ANNUAL REPORT July 1, 2013 through June 30, 2014 HUMAN SUPPORT SERVICES PROVIDING HIGH QUALITY, COMPREHENSIVE MENTAL HEALTH, DEVELOPMENTAL and SUBSTANCE ABUSE SERVICES 988 North Illinois Route 3 P. O. Box 146 Waterloo, Illinois 62298-0146 (618) 939-4444 TABLE OF CONTENTS I. Agency Description II. Agency Mission III. Community Vision IV. Agency Vision V. Successful Outcomes VI. Agency History VII. Agency Board VIII. Agency Services: A. Professional Counseling 1. Crisis Intervention Services 2. Outpatient Counseling 3. Youth Services 4. Substance Abuse Alternatives 5. DUI Services B. Day and Work Services 1. Day Program 2. Employment &Vocational Training 3. Sheltered Employment 4. Supported Employment 5. Client Transportation 6. Volunteer Program 7. Paper & Cardboard Recycling C. Community Support Network 1. Community Integrated Living Arrangements 2. Home Based Services 3. Supported Residential 4. Supervised Residential 5. Subsidies 6. Property Ownership & Landlord Services 7. Program Case Coordination 8. Financial Case Management 9. Medical Oversight 10. Crisis Housing 11. Families 12. Transportation IX. Community Mental Health Related Organizations A. Human Support Services Foundation B. Monroe County Apartments 2 & 3 LP C. Monroe County Apartments 4 Association D. Monroe Council for the Handicapped Page 3 3 3 3 3 4-5 6 6 6 6 7-8 8-9 9-10 11 11 12 12 12 12 13 13 13 14 14 14 14 15 15 15 16 16 16 16 17 17 17 17 17 18 18 E. 708 Board X. President of Board of Directors XI. Executive Director XII. Agency Statistics for the Year XIII. Finance Report 2 18 19 20 21 I. AGENCY DESCRIPTION Human Support Services, a non-profit, tax-exempt organization, was founded in 1973 to make mental health services available to residents of Monroe County, Illinois. Since that time HSS has grown to be the county’s major provider of services to people with mental health, developmental or substance abuse needs. All services are provided on a non-discriminatory basis with disregard for race, color, creed, sex, national origin or handicapping condition. II. AGENCY MISSION To provide high quality, comprehensive services to Monroe County residents with mental health, developmental disabilities and substance abuse needs. III. COMMUNITY VISION Our vision is that all persons affected by mental illness, developmental disabilities or substance abuse live satisfying, productive and valued lives in our community. IV. AGENCY VISION To be Monroe County’s primary resource for excellent, accessible and affordable mental health, developmental disabilities and substance abuse services. V. SUCCESSFUL OUTCOMES WILL BE MEASURED BY: - People having the ability to live as independently as possible. People reporting an improved quality of life. People having access to peer services and support. People exercising their right to make autonomous choices about their own financial, social, personal, and employment or community involvement goals. 3 VI. AGENCY HISTORY Our private, non-profit agency first opened its doors in 1973, staffed with a part-time medical director, one counselor and a secretary. Initial efforts were to provide support to individuals facing mental health needs. Early success in meeting these needs and growing acceptance from the community led us to quickly begin serving those with developmental disabilities and substance abuse issues to our mission in 1975 and 1979 respectively. We found that Human Support Services filled a gap in Monroe County’s health care services network for people with disabilities, responding to the community’s desire that individuals with mental health needs, developmental disabilities and substance abuse problems are supported and assisted. Since those early days there have been a number of other significant milestones, including: *1978, Monroe County passed the Community Mental Health Funding Act, establishing the Mental Health Board and providing a source of local tax support *1979, the Sheltered Workshop Program began by merging with the county’s Developmental Disabilities Program *1985, the DUI Program was established *1987, the agency was first accredited by the Commission on Accreditation of Rehabilitation Facilities *1988, Community Support Network (CSN) was started to add Community Integrated Living Arrangements (CILA) for developmentally disabled adults. *1989, the agency moved into its new center at 988 North Illinois Route 3, Waterloo *1995, the Supportive Employment Program was established *1996, the agency’s first residential apartment building was built *1997, the agency’s next two apartment buildings were added *2000, apartment building #3 and 4 was added, as was the Psychosocial Rehabilitation Program *2001, we built a new Sheltered Workshop and renovated