Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
RESPONSE - RFP - P923 WOOD STREET NONPROFIT LEASE
othills atewa ,Nc y S UPP OR T ING P E O P L E WITH D I S A E 1 t I T I E S Proposal Number P923 400 Wood Street Nonprofit Lease City of Fort Collins Adult Respite Care (Facility —based respite care for adults with developmental disabilities who live with their families or in host homes) March 4, 2004 Foothills Gateway, Inc. 400 Wood Street Nonprofit Lease March 2004 TASK TIME LINES July Aug. Se t. Oct. Nov. Advertising for and hiring the director Training of director Advertising for and hiring staff Writing and approval of job descriptions, intake processes, assessments, rules and regulations, etc. Staff training Retrofitting and other compliances Furnishing Marketing Contingencies Start service The Yearly Lease Rate We wish for our rate to remain at $5 per year, the existing rate for non-profit use of the facility. However, this is negotiable. This was based on the following considerations: ■ Foothills Gateway, Inc, is a non-profit organization, which will use the property for a non-profit activity. ■ If granted the property for lease, Foothills Gateway, Inc. will need to cover the cost of repainting the house as well as of making the following necessary repairs/replacements that were identified by the inspection conducted by US Inspect on February 20, 2004: o Replace a number of spalled bricks for integrity of the wall and appearance in exterior brick retaining wall. o Repair the brick veneer. o Repair or replace several sliding window frames, which are separating. o Repair or replace a broken sliding window sash assembly located in the playroom, main floor south side of the building. o Repair the failed exterior seal on the north -facing window in the kitchen. o Replace screen just west of the exterior rear kitchen door. o Repair or replace drywall; the damage is evident. o Repair cracks in the drywall. o Repair the junction box next to the furnace, which is missing a cover plate. V6 Foothills -Gateway, Inc. NOTES TO FINANCIAL STATEMENTS (CONTINUED) June 30, 2002 NOTE A — SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (CONTINUED) 7. Land, Building and Equipment Land, building and equipment are reported at cost for purchased assets and estimated fair value, at date of receipt, for donated property. Depreciation and amortization are provided on the straight-line method over the following estimated useful lives: Years Buildings and improvements 10-50 Program and administrative equipment 3-10 8. Temporarily Restricted Revenue Donor restricted revenue, whose restrictions are currently satisfied in the same fiscal year, are reported as unrestricted revenue, rather than temporarily restricted. Donor restricted contributions, whose restrictions are not currently met, are reflected as an increase to temporarily restricted net assets. 9. In -Kind Donations Contributions of property, materials and personal services are known as in -kind donations and are recorded at estimated fair value at date of receipt. These donations (other than contributions of land, building and equipment) are included as program costs to properly reflect the total cost of the particular program. 10. Prior -Year Summarized Information The financial statements include certain prior -year summarized comparative information in total but not by net asset class. Such information does not include sufficient detail to constitute a presentation in conformity with accounting principles generally accepted in the United States of America. Accordingly, such information should be read in conjunction with the Center's financial statements for the year ended June 30, 2001, from which the summarized information was derived. 12 Foothills -Gateway, Inc. NOTES TO FINANCIAL STATEMENTS (CONTINUED) June 30, 2002 NOTE B — FEES AND GRANTS FROM GOVERNMENTAL AGENCIES Amounts receivable from governmental agencies are as follows at June 30, 2002: State of Colorado General Fund $ 118,571 Medicaid 415,472 Latimer County 534,927 School district 4,829 NOTE C — INVESTMENTS Investments are carried at fair market value based on current market quotations. Investments are classified between short and long term based on their maturity date. Investments at June 30, 2002 are comprised of the following: Fixed income securities $ 4,148 Certificates of deposit 450,000 Corporate bonds 688,724 U.S. Government securities 572.750 Short-term investments $ 1,346,439 Long-term investments 369,183 Total investments $1 Investment return of the year ended June 30, 2002, consists of the following: Investment income $ 98,475 Unrealized loss on investments 4( 0 477) 13 Foothills -Gateway, Inc. NOTES TO FINANCIAL STATEMENTS (CONTINUED) June 30, 2002 NOTE D — LAND, BUILDING AND EQUIPMENT Land, building and equipment consist of the following at June 30, 2002: Buildings and improvements $ 5,165,002 Program and administrative equipment 856,445 6,021,447 Less accumulated depreciation 2,914,949 3,106,498 Land 133.70 NOTE E — NOTES PAYABLE Notes payable consist of the following: 7.5% note payable to a financial institution, due in 2010, payable in monthly installments of principal and interest of $926, collateralized by real estate $ 67,449 7.5% note payable to a financial institution, due in 2012, payable in monthly installments of principal and interest of $582, collateralized by real estate 47,361 7.75% note payable to a financial institution, due in 2017, payable in monthly installments of principal and interest of $842, collateralized by real estate 88,692 203,502 Less current portion 12.93 Maturities of notes payable are as follows: Year ending June 30, 2003 $ 12,938 2004 13,927 2005 14,750 2006 16,269 2007 18,292 Thereafter 127 326 14 Foothills -Gateway, Inc. NOTES TO FINANCIAL STATEMENTS (CONTINUED) June 30, 2002 NOTE F — DEFERRED REVENUE Deferred revenue at June 30, 2002, consists of $5,122 of unearned revenue from the Department of Housing and Urban Development. The revenue is recognized when services are performed. NOTE G — TEMPORARILY RESTRICTED NET ASSETS The following are included in temporarily restricted net assets at June 30, 2002: Unexpended donations Fort Collins Service League $ 25,705 Other miscellaneous donations 18.514 $ �12 NOTE H - RETIREMENT PLAN The Center has established a defined contribution retirement plan for all employees age 21 and over, who have completed one year of service. The Center contributes an amount equal to 5% of the salary of each participant, or $152,800 for the year ended June 30, 2002. NOTE I — LEASES The Center leases office space, transportation and workshop equipment as well as residential facilities in the operation of its programs. The leases expire through fiscal year 2007. Future minimum rental payments for these leases at June 30, 2002 are as follows: Year ending June 30, 2003 $ 62,643 2004 50,658 2005 34,569 2006 7,800 2007 6.600 The total rent expense for operating leases for the year ended June 30, 2002 was $85,906. 15 Foothills -Gateway, Inc. NOTES TO FINANCIAL STATEMENTS (CONTINUED) June 30, 2002 NOTE J — RELATED PARTY TRANSACTIONS The Center receives a substantial amount of revenue from the State of Colorado. These transactions are considered to be transactions with a related party by virtue of significant management influence exercised by the State of Colorado through contract provisions. NOTE K — TRUST ACTIVITY Foothills -Gateway Rehabilitation Center Charitable Foundation Trust (the Trust) was created exclusively for charitable, scientific, literary and educational purposes in support of the Center. The Trust is a nonprofit organization that solicits funds for the Center. If the Trust is terminated, the assets of the Trust shall be distributed to the Center. 16 Supplementary Information 17 Grant Thornton T Accountants and Management Consuftants REPORT OF INDEPENDENT CERTIFIED PUBLIC ACCOUNTANTS ON SUPPLEMENTARY INFORMATION Board of Directors Foothills -Gateway, Inc. Our audit was conducted for the purpose of forming an opinion on the basic financial statements taken as a whole of Foothills -Gateway, Inc. as of and for the year ended June 30, 2002, which are presented in the preceding section of this report. The supplementary information, as listed in the table of contents, is presented for purposes of additional analysis and is not a required part of the basic financial statements. Such information has been subjected to the auditing procedures applied in the audit of the basic financial statements and, in our opinion, is fairly stated in all material respects in relation to the basic financial statements taken as a whole. Denver, Colorado September 13, 2002 1600 Broadway, Suite 1800 Denver, CO 80202 T 303.861.5555 F 303.839.5711 Audit F 303.839.5701 Tax W www.grantthornton.com 18 Grant Thornton LLP US Member of Grant Thornton International Fees and grants from governmental agencies Fees for services State of Colorado State General Fund Comprehensive Adult supported living Children and families Medicaid Comprehensive Adult supported living Children's extensive support Latimer County School districts Grants and other Department of Housing and Urban Development Other Total fees and grants from governmental agencies Public support Contributions United Way Residential room and board In -kind donations Other revenue Total supportand revenue Expenses Salaries Direct care Other Payroll taxes Employee benefits Total personal services Medical professional services Physicians Other Other professional services Staff development Staff travel Foothills -Gateway, Inc. SUMMARY OF REVENUE AND EXPENSES BY PROGRAM Year ended June 30, 2002 (With summarized financial information for the year June 30, 2001) Program Services Medicaid Medicaid State adult adult Children's Early Case Other Non comprehen- supported supported extensive interven- Family manage- program specified sive living living support tion support ment services Management and general Fundraising Total 2002 2001 $ - $ 18,447 $ - $ - $ - $ - $ - $ 146,271 $ - $ - $ - $ 164,718 $ 193,025 - - 437,672 - - - - - - 77,236 - 514,908 580,829 - - - 249,896 256,376 - - 89,342 - 595,614 4711155 10,885,157 - - - - - 527,921 - 260,909 - 11,673,987 10,7771322 - - - 2,007,394 - - - - - 353,293 - 2,360,687 2,3841678 - - - - 78,131 - - - - 14,690 - 92,921 1011580 2,053,161 - - - - - - - - - - 2,053,161 1261967 _ _ _ - 92,859 - - 92,859 78,934 - 16,310 - - 16,310 12,727 - _ - - - - 1,298 - - - 1,298 2,104 2,053,161 10,903,604 437,672 2,007,394 78,131 249,896 256,376 675,490 109,169 795,470 - 17,566,363 