6/30/00 X 10/1/99- 9/30/00 15-Oct-98 - (date) COVER PAGE Program Summary: (Please number programs to correspond to Income & Expense Detail, i.e., Program 1, 2, 3, etc.) Program 1: On the Job Employment Training - This program provides actual on-the-job employment training and experience for youth and young adults. Wages are either subsidized by MYEP or paid by the work site. Service is provided to the community through individual job placements and work groups. Program 2: Education/Advocacy/Counseling/Follow-through Services - This program provides all which are not on-the-job training. Included are career counseling, skills assessments, pre-employment training, employment workshops and educational opportunities, and follow-through services. Local Funding Summary: United Way of Johnson County - - Does Not Include Designated Gvg. City of Iowa City Johnson County City of Coralville 4/1/97- 4/1/98- 4/1/99- 3/31/9~ 3/31/9~ 3/31/00 $9,160 $9, i60 $12,000 FY98 FY99 FY00 $37,089 $38,000 $45,000 $2,500 $3,000 $4,000 $2,000 $2,200 $4,000 % of Total Budget 4% 14% 1.3% 1.3% -400' jccogh.s/xlbudg. xls - ] - AGENCY: Mayor's Youth Employment 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. Non-directed funding b. Program Total (List Progs. Below) 1. On the Job Employment Training 2. Educational/Advocacy/Counseling/Follow-Through 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 Page 5) 6. NON-CASH ASSETS Notes and Comments: Non-cash assests - 14 passenger van, popcorn wagon and office equipment. ACTUAL LAST YEAR 7/1/97-6/30/98 325,724 THIS YEAR PROJECTED 7/1/98-6/30/99 3 14,347 BUDGETED NEXT YE~A R 7/1/99-6/30/00 329,632 7,565 15,026 11,632 318,159 310,698 10,000 300,698 206,698 94,000 299,321 302,715 10,000 292,715 201,515 91,200 318,000 324,150 12,000 312,150 207,450 104,700 15,026[[ 1,020 51,160 34,235 11,632~[ 1,000 40,000 34,235 5,482~ 1,000 33,000 34,235 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. jccoghstxlbudg.xls - 2 - -401 - INCOME DETAIL i. Local Funding Sources- a. Johnson County b. City of Iowa City c. United Way of Johnson County d. City of Coralville e. Iowa City Schools f. Project Wheel Donors 2. Grants - State, Fed,mr, Foundations a. Iowa Workforc~ 13~velopment b. Iowa Dept. of Ec, on. D~velopment c. Iowa Dept. of Education d. Iowa Dept. of Tnmsportation e. Iowa Dept of Justi~ f. DCAT-match for above 3. Net Sales Of Services (sources) a. Youth Homes b. Dept. of Human Services e.4C's 4. Net Sales of Materials · Popcorn Wagon b. Bike Shop c. 5. Contributions/Donations a. United Way Designated Giving b. Other Contributions 6. Special Events a. Iowa City Road Rac~ b. Raffle/Special Event c. Miscellaneous 7. Interest Income 8. Other- List Below a. City of Coralville-grant match b. Corps of Eng.-grant match c. City of Iowa City-grant match TOTAL INCOME (same as p. 2, line lb Notes and Comments: 7/I/974/30/98 ACTUAL LAST YEAR 67,757 2 500 37 089 9 160 2 000 6000 11 008 147,7481 6,079 58,185 13,700 23,848 29,936 16,000 61,992 I 27,267 34,725 0 9,0931 9,030 63 0 1,7971 1,433 364 75ol 630 38 82 ol 29,0221 12,781 13,202 3,039 AGENCY Mayor's Youth Employment Program 7/1/98--6/30/99 711/99-6/30100 NON- TIllS YEAR BUDGETED DIRECTED PROGRAM PROGRAM PROJECTED NEXT YEAR FUNDING I 2 58,360[ 71,00<)I 9,000l 44,000l 18,ooo 3,000 4,000 0 2,000 2,000 38,000 45,000 5,000 30,000 10,000 9,160 12,000 2,000 5,000 5,000 2,200 4,000 2,000 1,000 1,000 6,000 6,000 0 6,000 0 0 0 0 0 0 121,9891 118,000I o l 68,0001 50,00o 29,421 30,000 0 25,000 5,000 0 0 0 0 0 13,700 14,000 0 0 14,000 26,152 26,000 0 20,000 6,000 23,867 23,000 0 13,000 10,000 28,849 25,000 0 10,000 15,000 86,320l 86,0001 01 59,0001 27,000 40,900 40,000 0 30,000 10,000 32,000 32,000 0 25,000 7,000 13,420 14,000 0 4,000 10,000 9,0001 9,0001 o l 9,0001 0 9,000 9,000 0 9,000 0 0 0 0 0 0 0 0 0 0 0 3,5001 3,5001 1.5001 1,oool 1,oool 1,500 1,500 500 500 500' 2,000 2,000 1,000 500 500 1,oool 2,5ool 5001 1,oool 1,ooo 1,000 1,500 500 500 500 0 1,000 0 500 500 0 0 0 0 o l 1,o001 1,oool o l o l 19,1521 27,0001 o l 25,oool 2,000 0 5,000 0 5,000 0 10,95 1 12,000 0 10,000y 2,000 8,201 10,000 0 10,000 0 318,159 299,321 318,000 12,000 207,000 99,000 402- jccoghs/xlbudg. xls - 3 - PROGRAM EXPENDITURE DETAIL AGENCY Mayor's Youth Employment Program 711197.-6130198 711198-6130t99 711/99-.6/30/0~ NON- PROGRAM ACTUAL THIS YEAR BUDGETED DIRECTED 1 LAST YEAR PROJECTED NEXT YEAR FUNDING t. salaries 117,078 122,500 130,000 10,000 60,000 2. Employee Benefits &Taxes 31,386 30,185 32,000 1,000 15,500 3. Staff Development 1,220 2,000 2,000 0 1,000 4. Professional Consultation 510 720 1,000 0 500 5. Publications &Subscriptions 668 600 750 0 250 6. Dues and Memberships 60 300 500 0 250 7. Morgage, Rent and Property Tax* 12,000 12,000 12,000 0 6,000 8. Building & Maintenane,~ 2,116 3,300 3,500 0 1-,500 9. F, quiptmemt Purchase/Rental 768 3,000 3,000 0 1,500 10. utilities 3,849 3,000 4,000 0 2,000 11. Telephone 2,599 2,600 2,800 0 1,400 12. Office Supplies &Postage 890 1,000 1,200 200 500 13. Printing and Publicity 3,213 1,800 2,000 0 1,000 14. Local Transportation 8,032 8,200 9,000 0 5,000 15. Insurance 1,073 1,000 1,500 0 750 16. Audit 2,210 2,210 2,400 800 800 17. Interest 0 0 0 0 0 18. Other (Sp~ify): 19. Youth Wages & Benefits/Stipends 92,564 84,050 90,000 0 90,000 20. Popcorn Wagon permits/taxes 522 250 500 0 500 21. Program Supplies 14,710 15,000 16,000 0 14,000 22. Depreciation 6,320 6,000 6,000 0 3,000 23. Miscellaneous 910 0 1,000 0 500 24. Program Cash Match 3,000 3,000 3,000 0 1,500 25. Purchase 14 Passenger Van 5,000 0 " 0 0 0~ TOTAL EXPENSES ( p. 2. n.c 2 Notes and Comments: PROGRAM 2 60,0(. 15,500 1,000 500 500 250 6,000 2,000 1,500 2,000 1,400 500 1,000 4,000 75P- 800 0 0 0 2,000 3,000 500 1,500 0 3 10,698 302,715 324, 150 12,000 207,450 104,700 'MYEP receives free rent from Southgate Development. $1,0 00/month is being put into an account for future purchase of a building. jccoghs/xlbudg. xls - 4 - -403- AGENCY Mayor's Youth Employment Program ~TRICTED FUNDS: ACTUAL THIS YEAR BUDGEtED LAST YEAR PROJECTED NEXT YEAR Restricted by: Restricted for: Donor Scholarships 711197..6130198 711198..6130199 711199..6130100 1,020 1,000 1,000 iTOTAL ~CTED FUND (also shown page 2, line 4) 1,020 1,000 1,000 I MATCHING GRANTS Grantor/Matched by TOTAL MATCHING GRANTS (also shown pg. 3, line 2) 0] 0] IN-KIND SUPPORT Dk':TAII, Services/Volunteers: (hrs. calculated @ $7.50/hr) Material Goods: $18,660 Sunshine Van, $1,000 bicycles Space, Utilities, etc.: Space @ $2,000/month Other: (Please specify) iTOTAL IN-KIND SUPPORT (also shown on page 2, line 4) Notes and Comments: 7,500 15,000 20,000 19,660 1,000 1,000 24,000 24,000 12,000 51,1601 40,000l 33,000 jccoghs/xlbudg.xls 5 -404- SALARIED POSITIONS AGENCY Mayor's Youth Employment Program 'X'ail that apply FTE* ,,~ ,~ Last This Next Actual Year Year Year Last Year Executive Dirgctor 28 x x 21 1.00 1.00 1.00 35,776 Adminislrativc Assistant 33 x x 23 1.00 !.00 1.00 27,000 Vocational Specialist 33 x x 23 1.00 i.00 1.00 27,000 Vocational Specialist 28 x x 27 0.67 1.00 1.00 13,333 Project Whccl Coordinator 0.23 0.00 0.00 4,320 ICC Crgw Leadc~ 0. 17 0.00 0.00 2,560 Bicyclc Repair Experts 0.25 0.25 0.25 3,120 Uoff Work Study 0.00 0.50 1.00 0 Job Coach 0.25 0.25 0.35 3,969 Salary This Budgeted Year Next Year 37,000 38,000 28,500 29,500 27,000 27,500 22,000 23,000 0 0 0 0 3,120 3,120 1,800 3,600 3,080 5,280 % Change 2.7% 3.5% 1.9% 4.5% (y'`4 0% 0°,4 100% 71.4% TOTAL FTE's and SALARIES 4.57 * Full-time equivalent: 1.0=fi~il-time; 0.5=half-time; etc. 5.00 5.60 117,078 ! 22,500 130,000 20% jccoghs/xlbudg.xJs - 6 - .Ant AGENCY: Mayors Youth Employment Pro.qram ACCOUNTABILITY QUESTIONNAIRE A. Agency's Mission Statement or Pdmary Purpose: The mission of the Mayors Youth Employment Program is to assist youth and young adults in Johnson County overcome baffiers to employment by providing employment training and supervised work experience. MYEP's purpose is to assist at-risk youth to become self-sufficient, employable adults. Low-income, delinquent and at-risk youth, as well as teen parents, and youth in recovery, am the primary recipients of services and funding. B. Board of Directors: 1. Please attach a list of your agancys Board of Directors (page 7A) 2. Frequency of meetings: usually monthly:. exceot for summer months 3. Bdefly describe board orientation and ongoing training opportunities: (Page 7A) C. Finances: 1. Am them fees for any of your services? Yes __ No X a. If YES, des,~be drcumslances. b. Am they fiat fees or sliding fees ? 2. Does your agency have: an internal audit external audit X ~nandai review Frequency Annual 3. Has your agency filed the Annual Repod with the Secretary of State? Yes X No 4. Has your agency filed Form 990 with the IRS? Yes X No Please discuss your agencys fundraising efforts, if applicable. More involvement with the private business sector to provide wages for program partialpants. Grant writing, memorial funds, private donations, and partidpation in the road race. D. Management: 1. Does each prof__,:~-_~_.onal staff have a wdtten job description? Yes X No 2. Is the agency Directors performance evaluated at least yeafly?. Yes X No By Whom? MYEP Board of Directors and staff E. Program/Services: Please define your agencys units of service (service definition, length of time, cost per unit of service, number of units provided, direct or indirect.) ,~ One unit = one-half hourof direct on-the-job employment work experience One unit = one-half hour of direct or indirect employment counseling, skills assessment, advocacy, follow-through services, etc. 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. -406- -7- AGENCY Mayor's Youth Employmere Program Mayor's Youth Employment Program Board of Directors as of Oaober 1, 1998 Terren~e Neuzil, KCJJ Sydney Gussman, U of I Library Karen Sherman, Southgate Developmeat Leah Cohen, Bo-James Pat Highland, Grant Wood AEA and IC Schools Dave Jacoby, YI'PA/Promise Jobs Julie Pulkrabek, Attorney Tom Braverman. IC Schools Ed M~Eleney, Hargrave-McEleney Tom Goedken, C.P.A. Joe Madigan, IC Schools Amy Gay, Studera Representative The Agency Director and Board President meet with each prospective board member befor~ a comm/tment is made to join the Board. The agency budget, programs, stafl~ policies, by-laws, etc. are given to the prospective member for their review. The Board President discusses the responsibility of the Board using materials for serving on non-profit boards. On-going trRinin~ oppornmities include staff sharing materials from seminars and workshops, guest speakers speaking on specific topics of interest, and hlforrnin~ board members of continuing education opportunities offered through United Way and other resources. The member of the board that is also an attorney serves as a reference source for other board members. -7A- .~07 - AGENCY: Mayors Youth Eml31oVment Proqram , Enter Years How many Johnson County residents (including la. Duplicated Iowa City and Coralville) did your agency serve? Count lb. Unduplicated Count How many Iowa City residents did your agency 2a. Duplicated serve? Count 2b. Unduplicated Count How many Coralville residents did your agency 3a. Duplicated serve? Count 3b. Unduplicated Count How many units of service did your agency pro- vide? 4a. Total 4b. To Johnson County Residents 5. Other Areas Served: Do you provide services to areas outside of Johnson County? Area(s) served: Linn County. Muscatine Services provided: Same as those within Johnson County Yes Funding Sources: Grants 1997 1998 219 429 201 408 168 337 159 326 25 54 21 44 34,084 33,700 51,398 50,265 Client Profile (for last complete year, if available): FY98 Age Gender Ethnicity 0 - 5 0 Female 196 Afdcan Amedcan 6 - 17 284 Male 214 Native American 18 - 29 126 Asian 30 - 61 0 Hispanic , 62 - 75 O Caucasian/Non-Hispanic 75 + 0 Multi-racial 78 0 9 14 305 4 -408- -8- AGENCY: Mayor's Youth Employment Program Evaluation and Review: Please discuss how your agency measures the success of its programs. Individual employment training goals are set for each participant. Success is determined by the progress made towards completing those goals. Success is also measured by the number of participants in a given program. Annual evaluations are completed by job site supervisors, clients, parents, and referring agencies. Does your agency have performance objectives? Yes. [Give several examples] Each grant has specific performance objectives for the program being funded. Examples would include the number of youth served, completion of required training to be offered to all participants, number of hours of youth training to be provided, curriculum to be used dudng training, and specific outcomes for a given percentage of youth participants. What plans does your agency have to increase efficiency and effectiveness? MYEP is working more with pdvate sector employers through Board Members, work sites, advisory board members, and networking to determine what practices to continue and what practices to change. It is hoped this will enable participants to increase their lildihoods of becoming employable in the pdvate business sector. Staff development has been increased and expanded to keep staff abreast of changes in the employmere field. Continued searching for new funding sources and new collaborative partners. 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 experiences they need to be able to get and keep a job which will enable them to become self-sufficient. Providing youth and young adults with these skills and experiences at a young age will, hopefully, keep them off of 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 already dropped out of school; students doing increasingly worse in school; increased single parents families; teens parenting at a younger age; 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 justice system. The need for subsidized wages is becoming increasingly greater as the cli~rnt population's needs and barriers become more difficult to overcome. Because of the low unemployment rate and the great need for unskilled workers, our clients can often get jobs without difficulty. However, because of their lack of "soft skills" they often cannot keep their jobs. Subsidized wages entice the employer to invest time and training in our clients to increase their liklihood of keeping their job. Subsidized level the playing field for these young people in the eyes of the prospective employer. -9- -409- AGENCY: Mayors 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-sufficient adults. MYEP has many more youth referred to the agency than there are funds available to serve. This problem is especially prevalent dudng the summer months when the need for youth employment is greatest and MYEP's funding for subsidized youth wages is at its lowest. 10. Ust complaints about your services of which you are aware: Lack of subsidized wages and limited summer employment opportunities. 11. Do you have a waiting list or have you had to tum people away for lack of ability to serve them? What measures do you feel can be taken to resolve this problem: Yes, MYEP has a waiting list at all times. MYEP also has to tum people away. Many of the grants MYEP receive can serve a limited number of participants that meet eligibility cdteda determined by the funding source. The only solution to this limitation would be to apply for and receive more grants in order to serve more participants, The eligibility cdteda is something MYEP has no control over. An increase in staff would allow more time to work with pdvate employers to develop privately-funded employment positions. One staff member has been certified in job development to increase this opportunity. 12. 13. How many people are currently on your waiting list? 3__3 In what way(s) are your agency's services publicized? Program information is given to school personnel, Grant Wood AEA Work Experience Instructors, human service and other youth-serving agencies, Pedodic news releases and requests for coverage from local and county radio and newspapers have been excellent. The Workforce Development Cetner regularly posts information conceming our programs. JTPA/Promise Jobs staff are notified of programs and eligibility cdteda. MYEP is listed in the Johnson County Human Services Index and also the University of Iowa United Way ed. Finally, MYEP belongs to the Chamber of Commerce and staff participate through several committees and also the Downtown Association. United Way involvement by your agency: ("X" if agency participates) a. Agency Directors Meetings X b. Agencies Representative to Funding Headngs X c. Business Blitz X d. Day of Cadng X e. Kick Off X f. Victory Reception X g. Other Aaencv director has aareed to participate on the Allocations and Planners Committee -410- -10- AGENCY: Mayor's Youth Employment Proqram 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.) Mayor's Youth Employment Program (MYEP) has been in existence since 1968. From 1968 through 1996, MYEP was considered a quasi-department of the City of Iowa City. Dudng 1996, MYEP filed for and became a 501C3 pdvate 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 expadence. Young people, between the ages of 10 and 24, who meet the eligibility guidelines, gain supervised work experience (and pre-employment experience) designed to assist them in completing their education and in preparing them to become self- sufficient adults. In the past, MYEP has defined their programs and activities by listing grants received by the agency and detailing what each grant provided for the participants. MYEP is trying to get away from this approach and talk more about services that can be provided to clients irregardless of grants received by the agency. This is why we have condensed our programs from a prior listing of three to the current listing of two. MYEP is also trying to serve more people by focusing on the pre-employment, counseling, advocacy, and follow-through services which can be offered by staff. Many of these services can be provided to a large number of participants with relatively little cost. Also, there are less restrictions imposed on MYEP by funding sources to provide these services. The program which MYEP spends a great deal of time and money has been the on-the-job employment experience program. This is also the area with the greatest amount of restrictions imposed by funding sources. In the past, participants ware allowed to receive on the job subsidized wages for as long as they needed them - often lasting several years. As funds become more difficult to receive, more limitations have been placed on these funds by the funding sources. There are time restrictions limiting how long one person can participate in this phase of the program and more emphasis is being placed on teaming with pdvate employers. While trying to adapt to these changes, MYEP has continued to offer many of the same programs which have been offered for the bulk of the agency's history. Summer conservation programs are still being offered which provide employment experience and training for youth and young adults age 15-24. These grants emphasize working in groups, providing completion of projects which benefit the community as a whole, and are conservation type in nature. Youth receive subsidized employment and learn about the environment, gain employment skills, and participate in environmental education/recreational activities. Partnerships with Youth Homes, DHS, the juvenile court office, and the school distdct have continued. Services provided by these partnerships focus more on the needs of the individual and include: subsidized employment, individual career counseling and planning, vocational training, career exploration, advocacy, education completion, truance monitoring, recreational activities, and job coaching. Youth ages 12-21 are the focus. MYEP continues to provide entrepreneurial opportunities for youth through the ownership of the popcorn wagon on the pedestrian mall and the operation of an on-site bicycle repair shop. These programs offer youth the opportunity to participate in the management of a micro-enterprise business. They learn alaout products and services, determining prices, inventon/control, advertising, money management, and other skills needed to own your own business. This program has expanded to include "cdme prevention" activities for youth too young to be employed. Partnerships in these activities ha~e included the Iowa City Police Department, Bicyclists of Iowa City, the Iowa City/Coralville Jaycees, HACAP, the Youth Leadership Program, Johnson County DCAT, and local bicycle shops. MYEP has tried to be flexible to meet the needs of persons referred for services. For example, this past summer MYEP partnered with 4-C's at the request of DHS to provide a summer day care/employment experience for developmentally disabled youth. MYEP is also partnedng with Goodwill and Emergency Housing Project to provide employment services for homeless persons, regardless of age. -11- AGENCY: Mayors Youth EmDIoVment Pmqmm FY98 GOALS Please state FY98 goals and report status of progress/completion. The following four pages show the FY98 goals. This page will explain the progress/completion. Program 1: Emolovment Training All present job sites were evaluated for appropdetenesa. Potential job sites were contacted - with new job sites added to the program. The number of youth participating increased. New grant funding sources that offor youth wages have been approached. Curriculum has been developed, materials purchased, and a 30-hour pre-employment program has I:::n developed for youth and young adults. MYEP did not apply for a Youthbuild Program because a project was not identified in time for an application to be completed. MYEP director has increased the number of presei-~'~a~ions given each year. Membership in the Chamber of Commerce end Downtow~ Association has been maintained. Coliaborative efforts made with different agendes than in the past. Example: Project Whed with CCIA, Youth Leadership, local bicycle shops, Bicydists of Iowa City, and Iowa CitylCoralville Jaycees. Program 2: Corps. The number of Corps programs applied for was increased. A YACC application was completed and funding secured. Program 3: Entrepreneurial: The bicycle repair program has continued. The youth partidpated in the Police Department bicycle auction. The bicycle program was re4~ to present site to be offered year round. The popcom business has been increased to offer year-round derNery to bars, businesses, restaurants, schod functions. Etc. Two staff merebern attended the ISED workshops on hew to start and operate a small business. Additional products have been tried in the wagon to determine leasability. -412- -12- AGENCY W~v~r's ¥ou~ ~mol~vme~t AGEN~ PROG~I G0~ ~ O~~~S (~ ~ ~ p~d~ pi~e ~d ~ ~do~ p~ you ~y n~ ~m ~o~ ~enq AGSNCY GOALS ~ ~: .GO~ To ~e-~e n~e~ ~~ a~i~le ~ yc~ p~pa~ng R~ 10 n~bs~ for ~ d~g ~e ye~. Pm~de ~e~ ~~ ~ ~bsite s~e~so~ ~ ad~ ~ues OaJ. B: ~ lSB, mvi~ appmpd~ne~ d presem jobsites ~ ev~uete T~: Con~ e~o~ ~ ~I ~bs~ ~duding inp~ hm ~s~t jo~ ~ ~r ~e effe~ene~ ~ ~e jo~ite ~eisor. .9~ide ~ ~S~on ~ ea~ ~bsb s~e~sor. M~. p~o~c ~ ~ ~ employer/employee Co~ ~a s~ se~ agend~ ~d e~iuate ~eir pote~al GO~ To ince~e ~e n~ d ~ p~dpa~ng in ~P emplo~ent pings. OBJ. ~ !n 1998, ince~e ~e ~er ~ ~ p~dpaUng in emplo~ent prog~ by ten pe~ TASKS: !ncease ~e ~ount of yo~ emplo~ent ~ges submi~ed grant proposals ~ ince~e ~e n~er of youffi se~. -12A- -413- AG'~NCYMavor, s Youth GQNj OBJ. B: TASKS: GOAL: OsJ. k .DeVe{ap ~n -~dditional entrepreneut:i.'.al prajec~ allowing MYEP to employ a greater number af youth. T~ ~tevelap a pm-employmertt training program adclre~ing -employment sidL~ deficiencies prior-to jabsite placement. in 1998, provide pre-empi~em training to all yauth partialparing inMY'r. Pprogram~ Develop CU'T'iC~Um for use in pre-errtployment, dasses. Recruit local,employment specialiS to be guest speakers at -'~asses. In 1.998, sec.u-e additional funding to begin this project. Re-apply far Youthbuild grant through the Deparlment of Housing · and Urban Development, .identify private foundmiens and apply for grant Cantac~ .the Department of La~ar for. mta-lab!e g.r"~nt information. To inc-ease the publids awareness of MYEP. !n,.1998,' the Executive Direc~or wi|l seek cut opportunities to · educal~ the' public an MYEP programming. .Develp presentation on programming and agency purpose. Increase the number of presentaUerts to service clubs in the RespOnd to articles and opinians in camunity newspapers when issues of youth emplayment er youth in general are discussed. Take part in community discussian and planning regarding approaches to yauth-related issues. -414- -12B- GO~,: O J. A: Maintain membership in the Downt..awn Assadatian and the Chamber of Commerce, ' To increase collaboradve efforts with community agendes, In 1998 create more jabsi~es at community social servic~ agehales, Make avmlabie information explaining MYEP jobsite pla~,nent to: area agenc{es that may be interested in participating: , Recruit youth with the intention of placing them at human service agencies, Increase opportunities to serve clientele from other agehales, · 'PROGRAM'2 CORPS: ' GOAL: To inc"ease bhe r~urrd;er of Corps programs dEered." OBJ, A, TASKS: -'In 1998, MYEP will =pply far additional COrpS programs ~ provide expanded Corps opportunities for yaung adults, · MYEP. w~'ll submit a YACC grar~ applic~t~arL MYEP will secure the match required for the YACC grant from an "' MYEP will develop five conservation training seminars far project participants, - PROGRAM 3: ENTREPRENEURIAL: GOAL: To continue 'the bicycle repair project in conjunction with the Iowa City Police DeparlmenL OBJ, A: in 1998, rebuild a minimum of 75 bicycles for sale or auc*jen. -12C- AC/EH_CY Mayor's Youth Emp!o.vment Prccram TASKS: OEJ. C: TASKS: GO,~L: oej. TASKS: OBJ. k IASKS: Caardinate with the Iowa City Palice Department ta receive bicycies they've c:titscated and have nat been claimed. Maintain part-time staff with knowledge of bicycle repair to-oversee 'the project, " Recruit youm to participate in the p.mject, In 1998, hold an auc~on of sale of the bic'ydes. Assist t~e youih participants In develaping a methad for marketing the bicycles.' Provide entrepreneurial training to youth to better equip them to develop the method of sale. Be able to offer the bicycle project year round, Locate a h~ted garage to hold the project, during the winter months. To-c,13erdte the. popcorn business year-round, In 1SS8, expai'td the popcorn business to operate year-rc:und. Locate a location which would house the pop=m business. Stair ~ttend busIness training to learn more about business opera{ions. -Streaml'me operating costs to allow the wagon to pay for. itseif without additional funding. To expand the product Fine, offedng other items for sale. in 1998, add products to the existing produc~ line., Do a marketing survey to determine products to offer. Purchase any additional equipment/supplies needed to offer these products. -416- -12D- AGENCY: Mavor's Youth Employment Pm.clram AGENCY PROGRAM GOALS AND OBJECTIVES (Several pages am provided, please add any additional pages you may need with your agency name as a header.) Goal for FY2000: To provide assistance to 400 youth and young adults with barriers to employment and economic self sufficiency from Johnson County. On the Job Employment Proaram: Objective: To assist 150 youth and young adults from Johnson County overcome barriers to employment and economic self-sufficiency by focusing on individual employment and vocational needs of partialpants and providing on the job employment experience, Tasks: 1, Apply for existing and new grants providing for employment training, 2. Recruit youth and young adults meeting eligibility cdteda of funding sources. 3. Prepare individual vocational plans for paffidpants detailing steps needed to become competitively employed and economically self-sufficient 4. Develop job sites which meet needs of partialpants. 5. Match partialpants to job sites. 6. Provide pre-employment training on an individual and group basis. 7. Provide continuing support to participants and work sites. 8. Administer the program in accordance with the requirements of the funding 9. Conduct evaluations to determine individual and program effectiveness. 10. Provide follow-up services to program participants to encourage continued 11. Participate in case management on bahaft of partialpants. Resources Needed: 2.75 FTE staff tim, desks, chaim, computers, file cabinets, bookshelves, employment- related software, telephones, answering machine, fax, copier, calculators, office supplies, van to transport youth, work-related tools and supplies, popcom wagon and related tools .~and supplies, volunteers to provide on-the-job supervision. FY2000Cost $207,450 Cost/partidpant $1.383.00 -13- -417- AGENCY: Mayors Youth Employment Pm.qram AGENCY PROGRAM GOALS AND OBJECTIVES (Several pages are provided, please add any additional pages you may need with your agency name as a header.) EducaUonladvocacvlcounselin~/follow-throu~lh service Program: Objective: To assist 250 youth and young adults from Johnson County overcome barriers to employment and economic self-suffidency by providing employment education, advocacy, counseling and follow through services. To provide youth under the age of 14 w~th pre-employment oplx}rtunities Tasks: Apply for existing and new grants providing for employment education, advocacy, counseling, and follow through SefV'LO~__ for youth and young adults. Recruit youth and young adults meeting eligibility criteda of funding sources. Prepare indiviclmil vocational plans for partialpants detailing steps neces~____ry to become employabk,,. Provide enploymem education, advocacy, counseling, and follow through sewices as identified in individual vocational plans. 5. Network with employers to have referrals for youth and young adults. 6. Provide follow up services to employers. 7. Administer programs in accordance with funding requirements. 8. Conduct evaluations with partialpants to determine program effediveness 9. Participate in case management on behalf of participants. 10. Increase community involvement through use of volunteers and donated materials. 11. Provide participants with sldlls and knowledge to make responsible decision- making regarding use of free time. Resource Needed: 2.60 FTE maff time, desks, chairs, computers, file cabinets, bookshelves, employment- related software, telephones, answering mine, fax, copier, calculators, office supplies, classroom area, TVNCR, employment training rnatedals and supplies, van to transport youth, bicycle repair shop and related tools and supplies, volunteers to pro~de assistance with youth and projects. FY2000 $104,700 Cost/Parlidpant $,418.80 -418- -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 01/1/99 - 12/31/99 04/1/99 - 03/31/00 10/1199 - 9~30~00 07/1/99 - 06~30~00 x Director: Arthur J. Schut Agency Name: MId-Eastern Council on Chemical Abuse Address: 43o South~ate, Iowa C~/IA 52240 Phone: 319/351-4357 Completed by: Ron Berg Approved by Board Chair:~(~;~, _-~,/~ o. /o -a (date) 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 ) less structured regimen of treatment involvement for the substance abuser intended as a continuation of the residential treatment experience, or when appropriate, as the pdmary treatment experience. 2) Intake and Assessment - evaluation of the need for and appropriate level of treatment required to address substance abuse issues. 3) Adolescent services - services provided to youth aged 13 -18 and include evaluation, family counseling and education classes, individual and group counseling. 4) Information and 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 2-3 week inpatient treatment experience. 2) Halfway program: A transitional care program for residential clients designed to offer additional support beyond the residential treatment experience. 3) Social Detoxffication/Crisis Stabilization: Social Detoxffication is a supervised program of managing the detoxffication of an individual from drugs and/or alcohol using social support rather than psychoactive drugs. Crisis Stabilization is a safe environment for Community Mental Health Center and Hillcrest Family Services in li of hospitalization. 3. EAPIPrevention Services: 1 ) Prevention services include a wide range of programs intended to prevent instances of substance abuse, for expample student assistance training. Progams developed by the prevention staff have impacted: the general community; public policy; schools; adult children of alcoholics; women; parents; and adolescents. 2) Employee Assisatance 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 abuse treatment necessary for inmates entering the Iowa prison system. 5. ISAPDA Training Grant: This is a grant to the Iowa Substance Abuse Program Directors Association and contracted to MECCA. The purpose of the grant is to provide professional training opportunities to substance abuse counselors across the state. Local Funding Summary: United Way of Johnson County - Does not include Designated Gvg. City of Iowa City Johnson County City of Coralville 0411197 - 0411198- 04101199 - 03~31/98 03131199 03/31100 $25,890 $28,000 $52,000 FY98 FY99 FY00 $26,000 $26,800 $29,400 $273,317 $281,317 $304,000 $1,000 $1,500 $7,350 %ofTotal Budget 1.61% 0.91% 9.40% 0.23% -419- 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 (Ust below) I Outpatient 2 Residential 3 EAP/Prevention 40WI/IMCC 5 ISAPDA 6 7 8 AGENCY Mid-Eastern Council on Chemical Abuse ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR 7-1-97 thru 7-1-98 thru 7-1-99 thru 6-30-98 6-30-99 6-30-00 3,236,786 3,220,243 3,235,163 271,766 173,559 153,092 2,965,020 3,046,684 3,082,071 3,063,227 3,067,151 3,081,570 346,058 346,501 357,554 2,717,170 2,720,650 2,724,016 766,249 767,230 768,179 963,583 964,818 966,013 564,593 565,316 566,015 234,309 234,609 234,899 188,436 188,677 188,910 3 ENDING OPERATING BALANCE (Subtract 2 - 1) 4 RESTRICTED FUND BALANCE (Total from page 7) 5 IN-KIND SUPPORT (Total from p. 7) 6 NON-CASH ASSETS 173,559 . 153,092 153,593 0 0 0 0 0 0 1,190,836 1,201,200 1,202,320 Notes and Comments: At June 30, 1998 total assets were $1,308,857 and total liabilities were $988,951. Included in those liabilities were real estate mortgages of $420,610 owed to commercial banks, $56,710 owed under a real estate contract, $92,886 in short term notes, $77,899 in capital leases, $17,800 in deferred income and $323,046 in miscellaneous liabilities. The net asset value of the agency at June 30, 1998 was $319,906. ,~ Briefly describe how local funds were spent last year: Local funds were spent on substance abuse information and referral, education, treatment and prevention services. -420- INCOME DETAIL 1 Local Funding Sources a Johnson County b City of Iowa City c United Way d City of Coralville e Iowa County f Cedar County g Washington School Distdct h Iowa City Schools Cleer Creek-Amana Schools 2 Grants - State, Federal, Foundations a IDPH- Prevention b ISAPDA- Training Grants c IMCC (la Med CI Ctr) d UI Student Health e UI Rural Drug Abuse Project f County Match - IDPH g Corrections - OWl h Juvenile Cdme Prevenlion Contract Managed Care j ECI SAFE k Drug & Violence Prevenlion Grant Other m 3 Net Sales of SeNices (sources) a Client Fees b EAP & Prevention Contracts c UA/BATs 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 misc. a Miscellaneous* b Vending & Pay Phones c City of IC - CDBG TOTAL INCOME (Show also on page 2, line lb) AGENCY ACTUAL THIS YEAR BUDGETED NON- LAST YEAR PROJECTED NEXT YEAR DIRECTED FUNDING 395,393 456,317 505,950 I 39,704 273,317 281,317 304,000 30,095 25,999 26,800 29,400 2,352 26,377 34,000 52,000 3,291 1,000 1,500 7,350 466 25,000 25,000 25,000 3,500 1,200 1,200 1,200 0 17,500 17,500 18,000 0 25,000 50,000 50,000 0 0 19,000 19,000 1,852,772 1,811,568 1,781,521 200,692 166,462 159,397 166,462 23,239 263,097 263,917 264,000 34,927 200,005 210,000 210,000 0 39,216 39,216 41,000 6,148 15,826 14,696 14,700 2,205 18,333 18,333 18,333 2,750 65,110 78,000 80,000 12,001 22,507 25,025 0 0 1,034,646 998,698 967,026 119,422 8,143 4,286 0 0 19,427 0 20,000 0 682,513 558,030 109,403 15,080 0 0 8,939 1,565 7,374 347 347 1,557 23,499 15,225 3,474 4,800 2,965,020 I Mid-Eastern Council on Chemical Abuse Outpatient Residential I 2 66,972 173,191 31,055 144,335 8,821 13,994 10,832 13,021 1,531 1,841 4,900 0 833 0 9,001 0 0 0 474,643 423,791 0 0 0 0 0 0 34,852 0 12,495 0 3,483 0 0 0 0 0 423,813 423,791 0 0 0 0 756,545 772,000 100,706 136,302 590,393 594,200 100,706 136,302 150,825 162,000 0 0 15,327 15,800 0 0 0 0 0 0 0 0 0 0 8,850 9,040 175 0 1,650 1,740 175 0 7,200 7,300 0 0 350 360 0 360 350 360 0 360 1,594 1,600 1,600 0 11 6_o__ 11.60o ...... 