the Day Services space. *2002, we purchased apartment buildings #5 and 6 for supported residential services *2003, the north wing of the agency was renovated, including the workshop 4 *2005, apartment buildings #7, 8 and 9 were added in Columbia *2006, the agency purchased a new billing and clinical documentation system *2008, a secure source of rental subsidies were added for buildings #7,8 and 9 in order to save local funding from this need *2009, additional rental subsidies were added for building #1 *2012, built auxiliary support building *2013, all clinical records were made electronic *2014, opened two four-bed group homes On June 30, 2014, HSS employed 84 staff and during the fiscal year had 31 volunteers. During FY2014, we served an unduplicated count of 726 in outpatient mental health, 184 in substance abuse and DUI, 79 in day treatment and the workshop, 29 in supportive employment and 92 in residential care. Human Support Services was founded by a group of dedicated individuals who wanted Monroe County residents to have local access to mental health and related services. Over the years, hundreds of local residents have supported the Agency as Board Members. The following men and women have lent their names as Board Presidents: Rev. Robert Manning - 1973-1974 Mr. Donald Schmitt - 1975 Rev. Robert Maisch - 1976 Mr. John Conrad - 1977 Mr. James Tucker - 1978 Mr. Paris Nation - 1979-1980 Rev. Theodore Rasche - 1981 Ms. Tish Turner - 1982-1983 Mrs. Kathryn Mueller - 1984 Mrs. Beverly Richards - 1985 Rev. Robert Hedeman - 1986 Mrs. Frances Axley - 1987-1988 Mr. Raymond Griesbach and Mrs. Yvonne Shepherd - 1989 Mrs. Yvonne Shepherd - 1990 & 1991 Mr. Don Schmitt - 1992 Mrs. Lynn McMahan - 1993 Mrs. Amy Hemenway - 1994 Mr. Joe Bassy - 1995 Rev. Robert Page - 1996 Miss Edna Dell Weinel – 1997 Mrs. Diana Weller – 1998 Mrs. Allison Kirkpatrick –1999 Ms. Carol Cabbage – 2000 Mrs. Kim Huetsch – 2001 & 2002 Mrs. Penny Eplin – 2003 & 2004 Mrs. June Maglasang – 2005 & 2006 Mrs. Winona Reichert – 2007 & 2008 Ms. Courtney Hunter- 2009 & 2010 Dr. Angela Cass– Prost—2011 & 2012 Mrs. Kathryn Haudrich - 2013 & 2014 5 VII. AGENCY BOARD - FY 2014 Kathryn Haudrich—President Linda Whelan—Vice President Leota Roider—Secretary Steve Korneffel—Treasurer Dr Lloyd Irwin Moore Executive Member at Large Christine Campo Curtis Cecena Jean Marie Conrad VIII. Janice Sue Crawford Agnes Dougherty Ericha Johanning Bonnie Kuergeleis Richard Levendoski Margaret Ryan-DeBonis Aimee Winter AGENCY SERVICES A. PROFESSIONAL COUNSELING SERVICES The Professional Counseling Service was the first service established by HSS in 1973. It serves individuals and families needing help on an outpatient basis for mental health and substance abuse needs. Services provided include: 1. Crisis Intervention Services 24-hour crisis intervention service began in 1976. It responds to crisis and emergencies of any person in Monroe County by providing a variety of supportive and intervention services: a. Intervention During Working Hours. During working hours, consumers can call (618) 939-4444 to receive immediate intervention for emergencies and may see a counselor regarding a crisis within 2 hours. b. After-Hours Intervention. After working hours, consumers are directed to telephone, collect, 911 for emergency help. If the consumer needs intervention in Monroe County, the on-call emergency Human Support Services worker will be reached to respond to your needs. 6 c. 2. Pre-screening to State Hospital System. Human Support Services is required to prescreen all admissions or persons in Monroe County to the State Hospital System. Outpatient Counseling A comprehensive set of outpatient services are provided to adults, children and families. a. Psychiatric Evaluation and Medications. A licensed psychiatrist is available to see clients for psychiatric evaluation and medication monitoring. b. Counseling. Professional counselors provide outpatient individual, group, and family counseling. Counseling is also provided to clients in the Day Training and Residential Programs. c. Evening Hours. This program is open late on Monday, Tuesday, and Thursday evenings until 8:00 P. M. d. Education and Consultation. Professional clinical staff are available to make public presentations, conduct workshops, consultations or trainings. e. Children First. The Children First Program is a time-limited educational group for parents getting a divorce. The program uses video and group discussion to portray possible problem situations after a divorce and the effect the parents' behavior has on the children. 