14,729,321 108,799 31,792 - - - 172 11,784 9,196 - - - 161,743 176,998 61,920 - - - - - - - - - - 61,920 54,227 - 247,463 - - - - - - - - - 247,463 2282059 - 26,809 115 5,053 3 4 2,012 3,962 3 1,323 - 39,284 221644 79,367 5,700 - - - - - - 581,744 6,696 3700 711,107 770,696 $2,303,247 $11,215,368 $ 437,787 $2,012,447 $ 78,134 $ 250,072 $ 270,172 $ 688,648 $ 690,916 $ 803,489 $ 37,600 $ 18,787,880 $ 15,981,945 $ - $ 2,158,926 $ 167,515 $ 729,409 $ 47,873 $ 38,563 $ 109,443 $ - $ - $ - $ - $ 3,251,729 $ 2,730,170 - 300,845 - - - - - 540,257 74,170 536,163 19436 1,470,871 1,680,652 - 315,568 20,322 79,871 4,036 3,309 7,088 44,033 9,684 35,764 854 520,529 480,842 - 283,233 26,230 122,602 7,828 6,598 18,815 91,590 11,483 84,626 3,664 656,669 715,553 - 31058,572 214,067 931,882 59,737 48,470 135,346 675,880 95,337 656,553 23,954 5,899,798 5,6077217 - - 6,983 - - - - - - - - 6,983 3,834 - 21,075 - 34,528 - - 1,608 - - - - 57,211 38,062 - 5,530 352 2,376 121 145 482 1,597 98 41,920 11 52,632 91,012 - 6,443 926 5,582 288 542 1,891 3,117 338 15,597 150 34,874 30,626 - 2,798 1,479 7,990 887 7 1,055 5,651 605 8,072 82 28,626 33,124 19 Vehicles Fuel and oil Maintenance Leases Occupancy Rent Maintenance Utilities Janitorial Equipment Leases Maintenance Production materials Supplies Medical and client care supplies Pharmacy Other Telephone Dues and subscriptions Food Client assistance Insurance Interest Other In -kind donations Total direct program expenses Purchased services Expenses before depreciation and amortization Depreciation and amortization Total expenses Foothills -Gateway, Inc. SUMMARY OF REVENUE AND EXPENSES BY PROGRAM (CONTINUED) Year ended June 30, 2002 (With summarized financial information for the year June 30, 2001) Program Services Medicaid Medicaid State adult adult Children's Early Case Other Non comprehen- supported supported extensive interven- Family manage- program Management Total specified sive living living support tion support ment services and general Fundraising 2002 2001 $ $ 34,662 $ 3,005 $ 7,538 $ 11 $ 100 $ 159 $ 656 $ 723 $ 1,386 $ 1 $ 48,241 $ 49,946 27,394 2,744 6,968 2 87 94 137 1,390 362 - 39,178 25,154 37,662 36,242 - 15,476 1,462 3,409 162 - 162 460 - 4,023 - - - 8,479 - - 38,960 87,811 - 30,481 - 48,316 - 1,920 - 10,895 - 393 - 623 1,367 3,861 192 4,879 46 72,492 74,215 118,449 - 75,583 3,227 18,311 662 1,046 2,297 6,488 322 8,128 148 8 116,212 5,452 3,557 - 3,214 178 1,008 36 58 127 357 18 448 - 5,195 553 4,019 1,003 51 1,392 5,699 146 3,734 - 1 21,792 40,506 19,410 52,934 - 14,342 602 6,366 150 173 1,523 6,479 271 - 10,599 - - 67,853 72,054 - 67,853 - - - - - - - 24,018 421 1,564 14 4,306 - - 213 - - 30,536 25,226 - 23,232 1,539 9,318 257 997 2,189 12,723 474 16,451 39,733 106,913 148,689 - 23,618 1,989 9,532 567 283 1,535 71357 276 6,476 2 51,635 59,642 53,397 44,460 6,519 329 1,398 91 1,028 171 331 69 - 49,706 - - - 24,805 33,657 - 24,805 - 527,488 20,347 208,642 68,230 - 156,743 - 276,076 - 16,367 2 - - 1,273,895 1,171,509 55,070 2,324 8,656 241 819 939 3,961 1,008 - 9,002 - 81 - 82,101 18,696 78,564 21,198 - 18,696 19,476 - 775 - 6,014 - 116 - 259 - 657 - 3,529 234 70,736 86,139 187,935 117,399 - 26,809 115 5,053 3 4 2,012 3,962 3 1,323 - 39,284 22,644 - 4,166,665 265,337 1,291,049 132,971 215,741 431,082 758,612 110,198 909,395 1501356 8,431,406 8,071,898 - - - 8,446,567 7,954,210 - 7,448,244 86,508 907,120 4,695 - - - - 111614,909 351,845 21198,169 137,666 215,741 431,082 758,612 110,198 909,395 150,356 16,877,973 16,026,108 - 182,946 10,199 40,962 1,040 1,619 7,110 15,702 590 26,297 219 286,684 2721470 $ - $11,797,855 $ 362,044 $ 2,239,131 $ 138,706 $ 217,360 $ 438,192 $ 774,314 $ 110,788 $ 935,692 $ 150,575 $ 17,164,657 $ 16,298,578 Total expenses Less unallowable expenses Total allowable expenses Net allocated management and general (note A) Adjusted total expenses Foothills -Gateway, Inc. SUMMARY OF REVENUE AND EXPENSES BY PROGRAM (CONTINUED) Year ended June 30, 2002 (With summarized financial information for the year June 30, 2001) Program Services Medicaid Medicaid State adult adult Children's Early Case Other Non comprehen- supported supported extensive interven- Family manage- program Management Total Specified sive living living support tion support meet services and general Fundraising 2002 2001 $ - $11,797,855 $ 362,044 $2,239,131 $ 138,706 $ 217,360 $ 438,192 $ 774,314 $ 110,788 $ 935,692 $ 150,575 $ 17,164,657 $ 16,298,578 - - 259,254) - 11,797,855 362,044 1,9791877 138,706 (259,254) - 2171360 438,192 774,314 110,788 935,692 150,575 16,905,403 16,298,578 - 98,596 3,026 16,546 1,159 1,817 3,662 6,471 926 (132,203) - - - $ - $11,89G,451 $ 365,070 $1,996,423 $ 139,865 $ 219,177 $ 441,854 $ 780,785 $ 111,714 $ 803,489 $ 150.575 $ 16,905,403 $ 16,298,578 Statistical data 1. Total days in residential - available per the contract 2. Total days in residential - paid per the contract 3. Total days in residential used - State Medicaid, private pay, etc. 4. Total days in residential used - State and Medicaid only 5. State and Medicaid SLS member months per contract 6. State and Medicaid SLS member months provided 7. Minimum number to be served - per contract (all programs) 8. Unduplicated number of individuals Cost per unit of service Adjusted total expense/item 3 Adjusted total expense/item 8 Percent of occupancy or utilization (item 2/1) (item 6/5) 71,181 71,284 82,715 82,715 551 1,907 619 1,913 239 47 160 6 63 63 606 244 59 180 7 124 186 782 $ 144 $ 6,188 $ 11,091 $ 19,981 $ 1,768 $ 2,376 $ 998 Note A: Net management and general costs are allocated to program services based on the individual programs expenses as a percentage to total program expenses. 100% 112% 100% 21 Foothills Gateway, Inc. 400 Wood Street Nonprofit Lease March 2004 o. Install new smoke detectors in each level and every bedroom. o Install extensions, which divert the water away from the foundation walls, in surface water control systems. o The house needs to be fixed for the average Radon level to be under 4pCi/L (the Radon Gas level was 6.7pCi/L, above EPA action level). • The future savings from the low rent will be passed on to lower income families, who, as a result, will pay lower rates per hour on a sliding scale. Tenant Capability A. Meeting the Mission Foothills Gateway has consistently met its mission as demonstrated by the performance of core value statements, the continuous accreditation it has received for its services and programs, and the satisfaction index of Family Satisfaction Surveys. ■ The mission of Foothills Gateway, inc. is to facilitate a coordinated community effort dedicated to challenging and supporting Larimer County citizens with developmental disabilities to achieve their maximum potential and independence. ■ In order to meet this mission Foothills Gateway, Inc. is guided by the following core value statements: o Foothills Gateway, Inc. supports the implementation of services in Larimer County which provide opportunities for personal choice making, promote inclusion and enhance the ability of people to participate in typical neighborhoods and work activities. o Foothills Gateway, Inc. believes that the citizens of the community must be aware of the needs of people with developmental disabilities and the services and supports available, so that existing networks of support can be utilized to enhance the quality of life in the community. o Foothills Gateway, Inc. understands that volunteers and service providers are best prepared to support individuals when they have comprehensive training available to them on an ongoing basis. 0 8 Total expenses Less unallowable expenses Total allowable expenses Net allocated management and general (note A) Adjusted total expenses Statistical data 1. Unduplicated number of individuals 2. Number of hours provided 3. Number of occurrences provided Cost per unit of service Adjusted total expense/item 2 Adjusted total expense/item 3 Foothills -Gateway, Inc. SCHEDULE OF MEDICAID ADULT SUPPORTED LIVING SERVICES Year Ended June 30, 2002 Dental/ Environ- Personal Day Supported Pre Professional Trans- Vision/ mental assistance habilitation employment vocational services portation Hearing engineering Total $ 870,325 $ 790,785 $ 293,723 $ 111,281 $ 19,635 $ 96,094 $ 34,540 $ 22,748 $ 2,239,131 (259,254) - - - - - - - 259,254 611,071 790,785 293,723 111,281 19,635 96,094 34,540 22,748 1,979,877 5,107 6,608 2,455 930 164 803 289 190 16,546 $ 616,178 $ 797,393 $ 296,178 $ 112,211 $ 19,799 $ 96,897 $ 34,829 $ 22,938 $ 1,996,423 136 153 78 8 43 109 43 15 29,580 37,745 24,610 22,012 1,004 8,646 77 47 $ 21 $ 21 $ 12 $ 5 $ 20 $ 11 $ 452 $ 488 Note A: Net management and general costs are allocated to the different Medicaid Adult Supported Living Services categories based on the individual category expenses as a percentage to total Medicaid Adult Supported Living Services expense. 22 Foothills -Gateway, Inc. SCHEDULE OF ACCOUNTS RECEIVABLE - FEES AND GRANTS FROM GOVERNMENTAL AGENCIES June 30, 2002 State of Colorado General Fund Comprehensive Adult supported living Children and families Management fee Case Management CARF Special Needs PASAAR Employee Incentive Medicaid Comprehensive Adult supported living Children's extensive support Targeted case management Management fee Administration Children's Habilitation Residential Program Other Latimer County School district $ 35,320 42,189 13,678 11,770 4,400 10,660 54 500 106,620 173,686 9,190 57,081 33,134 21,787 11,794 2,180 534,927 4,829 $ 1,073,799 23 Auditors' Findings and Recommendations with Management's Replies 24 Grant Thornton T Accountants and Management consultants MEMORANDUM OF ADVISORY COMMENTS June 9, 2003 Board of Directors Foothills -Gateway, Inc. In planning and performing our audit of the financial statements of Foothills -Gateway, Inc. as of and for the year ended June 30, 2002, we considered its internal control in order to determine our auditing procedures for the purpose of expressing our opinion on the financial statements and not to provide assurance on internal control. However, during our audit we became aware of several matters that are opportunities for strengthening internal control and operating efficiency. The memorandum that accompanies this letter summarizes our comments and suggestions regarding those matters. The matters discussed herein are those that we have noted as of September 13, 2002 and we have not updated our procedures regarding these matters since that date to the current date. We have previously discussed our observations and suggestions with various Center personnel and would be pleased to discuss them in further detail at your convenience, to perform any additional study of these matters, or to assist you in implementing the recommendations. Very truly yours, r 1600 Broadway, Suite 1800 Denver, CO 80202 T 303.861.5555 F 303.839.5711 Audit F 303.839.5701 Tax W www.grantthornton.com 25 Grant Thornton LLP US Member of Gram Thornton International COMMENTS AND OBSERVATIONS A Finding, recommendation, and management's reply, based upon our current review is as follows: Finding The Center annually contracts with the State of Colorado to provide services for developmentally disabled individuals. The contract gives requirements on how certain items need to be recorded and performed. The Center should review its overall process, as an organization, to insure it is following all the requirements of the contract with the State of Colorado. Recommendation If the Center finds any processes that are not following the contract requirements, they need correct those processes, which will keep the Center in compliance with requirements of the contract. Reply The Center will review its overall process, as an organization, to insure it is following all the requirements of the contract with the State of Colorado. 