6,800 ........o 3,235 3,300 3,300 0 3,425 3,500 3,500 0 4,800 4,800 0 0 3.046,684l 3,082,071 349,677l 678,277l 357,192 357,192 0 0 0 0 8,343 1,043 7,300 0 0 0 4j800 0 0 4,800 967,317 Notes and Comments: *Includes a gain of $12,200 on insurance proceeds in the ACTUAL column. -421 - INCOME DETAIL (continued) I EAP/Prev. OWI/IMCC 3 4 I Local Funding Sources 226,083 0 a Johnson County 98,515 0 b City of Iowa City 4,232 0 c United Way 24,856 0 d City of Coralville 3,513 0 e Iowa County 16,600 0 f Cedar County 367 0 g Washington County 9,000 0 h Iowa City Schools 50,000 0 i Cleer Creek-Amana Schools 19,000 0 2 Grants - State, Federal, Foundations 175,324 277,999 a IDPH- Prevention 143,223 b ISAPDA- Training Grants 0 0 c IMCC (la Med CI Ctr) 0 210,000 d UI Student Health 0 0 e UI Rural Drug Abuse Project 0 0 f County Match - IDPH 12,100 0 g Corrections - OWl 0 67,999 h Juvenile Crime Prevention Contract 0 0 i Managed Care 0 0 j ECI SAFE 0 0 k Drug & Violence Prevention Grant 20,000 0 I Other 0 0 m 3 Net Sales of Services (sources) 177,800 0 a Client Fees 0 0 b EAP &Prevention Contracts 162,000 0 c UNBATs 15,800 0 4 Net Sales of Materials (sources) 0 0 a Literature Sales 5 Contributions/Donations 523 0 a United Way Designated GMng 523 0 b Other Contributions 0 0 6 Special Events - List Below 0 0 a Iowa City Road Races 0 7 Interest Income 0 0 8 Other- List below including miscellaneous 0 0 a Miscellaneous 0 0 b Vending 0 0 d City of IC - CDBG 0 0 TOTAL INCOME (Show also on page 2, line I b) 579,729 277,999 Notes and Comments: AGENCY Mid-Eastern Council on Chemical Abuse Training PROGRAM PROGRAM PROGRAM 5 6 7 8 0 0 0 0 0 0 0 0 0 0 229,073 229,073 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 I 0 ¥ 0 0 229,073 -422- -3a- PROGRAM EXPENDITURE DETAIL AGENCY Mid-Eastem Council on Chemical Abuse ACTUAL THIS YEAR BUDGETED NON-DIRECTED Outpatient Residential LAST YEAR PROJECTED NEXT YEAR FUNDING 1 2 1 Salades 1,821,475 1,821,475 1,836,612 248,349 409,524 549,940 2 Employee Benefits & Taxes 359,408 360,000 378,000 59,323 78,262 108,601 3 Staff Development 10,387 10,700 11,235 1,764 2,252 3,991 4 Professional Consultation 1,359 1,600 1,680 264 337 251 5 Publications & Subscdptions 4,030 4,000 4,200 687 933 1,450 6 Dues &Memberships 4,524 4,300 4,515 710 904 1,603 7 Mortgage, Rent, and Property Tax 90,825 92,300 93,100 4,373 84,354 0 8 Building and Maintenance 37,811 38,200 40,110 2,807 11,230 20,056 9 Equipment Purchase/Rental Maint 16.537 17,200 17,930 431 9,615 6,244 10 Utilities 32,000 33,000 34,650 2,827 9,331 16,924 11 Telephone 38,987 39,120 41,076 2,984 11,182 13,330 12 Office Supplies and Postage 68,762 69,821 70,210 4,820 23,946 26,316 13 Pdnting and Publicity 12,972 13,457 14,130 143 8, 144 5,020 14 Local Transportation 45,103 46,300 47,000 5,320 14,517 4,507 15 Insurance 32,100 34,622 34,800 3,506 9,472 14, 193 16 Audit 12,500 12,500 12,500 1,416 2,982 4,329 17 Interest 14,416 13,250 13,913 1,218 3,407 6.712 18 Other (Specify): Program Supplies 203,292 204,381 205,620 1,100 28,177 76,454 19 Vehicle Lease Expense 4,354 4,354 4,572 1,097 1.281 2,194 20 Miscellaneous 7,184 7,321 7,401 0 0 0 21 Service Contracts 116,017 102,000 105,000 7,266 29,400 52,369 22 Assets Expensed 129,184 137,250 103,316 7,149 28.929 51,529 TOTAL EXPENSES (Show also on Page 2, line 2, 2a, 2b) 3,063,227 3,067,151 3,081,570 357,554 768,179 966,013 Notes and Comments: -4- -4~R- PROGRAM EXPENDITURE DETAIL (continued) .Salades 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 Pdnting and Publicity 14 Local Transportation 15 Insurance !R Audit · ~, 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 ~, 2a, 2b) Notes and Comments: PROGRAM PROGRAM EAP/Prev. OWI.qMCC 382,698 176,413 81,400 38,036 1,951 814 637 122 763 163 784 327 4,373 0 5,216 0 931 0 4,681 0 6,226 3,175 7,811 2,972 823 0 14,003 3,564 4,894 2,572 1,995 892 2,053 383 AGENCY Mid-Eastern Council on Chemical Abuse PROGRAM PROGRAM PROGRAM PROGRAM Training 6 7 8 69,688 12,378 463 69 204 187 0 801 709 887 4,179 4,345 0 5,089 163 886 140 14,004 2,899 82,986 0 0 0 3,221 0 4, 180 13,886 1,294 785 13,665 1,273 771 566,015 234,899 188,910 -424- AGENCY Mid-Eastern Council on Chemical Abuse RESTRICTEDFUNDS Restricted by: Restricted for: ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR Total Restricted Funds (also shown on page 2, line 4) MATCHING GRANTS Grantor/Matched by: Juvenile Crime Prevention Grant/United Way /Johnson County /Coralville FY98 22,507/11.000 /3,575 I 200 FY99 25,025/11,775 14,000 I 200 FY00 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) 10, 000140, 000 8,333/25,000 40,840/79.775 10,000140,000 8,333/25,000 43,358/80,975 10,000/40.000 8,333/25,000 18,333/65,000 IN-KIND SUPPORT DETAIL Services/Volunteers Material Goods Space, Utilities. etc. Other: (Please specify) TOTAL IN-KIND SUPPORT (Shown also on page 2. line 5) Notes and Comments: -5- SALARIED POSITIONS P,, JR Executive Director Associate Director Clinical Director Medical Director Physician's Assistant Fiscal Officer Accounting Clerks Secretaries Nurse Manager Prevention Supervisor EAP Staff i F~egistered Nurses i Techs/Misc PT iCook 'Counselors Prevention Specialists Ja ial Trashing Coordinator , Training Clerk ~ Marketing Specialist !information Technology Spec. X" all that apply Paid I-leellh Retire % Lye Ins Plan Benefits X X 14.1 X X X 16.6 X X X 17.6 X X X 13.6 X X 7.7 X X 9.2 X X X 17.1 X X X 14.4 X X X 11.6 X X X 18.0 X X X 12.0 X X X 11,2 11.3 X X X 28.1 X X X 17.2 X X X 16.9 7.7 X X X 18.3 X X X 15.1 X X X 11.0 X X X 11.0 Year 1.00 1.00 1.00 0.50 0.25 1.00 3.00 5.50 1.00 1.00 3.00 5.00 8.50 1.00 20.33 4.00 1.00 1.00 0.50 1.00 1.00 FTE* This Year 1.00 1.00 1.00 0.50 0.25 1.00 3.00 5.50 1.00 1.00 3.00 5.00 8.50 1.00 20.33 4.00 1.00 1.00 0.50 1.00 1.00 Year 1.00 1.00 1.00 0.50 0.25 1.00 3.00 5.50 1,00 1,00 3.00 5.00 8.50 1.00 19.33 4.00 1.00 1.00 0.50 1.00 1.00 AGENCY Mid-Eastern Council on Chemical Abuse ACTUAL THIS YEAR BUDGETED % LAST PROJECT- NEXT CHANGE YEAR ED YEAR 57,211 43,892 41,892 50,375 23,405 39,100 66,441 121 544 35342 34 008 77 521 173 345 179 740 19 506 604126 125 618 17,003 42,199 17,591 28,738 22,878 57,211 58,641 2.50 43,892 44,989 2.50 41,892 42,939 2.50 50,375 51,634 2.50 23,405 23,990 2.50 39,100 40,078 2.50 66,441 68,102 2.50 121,544 124,583 2,50 35,342 36,226 2.50 34,008 34,858 2.50 77,521 79,459 2.50 173,345 177,679 2.50 179,740 184,234 2.50 19,506 19,994 2.50 604,126 588,829 -2.53 125,618 128,758 2.50 17,003 17,428 2.50 42,199 43,254 2.50 17,591 18,031 2.50 28,738 29,456 2.50 22,878 23,450 2.50 TOTALS 'Full-timeequivalent:l.0= ~lltme; 0.5=half-time; e~. 61.58 61.58 60.58 1,821,475 1,821,475 1,836,612 0.83 -426- -6- Ae Be Dm 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 coqtracts 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-accident screening. Does your agency have an internal audit~rnal 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, and a mail solicitation with our annual report. 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 -7- -427- 1998 MECCA Board of'Directors Tom IOiz, President [2001 ] 1964 Jeffrey Street Iowa City, Iowa 52246 Represents: Community Jeff Edberg, Vice-President [2001 ] 4604 Canterbury Court Iowa City, Iowa 52245 Represents: Business/Real Estate Susan Frye, [99] 816 River Street Iowa City, IA 52246 Represents: Community Steve Lacina [2000] Johnson County Board of Supervisors 913 S. Dubuque Iowa City, Iowa 52240 Represents: Johnson County W.H. (Ice) Knight [99], Treasurer Professor of Law 111 Jessup Hall; U of I Iowa City, Iowa 52242 Represents: University Raymond Lasek [2000] Washington County Board of Sulnvisors Washington County Courthouse; PO Box 889 Represonts: Washington County Washington, Iowa Pony s. Paguai [20ol], secreu~ 2993 Wapsi Ave NE Iowa City, Iowa 52240 Represents: Community Stepban Amdt, Ph.D. [2000] Research Scientist/Adj. Assoc. Professor 327 Lee Street Iowa City, Iowa 52246 Represents: Univenity Jim Ball [2001 ] P.O. Box66 Iowa City, Iowa 52244 Represents: Business/Marketing Jean Bartley, President [99] 150 East Court St; Suite 200 P.O. Box 106 Iowa City, Iowa 52244 W. Fred Mires [99] Assoc. Athletic Director 301 Carver Hawkeye Arena Athletic Student Services Iowa City, Iowa 52242-1020 Represents: University IOiren Moline [2001] 605 W. Pine Maresgo, Iowa 52301 Represents: Iowa County School Teacher ChiefR.J. Winkellmke [99] Iowa City Police DeparUnent 410 E. Washington Iowa City, Iowa 52240 Represents: Law Enforcement Ken Caes [2000] Iowa County Board of Supervisors P.O. Box 126 Marcago, Iowa 52301 Represents: Iowa County BoUy Hanna [2000] Cedar County Board of Supervisors Tipton, Iowa 52772 Repres~ts: Cedar County -428- -7a- AGENCY: Mid-Eastern Council on Chemical Abuse 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 1 a. residents (including Iowa City and Coralville) did your agency serve? 1 b. 2. How many Iowa City residents did 2a. your agency serve? , How many Coralville residents did your agency serve? Enter Years --> 97 98 Duplicated Count 27,318 21,471 2b. 3a. 3b. How many units of service did your 4a. agency provide? 4b. Unduplicated Count 10,616 17,054 Duplicated 17,270 13,739 Count Unduplicated Count 6,829 10,914 Duplicated 3,537 2,682 Count Unduplicated Count 1,430 2, 127 Total 35,834 35,160 To Johnson County 13,309 13,282 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 haltway 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, donations. -8- -429- 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 0-5 332 M 4,622 African American 698 6-17 F 1,055 Native American 75 18-29 2,808 Asian 48 30-61 2,515 Hispanic 161 62-75 22 White 4,670 75 + Multi-racial 12 Alaskan Native 13 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 regarding primary treatment services. 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. In addition, each of our contracts has performance standards ("deliverables") upon which payment is contingent. C. What plans does your agency have to increase efficiency and effectiveness? MECCA has made a major investment in computedzing all facets of our agency services from internal E-mail, scheduling, billing, progress notes, q~uality 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 ~30- 10. 11. 12. 13. AGENCY: Mid-Eastern Council on Chemical Abuse last 5-10 years we have witnessed the impact of HIV and TB on our clients, increasing multiple diagnosis and complexity of problems. We continue to struggle with how best to provide for their specific needs. 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, as well as the movement toward larger regional delivery systems, 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. We distribute posters, flyers, and other public awareness materials. 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 X Victory Reception__ Volunteer Action Center' Other: health insurance committee -lO- -431 - 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 fa6ility 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 and limit expenditures at the state hospitals. 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. Shod and long range plans center around adjusting to monumental changes brought about by health care reform. We redesigned how we deliver services, moving away from set "packages" of treatment schedules and instead offering loosely defined schedules but clearly defined treatment objectives. We restructured 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. ~32- PROGRESS ON FY98 GOALS AND OBJECTIVES 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, 1997 and June 30, 1998 in such a manner that they experience treatment at MECCA as a seamless transition from one level of care to another. Outcome: Served 5306 individuals Detoxi~cation/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, 1997 and June 30, 1998. Outcome: Served 400 clients; 1,237 days of service. 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. Objective A: Provide 2800 hours of formal substance abuse prevention programming to Johnson County residents. Outcome: 3,852 hours of service provided. Objective B: Decrease the incidence of substance related public health problems in Johnson County. Outcome: Completed 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. Outcome: Completed Objective B: Provide aftercare programming for clients who choose to remain in the Iowa City area upon their discharge from the treatment program. Outcome: Completed -433- AGENCY: Mid-Eastern Council on Chemical Abuse AGENCY PROGRAM GOAL8 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, 1999 and June 30, 2000 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 detoxi~cation and cdsis stabilization services to 160 persons between July 1, 1999 and June 30, 2000. 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. -434- 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 ~yers, 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. ~ / HUMAN SERVICE AGENCY BUDGET FORM City of Coralville Johnson County City of Iowa City urll[e(i way oT Jon~son ~.,ouflcy CHECK YOUR AGENC~rS BUDGET YEAR 1/1/99 -- 12/31/99 4/1/99 -- 3/31/00 7/1/99 -- 6/30/00 Director: ~o~ert A. Jackson Agency Name: M'id-F.-~s~ezT~ TO'vv~ ~ity ~n~l Adding: 5~7 E, Cnll~ ~al~ ~. Phones 319'338-3R13 Compl~ed by: ~ ~r~ Appro~d by C ': , ~ 10/1/99 -- 9/30/00 COVERPAGE Program Summary: (Please number programs to correspond to Income & Expense Detail, i.e Program 1, 2, 3, etc.) 1. Psychiatry Services: Evaluation and Treatment 2. Supported Cc~muni~ Living: Life ~anagem~n~t skill training in a structured environment 3. Psychiatric Rehabilitation: Services to C~.t~nity Support Program (CSP) clients leading to more successful functioning and participation in the Day Treatment: Structured Treatment Program for CSP clients 4. Clubhouse: Pre-vocational ~md client driven programming 5. Ho~e!ess: Persons with Mental Disorders - Outreach and Coordination 6. FaKdly Support Services: In-h~e personal and system supports 7. Family Centered Services: N~_habilitative treatment and supportive services for children. 8. Psychotherapy Services: Evaluation and Treatment 9. Senior Peer Counseling: Outreach Peer Counseling to Seniors 10. Consultation and Education: Planning, Advising, and Education of Public and of Service Providers; A Prevention Program Local Funding SLrnmary: 4/1/97 - 3/31/98 United VVay of Johnso~ County - Does Ngt Include Designated Gvg. $ 15,000 FY98 Cily of Iowa City $ - (includes fee for $ Johnson Coun[y service. & m~dication 1,062,480 reimbursements) Cily of Coralville $ - 4/1/98- 4/1/99 % of Total 3/31/99 3/31/00 Budget $ 15,750 $ 16,500 1.0% F~'99 FY00 $ - $ - $ 853,000 $ 871,000 41% $ - $ - -436- BUDGET SUMMARY AGENCY Mid-Eastern Iowa Community Mental Health Center 'Enter Your Agency's Budget Year -> ACTUAL THIS YEAR BUDGETED _AST YEA PROJECTED NEXT YEAR 7/97 ~ 6~98 7/98 - 6199 7~99 - 6/00 1. TOTAL OPERATING BUDGET (total a+b) a. Carryover Balance (Cash from line 3, previous column) b. income (Cash) 2,858,651 2,910,009 3.031,835 834,768 852,972 899.435 2,023,883 2,057,037 2,132,400 2. TOTAL EXPENDITURES (Total a+b) a. Administration (includes capital expenditures ) b. Program total (List Programs below) I Psychiatry 2 Supported Community Living 3 Psychiatric Rehab and Day Treatment 4 Clubhouse 5 Homeless 6 Family Support Services 7 Family Centered Services 8 Psychotherapy 9 Senior Peer Counseling 10 Consultation and Educ. 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 a~d Comments 1,967,411 2,033,137 2,112,046 400,417 463,941 480.501 1.566,994 1,569,196 1,631,545 599,897 574,503 593,022 178,695 141,773 150.430 12,488 4.994 5.126 52,084 53,665 55,302 36,999 63,261 65,580 90,085 113.740 117,648 16,059 20,915 21,623 560,541 548.269 572,989 9,496 35.455 36,750 10,650 12,624 13.075 10.755 0 0 21.131 20.906 20,906 523.864 545.864 570,864 Line 3 891,240 Add Back Capital Expenditures 7,479 Subtract Depreciation (46, 310) Add Cash/Accrual Variance on United Way Fu 563 852,972 424.513 523.864 (95,405) 852.972 Equity at Year End (Carried Forward to Line la next column) Cash, Receivables & Prepaids Property & Equipment Less Payables Briefly describe how local funds were spent last year: Local funds partially supported direct costs for all programs with the exception of Senior Peer Counseling. Local funds also partially supported our administration expenses. 876,872 919,789 67,000 70,000 (45,000) (45.000) 563 899,435 944,789 -437- INCOME DETAIL 1. Local Funding Sources a. Johnson Co. b. Johnson Co. Medication Plan b. Iowa Co. c. United Way of Johnson Co. d. Cedar Co. e. New Horizons Res.(Cedar Co.) f. Louisa Co. g. Washington Co. h. Other Cos. 2. Grants-State, Federal, Foundation a. Johnson Co. Decategorization b. CMHS Block Grant c. CMHS Block Grant Subcontract d. PATH Grant e. HACAP f. IA East Central T.R.A.I.N. g. Federal Work Study h. Louisa Co. Decategorization 3. Net Sales of Services (sources) a. Client Fees b. County & State Fee for Service c. Medlcald d. Meal]care e. Private Ins. 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 7. Interest Income 8. Other - List Below a. Reports/Recoi'ds b. Consultation c. Other TOTAL INCOME (same as p. 2, line 1 ACTUAL LAST YEAR 7/97 - 6/98 360,655] 81,600 105,935 38,599 15,187 80,800 0 30,349 8,185 0 163.5491 66,924 62,880 6,900 26,295 192 358 0 0 1,4~4,774~ 88,017 925.371 225,158 64,939 161,289 I 4,3561 12,4011 1,646 10,755 AGENCY Mid-Eastern Iowa Community Mental Health Center THIS YEAR BUDGETED NON- PROJECTED NEXT YEAR DIRECTED 7198 -6/99 7199 -6100 FUNDING Psychiatry Suppported Psych Rehab Community and Day Living Treatment 423,437] 442,900] 84,5001 166,0001 30,0001 81,600 81,600 18,000 115,000 120,000 15,000 105,000 43,600 43,600 10,500 5,600 15,937 20,000 80,800 80,800 19,400 10,000 19,100 500 500 100 400 66,000 70,000 12,700 24,400 10,900 20,000 26,400 5,800 20,600 205,7001 216,5001 37,8001 33,7001 01 66,900 66,900 11,600 67,400 67,400 13,500 33,700 3,000 0 26,400 26,400 200 200 400 400 41,400 55,200 12,700 1,405,0001 1,450,0001 311,000] 454,000] 70,0001 80,000 83,000 28,000 900,000 918,000 211,000 286,000 40,000 215,000 219,000 50,000 54,000 20,000 60,000 65,000 14,000 26,000 150,000 165,000 36,000 60,000 10,000 I I I I I 4,7001 3,8001 1,8001 ol ol 1.8001 2.0001 8001 ol 0 1.800 2,000 800 6,7311 6,7001 6,7001 6,7001 I I 11,4171 9,7001 lo,5ool 6,oool ol ol 1,680 1,800 2,000 2,000 3,796 1,900 2,000 5,941 6,000 6,500 4,000 500 500 0 5,000 2,000 3,000 0 0 0 5,500 -438- INCOME DETAIL 1. Local Funding Sources a. Johnson Co. b. Johnson Co. Medication Plan b. Iowa Co. c. United Way of Johnson Co. d. Cedar Co. e. New Horizons Res.(Oedar Co.) f. Louisa Co. g. Washington Co. h. Other Cos. 2. Grants-State, Federal, Foundation a. Johnson Co. Decategorization b. CMHS Block Grant c. CMHS Block Grant Subcontract d. PATH Grant e. HACAP f. IA East Central T.R.A,I.N. g Federal Work Study h. Louisa Co. Decategorization 3 Net Sales of Services (sources) a. Client Fees b. County & State Fee for Service c. Medicaid d. Medicare e, Private Ins. 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 7. Interest Income 8. Other - List Below a. Reports/Records b. Consultation c. Other TOTAL INCOME (same as p. 2, line 1 Notes and Comments: AGENCY Mid-Eastern Iowa Community Mental Health Center Clubhouse Homeless 1,8001 27,2001 27,200 1,800 Family Family Senior Consult Support Centered Psycho- Peer & Services Services therapy Counseling Educ. ol ol 79,5001 42,9001 13,500 26,900 9,500 27,500 16,000 30,000 22,000 ol 26,4001 26,400 5o.oool ol 35,000 15,000 I I OI 8001 I 8001 97,800[ 55,300 ol 20,8001 20,200 200 400 ol 42,500 20,0001 25,0001 515,0001 ol 55,000 25,000 319,000 20,000 57,000 25,000 59,000 I I I I 1,2ool ol ol ol 1.200[ 01 ol 01 1,200 I I I I ol ol ol ol I I 2,sool ol 51,8001 2,500 42,9ool 4,000 0 2,000 2,000 15,500 3A AGENCY Mid-Eastern Iowa Community Mental Health Center DAY PROGRAM EXPENDITURE DETAIL ACTUAL THIS BUDGETED SUPPORTED TREAT LAST YEAR NEXT COMMUNTIY PSYCH YEAR PROJECTED YEAR ADMIN ~SYCHIATR lIVING REHAB I SALARIES 1,304,510 1,306,643 1,363,185 272,512 376,694 97,649 1,555 2 EMPL BENE &TAXES 301,041 302,294 315,471 71,939 71,698 24,471 391 3 STAFF DEVELOPMENT 14,947 15,260 15,520 3,160 3,690 2,610 120 4 PROF CONSULT 25,102 25,550 25,990 25,990 0 0 0 5 PUBS AND SUBS 0 0 0 0 0 0 0 6 DUES AND MEMBERS 5,746 5,910 5,990 260 1,050 830 50 7 RENT 17,913 18,270 18,620 1,250 6,090 1,350 40 8 BUILD AND EQUIP MAINT 16,610 16,970 17,250 2,750 1,850 990 280 9 CAPITAL EXPENDITURES 7,479 67,000 70,000 70,000 0 0 0 10 UTILITIES 19,395 19,790 20,140 1,010 3,120 1,790 450 11 TELEPHONE 21,681 22,120 22,490 5,520 3,740 2,350 120 12 OFFICE SUPP & POSTAGE 35,403 36,080 36,700 11,370 5,230 4,070 310 13 PRINT AND PUBLICITY 15,482 15,800 16,060 0 3,240 1,900 140 14 LOCAL TRANS 13,636 13,920 14,170 1,860 240 4,550 580 15 INSURANCE 31,266 31,860 32,430 3,530 12,880 4,220 560 16 AUDIT 5,775 5,880 5,980 5,980 0 0 0 17 COLLECTION FEES 0 0 0 0 0 0 0 18 OTHER MED SUPPLIES 246 260 260 260 0 0 0 19 PROG ACTIV SUPPL 9,533 9,750 9,920 240 1,480 1,500 410 20 FOOD 8, 169 8,370 8,520 980 340 360 20 21 PHARMACY 96,354 98,050 99,760 0 99,760 0 0 22 EMERGENCY 8,214 8,410 8,560 0 1,770 1,370 100 23 RECRUITING 3,785 3,890 3,960 1,410 0 140 0 24 FACILITATORS 4, 120 0 0 0 0 0 0 25 OTHER 1,004 1,060 1,070 480 150 28q 0 Notes and Comments: Line 9. Communications system 22,000 MIS and Y2k compliance 30,000 Facilities repairs 15,000 67,000 40,000 30,000 70,000 Capital expenditures dependent on operating results and cash flow and will not be undertaken early in period unless dictated by failure of current resources. AGENCY Mid-Eastern Iowa Community Mental Health Center PROGRAM EXPENDITURE DETAIL I SALARIES 2 EMPL BENE & TAXES 3 STAFF DEVELOPMENT 4 PROF CONSULT 5 PUBS AND SUBS 6 DUES AND MEMBERS 7 RENT 8 BUILD AND EQUIP MAINT 9 CAPITAL EXPENDITURES 10 UTILITIES 11 TELEPHONE 12 OFFICE 8UPP & POSTAGE 13 PRINT AND PUBLICITY 14 LOCAL TRANS 15 INSURANCE 16 AUDIT 17 COLLECTION FEES 18 OTHER MED SUPPLIES 19 PROG ACTIV 8UPPL 20 FOOD 21 PHARMACY 22 EMERGENCY 23 RECRUITING 24 FACILITATORS 25 OTHER TOTAL EXPENSES (page 2, line 2b) Notes and Comments: Line 9. FAMILY FAMILY SENIOR CONSULT SUPPORT CENTERED PSYCHO PEER & CLUBHOUS~HOMELES,.% SERVICE SERVICE THERAPY COUNSEL. EDUC. 29,280 50,434 79,942 15, 111 402,270 27,722 10,016 7,722 10,686 20,186 3,662 95,439 6,988 2,289 250 440 860 80 4,200 60 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 270 i80 420 90 2,740 50 50 140 100 1,880 50 7,660 30 30 3,200 240 1,280 220 6,240 120 80 0 0 0 0 0 0 0 3,390 340 1,040 170 8,620 110 100 550 430 1,970 210 7,050 460 90 1,250 870 1,950 410 10,810 210 220 510 390 1,520 250 7,860 170 80 200 230 2,590 450 3,400 70 0 730 280 850 280 8,740 300 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1,270 390 1,800 0 2,820 10 0 5,660 50 250 40 750 60 10 0 0 0 0 0 0 0 450 270 680 140 3,690 90 0 360 200 430 460 660 300 0 0 0 0 0 0 0 70 50 0 0 40 0 0 AGENCY Mid-Eastern Iowa Community Mental Health Center RESTRICTED FUNDS: Restricted by: Restricted for: ACTUAL THIS BUDGETED LAST YEAR NEXT YEAR PROJECTED YEAR 'Various donors Major building renovations $10,755 0 0 Total Restricted Funds (also shown page 2, line 4) $10,755 0 0 MATCHING GRANTS Grantor/Matched by: U. S. Stewart B. McKinney PATH (Homeless) Grant $26,295 $26,295 $26,295 $11,408 $11,408 $11,408 Total Matching Grants (also shown on page 3, line 2) $26,295 $26,295 $26,295 $11,408 $11,408 $11,408 IN-KIND SUPPORT DETAIL ServicesNolunteers Senior Peer Counselors (1750 hrs @ $11 ) Material Goods (Art Work) Other: (Please specify) Senior Center Staff (104 hours at $9/hr) Iowa County Court House (Space, Utilities, etc.) TOTAL IN-KIND SUPPORT (Shown also on page 2, line 5) Notes and Comments: $19,250 $19,250 $19,250 $225 0 ~ $936 $936 $936 $720 $720 $720 $21,131 $20,906 $20,906 SALARIED AGENCY Mid-Eastern Iowa Community Mental Health Center POSITIONS Position Execuive Director Director of Clinical Svcs Coord. Psychoth. Clinical Social Workers Clinical Psychologist Social Workers Director CSP Psych. Nurse Counselors Counselors Psychiatrists Psychiatrists-Contractual Physicians' Ass~. Psychiatric Nurse Business Manager Accountant Administrative Assistant Intake/Insurance/Billing X" those that apply *FTE Salary > ~ ~ t- -o '~ '- m Next Actual This 'a ~ a_ -r n, · Last Year This Year Year Last Year Year 49 X X 20.9 1.00 1.00 1.00 61,489 63,334 49 X X 22.0 1.00 1.00 49,880 56,437 1.00 49 X X 25.5 9.30 10.89 11.18 287,093 355,125 49 X X 22.6 1.00 0.78 0.68 41,916 35,224 49 X X 22.6 1.00 49 X X 26,1 5.05 24.5 X X 24.2 0.10 49 X X 18.2 2.60 49 X X 21.5 1.00 49 X X 25.2 1.75 49 X X 24.4 1.00 49 X × 25.3 0.75 49 X X 24.6 0.18 49 X X 24.6 3.00 41,706 4.67 4.80 118,160 108,931 2,320 2.00 2.00 301,264 234,962 1.00 1.00 52,500 53,812 2.05 2.05 56,202 68,830 1.00 1.00 30,804 31,500 0.75 0.75 28,390 16,000 4,625 5.00 5.00 90,506 127,129 Budgeted % Next Year Change 65,709 3.75% 58,553 3.75% 377,978 3.75% 31,439 3.75% 116,128 3,75% 243,773 3.75% 55,830 3.75% 71,412 3.75% 32,681 3.75% 16,600 3.75% 131,897 3.75% MedicaiRecords 49 X X 30.1 0.55 Medical Records-Temps. Special Projects 10.4 1.26 Office Manager 49 X X 26.3 1.00 Secretaries 49 X X 25.6 2.34 Secretaries 43 X X 27.0 2.34 Work-Study/Office Clerical Temp. 1.00 1.00 16,054 16,500 17,119 3.75% 1.20 1.20 18,687 20,040 20,792 3.75% 0.50 0.50 24,854 13,905 14,427 3.75% 3.00 3.00 55,262 59,250 61,472 3.75% 2.58 2.58 25,610 45,663 47,375 3.75% Vacation Expense Total Salaries & FTE 36.22 -2,812 38.42 38.74 1,304,510 1,306,642 1,363,185 4.33% * Full-time equivalent: 1.00=full-time; 0.50=half-time; etc. Percentage change shown is based on rate of pay except on total line Mid-Eastern Iowa Community AGENCY Mental Health Center .CCOUNTABILITY QUESTIONNAIRE A. Agency's Mission Statement or Primary Purpose: The mission of the Community Mental Health Center is to promote and provide quality and accessible mental health care through an array of accredited community mental health services and to work collaboratively with other community entities in the development of services to meet community mental health needs. B. Board of Directors: Please attach a list'of your agency's Board of Directors (page 7A) Frequency of meetings: 6 times Der Vear -- (SeDt., Nov., Jan., March, May & July) 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. C. Finances: 1. Are there fees for any of your services? Yes ~ No __ a. If YES, describe circumstances. b. Are they flat fees or sliding fees X ? 2. Does your agency have: an internal audit Frequency annually external audit X' financial review 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 FY97 No FY98 5. Please discuss your agency's fundraising efforts, if applicable. During the past year our Board of Directors conducted our first direct mail fund raiser. We hope to follow up and conduct on a regular basis. We have also utilized the Hospice Road Race to raise funds. Management: Does each professional staff person have a written job description? Yes X No Is the agency Director's performance evaluated at least yearly? Yes X No By Whom? Executive Committee of the Board of Directors. AGENCY Mid-Eastern Iowa Community Mental Health Center Program/Services Please define your agency's units of service (service definition, length of tima, cost per unit of service, number of units provided, direct ori indirect.) Please supply information about clients served by your agency during last two comDlete budget years. Refer to form instructions for definition of duplicated and unduplicated. 7 t MID-EASTERN IOWA COMMUNITY MENTAL HEALTH CENTER BOARD MEMBERS 1998 - 1999 CEDAR COUNTY Mary Eggerling Trinity Evangelical Lutheran Church 120 W. 7th Tipton, Iowa 52772 PHONE POSITION TERM H (319) 886-1209 At Large 2001 H (319) 668-2390 O (319) 886-2991 Leroy Moeller Cedar Co. Courthouse Tipton, Iowa 52772 H (319) 893-3460 O (319) 886-3168 Member 2000 Ginny Powers 604 6th Street P.O. Box 745 Durant, Iowa 52747 H (319) 785-4593 O (319) 732-3221 Member 2000 1997 Carol Sander 306 S. Ash Stanwood, Iowa 52337 H (319) 945-3540 O (319) 886-2226 Member 2001 1998 IOWA COUNTY Rick Gerard P.O. Box 65 3903 G St. Amana, IA 52203 H (319) 622-3818 O (319) 645-2361 642-39237 Member 2001 David Heitmann 623 Williams St. Victor, Iowa 52347 H (319) 647-3457 O (319) 647-3121 YEAR JOINED 1995 Vivian Kalambaheti 206 Washington St. Box J Victor, Iowa 52347 H (319) 647-2261 O (319) 647-2151 1995 John Phillips 201 Leo Blvd. Williamsburg, Iowa 52361 H (319) 668-1329 O (319) 668-1444 Member 2001 1998 Secretary/ 1999 Treasurer 1994 1993 Member 2001 1998 G:\WPDATAXBOARDX98MEM.LST --7sl-- -445- page 2 JOHNSON COUNTY Jo Bowers 3927 Stewart Rd. NE Iowa City, Iowa 52240 Joyce Left 12 Lakeview Knoll Iowa City, Ia 52240 Jerry Meis 3 Hickory Ridge LN NE Iowa City, IA 52240 Ron Mirr 1025 Penkridge Dr. Iowa City, Iowa 52246 David Schuldt 512 E. Washington St. iowa City, Iowa 52240 Bonnie Sierk 2043 Glendale Road Iowa City, Iowa 52245 Sally Stutsman 3714 500 St. S.W. Riverside, IA 52327 * Board of Supervisors Mid-Eastern Iowa Community Mental Health Center Board Members 1998-1999 PHONE POSITION TERM H (319) 337-7298 O (319) 356-1485 Member 2001 1998 1999 H (319) 351-8220 President Vice-President 2000 H (319) 351-2037 O (319) 354-4111 1993 H (319) 354-5678 O (319) 351-5606 1997 H (319) 351-5344 O (319) 338-1179 Member 2001 1998 Member 2001 1998 2001 H (319) 338-6884 Member Member 2001 * H (319) 679-2347 O (319) 356-6000 1998 1995 G:\WPDATAXBOARD\98MEM.LST AGENCY Mid-Eastern Iowa Community Mental Health Center Program/Services: Please define your agency's units of service (service definition, lengt~ of time, cost per unit of service, number of units provided, direct o. indirect). 1. Psychiatry Services Medication Management and Psychotherapy Unit of Service/Cost: 15 minutes-S48.75 per 15 minute unit FY 1998 - 10,582 fifteen minute units provided. Direct Service Supported Community Living Individual Support Services, Group Support Services, and Supported Employment Unit of Service/Cost: 15 minutes-S12.50 per 15 minute unit FY 1998 - 12,534 fifteen minute units provided. Direct Service 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-S12.50 per 15 minute unit FY 1998 - 271 fifteen minute units provided. Direct Service Day Treatment Services Intensive Day Programming for persons with a Chronic Mental Illness Unit of Service/Cost: 1 day-S50 per day unit FY 1998 - 122 half day units provided. Direct Service 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 1998 - 7,858 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 1998 - 650 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 1998 o 5,159 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: 30 minutes FY 1998 - 6 fifteen minute units provided - Therapy Skill Training Psycho-Social AssessmentSupervision Direct Service Psychotherapy Services Individdal, Couples, Family and Group Psychotherapy for persons- with or without a Chronic Mental Illness. Unit of Service/Cost: 15 minutes-S23 per 15 minute unit · FY 1998 - 37,999 fifteen minute units provided. Direct Service 8 AGENCY Mid-Eastern Iowa Community Mental Health Center 10. 11. 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 1998 - 1,486 fifteen minute volunteer units provided. Direct Services Consultation & Education Individual and Community Consultation & Education Unit of Service/Cost: 15 minutes-S15 per 15 minute unit FY 1998 - 1,055 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. Enter Years FY 97 FY 98 How many Johnson County residents (including Iowa City and Coralville) did your agency serve? la. Duplicated 1,546 1,906 Count lb. Unduplicated 1,293 1,547 Count How many Iowa City residents did your Agency serve? 2a. Duplicated 1,352 Count 2b. Unduplicated 776 1,067 Count How many Coralville residents did your agency serve? 3a. Duplicated 260 Count 3b. Unduplicated 114 211 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. 5. Other Areas Served: 4a. Total 138,751 142,183.13 4b. To Johnson County Residents** 86,956 31,318.87 Do you provide services to areas outside of Johnson County? Area(s): Cedar, Iowa, Louisa, and Washington counties Services provided: Funding Sources: Countv MH-DD dollars, insurance, and fee for service as well as de-cat dollars and federal block ~rant dollars. 8A AGENCY Mid-Eastern Iowa Community Mental Health Center 6. Client Profile (for last complete year, if available): July 1997 - June 1998 Age Gender 0 - 5 57 M 802 Ethnicity African American 65 6 - 17 286 F 1280 Native American 11 18 - 29 546 30 - 61 1129 62 - 75 45 75 + 19 Figures to not include the following programs: Family Support Services Senior Peer Counseling Asian 14 Hispanic 35 White 1895 Multi- 62 racial/unknown 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 bytheMH-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 includiL 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. This year we must upgrade utilization review criteria and operational proceduresl C. What plans does your agency have to increase efficiency and effectiveness? We are doing regular upgrades to our management information system in order to increase clinical, business and statistical efficiencies and to meet new evolving county requirements. We must also upgrade our phone system and our computers in order to meet Y2K requirements. In what ways will the needs of your service population change in the next five years: The needs of children apd families continue to increase. 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 fro~ intensive hospital based health care. i 9 AGENCY: Mid-Eastern Iowa Community Mental Health Center Please discuss any other problems or factors relevant to your agency's programs, funding or service delivery: Managed care remains very challenging both in terms of funding and service delivery. Our greatest concern is the overall dramatic reductions in behavioral health care (mental health care) benefits as a percentage of general health care benefits. 10. List concerns/complaints about your services of which you are aware: There is growing confidentiality concerns among persons we serve. This due to county state requirements for information if a person needs to access county dollars for payment of services. 11. Do you have a waiting list or have you had to turn people away for lack of ability to serve them? What measures do you feel can be taken to resolve this problem? We have not turned people away. We are currently seeing persons within two weeks for all of our services with the exception of psychiatry where we are scheduling within six weeks. If a person needs to be seen due to an emergency, we can see the person the day he/she requests treatment. How many people are currently on you waiting list? 0 12. In what way(s) are your agency's services publicized? Telephone books Brochures Consultation and Education Publicity in newspapers Chamber of Commerce annual promotion 13. United Way involvement by your agency: (Check if agency participates) Agency Directors Meetings X Agencies Representative to Funding Hearings Business Blitz X Day of Caring X Kick Off Victory Reception X Other -45O- 10 AGENCY HISTORY Mid-Eastern Iowa Community AGENCY Mental Health Center (Using this page ONLY, please summarize the history of your agenc~ 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 fifteen 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, Clubhouse, and Intensive Psychiatric Rehabilitation. Supported Community Living includes five 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 in a managed system, and a universal application process implemented as well as a fee-for-service reimbursement system for those who had been on a capitation/block grant system, the requirements of managed care will continue to be demanding. Managing our increased costs is 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 are . requirement in this new health care environment. This, in turn, places new demands on clinical, administrative, and support staff. It will be imperative that we become 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. Nationally, 84% of persons who are fortunate enough to have health insurance are now enrolled in managed plans. County dollars are now managed by Central Points of Coordination. Payment for services rendered, must be sought from the county where the person is legally settled in another state. Current activities include getting systems in place to work with Central Points of Coordination in 50 different counties. Most importantly, our activities will involve maintaining quality services with fewer resources. The expansion of services will be slowed significantly. Maintaining current services will remain enormously challenging since mental health care benefits are shrinking so dramatically. 11 -451- -452- AGENCY Mia-Mastern Tow. C~{ty M*Dt-1 Me. lth C~nt~r AGENCY PROGRAM GOALS AND OBJECTIVES Overall G0al;'ObJectives and Tasks of Each Service to be Provided FY-1998 Overall Goal: To promote mental health, to provide a comprehensive range of accredited community mental health services, and to participate with other helping agencies in serving community human needs· 'Objective A= To provide'psychotherapy'and psychiatry services to an-estimated 1,300 client'systems in Johnson County, 140 client systems in Cedar County,'125 client systems in Iowa County, as well '~'~ "a~ serving 100 seniors through our Senior Peer Counseling program· Task: 1. To increase productivity. 2. To increase utilization management capabilities. 3. To continue ou~efforts of providing senior peer counseling services to seniors· 4. To increase .'our" efforts to create .:.- relationships with'other providere. Objective B: To ~rovide-up to 400 hours of consultation and education services in Johnson county, 40 hours in Cedar County and affiliation To'more clearly determine how consultation and education activities will'be paid for. To meet requeSts for c~nSultation.from community agencies '-'and groups. "~' ...... ". ................. 3. To parti'cipate in coordinated planning with local groups. 4. To contribute to the development of mental health professions through conducting research, presenting papers at professional meetings,.and publishing articles in scholarly'Journals. .. objective C: To provide evaluation'services for persons in Cedar, Iowa, and Johnson counties· Tasks: Pre-screen all persons seeking voluntary admission for psychiatric care at a state mental health institute. Coordinate with Judicial magistrates concerning people who are in need of voluntary commitment. 12 AGENCY Htd-Raetern Tows Com~,sn.lty Mental He^]th Center 3. coordinate admissions wi~h" S~Sff .'at mental institutes. health Objective D% To provide community support· program services for about 150 persons in Johnson County and for about 20 persons in Cedar County. To' provide outreach. services to 85 chronically mentally ill homeless persons· :- Tasks: 1. To offer psycho-social rehabilitation services including, ....... community living and social. skills training, personal support, functional assessments and medication support ' services.' ,.. To increase clubhouse capabilities for providing care to the chronically mentally i11. To provide day treatment· services. To review with other community providere the need for enhanced crisis stabilization. To refine and/~r identify additional alternative services for persons with a severe and persistent mental illness .. with a particular eye ,toward further development of 'alternative support services. .- · . 6. To continue ou~ outreach efforts to homeless persons. .............. ~Jl~[i'~%"l ...... T& P~ovide emergency ;serviceS' to about 200 · -.persons .a. year in face-to-face interviews and about 3,000 telephone calls. a. ye.a[~.. _ J "- c ' ' .... --,--,, -.' 'T--.. ~ .,' ,,. ' ' ': .'. i'm "' ""' .... Tasks: · : ' .'~ ~ T ', ...... · .. contract withthe Crisis Center to answer and refer calls -made during nights and on"weekends~hen the Center is Allow for times each day 't0 respond to people needing immediate care., To review in concert wi{h the Crisis center and the department of MH-DD serVices, our after hour crisis services, information sharing procedures and planning for the future. To review and upgrade'our~:~risis stabilization ~ervices in light of managed care requirements. ";= 13 -453- AGENCY Mid-Rastern Iowa Community Ment.] Me.]th Center Objective F: T0 provide up to 480 hours of practicum training for students in mental health professions. Tasks: To provide at least weekly sup~rXision of students. To serve as adjunct faculty and teach courses in mental health services. =To participate in education planning and social work accreditation· Objective G: To continue our progress in providing efficient and effective administrative, statistical, and office services in ordef~o support and coordinate programs and services. ' ' Tasks: 1. To provide and/or make necessary training available to · all business and .support staff so that upgrading of office operations will continue to occur. 