7 f. g. 3. Case Management Services. Since 1985, the Agency has provided Case Managers to help consumers with mental health, developmental, and substance abuse issues obtain needed services in the community. Case management provides linkage, monitoring, coordination and assessment to guide clients them toward a successful recovery. Community Support. HSS provides community support services to clients in supported, supervised or other community settings. These services help clients learn and practice skills needed for successful community living. Youth Services The Youth Services program was established in 1987 and serves youth in personal or family crisis situations. Staff can intervene in a crisis, provide linkage to other family services agencies or authorize emergency funding to overcome a crisis. Preventative and mentoring type services are also provided: a. Runaway/Lock-Out Youth. Staff are on call 24-hours to respond to calls from Monroe County Law Enforcement to help with youth unable or unwilling to go home. b. Crisis Intervention. Counseling is provided to runaway/lock-out youth and families to effect reunification of youth with their family or a safe alternative. c. Temporary Placement. Staff can assist runaway/lock-out youth who have nowhere to stay. We can effect short-term placement with relatives or in foster care. 8 4. d. Individual and Group Counseling is provided in Monroe County Schools when asked by school officials. Group and individual counseling and mentoring is available. e. Referral. Referral and linkage of youth to other agencies or programs for medical, legal or other needs is provided. f. DCFS Placement Stabilization. Staff work with families experiencing problems with a DCFS ward placed in their home. In-home assistance is offered as well. Substance Abuse Alternatives The Substance Abuse Program was established in 1980 to serve individuals with substance abuse issues. The following programs have been developed to meet the needs of the Monroe County community. The IL Division of Alcoholism and Substance Abuse provides funding in whole or in part for these services. a. 1. Outpatient Program. The Outpatient Program provides comprehensive education and treatment to individuals and their significant others for whom extended in-patient care is not feasible and/or warranted. Moderate Risk Program. The Human Support Services has implemented an Intervention Program for DUI offenders assessed as moderate or significant risk. This program consists of Driver's Risk Education, didactic group, and 2-4 individual counseling sessions, depending upon the need of the individual. 9 2. Significant Risk Program. This is a continuation of group and individual counseling services. It consists of a more intensive focus on alcohol/ drug addiction and the importance of self-help recovery in maintaining an abstinent life style. b. Intensive Out-Patient Program. The Intensive Out-Patient Program began in 2003 and offers clients nine to twelve hours of programming a week. The goal is to provide an alternative to residential in-patient treatment. It is scheduled three evenings per week. c. Aftercare. Aftercare plans are established for all clients completing our outpatient program or who return to the community after completion of a residential in-patient alcohol/drug treatment program. Aftercare can include weekly group counseling, individual counseling (if needed), family counseling, weekly attendance at AA/NA and development of a substance-free lifestyle. d. Relapse Prevention. Since 2003, the Agency has provided a relapse prevention program for clients who have a potential for relapse. We help these clients with taking their medication, keeping medical appointments and provide help with crises. e. Evaluation and Referral. All potential chemically dependent individuals are evaluated by objective testing and interviewing. They are then referred to the appropriate level of treatment. f. Evening Hours. The program offers evening hours until 8:00 P. M. on Monday, Tuesday, and Thursday. 10 5. DUI Service The DUI program was established in 1985 and consists of DUI court ordered evaluations and Driver's Risk Education classes. We ask the client to pay the total cost of the service unless they qualify for Indigent Funding from the IL Department of Alcoholism and Substance Abuse. In some instances, with court approval, fees can be supplemented from other sources. B. a. DUI Court Ordered Evaluation. Upon referral from the court, the Human Support Services will provide a DUI evaluation in 1-2 sessions that will systematically evaluate the individual's level of functioning and generate a report of the findings. The Agency will send a copy of the evaluation to the court. b. Driver's Risk Education Program. The Driver's Risk Education program is designed to provide education to those individuals whose