26 44 Foothills Gateway, Inc. 400 Wood Street Nonprofit Lease March 2004 o Foothills Gateway; Inc. supports the idea that the provision of appropriate services and supports, the achievement of the mission and the enhancements of the quality of life of persons with developmental disabilities will be attained if agencies and individual providers use existing resources effectively and responsibly. Please see examples of the core value performance for each statement in The Annual Report for 2003 (Appendix III). ■ All the programs at Foothills Gateway, Inc. have received due accreditation or recognition: o Foothills Gateway has received accreditation from The Rehabilitation Accreditation Commission (CARF), for employment services, organizational employment services, community employment services, community services, personal and social services (please see Appendix IV). o Foothills Gateway, Inc. has been designated as a Community Centered Board by the Department of Human Services Division for Developmental Disabilities (please see Certificate of Designation, Appendix IV). o Foothills Gateway, Inc. has received program approval renewal for Individual Residential Services and Supports by the Department of Human Services, Division for Developmental Disabilities (please see Program Approval Renewal, Appendix IV). o Foothills Gateway, Inc. has been certified to participate in Colorado Medicaid Program, Home and Community Based Services for the Developmentally Disabled for the Specialized Habilitation Program, Individual Residential Services and Supports, Community Accessibility, Supported Employment Services, Supported Living Services and Children's Extensive Support Services (please see Appendix IV). ■ Families, whose members receive services from Foothills Gateway, are satisfied with the quality of the services. The results of the Family Satisfaction Survey, which are conducted annually with family members of all consumers in our programs, indicate general satisfaction with the services families and consumers receive. The cumulative average for the satisfaction index for the last three years (2000-2003) is 4.4115.00 (The satisfaction index is 9 Foothills Gateway, Inc. 400 Wood Street Nonprofit Lease March 2004 measured through a Likert scale from 1-5, where 1= Not at All Satisfied and 5=Highly Satisfied). B. Financial and Staffing Capacity Foothills Gateway, Inc., has the operational capacity to support the proposed Adult Respite Care program. ■ A portion of our non-profit agency's local funding has been set aside to pay for any leasehold improvements and furnishings required for a facility along with other program start-up costs. Future local funding receipts will be used to supplement sliding scale revenues to insure the ongoing viability of the program. A review of the agency's audited financial statements, for the fiscal year ending in 2002, and the current Monthly Financial Highlights summary, for the period ending January 31, 2004, will show that the agency has adequate financial resources to insure that both start-up costs and long-term operational costs for the program can be supported. ■ Foothills Gateway, Inc. currently employs 290 staff (FTE or full-time equivalent of 226.75) to support the consumers in its current programs. The addition of this program is estimated to add 27 staff (15 FTE) to our employee count. This is a staff increase of 9.3% (FTE increase of 6.6%). The agency's Human Resources Group has the capacity, with current personnel and a planned addition in the coming fiscal year, to support the recruiting, hiring and training, along with the benefits and wage administration for the new program staff. The training provided for the agency's direct -care staff meets or exceeds all of the training requirements of the Division for Developmental Disabilities of the State of Colorado. We, as an organization, pride ourselves on the high quality of the services provided by our well -trained direct -care staff. • The agency has been in operation for over 30 years. Foothills Gateway has doubled in size in the last seven years. It has expanded ongoing programs and added new programs to serve our target population. The expansion of our services to include the proposed Adult Respite program, as a new program, is well within the capabilities and resources of Foothills Gateway. 10 Foothills Gateway, Inc. 400 Wood Street Nonprofit Lease March 2004 C. Reputation in the Community Foothills Gateway, Inc. enjoys a very good reputation in the community. In November 2001, voters countywide approved the %-mill increase for Foothills Gateway, Inc. Many community members wrote in the local press to express their support for our organization (please see Appendix VI). The following is an excerpt from a letter written to the editor by State Senate President Stan Matsunaka and published in Reporter Herald on 10/18/01: "Foothills Gateway has given people with disabilities the support and chance to live better and more productive lives in the communities in Larimer County. Their mission has been accomplished over and over, and in a manner that respects and protects those whose needs they serve. The accomplishments of Foothills Gateway over the last 30 years is a bright light in the arena of education and support of those with disabilities as well as for the rest of the citizens of Larimer County. They have shown the way and have had success for those with disabilities, their families and the generals populace of Larimer County." Additional people who may be contacted for references are: Fred L. DeCrescentis, Director Colorado State Department of Human Services Division for Developmental Disabilities 303-866-7450 Kathay Rennels Larimer County Commissioner 970-498-7010 Jim Disney, President Foothills Gateway Board of Directors 970-663-0247 11 STATE DEPARTMENT OF STATE CERTIFICATE I, DONETTA DAVIDSON, Secretary of State of the State of Colorado, hereby certify that, according to the records of this office, FOOTHILLS GATEWAY, INC. (Colorado NONPROFIT CORPORATION) File # 19871200574 was filed in this office on May 15, 1968 and has complied with the applicable provisions of the laws of the State of Colorado and on this date is in good standing and authorized and competent to transact business or to conduct its affairs within this state. Dated: February 4, 2004 For Validation: Certificate ID: 764396 To validate this certificate, visit tits following web site, enter this certificate ID, then foilow the instructions displayed. I vwvw.sos.state.co.us/ValidateCertWicate INTERMfit_ REUENUE SERVICE District Director DEPHRTYlENt Of THE TRESSi RI? 1100 Commerce St., Dallas, TX 75242 Foothills Gateway Inc. 301 Skyway Or. Fort Collins, Co. 80525 Dear Sir or Madam: Person to Contact: i==iEO Correspondence Examiner Theresa Nelms Telephone Number: (�14)767-=0123 Refer Reply to: EF/EO SPE 4940 Dal Date: May iI, 1994 EIN: 23-7019672 Our records show that FOOTHILLS GATEWAY INC is exempt from Federal income Tax under section S01(c)(3) of the Internal Revenue Code. This exemption was granted NOVEM13ER 1984 and remains in full force and effect. Contributions to your organization are deductible in the manner and to the extent provided by section 170 of the Code. We have classified your organization as one that is not a private founda- tion within the meaning of section 509(a) of the Internal Revenue Code because you are an organization described in section 173(b)(1)(A)(vi) If we may be of further assistance, please contact the oerson whose name and telephone number are shown above. Sincerely Yours, EF.EO , rresp,Dndence Exa u ner STATE DEPARTMENT OF STATE CERTIFICATE I, NATALIE MEYER, ,Secretary of ,State of the State of Colorado hereby certify that the prerequisites for the Issuance of this certificate have been fulfilled in compli- ance with law and are found to conform to law. Accordingly, the undersigned, by virtue of the authority vested in me by law, hereby issues A CERTIFICATE OF AMENDMENT TO FOOTHILLS GATEWAY, INC., A NONPROFIT CORPORA- TION FORMERLY KNOWN AS FOOTHILLS GATEWAY REHABILITATION CENTER, INC. Dated. APRIL 24, 1992 ■ SS: FORN to NP (Rev. 7M) Submit in duplicate Fee:S� J .'