2. Provide administrative facilitation and guidance. To upgrade and/or increase our management information system capabilities. - ..=_- ....=.~_~._]'...~o'consolidate all business functions within the business 51 Create a central file system for all clinical records. Obje&~ve H: To'continue our level of involvement in planning for the on-going implementation of the county MH-MR-DD management plan· "" tr Tasks: ~ .. 1. To be involved in the counties work group in revising the county management plan for the next fiscal year. 2. To make known the needs of the MI and CMI populations. 3. To work effectively with the Department of MH-DD services. Resources Needed to Accomplish Prodram 0~jectives and Tasks: 1. A" budget of $2,158,231 to cover program and administrative costs for all programming. 14 -454- AGENCY Mid-Eastern Iowa Community Mental Health Center Proqress toward achievinq ~oals and obiectives of the '98' fiscal year: The basic goals of all programs were achieved, including the necessary training of staff and launching of intensive psychiatric rehabilitation services, which is an additional alternative service for persons with a severe and persistent mental illness. We began contracting with Foundation II for our after hour and weekend emergency services due to managed care requirements from six counties with whom we have contracts and due to intense pressures to reduce costs. Due to county management plan requirements we made dramatic changes in our intake/insurance and billing practices as well as upgrades in our MIS. We achieved our goals for the year though we still have many changes to make. 15 -455- AGENCY Mid-Eastern Iowa CommunitV Mental Health Center Goal I: AGENCY PROGRAM GOALS AND OBJECTIVES FY-2000 To provide a comprehensive array of community mental health services and to promote mental health for and in the community. Objective A: In the 2000 FY provide psychiatry and psychotherapy to 1800 persons. Tasks: 1. To provide an appropriate level of staff (8 FTE in psychotherapy and 3.0 in psychiatry) to respond in a timely fashion to those persons seeking services. 2. To provide the necessary administrative and clinical support for clinicians to meet the above requirements (1.5 nurses and 5.0 intake/insurance and billing staff). 3. To provide the necessary on-going training for clinicians to maintain current knowledge in treatment technology (the necessary CEU's for licensure on an annual basis). Objective B: To provide supported community living and clubhouse services to 185 persons who are diagnosed with a severe and persistent mental illness in FY 2000 as well as 150 persons who are homeless. Tasks: 1. To provide a staffing of 5.0 persons to adequately provide supportive services to the population. 2. Maintain close liaisons with: a. Case Managers b. Iowa City Housing Authority c. Department of Human Services d. University of Iowa Hospitals & Clinics and the Impact Program e. Emergency Housing Project 3. Receive on-going training to remain current. Objective C: To provide emergency services to about 150 persons a year in face to face interviews and about 1000 telephone calls a year. Tasks: 1. To allow times each day to see persons needing immediate'wcare. 2. To continually review internally and with county representatives (the CPC) our crisis stabilization services in light of managed care requirements. 16 -456- AGENCY Mid-Eastern Iowa Community Mental Health Center Objective D: To provide in-home family based services through our Famil~ Support Services and Family Centered Services programs with the goal of serving 40 families in the year 2000. Tasks: 1. To have in place a staff of 2.5 persons that will allow us to serve the 40 families~ 2. To sustain decategorization funding and/or other sources of funding for Family Support Services. 3. Publicize Family Centered Service program in order to expand its visibility to other providers and/or payors. Objective E: To provide Senior Peer Counseling services to 60 persons in the FY 2000. Tasks: 1. To maintain the number of trained peer counselors at 15 2. To recruit and conduct the necessary training in order to maintain an adequate number of peer counselors. 3. To provide weekly supervision to peer counselors. 4. To provide quarterly in-service training for the volunteer peer counselors. Objective F: To provide up to 300 hours of consultation and education services. Tasks: 1. To meet requests for consultation and education from individuals, groups, and community agencies. 2. To participate in coordinated planning with local groups. 3. To contribute to the development of mental health professions through conducting research, presenting papers at professional meetings, and publishing articles in scholarly journals. Objective G: To provide pre-screening services for purposes of determining whether a person needs to be hospitalized. Tasks: 1. Pre-screen all persons seeking voluntary admission and/or those persons being committed for psychiatric are at a state Mental Health Institute. 2. Coordinate with judicial magistrates. 3. Coordinate admissions with staff at mental health institutes as well as the county CPC's (Central Points of Coordination). 17 -457- AGENCY Mid-Eastern Iowa Community Mental Health Center Resources Needed to Accomplish Program Tasks: 1. Twenty FTE clinical staff. 2. Five intake/insurance/billing staff; four support/secretarial staff; business and accounting staff of two and a records technician and a transcriptionist; two maintenance staff. 3. Professional and general liability insurance. 4. Space to house the above for private counseling and treatment. 5. Supplies. Goal II: To upgrade our management information system capabilities and phone system that will allow for greater efficiencies, assist in meeting contract requirements and provide better and more timely information for' reporting purposes and planning and, lastly, for meeting Y2K requirements. Objective A: To purchase a new or used phone system. Tasks: 1. To add in-coming and out-going lines. 2. To add voice mail. 3. To plan and implement a strategy for financing the upgrade. Objective B: To conduct an internal review of current capabilities and fdture MIS needs. Tasks: 1. Make review part of on-going strategic planning. 2. Put together a group of key staff to study. 3. Conduct feasibility study of projected needs and how to finance on an on-going basis. Objective C: To develop and implement a plan for meeting Y2K requirements. Tasks: 1. Form team internally to put together a plan. 2. Inventory and identify all of the hardware, software, data and interfaces that exist throughout the organization. 3.' Include a study of interdependencies that are required to operate with key entities outside our organization. -458- 4. Cost analysis and securing payment for upgrades. 18 AGENCY Mid-Eastern Iowa CommunitV Mental Health Center Resources Needed to Accomplish Program Tasks: 80% of computer systems need to be upgraded. 'Financial resources of $75,000 is a beginning projection. Time for necessary planning. 19 -459- HUMAN SERVICE AGENCY BUDGET FORM City of CoralviHe Johnson County .' City of Iowa City United Way of Johnson County CHECK YOUR AGENCY'S BUDGET YEAR 1/1/99 - 12/31/99 10/I/99 - 4/1/99- 3/31/00 7/1/99- 6/30/00 X DireCtor: Brian Loring Agency Name: Neighborhood Centers of Johnso Address: P.O. Box 2491, Iowa City, IA 5 Phone: (319) 358-0438 Completed by: ~ tal ie Wakeman 'Approved by Chai.r Board:~j ~i.~,c.:~,[~rbet?t-.;~-.~-' · October 1 ~ 1998 ' 9~30~00 (date) COVER PAGE Program Summary: (Please number programs to correspond to Income & Expense Detail, I.e., Program 1.2. Neighborhood Centers of Johnson County operates three Centers, two m low-income neighborhoods in Iowa City, Broadway and Pheasant Ridge, and the third serves the rural Clear Creek community which includes Tiffm and Oxford. 1. t~ducation andSupport Progranty provide opportunities for parents and their children to reach their full potential through academic and skill development. Programs also build cooperative efforts between parents, youth, the neighborhood and community. Working together with l~arents and young children, activities include: Adult Basic Education classes, 4 year old preschool program, child development programs for infants and toddlers, school aged day care (school year and ~ummer months), fmag. cial management ,~nd nutrition workshops, English as Second Language classes, parent education elassos in neighborhoed schools, individual parent :fions, family literacy programs for children and adults, First Books of low~ career development xvorkshops, learning center. Programs are partially funded through the state education departments of Even Start Literacy, At-Risk Four Year olds and Support tbr Parents of At-Risk Children Birth through Three. Child development/child care programs are funded through Title XX, Promise Jobs, Transitional Child Care, Protective.Child Care, private parent fees and the USDA Child Care Food Program. 2. Prevention Programs build skills within the individual, family and neighborhood, eooperatively pre{,enting young people from becoming involved in crime, drug abuse and violent behavior. Activities include: afler school progtmns, service learning programs, drug and violence prevention, teen progran~, summer intensive supervision, pre-vocational training, in-school mentors, tutoring, young black men's group, family nights, "We Vote" campaign, business partnerships and neighborhood councils. Prevention Programs are partially funded.through the state Department of public Health, Department of Human Rights, Family Preservation and Support Services and the Department of Human Services, School-Based Youth Services Division of the Department of Education and the Johnson County Decategorization Project. Local Funding Summary: United Way of Johnson County - - Does Not Include Designated Gvg. · _,ty of Iowa City Johnson County City of Coralville jecoghwXlbudg. xls '460- 4/1/97 - 7 3/31/98' $60,280 FY98 $ 52,000 $ 37,902 -1- 4/1/98 - 4/1/99 - 3/31/99 3/31/00 $62382 $86,100 FY99 FY00 $ 54,844 $ 71,70~ $ 47,902 $ 61,425 % of Total Budget 6% 5% 5% AGENCY' Neighborhood Centers of Johnson County BUDGET SUMMARY Enter Your Agency's Budget Year -----> 1. TOTAL OPERATING BUDGET (Total a+b) a. Carryover Balance (Cash from line 3, previous column) b. Income (Cash) 2. TOTAL EXPENDITURES (Total a+b) a. Non-directed funding b. Program Total (List Progs. Below) 1 Prevention 2 Education & Support 3 3. ENDING OPERATING BALANCE (Subtract 2 - 1 ) 4. RESTRICTED FUND BALANCE (Total from page 7) 5. IN-KIND SUPPORT (Total from Page 7) 6. NON-CASH ASSETS Notes and Comments: ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEA 1998 1999 2000 1,009,749 1,300,532 1,329,608 108,541 111,298 37,856 901,208 1,189,234 1,291,752 898,451 1,262,676 1,291,752 82,348 105,382 110,840 816,103 1,157,294 1,180,912 317,424 432,146 440,965 498,679~ 725,148 739,947 530,423 694,981 751,46~' 142, 196 148,972 177, 758 792,754 795,000 805,000 la. The ending balance for FY97 included $10,000 funds Board restricted for a building/emergency fund. It also includes restricted program/grant funds can'ied forward to FY98: YCA Decat S6,264, Clear Creek FRC $680, Summer Intensive Supervision $11,701, The Nest $7,750, and Family Preservation grant $41,851. 3. The ending balance for FY98 includes $17,000 funds Board restricted for a building/emergency fund. It also includes restricted program funds carried forward to FY98: DVP Decat $3,454 Clear Creek Goals 2000 $3,425, Summer Intensive Supervision $4,208, Nest $1,907, Family Preservation $30,871, and $2,422 Variety Club funds. 3. The ending balance for FY99 & FY00 includes $10,000 funds Board restricted for a building/emergency fund. It also includes restricted grant funds projected to can3' forward to FY99 and FY2000: Summer Intensive Supervision $11,000. 6. Assets include the Broadway Street and Pheasant Ridge Centers, 5 Vans, office computers, 3 copiers and 2 Computer Learning Labs. The audit for FY99 is scheduled for November, therefore non cash assets are estimated. Value of non-cash assets is projected to increa~,e due to improvements at the Broadway Street Neighborhood Center in FY99 and a request for a'Variety Club Van in FY2000 Briefly describe how local funds were spent last year: The primary use of Local funds is to match the state and federal grants listed on page 2 and 7, to strengthen existing programs and comprehensive services. For example, local ~mds support a full-time position at the Broadway Street Neighborhood Center as part of the Community Juvenile Justice match. Local funds also support administrative salaries, the coordination of agency volunteers, building expenses (mortgage, maintenance, and utilities) and program activities. -461- iccoas/xlbuda.ds - 2 - AGENCY Neighborhood Centers of Johnson Cotmty INCOME DETAIL ACTUAL TIffS YEAR BUDGETED NON- PROGRAM LAST YEAR PROJECTED NEXT YEAR DIRECTED I 1997 1998 1999 FUNDING PREVENTION 1. Local Funding Sources- 153,758 183,850 220,30~ 92,908 63,700 a. Johnam County 37,902 47,902 61,425 25,799 17,813 b. City of Iowa City 52,000 54,844 7 ! ,705 30, 1 ! 6 20,795 ~. United Way of Johmon County 60,910 68,604 87, ! 77 36,993 25,092 d. Johnson County D¢pt of Publio Health 2,946 0 0 e. Community Development Blook Ctnmt 12,500 0 2. Grents-State, Fedm.aI, Foundations ' '520,42] 684,981 741,463 b 355,575 a. Iowa Dept of Publio Health 18,446 41,248 37,555 37,555 b. Dept of Eduoation 224,901 208,974 208,974 c. IA Depl of Human Righa 53,810 44,206 44,206 44,206 d. ICCSD Twain 8,500 13,000 13,000 e, ICCSD Mann 1,120 0 0 f. Pr=gnanoy Prey Sub-conlnu:t: UAY 1,203 0 0 g. GOALS 2000: Family Resource: CC 9,000 1,000 0 h. USDA Food Program 21,931 35,000 36,500 5,500 i. Clear Creek Projeot/Deoat 58,034 58,034 58,034 58,034 _j. Family Preu~rvation Grunt 48,222 65,573 99,917 99,917 k. DHS-Family R=~ouree Consultant 5,850 0 0 I. DHHS/4 Yem' Old Wrap 32,100 57,000 57,000 m. Sam' htenfive Supervisions' Deoat 5,681 12,000 12,000 12,000 n. Conu~unity Juvenile Justice/' De. oat Maloh 7,000 7,000 7,000 7,000 o. Drug & Videnee Prey/Decat 13,188 10,354 13,818 13,818 _ p. Juvenile Justjoe 0 23 ,g75 31313 31,713 q. State StaffDev Grant 2,455 0 0 r. DHHS/Eve~ Start Wrap 0 40, 138 48, 184 s. Variety Club 8,982 0 0 t. SBYS Grunt: Clear Creek Arearia 0 45,832 45,832 45,832 u. Haoap/Part Day HS Contraot 0 15,923 21,230 v. Susanre. Food Service Prognun 0 5,824 6,500 3. Net Sales Of Sm.vice~ (sources) 156,968 264,494 277,500 0 0 a. HUD/HACAP Stunram' Prom 1,000 2,568 2,500 b. Parent Child Car= Fees i 4,950 28, 175 30,000 c. Proteotive, At-Risk, Title 20 & Promig Jobs 141,01 8 233,751 245,000 4. Net Sales of Materials (~ourc~) 67 100 1 O0 100 a. Cards/T Shim 67 I O0 [ 100 100 5. Contributiom/Donatiom 4,710 4,009 4,500 4,500 0 a. Unit~l Way Designated Giving 2,317 1,509 2,000 2,000 b. OtherContribuliom 2,393 2,500 2,500 2,500 ,6_. Special _Event~ 12,983 24,500 15,500 5,506 5,006 a. Iowa City Road Races 23 8 500 ' 500 500 b. Pheasant Ridge Capital Campaign 1,250 9,000 0 c. Kicking for Kids I 1,495 15,000 15,000 5,000 5,000 7. latm.est inoome 7,297 7,500 7,832 7,832 0 8. Other - List B¢low 45,002 19,800 24,550 0 16,690 a. Haoap Rental Agreement 14,232 0 0 b. Case Management 420 450 450 c. Pending Contracts 0 14,250 19,000 15,000 d. HACAP Playground '10,3 76 0 0 e. Hail huurance Claims 12,640 0 0 f. SFSP Parent meals 42 100 100 g. Nest-Fiscal Agent 7,292 0 0 h. O~er Mini-Grants 0 5,000 5,000 1,690 TOTAL INCOME (same asp. 2, line Ib) 901,208 1,189,234 1,291,752 110,840 440,965 Notes and Conunents: 2k. NCJC acted as fiscal agents for the Nest in FY98. The N~t will pre~are its own Human Sm.vi~ Agency Budget Form in FY00. 8c. NCJC is curreatly in the process of negotiation 2 ~ontract for services with other agencies. Pm.souncl expenses arc included in the budgeL 8h. Estimated mini-grants for pareat education workshops, and training held by NCJC. PROGRAM 2 ED & SUPPORT 63,699 17,813 20,794 25,092 3ss,gss 208,974 13,000 3 ! ,000 57,000 48,184 21,230 6,500 277,500 2,500 30,000 245,000 5,000 5,000 0 7,860 ~50 4,000 100 3,310 739,947 462- PROGRAM EXPENDITURE DETAIL AGENCY Neighborhood Centers of johnson County 1998 1999 2000 NON- PROGRAM ACTUAL THIS YEAR BUDGETED DIRECTED 1 LAST YEAR PROJECTED NEXT YEAR FUNDING PREVENTION 1. Salaries 600,775 899,498 957,223 88,743 329,299 2. EmployeeBenefits&Taxes 84,137 139,889 145,126 11,130 46,365 3. Staff Development 14,806 12,000 12,000 600 3,850 4. Professional Consultation 25 50 50 50 5. Publications &Subscriptions 2,685 2, 100 2, 100 105 716 6. Dues and Memberships 1,699 1,200 1,200 120 360 7. Mortgage, Rent and Property Tax 10,554 12,278 12,278 808 5,427 8. Building &Maintenance 27,012 36,500 12,000 500 3,800 9. Equipment Purchase/Rental 23,416 11,400 5,500 1,500 10. Utilities 16,712 16,800 17,000 424 7,245 11. Telephone 7,861 7,500 7,500 750 2,621 12. Office Supplies & Postage 5, 194 5,200 5,200 1,040 1,647 13. Printing and Publicity 4,021 4,000 4, 100 820 1,244 14. Local Transportation 4,801 5,500 5,500 225 3,243 15. Insurance 12,079 12,000 12,000 300 4,200 16. Audit 3,225 3,225 3,225 3,225 ! 7. Interest 18. Other (Spoeify): Agency Van 8,081 9,000 9,250 0 4,625 19 Contract Services 9, 133 7,500 7,500 0 20 Educational materials 9,694 12,500 10,000 0 4,000 21 Food &Supplies 42,826 52,423 52,500 500 14,706 22 Recreation 4,965 6,206 6,400 0 3,517 23 Youth Incentives 4,750 4,000 4, 100 0 4, 100 24 Nest contract payout 1,907 25 PROGRAM 2 ED & SUPPORT 539,181 87,631 7,550 1,279 720 6,043 7,700 4,000 9,331 4,129 2,513 2,036 2,032 7,500 4,625 7,500 6,000 37,294 2,883 TOTAL EXPENSES ( p. 2, line 2) Notes and Comments: 898,451 1,262,676 1,291,752 110,840 440,965 8. Building & maintenance expcngs for FY98 include playground renovations at the Broadway and Pheasant Ridge Neighborhood Centers, and a final payment of $5,000 to McComas Lacina for the Pheasant Ridge ProjoeL In FY99 the budget includes $17,000 budgeted for major renovation at the Broadway Stnmt Neighborhood Center, and $7,500 for landscaping at the Phemnt Ridge Neighborhood Center. The FY2000 budgot includes expenga for general maintenance only. 9. Equipment purchases for FY98 include: Desktop computer equipment $4,637, Laptop computer for Home Visits $2,385, Stove at Clear Creek $220, Playground equipment $8019, Soccer equipment $501, Vaeuom $218, Shelving $592, Lo~ for Preschool Classroom$3,833, Classroom Equip $755 Budgeted for FY99 includes: $5000 budgeted for new equipment in the Prc~hool Classrooms, Copier $3,000, Computer maintenance and r~plaecmcnt $2,000, General ~pairs $1,400 FY2000 includes: Computer maintenance and ~paira S3,500, Classroom equipment $2,000 21. Large increase in food and supplies projoeted due to startup ofn~w programs. 24. Payout to the Nest ofbalanee of funds avaihble. 739,947 -463- AGENCY Neighborhood Centers of johnson County RESTRICTED FUNDS: a Iowa Dept of Public Health b, Dept of Education c, IADeptofHtananRjghts d ICCSD Twain ¢, ICCSD Mann f Pregrumq Prey Sub-~xmtrgt: UAY g GOALS 2000: Faraily Resource: CC h USDA Food Progrim ~ Clear Creek Project' Deeat j Family Pr~trvation Grant k DDS-Family Reaoun:e Consultant 1 DHHS/4 Year Old Wrap m Stmuner htensive Supervision/De~at n Community Juvenile Justice/Decat Ma~h o Drug & Violence Prey/De~t p. Juvenile Justice q StategtaffDevCnam r DHHS/Even Start Wrap s Variety Club t, SBYS Chant: Clear Creek Arearia u Hacap/Pm Day HS Co.lract v Summer Food Serv~e Program w Board Refaicled TOTAL RESTRICTED FUND (also shown page 2. line 4) Restricted for: Gnmt Purposes: Pr~v¢ntion Grant Purposes: Education & Support Cmmt Purposes: Prevention Grant Purposes: Pr~wntion Grant Purposes: Prevention Grant Purposes: Prevention Gnnt Purposes: Prevention Grant Purposes: All licensed child care progran Grant Purposes: Prew~ntion C-rant Purposes: Prevention C-nat Purposes: Education & Support Grant Purposes: Education & Support Csrant Purposes: Prevention (~mt Purposes: Prevention Carat Purposes; Prevention Grant hrposes: Education & Support Gram Purposes: Education & Support Grant Purposes: Education & Support Grant Purposes: Education & Support C-rant Purposes: Pr~vontion Grant Purposes: Education & Support C-rant Purposes: Education & Support Emergency and Building Fund ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR 1998 1999 2000 MATCHING GRANTS Grantor/Matched by University of Iowa Work Study / Various Gnmts and Unitexl Way CJJ: Dept of Human Rights / City, County, United Way, De~tt, and USDA CCFP Dept of Education / Headstart Expansion Cmmt, City, County, U~'ay, USDA CACFP DVP: Dept of public Health / Docat Projoct, City, County, USDA CCFP and United Way Clear Cnek/ Johnson County. Goals 2000 Variety Club / HACAP, City. County, and United Way Family Preservation / City, County, United Way, Johnson County Decat .I J: Dept of Human Rights / Johnson County Decat, and United Way TOTAL MATCHING GRANTS (also shown pg. 3, line 2) IN-KIND ~U~pORT nILTAIL Services/Volunteers (Detaile~l Below) Material Goods (FY98 includes computers, internet service, Dishwasher, art supplies, eta) L Other: (Please 'specify) Staft funded lhrough MYEP, JTPA flTOTAL IN-KIND SUPPORT (also shown on page 2, line 4) Notes and Cortwa~nts: Hours Value Total Board Memb6~s 450 $ 20.00 $ 9,000 Staff Donated Hours 1,785 $13.00 $ 23,205 Program Volunteers/Interns,' Practicum Sluden 8, 115 $ 8.00 $ 64,920 ~Ki-' '-g for Kids 1,500 $ I0.00 $ 15,000 'v~; ~rs (Nursing) 480 $ 9.00 $ 4,320 Volunt~rs (Educational) 75 $ 20.00 $ 1,500 Totals 12,405 I 17,945 18.446 4 I. 248 224.901 208.974 53,810 44,206 8.500 13,000 1,120 0 1,203 0 21,931 35,000 58,034 58.034 48,222 65.573 5,850 0 32.100 57,000 5.681 12,000 7,000 13,188 10.354 0 23,875 2.455 0 0 40,138 8,982 0 0 45,832 0 15.923 0 5,824 10,000 I0,000 $ 530,423 $ 694,981 37,555 208,974 ~4,206 13,000 0 0 0 36,500 58,034 99,917 0 57,ooo 12.0oo 7,00o 13,818 31,713 0 48.184 0 45,832 21,230 6.500 10.000 $ 751,463 1998 1999 2000 42,100/12,630 44,928/14.976 44.928/14.976 abl.195 / 43.740 44,206 / 43,740 44,206 ! 43.740 223.854/132,060 20~,975/16~,0~7 20~,975/164,087 29,246 / 12,314 41.248 / 19,743 37,555 i 19.743 58,034 / 11,897 5&034 / 11,897 58,034 / 11,897 8,9~2 / I 1,0o0 0 0 99.136 / 24.225 99.136 / 24,223 99, 136 / 24,225 23.785 / 4,379 31,713 / 5,839 505,547 / 247,866 520,312 / 283.047 524,547 / 284,507 1998 1999 117,945 123,842 7,544 7,922 16,707 17,208 142, 196 148,972 2000 130,034 30.000 '17,724 177,758 -464- SALARIED POSITIONS AGENCY Neighborhood Centers of Johnson County Position/Title Executive Director Associate Director Site Coordinators: BW, PR, CC Volunteer Coordinator Fiscal Manager Child Development Director Family Support Coordinator Faro Pres Family Advocate Dept of Ed Family Advocate Even Start Program Specialist CJJ Youth Leaden DVP Youth Leaders School Based Youth Services CC Youth Leaders Summer Youth Leader FCSI Coordinator Daycare Site Directon Child Advocates Lead Teachers Twain Outreach Maintenance Clerical Support Summer Food Program Staff Dept Public Health Nest Program Coord. UI Workstudy "X" all that apply 'E' m 3 ~ ,,, ~ Last This Next Actual This Budgeted % Year Year Year ! 998 Year 2000 Change 38 X X 12% 1.00 1.00 ! .00 4 i ,680 44,075 45, 177 2.5% 43 X X 13% 1.00 1.00 I.O0 35,000 37,100 38,028 2.5% 38 X X 15% 2.00 2.75 3.00 55,640 79,603 88,640 11.4% A 33 X X 16% 0.40 0.75 0.75 8,207 17,160 17,589 2.5% 38 X X 14% 0.75 0.75 0.75 21,467 22,823 23,394 2.5% 43 X X 15% 1.00 1.00 1.00 24, 135 29,000 29,725 2.5% 33 X X 16% ! .00 i .00 1.00 21,405 23,320 23,903 2.5% 33 X X 16% i.00 1.75 2.00 20,343 43,750 51,250 17.1% A 38 X X 15% 1.00 1.50 1.50 26,620 40,000 4 ! ,000 2.5% 33 X X 16% 2.00 2.00 2.00 43, ! 79 50,860 52, ! 32 2.5% 33 X X 16% 1.25 1.75 1.75 28,376 42,724 43,792 2.5% 33 X X 18% 1.75 1.75 2.00 30,324 34,180 40,672 19.0% A 33 X X 17% 1.70 2.00 0 38,250 46,125 20.6% A I 1 X X 8.1% 0.75 0.50 0.50 15,949 8,320 8,528 2.5% 11 X X 17% 0.40 0.40 0.40 6,130 9,110 9,338 2.5% 33 X X 17% 0.75 1.00 16,875 23,063 36.7% A 38 X X 16% 2.00 2.00 2.00 38,673 46,640 47,806 2.5% 33 X X 21% 6.25 10.50 10.50 85,729 156,156 160,060 2.5% 33 X X 20% 3.50 6.00 6.00 50,247 99,840 102,336 2.5% 33 X X 15% 0.25 0.50 0.50 6,454 13,250 13,581 2.5% I I X X 8.1% O.01 116 B 33 X X 8.1% 1.00 1.75 2.00 15,889 26,754 31,340 17.1% A 11 8.1% 0.04 0.10 0.10 536 1,456 1,492 2.5% 33 X X 8.1% 0.08 1,693 B I I X X 8.1% 0.38 10,353 B 0 0.00% 3.35 4.50 4.50 12,630 18,252 18,252 0% FTE* Salary TOTAL FTE's and SALARIES 32.20 45.70 47.25 600,775 899,498 957,223 * Full-time equivalent: I.O=-full-time; 0.5=half-time: etc. 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 I FTE employee receives 8 hours holiday pay. Employees who work greater than .5 FTE receive prorated Sick Pay, and .75 FTE to 1.0 FTE receive prorated vacation pay. Vacation: Years i -2 = 10 days, Years 3all = 15 days, Years 5+ = 20 days Retirement Plan: All employees are eligible for a self-contributing 403B retirement plan. A Increase in FTE projected for FY98.2.5% increase in rate of pay. B. Positions are no longer in NCJC budget 6.4% -465- -466- AGENCY Neighborhood Centers of Johnson County ACCOUNTABILITY QUESTIONNAIRE A. Agency's Mission Statement or Primary Purpose Neighborhood Centers of Johnson County is dedicated to building a better future for people in low-income neighborhoods through programs that educate, foster self-esteem, strengthen families and create a sense of commumty. B, Board of Directors: Please attach a list of your agency's Board of Directors (Page 7A) Frequency of meetings: Monthly Meetings Briefly describe board offcreation and ongoing training opportunities: Board Orientation is provided by the Board President and Executive Director. Additional materials and support are provided by United Neighborhood Centers of America. Strategic planning sessions for board members are held bi-annually. C, Finances: 1. Are there fees for any of your services Yes X a. If YES, describe circumstances. b. Are they flat fees or sliding fees? X No NCJC only charges fees for families in our full day child care program who arc unable to obtain other child care subsidies. The child care fees are on a sliding scale based on USDA Food Program eligibility. 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? 5. Please discuss your agency's fundraising efforts, if applicable. The primary source of fundraising continues to be grant w~ting through local, state and federal sources. The annual "Kicking For Kids" Soccer Tournament, in its third year, has been a positive way to .raise~ money and interest in Center programs. Other efforts include the Hospice Road Race. Neighborhood youth and adult committees also hold events (bake sales, ear washes, fiestas, etc.) which raise dollars for programs. Management: 1. Does each professional staff have a written job Yes description? Is the agency Director's performance evaluated at least yearly? Yes X No By Whom? Board of Directors 7 X No NEIGHBORHOOD CENTERS OF JOHNSON COUNTY BOARD OF DIRECTORS, 1998 7/13/1998 PRESIDENT: VICE-PRESIDENT: SECRETARY/ TREASURER: Jim Magem Proctor & Gamble 2211 Oakleaf St., #3 Coralville, IA 52241 339-2547 Fax: 339-2325 Pager: 341-4617 Dawn Barker-Anderson Meardon Suoppel Downor & Hayes 122 S Lirm Street Iowa City, Iowa 52240 338-9222 Sue Dulek Legal Servicgs Corporation of Iowa 430 Iowa Avenue Iowa City IA 52240 351-6570; fax: 351-0079 DIRECTORS: Harry Wolf Southgate Development Co. P.O. Box 1907 Iowa City, Iowa 52244-1907 337-4195; fax: 337-9823 Mike Allen 2040 Broadway Stregt, Apt. C Iowa City IA 52240 341-3970 Karin Franklin City of Iowa City 1618 Wilson Stregt Iowa City, Iowa 52240 356-5232; fax: 356-5009 Stephen Trefz Community Mental Health 505 East College Street Iowa City, Iowa 52240 338-7884; fax: 338-7006 Norma Castillo 2656 Roberts Road, #2C Iowa City IA 337-73 16 Paula Kasper-Lundahl Iowa State Bank & Trust 21 Fairview Knoll NE Iowa City, Iowa 52240 356-5893 fax: 356-5890; Home: 338-2475 7a -aRT. AGENCY Neighborhood Centers of Johnson County Eo Program/Services: Please define your agency's units of service (service definition, length of time, cost per unit of service, number of units provided, direct or indirect.) For FY98, the defined unit of service is one hour in length for education, prevention and neighborhood support services. We recorded 159,509 direct service units during the last program year. (i.e. Child development programs equal units of service, tutoring equals .5 units of service, etc.) The agency cost per direct service unit was $8.52. 1. Education and Support Programs: 130,728 Units of Service infanffteddler literacy program, four year old preschool, infant and toddler child development programs, school aged child care, group and individual parent education, ESL/GED classes, family nights, information and referral, neighborhood outreach, counseling, direct assistance 2. Prevention Programs: 28,781 Units of Service after school youth progrants, teen activities, summer intensive supervision, tutoring, in-school mentors, work experience, community service, group and individual parent education, neighborhood councils, special events, information and referral, neighborhood outreach, counseling, transportation to summer school, direct assistance Please supply information about clients served by your agency during the last two complete budget years. Refer to form instructions for definition of duplicated and unduplicated. 1. How many Johnson County residents (including Iowa City and Coralville) did your agency serve? Enter Years- 1997 1998 la. Duplicated count 56,660 104,707 lb. Unduplicated count 1,892 2,595 2. How many Iowa City residents did your agency serve? 2a. Duplicated count N/A N/A 2b. Unduplicated count 1,323 1,984 3. How many Coralville residents did your agency serve? 3a. Duplicated count 3b. Unduplicated count N/A N/A N/A N/A 4. How many units of service did your agency provide? 4a. Total 78,688 159,509 4b. To Johnson County Residents 78,688 159,509 Other areas served: Do you provide service to areas outside of Johnsoy County? Area(s) served: N/A Services N/A provided: No .~ Funding Sources: N/A -468- 8 AGENCY Neighborhood Centers of Johnson County Client Profile (for last complete year, if available): 0 - 5 431 Female 6 - 17 926 Male 18 - 29 822 30 - 61 391 gi: 7s .... 'ii' '' 754. 0 1013 African Americ~x 1582 Native American = Asian Hispanic Cducasiar,-.~; dn-HispaniC ' Multi-racial 549 7 9o 308 1439 202 , Evaluation and Review: A, Please discuss how your agency measures the success of its 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 surveys. Additionally, statistics on child abuse, juvenile crime and police reports are indicators of the neighborhood profile and guides programming. We are working with the school districts to track truancy and school performance as they relate to Center programs. Neighborhood Centers also participates in the federal evaluation through the Department of Education Even Start Family Literacy Program. During FY98, we became accredited through the National Association for the Education of the Young Child (NAEYC) for all licensed child development programs and will be evaluated every two years. B, Does your agency have performance objectives? (give several examples.) Performance objectives are both agency and individual program driven. Education programs track academic successes of school-aged children, graduation rates of adults, level of English proficiency achieved, developmental levels of children birth through seven. Prevention programs follow juvenile court records, truanc3, reduction and academic achievement. Neighborhood Support programs record child abuse reports and police calls within the neighborhoods. C, What plans does your agency have to increase efficiency and effectiveness? Our agency 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 year. Strengthening collaborative efforts with agencies in Johnson County has been positive and productive for families in the programs, offering more opportunities and broadening resources. Conununity cooperative efforts include bringing existing services to the neighborhoods and assisting families to network outside the community. 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 we look to future program direction, the number one challenge will be supporting parents and children as primary caregivers return to the workforce. This will include programs focusing on employment for adults, increased number of prevention programs for school aged youth and maintaining child care space and parent support programs for preschool children and their parents -469- AGENCY Neighborhood Centers of Johnson County 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 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. Parents cite the need for increased hours on weekends and evenings as an important issue. And while we are currently open each evening during the week and some weekend hours, it is often only one evening program and still does not meet the number of program needs for neighborhood families. In the Clear Creek community, program expansion is limited due to inadequate facilities and number of staff. 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: Families are generally on the waiting list for programs, if at all, a very short time. For infant through school aged days care programs, this is mainly due to the expansion of program space. In FY98, we have opened an additional five day care rooms, with an increase of 48 spaces. In other programs, such as school-based and parent support services, we meet the demand by limiting the number of referrals or the number of contacts. Although there are numerous places to expand our programs, we continue to conduct outreach and recruitment only within our target neighborhoods. Increased staffing patterns and enhanced mentoring progrants How many people are currently on your 12 waiting list? 12. In what way(s) are your agency's services publicized? Personal outreach contacts in the neighborhood, monthly neighborhood newsletters, quarterly community newsletters, agency brochure, articles and press releases in local newspapers, Johnson County Services Directory, 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 Representative to Funding X Hearings c. Business Blitz X d. Day of Caring X e. Kick Off " X f. Victory Reception X g. Other Volunteer Action Center 10 AGENCY Neighborhood Centers of Johnson County 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 was established in a three-bedroom apartment with the goal of enhancing the quality of life in the neighborhood. For the past 25 years the Pheasant Ridge Center has offered on- site educational and recreational opportunities, connected people to resources in the community, and encouraged a sense of community. The success of the Pheasant Ridge center prompted the Iowa City community to support the expansion of the agency in 1988 to a second low-income neighborhood in lowa City: Broadway Street. Like Pheasant Ridge in 1973, the need for prevention programs was evident in the disproportionate number of child abuse cases, police reports and juveniles on probation. Neighborhood Centers joined forces with Head Start and built a 6,000 square foot facility in 1990. Since the Broadway Street Neighborhood Center has been in operation, the quality of life in the neighborhood has improved, as seen by the decrease in child abuse reports. The Neighborhood Center concept is unique in that we bring programs to the people who would otherwise have difficulty accessing services either because of transportation, child care, financial constraints or a lack of knowledge of what resources are available. In addition to neighborhood based services, an important function of our agency is to connect our neighbors to other resources in the community. Our agency works closely with other United Way agencies. The Neighborhood Center has also developed successful partnerships with the Iowa City schools and the Iowa City Police Department. Our collaborative efforts have decreased the number of drug dealers and gang members in the area and have reduced the overall number of police reports. Our work with the schools has helped parents become more involved in their children's education and has increased the academic skills of participating youth. Neighborhood Centers strives to meet the changing needs of our neighborhoods and our community. With the recent weftare reform initiatives we have seen less demand for respite childcare and a greater demand for full-day childcare. As more parents move from weftare to work, we have tried to keep pace with the tremendous increase in demand for childcare. 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 year we have 106 full day childcare spaces. The additional space includes a collaborative effort with HACAP Headstart to extend daily hours and provide year round programming for our 4 year-old preschool. We are also very proud of the quality of our early childhood programs. In February, the National Association for the Education of the Young Child accredited ~hildcare programs at Broadway and Pheasant Ridge. 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 County. With the help of individuals, businesses, churches and the Clear Creek Amana schools, we have established dynamic Neighborhood Center in the community of Tiffin. This year we are adding a School Based Youth Services Program and a family support program for families with children birth to 5 years. We will continue our outreach in the mobile home courts, and work more closely with the Clear Creak/Amana School District. This past year, we were asked by the Iowa Department of Human Seryices 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 requesting increases in funding from the City, County and United Way' that will allow 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 County. 