evaluations indicate a potential problem with drugs or alcohol. DAY AND WORK SERVICES This program has been in continuous operation since its inception in 1979. It began with a staff of six as a Sheltered Workshop for developmentally disabled/ mentally retarded adults in the Parkview School in Columbia. In 1986, the program was converted to a Developmental II Training Program serving people with a variety of developmental disabilities. The emphasis was shifted from sheltered employment to developing life skills. In 1990, the Program became a Day Program incorporating developmentally disabled clients and individuals with mental illnesses. Today, services include the following: 11 1. Day Program A variety of skills classes and instruction are provided for clients. The goal is to help consumers learn skills that will help to live as independently as they are able in the community. Throughout the day there are specialized classes on topics such as self-care, cooking, hygiene, managing symptoms, computers, math, reading, social, and vocational skills. 2. Employment and Vocational Training The Day Program serves as a resource to individuals with developmental disabilities or mental illness that would like to work but need to learn job readiness skills. We work the Division of Rehabilitative Services to evaluate vocational needs and to qualify individuals for services. We provide individual and group instruction on job related skills. 3. Sheltered Employment HSS offers a sheltered workshop to provide individuals who are not ready or able to work in community jobs with a place where they can work and earn a real paycheck. We are in constant search of contracts with area companies to provide work opportunities for our clients. Clients are normally paid piece rate wages for most tasks performed. Staff helps client workers to learn workplace skills that may enable them to move on to community jobs. 4. Supported Employment In May, 1995, HSS’s Occupational Express contracted with the Department of Rehabilitation Services to provide referred consumers with job placement, job preparation, and follow-up services as needed. We continue to offer job placement assistance, helping consumers prepare for, find and maintain community jobs. 12 We continually seek job opportunities in the community for our clients. 5. Client Transportation HSS uses a bus and two para-transit vehicles to operate four separate transportation routes on a daily basis, providing transportation for clients from their home to our Day and Work Services program. For individuals living in agency apartments, each site is provided a van to meet the transportation needs for the residents. Also, HSS provides staff and transportation for hundreds of trips to doctors or other needed services each year if there is no family or other resource to meet the need. 6. Volunteer Program The Day Program has a number of regular volunteers who help clients in all phases of activities. The program could not provide the service it does without these volunteers. There continues to be a great need for additional volunteers. 7. Paper and Cardboard Recycling The agency recycles its own paper and cardboard and has expanded cardboard recycling and offers it to community residents. Anyone wishing to dispose cardboard can do so by contacting the Day Program or by dropping it off at the loading dock area. C. COMMUNITY SUPPORT NETWORK In the spring of 1990, HSS started its residential services program, adding supported housing for persons with mental illness or developmental disabilities to begin a new life in the community. Our first clients moved in late August of 1990 and we are continuing to grow. The program is now known as the Commu13 nity Support Network (CSN) and offers a variety housing services to individuals seeking community living arrangements. Included in CSN are the following: 1. Community Integrated Living Arrangements (CILA) CILA funding is used by HSS to provide developmentally disabled adults with the opportunity to live in their own apartment or homes. Supports are built around each individual up to 24-hours per day. Also, other clinical, vocational and medical support is integrated with the sitebased services. Most CILA clients (14) reside in HSS apartments HSS while some (2) are supported in their family’s home. Staffs at apartment sites and five other levels of staff carry pagers to be able to respond to behavioral and psychiatric crisis management issues for clients. Medical issues are also covered 24 hours a day by an RN and LPN. 2. Home Based Services (HBS) Some developmentally disabled adults with a higher level of functioning receive funding through the HBS program. This funding works like CILA and supportive services are set-up to assist as needed. 