/, L`CJ reb dowma ..w be ryy..riw. y , r.. t M 444' MAIL TO: COLORADO SECRETARY OF STATE CORPORATIONS OFFICE 1560 Broadway, Suite 200 Denver, Colorado 80202 (303)894-2200 ARTICLES OF AMENDMENT TO THE ARTICLES OF INCORPORATION Pursuant to the provisions of the Colorado Nonprofit Corporation Act, the undersigned corporation adopts the following Articles of Amendments to its Articles of Incorporation: FIRST: The name of the corporation is _Foothills Gateway Rehabilitation Center Inc. (NOTE 1) SECOND: The following amendment of the Articles of Incorporation was adopted on the 21 st day of April 19 92 . in the manner prescribed by the Colorado Nonprofit Corporation Act, according to the procedure marked with an X below: X—)La quorum of members was present at such meeting, and the amendment received at least two-thirds of the votes which members present or represented by proxy were entitled to cast. such amendment was adopted by a consent in writing signed by all members entitled to vote with respect thereto. there are no members, or no members entitled to vote thereon, such amendment received the vote of a majority of the directors in office. Amendment 1: The name of the corporation shall be changed to: Foothills Gateway, Inc. Amendment 2: The name of the corporation's Registered Agent be changed from John C. Tscharner to Timothy S. O'Neill. I B and of Director's P and z/ Its Board of Director my Frederick W. Schacht ATE (1) If this is a change of name amendment, the name to be typed in PARAGRAPH FIRST is the corporation name before this amendment is riled. Copy of a Resolution passed at a meeting of the Board of Directors of Foothills Gateway Rehabilitation Center, Inc. held on May 19th , 1992 . Resolved that the name of Foothills Gateway Rehabilitation Center, Inc. be changed to Foothills Gateway, Inc. I hereby certify that the foregoing is a true copy of a Resolution passed by the Board of Directors at a meeting held on May 19th , 1992�. Frederick W. Schacht: - Secretary r oothins ateWaYINC. UNITED WAY MFMPF&AGENCY S U P P O R T I N G P E O P L E WITH DISABILITIES 4, 2004 Mr. James O'Neill City of Fort Collins' Purchasing Division 215 North Mason Street Fort Collins, CO 80524 Foothills Gateway, Inc. is a non-profit organization with a 501(c)3 status that coordinates and provides services for 900 Larimer County citizens with developmental disabilities of all ages and their families through a variety of programs. Foothills Gateway, Inc. was established in 1972. This is a proposal to use the 400 Wood Street Nonprofit Building as an Adult Respite Care Center. A needs assessment study, conducted in 1999, identified the need and desire for facility —based adult respite care services for the majority of the families that provide daily care for their adult members with developmental disabilities as well as for host homes for individuals with developmental disabilities. It has been established by research that respite care is one of the main factors that ensures a healthy functioning of the families that provide care for a member with special needs and prevents physical illnesses and emotional issues often experienced by caregivers. A study conducted in February 2004 determined that more than 250 families of origin, guardians and host homes in Larimer County provide care to 314 adults with developmental disabilities, 84 of whom receive no other disability -related services and are on the waiting list. The use of this property for Adult Respite Care is permitted in the NMC Zoning District. The Adult Respite Care will have the capacity to serve 8 individuals during the day and 3 individuals over night. At least 50 of the families, whose members may be using the facility, meet the CDBG financial requirement. They will be the primary clientele. It will be mandated that at any given time, 51 % of the enrollees belong to low or moderate income families as defined by CDBG. Quarterly reports will be submitted to CDBG on the financial eligibility of the enrollees. Our proposal, as well as the documents we have included, prove that Foothills Gateway has the experience, the staffing and financial capacity to provide the proposed service. The agency is in good financial standing and has the financial capacity to both handle maintenance and operational costs. Foothills Gateway has consistently met its mission and all its services and programs are accredited by appropriate accrediting bodies. Please feel free to contact us should you have any additional questions or need additional information. Sincere y, imothy S. Neill Executi irector 301 W. Skyway Drive, Fort Collins, Colorado 80525 • Phone (970) 226-2345 • FAX (970) 226-2613 <E�ARct00 STATE Z N� FOH PROFi RED RESTATED ARTICLES OF INCORPORATION OF q All'.0$ 4THILLS S .�U' 9 G.ATEWAr. z REHABILITATION CENTER, INC. . -FILED The undersigned President and Secretary of Foothills GAeUyr385 Rehabilitation Center, Inc., hereby restate the ArticlesSakr COCORADO Incorporation of Foothills Gateway Rehabilitation Centepp��Ppee pursuant to the Statutes of Colorado. These Restated Arai QF¢TATE Incorporation correctly set forth the provisions of the Articles of Incorporation as previously amended and as amended by these Restated Articles of Incorporation. These Restated Articles of Incorporation, as amended, have been duly adopted as required by law and supercede the original Articles of Incorporation and all amendments thereto ,the original date of incorporation being May 15, 1968. FIRST: The name of the Corporation is FOOTHILLS GATEWAY REHABILITATION CENTER, INC. SECOND: The Corporation shall have perpetual existence. THIRD: (a) The nature, object and purposes of the business to be transacted shall be as follows: (i) Said Corporation is organized exclusively for charitable, religious, educational, and scientific purposes, including, for such purposes, the making of distributions to organizations that qualify as exempt organizations under Section 501(c)(3) of the Internal Revenue Code of 1954 (or the correspondin provision of any future United States Internal Revenue Code; (ii) To develop new programs and to consolidate existing programs, in the County of Larimer, Colorado, primarily, for developmentally disabled children and adults residing within said County of Larimer, and to acquire, develop and maintain pro- perties and programs together with recreational facilities for use and in connection with the education primarily, of develop- mentally disabled children and adults residing within said County of Larimer. (iii) In cooperation with other agencies, public or private, to operate a center or centers which will provide a program of activities, services and instruction primarily for the developmentally disabled. (iv) To engage in activities to improve the health, welfare, education, rehabilitation, and employment and recreational facilities and opportunities primarily for develop- mentally disabled children and adults in said County of Larimer, without discrimination as to race, creed, or cause of handicap. (v) To provide other direct or contracted ser- vices and programs as deemed needed or appropriate within Larimer County, Colorado. 1 (vi) To acquire by gift, purchase, lease, devise or bequest, and to hold, sell, mortgage or pledge real and per- sonal property of any kind or nature whatsoever necessary or con- venient for the establishment, organization, operation and maintenance of a program, facility and institution for the pur- poses herein otherwise provided for. (b) In furtherance of the foregoing purposes, or otherwise, the Corporation shall have and may exercise all of the rights, powers and privileges now or hereafter conferred upon non-profit Corporations organized under the laws of Colorado. In addition, the Corporation may do everything necessary, suitable or proper for the accomplishment of any of its corporate purposes. FOURTH: The Affairs of the Corporation shall be governed by a Board of Directors. The number of Directors shall consist of no more than seventeen (17) members and of no less than nine (9) members. At no time shall less than four (4) Directors be resi- dents within and be from within the bounds of Poudre School District R-1, Larimer County, Colorado and at no time shall less than three (3) Directors be residents of and from within the bounds of the Thompson School District R2-J, Larimer County, Colorado, and at no time shall less than one (1) Director be a resident of and from within the bounds of the Park School District R-3, Larimer County, Colorado. Said Board of Directors shall be elected by ballet at the time and in the manner provided in the By -Laws of the Corporation. FIFTH: No part of the net earnings of the Corporation shall inure to the benefit of, or be distributable to, its members, Directors, officers or other private persons, except that the Corporation shall be authorized and empowered to pay reasonable compensation for services rendered and to make payments and distributions in furtherance of the purposes set forth in Article Third hereof. No substantial part of the activities of the Corporation shall be the carrying on of propaganda, or otherwise attempting to influence legislation, and the Corporation shall not participate in, or intervene in (including the publishing or distribution of statements) any political campaign on behalf of any candidate for public office. Notwithstanding any other provi- sion of these Restated Articles, the Corporation shall not carry on any other activities not permitted to be carried on (a) by a cor oration exempt from Federal income tax under Section 501c)(3) of the Internal Revenue Code of 1954 (or the corresponding provision of any future United States Internal Revenue Law) or (b) by a cor oration, contributions to which are deductible under Section 170�c)(2) of the Internal Revenue Code of 1954 (or the corresponding provision of any future United States Internal Revenue Law). SIXTH: Upon the dissolution of the Corporation, the Board of Directors shall, after paying or making provision for payment of all of the liabilities of the Corporation, dispose of all the assets of the Corporation exclusively for the purposes of the Corporation in such manner, or to such organization or organiza- tions organized and operated exclusively for charitable, educa- tional, religious, or scientific purposes as shall at the time qualify as exempt organization or organizations under Section 501(c)(3) of the Internal Revenue Code of 1954 (or the corresponding provision of any future United States Internal Revenue Law), as the Board of Directors shall determine. Any such assets not so disposed of shall be disposed of by the District Court of the County in which the principal office of the Corporation is then located, exclusively for such purposes to such organization or organizations, as said Court shall deter- mine, which are organized and operated exclusively for such purposes. SEVENTH: The Corporation is a membership corporation. Qualifications for membership and rights of members are as set forth in the By -Laws of the Corporation provided, that there shall be one kind and class of membership which shall be non-discriminatory. EIGHTH: The address of the registered office of the Corporation is 301 Skyway Drive, Fort Collins, Larimer County, Colorado 80525. The name of the registered agent at such address is John C. Tscharner. NINTH: The Corporation may conduct part or all of its busi- ness in any other part of Colorado, of the United States or of the world. It may hold, purchase, mortgage, lease and convey real and personal property in any of such places. The Board of Directors shall be the authority under which conveyance or encumbrance