11 -471 - AGENCY Neighborhood Centers of Johnson Count)' FY98 GOALS Please state FY98 goals and report status of progress/completion. We are pleased with the progress we have made toward reaching our goals during FY98. In terms of participation rates, we have surpassed previous years in both duplicated and unduplicated contacts. We have recorded a 27% increase in resident involvement over last year. In addition, we have seen dramatic growth in duplicated contacts in programs such as child care (FY97=2365, FY98=5298), GED and ESL classes (FY97=737, FY98=1553), parent and child home visit contacts (FY97=2282, FY98=4090). Child development programs have achieved accreditation status from the National Association for the Education of Young Children (NAEYC). The accreditation is a mark of quality programming for young child programs, and go through a reeerti~cation process every two years. The Even Start Family Literacy Program participates in a federal evaluation project of nation-wide literacy programs. Results of state and national outcomes are on file. Local progress of the Even Start program is tracked through a local consultant at the University of Iowa. We are working in cooperation with the schools to define school success for students in our three neighborhoods and to create programming to meet that end. In FY98, we began to see results. Between our 3 sites, we saw a total of 72 students in evening tutoring and in-school mentor programs. Of those 72 students, all but 5 moved to the next grade in elementary or junior high school. We continue to work with those students as they enter school this fall. Through a Drug and Violence Prevention project in place at Pheasant Ridge, we have recorded 2 youth involved in the juvenile court system out of 82 total participants as we ended the project year. Broadway, however, had a challenging year fraught with violence and safety issues within the neighborhood. Together with residents, we formed a Parent Advisory Council committed to having a voice in the Broadway neighborhood, as well as the larger commtmity. As we ended FY98, the committee has been meeting monthly, banded with apartment managers and businesses within the neighborhood. An evaluation committee, comprised of Center staff and neighborhood residents, met throughout the year to ereate goals, outcomes and measurable tools for data collection. Beginning FY99, we will be using the Automated Assessment for Family Progress to collect information. Program staff also participated in the Search Institutes seminar on building assets in youth and will begin implementing the "Asset Checklist" in the upcoming year. 12 -472- AGENCY Neighborhood Centers of Johnson County AGENCY PROGRAM GOALS AND OBJECTIVES (Several pages are provided, please add any additional pages you may need with your agency name as a header) GOAL i: Create educational opportunities for individuals and families to realize their full potential m school, family, community and the wodd of work. OBJECTIVE A: Provide educational support for children to enhance their self-esteem, self-awareness and build academic and commumcation skills. TASKS: · Conduct child development activities each week for 75 children ages birth to 7 years while their parents attend adult education classes and ESL. · Provide tutoring and weekly access to Broadway, Pheasant Ridge, and Clear Creek 100 children and their parents during the school year. · 100 children birth-3 will participate in child-centered, developmental activities 5 times each week for 40 to 50 hours per week. · Provide all-day preschool and Head Start program for 32 at-risk 4 year-olds at the Broadway and Pheasant Ridge Centers. · Conduct tutoring program and study time for 80 youth 2 times each week during the school year at all three Centers OBJECTWE B: Create an environment where Center staff and neighborhood parents work in partnership, 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, and Clear Creek Amana Schools to prepare their 150 children for school success. · Facilitate 20 weekly parent / child m-home visits to promote literacy activities through client directed reading themes. ' · Conduct monthly group activities focused on reading/literacy with 25 parents at Neighborhood Centers, neighborhood schools, or/and community resources. · In collaboration with the schools, transport and coordinate bimonthly parent / child activities for 35 families at Roosevelt or Twain literacy labs. 13 -473- AGENCY Neighborhood Centers of Johnson County Facilitate the participation of 50 parents in school events and to volunteer in their child's classroom. Offer English as a Second Language classes for 24 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" leaming oppommities, that will include parent education and support, financial management, nutrition counseling and referral to appropriate resources. Include 50 Parents in young child programming by becoming volunteers in the Broadway and Pheasant Ridge early child hood programming Neighborhood Centers. Continue Parent Advisory Committees at all three Centers made up of 8 parents with children in the 4qear-old preschool. GOAL lh To build life skills and strengthen natural networks support through increased oppommities for youth and adults to become positively involved in their neighborhood, school, and community and to strengthen natural support networks and. OBJECTIVE A: Continue and expand outreach efforts in early intervention programming to prevent chug abuse, violence and criminal activity in the Broadway Street, Pheasant Ridge and Clear Creek Neighborhoods. TASKS: · Carry out education, recreation and cultural components for the 80 youth participating in the LEAD project. Continue the Learning Enrichment Assets Development (LEAD) project for 80 children ages 6-17 at the Pheasant Ridge Neighborhood Center. Organize and conduct a Wednesday and Sunday nighf tutoring program to reach 80 youth. · Conduct Community Crime Prevention program for 100 youth ages 6-17 at Broadway Center. 14 -474- AGENCY Neighborhood Centers of Johnson County · 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 drug 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 60.school-aged youth from Clear Creek area. · Provide outreach and family support services to 175 families in the Broadway, Pheasant Ridge, and Clear Creek areas. · Coordinate 12 well baby and immunization clinics at all three Centers. OBJECTIVE B: Promote a sense of community and reduce isolation in areas served by Neighborhood Centers. TASKS: · Provide monthly newsletter to 700 families m the Broadway, Pheasant Ridge and Clear Creek neighborhoods. · Outreach to 50 per families each week to 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 commumty issues. · Conduct monthly meetings of the Neighborhood Councils at each Center. · Conduct weekly "Family Night" at Broadway, Pheasant Ridge and Clear Creek. · Conduct weekly "Parent Support Group" at Pheasant Ridge, Broadway and Clear Creek. Continue parent and consumer Parent Advisory Groups at Broadway, Pheasant Ridge and Clear Creek. / · Organize 24 special events for families creating opportunities for families to meet and receive support. Continue to encourage ,'ownership" of the Center through resident initiated groups (such as the neighborhood crime prevention steering committee, neighborhood council and advisory groups) and volunteer oppommities. 15 -475- AGENCY Neighborhood Centers of Johnson County Conduct leadership training program for 12 residents in the Pheasant Ridge, Broadway and Clear Creek neighborhoods. Employ adults and 30 youth from the neighborhoods in center programs. OBJECTIVE C: TASKS: Assist families in 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. Distribute Table-To-Table food to 350 families in the Broadway and Pheasant Ridge Neighborhoods. OBJECTIVE D: To provide childcare for families that will enable them to seek, retrain and/or train for employment. TASKS: · Provide full-time and part .time, licensed NAEYC accredited child care/child development classes for 75 children aged 6 weeks - 3 years. · Coordinate childcare for youth while parents attend parenting groups, advisory meetings and Neighborhood Council meetings. · Provide childcare during other adult center activities. · Conduct child development activities 3 times each week t~or 75 children birth-5 years while their parents attend adult education classes. · Provide "Parents as Partners Pre-School for 5 days per week for sixteen 4 year-olds in the Pheasant Ridge Neighborhood. · Provide summer 4 year-old preschool for 16 children. 16 -476- AGENCY Neighborhood Centers of Johnson County · Provide after school and summer childcare for school aged children. RESOURCES NEEDED TO ACCOMPLISH TASKS: · 48.5 paid professional staff (pan time and full lime) · 5 paid administrative staff · 1 maintenance staff · 90 volunteers · 3 neighborhood centers, fully furnished and insured, at Broadway, Clear Creek and Pheasant Ridge · Telephone system at each Center · 3 photocopy machines · Equipment and supplies for licensed day care space - 106 children · 2 licensed playgrounds · Computer system for each Center · 4 passenger vans with full insurance · Professional liability insurance · Educational materials · Expendable supplies and food COST OF PROGRAM FY 98:$816,103 FY 99:$1,157,294 FY00:$1,180,912 17 HUMAN SERVICE AGENCY BUDGET FORM Director: Christie Munson City of Coralville Johnson County City of Iowa City United Way of Johnson County CHECK YOUR AGENCY'S BUDGET YEAR Agency Name: Rape Victim Advocacy Program Address: 17 W. Prentiss / 320 S. Linn Phone: 335-6001 Completed by: Christie Munson Approved by Board Chair: l~'~, ].'~,{:~ (._'~,/L,'L. f.. (. ~ 1/1/99 - 12/31/99 4/1199- 3/31/00 7/1/99 o 6/30/00 X 10/1/99 ~ 9/30/00__ 10/2/98 (date) COVER PAGE Program Summary: (Please number programs to correspond 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 serf-defense classes for women. Operate information bureau and lending library. 3. Rape Crisis Services for Washington, Cedar and Iowa Counties 24ohour 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 4/1/97 - 4/1/98 - 4/1/99 - 3/31/98 3/31/99 3/31/00 $16,125 $16,794 $17,250 FY98 FY99 FYO0 $12,500 $13,000 $13,500 $12,360 $13,000 $13,500 $2,200 $2,400 $2,600 % of Total Budget 4% 3% 1% -478- AGENCY: RAPE VICTIM ADVOCACY PROGRAM BUDGET SUMMARY Enter Your Agency's Budget Year ACTUAL THIS YEAR BUDGETED LAST YEAR: PROJECTED NEXT YEAR FY98 FY99 FY00 7/97-6/98 7/98-6/99 7/99-6/00 1. TOTAL OPERATING BUDGET (Total a +b) 354,904 421,207 414,824 a. Carryover Balance (Cash from line 3, previous column)* 13,673 35,718 16,198 b. Income (cash) 341,231 385,489 398,626 2. TOTAL EXPENDITURES (Total a + b) 319,186 412,009 398,626 a. Administration 43,406 53,561 54,438 b. Program Total (list Progs. below) 1. Rape Crisis Services 2. Education 3. Counties 4. Statewide Hotline 3. ENDING BALANCE (Subtract 2-1) 4. RESTRICTED FUND BALANCE 5. IN-KIND SUPPORT (Total from p. 5)~ 6. NON-CASH ASSETS 275,780 358,448 344, 188 133, 100 173,044 156,909 46,851 61,801 52,213 60,688 78,282 85,066 35, 141 45,321 50,000 ooo*- ooolloool Notes and Comments: In FY98 we had increased income derived from our investments and were successful in attracting new outside income sources. These funds will be vitally important as we incur substantial costs due to our required move to a new location this year. Even with the anticipated one time moving cost, we should end FY99 with an ending balance that is similar to FY97. *This is an estimate, as our audit will not be completed until ear, ly 1999. ** Line 1A Column I reflects our carryover as determined by the audit completed for FY97. Briefly describe how local funds were spent last year. Local funds supported the salaries of the Agency Director and Office Manager. Local funds also supported the operation of the Rape Crisis Line and a variety of administrative and program operating expenses. These funds enable us to provide match for federal grant funds. 2 -479- INCOME DETAIL ACTUAL THIS LAST YEAR YEAR PROJ. AGENCY: RAPE VICTIM ADVOCACY PROGRAM BUDEl ET NON- PROG. PROG. PROG. PROG. NEXT DIRECTEG 1 2 3 4 YEAR FUNDS RCS ED W/C/I CO. -~TATE LINE 1. Local Funding Sources 43,350 45,308 46,976 a. Johnson County 12,360 13,000 13,500 b. Iowa City 12,500 13,000 13,500 c. United Way 16,290 16,908 17,376 d. Coralvilla 2,200 2,400 2,600 2. State, Federal,Found. ~ 270,139 315,847 325,500 a. Victims of Crime Act 121,111 157,198 160,000 b. GASNVAWA Grant 23,562 22,700 23,000 c. Sexual Abuse Grant 35,000 35,000 37,000 d. Statewide Hotline Grant 38,805 50,000 50,000 e. IowaCASA Grant 16,100 13,949 16,000 f. UI Student Government 35,561 37,000 39,500 3. Contributions/ Donations 17,445 11,934 18,050 a. United Way/Desig. Giviq 2,160 2,454 2,000 b. Tar.clet Grant 0 2,000 0 c. Washinton Comm Chest 0 480 550 ¢her Grants 0 0 5,500 e.Other Donations 15,285 7,000 10,000 4. Special Events 7,552 9,400 4,600 a. Iowa City Road Races 2,300 1,800 2,000 b. A Night Out With the RV 4,105 1,500 2,500 c. Auction 0 0 0 d. Concert 0 1,000 0 e. Twenty-fifth Anniversary 1,144 5,000 0 f. Garage Sale 0 0 0 g. Clothesline Project 3 100 100 5. Net Sales/Services 0 0 0 6. Net Sales/Materials 0 0 0 7. Interest Income 2,745 3,000 3,508 25,000 19,000 2,976 0 0 6,000 7,000 500 0 0 6,000 7,000 500 0 0 12,000 4,500 876 0 0 1.000 500 1,100 0 0 21,438 133,409 45,637 75,016 50,000 0 92,447 19,600 47,953 0 0 0 0 23,000 0 13,030 15,530 4,377 4,063 0 0 0 0 0 50,000 0 14,880 1,120 0 0 8,408 10,552 20,540 0 0 7,000 1,000 2,000 8,050 0 2,000 0 0 0 0 0 0 0 0 0 0 0 0 550 0 3,000 0 0 2,500 0 2,000 1,000 2,000 5,000 0 1,000 2,500 100 1,000 0 1,000 1,000 0 0 0 0 1,500 0 1,000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 0 0 0 0 0 0 0 0 0 0 0 0 0 1,000 1,500 1,000 0 TOTAL 341,231 385,489 398,626 3 54,438 156,909 52,213 85,066 50,000 -480- 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. Salaries 186,724 232,539 255,409 30,552 106,740 37,267 54,600 26,250 2. Benefltsrraxes 47,080 62,040 68,143 8,961 29,770 7,949 15,352 6,111 3. Staff Development 2,393 3,000 3,000 988 445 132 1,123 312 4. Professional Consult. 1,485 2,000 2,000 0 2,000 0 0 0 5. Publications/Subscriptions 1,717 2,500 1,500 528 171 271 454 76 6. Dues/Memberships 748 800 825 825 0 0 0 0 7. Rent 735 2,630 3,000 0 0 0 3,000 0 8. Building and Maintenance 0 0 0 0 0 0 0 0 9. Equip. Purch/Rent/Malnt. 12,445 20,000 5,000 618 1,302 65 1,265 1,750 10. Utilities 0 0 0 0 0 0 0 0 11. Telephone 11,443 22,000 12,500 170 6,753 0 1,171 4,406 12. Office Supplies/Postage 8,324 8,500 8,750 5,727 415 553 44 2,011 13. Printing and Publicity 10,206 11,000 11,500 1,396 3,753 589 757 5,005 14. Local Transportation 8,330 7,500 8,000 212 1,360 1,687 4,000 741 15. Insurance 0 0 0 0 0 0 0 0 16. Audit 2,100 2,200 2,200 1,362 0 0 0 838 17. Interest 0 0 0 0 0 0 0 0 Other:. 0 0 0 0 0 0 0 0 16. Mlsc Agency Program Ex. 2,197 15,000 2,100 2,100 0 0 0 0 19. Rape Crisis Prog. Ex. 13,656 4,000 4,200 0 4,200 0 0 0 20. Education Prog. Expenses 2,996 3,500 3,600 0 0 3,600 0 0 21. Washington Co. Prog. Ex. 1,279 2,000 2,200 0 0 0 2,200 0 22. CedarAowaCo. Prog. Ex. 0 1,000 1,100 0 0 0 1,100 0 23. State Hotline Prog. Ex. 2,452 2,500 2,500 0 0 0 0 2,500 24. Board Expenses 134 200 250 250 0 0 0 0 25. Twenty-fifth Anniveraary 1,812 6,500 0 0 0 0 0 0 26. Fundraising Expenses 505 500 749 749 0 0 0 0 27. Clothesline Expenses 425 100 100 0 0 100 (i 0 TOTAL EXPENSES 319,186 412,009 398,626 54,438 156,909 52,213 85,066 50,000 4 .stricted Funds: Agency: Actual Last Year Rape Victim Advocacy Program This Year Budgeted Projected Next year Restricted by: Restricted for: 58,393 61,393 64.893 Donor Permanent Endowment (pad of the interest accrued is reinvested, and pad of it is available to us and listed in our operating expenses budget under interest income. FY99 and FY00 figures are estimates.) Total Restricted Fund (also shown P2, L4) I 58,393~ 61,393 64.893 MATCHING GRANTS Grantor/Matched by Victims of Crime Act matched by state funds. in-kind contributions. matched by state funds, in-kind contributions, GRANTS* 121,111 157,198 160,000 m= 30.278 m= 39,300 m= 40,000 23,562 22,700 23,000 m= 7,854 m= 7,567 m= 7667 144.673 179.898 183,000 IN-KIND SUPPORT DETAIL Volunteers: Crisis Services Volunteers (20,500 hours) P-O.W.E.R. Peer Educators (926 hours) lrd Members (1000 hours) hubtotal Volunteer support at $12.96/hr 265.680 270,000 275,000 12,000 12,500 12,750 13,000 13,200 13.400 290,680 295,700 301,150 Provided in kind by the University of Iowa Administration: Space 20,000 Utilities 3,300 Professional Liability Covera.qe 7,500 .Payroll and Grant Accounting 1,200 Work-study position (Admin. Asst) 1,500 Repairs, Maintenance and Cleanin.q 4,000 Subtotal UI Support 37,500 20,000 3,300 7,500 1,200 1,500 4,000 37,500 20,000 3,300 7,500 1,200 1,500 4.000 37,500 In-kind suppod from sources in other counties 2,000 2,000 2,000 TOTAL IN-KIND SUPPORT (shown also on page 2, line 5) 330, 180 335,200 340,650 '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. -482- Agency: Rape Victim Advocacy Program SALARIED POSITIONS "X" all that apply IPaid Health Retire. Position Lye* Ins Plan Agency Director Munsoni 49 x x Director of Crisis Services Karrel 49 x x Director of Education F~tzgerald 49 x x Director of Washington County Services vacantl 49 x x 29 Director of Cedar and Iowa County Services vacant I 49 x x 29 Director of Volunteer Programs Beaderstadtl 49 x x 29 Director of Statewide Hotline Olsonl 49 x x 29 Office ~l~?r~ter 34 x x 33 Financial Manager Dawsonl 25 x x 29 UI Student Employees: Crisis Services Coordinator Vrabell n/a n/a n/a n/a Education Coordinator Brennerl n/a n/a n/a n/a Youth Education Coordinator Shawl n/a n/a n/a n/a Administrative Assistant vacantl n/a n/a n/a n/a % Ben. 29 29 29 ITotal Salaries and FTE FTE Actual This Budget Last This Next Last Year Next % Year Year Year Year Proj. Year Change 1.00 1.00 1.00 32,500 35,000 36,400 +4% 1.00 1.00 1.00 24,308 25,000 26,250 +5% 1.00 0.90 1.00 24,000 21,750 26,250 +17% 1.00 0.75 1.00 22,000 24, 120 28,350 +10% 0.75 0.75 1.00 15,027 22,917 26,250 +13% 0.75 1.00 1.00 15,027 25,000 26,250 +5% 0.66 1.00 1.00 14,667 25,000 26,250 +5% 0.50 0.75 0.75 9,999 16,812 18,909 +11% 0.10 0.50 0.50 545 12,000 13,000 +9% 0.40 0.60 0.50 8,409 10,545 9,500 -11% 0.40 0.25 0.50 7,428 6,475 9,000 +28% 0.50 0.50 0.50 10,772 7, 920 9,000 +12% 0.20 0.20 0.20 2,042 in-kind ** in-kind** 8.26 9.20 9.95 186,724 232,539 255,409 +9%J *Includes vacation, sickleave and holidays. ** Provided by the University of Iowa. Notes: Director of Washington County Services and Director of Cedar and Iowa Services: Estimates for the salades for these positions are based on the anticipated salaries. We are currently in the final stages of filling these positions. There was turnover in these positions: Director of Education, Director of Crisis Services and Director of Wastiington County Services. The Director of Cedar and Iowa County Services has transferred into the position of Director of Crisis Services. In FY98 we also experienced turnover in several of the student employee positions. The Director of Volunteer Programs, Director of Statewide Hotline and Director of Cedar and Iowa County Services were new positions in FY98. Office Manager: In FY98 we will upgrade this position from a half-time Secretary I to a three-quarter time Secretary II, an adjustment that is long overdue. Financial Coordinator: The salary for this position will be raised slightly more than the others to keep it in line with the full-time salaries. 6 -483- AGENCY: ACCOUNTABILITY QUESTIONNAIRE agency's Mission Statement or Primary Purpose: Attached. Board of Directors Please attach a list of your agency's Board of Directors: Co-Chairs: Deb Bailey, Amy Corriea Secretary: Julie Hein Treasurer: Traevena Potter-Hall Janet Lyness, Esther Materon-Arum, Jill Aiken, Rivka Sorenson, Theresa Ullerich Frequency of meetings: Eleven times a year 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. Finances If your agency charges a fee for services, describe your fee structure. We do not charge fees. Does your agency have: internal audit external audit ~X financial review ? Frequency: Annual 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* *Because we are a part of the University of Iowa, we are not separately incorporated. Please discuss your agency's fundraising efforts, if applicable: This year was our twenty-fifth anniversary. We supplemented our annual fundraising din, ner with a 25-for-25 campaign and invited donors to contribute 25 dollars a month to the RVAP for the entire year. Each year the development committee of the RVAP Board makers. an annual plan for fundraising. 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 Director RAPF VICTIM ADVOCACY PROGRAM 7 -484- 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, admims'trative 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 police. VISION The vision of the Rape Victim Advocacy Program is to help create a community 1 free of sexual violence, violence against women, other forms of vio ence and abuses of power and control, and all forms of oppression. -485- 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. Number of Number of Incidents Hospital, Court, Law Total Number of Number of People Individuals Using of Abuse Reported Enforcement and Educational Attending Crisis Services Other Advocacy Programs Educational Provided Presented Programs FY96 407 387 53 183 9,938 FY97 454 402 86 230 8,547 FY98 487 460 103 251 11,127 We have no 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: FY97 FY98 1. How many Johnson County residents (including Iowa City and Coralville) did your agency serve? ' '-low many Iowa City residents did your a.qency serve? 3. How many Coralville residents did your agency serve? 4. How many units of service did your agency provide? la. Duplicated Count 6,350 9,911 * lb. Unduplicated Count 6,350 9,908 2a. Duplicated Count 5,261 7,521 2b. Unduplicated Count 5,261 7,519 3a. Duplicated Count 719 1,566 3b. Unduplicated Count 719 1,565 4a. Total 9,636 12,221 4b. To Johnson County Residents 7,654 1 O, 804 *The number of crisis-service users we have in Washington, Cedar and Iowa Counties is still very small. Only thirty-three 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, Coraiville, Johnson County and out-of-county is based on information we gather, plus a proportional estimate of the "unknowns". 5. Other areas served: Do you provide services to areas outside of Johnson County? Area(s) Served: Cedar, Iowa, and Washington County Services provided: all services, although counseling appointments are only available on certain days per week in each county Funding: VOCA, GASNVAWA, IOWA Crime Victim Assistance Division Grants, Washingtolh Community Fund, and private donations provide funding for these efforts. Local government and United Way funds are not directed toward these programs Area(s) Served: State of Iowa (through the Iowa Sexual Abuse Hotline) Services Provided: Telephone crisis intervention, support, information and referral. F,nding: This program is funded by the Iowa Crime Victim Assistance Division. 8 -486- AGENCY: RAPF VICTIM ADVOCACY PROGRAM 6. Client profile (for last complete year, if available): (This information is available for crisis-service users only) Age Gender Ethnicity 0-5 0 Female 427 African American 14 6-17 18 Male 60 Native American 2 18-29 194 Unknown 0 Asian 2 30-61 199 Hispanic 5 62-75 3 White 190 75+ I Multi-racial 0 Unk. 73 Other 2 Unknown 272 7. Evaluation and Review: A. Please discuss how your agency measures the success of its programs. We always have feedback forms available at our office with an SASE, and we give these forms to each counseling client. Our most important evaluation tool is direct feedback from service-users. At each educational program we hand out evaluations, and we gain a lot of valuable information from them. Every two years our board surveys the community for information about the performance of the agency. We are in the midst of this evaluation during the fall of 1998. 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 have created teams to effect policy development and performance enhancements in each area: crisis services, education, marketing, administration, etc. 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. This year we established a web-site (www. uiowa.edu/~rvap). We anticipate continuing to develop the site and disseminating more and more information electronically in order to reach the growing number of sexual abuse victim/survivors who are using the Internet as a resource. 9 -487- 10. AGENCY: RAPF VICTIM ADVOCACY PROGRAM Please discuss any other problems or factors relevant to your agency's programs, funding or service delivery. Two of the problems we have faced this year include staff turnover and a move to a new location. Three full-time staff left this year to pursue opportunities in other communities. Our field has a high rate of tumover because of stressful nature of the work, the long hours sometimes required and the pay, which has traditionally been low. We are addressing this issue by trying to raise wages. The base starting salary for a full-time counselor at the RVAP is now $24,000. This is still too low for the work that is required in such a position, but it is $4,000 higher than it was five years ago. We were also surprised by the fact that we had to move to a new location this fall. As of Nov. 1 our new location will be at 320 S. Linn, and our building at 17 W. Prentiss will be demolished to make room for a new UI Human Resources Building to be built next year. We are excited about our move to the new facility. The University of Iowa is our rent at this off-campus location, and is assisting us by paying for our move. There will be many other costs associated with the move, however, such as a new phone system and new (used) furniture we are purchasing. As we are in the middle of the negotiations on these details at the time of this writing, it has been difficult to budget the expenses we may encounter over the next few months. List complaints about your services of which you are aware: We receive mostly positive feedback about our services and presentations, but when we do occasionally receive complaints we address them immediately through consultation with individual staff members and training for the staff and volunteers as a whole. 11. 12. 13. Do you have a waiting list or have you had to turn people away for lack of ability to serve them? No. 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 weeklong awareness campaign on the University campus at the beginning of the semester, and every April we conduct a month-long awareness campaign. United Way involvement by your agency: (Check if agency participates) ae Agency Directors Meetings Agencies Representative to Funding Hearings Business Blitz Day of Caring Executive Development Seminars Kick Off Victory Reception Volunteer Action Center Other X X X X X X X 10 AGENCY: RAPF 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 suppod 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 FY98 the RVAP received 155 reports of rapes that happened at or near the time they were reported, and a total of 234 present and past rapes were reported. 125 incidents of incest or childhood sexual abuse were reported to the agency. Advocates responded to support survivors at the hospital 70 times last year, up from 49 in FY97. This year saw, for the second year in a row, 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. Within the last five years there has been a steady increase in the amount of state and federal funds available to address the issue of violence against women and to assist crime victims. We applied for and were granted some of that money two years ago to begin programs in the neighboring 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. Our Youth Education Program, funded by a grant from the Iowa Coalition Against Sexual Assault, finished its first year (FY98) a great success. We increased presentations made to junior highs, high schools and youth organizations by 56%. In FY97 we presented 40 such programs, which reached 767 students. This year our Youth Education Coordinator organized or presented 71 programs to 1,311 young people. On April 1, 1998, we began operation as the site of the Iowa Sexual Abuse Hotline. We anticipate an increase in calls made from around the state to the hotline as w~ publicize it over the course of the year. The Iowa Crime Victim Assistance Division ,furlds this program. ~ Our plan is to take advantage of the current increasing grant funds to do as much for our community as we can while funds are available. We have only been able innovate and develop our services because of the long-standing, stable local support we receive from our community. It is essential to our ability to continue to provide matching funds for our federal grantors. 11 -489- 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 victim-survivors of sexual violence. Objective A: Provide 24-hour telephone crisis intervention counseling to an estimated 450 to 600 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 volunteers 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. ~ks: 1. 2. Train paid staff and volunteers to provide these services. 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 survivo'rs. Resources 'required: 3.75 FTE counseling staff, 35 to 50 volunteers, two phone lines and five wireless PCS phones. Computers, printer, pagers, answering service and offices. PROGRESS: In FY98 we served 487 people through our crisis services. We had 1094 crisis c ~acts, or about three a day. The number of times we provided in-person advocacy rose from 80 I~,,,, year to 103 this year. Demand for our services remains constant. 12 -490- AGENCY: RAPF 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. Objective 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: 1. Schedule, publicize and present periodic 11- and 14-hour seminars. 2. Supervise volunteer and paid staff who are self-defense instructors. , Resources required: 1.75 FTE staff; 12 to 20 volunteers; computers; printers and offices; lending library; self-defense equipment. PROGRESS: In FY98 we presented 251 programs to 11,127 people, up from 230 programs presented to 8,547 people in FY97. Our new Youth Education Program has been extremely successful, and we hope to be able to continue to present programs on sexual abuse to more and more people each year. 13 ,4,ql - AGENCY: RAPF VICTIM ADVOCACY PROGRAM PROGRAM 3: SERVICES TO WASHINGTON, CEDAR AND IOWA COUNTIES ~oal: 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 ~mily 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 PROGRESS: Our reception in each county continues to be good. Our volunteers in Washington County were the recipients of the J.C. Penney Golden Rule Award this spring. We moved our office to a new location in Washington in May. We have been hampered in our efforts in these communities by staff turnover, however. 14 AGENCY: RAP[: VICTIM ADVOCACY PROGRAM 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. Tasks: 1. 2. Develop hotline procedures. Provide additional training to RVAP staff and volunteers. Objective B: Publicize the availability of the hotline throughout the state. Tasks: 1. 2. Develop and implement a marketing plan for the hotline. Publish a newsletter about the hotline. Resources required: 1 FTE staff: resources of the existing Rape Crisis Line plus an additional 10 to 20 volunteers, computer and printer, office space PROGRESS: The Iowa Sexual Abuse Hotline debuted with great fanfare in April 1998. We have been excited by the support the effort has received all over the state. The line is being publicized through telephone directories, radio PSA's, and new brochures. We have developed a database of referral information for staff and advocates to use in answering the line. We are in the midst of reviewing the methods we use to report our statistics to clarify which calls are statewide hotline calls and which are cells from the RVAP service area. 15 -493- HUMAN SERVICE AGENCY BUDGET FORM City of Coralville Johnson County City of Iowa City United Way of johnson County CHECK YOUR AGENCxPS BUDGET YEAR 1/1/99 - 12/31/99 4/1/99 - 3/31/00 7/1/99 - 6/30 O0 X Betty L Hargraves Executive Director Director: Betsy Tatro, Site Director Agency Name: American Red Cross Address: 328 S. Clinton St. Iowa City, IA Phone: 337-2119 Approved ~ .. 10/1/99- 9/30/00 September 15, 1998 (date) COVER PAGE Program Summary: (Please number programs to correspond to Income & Expense Detail, i.e., Program 1, 2, 3, etc.) 1. Emergency Services: Emergency Services has two aspects to its progrant, Disaster Services and Emergency Family Services. The American Red Cross is mandated by Congress to provide relief to victims of disasters and to provide emergency communication and reunification assistance to military families. No direct 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 provides disaster preparedness education. Emergency Family Services also helps with emergency messages for families who have been separated due to war, disasters, and other hardships. 2. Health Services: The American Red Cross Health Services program 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 disease transmission. Health Services volunteers also assist at local blood drives. Local Funding Summary: United Way of Johnson County - - Does Not Include Designated Gvg. City of Iowa City Johnson County 3ity of Coralville 4/1/97 - 4/1/98 - 4/1/99 - % of Total 3/31/98 3/31/99 3/31/00 Budget $13,920 '$13,920 $17,139 7 FY98 FY99 FY00 ~ 4740 4977 5226 2 5767 6055 6358 3 600 1000 1000 0.4 · 94- jceoghs/xlbudg. xls - ] - AGENCY: American Red Cross Grant Wood Area Chapter BUDGET SUMMARY Enter Your Agency's Budget Year 5> 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 Emergency Services 2 Health Services 3 4 5 6 7 8 ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YE/ FY 98 FY 99 FY 00 219,644 281,921 305,607 82,538 73,185 73,185 137,106 208,736 232,422 146,459 208,736 232,422 19,040 27,136 29,805 127,419 181,600 202,617 54,190 77,232 86,356 73,229 104,368 116,261 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: 2,741 1,000 1,000 35,432 31,681 33,147 2,800 2,600 4,600 5. The small reduction for in-kind support for FY'99 is due to the fact that a 486 computer was donated to the chapter in FY'98. A Ford Van was also donated to the chapter in FY'98 6. The increase in non-cash assessts for FY'00 is due to the planned upgrade of the computer to meet Year 2000 compl~ance. BRIEFLY DESCRIBE HOW LOCAL FUNDS WERE SPENT LAST YEAR: In Fiscal Year '98, funds were spent to provide relief to victims of disasters and to teach individuals emergency prevention, preparedeness, and response skills. For the second year in a row we have had few costly disasters (the tornado of May 15 and windstorm of June 29 were funded by the national organization). jccoghs/xlbudg.xls - 2 - -495- 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. Private Foundations c. d. e. f. 3. Net Sales Of Services (sources) a. Class Fees b. c. 4 Net Sales of Materials b. c. 5. Contributions/Donations a. United Way Designated Giving b. Other Contributions 6. Special Events a. Holiday Baskets b. Road Races C. 7. Interest Income 8. Other - List Below a. b. c. TOTAL INCOME (same as p. 2, line Notes and Comments: AGENCY American Red Cross Grant Wood Area Chapter FY 98 FY 99 FY00 ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR 25,027] 25,952[ 29,935] 5,767 6,055 6,358 4,740 4,977 5,226 13,920 13,920 17,351 600 1,000 1,000 NON- ES HS DIRECTED PROGRAM PROGRAM FUNDING 1 2 2,2571 16,807I 10,871 0 3,815 2,543 0 3,136 2,090 2,257 9,056 6,038 0 800 200 3,1401 3,sool 4,o001 500 1,000 1,000 2,640 2,500 3,000 o I 2, ooo I2, ooo 0 1,000 0 0 1,000 2,000 31,7061 41,4781 42,3011 31,706 41,478 42,301 0 ] 0 ] 42,301 0 0 42,301 6,6701 11,4271 13,4371 6,670 11,427 13,437 0 I 0 [ 13,437 0 0 13,437 67,7171 97,5451 115,788 5,435 6,500 7,000 62,282 91,045 108,788 1,2731 4,6001 2,000 100 0 0 1,173 4,600 2,000 1,573 I 24,234] 24,961 ol ol o 15,0521 57,1131 43,623I 910 4,590 1,500 14,142 52,523 42,123 o] 1,2ool soo 0 0 0 0 1,200 800 12,4961 9,2361 3,2291 ol ol o 137,106 208,736 232,422 29,805 ! 86,356 116,261 ;-~nohe/Y1hndo YIg ' 3 ' PROGRAM EXPENDITURE 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. Morgage, Rent and Property Tax 8. Building & Maintenance 9. Equiptment Purchase/Rental 10. Utilities 11. Telephone 12. Office Supplies & Postage 13. Printing and Publicity 14. Local Transportation 15. Insurance 16. Audit 17. Interest 18. Other (Specify): Client Assist 19 Educational Materials 20 Disaster/Blood Supplies 21 Vehicle Expenses 22 Volunteer Rec./Supplies 23 Communication Supplies 24 Chapter Assessment 25 Suuport Allocation FY 98 FY 99 FY 00 NON- PROGRAM PROGRAM ACTUAL THIS YEAR BUDGETED DIRECTED 1 2 LAST YEAR PROJECTED NEXT YEAR FUNDING ES HS 48,469 85,239 89,810 15,933 25,413 48,464 8,340 24,722 28,013 4,961 7,875 15,177 543 1,798 1,906 513 993 400 447 366 425 38 281 106 0 150 150 0 60 90 191 550 433 76 145 212 8,820 17,388 17,808 1,781 7,123 8,904 37 474 500 50 150 300 1,170 2,227 4,276 812 1,198 2,266 711 1,817 1,869 187 561 1,121 4,447 3,492 6,832 615 1,913 4,304 2,438 3,482 5,927 297 2,667 2,963 1,951 3,146 10,625 532 4,781 5,312 659 350 675 0 50 625 0 544 570 108 160 302 394 218 215 41 60 114 0 0 0 0 0 0 8,390 15,050 15,075 0 15,075 0 10,976 12,969 13,329 0 350 12,979 477 600 1,016 0 716 300 710 600 800 270 200 330 380 827 819 41 409 369 0 0 80 0 80 0 20,175 19,556 17,492 2,448 9,621 5,423 26,725 13,121 13,777 1,102 6,475 ~ 6,200 TOTAL EXPENSES ( p. 2, line 2) 146,459 208,736 232,422 29,805 Notes and Comment 1. The large increase in salaries reflects the change in percentage of individual's time spent on Johnson County programs. Previous year's actuals were based on old percentages and did not reflect reality. 6. Mcraberships and Dues are for Iowa City Chamber of Commerce membership and Rotary membership for Site Director 7.Increase is due to the fact that we needed to doubled the space of our otticc June 1, 1998 to increase the space for classes and storage. 9.Increase for FY00 is for the purchase of a computer that is Year 2000 compliant. 11. Increase is needed to correct error in FY'99 budget. 13. Increase is due to actual cost ofnewsleuer and fundraising direct mail materials for Johnson County, approximatley 1/3 of the entire chapter cost. 18. Amount is based on five year history of cliont assistance in Johnson County. 20. Increase is due to addiitional blood drives and identification for disaster volunteers. jccoghs/xlbudg. xls - 4 - 86,356 116,261 .4c17. AGENCY American Red Cross Grant Wood Area Chapter F '/RICTED FUNDS: ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR Restricted by: Restricted for: Donor Local Disaster fema Local Assistance FY 98 FY 99 FY 00 2,241 - - 500 1,000 1,000 ~TOTAL REST _RICTED FUND(also shown page 2, line 4) 2741 i 1000 1000 MATCHING GRANTS Grantor/Matched by No matching grant TOTAL MATCHING GRANTS (also shown pg. 3, line 2) 0 0[ 0 IN-KIND SUPPORT DETAII, Services/Volunteers 26,972 27,321 28,687 Material Goods 1,000 400 500 Space, Utilities, etc. 3.96o 3,960 3,96o Other: (Please specify) Ford Van 4,500 0 0 [TOTAL IN-KIND SUPPORT (also shown on page 2, line 4) [ 35,4'3 ] 3 6si] 33,14'/ Notes and ConEents: S.