3. Supported Residential (820) HSS also provides housing opportunities for persons with mental illness. The 820 program offers apartments to individuals who need a little assistance in order to live in their own apartment. As with CILA and HBS clients, an array of supports is available to build around each person’s needs. 14 4. Supervised Residential (830) The 830 program is similar to the 820 program except that the individuals generally require a 24 hour level of support on-site. The supports provided are more frequent and intense. Services are provided on-site or clients are transported to the main agency office as needs or interests dictate. 5. Subsidies In almost all cases, individuals served by the HSS housing program are very or extremely low-income. They could not afford rent payments at community rates. HSS has worked hard to find rental assistance funding to allow all rents to be set at 30% of available income. These subsidies are from state or federal sources if available and if not, HSS provides the funding from its own resources. 6. Property Ownership and Landlord Services HSS has set up two corporations to purchase and own the nine apartment buildings it uses in the CSN program. HSS then provides the service to residents while these other corporations own the buildings. HSS also serves as the Landlord and manages the buildings just as any landlord would in the community. HSS keeps the buildings in good repair, collects rents, resolves tenant complaints and fills vacancies. 15 7. Program Case Coordination HSS has staff qualified to supervise the care of disabled persons living in the community. This staff includes certified QMHP/QSP case managers who are responsible to develop and supervise an individual care plan for every person in HSS housing. 8. Financial Case Management For the clients who reside in HSS housing that cannot successfully manage their finances, HSS provides financial case managers. These staff assists clients in managing their income and expenses, often establishing joint bank accounts between the client and HSS. Also, they work to keep clients registered and eligible in important government assistance programs such as Medicare, Medicaid and Social Security. 9. Medical Oversight HSS employs an RN and an LPN that help to meet the medical needs of individuals served by the agency in CSN and it’s other programs. In addition, there is a consultant psychiatrist who spends a day a week at HSS. These medical personal help to distribute and supervise medications needed by clients, provide nursing oversight for any medical issue or condition and are available for staff to consult with regarding care issues and complications. 10. Crisis Housing HSS tries to maintain one apartment as a crisis apartment to serve short-term housing emergencies of the agency’s clients. Once the individual is safely in this unit, staff can then work to find a more permanent solution to the housing need. 16 11. Families While most clients served in HSS housing are single, some have families. HSS has a variety of housing options in the CSN to accommodate family needs. Most apartments are one-bedroom but there are two and three bedroom units available as well. 12. Transportation Since public transportation is limited in Monroe County and most residents in CSN housing cannot afford or do not have the ability to drive, HSS has provided a fleet of vans to the housing sites. Staff can help transport residents to work, stores, needed services and to recreational activities. IX. COMMUNITY MENTAL HEALTH RELATED ORGANIZATIONS A. The Human Support Services Foundation In 1981 the Human Support Services Foundation was founded for the purpose of building an fund that would provide ongoing financial support to HSS. This non-profit corporation receives donations and invests them. Earnings from the fund are only used to support HSS. To assist HSS in efforts to secure charitable donations for the Human Support Services Foundation, the Monroe Society was also formed. This is an ever-expanding group of caring people in Monroe County have pledged or gift in excess of $5,000 to support HSS. This group seeks bequests and other types of planned gifts from community members. B. Monroe County Apartments 2 & 3 LP Monroe County Apartments 2 & 3 LP (MCA2&3LP), founded in 1996 is the Limited Partnership that is the owner of Apartment Buildings 2 & 3. MCA 2 & 3 LP offers 14 low-income apartments for the disabled in Monroe County. This Corporation allowed the use of tax credits to help finance the construction of Apartment Buildings 2 & 3. MCAI Inc., IV is the Administrative General Partner. National Corporate Tax Credit Fund IV is the Limited Partner. 