of all or any part of the corporate property may be made. The Board of Directors shall have the authority and power to execute and accept instruments of conveyance or encumbrance. A two-thirds (2/3) vote of the full Board of Directors shall control such conveyance or encumbrance and such vote shall be recorded in the minutes of the meetings of the Board of Directors. TENTH: The Board of Directors shall have the authority and power, by a two-thirds (2/3) vote of the full Board of Directors, to make, adopt, repeal, add to or amend from time to time such by-laws as they may deem proper for the management of the affairs of the Corporation consistent with the laws of the State of Colorado. ELEVENTH: The Corporation shall indemnify, to the extent permitted by law, any Director, officer, agent, fiduciary or employee of the Corporation against any claim, liability or expense arising against or incurred by such person as a result actions reasonably taken by him at the direction of the Corporation. The Corporation shall further have the authority the full extent permitted by law to indemnify its Directors, officers, agents, fiduciaries and employees against any claim, liability or expense arising against or incurred by them in all other circumstances and to maintain insurance providing such indemnification. W4 to 3 TWELFTH: The date of adoption and approval of these Restated Articles of Incorporation, and the June amendments incorporated therein was the 18th day of THIRTEENTH: The number of Directors of the Corporation on the date of adoption of -these Restated Articles of Incorporation, and amendments incorporated therein, was 17 , and the number of Directors entitled to vote thereon at the date of the adoption of these Restated Articles of Incorporation, and the amendments incorporated therein, was 17 No membership was entitled to vote thereon and no class was entitled to vote thereon as a class. FOURTEENTH: The number of Directors who voted for the adop- tion of these Restated Arciecles ofNIncorporation ectors voted Amendmenagainst ts incorporated therein was he adoption of these Amended Articles of Incorporation and Amendments therein. FIFTEENTH: These Restated Articles of Incorporation and Amendments therein have been effected in conformity with the pro- visions of the Colorado Corporation Code and these Restated Articles of Incorporation and Amendments made by these Restated Articles of Incorporation were duly adopted by the directors of the corporation on thel8th day of June , 1985. Dated this 18th day of June 1985. = - FOOTHILLS GATEWAY '. BILITATION CE , INC Pre ident _ e �ATTESTED AND VERIFIE1 Secretary STATE OF COLORADO) ss COUNTY OF LARIMER The foregoing instrument was acknowledged before me this 18th d ay of June 1985 byRobert L. Powell as President and by W. Storrey Lynn as Secretary of Foothills Gateway Rehabilitation Center, Inc. Witness my hand and official seal. My commission expires: 1/25/86 Notary Public 4 Needs for Respite of Families that Provide Care for Dependent Adults with Developmental Disabilities in Larimer County Prepared by Marita Rumano, MSW Department of Resource Coordination and Development Foothills Gateway, Inc. September 1999 Executive Summary This study was undertaken by the Family Support services Program of Foothills Gateway Inc. to identify the need for respite care services for families that provide care for dependent adults with developmental disabilities in the family of origin or host home, the factors that impact their perception of need of respite care as well as what matters most in respite care services. 19 families of diverse background and with dependent adults with different degrees of needs were interviewed and a questionnaire was completed on site. The results of the research show the need for additional respite care services for adults in Larimer County. The main arguments are related to current unavailability of trained providers, on the reported need for both in -home and facility -based services, and perceived need for socialization for dependent adults. The data show that the factors that impact the perception of the need for respite may be identified as age of parent and the degree of independence of dependent adults. Families of origin were more reluctant to ask for services than host families, the involvement of siblings and existence of extended family in the area decrease the need. Other important variables were the employment status of parents and the family life style. All the interviewed families pointed out that respite services should not be a break for caregivers at the expense of dependent adults. Elements such as safety, adequate level of supervision, age appropriate activities, age appropriate grouping, level of functioning appropriate grouping and respecting what the adults choose to do were recurring themes. The bottom line is individualized services based on the degree of need, kind of need and time of need. Financial considerations are also significant. Introduction The number of families that provide care for adults with developmental disabilities is on the increase not only due to the deinsitutionalization movement, but also thanks to increases in life expectancy rates both for mainstream population and people with developmental disabilities (Knopf, 1997). In addition, a larger number of dependent adults are living with host families, in the host family's home. Providing care for a dependent adult with developmental disabilities is a rightful choice of the families, for the host families it is a service to the community. In both cases, the experience has been proven to be beneficial both in terms of the enhancement of quality of life for the person with exceptionalities as well as reducing costs for their care (Rosner & Canning, 1993). There are many positive benefits and opportunities expressed by families who care for individuals with special needs. The benefits expressed by families include satisfaction with the accomplishment of their family member, a strengthened and more cohesive family system, increased tolerance and understanding, opportunities for personal growth and fulfillment, and a greater awareness and appreciation of life (Alarsh,1992, Seligman & Darting,1989). On the other hand it is recognized in literature that families of members with developmental disabilities face many obstacles as they strive to achieve a normalized life style. Seligman and Darling stress that the achievement of a normalized lifestyle may be related less to the degree of the disability or the parents' coping abilities than to the families' access to appropriate programs, respite care and day care in particular. The term caregiving can cover a broad range of activities depending on a person's degree of disability, physical proximity, financial status and living arrangements. 4 Caregiving behavior includes a long list of actions, among other things direct hands-on care such as assisting with bathing, dressing, feeding, getting out of bed, moving in and out of doors, administering medication, managing difficult behavior, providing transportation, taking care of shopping, banking, general housework, emotional support, financial assistance and mediating with formal organizations such as governmental, social and health care agencies (Grossi & Naransinham,1993). Grossi and Naransinham observe that 50 % of the care givers report symptoms resulting form caregiving which include physical illness: ulcers, high blood pressure, weight loss or weight gain, asthma and eczema; as well as emotional issues: feelings of alienation, hostility, anger, fatigue, helplessness, hopelessness, social isolation, loneliness, victimization, aggression, powerlessness, frustration, guilt, sleeplessness, irritability, lowered morale, depression, personal neglect and emotional exhaustion. Literature notes that parents of dependent adults are a diverse group of individuals, but they all experience stress due to their caregiving roles (Grant & McGrath, 1990, Jennings, 1987, Lutzer & Brubaker, 1988, Kropf 1997) . Kropf (1997) recognizes as sources of stress their physical health decline, financial costs of care as well as the process of transfer of care. Jennings (1987) speaks of sources of stress related to adult child's lifelong dependency and social isolation. Many studies have found that respite care, as a temporary relief service, is among the most highly valued services among caregivers ( Jennings,1988, Kropf,1997, Lutzer and Brubaker,1988, Grant and McGrath, 1990,Grossi 1993).Respite care can provide the pause necessary to refresh and replenish and according to Tepper (1993) those that take part in respite programs are sometimes better caregivers than those who do not. In this context improvement of caregiver wellbeing, which is the main goal of respite care services, leads to potential reduction of institutionalization/out-of-home placements and cutback of the cost of care. Foothills Gateway Inc. serves approximately 150 adults with special needs (over 18 years old) who live with their families of origin. In addition, there are more than 43 host families in the Larimer County that provide care for adults with developmental disabilities. These 190 families receive respite services through Supported Living Services, as part of the package of services for the member with special needs. Many professionals in the field have expressed concern over the availability of respite services for parents/host parents of dependent adults. This study was undertaken to answer the following questions: Is there a need for new respite care services for families of dependent adults in Larimer county? What factors influence the perception of need for respite care? What matters most in respite care services according to parents/host parents? Method Sample The target population were all the families that provide care for dependent adults with developmental disabilities in Larimer County that are currently being served by Foothills Gateway Inc. Interviewing care providers in person was considered the most appropriate format, because that would provide a possibility to learn their stories. The sample was selected through stratified random sampling, with systematic random selection. 