~rvice/Volunteers: The volunteer in-kind services were figured at $6.50 per hour for clerical assistance, $8 per hour for disaster volunteers, $10 per hour CPR and First Aid Instructors, and $15 per hour for blood drive volunteers. Material Goods: In FY'98 we received a donation of a 486 computer. The additional in-kind donations are for food and other items used during times of disasters. -498- jeeogh/xlbudg.xh - 5 - SALARIED POSITIONS AGENCY American Red Cross Grant Wood Area Chap "X"all that a~ply FTE* Position/Title '~. ~- ~ ~ Last This Next Actual Year Year Year Last Year Site Director x x x 0 0.40 0.40 0.40 13,398 Executive Director x x x 0 0.10 0.10 0.10 4,918 Health and Safety Specialist x x x 0 0.00 1.00 1.00 0 Community Outreach Coot. x x x 0 0.70 0.00 0.00 12,299 Health and Safety Program Ass x x x 0 0.00 0.05 0.05 0 Emergency Outreach Coor. x x x 0 0.00 0.40 0.40 0 Emergency Services Director x x x 0 0.15 0.10 0.10 3,344 Health Services Director x x x 0 0.00 0.20 0.20 0 Asst. Dir Emergency Services x x x 0 0.05 0.10 0.10 497 Marketing Coordinator x x x 0 0.00 0.20 0.20 0 Communication Director x x x 0 0.10 0.20 0.20 1,647 Dir. of Financial Development x x x 0 0.00 0.30 0.30 Administrative Assistant x x x 1 0.05 0.05 0.05 281 Office Manager x x x 0 0.00 0.05 0.05 787 Accountant x x x 0 0.00 0.100 0.10 0 Fin. Svs. Director x x x 0 0.08 0.00 0.00 1,627 Workplace Instructor x 0 0.20 0.75 0.75 1,010 Johnson County Program Asst x x x 1 0.70 0.00 0.00 4,854 Coot. of Volunteers x x x 0 0.05 0.15 0.15 1,172 Admin. Support x x x 0 0.00 0.20 0.20 0 Night Duty Worker x 0 0.00 0.10 0.10 0 Assistant Health Services Dir x x x 0 0.15 0.00 0.00 2,635 Salary This Budgeted % Year Next Year Change 14,800 15,540 5% 6,292 6,607 5% 16,000 16,800 5% 0 0 0% 800 840 5% 7,400 7,770 5% 2,500 2,625 5% 4,646 4,878 5% 1,258 1,321 5% 3,500 4,000 14% 4,830 5,071 5% 9,600 10,080 5% 312 328 5% 1,050 1,102 5% 1,755 1,842 5% 0 0 0% 4,776 5,000 5% 0 0 0% 2,086 2, 190 5% 3,106 3,262 5% 528 554 5% 0 0 0% TOTAL F'I~'s and SALARIES [. 3.08.4.45 * Full-time equivalent: 1.0--full-time; 0.5=half-time; etc. 4.45 48,469 85,239 89,810 5% jccoghs/xlbudg. xls - 6 - .4aa_ AGENCY: American Red Cross Grant Wood Area Chapter Johnson County Office ACCOUNTABILITY QUESTIONNAIRE Agency's Mission Statement or Primary Purpose: The American Red Cross, a humanitarian organization led by volunteers and guided by its ConFessional 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 Directors (pg 7A) 2. Frequency of meetings: monthly 3. Briefly describe board orientation and ongoing training opportunities: Each board member has an initial one- on- one orientation with a current board member. This is followed by a three-hour group orientation that includes information on the scope of all Red Cross services, the roles and responsibilities of board members, chapter administrative procedures, and fiscal accountability. Board members are offered at least three ongoing training opportunities each year. Board members can attend both the State and National Red Cross conventions and the other leadership trainings including a yearly fund-raising workshop. Finances: 1. Are there fees for any of your services? Yes x No __ a. If YES, describe circumstances. 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. b. Are they flat fees sometimes or sliding fees sometimes ? Full or partial scholarships are offered to individuals based on need. 2. Does your agency have: an internal audit __ external audit x financial review Frequency yearly 3. Has you agency flied the Annual Report with the Secretary of State? Yes x No 4. Has you agency filed Form 990 with the IRS? Yes ?~ 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 are implementing the strategic plan. Each year there is also a Board campaign and a staff campaign. Management: ~ 1. Does each professional staff have a written jolY 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 Board Chairman -7- -500- Dennis Braksiek Dr. Lon Butikofer Jane Carson T. J. Croco Tammy Danover Dr. Doris Dartey Beth A. Freeman Kay Henry Jack Laugen Dr. James Manville Harold Miller losie Krogness Phelps Denise Piper, RN Eldon Pugh Dick Ransom Ron Ricldefs Charlie Rohde, Jr. Nancylee Siebenmann BOARD OF DIRECTORS GRANT WOOD AREA CHAPTER, AMERICAN RED CROSS Fir 1998-1999 Board Member Board Member Board Member Health Services Chair Treasurer & Finance Communications Chair Board Member Volunteer Chair Board Member Board Member Board Member Board Member International Services Chair Vice Chair/Chair Elect & Audit Cornre. Chair Board Member Bylaws/Human Resources Chair Facilities Chair Board Member Special Agent, Northwestern Mutual Life Administrator/CEO, Delaware Co. Memorial Hospital & V. P. Health Enterprises Retired Counselor, Amana Schools President, Heritage Bank Committee Chair Assistant Professor & Chair, Public Relations, Mt. Mercy College Regional Director, U.S. Gov't., Senator Tom Harkin's Office Community Volunteer Semi-retired Devel. Consultant, Coe College Retired Retired Realtor, Relocation Specialist, Iowa Realty Hospice, St. Luke's Hospital Retired President, Hall & Hall Engineers, Inc. / Attorney President, King's Material, Inc. Retired Clare Slattery Henry Small Secretary & Blood Services Chair Board Member AGENCY: American Red Cross Grant Wood Area Chapter - Johnson County Office President, Heritage Property Management Principal, Hoover Elementary School Peter Teahen Pete Thompson Jim Thomson Dale Todd James Wasta Gary Wickland Don Zierath Service Delivery & Emergency Services Chair Board Member Chapter Chair Government Relations Chair Financial Development Chair Board Member Board Development Chair Director, Teahen Funeral Home Retired District Director, Small Business Administration Parks Commissioner, City of Cedar Rapids Chairman of the Board, Pioneer Office Products Vice President, The Freedom Group Retired 9/22/98 -7Aa AGENCY: American Red Cross Grant Wood Area Chapter Johnson County Office Programs/S ervices: Please define your agency's units of service (service definition, length of time, cost per unit 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 FY97 FY98 1. How many Johnson County residents (including Iowa City and Coralvi!le did your agency serve? 2. How many Iowa City residents did your agency serve? la. Duplicated Count 3,422* 3,432* lb. Unduplicated Count 3,422* 3,432* 2a. Duplicated Count 1,947 * 2,047* 2b. Unduplieated Count 1,947 * 2,047* 3. How many Coralville residents did your 3a. Duplicated agency serve? Count 1,327 * 1,319' 3b. Unduplicated Count 1,327 * 1,319' 6,374 6,378 4. How many units of service did your agency 4a. Total provide? 4b. To Johnson County Residents 3,422 * 3,432* · 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 generated from participants living in the other four counties. -8- -5o3- AGENCY: American Red Cross Grant Wood Area Chapter Johnson County Office 6. Client Profile (for last complete year, if available): Age, gender, and ethnicity information is not available for clients served. This is due to the fact that some clients do not provide this information. Age Gender Ethnicity 0 - 5 13 M 2.398 African American 45 6 - 17 3,096 F 2,825 Native American 91 18 - 29 622 Asian 30 30 - 61 1,477 Hispanic 40 62 - 75 13 White 4.882 75+ 0 Multi-racial 30 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. These standards are then measured against the National Standards of Excellence. 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 satisf':ed. What plans does your agency have to increase efficiency and effectiveness? The Red Cross will start a third phase of strategic planning during November 1998. The strategic plan is developed with a partnership between the chapter program directors and the Board of Directors. This past year, chapter staff attended additional training on developing outcome objectives and evaluation procedures. We 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: An ever increasing aging population 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. Johnson County continues to become a larger multi-cultural community. This will have an impact on our Emergency Services program. There will be more requests for International Tracing assistance and for utilizing a language team to assist with clients who English is not their first language. -9- -504- 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 continue to enhance our efforts to recruit volunteers from the permanent population of Johnson County. Additional vohmteers 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? 31 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) as g- h. i. Agency Directon Meeting x Agencies Representative to Funding Hearings Business Blitz x Day of Caring __ Executive Development Seminan x Kick Off x , Victory Reception x Volunteer Action Center x Other X -10- -505- AGENCY: American Red Cross Grant Wood Area Chapter Johnson County Office AGENCY HISTORY (Using this age ONLY, please summarize the history of your agency, emphasizing Johnson County, past and current activities and future plans. Please update annually.) The mission of the American Red Cross is to provide relief to disaster victims and help individuals prevent, prepare for, and respond to emergencies. Since 1881, people have turned to the American Red Cross for emergency services. Although the Red Cross is not a government agency and receives no direct government funding, it is chartered by the Congress to provide services to members of the U.S. Armed Forces and to disaster victims. In 1917, the American Red Cross began providing humanitarian services relating to meeting emergency needs and health and safety programs to the people in Johnson County. The Johnson County office plays a vital role in the county' s emergency response. During the past year we have had our emergency plan tested several times with county-wide disasters, such as the tornado of May 15 and the windstorm of June 29. Our volunteers showed they have the commitment and training to be able to respond effectively to large disasters. However, these events also indicated to us that we must continue to recruit new disaster volunteers from the non-student population of Johnson County. We decided to restructure the job duties of the paid staff in the Johnson County effective July 1, 1998. The purpose of the restructuring was to align staff with a particular service. Instead of having two people provide assistance to the public in all Red Cross service areas, it was decided that it would be more effective and efficient to have each staff member assigned to one program. There is now a full-time Health and Safety Services Specialist responsible for CPR, First Aid and Water Safety classes and blood drives and one part-time staff member responsible for the Emergency Services program in Johnson County. In June of 1998, we doubled our office space. The increased area will allow us to hold more frequent and larger classes and have storage space for crucial disaster relief supplies. Previously the majority of disaster supplies were kept in Cedar Rapids and transported to Johnson County when needed. The American Red Cross will continue to be a leader in human services in the community. During the next fiscal year, we will again focus on strengthening our volunteer resources by concentrating our recruitment efforts for the permanent residents of Johnson County. We also began an evaluation process of the CPR and First Aid programs that will assist us in continuing to provide high quality programs in which students are confident of utilizing the skills taught. -11- -506- AGENCY:American Red CrossGrant Wood Area Chapter Johnson County Office Objective: Progress: Objective: Progress: Objective: Progress: FISCAL YEAR 1998 OBJECTIVE PROGRESS Emergency Services Construct a strategic plan for Johnson County Emergency Services programming in the next decade. The objective is not completed. In 1998, the Emergency Services Council was put in place to assist in the determining the future direction of Emergency Services for the chapter. Policy recommendations, service program recommendations, and volunteer recruitment are amount the goals of the Council. A chapter-wide strategic planning process will begin November 1998. Increase disaster volunteer development in Johnson County. This goal was successfully completed. Six new disaster volunteers were recruited and trained in 1998. Enrich education activities in Disaster Community Education. This objective was been successfully completed. Two Battery-Up programs were conducted in partnership with area fire departments. Objective: Progress: Objective: Progress: HEALTH SERVICES Instruct a minimum of 2, 195 individuals in Johnson County in CPR and First Aid techniques. Last year 1,988 individuals were trained. An increased number of cancelled classes and low enrollment in the community classes can account for not reaching this objective. Classes were cancelled due to low enrollment and/or no available instructor to teach the class. The number of businesses trained in FY'98 increlased from the previous fiscal year. Fifteen new businesses trained their employees in lifesaving techniques. Instruct a minimum of 3,700 individuals in Johnson County in water safety and lifeguarding skills in partnership with local water safbty organizations. In FY'98, we instructed 3,130 individuals in water safety and lifeguarding skills. This is 570 less than our projected number of participants. Greater effort in FY'00 will be made to promote Red Cross water safety programs that are offered in partnership with area parks and recreation departments. -12- -507- AGENCY: American Red Cross Grant Wood Area Chapter Johnson County Office Objective: Serve as an AIDS information resource to local AIDS organizations, schools, and other social services agencies. Progress: During FY'98, we worked with eleven different agencies and organizations to provide information and training. We collaborated in planning events for AIDS awareness month and World AIDS Day. New instructors were not 17ained due to a change in the instructor materials. The materials were released in late FY'98. -508- -13- 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 2000 OBJECTIVES Goal To assist people in Johnson County in preparing for, preventing and responding to emergency disaster 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 disaster, political unrest or war. Objective: Increase community awareness of Emergency Services offered by the Grant Wood Area Chapter of the American Red Cross. Tasks: 1. Survey 300 households in Johnson County to determine the knowledge citizens have of the American Red Cross and services offered. Offer educational programs, such as Disaster Dudes, to Johnson County schools. 3. Post Emergency Services news items in libraries. Talk to community services clubs about Emergency Services offered by the Grant Wood Area Chapter of the American Red Cross. Resurvey the 300 households previously surveyed to determine their if there has been a change in their knowledge of Emergency Services provided by the American Red Cross. Objective: Task: Increase disaster volunteers in Johnson County by 30 percent, six to ten more volunteers. 1. Establish a regular monthly program to promote volunteerism by being~ guest-speakers for area community church organizations and groups. 2. Participate in volunteer fairs specifically targeted to adults established in the community. 3. Develop and implement a system to follow-up with and place individuals intereste,~ in becoming disaster volunteers. -14- -509- Objective: Task: AGENCY: American Red Cross Grant Wood Area Chapter Johnson County Office Offer educational programs, in every town (eleven) in Johnson County, to teach communities disaster prevention and emergency action skills. Plan, promote and actively participate in eleven Battery-UP fire prevention and education programs which provides smoke detectors to needy families. Offer Disaster Dudes training in at least five elementary schools in Johnson County. Establish two high school disaster teams in Johnson County which would support the Disaster Action Team during .times of large scale disasters. Objective: Task: Increase awareness of Emergency Services for active-duty military members and their families in Johnson County. Meet with the military units in Johnson County and plan a special military education program. Invite active-military families to an informational day to educate families of how they can complete emergency communications in time of need. -510- Objective: Task: Objective: Create an active language team to increase communications for foreign. language speaking disaster victims. Offer introduction to disaster services for those volunteers and students who can help with communications when a non English speaking family experiences a disaster. Offer three disaster training classes to those who have English as a second language. Have two members from the language team complete all needed classes to become a member of the Disaster Services Human Resources National response team. ' Increase awareness in the commtmity of the chapter's role in the International Red Cross Movement. Attend and participate in International Global Careers Day seminars offered at the University of Iowa by the International Programs Department. Conduct one Tracing and Intemational Social Services class in Johnson County. -15- AGENCY: American Red Cross Grant Wood Area Chapter Johnson County Office , Conduct two Orientation to International Services classes in Johnson County. Resources needed to accomplish program tasks: 2. 3. 4. 5. 6. 7. 8. Six to ten new Disaster volunteers Five new student/youth Disaster volunteers Training materials Brochures and educational materials Part-time Emergency Outreach Coordinator Identification materials for disaster volunteers Training Conference funds for classes offered outside Johnson County Battery-UP materials Cost of Program: FY 98: FY99: FY00: $54,190 $77,232 $86,356 -16- AGENCY: American Red Cross Grant Wood Area Chapter Johnson County Office GOAL: OBJECTIVE: TASKS: HEALTH AND SAFETY SERVICES FY 2000 OBJECTIVES To educate Johnson County residents so they can respond to accidents and emergencies. Instruct a minimum of 2,206 individuals in Johnson County in CPR and First Aid techniques. 1. Develop, print and distribute a CPR and First Aid course schedule. Conduct "CPR Saturday" in Johnson County with a minimum of 100 participants. 3. Recruit and train a minimum of 12 new CPR and First Aid instructors. 4. Recruit and train one new instructor trainer. Promote Authorized Provider plan to local non-profit organizations and agencies to increase the number of persons who are exposed to CPR and First Aid. Train at least 6 current instructors in the American Red Cross Babysitter come. Promote the American Red Cross Babysitter course to local youth groups, schools and churches. OBJECTIVE: TASKS: A minimum of 95% of the individuals participating in CPR and First Aid training will be certified and/or have the confidence and knowledge to respond appropriately in emergency situations. Consistently use evaluations to monitor participants knowledge and confidence levels. , Regularly assess course evaluations to determine participants attitude about and confidence in training. Conduct an annual reassessment of the evaluation form to determine effectiveness and value. -512- -17- AGENCY American Red Cross Grant Wood Area Chapter Johnson County Office OBJECTIVE: TASKS: Establish a peer evaluation committee of volunteer instructors who have been trained to do evaluations of other volunteer instructors. 1. Select appropriate volunteers for evaluation committee. Design program for fair, impartial and accurate assessment of instructors, their teaching techniques and adherence to American Red Cross Instructor guidelines. GOAL: OBJECTIVE: TASKS: OBJECTIVE: TASKS: Through partnership with local water safety organizations, provide water safety, lifeguarding and small craft safety training. Instruct 3,900 individuals in water safety, lifeguarding and small craft safety. Meet with local aquatic directors to identify needs for their water safety and lifeguarding instructor classes. Schedule necessary water safety and lifeguarding courses to ensure local needs are met. Work with aquatic directors to promote water safety classes and programs to Johnson County residents. 4. Train at least six instructors in Small Craft Safety. , Arrange classes at appropriate locations, (lakes, streams, rivers) to teach personal water craft, canoeing, kayaking and sailing safety skills to a minimum of 50 individuals. At least 65% of individuals who take water safety classes will have the knowledge and skills to enable them to reduce their risk of drowning. (This seemingly low percentage reflects the fact that many Level I through III students need to take the class at least twice before passing the course.) In partnership with local water safety organizations, ensure inst~ructor and course guidelines are in compliance with American Red Cross policy. Provide adequate oppommity to train the appropriate number of Water Safety Aides and Water Safety Instructors to meet the needs of local water safety organizations offering American Red Cross programs. -18- -513- AGENCY: American Red Cross Grant Wood Area Chapter Johnson County Office GOAL: OBJECTIVE: TASKS: To promote HIV/AIDS prevention and education to youth and the general public. Serve as an AIDS information resource to local AIDS organizations, schools, and other social services agencies. Train 25 peer educators in Johnson County High Schools to disseminate accurate, up-to-date information about AIDS. 2. Survey the local agencies for the information and training needs. Continue to partner on AIDS awareness activities for AIDS awareness month and World AIDS Day. GOAL: OBJECTIVE: TASKS: In Partnership with Badger-Hawkeye Blood Region, collect blood for human needs. Collect 1,200 units of blood in Johnson County. Increase Blood Donor awareness through media, public forums and direct mailings, 2. Increase Blood Donor participation by 5% throughout Johnson County. In partnership with area businesses, develop program to send employees to regularly scheduled blood drives or to schedule in-house blood drives. RESOURCES NEEDED TO ACCOMPLISH PROGRAM TASKS: 2. 3. 4. Equipment, materials and promotional materials for Small Craft Safety Course. Promotional materials for Blood Donor awareness campaigns. Promotional materials for CPR, First Aid and Water Safety programs Instructor Training costs for Small Craft Safety, Babysitting, and HIV/AIDS peer education program. Marketing Coordinator COST OF PROGRAM: FY 98: $ 73,229 FY 99: $104,368 FY 00: $116,261 -19- -514- HUMAN SERVICE AGENCY BUDGET FORM City of Coralvie ~lohnson County City of Iowa City United Way of Johnson County CHECK YOUR AGENCY'S BUDGET YEAR 1/1/99-12/31/99 4/1/99 -- 3/31/00 7/1199 -- 6/30/00 X Director: Na nc.y 5 pa 1 .i Agency Name:School Childrens Address:509 5 Dubuque Street, Phone: 339-6800 Completed by:Nancy Spal Approved by Chair: . on / Y 10/1199 -- 9/30/~ Iowa Cit3 IA 5224C COVER PAGE Progmm Summan/:(Please number pmgmms to coffespond to lncome & Expense Detail, i.e. Progmm 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. Medication-provided for school-aged children in Johnson County in need of financie' assistance. 5. Miscellaneous-payment for needed x-rays, supplies, etc. 6. School supplies-supplies of paper, pencfls, scissors, paints, etc. 7. Dental care-provided for school-aged children in Johnson County in financial ass- istance. 8. Clothing for emergencies-supplies of clothing to be kept in each school builc:ing. 9. tClass fees-registration for classes to meet students' needs. Local Funding Summan/: United Way of Johnson County - Does Not Include Designated Gvg. City of Iowa City Johnson County City of Coralville 4/1/97 - 4/1/98 - 4/1/99 - 3/31/98 3/31/99 3/31/00 7016 ~500 91t&6 FY98 FY99 FYO0 % of Total Budget 48% -1- -515- School ?hildrens Aid BUDGET SUMMARY Enter Your Agency's Budget Year --> 1. TOTAL OPERATING BUDGET (Total a + b) Carryover Balance (Cash from line 3, previous col- ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR 97 98 99 19187 ~8943 19343 am umn) 279 720 b. Income (Cash) 18908 18223 2. TOTAL EXPENDITURES (Total a + b) 18457 a. Administration 0 0 b. Program total (List Programs below) 18467 17400 1. glasses 3166 2000 2. clothinq for individuals 8281 10000 3. medical 2601 1200 4. medication 2499 2000 5. miscellaneous 843 1000 6. school supplies 425 200 7. dental care 293 200 8. clothing for emergencies 320 300 9. class fees 40 500 3. ENDING OPERATING BALANCE (Subtract 2 - 1) 720 (1) 543 4. RESTRICTED FUND BALANCE (Total from page 7) 5. IN-KIND SUPPORT (Total from page 7) 10192 10908 6. NON-CASH ASSETS Notes 'and Comments: 1. All funds are general operating funds. 543 18800 18450 0 18450 3QQQ 9000 2500 2500 -300' 250 200 500 200 (1) 893(1) 11283 *Briefly describe how localfunds were spentlastyear: directly to school-aged children. All funds were spent to provide services -2- -516- INCOME DETAIL 1. Local Funolng Sources a. Johnson County b. City of Iowa City c. United Way d. City of Corah,lle e. f. 2. Grants. State, Federal, Foundations l. c. 3. Nat Sales of Services (sources) L Fee adjustment h. c. 4. Nat Sales of Materials (sources) a. b. c. 5. Contn'butionslDonations a. United Way Designated Giving b. Othur Contributions 6. Special Evems a.Iowa City Road Races b. e. 7. Interest Income 8. Other- List Below Including Miscellaneous a. Donated credit h. Parent payment c. Miscellaneous TOTAL INCOME (shown also on patio 2, line lb) Notes and Cmnts: 1997 A~UAL ~ST YEAR 7018 7018 N/A 300 300 N/A 10248 3114 7134 1099 1099 I N/A I 243 95 14t 4 118908 AGENCY School Children's Aid 1998 1999 glasses clothes-i. nd, THIS YEAR BUDGETED liON- PROGRAM PROGRAM PROJECTED NEXT YEAR DIRECTED 1 2 FUNDING 8129 9014 3000 1014 8129".'- N/A 9014 N/A 300 300 309 300 N/A N/A 8685 U136~ 4985 4000 3700 4136 957 1200 957 1200 N/A N/A 152 I 150 I / 70 50 72 50 10 50 I 18113 18800 I 3000 1014 J7986 3850 4136 3000 9000 -3- -517- School Childrens Aid INCOME DETAIL (continued) 1. Local Fu~rm Sources Johnson County b, City of Iowa City c. UniTed Way d, City of Coralv~e f. 2, Grants* State, Federal Foundations a, b, c, d, 3. Net Sales of Services (sources) a, :Fee ad.iustment b. c. 4, Net Sales of Materials (sources) a, b, c, 5, Contrlations/Donat~ons a, United Way Designated Giving b, OTher Contributions 6, Special Events- List Belrav a. Iowa City Road Races b. c. 7. interest Incone 8, Other* List Below Including Misce~aeeous a, Donated Credit b, Parent payment c, Mi Sc TOTAL INCOME (shown also on page 2, fine lb) Notes and Conrnents: AGFNCY ~chool Childrens Aid r-ledical Meds Misc Sch Supp Dent PROGRAM PROGRAM PROGRAM PROGRAM PROGRAM 3 4 5 6 7 2500 2500 25O0 2500 300 300 150 150 350. 150 350 150 12500 I 250o I 650 I clothes-emerg PROGRAM 8 I 500 500 I I Izoo l5o I 50 50 50 25ol zoo I 500 -518- - 3a- INCOME DETAIL (continued) 1. Local Funding Sources a. Johnson County b. City of Iowa City c. United Way d, City of CoralviDe f, 2. Grams- State, Federal Foundations b. 3. Net Sales of Services (sources) l. b. 4. Net Sales of Marquis (sources) II h C. 5. Coetntutions/Donations a. United Way Designated Giving b. Other Contrtutions 6. Special Events- List Below a. Iowa City Road Races b. 7. Interest Income 8. Other- List Below including Miscellaneous a. b. c. TOTAL INCOME (shown also on page 2, line Ib) Notes and Comments: AGENCY ClaSS fees PROGRAM PROGRAM 3 4 200 200 200 J School Chil drens Aid PROGRAM PROGRAM J PROGRAM PROGRAM 5 6 7 8 I , I I I I 3b -519- PROGRAM EXPEIDITURE DETAIL 1. Subties 2. Eml~oyee 9enef'ds and Taxes 3. Staff Oevdolmst 4. Professional Constitution ~. 1 ) 5. PubicaS and Sabsaiptkms 6. mmandMmemhim 7. MoelOage, Rent, and PmFety Tax 8. Bating and Maintea 9. Equiixmmt Purchaxefiieal~aintemace 10. LIt/ties 11. Tde~ 12. Of~ceSul~ondrostage 13. Priming and Pu~ 14. Loca/Transportation 15. Instance 16. Audit 17. Interest 18. Ode (Specify):. 19. Financial assistance 20. Misc School supplies 22. 23. 24. 25. TOTAL EXPENSES (shown also on page 2, Hne 2) Notes and Grants: (1) Professional cons,ltation ACTUAL LAST YEAR 0 N/A N/~ 2894 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 14305 043 425 18467 AGENCY THIS YEAR PROJECTED O. N/A N/A 1400 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 15800 1000 200 18400 School BUDGETED NEXT YEAR 0 N/A 2700 N/A N/A N/A N/A N/A NIA N/A N/A N/A N/A N/A N/A N/A N/A 15200 300. 250 18450 Childtens Aid glasses PROGRAM ADMIN. 1 1400 1600 3000 Ind clothes PROGRAM 2 9O00 9000 -520- -4- PROGRAM EXPENDITURE DETAIL (contimed) I. Salarbs 2. Employee Benef, s and Taxn 3. Staff Devebpment 4. Professional Consultation 6. Dues and Membeships 7. Mortgage. Rent and Property Tax 8. Butcing Maintenance 10. Ut~ties 11. Telephone 12. Off'a SuppRes and Postage 13. Printing amJ PubnciW 14. Local Transportation 15. lesmence 16. Aucat 17. Interest 18. Othe (Specify): 19. Financial assistance 20. 21.. 2.2. 23. 24. 25. TOTAL EXPENSES (Show also on page 2, I~ne 2b) Notes and Comments: (1) prof consult M~dical PROGRAM 3 11oo(1 1400 2500 I AGENCY Neds PROGRAM 4 2500 2580 School Childrens Aid Misc Sch Supp Dental PROGRAM PROGRAM PROGRAM 5 6 7 200(1) 300 250 3UO _J 250 I zOO emerg-c' othes PROGRAM 8 500 J 500 - 4a - -521 - 2. 3. 4. 5. 6. 7. 8. 9, 10. 11, 12. 13. 14. 15. 16. 17, 18. 19. 20. 21, 22. 23. 24. 25. PROGRAM EXPENDITURE DETAIL Employee Benefits and Taxn Staff DevelopmeN Professional Consultation Dues and M~ Mortgage, Rent and Propely Tax euatma Maintenance Uttties Tdepme OffaSuppr~androstee Local Transportation Amit Interest Fi nancial assistance TOTAL EXPENSES (Show also on page 2, Ere 2b) Notes and Comments: AGENCY Class fees PROGRAM PROGRAM 3 4 200 School PROGRAM 5 Childrens PROGRAM 6 Aid PROGRAM 7 PROGRAM 8 -522- 4b AGENCY School Chi Idrens Aid RESTRICTED FUNDS Resttictedby:. Restdcted for:. ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR 97 98 99 Total Restricted Fads (also shown page 2, Due 4) MATCHleG GRANTS Grantor/Matched by:. Total Matchiag Grams (also shown on page 3, line 2) IN-KIND SUPPORT DETAIL Sa~v~mm 125 volunteers e $22.50/hr Mat~leee~ donated used clothes & school supplies S~a~u~c. sec, posl~ge, supplies, phone Othec {i~eaes~y)4 mi/work L~ 31C/mile reduced charges for glasses & prof consultation TOTAL IN-KIND SUPPORT (Shown also on page 2, line 5) 2812 2812 2965(1) 3800(2) 3144 3369 52 52 1219(4) 875(5)- 10192 10908 NmHa~Comnems: 1. includes ~hool supplies for 1675 students ~$15 each 2. includes school supplies for 180 students @$20 each 3. includes school supplies for 200 students @$20 each 4. includes 31 eye exams at $35 each 5. includes 25 eye exams @ $35 each 6. includes 30 eye exams e$35 each -5- 2812 4000(3) S369 52 o5o(o; 11283 -523- SALARIED POSITIONS Position Sa]Rries & Benefits are covered bY the IC Community School District Paid Lye "X" all that apply Health Retke Ins Plan AGENCY School Childrens Aid % Last This Next Benefhs Year Year Year ACTUAL THIS BUDGET- LAST YEAR ED YEAR PROJECT- NEXT ED YEAR % CHANGE -524- Total Salaries & FTE 'Fuil*time equivalent: 1.0 - full-tk'ne;0.5 - half-time;etc. -6- jccoghs%budgeb?..doc AGENCY: School Children's Aid ACCOUNTABILITY QUESTIONNAIRE A. Agency's Mission StatementorPrima~ Pu~ose: To provide assistance (medical, dental, glasses, clothing) for needy school children that will result'in the student's more successfuR participation in the school rogram. B. Board of Direc~rs: Please attach a list of your agencys Board of Directors (page 1A) Frequency of meetings: N/A Bdefly describe board orientation and ongoing training opportunities: -Our staff consists of Nancy Spalj, Sue Dombroski and Aimee 5hibata. We comnunicate every day and share'information and responsibil ities. Finances: 1. Are them fees for any of your services? Yes __ No X a. If YES, describe drcumstances. b. Are they fiat fees or sliding fees ? 2. Does your agency have: an intemal audit external audit financial review X Frequency ann u a 11 y 3. Has your agency filed the Annual Report with the SecretaW of State? Yes No X 4. Has your agency filed Form 990 with the IRS? Yes X No 5. Pleasediscussyouragencys ~ndmising efforts,~applicable. Communication with faculty through i.ndistrict newsletter and informal presentations. We also send requests to local churches. Businesses have recentl learned of organization and donated money and school supplies. Managemen~ our 1. Does each professional staff have a written job description? Yes X No Yes ated every 3 years by AGENCY superintendent for overall job performance. Program/Services: Please define your agency's units of service (service de~nitiog, length of time, cost per unit of ~ervice, number of units provided, direct or indirect.) A unit of service is defined as an interaction with a student and the family that provides a specific service and/or material ~B Sl~plT~ni~nllJ)tic~nhSbo~Ut~t~eRLl~ s~q~n/g~J'~a(~F t)E~i~(~ ~as~ {~vo$ E~ll~te budget years. Refer to form instructions for definition of duplicated and unduplicated. -7- -525- AGENCY: Schnnl Children's Aid 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? Enter Years 96 97 la. Duplicated Count 508 544 lb. Unduplicated Count 383 40S 2a. Duplicated Count 309 ~44 2b. Unduplicated Count 757 326 3a. Duplicated Count 199 43 3b. Unduplicated Count 52 4 0 5'08 544 How many units of service did your agency provide? 4a. Total 4b. To Johnson County Residents 1997 number of students receiving school supplies 5. Other Areas Served: Do you provide services to areas outside of Johnson County? Area(s) served: rl/A Services provided: N/A No 5'08 5'44 165 Funding Sources: N/A AGENCY Client Profile (for last complete year, if available): Age Gender Ethnicity 0 -. 5 Female African Amedcan 6 - 17 Male Native American 18 - 29 Asian 30 - 61 Hispanic 62 - 75 Caucasian/Non-Hispanii; 75+ Multi-racial We use our equity statement which is enclosed. We do not keep data ask individuals what their gender or ethnicit.y is, but our funds are available to all students. We do require that they be of school :ge. -526- -8- I=~XJITY STATRAENT 509 ..R. Dubuque SUeet, 339-6800 or 339-6884. She ,all discuss the situation with you and if you wish, help you file a grievance. -8a- AGENCY: School Children's Aid Evaluation and Review: A. Please discuss how your agency measures the success of its programs. The success of our program is measured in small ways. A student is more comfortable in school because they have shoes that fit or a coat that keeps them warm. They can see a blackboard or read better because of glasses. B. Does your agency have performance objectives? (Give several examples) The criteria used to determine eligibility for School Children's Aid funding is the same as that used to determine free or reduced lunch. There is some limit to the amount allowed for each family, $25/child for clothes or shoes; and $100/glasses. C. What plans does your agency have to increase efficiency and effectiveness? We have set some time constraints so clients can utilize other opportunities in the community, i.e.. 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. We expect an increase in need of change in our population and the 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. The I Hawk state supplemental insurance will benefit all children. This may assist us with the increasing need for medical services and treatments. AGENCY: School Children's Aid 9. Please discussanyotherproblemsor~ctorsrelevanttoyouragency'sprograms,~nding or se~icedelive~: The number of requests is especially high the first thing in the fall when we are very busy. We are working to set some more efficient procedures to effectively meet these deamnds. 10. List complain~ aboutyourservicesofwhichyou areaware: Not aware of any complaints. 11. Do you have a waiting list or have you had to tum people away for lack of ability to serve them? What measures do you feel can be taken to resolve this problem: Not this year. In of funds. We have run out of funds. 1996, due b lack of funds, we had a moratorium of spending limited the amount of spending per family to we won't How many people are currently on your waiting list? N/A 12. In whatway(s)areyouragency'sservicaspublicized? 1. Word of mouth 2. Flyer which explains our history and purpose 3. Informal presentations to staff 13. United Way involvement by your agency: ("X" if agency parti.cipates) Agency Directors Meetings Agencies Representative to Funding Hearings Business Blitz Day of Caring Kick Off Victory Reception Other WP give of our time to our agency by shopping after hours, making home visits, etc. AGENCY -10- -529- 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 Aid 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 1971, School Children's Aid became a member agency of United Way of Jo.hnson County. Our purpose remains to provide financial assistance for the purchase of health services (medical, dental, glasses, clothing) for identified school children who have health problems that would interfere with the successful participation in th~! school program. See Agency Program Goals and Objectives Statement, pg. 12. AGENCY: School Children's Aid FY98 GOALS: Please state FY98 goals and report status of progress/completion. GOAL: Year 1998 GOALS To provide financial assistance for the purchase of health services for identified school children who have health problems that would interfere with full participation in the school program. Objective A: In 1998, to 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 at 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, to 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. 1998 Evaluation of Goals and Objectives: Objective A: School Children's Aid Fund provided for the health needs of 408 Johnson County children. One hundred and ten children received medication, glasses and other medical attention; 298 children received clothing, shoes or other services that enabled them to participate in the school program. Objective B: The volunteer coordinator with the school district resigned a,~d several months passed before a new person wa~ hired. Staff will continue to work with the new director. Objective C: The School Children's Aid Fund received additional funding from Drug Town, MCI and honorary and memorial donations from individuals. -531 - AGENCY: School Children's Aid AGENCY PROGRAM GOALS AND OBJECYIVES (Several pages are provided, please add any additional pages you may need with your agency name as a header.) Year 1999 GOALS GOAL: To provide finandal assistance for pUrchase of health services for identified school children who have health problems that would interfere with full participation in the school program. Objective A in 1999 Provide for the health care needs of at least 150 school-aged children in Johnson County. In addition, School Children's Aid Fund will provide needed clothing/shoes for 200 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. Task 3: Develop a brochure that will inform staff about the School Children's Aid Fund and how it can be accessed. Objective B in 1999 Task 1: Identify two volunteers who can assist in school supply distribution in the fall. Task 2: Identify and train two volunteers who can assist with purchasing clothing/shoes throughout the school year. Objective C in 1999 Task 1: Continue to encourage Hospice Race participation by more Iowa City Community School District staff. , ~ Task 2: Continue to apply for funds from churches and local businesses. 