17 C. Monroe County Apartments 4 Association Monroe County 4 Association (MCA4A), founded in 1999, is a not-for -profit corporation, that owns Apartment Building 4. MCA4A offers seven low-income apartments for the disabled in Monroe County. In FY2005, MCA4A took ownership of Apartment Buildings 1, 5, 6, 7, 8, and 9 in addition to Apartment Building 4. D. The Monroe Council for the Handicapped The Monroe Council for the Handicapped is a parents’ group whose children are mentally retarded, epileptic, autistic or in other ways mentally handicapped. They were established in September 1955 and over the years they have sponsored a long list of social and recreational activities for clients, including summer day camp, recreational outings, Special Olympics, etc. E. Monroe County Community Mental Health Funding Board (H.B.708) The 708 Board was established by passage of the Community Mental Health Funding Act in Monroe County on November 7, 1978. The Countywide referendum passed by 65% of the vote, a margin of 1,540 votes. The Mental Health Funding Act allows a countywide tax up to $.15 on $100 property evaluation; currently the rate is $.05. The 1997 Property Tax Extension Limitation Law limits access to $.06, $.09 less than the original $.15. The 708 Board is appointed by the President of the Monroe County Board of Commissioners. It is a seven member Board whose tasks are to plan for meeting community mental health needs in Monroe County, reviewing existing programs and granting applications for funding, setting up contracts with service agencies, and, in general, overseeing the tax raised by the Community Mental Health Act. 18 X Message from the President of the Board of Directors It has been an honor and a privilege to serve as President of the Human Support Services (HSS) Board of Directors this past year. HSS has just completed 41 years of providing mental health, substance abuse and developmental disabilities services for Monroe County. Our vision is to provide high quality, comprehensive services to our clients so that they will live satisfying, productive and valued lives in our community. We have an exceptional board, administration and many community supporters who are dedicated to providing quality services for our clients. This past year has been one in which we have achieved an important goal that has been a community need for some time now. We expanded our residential program for adults with developmental disabilities by adding two group homes, each to serve four persons. These two homes opened in August and already have six persons living in them. They provide a higher level of support to the residents than what is possible in our apartment program. We are very pleased we were able to add these resources. Along with adding the group homes we have also expanded our workforce by over fifteen positions as well. We would like to thank everyone who has helped the agency prosper and grow so that we could expand our programs to meet local needs. None of this could have happened without the dedication and enthusiasm of the HSS administration and staff and with the ongoing support of our board and our community. Annually, HSS serves nearly 1,000 persons, helping each of them achieve optimal functioning and independence in their community. Our mission then and now is to provide innovative, community-based services that enhance the wellbeing of the people who come to our doors. It is a pleasure to serve this mission. Kathryn Haudrich, President 19 Executive Director’s Message I am pleased to present to you our 2014 Human Support Services (HSS) annual report. As you read our 2014 annual report you will find the Agency has been busy helping to make our community a healthier one. We strive to meet the needs of the community and of the individual clients that we serve. We’re proud of the work we do at HSS and it shows! The past year has been anything but status quo in our world. We have been able to achieve many important goals that will help us serve the community better while being more efficient. Some of our accomplishments for the past year include: Opening two group homes to serve four adults each Adding a Club House styled group for our supervised residential program Expanding our employees from 70 to 85 Fully implementing scanning technology to eliminate paper records Improving our fleet of vehicles by adding three new mini-vans plus a medium duty bus Assisting over 40 persons to enroll into the expanded Medicaid program Getting our agency included as an in-network provider in ten insurance plans Partnering with the Monroe County Coalition for Drug Free Communities to receive a grant from the Deaconess Foundation for prevention and intervention resources One