19 families were surveyed, which represent 13.5% of the target population and 54% of the selected sample. The representation of all groups was comparable to the 6 intended one with the exception of Loveland host families. (Please see Table 1, the gray columns). All the participants were first contacted by the respective case managers and then by the interviewer by phone. Some of the contacted families were unavailable. Table 1 Composition of Target Population, Selected Sample and Actual Sample Geographical location Number of Number of Number of Percentage of cov'.. tamdaes � ." sable participant the original t4tisof families families sample small cities 9 U,2 2 1000/0 Fart Collins 51 :` 13 7 53.8% Loveland 38 t r 10 6 60% Pt Collins host faux. 13 % 3 2 66% j11:5%0: Lovetnd had fam. 30 r - 7 2 28% lA. - - .,n.,., UMMM ya 25 15 60% Total host families 43 10 4 401/6 21%... Grand Total 141 I; 35 19 54% 13_3%{ Fourteen of the interviewees were females (mostly mothers, and host mothers, one sister), three were couples and one was male (father). The majority (47%) were in the age range of 41-50. (Please see Table 2.) Table 2 Age of Participants Age to years 31-40 41-50 51-79 80+ Total Number 2 9 5 3 19 Percent of total 11% 47% 26% 16% 1000/0 The interviewed families provided care for a total of 26 dependent adults with special needs, 16 males and 10 females (respectively 61% and 39%). They were in the age range of 19-58, the median age was 26. Ten of them (38.4%) were considered by FOOTHILLS GATEWAY, INC. Proposal Number P923 400 Wood Street Nonprofit Lease Table of Contents 1. Proposal ProposedUse ....................................... 1 Personnel Qualifications ......................... 3 Availability ........................................... 6 The Yearly Lease Rate ........................... 7 Tenant Capability .................................. 8 2. Appendix I: Non-profit Status 3. Appendix II: The Need for Service 4. Appendix III: Annual Report for 2003 5. Appendix IV: Accreditation 6. Appendix V: Financial Statements 7. Appendix VI: Reputation fd their families to have mild special needs, another ten moderate special needs, four (15.5 %) with severe needs and two (7.8 %) with profound needs. Ten of the dependent adults (38.4%) were working in supported employment positions or with crews in the community and fourteen others (53.8%) participated in a sheltered workshop or vocationally related program. The majority of the families (421/o) had only three household members, in ten cases (53%) siblings were part of the dependent adult lives. Fourteen of the households were two -parent families. Of the 5 one -parent homes, 4 fathers were deceased. In 12 families, one provider stayed at home: 3 were retired, 2 had small children and 2 worked at home. In the other four families one person worked part time. The age range of care providers was between 31 and 83. Procedure Sixteen of the interviews were conducted at the home of the participants, and three of them were telephone interviews at the participants' requests. On an average, the interviews took between 30 and 90 minutes. Most of the interviews were structured, based on a questionnaire. (Please see Appendix 1). In some cases, however, this was impossible to do, because some families did not feel comfortable with the format. The qualitative data was recorded on the site and completed with notes afterwards. They were afterwards analyzed with Hyperesearch, package software that processes qualitative data. The quantitative data was entered by the interviewer and processed with SPSS (Statistical Package for Social Sciences). The interviewer is mother of an adolescent with special needs, and this fact was made known to all the participants in the interviews. Results Fourteen participants (741/6) stated that they were not using any respite care. In the course of the interview, however, the same participants recognized that they were using respite provided by family or neighbors in addition to the time when the dependent adults were involved in employment or vocationally related activities. It was clarified in the course of the interviews that most of the families consider as respite the relief time they paid for rather than the one provided by a relative or a neighbor. As a result, only five families responded to questions regarding the use of respite care in the questionnaire. In addition, none of the families considered as respite the period when the dependent adults were involved in employment or vocationally related activities. Combining the quantitative data with the qualitative ones, the following is the picture regarding respite care usage: Fourteen families reported that siblings or extended family provide respite occasionally, and in 4 cases friends and neighbors lend a helping hand. Three families reported using the summer camps opportunities, four turned to the county disability agencies. However, most of the interviewees admitted that this was insufficient. Very few families could come up with the number of respite hours they receive regularly; those that did reported a range between 40and 200 hours per year. Seven participants responded to the question of how their respite needs were being met. The mean 3.14, with a standard deviation of .90 showed that participants believed that their respite needs were being met poorly. This was confirmed by the qualitative data. Many participants stated that they would use more respite if it were available professionally. Most of the participants reported that it was almost always impossible to find respite during the holi tiys, on short 9 notice and for overnight for 2-14 days. It was impossible at times to find respite on special days, overnight for one night and during the weekend. It is always difficult to find respite on weekend evenings and weekdays and it less difficult to find respite in the evenings. An average of 23% of participants answered questions regarding factors that make it difficult to find respite. The following table presents the data relating to the factors identified as being significant "all of the time," " most of the time", and "some of the time" in a descending order (from "all the time" to "none of the time"). Table 3 What Makes It Difficult To Find Respite? Mean Standard deviation Prefer facility based provider 5.00 .00 Unavailability of can providers when needed 4.25 .96 Prefer out- of- home respite 4.00 1.15 Difficulty finding trained providers 4.00 1.73 Difficulty contacting care providers 3.80 .84 Unaware of all services available 3.50 1.29 Cost not within ability to pay 3.33 1.37 Concerned about the safety of dependent adults 3.25 1.71 Seventeen participants (89.5%) answered the questions in relation to their disposition towards different respite care options. The data are presented in an ascending order (1 to 3, from "very important" to "not important at all') in the following table: Table 4 Attitude towards Respite Care Options Mean Standard Deviation A new comprehensive respite care service for adults ages 21+ 1.41 .71 A respite evening per month organized by Foothills Gateway Inc. 1.71 .92 Using volunteers for community activities 1.75 .86 Participate in an exchange services program 2.06 .90 10 Would be interested to participate in a respite care cooperative 2.35 .86 Using volunteers at the home of the dependent adult 2.53 .72 What matters most in respite care services? Sixteen participants answered questions related to this topic (84.2%). The data are presented in the following table. Please note that the factors are identified as being" very important," "somewhat important" and "not important at all" in ascending order. Table 5 What Matters Most In Respite Care Services Factor Mean Standard Deviation Provider who likes the dependent adult 1.00 .00 Provider who can handle difficult behavior 1.00 .00 Knowledge that provider has been trained 1.00 .00 Knowledge that dependent adult will be safe 1.00 .00 Can meet provider before using the service 1.00 .00 Can access respite care easily 1.13 .34 Provider will respect family rules 1.20 .41 Know who to tell if unhappy with service 1.20 .41 Provider is a role model 1.33 .72 Choose whoever I want for respite 1.50 .53 Have the same provider each time 1.63 .62 Dependent adult goes to respite facility 1.69 .79 Choose a friend or relative to provide respite 1.75 .93 Provider can provide recreation 1.80 .68 Dependent adult goes out with provider 1.89 .81 Provider stays with dependent adult in the home 2.00 .82 Dependent adult goes to provider's home 2.44 .81 Can choose provider's gender 2.50 .63 Can choose provider's culture 2.69 .79 As the reader might have noticed reading Table 5, what families consider as very important features of individual providers are training, ability to handle difficult behavior, and the capacity to form an affectionate bond with the dependent adult. The 11 families do not have preferences regarding the gender and her/his culture. The most favorite option of respite care services is considered a respite facility; the least favorable one is respite care at the provider's home. Safety is considered of paramount importance. This finding is corroborated by qualitative data. One of the main reasons for not using outside providers for respite care by some of the families is linked to concerns of safety. Safety was mentioned as one of the main reasons why respite at a provider's home was not a favorite option. The cost of respite services was another issue that came up frequently. Fifteen participants answered questions regarding how much they could afford to pay for an hour of respite. The reply varied from nothing to $10/hour for care providers that had more than one dependent adult. However the families were aware that providing respite care was worth much more, in the range between the minimum wage at Foothills Gateway Inc. ($7.18/hr) to the pay for a qualified nurse ($25/hr). Most of the participants (especially host families) identified the inability to pay for what the service is worth as the reason they are unable to find trained providers when they need them. This is how one of the host family interviewees put it: "If we could pay people $20/hr we would have a line of people ready to do it (i.e. provide respite care)." Discussion This research project was undertaken to answer a few questions. We will take them one by one. We will first answer the questions, then provide support with composite stories and finally discuss practical implications. 