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 1/1/99-12/31/99 4/1/99 -- 3/31/00 7/1/99 -- 6/30/00 X Director: Agency Name: Address: Phone: Completed by: Approved by Chair: 10/1/99 -- 9/30/0O on Dr. Howard Cowen Special Care Program Dental Science Bldg. 335-6961 Dr. war owe 9/28/98 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 counties surrounding and including Johnson County. The program now serves four nursing homes in Johnson County, The Mobile Dental Program operates on a rotational schedule with approximately 12 months elapsing between a visit to Johnson County facilities. To maintain continuity of care, a preventive maintenance program (i,e., cleaning and fluoride treatments, etc.) is offered to participating nursing home residents every 6 months. The Portable Outreach Program will continue as an extension of our mobile dental program to see various populations whose access to dental care is difficult. This may include the homebound, nursing home residents needing care in-between GMU visits, hospice patients and the homeless. The Special Care Clinic (SCC) provides complete dental services by specially trained staff at the University of Iowa College of Dentistry. It is designed especially for the care of the elderly and medically complex, and physically cornpromised adult. Assistance is provided in arranging transportation and financial support for the patients if needed. We are requesting United Way funds to provide dental care to the residents of the 4 participating Johnson County nursing homes, patients seen in the Special Care Clinic and patients seen in the Portable Outreach Program who could not otherwise afford to have needed dental treatment, including the homebound and hospice patients. Local Funding Summary: United Way of Johnson County '- Does Not Include Designated Gvg. City of Iowa City Johnson County City of Coralville 4/1/97 - 4/1/98 - 4/1/99 - % of Total 3/31/98 3/31/99 3/31/00 Budget $ 11,260 $ 14,,000 $ 14,000 .62 ~ FY98 FY99 FYO0 -1- BUDGET SUMMARY Enter Your Agency's Budget Year -~ 1. TOTAL OPERATING BUDGET (Total a + b) a. Carryover Balance (Cash from line 3, previous col- umn) b. Income (Cash) 2. TOTAL EXPENDITURES (Total a + b) a. Administration b. Program total (List Programs below) 1. Dental Services 2. 3. 4. 5. 6. 7. 8. ACTUAL LAST YEAR FY98 5,026 (~2,436) ,462 ~14,156'* ~14,156 $14,156 THIS YEAR PROJECTED FY99 $24,120 870 $23,250 $23,500 $23,500 $23,500 BUDGETED NEXT YEAR FYO0 $22,370 620 $21,750 $22,000 $22,000 $22,000 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: This is general operating funds 870 $36,750 620 $39,150 * * This includes: 1 ) $8,550 to Special Care Clinic and nursing home residents 2) $3,086 to Homeless Persons 3) $2,520 to Johnson County indigents *Briefly describe how local funds were spent last year: These funds were spent for direct dental services such as: exams, cleanings, extractions, root canals, and removable dental appliances (e.g., dentures and partials). x-rays, 370 $41,150 fillings, -2- AGENCY Special Care Program INCOME DETAIL 1. Local Fundina Sources a. Johnson County b. City of Iowa City c. United Way d. City of Coralville e. Johnson County DHS f. 2. Grants- State. Federal. Foundations a. Geriatric Oral Health Care Award IADAI b. c. d. 3. Net Sales of Services (sources) a. b. c. 4. Net Sales of Materials (sources) a. b. C, 5. ContrbutionslDonations a. United Way Designated Giving b. Other Contributions 6. SDecial Events a. Iowa Citv Road Races b. C. 7. Interest Income 8. Other- List Below Including Miscellaneous a. b. c. TOTAL INCOME Ishown also on gage 2. line Notes and Comments: ACTUAL THIS YEAR BUDGETED NON- PROGRAM LAST PROJECTED NEXT YEAR DIRECTED I YEAR FUNDING $15.448 $19.000 $20.000 J $20.000 $11,948 $14,000 $14,000 $ 3,500 $ 5,000 $ 6,000 0 $ 2.5D0 0 1.149 $1.000 I $1.000 1,149 $1.000 $1.000 865 $ 750 I$ 750 865 $ 750 $ 750 0 0 JO 514,000 $ 8,000 I0 0 I0 $1.000 $1,000 750 $750 I0 0 ] ~21.750 PROGRAM -3- -53,5.. AGENCY Special Care Program PROGRAM EXPENDITURE DETAIL 1. Salaries 2. Employee Benefits and Taxes 3. Staff Development 4. Professional Consultation 5. Publications and Subscriptions 6. Dues and Memberships 7. Mortgage, Rent, and Property Tax 8. Building and Maintenance 9. Equipment Purchase/Rental/Maintenance 10. Utilities 11. Telephone 12. Office Supplies and Postage 13. Primk~g and Publicity 14. Local Transportation 15. insurance 16. Audit 17. Interest 18. Other (Specify): 19. Direct Assist. Qualified Patients 20. 21. 22. 23. 24. 25. TOTAL EXPENSES (shown also on page 2, line 2) Notes and Comments: ACTUAL LASTYEAR $14,156 $14,156 THIS YEAR PROJECTED $ 2,500 $21,000 $23,500 BUDGETED PROGRAM PROGRAM NEXTYEAR ADMIN. 1 2 $22,000 $22,000 $22,000 $22,000 -4~ -537- RESTRICTED FUNDS Restricted by: Restricted for: AGENCY Special Care ACTUAL LAST YEAR Program THIS YEAR PROJECTED BUDGETED NEXTYEAR 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) Faculty Salary TOTAL IN-KIND SUPPORT (Shown also on page 2, line 5) Notes and Comments: $ 4,500 $ 8,750 $ 9,500 ,$14,000 $36,750 $ ~000 $ 9,500 $ 9,900 $14,750 $39,150 $ 5,400 $10,000 $10,250 $15,5a'0 $41,150 -538- -5- SALARIED POSITIONS Position Paid Lye "X" all that apply Health Retire Ins Pien % 6enefits AGENCY Last Year Year Special Care Program ACTUAL THIS BUDGET. LAST YEAR ED YEAR PROJECT- NEXT ED YEAR Next Year % CHANGE Total Salaries & FTE *Full-time equivalent: 1.0 - fdl4irne; 0.5 - half-time; etc. 0 0 -6- AGENCY: Special Care Program ACCOUNTABILITY QUESTIONNAIRE A. Agency's Mission Statement or Primary Purpose: The pdmary purpose of the Special Care Program is to provide dental care to nursing home residents, frail eldedy and medically compromised adults, and indigent populations who are otherwise "isolated" from regular dental care, including homeless, hospice and homebound. B. Board of Directors: 1. Please attach a list of your agency's Board of Directors (page 7A) N/A 2. Frequency of meetings: 3. Bde~y descdbe board orientation and ongoing training opportunities: C. Finances: 1. Are there fees for any of your services? Yes X No __ a. If YES, describe circumstances. b. Are they fiat fees X or sliding fees Does your agency have: an internal audit X Frequency Annually external audit financial review X (monthly) 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. We actively campaign for funds through the Hospice Road Races and apply for various grants when available. This year we have established a committee to actively pursue fundraising efforts. D. Management: Eo 1. Does each professional staff have a wdtten job descdption? Yes X No 2. Is the agency Directors performance evaluated at least yeady? Yes No By Whom? Department Head AGENCY Program/Services: Please define your agency's units of service (service definition, I~ngth of time, cost per unit of service, number of units provided, 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 inservice and cleaning and marking of all resident's dentures. Please supply information about clients served by your agency during last two complete budget years. -540- -7- AGENCY: Refer to form instructions for definition of duplicated and unduplicated. Special Care Program 1. How many Johnson County residents (including Iowa City and Coralville) did your agency serve? o :3. How many Iowa City residents did your agency serve? How many Coralville residents did your agency serve? Enter Years la. Duplicated Count lb. Unduplicated Count 2a. Duplicated Count 2b. Unduplicated Count 3a. Duplicated Count 3b. Unduplicated Count How many units of service did your agency provide? 4a. Total 4b. To Johnson County Residents * IncludesZ6 homeless residents with 60 visits 5. Other Areas Served: Do you provide services to areas outside of Johnson County? Yes Area(s)served: Eastern Iowa and Western Illinois Services provided: SAKE FY97 331 98 271 74 55 21 9591 679 FY98 381 154 298* 114 59 32 9863 894 Funding Sources: None o Client Profile (for last complete year, if available): Age 0-5 0 6-17 0 18 - 29 6% 30 - 61 30% 62 - 75 40% 75 + 24% Gender Female 53% Male 47% Ethnicity Afdcan Amedcan Native American Asian Hispanic Caucasian/Non-H ispanic Multi-racial -8- -541- 10. AGENCY: Special Care Program Evaluation and Review: A. Please discuss how your agency measures the success of its 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 services provided which has increased in concert with the increased number of residents served. We served a record high number (154) of Johnson County residents this year, including a continued high number of homeless persons (26). This followed with a record high number (381) of visits in which services were provided. Does your agency have performance objectives? [Give several examples] No C. 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. We are also actively searching for qualified faculty to increase services to patients. In what ways will the needs of your service population change in the next five years: The future outlook for dental services of the institutionalized and medically complex adult is expanding rapidly. In order to satisfy this growing need, the dental school has made it mandatory for senior dental students to participate in this program. The tremendous increase in demand for our services have made it imperative that United Way understand not only the need, but the importance of oral health care to people in need. In Iowa the demand for dental services from those underprivileged populations will mushroom with the aging population and 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. Also, Johnson County DHS has recently asked us to provide dental care to inmates at the Johnson County jail who are in need of somewhat urgent oral health care (i.e., toothaches, broken dentures, etc.). 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 eldedy population and the recently established need in the homeless and medically disabled populations have caused a real strain on our fiscal ability to help these people. The future only paints a picture of even greater need. The development of Free Dental Clinic has increased the demand for our services as well since many procedures are not provided (i.e., dentures, partial dentures, complicated extractions and root canals) by this clinic. ,~ List complaints about your services of which you are aware: Many patients wish services were available to those who live outside Johnson County. -542- -9- 11. 12. 13. AGENCY: Special Care Program 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 not had to tum 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. VV]thout United Way's support, more services might be denied and some people could be turned away. How many people are currently on your waiting list? 0 In what way(s) are your agency's services publicized? a) b) c) d) e) through written and oral contact of long-term care facilities within our service area Several articles have been published in local newspapers concerning this program. A brochure is used to explain the program to patients, their families and their financially responsible parties. 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.. 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 Headngs c. Business Blitz d. Day of Cadng e. Kick Off f. Victory Reception g. Other X X -10- AGENCY: Special Care Program 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 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 154 of our patients residing in Johnson County. This reflects a 57% increase in the number of patients who were funded last year (98) and is significantly 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 26 people. This compares to 24 last year and Z~ the year before. We have also maintained treatment of patients with HIV/AIDS (3), hospice (6) and homebound (10). 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. -11- AGENCY: Special Care Program 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 23 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. This year we will also provide some dental care to inmates of the Johnson County jail at the request of Johnson County DHS. -12- -545- AGENCY: Special Care Program FY98 GOALS Please state FY98 goals and report status of progress/completion. The goals of the Special Care Program for FY98 were: 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. to educate senior dental students to provide dental treatment to institutionalized and elderly persons who have multiple medical and physical compromises. Goal #1 was met, as we provided dental care to a record 154 residents of Johnson county with funding provided by United Way and Johnson County DHS. This reflected a 57% increase from the previous year and resulted in a record high 381 visits. Goal #2 was also accomplished, as 64 of 72 senior dental students participated in the Special Care Program for a period of 5 weeks during their senior year of dental school. -13- 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.) Goal: To provide more efficient and ongoing dental treatment to existing nursing homes and Johnson County residents which the Special Care Program now services. CHORE PROGRAM: Objective A: To provide dental services with the GMU 5 days/week Tasks: 1. Hire and maintain 1 additional FTE faculty member. 2. Hire 3 to 4 more adjunct clinical faculty members. 3. Coordinate efforts for funding of a mobile dental van. To increase referrals from other United Way and Health Care Agencies. Tasks: 1. Hire a clinic coordinator 2. Actively participate in United Way meetings and activities 3. Increase communication with other agency directors and workers. Objective B: Resources needed for the Chore program: 1. 1 FTE faculty 2. 3 or 4 adjunct faculty 3. 1 full-time clinic coordinator 4. I fully equipped mobile dental van Cost of Chore program: $275,000 in FYO0 -jccoghs~agenavai, doc -14- -547- 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 1/1/99 - 12/31/00 4/1/99 - 3/31/00 7/1/99- 6/30/00 X 10/1/99- 9/30/00 Director: Jim Swajm Agency Name: United Action for Youth AddreSS: 410 Iowa Avenue, Iowa City Phone: 319-338-7518 Completed by: Jim Swaim Approved by Chair September 15, 1998 (date) COVER PAGE Program Summary: (Please number programs to correspond to Income & Expense Detail, i.e., Program 1, 2, 3, etc.) 1) Counseling/Intervention: 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 under contract to assist pregnant and parenting teens and their children. 2) Prevention/Youth Development: 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. City of Iowa City Johnson County City of Coralville 4/1/97 - 4/1/98 - 4/1/99 - % of Total 3/31/98 3/31/99 3/31/00 Budget 30,703 31,977 50,000 5.0% FY98 FY99 FY00 ~-~-_ 65,225 58,000 65,000 6.4% 81,484 85,000 95,000 9.4q 1,050 1,200 10,000 1.0% I -548- - 1 - BUDGET SUMMARY AGENCY: Enter Your Agency's Budget Year ----~-> July 1-June 30 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. Counseling and Intervention 2. Prevention and Youth Development 3 4 5 7 8 United Action for Youth ACTUAL TIllS YEAR LAST YEAR PROJECTED 711197-6130198 711198-6130199 848,105 953,520 (8,655) (4,706) 856,760 958,226 852,811 953,956 93,809 95,396 759,002 858,560 358,181 448,359 400,821 410,201 BUDGETED NEXT YEAR 711199-6/3oloo 1,009,364 (436) 1,009,800 1,007,026 92,755 914,271 490,628 423,643 3. ENDING OPERATING BALANCE (Subtract 1-2 ) ] 4. RESTRICTED FUND BALANCE (Total from page 5) IN-KIND SUPPORT (Total from Page 5) NON-CASH ASSETS Notes and Comments: 4,809 4,900 5,000 145,000 151,000 141,100 362,585 364,445 363,435 BRIEFLY DESCRIBE HOW LOCAL FUNDS WERE SPENT LAST YEAR: Local funds supported the general operation of the Youth Center and were used as match to a variety of grant~ to offer counseling and support to youth and families. -549- Agency: United Action for Youth UNITED WAY BUDGET FY 00:REVISED 10/1/98 FY 98 FY 99 FY 00 Last Year Projected Next Year Funding Counseling Prevention a. Johnson County 81,484 85,000 95,000 17, 100 38,950 38,950 b. City of Iowa City 65,225 58,000 65,000 11,700 26,650 26,650 e. United Way 3 i,023 36,476 50,000 5,000 22,500 22,500 d. City of Coralville 1,050 11200 10,000 1,500 4,000 4,500 e. Johnson County deeat 67,685 55,000 47,000 4,700 21,150 21,150 f. Johnson County Child Care 16,281 17,000 21,000 0 0 21,000 a. Ia Dept of Criminal Justice 170,536 142,650 130,000 0 90,000 40,000 b. Federal HHS, Adm. Ch. &Faro. 87,981 175,000 204,000 25,850 108,150 70,000 c. IaDeptofHum Ser/Ed./Health 168,157 160,700 150,800 4,790 7,690 138,320 d. Foundations 2,664 9,800 10,500 0 4,800 5,700 a. Medicaid 70,800 79,000 82,000 8,200 73,800 0 b. FADS/4 Oaks 16,708 27,100 28,000 28,000 c. Juvenile Court 33,000 39,000 40,000 4,000 36,000 0 d. Iowa City Schools 10,263 52,000 55,000 5,500 24,750 24,750 a. United Way Designated Giving 2,918 3,000 3,000 300 1,200 1,500 b. Other Contributions 6,038 9,000 10,000 1,000 4,000 5,000 a. Iowa City Road Races 521 1,000 1,200 300 300 600 b. Concerts 701 1,000 1,000 250 250 500 c. Small events 522 3,000 3,000 600 600 1,800 ,. ~,ere., ~co~e I 1571 3001 3001 1001 1001 100 8. Ot.er- ~c,~d~. ~.c. I '~2,9501 2.4001 2,4001 1,2001 6001 , 600 a. Work Study/Other 950 2,400 2,400 1,200 600 600 b. Insurance/storm damage * 22,000 0 0 0 0 0 Tota, hco~,e ~,how o. pg 2, ~ ,b> I$88~,7~0 I S~88,22~ IS~,00~,S00I S~2,~SSI 84~S,685 I 8423,980 Notes and Comments: UAY received a payment for hail damage in FY98. -550- Agency: United Action for Youth PROGRAM EXPENSE DETAIL FY 98 FY 99 FY 00 Last This Next Year Year Year 1. Salaries 570,093 636,956 676,226 2. Employee Benefits and Taxes 115,282 132,300 139,000 3. Staff Development 8,723 7,000 8,500 4. Professional Consultants 16,205 20,000 22,000 5. Publications and Subseriptiorts 309 700 800 6. Dues and Memberships 2,272 2,300 2,400 7. Mortgage, Rent, and Property Tax 9,250 10,000 12,000 8. Building and Maintenance 5, 195 15,000 8,000 9. Equipment Purchase/Rental Maintenance 8,321 8,500 9,800 10. Utilities 7,186 7,600 7,800 i 1. Telephone 8,976 9,400 10,200 12. Office Supplies and Postage 4,273 4,400 4,500 13, Printing and Publicity 6,083 6,000 6,200 14. Local Transportation 6,414 7,200 7,800 15. Insurance 15,957 18,000 20,000 16. Audit 3,225 3,200 3,400 17. Interest 16,522 20,000 18,000 18. Program Activities end Supplies 7,708 10,000 12,000 19. Contract Sen, ices 33,936 28,000 30,000 20. Teen Mores S/day and Food 6,481 7,000 8,000 21. Miscellaneous 400 400 400 TOTAL EXPENSE (Same as pg 2, line 2) ~ $852,811 ] $953,956 $1,007,026 Notes and Comments: Consultants includes Nurse Practitioner, previously under salary. Building maintenance for FY99 includes repair to roof. Non- Directed Funding 60,860 12,510 850 380 0 400 1,800 1,200 1,470 1,170 1,530 675 930 780 3,000 3,400 1,800 0 0 0 0 $92,755 Counsel. Program 1 338,113 69,500 4,250 21,420 400 1,600 4,800 3,200 4,410 3,510 4,590 2,025 2,790 3,120 9,000 0 8,100 2,000 6,000 1,600 200 $490,628 I Prevent. 2 277,253 56,990 3,400 200 400 400 5,400 3,600 3,920 3,120 4,080 1,800 2,480 3,900 8,000 0 8,100 10,000 24,000 6,400 200 $413,643 - 4 - -551- AGENCY United Action for Youth RESTRICTED FUNDS: Restricted by: UAY Board All State and Federal Grants * Contracts * Restricted for: Health Benefits Grant Objectives Conlracted Services * these funds always have a 0 balance at yr. end TOTAL RESTRICTED FUND (also shown page 2, line 4) ACTUAL LAST YEAR 4,809 429,338 130,771 4,809[ THIS YEAR PROJECTED 4,900 488,150 197,100 4,900[ BUDGETED NEXT YEAR 5,0OO 495,300 205,000 5,0001 MATCHING GRANTS Grantor/Matched by Criminal Justice/ / City, County, United Way, Decat. .Department of Health, Human Service / City, County, United Way IA. Depts. of Health, Human Services, Education/ / City, County, United Way, Decat,West Liberty Schools TOTAL MATCHING GRANTS (also shown pg. 3, line 2) 170536 45000 87981 29800 168,157 24,200 426,674 99,000 142650 175000 160,700 478,350 32500 26300 22,400 81,200 130000 204000 150,800 484,800 31000 42600 23,100 96,700 gIN-KIND SUPPORT DETAIL ~ ScrvicesNolunteers: Material Goods: donated food, musicRec equipment, furniture,bldg. materi 118,000 123,000 111100 15,000 16,000 18,000 12,000 12,000 12,000 0 0 0 37100 74000 Space, Utilities, etc.: teen moms childcare, ropes course, meeting space ( )ther: (Please specify) TOTAL IN-KIND SUPPORT (also shown on page 2, line 4) Notes and Comments: Volunteers for fy00 are-- 3200 hrs @ $8; 450 hrs @$20; 50 hrs@ $50 VISTAS @$14,000, interns @$9,000 -552- SAL.i. RIED POSITIONS AGENCY United Action for Youth Position "X" those that apply F'FE * Salary ~ :f: ~ ~ Last This Next Actual This * * * * Year Year Year Last Year Year 26 X X 10% 1.00 1.00 1.00 50,021 48,100 26 X X 11% 1.00 1.00 1.00 41,018 42,640 18 X 7% ***** 2,951 1,200 21 X X 11% 1.00 1.00 1.00 30,804 31,590 2 ! X X 10% !.00 1.00 1.00 31,535 32,240 21 X X 1 I% 1.00 1.00 1.00 31,276 32,240 18 X 8% 1.00 1.00 1.00 26,229 28,080 21 X 7% 1.00 1.00 1.00 26,249 28,080 21 X X ! 0% 1.00 1.00 1.00 32,028 32,760 18 X X 11% 0.75 1.00 1,006 23,100 21 X X 10% 1.00 1.00 1.00 32,016 32,240 21 X 7% 0.20 0.00 0.50 2,668 0 21 X X 10% 1.00 1.00 1.00 29,904 32,240 21 X X 8% 1.00 1.00 1.00 28,082 29,510 2 0% 0.15 1.10 1.10 2,183 16,016 21 X 9% 0.75 0.75 0.75 16,792 20,800 21 X X i 0% 1.00 1.00 1.00 32, 171 36,920 21 X X 9% i .00 1.00 1.00 27,567 28,080 21 X X 9% 1.00 1.00 1.00 23,963 26,000 18 0% 0.40 0.40 0.40 6,223 11,700 18 X 7°A 1.00 1.00 1.00 22,958 18,720 21 X X 1 I% 1.00 1.00 1.00 25,937 26,780 2 0% 0.00 0.25 0.25 822 4,240 21 X X 10% 1.00 1.00 1.00 22, 100 26,000 15 X 0% 1.00 1.00 1.00 22,978 24, 180 0% 1.00 2.00 2.00 612 3,500 X X *** 0% 4.00 5.00 4.00 0 0 24.5028.2528.001$s70,09, II $6,6,,s6 II Exec Director Associate Director Pediatric Nurse Practioner Family Counselor Youth & Family Counselor ¥outh Counselor Youth Counselor Youth Counselor Youth Center Coordinator ,~trcet Outreach Coordinator Youth Counselor Youth Counselor ]'m ten Parents Coordinator [ Youth Counselor ]¥outh Aides .~--, I · ~ j Counselor Business Director ) tli ce Manager l'rcvention Counselor/Data L'ustodian Respite Care/Child Care Youth & Family Counselor Child CareWorker (wrk stdy) l Volunteer Coordinator Youth Worker/Tracker [nterns V I STAs TOTAL FTE's and SALARIES Full-time equivalent: 1.0=full-time; 0.5=half-time; etc. * *Based on years of employment, not job class * * * VISTAs receive an educational award at the end of service. *****Nurse is now under contract. ~ * * * [JAY health benefits vary, based on family and flexible spending plan options. Retirement is provided to all employees who have worked at UAY three of the last five years. Budgeted % Next Year Change 48,581 1% 43,493 2% 0 4% 32,854 4% 33,530 4% 33,530 4% 29,203 4% 29,203 4% 34,070 4% 31,000 4% 33,530 4% 12,000 N/A 33,530 4%o 30,690 4% 16,657 4% 21,632 4% 38,397 4% 29,203 4% 27,040 4% 12,168 19,469 4%o 27,851 4% 4,410 4% 27,040 4% 25,147 4% 2,000 0% 0 0% $676,226 I 6% -553- AGENCY United Action for Youth ACCOUNTABILITY QUESTIONNAIRE A. Agency's Mission Statement or Primary Purpose: The primary purpose of UAY is to assist youth & families by offering counseling and intervention programs that assist them in resolving problems they encounter; and to provide prevention and youth development programs that make use of young peoples' talents and energies in helping 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 oppommities: Prior to nomination potential board members review the responsibilities and expectations with the board Chair and UAY Director. Subsequently the Director reviews fiscal and program reports with the member. Periodically training at outside conferences is offered, including attendance by youth board members at Youth Worker conferences. C. Finances: flyour agency charges a fee, describe your fee structure. N/A , 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, ff 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, including our United Flea Market for Youth. D, Management: 1. Does each professional staff have a written job description? 2. Is the agency Director's performance evaluated at least yearly? Yes X No By Whom? by the board Yes X No 7 -554- UAY BOARD MEMBER LIST 1998-99 BRAVERMAN, CORDELL 1015 OAKCREST ST IOWA CITY, IA 52244 HM: 338-7826 WK: 338-7058 CARSTENSEN, DONALD J. 2201 NORTH DODGE ST' P.O. BOX 168 IOWA CITY, IA 52243-0168 WK: 337-1056 HM: fax 337-1790 carstensen@act. org COOK, CASEY I OAK PARK CT IOWA CITY, IA 52240 HM:338-5704 WK: 351-2044 GRADY, PAT 597 LINDER RD NE IOWA CITY, IA 52240 HM: 337-9813 JONES, JO 3201 MUSCATINE AVE #1 IOWA CITY, IA 52240 HM: 351-1333 WK: 335-1723 jo-jones@uiowa.edu HAWORTH, M.J. MERCY HOSPITAL 500 E MARKET ST IOWA CITY, IA 52245 WK: 339-3600 HM: 3398588 '514 E FAIRCHILD ST IOWA CITY, IA 52245 JUNIS, SUSAN 1627 DOVER ST IOWA CITY, IA 52240 HM: 338-0879 KUDSK-SMITH, ELIZABETH 1602 SUNRISE DR NE SOLON, IA 52333 WK: 335-8471 HM: 848-7065 NICHOLS, POLLY 621 BROWN STREET IOWA CITY, IA 52240 HM:338-5704 WK:353-6800 QUIGLEY, MARY 526 TERRACE RD IOWA CITY, IA 52245 HM: 337-3817 WK: 356-4402 mary-quigley@uiowa.edu ROGERS WESTON, KAY 3 PENDALE TERRACE NE IOWA CITY, IA 52240 HM: 338-3066 WK: 351-8811 WRIGHT, TERESA 4340 WINTER EAGLE TRAIL SE IOWA CITY IA 52240 WK: 356-1767 HM:354-3799 IF THERE ARE ANY CORRECTIONS TO BE MADE PLEASE CONTACT JOYCE AT: 338-9279 -555- E, AGENCY United Action for Youth Program/Services: Please define your agency's units of service. UAY's unit of service reflects that our primary activity is directed toward youth & families. Personal contacts with clients are broken down into the following categories of service: one-to-one or group counseling, consultation, crisis intervention, follow-up, information and referral, advocacy, respite care, community support, prevention, drop-ins, lessons, workshops, activities with groups. One unit of service equals one contact with individuals in any of the above categories. Additional units reported in previous years included volunteer contacts and large group presentations. This year we are only reporting clients for whom we complete an intake and the units provided to them. Please supply information about clients served by your agency during the last two complete budget years. Refer to form instructions for definition of duplicated and unduplieated. 1. How many Johnson County residents (including Iowa City and Coralville) did your agency serve? 2. How many Iowa City residents did your agency serve? 3. How many Coralville residents did your agency serve? 4. How many units of service did your agency provide? Enter Years- 7/1/97 - 7/1/96 - 6/30/98 6/30/97 la. Duplicated count lb. Unduplicated count 1,893 1,821 2a. Duplicated count 2b. Unduplicated count 1,325 1,247 3a. Duplicated count 3b. Unduplicated count 23 1 239 4a. Total 24,127 23,655 4b. To Johnson County Residents 21,869 21,845 5. Other areas served: Do you provide service to axeas outside of Johnson County? yes Area(s) served: Iowa, Cedar, Washington and Mnscatine 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), U.S. Dept of HHS, Juvenile Court (Iowa County), and Iowa Department of Human Services (all 5 counties) -556- 8 AGENCY United Action for Youth Client Profile (for last complete year, if available): youth only under 10 19 Female 733 African American 130 i 0-12 179 Male 682 Native American ! 0 13-15 663 Asian 38 16-18 365 I | lispante 197 _1...8 + ......1..13 ........... C:_aueasian/Non~Hispanic _. i 040 Multi-racial tnanv Evaluation and Review: A. Please discuss how your agency measures the success of its programs: Besides serf 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 orgamzations researching national program models. We participated in the Crime Prevention evaluation conducted by the state Criminal and Juvenile Justice Planrang Agency this year. Self evaluation reviews stated goals and objectives against actual achievement. Clients also complete anonymous evaluations. UAY was part of a national research project to evaluate its impact on teen pregnancy and child development. B, 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 collaborative efforts with other agencies than at any other time in our past, in an effort to partner with other providers to improve services and more effectively use limited resources. The most recent example is collaborating on lwo projects with Four Oaks, the FaDSS grant and programs for runaway and homeless youth. In what ways will the needs of your service population change in the next five years? The needs of teen parents are expected to change in response to welfare reform passed this year. We have been unable to determine the exact requirements they will face this fall. The Johnson County area continues to grow and we are seeing a mini-baby boom amongst younger teens. Further changes in welfare reforms are expected. -557- 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 surplus is good news but it is still difficult to anticipate what state and federal funds will be available to support UAY programs. Grant administration 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. The Empowerment Zone process, while promising, will change how some of our ~mds are administered. We have had a large increase in prevention and youth development activity. This has been the most challenging year for the Teen Parent Program, with several teen parents in very difficult living situations. 10. List concerns and complaints about your services of which you are aware: One teen parent boyfriend demanded that we discontinue service after we repened a "failure to thrive" case to DHS. Our research grant with the College of Nursing discontinued because we did not have enough clients to meet the definitions used in the grant, and we contaminated the sample by offering three programs to impact teen pregnancy, instead of only one. Some parents and youth, frustrated 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 staffing and expanded the schedule for parent education classes. There is no waiting list for general services. We have had as many as seven families on the wai.ting 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) 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 Coordinating VISTA grants 10 -558- AGENCY United Action for Youth AGENCY HISTORY United Acdon 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 starrounding communities. Supported with ~mds fxom 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 orga~i n___tlon. The primary purpose of UAY is to assist youth and families by offering counseling and intervention progrants 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, fxom grants and under contracts or subcontracts with other state and federal agencies to provide the following: 24-hour m-person crisis intervention to adolescents; outreach aftercare, follow- up, referral, and prevention to runaways, their families, homeless young persons, or those in jeopardy of becoming homeless; in-home counseling; coordinated substance abuse prevention and pregnancy prevention services; and specific intervention programs to respond to adolescent victims of maltreatment. UAY has staff persons on call at all times, 365 days of the year. UAY will respond immediately to parents' requests for counseling or assistance and works closely with other agencies to coordinate its intervention and other activities. UAY makes a special effort to respond to requests fi'om the police, court, Youth Homes, DHS, Crisis Center, Emergency Housing Project, DVIP, RVAP, and school counselors. UAY is a member of the National Network of Runaway and Youth Services. UAY concluded a national demortshation 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. UAYs 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. UAYs 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 sit~_~__a_6onal 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. UAYs Synthesis program has significant drop-ins and use of the studio which is expected to continue. The agency has had increased requests f6r service from surrounding non-Johnson Co, unty towns and has received grant'tfunds to serve them. UAY has helped develop collaborative projects with other agencies to impact truancy (Big Brother/Sister), teen pregnancy (Neighborhood Centers/planned parenthood/FADS) and homelessness (Youth Homes/Four Oaks). -559- United Action for Youth AGENCY GOALS For the Year 1997/1998 Name of Programs: COUNSELING/INTERVENTION AND PREVENTION Note: United Action for Youth's Prevention, Counseling/Intervention and other programs overlap in meeting the objectives of specific grants. COUNSELING/INTERVENTION PROGRAM (Goals I and II) Goal h 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. 1. Maintain significant contact with an estimated 1300 young people in their own environment (see youth development). Exceeded: made contact with 1415 youth 2. Provide counseling to individuals and families in Johnson County (an estimated 2000 counseling contacts with 300 individuals will occur. Exceeded: Over 500 youth provided over 5000 counseling contacts 3. Provide an estimated 300 direct cdsis interventions to individuals as needed. Exceeded: 449 cdsis interventions provided 4. Maintain one-to-one and group interaction with 500 youth directed at individual problem solving and improved self-esteem. Exceeded: Over 600 youth involved. 5. Facilitate support groups dudng the year, especially in areas in which youth share a common interest (at least 4 on-going groups). Exceeded: 12 support groups conducted for youth 6. Maintain an outreach office that is an accessible, comfortable atmosphere where young people can drop in for assistance. Achieved: Drop-in office open 6 days per week; average of over 40 youth per day. 7. Act as an advocate for youth when requested or appropriate. Achieved: 502 advocacy contacts provided 8. On a 24-hour basis, be directly available to parents, youth, law enforcement, and other agencies to respond in person to runaway, homeless, or other youth in need of immediate assistance (an estimated 150 requests for assistance after regular hours). Achieved: 194 after hours requests to assist youth in crisis. Objective B: To provide accurate information to youth and families in response to their concerns and interests, referring them to resources in the community to help meet their identified needs. 1. In conjunction with MECCA and area school personnel, law enforcement, as well as for other groups in Johnson County, offer assistance as part of intervention teams, especially responsive to requests from schools. ,~ Achieved: worked with MECCA, schools, Ed Resource Center, and Crirr;e Prevention project as part of various teams. 2. In cooperation with DVIP, RVAP and other agencies, conduct workshops which are directed at the prevention of sexual abuse of children and adolescents. Achieved: conducted workshops in schools and community for court involved youth, youth, and teen parents 12 -560- 3. In cooperation with Crisis Center, Community Mental Health, and other agencies facilitate public awareness aimed at preventing teen suicide (5 workshops reaching 100 individuals). Partially achieved: conducted 3 workshops. 4. Maintain an up-to-date resource file of helpful information at the outreach office which includes materials for distribution. Achieved: Reource files maintained, information distributed at Youth Center 5. Facilitate workshops in other areas of interest to young people (75 workshops reaching 2000 individuals). Exceeded: conducted 94 workshops reaching 2800 individuals 6. Refer individuals to other agencies or resources to meet needs unmet by UAY (500 referrals of 150* individuals and families). Achieved: 864 contacts/referrals with other agencies 7. Conduct public awareness campaigns and participate in other forums that improve public knowledge of problems that affect teenagers (including Sexual Abuse Prevention Week, Child Abuse Prevention Week, Victims Rights Week, etc.). Achieved: Participated in several campaigns dudng the year 13 -561- United Action for Youth Goal Ih To provide for the primary 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. Objective 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. 1, 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). Partially achieved: assisted in peer programs at Iowa City schools, West Liberty, and at the Youth Center 2. Coordinate recreational/leisure activities for youth which encourage the choice of positive altematives to delinquency, substance abuse, and other socially defeating behavior (at least 100 activities with 800 participants). Achieved: 116 activities organized, with 1800 (duplicated) participants 3. 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). Partially achieved: 4 youth staff, 55 volunteers, 2 board members part of the year. 4. Operate a peer counseling phone line utilizing 40 trained teen volunteers to confidentially respond to the concerns of young people. Achieved: Teen line operated Monday-Thursday year round, 32 teen volunteers 5. Encourage and help develop positions of responsibility within other community groups for young people including positions on agency boards and public service committees. Achieved: UAY mentored youth on MINK youth Service board, National Network board, and otehr planning groups Objective B: To improve general awareness of and professional response to the maltreatment of children, especially adolescents, in Johnson County. Achieved: Achieved: Achieved: Achieved: 1. Actively participate in efforts with other agencies to coordinate intervention, treatment and follow-up for victims of maltreatment. Participated in case management and coordination with other groups on behalf of over 30 clients 2. Respond to immediate intervention needs of adolescent victims of maltreatment. Victims of Crime Assistance Report (VOCA) indicates over 100 victims served. 