other big area of attention over the last year has been the transformative changes resulting from the Affordable Care Act; more specific to our purpose: Medicaid reform. We have watched as the state moves us closer in the direction of Medicaid managed care. A managed care environment is new to our organization because we have for many years received only grant funding and direct fee-for-service Medicaid billings. Throughout much of Illinois this is changing and managed care networks are being awarded risk-based contracts to provide medical and behavioral health services to Medicaid recipients. This means, literally, managed care organizations will have complete control over health care related services for the chronically-ill Medicaid population. So far this change has not occurred in Monroe County but it is creeping closer. Bringing managed care Medicaid will certainly bring great change and greater accountability for the on-the-ground delivery system responsible for the health care outcomes of our most vulnerable citizens. As an agency we will have to work to be ready for its arrival in Monroe County in the not too distant future. Whatever changes come, we will remain an agency that is solid about our purpose and lives according to our mission of advocacy, services and support. Today, we celebrate the great work we do in our community. This success is possible because of the concerted effort of the board, staff and volunteers that believe in our mission. Robert J Cole, Executive Director 20 E D 59,546 6 MCA23LP and MCA4A Units Available Units Occupied Occupancy Rate -58% -15% YTD % Variance OCCUPANCY $ (50,790) $ (51,198) $ $ YTD Variance $ $ 88,036 $ 60 55 92% $ (10,845) -26% $ 11% 20,111 187,834 207,945 $ per day 158 137,760 2% 93,964 30,494 $ $ $ 4,285,124 310,957 353,078 $ 4,379,088 664,035 Psych Meds 41,339 per day 25 169,656 $ $ 325,862 908,629 $ $ $ $ 1,234,491 Donations Spec Proj PSH Total Net Client Fees $ $ 82,001 $ 174,832 $ 256,833 24 5,740 Other HBS 55D per day 192 165,720 $ (388,492) $ 1,323,357 $ 934,864 33 7,069 24 hour 830 Supervised Res 820 Supported Res 6,905 24 hour DD CILA 60D Incl HBS 22 DD CILA 13 HBS 37,246 DRS 31U 8,220 per placement $ per hour 14.28 $ $ $ per hour 73 2,706 $ 330,714 $ $ 279,516 per hour 81 5,841 2,465 Target/Budget $ $ $ 45,208 $ 850,271 $ (325,042) $ 47,673 5.5 29 Supported Emp $ 525,229 59 DD/20 MI Day Training incl MI Billing YTD BILLING COMP TO TARGETS Unit Cost of Unit of Care YTD Client Hours/Placements for SE COST OF CARE C $ (69,537) $ 197,790 $ 474,080 Expenses $ 113,629 $ 128,253 184 SA Outpatient $ 587,709 726 MH Outpatient incl DUI Income YTD FIN STMT HIGHLIGHTS Successful Placements Client Days/Nights Clients Served YTD CLIENT DATA Net B A Program Name DHS Service Number HUMAN SUPPORT SERVICES KEY STATISTICS REPORT FY2014—JUNE 2014—AUDITED 21 $ 11% (8,471) $ 660,000 $ 651,529 MRO MRO FFS Medicaid $ $ $ -12% (2,985) 24,000 21,015 nonMRO NonMRO FFS Non-Medicaid XII. FINANCE REPORT FY2014 audited FY2013 audited 690,547 974,248 149,667 490,062 696,335 1,005,456 158,187 333,469 Dept of Children and Family Services Dept of Human Services Local government awards (708) Other Contributions & Other: Restricted to Operations Unrestricted Donations Sales of Goods and Services Rent Income/Mgmt Fees Gain on Sale of Assets Cafeteria and Vending Machine Miscellaneous/Other Investment Income Income on restricted/unrestricted assets Total Sources of Revenue EXPENDITURES: Program expenses Support expenses Occupancy expenses Administrative and office 0 1,115,973 370,887 0 1,288,468 370,889 254,483 25,000 261,272 25,000 86,128 37,594 91,473 38,990 3,018 38,388 3,340 14,712 143,093 4,379,088 (404) 4,287,187 2,831,233 50,167 514,246 889,478 2,716,441 57,534 428,762 896,987 Total Expenditures 4,285,124 4,099,724 93,964 2.1% 187,463 4.4% A. REVENUE & EXPENSE SOURCES OF REVENUE: Fees & Purchase of Service: Medicaid Rehab Option (MRO) Department of Human Services Department of Public Aid Client/Family Program Fees Other Grant Revenues: Excess Revenue/(Expenditures) % of Income over Expenses 22 XII. FINANCE REPORT FY2014 audited B. BALANCE SHEET FY2013 audited ASSETS Cash, Cash Equivalents, Investments Investments Accounts Receivable (net) Prepaids & Deposits Fixed Assets (net of depreciation) 1,450,063 2,258,336 1,251,992 260,876 796,834 905,636 35,887 32,070 995,465 1,033,560 Total Assets 4,530,241 4,490,478 LIABILITIES AND FUND BALANCE Accounts Payable/Accrued Expenses Mortgage Payable (current & long term) 415,907 404,835 436,120 438,823 Total Liabilities Net Assets (Fund Balance) 820,742 874,943 3,709,499 3,615,535 Total Liabilities and Fund Balance 4,530,241 4,490,478 23
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