12 Question One: h there a need for new respite care services for families of dependent adults in Larimer County? This study shows that it may be the case. The following are the supporting arguments: Argument One: Explicit expression of need for respite services by the majority of the interviewed families Following are three composite stories that support the need for additional respite services. Story One Pedro' lives with his parents, Maria and Rodriguez. They are both over sixty years old. Rodriguez works the night shift and Maria stays at home. Pedro works at the workshop at Foothills Gateway. The family has never used any formal respite because Maria says that they don't need any. She stays at home. In addition, the extended family lives in the same area. The family travels together and Pedro does not have behavioral issues. As I talk with Maria in her kitchen while Pedro eats a snack and dad takes a nap nearby, she seems to be talking about respite as an issue that does not really concern her. But as she sees me to the door she remarks in passing: "It would be a great relief to know that there is a place where they can take good care of Pedro for a short time in a case of emergency. It should be a place where he would like to go, though. He might go there for other activities as well..." Story Two I interviewed Mat over the phone. The family was too busy taking care of Tim's medical needs need to be able to schedule an interview with me at their home. Tim is a unique case in his father's words. He has many needs and nobody can really do anything for him wit the exception of his parents. They have found a reliable woman who provides respite for them at times. It has taken them some time to train her but now they feel they can depend on her for a few hours. In three years they have used respite overnight only once, on the occasion of their anniversary. It takes them at least two weeks to train somebody to do things right. Father works two jobs, mother works part time as well, and they take turns taking care of Tim. Father complains that he has not slept more than two hours per night in the last three years, against the advice of the doctors. He feels overstressed, and is worried about his future: "It will hit me. The doctor told me there is one more stop left...." He says he is at the point that he cannot sit down with himself. In addition, he says he is experiencing memory loss and his business is suffering too. Many people tell him that he has become obsessed with this son's situation; this is ' All names in the composite stories are fictious. 13 his sole subject of conversation. " I love him to death," he adds quickly. Mat complains that nobody understands that taking care of his son is a job behind the job. Their lives are on hold. "We need a dependable, consistent type of service. Something you know is there and you can depend on." Story Three Sarah and John are a very lively couple. They have previously worked in a group home and now they are a host family for two adults with developmental disabilities, over forty years of age. Their house is spacious and full of light. They have two dogs, a parrot, and a cat. Jim and Jeff greet me when they come back from work. They seem to be at home. Sarah tells me that she really enjoys having them at home and she does not consider it a burden at all. But she has not been able to find a good job (she has a Master's degree) because she cannot work more than six hours per day and she cannot go to work on the days when Foothills Gateway Inc. is closed. John explains that they adjust their lives around the "guys activities". They usually do not get more than a couple of hundred hours of respite per year. It is difficult to find respite providers at the cost that they can afford. They take trips very rarely because it is difficult to find somebody that would take care of "the guys" for a couple of days. For occasional respite they rely solely on a private provider and they do not have another fallback. They are concerned about the unavailability of respite. They are aware that the longer you are providing care for somebody with special needs the more important respite becomes as stress builds up. Argument Two: Explicit dissatisfaction with the current (non) availability of respite services None of the families that answered the question on how their respite needs are being met reported satisfaction. None of the families reported regular, planned weekly or monthly periods of respite. As reported in the findings, most of the participants reported on the unavailability of care providers when needed and in particular the difficulty of finding a respite provider during holidays or overnights. Argument Three: Provider- training related issues and quality assurance of respite care services are not being taken care of appropriately by any disability agency. Providing respite care for families of dependent adults was considered to be qualitatively different from baby-sitting for children. All participants recognized the need for 14 particular training of providers of respite in relation to special considerations that derive from dealing with the dependent adult population (a more elaborate presentation will be given later). "We need to have a provider that we know before hand, who is capable and trained," said one of the participants. "Having a trained provider is very important. People hired to work with people with special needs do not have adequate training", said another. Safety of the dependent adults, handling difficult behaviors or other particular needs as well as community participation were big concerns for the families. Most of the families interviewed had trained the providers themselves. Some would not care for respite because training the providers needed more time and energy than they could afford. Some families reported that they were overprotective of the dependent adults and would only leave them with respite providers that had been trained, (this factor came up very strongly with a mean of 1.00, standard deviation.00) and had their background checked previously, and were properly supervised (this element had a mean of 1.20,with a standard deviation of .41). Families did not identify any organization in the county that was rendering such a service systematically and dependably. "It seems that nobody is really concerned about respite. We are considered a contractor and we have to come up with solutions ourselves," were the comments of a host family. Argument Four: "A new comprehensive respite care service for adults ages 21+ i.e. facility based and in -home, with appropriate organization" came up as the most favored respite care option in both the qualitative data and in the quantitative ones. Other options were rated much lower as Table Five demonstrated. A participant commented: "This is a service that is definitively needed in the community. Now my only option is friends and family, and I feel bad leaving them with a big burden." " Starting a respite 15 service may be an asset," stated another participant." Other comments include: "A fall back would be great." "A respite center would be a wonderful idea." Although a few host parents liked the idea of a respite cooperative or participating in an exchange services program, these options came low with a mean of 2.35 and 2.06 respectively (the factors were rated `very important=l", "important=2" and "not important at all"=3). Evidently, the majority of parents favored options of services that would reduce their level of involvement. Argument Five: Perceived need for socialization for dependent adults. It was the perception of the researcher, which is also established by literature (Jennings,1987, Kropf, 1997, Lutzer & Brubaker, 1988) that many dependent adults were experiencing social isolation (evidence will follow). A center focused on providing services of education, entertainment, socialization and skills' acquisition was welcome in 17 interviews by parents/host parents and all dependent adults that I met. This is best represented in this parent quote: "A respite center would be a wonderful idea. This would help socializing. Knowing that my son would enjoy himself would make me feel relaxed." Very few of the dependent adults were involved in community activities. Most of the parents expressed concern that dependent adults had withdrawn and were spending most of their time in their own homes watching TV by themselves. The reasons given for this situation were linked with difficulties of arranging transportation to go out in the community, lack of appropriate activities at the geographical location, lack of friends with a similar background of developmental disabilities and lack of friendship in general. The post -study interviews as well as documents of Recreation Alternative Programs of the cities of Fort Collins and Loveland reveal that both programs offer a considerable 16 number of events for dependent adults: Fort Collins Alternative Program has planned 38 sports and recreational events for dependent adults for a period of three months, an average of three events for week. Loveland's Adapted Recreation Coordinator expressed concern that most of the activities were not well attended by dependent adults. Fort Collins Alternative Programs Coordinator reported that very few dependent adults that live with their families attend their events. The reasons are definitively not clear, although concerns for safety by the families were reported. Question Two: What factors influence the perception of need for respite care? It was observed that not all families perceived the need for respite care at the same degree. The variables seem to be age of caregivers, the degree of (in)dependence of the dependent adults, family of origin versus host family, family life style, existence of extended family in the area, involvement of siblings, employment status of parents. 