3. Provide training and education to parents, youth and other professionals that will enable them to recognize child maltreatment and respond appropriately. Participated in ACCAN and parents skill training 4. Continue the development and use of situational drama with young people which emphasizes issues related to adolescent maltreatment and delinquency prevention. DATING CELLOS drama troupe operated year long, attended national training by United Way 5. Provide skills training and assistance to teen parents using the Nurturing and Bavolek programs. Achieved/modified: provided skills training using both bavolek and other curriculum Objective 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. Achieved: 1. Provide in-home services to families referred by the court to prevent out of home placement. Provided service to over 30 youth referred by court, and special assistance at Northwest Jr Hi 2. Consult with and coordinate UAY's services with other agencies in Johnson County. 14 -562- Achieved: Coordinated with several other groups, including Crime Prevention, FaDSS, HACAP, and MH Task Force 3. Accept an estimated 500 referrals from other agencies, schools and individuals for counseling and intervention. Exceeded: accepted over 600 referrals for service, largest source: schools 4. Respond to requests for UAY services or assistance in projects that benefit youth. Achieved: assisted in Crime Prevention, SEARCH meeting, and other community efforts 5. Work with multi-disciplinary team. Achieved 6. Sub-contract with MECCA and Youth Homes to provide substance abuse prevention for high risk youth. Achieved/modified: included sub-contract with Four Oaks/Youth Homes for work with runaway youth 7. Sub-contract with funding sources to work with victims. Achieved: subcontracted under VOCA for additional treatment for abuse victims/survivors 8. Actively participate in MINK (a network of services for runaway and homeless youth) and the National Network of Runaway and Youth Services. Achieved: participated in multiple training, UAY staff and youth on MINK Board, national network board -563- 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 1. 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) Achieved: 396 parents contacted, over 2000 contacts in home settings 2. Organize four parent skill training workshops annually to provide parents skill training. (at least 30 families participating) Achieved: 6 workshops conducted, 32 families participating 3. Facilitate regular parent participation in area forums for youth and family services, including the community cdme preyention program and teen parent program. Achieved: parents involved in 3 forums for youth service 4. Conduct at least two family service retreats to enhance parent skill and family functioning. (at least 12 families participating. Achieved: retreats concluded in 1997, 10 families participated 5. Provide in-home counseling to families seeking assistance pdor to needed intervention by the juvenile court and child welfare system. (at least 50 families) Partially Achieved: 38 families receiving direct intervention, 15 referred by schools 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. Objective A: Provide creative learning environments in which young people can learn about electronic media, communication arts, and traditional forms of artistic expression, as well as team building and adventure based self esteem enhancement. 1. Maintain a sound and music studio which is equipped for instructional use by young people for multi-channel recording and sound reproduction. Achieved: sound studio recorded over 1000 hours of use 2. Maintain a video and film studio which is equipped for instructional use by young people for production of video tapes, 8 mm films and cable-cast programs. Achieved: Video and photo lab recorded over 100 hours of use 3. 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. Achieved: 335 youth identified in prevention for help in counseling programs 4. Provide space for'other arts related activities as it is available and arranged for use by young people. Achieved: multiple project with the arts on-going at the Youth Center, including photoart/exhibits 5, Provide individual and group instruction in the use of studio equipment and facilities, Achieved: 58 youth involved in on-going instruction in the arts 6. Involve artists, student interns, and other volunteers as resources to participants. Achieved: Over 20 artists involved to assist in instruction. 7. Operate and staff the studio and Youth Center so that they are convenient for use by drop-ins (open afternoons, evenings, and weekends). Achieved: studio open Mort-Sat afternoons, t-w-th evenings, over 4700 sign-ins 8. Coordinate adventure based learning activities for youth and families using the ropes course and outdoor events. ~4- 16 Achieved: conducted over 20 Ropes Course workshops with youth, negotiated contract with U of I Objective B: Facilitate the active participation by youth in community events and programs which allow them to demonstrate their talents and concerns for others. 1. Organize workshops and projects that involve youth with other populations, including persons with disabilities, other cultures,. older persons, and younger children. Achieved: workshops included multiple groups, multi-cultural day, and work with small children 2. Help facilitate the active use of public access opportunities available to youth, including those at the public library and recreational center. Achieved: workshops included use of other facilities, rec center 3. Help facilitate the organization of performances and exhibitions by young people in order to display their talents to others in the community. Achieved: included art exhibits, murals, Teen Produced CD, public performances 4. Organize projects in cooperation with other groups in which young people can act as media resources to others in the community, or demonstrate helpful skills. Achieved: included DRAMA troupe performance in conjunction with parent training in schools -565- United Action for Youth AGENCY GOALS For the Year 1999/2000 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 h To conduct an outreach program that will identify and assist youth and families in stressful situations add respond to their needs and requests for counseling and intervention. Objective A: To provide assistance and appropriate intervention to youth identified by UAY or others as being involved in delinquent behavior or at dsk. 1. Maintain significant contact with an estimated 1300 young people in their own environment (see youth development). 2. Provide counseling to individuals and families in Johnson County (an estimated 2000 counseling contacts with 300 individuals will occur. 3. Provide an estimated 300 direct cdsis interventions to individuals as needed. 4. Maintain one-to-one and group interaction with 500 youth directed at individual problem solving and improved self-esteem. 5. Facilitate support groups dudng the year, especially in areas in which youth share a common interest (at least 4 on-going groups). 6. Maintain an outreach office that is an accessible, comfortable atmosphere where young people can drop in for assistance. 7. Act as an advocate for youth when requested or appropriate. 8. On a 24-hour basis, be directly available to parents, youth, law enforcement, and other agencies to respond in person to runaway, homeless, or other youth in need of immediate assistance (an estimated 150 requests for assistance after regular hours). 0biective 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). 4. Maintain an up-to-date resource file of helpful information at the outreach office which includes materials for distribution. ~ 5. Facilitate workshops in other areas of interest to yeung people (75 workshops reachihg 2000 individuals). 6. Refer individuals to other agencies or resources to meet needs unmet by UAY (500 referrals of 150' individuals and families). 7. Conduct public awareness campaigns and participate in other forums that improve public knowledge of problems that affect teenagers (including Sexual Abuse Prevention Week, Child Abuse Prevention Week, Victims Rights Week, etc.). 18 -566- United Action for Youth Goal Ih 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. Objective 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 altematives 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 concems 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. Objective 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 maltreatment. Respond to immediate intervention needs of adolescent victims of maltreatment. Provide training and education 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. Objective 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 referred by the court and FaDSS 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 risk youth, and services to runaway and homeless 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, and coordinate SafePlace. 19 -567- United Action for Youth Objective D: To organize activities, initiate and otherwise make available opportunities for parents which help tham improve their parenting skills, communication with their children, and general 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 pdor to needed intervention by the juvenile court and child weltare system. (at least 50 families) PREVENTION PROGRAM (Goals II and III) Goal IIh 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. Objective A: Provide creative leaming environments in which young people can learn about electronic 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 interns, 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 afternoons, evenings, and weekends). Coordinate adventure based leaming activities for youth and families using the ropes course and outdoor events. Objective 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. 568- 20 HUMAN SERVICE AGENCY BUDGET FORM City of Coraiville Johnson County City of Iowa City United Way of Johnson County CHECK YOUR AGENCY'S BUDGET YEAR 1/1/99 - 12/31/99 4/1/99 - 3/31/00 7/1/99- 6/30/00 Director: Rosalie Rose Agency Name: Visiting Nurse Association Address: 485 Hwy 1 W Iowa City,IA 52246 Phone: 337-9686 Completed by: Rosalie Rosns~amel Approved by Chair Board: Dour Parso X 10/1/99 - 9/30/00 10/2/98 - (date)' COVER PAGE Program Summary: (Please number programs to correspond to Income & Expense Detail, i.e., Program 1, 2, 3, ete.) 1. SKILLED HOME CARE - Home visits to provide physician-directed health care to individuals with diagnosed health problems. Services are reimbursable through insurances and private pay with a sliding scale. 2. HEALTH PROMOTION - Home visits for promotion of health and prevention of health problems. 3. HOME CARE AIDE SERVICES - Services provided in the home for the purpose of maintaining individuals at home; includes personal care assistance, housekeeping, grocery shopping, laundry, errands, etc. 4. ELDERCARE - Health care for Seniors provided at housing and meal sites; services include screening, counseling, direct care and education. 5. COMMUNITY PROGRAM - Case Management Services, health 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 the "weB" 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 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 Johnson County City of Coralville 4/1/97 - 4/1/98 - 4/1/99 - % of Total 3/31/98 3/31/99 3/31/00 Budget $ 61,285 $ 63,125 $ 64,546 2.65% FY98 , FY99 FY00 ~ 0 0 0 0 $ 117,965 $ 118,446 $ 117,578 4.83% 0 0 0 0 -1- -569- AGENCY: Visiting Nurse Association BUDGET SUMMARY Enter Your Ageney's Budget Year ---~-> 1. TOTAL OPERATING BUDGET (Total a+b) a. Carryover Balance (Cash ~-om line 3, previous column) b. Income (Cash) 2. TOTAL EXPENDITURES (Total a+b) a. Non-directed funding b. Program Total (List Progs. Below) 1 SKII-LED HOME CARE 2 HEALTH PROMOTION 3 HOME CARE AIDE SERVICES 4 ELDERCARE 5 COMMUNITY SERVICE 6 SENIOR HEALTH PROGRAM 7 FAMII ,Y INVESTMENT PROGRAM 8 ACTUAL LAST YEAR THIS YEAR PROJECTED BUDGETED NEXT YEA" 12/31/97 12/31/98 12/31/99 2,445,457 2,263,621 2,435,971 257,994 295,538 2, 187,463 1,968,083 2,149,919 1,892,324 346,688 297,603 1,803,231 1,594,721 1,426,938 1,269,582 60,395 52, 185 216,987 187,490 40, 143 34,686 46,472 40,154 6,871 5,937 5,425 4,687 371,297 2,064,674 -' 1,929, 172 308,668 ~ 1,620,504 1,286, 159 53,828 ·' 192,387: 35,778 41,419 -- 6,12, 4,809 3. ENDING OPERATING BALANCE (Subtract 2 - 1 ) [4. RESTR/CTED FUND BALANCE (Total from page 7) i5. IN-KIND SUPPORT (Total fi-om Page 7) 49,275 73,834: 77, 194 49,932 50, 135 51,510 ' 33,363 35,000 38,000 6. NON-CASH ASSETS Notes and Comments: Assets Cash Accounts Receivable Less Allowance for Bad Debt Contract Adjustments Receivable Prepaid Expenses Supply Inventory/Equipment $ Less Accumulated Depreciation $ Total Assets 108,398 75,035 $ 61,710 $ 246,203 $ 36,374 $ 6,511 $ 33,363 $ 384,161 Liabilities Accounts Payable $ 24,4% Contract, Adjustments Payable $ ~ 13,316 Accrued Wages & Tax Withholdings $ 55,83 1 Total Liabilities $ 93,623 Fund Balance $ 290, 538 Total Liabilities $ 384,161 BRIEFLY DESCRIBE HOW LOCAL FUNDS WERE SPENT LAST YEAR: Funds were used to provide services to those unable to pay using a sliding fee scale. jccoghs/xlbudg.xls 2 O- INCOME DETAIL Funding So ces- 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. Meclicare Home Care & Flu Vax b. Medicaid Home Care & Waiver c. Iowa IX'zpmlment of Public Health d. Bxrast/Cervieal Cancer Early I~t e. f. 3. Net Sales Of Services (sources) a. Home Can Sexyices b. Commtmity Services c, Eidercare Services 4. Net Sales of Materials a. Tee & Swcat Shirt Sales b. c. ontrihntions/Donations a. United Way Designated Giving b. Other Contribulions 6. Special Events a, Hospice Road Race b. Direct Mail Fundraising C. 7. Intcrcsi Income ' 8. Other - List Below a. Commercial Insurance b. Health Watch c. U ofI ET Conlx~t AGENCY Visiting Nurse Association NON- ACTUAL THIS YEAR BUDGETED DIRECTED LAST YEAR PROJECTED NEXT YEAR FUNDING 196,250~ 180,244 ] 182,124 ] 1,139 120,090 I 17,578 I 17,578 752 0 0 0 0 76,160 62,666 64,546 387 0 0 0 0 1,655:3251 1,443,547 1,542,8001 231,5741 1,029,251 665,665 735,000 119,879 424,233 521,883 550,000 96,140 193,854 248,284 250,000 10,500 7,987 7,715 7,800 5,055 PROGRAM PROGRAM I 2 Skilled Hlth Protoo 64,159[ 66,483 0 66,483 0 0 64,159 0 0 0 1,091,4111 0 603,621 0 443,190 0 44,600 0 0 0 113,963 116,100 122,500 16,268 27,333 I 741 51,249 60,000 65,000 7,384 27,333 741 [ 50,520 44,100 45,000 8,384 0 0 12,194 12,000 12,500 500 0 0 1,170 0 0 0 0 0 1,170 0 0 0 0 O~ 70,252 40,900 16,200[ ~00 2,986] 8,900 9,200 0 67,266 32,000 7,000 500 20,440 26,002 26,000 2,000 4,167 8,002 7,000 500 16,273 18,000 19,000 1,500 15,700 0 [ 9,200 0 6,500 0 24,000 0 6,500 0 17,500 0- I 3,358[ 7,900 126,705[ 153,390[ 108,590 116,000 0 690 18,115 36,700 TOTAL INCOME (~a~esp. 2, ~e ~b) 2,187,463 Notes and Comments: S,oo0 I s,ooo I o o I 167,0501 66,598] 100,452 0- 120,000 19,548 100,452 0 10,350 10,350 0 0 36,700 36,700 0 0 1,968,083 2,064,674 326,079 1,323,054 67,224 2c. Iowa ~ent of public Health - Funds received for Public Health Nursing, Home Care Aide Services, Senior Health & Family Invc.s.lment Programs. 3a. Private pay for sentices provide. d in the home. 3b. Private pay for services provided in the community setting, c.g. Hillcrest. 3c. Private pay for services provided at Semor housing and meal sites. 8c. U of I E1 Conlract - Reimbursement for salary. -571- INCOME DETAIL (cont) 1. Local Funding Sources- a. Johnson County b~ City of Iowa City c. United Way of Johnson County ct City of Coralville e. f. 2. Grants - State, Federal, Foundations a, Medicare Home Care 8: Hu Vax b. Medicaid Home Care 8: Waiver c. Iowa Department of Public Health cL Breast & Cervical Cancer Early Detec e. f. 3. Net Sales Of Services (sources) a. Home Care Services b. Commtmity Services c. Eidercare Services 4. Net Sales of Materials a. Tee & Sweat Shin Sales b. c. 5. Contributions/Donations a. United Way Designated Giving b. Other Contributions 6. Special Events a. Hospice Road Race b. Direct Mail Fundraising c. 7. Interest Income 8. Other - List Below a. Commercial Insurance b- Miscellaneous c. U of I ET Contract TOTAL INCOME (same as p. 2, linelb) Notes and Comments: AGENCY Visiting Nurse Association PROGRAM PROGRAM PROGRAM PROGRAM 3 4 5 6 HCA Eidercare Community Senior Hlth 15,440 31,2941 2,059] 1,550 15,440 31,294 2,059 1,550 0 0 0 0 0 0 0 0 0 0 0 0 193,2701 11,S001 2,745 I 5,1001 0 11,500 0 0 10,670 0 0 0 182,600 0 0 5, 100 0 0 2,745 0 29,543 I 11,0001 36,6161 1,000l 29,543 0 0 0 0 0 36,616 0 0 11,000 0 1,000 ol ol ol ol 0 0 0 0 PROGRAM- PROGRAM 7 8 Fam Invest. 0 0 0 0 0 0 0 0' 7,200 1' Oi 0 7,200 O~ ol 0' 0' 0 0l 0' [ 0I O[ O] O[ 0I 0 0 0 O[ 0 0 0 0 0 I OI OI OI OI Ol 0 0 0 0 0 0 0 0 0 0 0I 0I 0I 0 0I 0[ 0I 0 0 0 0 0 0 0 0 0 0 0 0 0 238,253 53,794 41,420 7,650 7,200 ol O[ 0 0 0 { 0 :¸ 0 0 0 0> 0 0 0 O, O] ( O] 0 0- O' 0- 0 0 0 0 0 0 jccoghs/xlbudgxls 572- -3a- PROGRAM EXPENDITURE DETAIL AGENCY Visiting Nurse Association NON- PROGRAM ACTUAL THIS YEAR BUDGETED DIRECTED 1 LAST YEAR PROJECTED NEXT YEAR FUNDING Skilled Salaries 1,532,245 1,348,524 1,162,786 186,046 745,369 2. Employee Benefits &Taxes 291,742 256,220 220,929 35,349 142,127 3. Staff Development 4, 184 2, 100 3,500 560 2,272 4. Professional Consultation 3,800 4,781 3,000 480 1,945: 5. Publications &Subscriptions 3,803 3,249 3,600 576 2,333 - 6. Dues and Memberships 6,079 6,359 6,375 1,020 4, 133 7. Mortgage, Rent and Property Tax 44,316 40,881 48,000 7,680 31,738 8. Building & Maintenance 1,599 500 1,000 160 668 9. Equipment Purchase/Rental 11,727 12,100 12,500 2,000 8,104 10. Utilities 7, 131 7,391 9,000 1,440 5,834 il. Telephone 18,854 18,252 19,000 3,040 12,538 12. Office Supplies & Postage 22,911 19,305 20,000 3,200 13,280 13. Printing and Publicity 17,826 16, 580 17,000 2,720 11,486 14. Local Transportation 79,182 61,600 63,000 10,080 41,423 15. Insurance 11,749 12,784 14,000 2,240 9,398 : Audit 5,210 5,500 5,500 880 3,565 17. Interest 86 3 0 0 0 18. Other (Specify): Recntitment 8, 139 5, 100 6, 100 976 3,990 19. Contract Sentices 4,318 5,675 234,882 37,581 196,398 20. Medical Supplies 25,032 15,920 17,000 2,720 13,405 21. Community Services 15,513 15,000 15,500 2,480 0 22. Professional Services OT,PT, SP 18,299 16,200 17,500 2,800 14,700 23. Miscellaneous 10,530 11,300 21,500 3,440 16,064 24. Depreciation 5,644 7,000 7,500 1,200 5,389 25 TOTAL EXPENSES ( p. 2, line2) 2,149,919 1,892,324 1,929,172 308,668 Notes and Comments: I. 2% salary metease & seven positions being moved to the Managemere Service Organization. I 8. Rocruitmenl - Frequent turnover in Home Care Aide positions. · ' Pur~hase of Manage~nem Services. vliscdlaneous - non-recurring expenses eg volunteer reco~ition, paper supplies, name tags, tee & sweat shirt sales etc. jcooghs/xlbudgxls - 4 - 1,286,159 PROGRAM 2 Hlth Promo 37,988 7,277 114 . 98 118 208 1,568 13: 409 294 621 654 556 2,227~ 458 180 0 63 75 129 158 0 375 245 53,828 -573- PROGRAM EXPENDITURE DETAIL (continued) PROGRAM Publications & Subscriptions Dues and Memberships Mortgage, Rent and Property Tax Building & Maintenance 1. Salaries 2. Employee Benefits & Taxes 3. StaffDevelopment 4. Professional Consultation 5. 6. 7. 8. 9. EquipUncnt Purchase/Rental 10. Utilities 11. Telephone 12. Office Supplies & Postage 13. Printing and Publicity 14. Local Transportation 15. Insurance 16. Audit 17. Interest 18. Other (Specify): Recruitment 19. Contract Services 20. Medical Supplies 21. Community Senrice Expenses 22. Professional Service PT,OT, SP 23. Miscellaneous 24. Depreciation 25 AGENCY Visiting Nurse Association TOTAL EXPENSES ( p. 2, line 2) Notes and Comments: PROGRAM PROGRAM PROGRAM 3 4 5 6 HCA Eidercare Community Se~or HI~ 137,756 24,577 23,202 4,298 25,836 4,621 4,247 809 410 98 25 12 351 85 21 12 422 101 26 14 747 179 45 26 5,626 730 341 187 117 28 7 4 1,465 351 89 49 1,055 253 65 35 2,006 534 135 75 2,030 562 142 78 1,527 478 121 66 7,384 1,229 302 246 1,319 .393 99 55 645 155 39 21 0 0 0 0 900 171 0 0 610 147 37 20 471 175 31 66 0 508 12,354 0 0 0 0 0 1,140 324 82 44 570 79 9 7 PROGRAM 7 Fam Invest 3,550 663 9 8 10 17 130 3 33 24 51 54 46 109 38 15 0 0 14 3 0 0 31 I 192,387 35,778 41,419 6,124 4,809 PROGRAM 8 0 ?4- jc~oghs/xlbudgxls - 4a - AGENCY Visiting Nurse Association k ,~TRICTED FUNDS: ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR Restricted by: Restricted for: Board undecided $ 49,275 $ 73,834 $ 77, 194 TOTAL RESTRICTED FUND (also shown page 2, line 4) I $ 49,275 I $ 73,834 I $ 77,194 MATCHING GRANTS Grantor/Matched by 0 0 0 TOTAL .MATCHING GRANTS (also shown pg. 3, line 2) 0 0S 01 IN-KIND SUPPORT DETAIl, Services/Volunteers 34,782 Material Goods 350 Space, Utilities, etc. 7,104 Other: (Please specify) Students 7,696 ITOTAL IN-KIND SUPPORT (also shown on page 2, line 4) 49,932 Notes and Comments: 34,850 35,700 400 450 7,150 7,200 7,735 8,~0 50,1351 51,510 jccoglm/xlbudg.xls - 5 - -575- SALARIED POSITIONS AGENCY visiting Nurse Association Position/Title Executive Director Operations Manager Quality Manager Clinical Service Managers HCA Managers Staff Nurses Auxiliary Nurses Community Program Coord. I & R Coordinator Semor HCAs Home Care Aides Auxiliary HCAs HCA Scheduling Coord Office Assistant/File Clerk HCA Quality Asst Physical Therapist Auxiliary PT Occupational Therapist Medical Social Worker Dietitian Volunteer/Marketin$ Coord. Billing Coordinator Transeriptiomsts Administrative Assistant RN Scheduling Coordinator Bookkeeper Team Assistants "X"all that apply ~ ~ .~ Last This Year Year X X X 18.8 1.00 1.00 X X X N/A 1.00 1.00 X X X N/A 1.00 1.00 X X X 21.9 2.00 2.70 X X X N/A 1.50 0.13 X X X 20.5 13.80 12.10 8.4 1.32 0.62 X X X 17.5 0.82 0.80 X X X 21.7 1.00 1.00 X X X 22.1 2.95 2.39 X X X 19.4 12.24 9.94 10.8 2.57 2.07 N/A 1.48 0.00 X X X 13.3 1.82 0.71 X X X N/A 0.91 0.000 X X X 19.2 1.00 1.00 7.5 0.28 0.22 7 0.07 0.05 7.7 0.73 0.28 9 0.06 0.08 11.8 0.25 0.25 X X X N/A 0.78 0.75 11.2 1.40 1.17 X X X 21.8 1.00 1.00 9.5 0.11 0.15 N/A 1.00 0.00 X X X N/A 0.83 0.78 X X X 25.9 0.57 2.66 1.00 1.00 1.00 1.00 1.00 1.00 0.54 0.55 Human Resource Coordinator X X X N/A Receptiomst/Secretary X X X 14.8 Information System Coord. X X X N/A Data Entry Assistant X X X N/A FTE* Salary Overtime/On call N/A 0.00 0.00 Total FTEEs &Salaries 57.03 47.40 * Full-time equivalent: 1.0=full-time; 0.5=half-time; etc. Will be contracting for 7 positions that perform administrative fun~ions. jc~ogl~xlbu~g. xls _ _ Next Actual This Year Last Year Year 1.00 53,903 54,971 0.00 37,226 37,967 0.00 46, 151 46,844 2.30 71,410 92,586 0.00 49,372 4,226 11.25 480,682 430,395 0.85 43,138 27,050 0.90 24,149 26,048 1.00 29,220 29,663 2.00 63,964 58,516 10.05 220,663 177, 196 1.81 36,053 35,009 0.00 27,483 0 1.00 28,478 12,168 0.00 23,097 0 1.00 50,106 50,892 0.27 14,366 11,322 0.07 6,430 5,051 0.33 18,629 13,946 0.10 1,926 3,094 0.25 5,294 5,108 0.00 15,695 14,085 1.00 21,258 18,143 1.00 31,043 31,514 0.15 3,848 3,446 0.00 17,131 0 0.00 21,110 20,111 2.50 11,405 58,540 0.00 26,456 26,855 1.00 ,19,167 19,449 0.00 23,973 24,336 0.00 9,419 9,996 Budgeted = % Next Year ~ Change 56,074 ' 2.0~/o 0 -100.0% 0 ~ - 100.0°A 82,790. -10.6% 0 -100.0~,4 408, 172 -5.2% 32,469 20:(Y'/~ 28,884 t0.9°A 30,943 4.3% 42,806 -26.8% 182,715 3.1% 31,200 - 10.9~,~ 0 0.0% 16,548 36.0% 0 0.0~/o - 51,83 1 1.8% 14,438 27.5% 6,930 37.2% 17,500 25.5% 3,672 18. 7,280' 42.5% :1 0 - 100.0°/~ 15,657 - 13. 32,142 2.0%: 3,501 1.6% 0 0.0% 0 -100.0% 54,397 -7.1% 0 - 100.0% 19,837' 2.0% 0 -100.0% 0 -100.0% 1.00 included included 23,000 N/A 40.83 1,532,245 1,348,524 !,162,786 -13.8% -576- AGENCY: VISITING NURSE ASSOCIATION ACCOUNTABILITY QUESTIONNAIRE Agency's Primary Purpose: The Visiting Nurse Association's primary purpose is to provide quality health services without discrimination in the home and community setting. Services are provided within the constraints of the agency resources to persons with limited means and are provided on a part-time or intermittent basis. The VNA works cooperatively with other organizations and services to meet individual and community needs. Board of Directors: 1. Please attach a list of your agency's Board of Directors (page 7A). Attached. 2. Frequency of meetings: Monthly with the exception of July and November. 3. Briefly descdbe board orientation and ongoing training opportunities. Provide a Board Manual which contains Bylaws, Articles of Incorporation, Director responsibilities, Committee responsibilities, Funding Sources, SWOT Analysis. Strategic Plan, etc. New members meet with the Executive Director New members are asked to make home visits with staff and attend community clinics. Finances: 1. Are there fees for any of your services? Yes __ X No a) If Yes, describe circumstances. Skilled Home Care and Home Care Aide Services - A sliding fee scale is available for patients ineligible for third-party coverage. Sliding fees are based on income, liquid assets, dependents and unusual circumstances. Community Services - flat fees for Foot Clinic, Massage Therapy, Flu Clinics. Medicare reimbursement is also available for Flu immunizations. b) Are they flat fees __X__ or sliding scale __X__? Both Does your agency have: an internal audit No external audit Yes financial review No Frequency __annually_ Has your agency filed the Annual Report with the Secretary of State? Yes __X__ No Has your agency filed Form 990 with the IRS? Yes __X__ No __ Please discuss your agency's fundraising efforts, if applicable. Fundraising activities include a Direct Mail campaign to "Friends of VNA' in the month of May. Staff and Board members participate in the Hospice Road Race annually. The agency receives unsolicited donations and memorials. The VNA seeks "special" grants from service clubs, etc. to augment fundraising efforts. 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? Board President with input from other Directors. Program/Services: Please define your units of service. ~ Visit - Home visits to patients admitted for service; length of viiit varies from thirty minutes to two hours. Charge per visit depends on the discipline providing the service and the program. Direct service is provided in the home and indirect service includes pre and post follow-up to a visit, such as coordination with physicians, community agencies and recording. Session - Unit of time for Eidercare services, provided at meal and housing sites. Time is 1-4 hours. Hour- Unit of time spent in Community Services and Home Care Aide Services. Charges are for direct services. Contact- Duplicated number of individuals attending Eidercare sessions, Senior Health Program and other community services. 7 -577- VISITING NURSE ASSOCIATION 1998 BOARD OF DIRECTORS CANFIELD, DON (1998) 46 SOUTH HIGH CIRCLE DRIVE NE IOWA CITY IA 52240 CLANCY, DR GERARD (1996) DEPT OF PSYCHIATRY 2953 JPP UNIVERSITY HOSPITALS IOWA CITY IA 52242 353-6959 1 FAX 356-2587 FRYE, SUSAN (1994) 816 RIVER STREET IOWA CITY IA 52246 337-5693 / FAX 337-2161 HACKER., DR MARY (1994) STUDENT HEALTH 4189 WESTLAWN UOFI IOWA CITY IA 52242 HAMEL REV ROBERT 15 WARWICK CIRCLE IOWA CRY IA 52240 338-0944 (1996) HAWKINS, DR BENNY 60 FENFRO DRIVE IOWA CITY IA 52246 335-7238 (1996) HUBER, DIANE (19979 1222 OAKES DRIVE IOWA CITY IA 52245 335-7122/FAX354-0113 LEVEY, DRSAMUEL (1995) 2700 STEINDLER BLDG UOFI IOWA CITY IA 52242 33~98141 FAX 335-9772 MAHLEI~ A J (1996) 17 S DUBUQUE IOWA CRY IA 52240 337-0596 PARSONS, DOUG (1994) FROHWEIN OFFICE SUPPLY 218 SECOND STREET CORALVILLE IA 52241 33~7701 I FAX 338-7484 PRYBIL DENISE (19979 4830 UTAH AVENUE SE IOWA CITY IA 52240 354-7121 ROSAZZ/~ TRUDI (1993) 453 UNDER ROAD NE IOWA CITY IA 52240 351-7477 ROSS, BYRON (1996) 2188 SCALES BEND ROAD NE NORTH UBERTY L~ 52317 RUBRIGHT, EMILIE (19979 3742 FOREST GATE DRIVE NE IOWA CITY IA 52240 351-1818 SCHNOEBELEN, PATTY (1997) 1704 10TH STREET CORALVILLE IA 52241 356-24141 FAX 356-1102 SCHODERBEK, PETER (1996) 4280 RED MAPLE TRAIL NE IOWA CITY IA 52240 335-09501351-9135 STOCKMAN, TOM (1994) FIRST NATIONAL BANK P O BOX 1880 IOWA CITY IA 52244 356-9012 / FAX 35~9002 WILSON, JANICE (1998) 1800 COUNTRY CLUB DRIVE CORALVILLE IA 52241 354-1451 PARKER, ANN (1995) 724 ELLIOTT COURT IOWA CITY IA 52246 337-9623 EXT 172 / FAX 338-0943 -578- AGENCY: Visitinq Nurse Association o 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 pro- vide? Enter Years 97 1 a. Duplicated 2,026 Count 1 b. Unduplicated 959 Count 2a. Duplicated 1,472 Count 2b. Unduplicated 697 Count 3a. Duplicated 285 Count 3b. Unduplicated 135 Count 4a. Total 43,608 4b. To Johnson 40,250 County Residents 96 2,357 1,025 1,625 707 150 52,304~' 50,311 5. Other Areas Served: Do you provide services to areas outside of Johnson County? Area(s) served: 50 mile radius of Iowa City, including counties of Cedar, Iowa, Linn, .. Louisa, Muscatine and Washington Services provided: Skilled Home Care, Insurance Assessments and Personal Response System_ Funding Sources: Third-party reimbursement (Medicare, Medicaid, Pdvate Insurance) for Skilled Home Cam, .. Pdvate Insurance for Insurance Assessments and Pdvate Pay for Personal Response System. 'L._ AGENCY 6. Client Profile (for last complete year, if available): Not available Age Gender Ethnicity 0 - 5 Female Afdcan Amedcan 6 - 17 Male Native American 18 - 29 Asian 30 - 61 Hispanic 62 - 75 Caucasian/Non-Hispanic 75 + Multi-racial -579- e 10. AGENCY: VISITING NURSE ASSOCIATION Evaluation and Review: A. Please discuss how your agency measures the success of its programs. Continued Referrals Outcome Measurement of Performance Improvement Activities Results of Consumer questionnaires/telephone surveys, physician surveys Unsolicited Comments; Complaints/Compliments Comparison of statistics/goals to pdor years Fundraising success B. Does your agency have performance objectives? Give several examples. The VNA measures performance several ways. The productivity of field staff is measured against an expected number of visits. Intemal benchmarking is completed with visit and referral comparisons using prior years as a base. Performance is measured by tracking employee absenteeism, exposures to infection, incident reports, complaints, turnover, continuing education and inservice attendance and competency evaluations of professional and 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 the VNA. Open communication between employees and management fosters innovative approaches to problem solving. Productivity is discussed and measured with the field staff; monthly meetings are held with support staff and management meets on a weekly basis. Discussions incorporate ideas on ways to improve performance and promote efficiency and effectiveness. All positions vacated are reviewed thoroughly before a replacement is considered. Many positions have been eliminated in an effort to decrease costs and promote efficiency, while maintaining quality. In what ways will the needs of your service population change in the next five years: VNA's average patient will continue to age and will require more services to stay at home. Funds to assist in their care will be limited and access to services will be limited as a result. The patient's 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. More funding will be necessary from local sources. VNA will continue to have increasing numbers of patients with psychiatric needs; this population is without resources for payment of services. Please discuss any other problems or factors relevant to your agency's programs, funding or service delivery. A new change in the reimbursement method by Medicare (Interim Payment System) has made a negative impact on the agency. The payment system reverts back to the agency's costs in 1993-4. The agency has had to cut back significantly on expenses, especially employee expenses, which affects all programs. By 1999, the agency may be under a prospective payment system. There has been no decision how Medicaid reimbursement may be changed. Static funding levels in State Grants will not allow any increase in services, regardless of need. Managed care benefits reduce the number of allowable visits for patients in need. Competition for the insured patient continues to decrease the number of referrals for home care. Competition includes other home health agencies, outpatient clinics and physician offices. Home Care Aide staffing continues to be an issue. List complaints about your services of which you are aware: A file is maintained on any complaints received; a report is prepared for the Performance Improvement Committee and the Professional Advisory Committee. A report is given to the Board. Complaints generally concern continuity of caregivers, timeliness of service provision and canceled or decreased services due to lack of adequate staff, illness, etc. Complaints are reviewed by Management Staff, reviewed with Staff and action is taken as indicated. 580- 11. 12. 13. AGENCY: VISITING NURSE ASSOCIATION 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: A waiting list is not feasible for many VNA's services (especially nursing) as most patients requiring home care services have immediate health care needs. If the VNA is unable to provide the services needed and as dictated by the physician, the patient is referred to another home care agency. The initiation of Home Care Aide services is sometimes delayed one to two weeks due to lack of staff. Maintaining adequate staffing has become increasingly difficult. Services are being limited because of staffing issues. How many people are currently on your waiting list? See above. In what way(s) are your agency's services publicized: Distribution of Agency Brochures and flyers Yellow Page Display Ads Participation in community activities Speaking engagements with Community Service Clubs, Public Groups Cable TV, Radio, Public Service Announcements News Releases and an occasional Paid Advertisement Web Page Word of Mouth United Way involvement by your agency ("X" if agency participates) a. Agency Director Meetings X b. Agencies Representative to Funding Headngs ' X c. Business Blitz X d. Day of Caring X e. Kick-off X f. Victory Reception X g. Substitute sent when Director unavailable. Have in past, willing to do again Other: Speak to groups during campaign; Represent UW to agency; Have participated on the United Way as the Agency Representative; Have participated in special activities, e.g. evaluation of Director. ], 0 -581 - AGENCY: VISITING NURSE ASSOCIATION 1949 1959 1963 1965 1974 1981 1982 1984 1985 1987 1988 1990 1992 1994 1995 1996 1997 1998 AGENCY HISTORY The Visiting Nurse Association was formally organized on July 13, 1949. 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. Evening services were developed; the agency added 24 hour nursing emergency services. The billing and statistical systems were computerized. The VNA diversified and opened another nonprofit agency designed to maintain elderly at home (CareResources, Inc.). The Adult Day Program joined the VNA; private duty services were started and then discontinued after the program had a negative monetary effect on other services. Responsibilities for the Child Health Clinic (named the Loraine Frost Clinic) were transferred to the Johnson County Department of Public Health to compliment the WIC Program. In cooperation with the Health Department, the VNA started the Senior Health Program to serve those individuals not receiving regular medical evaluations. 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 Home Care Aide Program was transferred to the VNA on April 1. CareResources, Inc. ceased operation and employees joined the VNA. 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). The VNA joined nine other Iowa VNAs to develop a nonprofit corporation to provide state-wide home health services through contractual arrangements with insurers. The agency contracted with insurance companies to conduct Activities of Daily Living 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 a strategic direction for the Board; the VNA was awarded Accreditation ,with Commendation by the ." Joint Commission on Accreditation of Health Organizations. The agency contracted with a company to complete paternity testing. After careful consideration and in planning for VNA's future, the Board of Directors signed a letter of intent to affiliate with University of Iowa Community HomeCare, an Infusion Therapy Company; the agency adopted a new program that offers a Personal Response System for the frail elderly, latch-key kids and others whose safety is in question. -582- AGENCY: VISITING NURSE ASSOCIATION FY98 GOALS* (*Projected through 1996) Skilled Care Program: Anticipated volume of home visits is 37,000 Actual volume of visits is projected to be 22,900 Nursing 16,000 Nursing 11,715 Physical Therapy 1,700 Physical Therapy 1,300 Speech Pathology 25 Speech Pathology 5 Occupational Therapy 200 Occupational Therapy 135 Medical Social Services 375 Medical Social Services 90 Home Care Aide Services 18,700 Home Care Aide Services 9,655 Goal for 1998: Not Met Rationale: There are several reasons why the VNA has been unable to meet the goals set for the Skilled Home Care Program in 1998. A change in the reimbursement system for home care and the resulting change in the provision of care has caused the agency to decrease visits whenever able. Also fewer referrals for home care has resulted in fewer visits. The need to decrease costs because of the new system has resulted in a significant decrease in staff. The federal legislature passed the bill in August, 1997 (the Balanced Budget Act) which incorporated a new Medicare payment system for home health (Intedm Payment System). Because information was not available about IPS, the full impact of this change was not known until after the VNA°s budget was completed and the fiscal year begun. IPS may be changed or eliminated by the legislature this year as the negative impact of this system is being denounced throughout the United States. Health Promotion Program: Anticipated service volume is 1,950 visits Nursing Health Promotion 1,400 Nursing Maternal Health 200 MSW Health Promotion 300 Dietitian Health Promotion 50 Actual volume is projected to be 1,360 visits Nursing Health Promotion 1,075 Nursing Matemal Health 145 MSW Health Promotion 110 Dietitian Health Promotion 30 Goals for 1998: Not Met Rationale: Decreased referrals, visits and staff in the Skilled Home Care Program have also had a negative impact on the Health Promotion Home Care Program. The Skilled Home Care Program has pdodty and fewer Health Promotion visits are made when staff have to concentrate on providing service to VNA patients who need physician-directed care. There also has been fewer referrals for Health Promotion services. Funding has not been an issue for this program. Home Care Aide Program: Anticipated service volume is: Home Care Aide Service 9,000 Actual volume is projected to be: Home Care Aide Service 7,920 Goal for 1998: Not Met ,~ Rationale: Services provided under this program consist of assistance with personal cares, home maintenance (dusting, vacuuming, general cleaning), laundry, grocery shopping, assistance with errands, budgeting, respite care, etc. Theso services are considered secondary to Home Care Aide services provided under the Skilled Home Care Program. Because of the difficulty in recruiting and retaining an adequate number of trained staff, these services haye had to be decreased for each client. A maximum of two hours a week are provided to clients. Funding and client need are not an issue. Dudng pededs when staffing is improved, additional services are provided. The VNA continues to make every effort to recruit and retain qualified staff. 12 -583- AGENCY: VISITING NURSE ASSOCIATION Eidercare Program: Anticipated service volume is: Eidercare Sessions Actual sessions are projected to be: 650 Eidercare Sessions 600 Goal for 1998: Not met Rationale: A change has occurred in gathering the statistical information. Without the change, the goal would have been met. For many years, statistics kept for the Eidercare Program included the Influenza Clinics; generally, the influenza injections were given for the purpose of protecting the eldedy. Now, influenza injections are widely accepted by adults of all ages. Consequently, the VNA is changing the way statistical data is gathered for this program. In 1998, the data will be gathered according to the population at the clinic, e.g. general public or eldedy. The VNA is serving more of the general public and the business population each year. Community Programs: Anticipated service hours are: Community Service Hours 600 Actual service hours are projected to be: Community Service Hours 747 Goal for 1998: Met Comments: The change in the method in which data is gathered for community services (influenza clinics) will increase the actual service hours for the Community Program and decrease the Eidercare hours (as noted above). Senior Health Program Anticipated sessions for 1998 are 23 Screening Clinics 15 Special Events 8 Actual sessions projected in 1998 are 18 Screening Clinics 11 Special Events 7 Goal for 1998: Not Met Rationale: Note: all criteda set by the Iowa Department of Public Health regarding number of physical assessments (full and partial) as part of the Grant Contract were met. The goal of 23 sessions was not met as a result of a change in personnel in the program. Funding and need has not been an issue. Family Investment Program (FIP) Anticipated volume is 200 Referrals FIP Referrals (State) 200 Actual referrals received in 1998 - 205 FIP Referrals (State) 123 FIP Referrals (County) 82 Goal for 1998: Met Comments: Referrals for this program are received from the Iowa Department of Public Health. Although there was an overestimation in the number of referrals the agency would receive from ttre state, county referrals made up the difference. County referrals have been received from Promise Jobs as a result of agency collaboration in the Innovation Zone. -584- 13 A. PHILOSOPHY AGENCY: VISITING NURSE ASSOCIATION GOALS AND OBJECTIVES - 1999 VISITING NURSE ASSOCIATION 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 individual's autonomy and the dght to make decisions. · believes each individual should receive comprehensive care suited to meet the needs and goals of the individual and that care should be coordinated and continuous with other care previders and systems. · recognizes that individual and community health care needs change and evolve; therefore, the VNA regularly evaluates individual and cemmunlty needs and adapts or develops services as indicated. · is dedicated to the ongoing. development and maximization of resources and stdves to maintain the necessary human and finandal resources to carry out the agency purpose. B. PURPOSF The Visiting Nurse Assodation (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 to meet individual and community health needs. -585- OBJFCTIVES AGENCY: VISITING NURSE ASSOCIATION SKILLFD CARF PROGRAM Description Visits are 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. Pdvate donations, United Way funding and a State Grant help subsidize visits to those individuals without insurance reimbursement. 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. Objectives: a. Provide curative, restorative and palliative home health care. b. Assist individuals to stay in their home as long as possible, delaying or preventing institutionalization. c. Anticipated volume of home visits in 1999 is 24,030: Nursing 12440 Physical Therapy 1375 Speech Pathology 5 Occupational Therapy 140 Medical Social Services 100 Home Care Aide 9970 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; stdve to provide high quality services Promote efficient and cost-effective services Market services to increase public awareness of available resources Resources 10.70 FTE 1.34 FTE 0.13 FTE 1.65 FTE 2.00 FTE 0.75 FTE 0.65 FTE 0.80 FTE 8.95 FTE Registered Nurses Physical Therapists and Occupational Therapist Medical Social Service Staff Clinical Service Managers i Support Staff (I & R Coordinator, MIS Coordinator, Team Assistants) Billing Coordinator Quality Manager Office Support Staff (Secretary, Office Assistant) Home Care Aides 15 -586- SKILLED CARE PROGRAM (CONTINUED) AGENCY: VISITING NURSE ASSOCIATION 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 $1,286, 159 2. HFAI TH PROMOTION PROGRAM Descdi)tion Home visits are 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 beneft of patients. Health Promotion includes the services of VNA's matemal/infant nurse specialist, pediatdc nurse, medical social workers and dietitian. A Personal Response System called "Health Watch' will be offered to those whose personal safety is in jeopardy. Objectives a. Promote healthy lifestyles, educate and provide health consultation b. Specific services and volume for 1999 anticipated are: Nursing Health Promotion Nursing Matemal Health MSW Health Promotion Dietitian Health Promotion 925 Visits 100 Visits 120 Visits 25 Visits Maintain qualified professional staff Provide supervision and administrative suppert 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 ericlent 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 .80 FTE .10 FTE .25 FTE .15 FTE .40 FTE .10 FTE .15 FTE / Registered Nurse Dietitian Clinical Service Managers Medical Social Worker Support Staff (I & R Coordinator, MIS Coordinator, Team Assistants) Office Support Staff Quality Manager 16 -587- HEALTH PROMOTION PROGRAM (CONTINUED) AGENCY: VISITING NURSE ASSOCIATION 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 Health Watch Personal Response System Equipment Cost of Objective $53,828 3. HOMF CARl= AIDF PROGRAM Description Services designed pdmadly to help the eldedy, the ill and the disabled continue to live in their own homes when they are unable to do so without help. Early institutionalization may be avoided. The services also help 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 dsk for abuse and/or neglect. c. Assist individuals to recuperate at home, delaying or preventing institutionalization or promoting early hospital discharge. d. Specific volume of service is anticipated to be: Home Care Aide Services 7,100 hours Tasks Recruit and train qualified home care aide staff 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; stdve to provide high quality services Market services to increase public awareness of available resources ,~ Resources 4.90 FTE .15 FTE 1.50 FTE .15 FTE Home Care Aide Staff Clinical Service Managers Support Staff(Team Assistants, Office Assistant) Quality Manager 588- 17 HOME CARE AIDE PROGRAM (CONTINUED) AGENCY: VISITING NURSE ASSOCIATION 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 $192,387 4. FL nFRCARF PROGRAM nescdDtion Eidercare represents a sedes of services offered to the well eldedy at vadous 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 Education. Objectives a. Provide a vadety of health services for eldedy individuals and groups at meal and housing sites in Johnson County. b. Specific volume of service is anticipated to be: Direct Services and Education 600 Sessions Maintain qualified professional staff Provide supervision and administrative suppert 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; stdve to provide high quality services Market services to increase public awareness of available resources Maintain Volunteer Program R, esources .55 FTE .30 FTE .15 FTE .25 FTE .30 FTE Community Program Coordinator Registered Nurses , Clinical Service Managers Suppert Staff (I & R Coordinator, MIS Coordinator, Team Assistants) Office Suppert Staff Massage Therapist under contract Student Nurses Volunteers Travel Reimbursement Medical Supplies and Equipment 18 -589- 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 $35,778 5. COMMUNITY PROGRAMS Description Health consultation and collaboration, screening and educational seNices provided at vadous community sites for the promotion of healthy life styles and eady detection of health dsk factors for Johnson County residents. objectives a. Provide health screening, counseling, educational and informational services at public, pdvate, business and special population sites. Services include Influenza Clinics. b. Padicipate in case management services for the benefit of the eldedy and families at dsk. c. Coordinate outreach, educational and direct services for the eady detection of breast and cervical cancer for women over the age of 50. Community Services 725 hours Tasks Maintain qualified professional staff Provide supervision and administrative support for staff Maintain liaison with community agendes, organizations, businesses and funding soums Provide in-service education for staff and promote continuing education Promote eftdent and cost-effective services Participate in continuous performance improvement activities; stdve to provide high quality services Market services to increase public awareness of available resources Coordinate a Consodium of individuals with interests in eady detection of breast and cervical cancer Resources .40 FTE .05 FTE .15 FTE .30 FTE Registered Nurses and Community Program Coordinator Clinical Service Managers Suppod Staff (I & R coordinator, Team Assistants) 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 $41,419 -59o- 19 AGENCY: VISITING NURSE ASSOCIATION 6. SFNIOR HFAL TH PROGRAM Description The Senior Health Program provides health screening services for elderly persons not receiving regular health care from a physician. The service goal is to promote optimal health and well being for older persons and to provide eady detection of health problems with referral for medical care. Services include physical assessment, screening, counseling, education and referral. Objectives a. Provide health services at clinics held at the Senior Center and other sites throughout the county. b. Specific volume of services is anticipated to be: Screening Clinics Spedal Events 12 sessions 5 sessions Tasks Maintain qualified professional staff Provide supervision and administrative supped for staff Maintain Volunteer Program Maintain liaison with eldedy service providers and funding sources Provide in-service education for staff and promote continuing education Promote efficient and cost-effective services Participate in continuous performance improvement activities; strive to provide high quality services Market services to increase public awareness of available resources Resources .25 FTE .05 FTE .10 FTE .10 FTE Community Program Coordinator Quality Manager Support Staff (I & R Coordinator, Team Assistants) Office Suppert 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 $6,124 7. FAMILY INVFSTMFNT PROGRAM Description 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. 20 -591- FAMILY INVESTMENT PROGRAM (CONTINUED) AGENCY: VISITING NURSE ASSOCIATION Objectives a. Provide information to families regarding the Family Investment Program and community resources, encourage follow-through and assess the well-being of the children in the home. b, Anticipated volume for 1999 is: Family Investment Program 120 Referrals Tasks Maintain qualified professional staff Provide supervision and administrative supped 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 .10 FTE .10 FTE .10 FTE Medical Social Workers 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 $4,809 -592- 2 1 HUMAN SERVICE AGENCY BUDGET FO Director: Kelli Malone City of Coralville Agency Name: Youth Homes a Division or Four Oaks of Iowa Johnson County City of Iowa City Address: 1916 waterfront Drive - Iowa City IA $2240 United Way of Johnson County Phone: 319-3374523 ~ompletechby: Dave DaTis / Ke e 4 m~ 1/1/99 - 12/31/99 10/1/99 - 9/30/00 10/08/98 4/1/99 - 3/31/00 (date) 7/1/99- 6/30/00 XX COVER PAGE Program Summary: (Please number programs to correspond to Income & Expense Detail, i.e., Program 1, 2, 3, etc.) 1. Youth Emergency Shdter - Provides emergency and short-term residential care, counseling, and supe.rvision to runaway and homeless children; to victims of abuse, neglect, or exploitation; and to children who have been removed from their homes because of emotional, behavioral, or family problems. 2. Young Women's Residential Treatment Center - Is a group foster home providing long-term residential treatment and therapeutic counseling to females, ages 13-17, who are emotionally disturbed and/or behavior disordered as a result of physical or sexual abuse, neglect, or other family problems. . Structured Community Independent Living Services - Assists foster care and homeless youth, ages 16-21, 'to become self-sufficient adults by providing temporary housing, financial assistance, counseling, and teaching independent living skills. 4. 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. 5. Pursuing Adventures in Learning - Is an after school and day treatment program for pre-adolescents 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 Loll Funding Summary United Way of Johnson County - - Does Not Include Designated Gvg. City of Iowa City Johnson County City of Coralville 4/1/97 - 4/1/98 - 4/1/99 - % of Total 3/31/9 3/31/9 3/31/00 Budget $17,769 $17,769 $22,000 1.25 FY98 F~Y99 FY00 ~ 0 0 0 0.00 $66,200 $68,200 $68,400 3.88 $600 $ 750. $3,000 0.02 jccoghs/xlbudg. xls - 1 - -593- AGENCY: Youth Home a Division of Four Oaks 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) 1. Youth Emergency Shelter 2. Residential Treatment Center 3. Structured Community Independent Living 4. Family Services 5. Pursuing Adventures in Learning 6 7 8 ACTUAL THIS YEAR BUDGETED LAST YEAR PROJECTED NEXT YEAR 7/1197-6130/98 711/98-6130/99 7/1199-6B0/00 2,259,994 2,502,019 2,570,625 707,178 801,487 807,390 1,552,816 1,700,532 1,763,235 1,458,507 1,694,629 1,754,030 & 248,725 277,571 288,350 1,209,782 1,417,058 1,465,680 291,445 358,401, 368,510 272,475 308,315 317,985 214,389 .309,372 323,645 247,338 239,390 247,260 184,135 201,580 208,280 3. ENDING OPERATING BALANCE (Subtract 2 - 1 ) 4. RESTRICTED FUND BALANCE (Total from page 7) 5. IN-KIND SUPPORT 6. NON-CASH ASSETS Notes and Comments: (Total from Page 7) (1) (2) (1) Net book value of assets in Johnson County 0 0 0 40,200 43,000 -46,000 676,322 869,690 850,000 (2) Improvement/Expansion as a result of Capital Campaign account for increase. 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. 94- jccoghs/xlbudg.xls - 2 - INCOME DETAIL I cal Funding 80urces- a. Johnson County b. City of Iowa City c. United Way of Johnson County d. City of Coralville e. Johnson Co. Shelter POS Suppl. f. 2. Grants - State, Federal, Foundations a. Juvenile Crime Prevention b. MH/DD c. Other d. e. f. 3. Net Sales Of Services (sources) a. DHS Purchase of Service b. Medicaid Purchase of Service c. Other 4. Net Sales of Materials a. b, Iributions/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. Rent Reimbursement from clients b. Department of Education c. 97-98 ACTUAL LAST YEAR 105,013 66,200 0 17,769 600 20,~.~. AGENCY Youth Homes a Division of Four Oaks of Iowa 98-99 99-00 NON- YES THIS YEAR BUDGETED DIRECTED PROGRAM PROJECTED NEXT YEAR FUNDING 1 112,969[ 117,400[ 0I 32,726I 68,200 68,400 3,093 0 0 0 0 18,820 22,000 0 5,633 3,000 3,000 0 0 22,949 24,000 0 24,000 179,293 I 294,6421 297,345I O I 2,5001 10,650 27,925 28,763 0 0 36,915 31,764 32,717 0 0 131,728 234,953 235,865 0 2,500 1,236,840 440,614 595, 191 201,035 O[ 1,260,2141 1,314,947[ 0I 370,666I 394,493 406,328 0 320,220 659,279 690,408 0 0 206,442 218,211 0 50,446 ol ol ol ol 3,393 I 4,0071 4,0001 4,0001 01 3981 '4001 4OO O I O I 398 400 400 6221 2001 2001 20°1 I 27,257I 28,1001 28,9431 0I 10,815I' 8,512 7,200 7,416 0 0 18,745 20,900 21,527 0 10,815 FOTAL INCOME (same as p. 2, line lb) 1,552,816 1,700,532 1,763,235 Notes and Comments: 2C - Other - Emergency Shelter Grant tilED), FEMA, Transitional Living Program ~C -Other - DHS Certificate, DHS tracking, private pay, other County Shelter POS Supplement 200 416,707 RTC PROGRAM 2 0 0 0 0 0 0 0 0 357,673 0 357,673 0 0 0 0 5,562 0 5,562 363,235 jccoghs/xlbudg.xls - 3 - -595- INCOME DETAIL (cont) 1. Local Funding Sourees- a. Johnson County b. City of Iowa City c. United Way of Johnson County d. City of Coralville e. Johnson Co. Shelter POS Supplement f. 2. Grants - State, Federal, Foundations a. Juvenile Crime Prevention b. HM/DD c. Other d. e. f. 3. Net Sales Of Services (sources) a. DHS Purchase of Service b. Medicaid Purchase of Service c. Other 4. Net 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. Rent reimbursement from clients b. Department of Education ~ c. : TOTAL INCOME (same as p. 2, linelb) Notes and Comments: PROGRAM 3 SCILS 58,0481 58,048 233,365] 0 o 233,365 86,108 86,108. 0 0 01 ol ol 7,416 7,416 0 384,937 AGENCY Youth Homes a Division of Four Oaks of Iowa PROGRAM PROGRAM PROGRAM PROGRAM PROGRAM 4 5 6 7 8 FAM SVS PAL " 5,o211 21,6o51 o l o l o' 5,02h 2,238 0 16,3~i7 3,000 0 o l 61,48ol 0 28,763 0 32,717 0 0 ol ol 0 351,275I 149,225[ O I O I 0 0 0 332,735 0 18,540 149,225 ol ol ol ol o 885[ 885 4ool 400 3,115 I 3,115 ol ol ol o ol ol o I OI 0 0 357,581 I 5,150[ 0 5,150 240,575 I 0 0 0 0 96- jccoghs/xlbudg.xls - 3a - PROGRAM EXPENDITURE DETAIL AGENCY Youth Homes A Division of Four Oaks of Iowa ACTUAL LAST YEAR Salaries 859,321 2. Employee Benefits &Taxes 159,497 3. Staff Development 6,970 4. Professional Consultation 15,043 5. Publications &Subscriptions 267 6. Dues and Memberships 3,891 7. Morgage, Rent and Property Tax 59,772 8. Building &Maintenance 24,707 9. Equiptment Purchase/Rental 9,886 10. Utilities 16,696. 11. Telephone 16,906 12. Office Supplies &Postage 13,717 13. Printing and Publicity 4, 178 14. Local Transportation 46,465 15. Insurance 27,406 Audit 2,045 17. Interest 0 18. Other (Specify): Depreciation 70,851 19. Food 35,036 20. Household Supplies 20,634 21. Recreation & Skill Dev. Supplies 9,741 22. Clothing and Personal 15,259 23. Contract Services 39,009 24. Misc. 1,210 25 TOTAL EXPENSES ( p. 2, line 2) Notes and Comments: NON- PROGRAM PROGRAM THIS YEAR BUDGETED DIRECTED 1 2 PROJECTED NEXT YEAR FUNDING YES RTC 1,037,679 1,069,400 138,000 244,680 210,830 189,356 195,250 28,000 49,100 33,500 12,349 12,660 6,050 1,000 1,000 4,600 4,700 0 200 0 484 500 150 0 100 3,823 3,900 3,900 0 0 57,955 64,500 14,700 7,800 6,000 17,607 18,170 7,150 2,780 3,350 9,789 10,120 3,200 3,200 1,550 17,706 ... 18,240 4,600 1,7,50 1,650 16,924 17,450 5,650 3,550 2,780 '16,061 16,550 16,550 0 0 8,306 8,650 7,200 400 150 40,360 41,650 4, 150 6,400 3,600 24;425 25,220 9,300 4,100 4,100 2,674 2,750 2,750 0 0 0 0' 0 0. 0 68,811 74,000 17,500 16,000 16,000 31,680 32,690 0 13,400 12,000 22,155 23,840 0 6,700 7,700 12,430 12,820 0 2,900 3,600 17,615 18,120 0 4,400 9,200 79,010 79,700 17,300 0 650 2,830 3,150 2,200 150 225 1,458,507 1,694,629 1,754,030 288,350 368,510 317,985 jccoghs/xlbudg.xls - 4 - -597- PROGRAM EXPENDITURE DETAIL (continued) 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. Equipanent Purchase/Rental 10.Utilities 1 I. Telephone 12. Office Supplies & Postage 13. Printing and Publicity 14. Local Transportation 15. Insurance 16. Audit 17. Interest 18. Other(Specify): 19. Food 20. Household Supplies 21. Recreation & Skill Dev. Supplies 22. Clothing and Personal 23. Contract Services 24. Misc. 25 PROGRAM 3 SCILS 173,940 28,500 1,000 0 100 0 18,000 2,680 1,700 5,670 2,000 0 150 3,050 3,500 0 0 10,500 1,370 3,940 2,100 3,870 61,350 225 TOTAL EXPENSES ( p. 2, line 2) Notes and Comments: 323,645 AGENCY PROGRAM 4 FAM SERV 183,150 34,800 2,060 4,100 0 0 0 150 0 570 1,830 0 600 14,650 500 0 0 3,500 250 500 100 500 0 0 247,260 Youth Homes A Division Of Four Oaks of Iowa PROGRAM 5 PAL 118,800 21,350 1,550 40d 150 0 18,000 2,060 470 4,000 /' 1,640 0 150 9,800 3,720 0 0 10,500. 5,670 5,000 4,120 150 400 350 PROGRAM PROGRAM PROGRAM 6 7 8 208,280 0 0 0 598- jccoghs/xlbudg.xls - 4a - AGENCY Youth Homes a Division of Four Oaks of Iowa RESTRICTED FUNDS: ACTUAL LAST YEAR THIS YEAR BUDGETED PROJECTED NEXT YEAR Restricted by: NONE Restricted for: ITOTAL RESTRICTED FUND (also shown page 2, line 4) ~ MATCHING GRANTS Grantor/Matched by Juvenile Crime Prevention Grant / County Decat MH/DD Other / County, Depreciation, In Kind - (1) 97-98 98-99 99-00 10650/23941 27925/24000 28763/24720 36915/0 31764/0 32717/0 131728/44911 234953/89798 235865/90750 TOTAL MATCHING GRANTS (also shown pg. 3, line 2) 79293/68852 294642/113798 1297345/115470 .IN-ICI~_D. SUPPORT DETA[I, ServicesNolunteers Material Goods Space, Utilities, etc. Other: (Please specify) ITOTAL IN-KIND SUPPORT (also shown on page 2, line 4)[ Notes and Comments: ( l ) Emergency Shelter Grant (DED)/County & Depreciation F,. ,A 18,000 20,000 22,000 22,200 23,000 24,000 40,2001 43,0001 4 i,000 97-98 98-99 99-00 24800/25465 30400/31750 31312/32702 102020/19446 199553/58048 199553/58048 4908/0 5000/0 5000/0 jccoghs/xlbudgxls 131728/44911 234953/89798 235865/90750 -5- -599- SALARIED POSITIONS AGENCY Youth Homes a Division of Four Oaks of Io "X"all that a~ply _ - ~= Position/Title '~. ~- ~ ~ Last This Next Actual Year Year Year Last Year ADM1NSTRATIVE X X X 16 1.50 0.9~ 0.90 80,930 SUPERVISORS/MANAGERS X X X 19 3.24 3.49 3.49 1, 12,846 THERAPISTS X X X 20 4.20 6:27 6.27 144,351 DIRECT CARE STAFF X X X 25 15.93 20. I 0 20.10 293,458 PART-TIME X I 1 7.35 5.70 5.70 116,434 NIGHT COUNSELORS X X X 29 3.10 6.10 6.10 52,097 CLERICAL X X X 25 3.00 2.77 2.77 44,031 OTHERS X X X 23 0.75 0.85 0.85 15,1~4 FTE* Salary This Year 52001 121 628 203598 392 912 94 790 94 868 56 870 21 012 Budgeted % Next Year Change 53,700 3% 125,300 3% 209,800 3% 404,800 3% 97,700 3% 97,800 3% 58,600 3% 21,700 3% TOTAL FTE's and SALARIES 39 * Full-time equivalent: 1.0=-full-time; 0.5=half-time; etc. 46 46 859,321 1,037,679 1,069,400 3% ~00- Full-time employees (an employee regulary 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 empioye,~'s education and experience and is based on the following guidelines: 0 - 5 years experience 5 + years experience or BA +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 / yr 15 days/yr 18 days/yr 21 days/yr 24 days/yr In addition to paid leave, full-time employees receive 6 paid holidays and 24 hours of personal time each calendar year. Available to all regular staff averaging thirty-five (35) hours per week or more. jccoghs/xlbudg. xls - 6 - AGENCY: YOUTH HOMES A DIVISION OF FOUR OAKS OF IOWA ACCOUNTABILITY QUESTIONNAIRE A. Agency's Mission Statement or Primary Purpose: Youth Homes, A Division of Four Oaks of Iowa, provides family-based programs which help individuals resolve family issues end rebuild or maintain relationships. We structure community support systems which help children grow into caring, competent, and responsible adults. B. Board of Directors: 1. Please attach a list of your agency's Board of Directors 2. Frequency of meetings: monthly 3. Bdefly descdbe board orientation and ongoing training opportunities: New board members are IniUally given tours of the programs, a Board notebook, and an orientation. Thereafter, Board development occurs periodically at Board meeUngs, at the annual Strategic Planning Retreat, and at outside events that are offered to Board members when they occur. Finances: 1. Are there fees for any of your services? Yes ~ No __ a. If YES, describe circumstances. b. Are they fiat fees-yes, see rate structure attachment/or sliding fees-yes for privat~ pay 2. Does your agency have: an internal audit Frequency Annual external audit XX financial review 3. Has your agency filed the Annual Report with the Secretary of State? Yes XX No 4. Has your agency filed Form 990 with the IRS? Yes XX No 5. Please discuss your agency's fundraising efforts, if applicable. E, Fund development activities for the year have included direct mailings (newsletter, holiday), a major event, and individual solicltsUon of businesses and Individuals for cash and/or in-kind donaUons for specific activities. A planned giving program is being established through the Four Oaks Foundation, where funds may be designated to Youth Homes. A capital campaign will be completed In 1998, to fund Improvements to the Waterfront Drive site. Management: 1. Does each professional staff have a written job description? Yes XX No 2. Is the agency Director's performance evaluated at least yeady? Yes XX No By Whom? Senior Vice President AGENCY Four Oaks of Iowa Program/Services: Please define your agency's units of service (service definition, len, gth of time, cost per unit of servi~e, number of units provided, direct or indirect.) - YES: RTC: FS: SCILS: PAL: I child in residence for I day = 1 unit I child in residence for 1 day = 1 unit; also therapy, counseling, or skill dev. 1/2 hour face-to-face = 1 unit 1/2 hour face-to-face service = 1 unit 1/2 hour face-to-face service = 1 unit 1/2 day of service = '1 unit -7- -601 - AGENCY: YOUTH HOMES A DIVISION OF FOUR OAKS OF IOWA Reelect in 1999 YOUTH HOMES COMMUNITY BOARD 1997-199~8 Reelect in 1998 Gary Appleby 314 310 th Street West Branek, Iowa 52358 341-2102(W) 643-2087(H) 341-2122(F) Mark Danielson, President P.O. Box 2447 Iowa City, Io~va , 338-7551CVV) 354-o4280-I) 338-6902(F) Ruth Bonfiglio 711 12th Avenue Coralville, Iowa 52241 Jim Brenneman 2346 Mormon Trek Blvd Ste 2000 Iowa City, Iowa 52246 Scott Means 23 13 Mormon Trek Blvd Iowa City, Iowa 52246 Billie Townsend 713 Whiting Avenue Iowa City, Iowa 52245 Janet Walker 2934 Stanford Avenue Iowa City, Iowa 52245 ~ 351-6488(H) 351-881107v') 351-7172Cri) 351-8035(v) 356-9128(W) 354-90830-1) 356-9118(F) 335-9615(W) 354-5995(I-I) 335-0353(W) 335-2021(F) David Kaeena, Vice-President ,P.O. Box 2929 Iowa City, Iowa 52244 Duane Swartzendruber P.O. Box 1880 Iowa City, Iowa 52244 .. ,GeoffWilming P.O. Box 5613 212 1st Street Coralville, Iowa 52241 Ron Wright, Treasurer P.O. Box 1700 Iowa City, Iowa 52244 354-3100(W) 354-2385(H) 331-1312('1Vl) 356-9000(W) 338-1233(H) 356-9020(F) 354-3108(W~, 648-3'oo4ffd 356-5813(W) 358-9824(H) 356-5849(F) ~le:f:~saveXeonunitlc\yt~board~memlst97.sam -602- -7a- AGENCY: YOUTH HOMES A DIVISION OF FOUR OAKS OF IOWA Please supply information about clients served by your agency during last two complete budget years. Refer to form instructions for definition of duplicated and unduplicated. o , How many Johnson County residents (including Iowa City and 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 pro- vide? Enter Years 1996-97 1997-98 la. Duplicated 306 1375 Count 1 b. Unduplicated 242 676 Count 2a. Duplicated 258 1150 Count 2b. Unduplicated 200 476 Count 3a. Duplicated 24 132 Count 3b. Unduplicated 20 63 Count 4a. Total 30,498' 26,915 4b. To Johnson 19,762 16,820 County Residents 5. Other Areas Served: Do you provide services to areas outside of Johnson County? Area(s) served: Eastem Iowa Services provided: Residential Treatment, Emerc~encv Shelter. Family Centered Services. FADDS*. Independent Livin~l, Adoption, Foster Care, Day Treatment. PMIC Funding Sources: State POS. Federal Grants, County Cost Difference, Merit. Private Pay, Medicaid * The FADDS Grant Project, a consodium of multiple agencies, has been expanded and now includes an allocation of $149,000 for Johnson County. AGENCY Client Profile (for last com ~lete year, if available,,): Age Gender Ethnicity 0 - 5 26 Female 275 Afdcan Amedcan 46 6 - 17 493 Male 251 Native American 2 18 - 29 7 Asian 9 30 - 61 0 Hispanic 21 62 - 75 0 Caucasian/Non-Hispanic 426 75 + 0 Multi-racial 22 -8- -603- AGENCY: YOUTH HOMES A DIVISION OF FOUR OAKS OF IOWA Evaluation and Review: A. Please discuss how your agency ~neasures the success of its programs. · Achievement of Individual clients outcomes , · Achievement of agency goals and objectives · Results of agency continuous quality Improvement processes · Results of client and referral source saUsfaction surveys · Results of internal outcome moasurements compared to benchmarks B. Does your agency have performance objectives? [Give several examples] ~ Yes, we have an annual porformanco evaluation for employees that includes: Work Quality; Communication, Leadership; Human/Customer RelaUons; Judgement; and Supervisory Skills. C. What plans does your agency have to increase efficiency and effectiveness? · Enter into partnerships that enable us to spread ..fixed costs · Seek to expand servi.c.es, in order to spread fixed costs · · ConUnus to expand the use of technology to Increase efficiency · ConUnus to develop improved outcome measures · IdenUfy basic care and treatment procedures · 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 conUnue to grow · Poverty rate has leveled off, but total number of children in poverty will continue to grow · Delinquency rate will stabilize, but number of delinquent children will continue to grow · Child abuse rate may not grow, but total number of abused children will likely conUnue to grow. -9- -604- 10. 11. 12. 13. AGENCY: YOUTH HOMES A DIVISION OF FOUR OAKS OF IOWA Please discuss any other problems or factors relevant to your agency's programs, funding or service delivery: Categodal funding (le funding that allowS' only one service at a time and excludes some services) continues to create barriers to individualizlng~ service plans and providing comprehensive/intensive services to children and families List complaints about your services of which you are aware: Increased staff turnover in some programs. Residential beds are often full to capacity. Unclear who to contact within programs/services, Do you have a waiting list or have you had to tum people away for lack of ability to serve them? What measures do you feel can be taken to resolve this problem: Our rasldenUal programs may have a waiUng list or may have vacancies, Our other services do not have a waiting list. We monitor referrals and attempt to balance our capacity to serve referrals with the ~uctuaUon of business. We make every attempt to serve all referrals, but when we cannot, we assist rsferdng workers with alternaUve services and placements. How many people are currenUy on your waiting list? # Changes Daily In what way(s) am your agency'~ services publicized? Through brochures, newsletters, news media, participaUon in community activities, word-of-mouth, presentations to community groups and referral soums, and other outreach efforts. 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 · ~ d. Day of Cadng X e. Kick Off ~ f. Victory Reception X g. Other AGENCY -10- -605- AGENCY: YOUTH HOMES A DIVISION OF FOUR OAKS OF IOWA 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. In 1976, the agency changed its name to Youth Homes, Inc., and provided long-term care as well as emergency shelter. Beginning in 1987, the agency experienced rapid growth. New partnerships were formed with UAY, MYEP, Grant Wood AEA, and others. In June, 1993, the local DHS office initiated a Decategorization project. This initiative allows pooling of state and local dollars, and funding of programs. Youth Homes enthusiastically participated with other local agencies in this innovative project. , In November, 1993, the state initiated the conversion of some children's services to Medicaid funding. This required massive changes in staffing, programming, record keeping, and cost of reporting, Youth Homes' RTC and Family ServiCes made the conversion, while other programs remained under the old reimbursement System. l'* Growing needs in the community and changing state funding policies. 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-site. In December 1993, a capital campaign was initiated to raise $250,000 for remodeling the Waterfront property. The campaign 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 funding for SCILS was reinstated in 1997. In 1995, National and State trends caused the staff and Board to begin to prepare for 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 care system. This led Youth Home to Four Oaks, Inc., in Cedar Rapids. After exploring a variety of partnering relationships, it was determined that the most efficient and effective relationship between the agencies was a full merger. Youth Homes and Four Oaks legally merged on January 1, 1997, creating a new agency, Four Oaks 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. With the merger, Youth Homes added the following Four Oaks' services: special needs adoption, family foster care, family preservation, and FADDS services. We have increased the number of Johnson County youth and families served by Youth Homes from 242, last year, to 676, this year. -606- -11- AGENCY: YOUTH HOMES A DIVISION OF FOUR OAKS OF IOWA FY98 GOALS Please state FY98 goals and report status of progress/completion. AGENCY PROGRAM GOALS AND OBJ.ECTIVES SCILS Goal: To provide transitional living services for youth ages '16 - 20 years old. Objective A: In 1998, provide transitional living shelter services to an estimated 30 youth in the Johnson County community. Tasks: Objective B: Tasks: 1. Increase full-time paid staff to-eight (current full-time staff is six) 2. Add three transitional living beds to the progmm~services (current availability is eight) 3. Provide daily staff supervision to youth participants in the transitional living sites. In 1998, provide SCILS youth participan,ts, with the education and support to gain independence and self-sdfficiency. 1. Provide youth with an a~sessment of their daily' livingskills. 2. Provide youth with daily on-on-one staff supervision and guidance to learn daily living skills. 3. Provide daily staff supervision to youth participants in the transitional living sites. Objective C: In 1998, provide SCILS youth participants with financial support and guidance to start in their independent living home. Tasks: Assist youth in collecting necessary household items for independent living. Subsidize rents and security deposits for youth embarking upon independent living. Subsidize food and hygiene supplies for you~ involved in transitional living until they become financially independent. Subsidize utilities for youth involved in transitional living services. Supervise and counsel youth participants in new independent living situations. Provide aftercare services as referral and counseling for youth who have graduated from the SCILS program. Resources needed for the SCILS program: 2. 3.. 5. 6. One full-time supervisor Eight full-time staff Eleven transitional living beds Office space and supplies Telephone, computer Household items, subsidized rents, deposits, food, utilities. -12- -607. AGENCY: YOUTH HOMES A DIVISION OF FOUR OAKS OF IOWA AGENCY PROGRAM GOALS AND OBJECTIVES FAMILY SERVICESGOAL: To provide Johnson County with a continuum of family and community-based services including Family-Centered Services, Family Preservation Services, Family Foster Care, and Special Needs Adoption. Objective A: Provide Foster Care or special needs adoption services to 45 Johnson County youth. Tasks: Objective B: 1. Meet with DHS to discuss Johnson County's needs for Foster Family recruitment. 2. Complete 3 Foster Family recruitment activities which may include: utilizing existing foster parents to contact interested persons; utilizing local media (radio, local public access TV, local newspapers. 3. Focus on Foster Family retention by: , a) provide access to staff 24 hours a day. seven days a week; b) organize three recognition events (2 local, 1 regional) 4. Provide 3 basic trainings for new foster families: a) Foster Child Transition (tda new home); b) Parent Interven. tions (behavioral management); , c) Cdsis Management Provide in-home Family Centered Services or Family PreserVation Services to 150 Johnson County youth and families. Tasks: 1. 2. Increase full-time therapists from four to six. Track the number of youth served who remain in the home for six months post services or are returned home and remain in the home for six months post services. Provide youth and family access to staff 24 hours a day, seven days a week. Resources needed for the Family Services program: 2. 3. 4. 5. One Family Service Supervisor (66%) Six full-time therapists Foster Families Office space and supplies for staff 2 pagers, telephones, computer, copier, fax machine -608- -13- AGENCY: YOUTH HOMES A DIVISION OF FOUR OAKS OF IOWA AGENCY PROGRAM GOALS AND OBJECTIVES PAL Goal: Objective A: Tasks: To provide after school and summer programming to children ages 6 to 14 who are unable to function in regular day care~ or summer programming due to behavioral difficulties. To develop ways for children in PAL to accept adult authority and to appropriately engage with peers. All children participating in PAL will attend weekly groups to leam appropriate social and coping skills. Staff will use individual and group interventions to model appropriate social and coping skills. Children will participate in community activities and community service to practice skills. Objective B: Staff will provide parent support add educational information to families whose children participate in PAL. : Tasks: 2. 3. 4. Increase family participation form 5 families to 10. Hold weekly family support groups. Provide monthly guest speakers. Provide in-home support to families. Objective C: PAL families will leam the skills to create positive connections with community resources needed to maintain the child within the community. Tasks: Introduce families to existing community resources. Teach families how to advocate on their child's behalf. Staff will model communication skills, problem solving, and conflict resolution in the support groups and through in-home work. Resources needed for the PAL program: 2. 3. 4. 5. 6. 7. 8. 1 full-time coordinator 33% of the supervisors time I full-time family support worker 8 part-time staff 2 part-time transportation staff Office space and supplies Telephone, 1 computers, cell phone for transportation Maintenance of 3 vehicles for transportation -14- '609-