1. Age of parents. The younger the parents, the more explicit was their demand for respite. The three mothers that were over 80 years old did not feel comfortable with the idea of respite. One of them said explicitly that she would not know what do if she had time for herself. Three of the couples over fifty were somewhat reluctant, but all the parents between 30 and 50 openly stated that is a service that they are not getting. This is in line with findings from other studies (Grant&McGrath.1990, Lutzer & Brubaker, 1988, Jennings, 1988). N. Kropf ( personal communication, July 30,1999 ) argues that the social system and lack of services has promoted this attitude in the older parents and that relinquishing care provision would leave them totally role -less. She is of the opinion that If we help shape new social roles for both parent and son/daughter, they can learn to be more autonomous and not rely so heavily on one that relationship. It might be argued on Foothills Gateway, Inc. 400 Wood Street Nonprofit Lease March 2004 Proposal Number P923 400 Wood Street Nonprofit Lease Proposed Use: Facility —based respite care for adults with developmental disabilities who live with their families or in host homes. A. The proposed use meets the CDBG requirements of benefiting low and moderate -income persons and being a public service. ■ Foothills Gateway currently does not collect household financial information for families that provide care for adults with developmental disabilities. To determine whether the families, whose members will use the service provided at the facility meet the CDBG income guideline, we conducted a case review for families whose members receive Supported Living Services and a phone survey with families whose members are on the waiting list for Supported Living and Comprehensive Services. It was determined that at least 50 households, whose members will use the facility, are below the 80% of Area Median Income (i.e., below $47,096). This group will be considered the primary clientele and they will be offered sliding scale rates to make the service affordable. ■ The enrollment for services will be carefully monitored so that at any time, at least 51 % of the enrollees belong to households that meet the CDBG requirement. ■ The Adult Respite Care Regulations will mandate that all families in this program submit financial information upon enrollment and annually thereafter. A quarterly report will be prepared for CDBG to provide proof of compliance. ■ The Adult Respite Care for individuals with a developmental disability is a public service much needed in the community. A needs assessment conducted in September 1999 revealed that the majority of the families that provided care for adults with developmental disabilities in Larimer County, whether they are families of origin, guardianships or host homes, needed respite care and chose as their favorite option the out -of -home, facility —based respite (please see Appendix II). A study conducted in February 2004 determined that the target population for adult respite care in the County is 314 individuals over 18 years old (Appendix II). The existing children's Respite Care, Inc. 17 this note that providing a respite service before parents have fallen into role-lessness beyond care taking, might prevent the letter. 2. The degree of independence of the dependent adults .The more independent the adult, the less was the need that was expressed by families for respite. This is consistent with other studies (Grant&McGrath.1990). Some of the dependent adults that I met were high functioning. They were working in supported employment and they could use the bus system independently. However, the family was uncomfortable leaving them alone at home for more than one day. In one case, mother and father had decided to take a trip to Las Vegas without their daughter. (In her mother's words, she had been a pain for everybody in the last trip to Texas). She is 23 years old and knows the routine well at home. Although mother had taken all precautions to make sure that she would be safe (a neighbor as well as grandma would check on her daily), she was very concerned. She stated that she needed a service that would provide this supervision professionally, so that she could really enjoy her trip. 3. Family of origin versus host family. All host families expressed their need for respite openly. Some biological parents (ages 51-60 and 80+), on the other hand, as mentioned previously, were somewhat reluctant to admit initially that they needed respite. Many authors cite similar cases (Barrett,1993, Rabins, 1993, Martico Greenfield,1993). Martico-Greenfield gives this explanation: Experience and research has demonstrated that family caregivers cannot or will not identify themselves as a party in need of service, perhaps it causes feelings of inadequacy or the belief that they have failed in their role as caregivers." (p.33) One of the families I interviewed is new to Colorado. They have very few friends and no extended family living by, and there are no 1® 18 other siblings in the family. Both mother and father repeatedly told me on the phone when I was asking for an interview that they did not need any respite, they could take care of their son on their own. But, by the end of the interview at their home, after I had shared my own concerns and difficulties as a parent of an adolescent with developmental disabilities, they expressed to me the concern that they would not know who to turn to in the event of an emergency that would involve both of the parents. 4. Influential family demographics: extended family, siblings, em l�oyment status of parents. As may be expected, the families who had extended family living in the area, regularly turned to them to provide support and respite. In several cases I was told that everybody in the family loved `Tina'/ `Rich' and they would provide care for her/him. The siblings were another strong factor. In eleven cases, siblings lived nearby and they were the first safety net for families. Only in one case the sibling was reluctant to provide respite. Some parents recognized that their children were providing a great service, but on the other hand they were worried that that might become an unnecessary burden on them. In many interviews parents/host parents stated that providing care for a dependent adult does not permit full time employment of both parenting/hosting adults. I found only one case of both parents working (they were working for Foothills Gateway Inc. and had the same schedule with their host daughter). In the cases when mother stayed at home, she considered providing care for the dependent adult as part of her home responsibilities and so respite did not come up as an issue. But parents that were working part-time and wanted to work more expressed frustration with the current respite situation. 19 5. Family life style. The researcher noted that explicit need for respite was linked with the family life style. A few families that had an active life outside home complained more about the lack of respite care availability than those that were more withdrawn socially. Literature notes that a withdrawn family life style may be a by-product of having a household member with special needs ( Jennings, 1987). Most of the couples I interviewed (families of origin) had not had a trip by themselves in many years and never did anything alone as a couple. This was justified with being "home bodies", but it may also be explained in terms of social isolation that according to Jennings is "cumulative Question Three: What matters most in respite care services according to families? Two were the underlying themes supported by quantitative data as well: consideration for the welfare of the dependent adults and the cost of service. The common leitmotif was: Respite care should not be a break for caregivers at the expense of dependent adults. Elements such as respecting the individuals with special needs, ensuring safety, adequate level of supervision, age appropriate activities, appropriate grouping according to level of functioning and respecting what the adults choose to do were the recurring themes. What is favored by families is individualization of services in terms of degree of need ("Some families may need it more than tothers"), time of need (emergencies were a top priority) as well as location of respite care service. Although almost all participants chose a respite facility as a favorite option, many others, especially the families that had more than one dependent adult, expressed the need for occasional respite services in their home. Story Four Mr. and Mrs. Brown have three children, two daughters and a son. The three of them are in their early and mid twenties. They all have Fragile X Syndrome. 20 Mother has a Master's degree, but she only works part time because she needs to provide transportation for her children. They all work in community integrated jobs, and have had a few problems recently. Mom says that her three children usually avoid the company of others, they enjoy interacting with each other and love to stay at home where they know the routine well. They can be left unsupervised for one night, but mother would love to have somebody to check in. They do not have any family close by, some friends have been helpful, but mother feels that she can not turn to them all the time. Mother complains that due to the demands of her three adult children she is stressed out and she does not have enough time to nourish her spousal relationship. She says, " Respite care for parents is a tremendous need," and then she adds, cautiously, that with high functioning adults one must be careful with the kind of services that are offered. The providers must be trained, older than her children -they would not take orders from somebody younger -and utmost care should be shown in regard to the self- esteem issues. The providers would have to come to the house to become familiar with the young adults and their home environment before service is provided. As mentioned in the findings, the cost of respite services was an issue that came up frequently. Literature recognizes financial barriers as a major issue in the quantity and quality of respite care caregivers receive (Rabin, 1993, Jennings, 1987, Kropf, 1997). According to financial information I gathered through post —study interviews with case managers and other Foothills Gateway Inc. employees involved in Supported Living Services, a host family receives $52 a day per individual with moderate needs, which is supposed to meet 70% of the daily expenses and $79 a day for individual with severe disabilities. So, if a family takes a five day trip, it will have to pay in respite costs a minimum of $600 (5 days x 24 hrs x $5.00/hr) for an individual with moderate needs and a minimum of $840(5 days x 24 hrs x $7.00) for an individual with severe needs. This means that the family will be paying for their respite respectively 1.9 times and 2.12 times more than they receive. Essentially the host family will be paying out of its pocket for the respite it will take. 21 The situation is even less favorable for families of origin. The family may receive a maximum of $100/month for respite care. The individual with special needs receives a maximum of $6000/year in SSI and pay checks which constitutes his personal income #1 cases of individuals with severe personal care needs, the family may receive a maximum of $6000/year from Supported Living services. In the hypothetical situation of a five day trip, the respite expenses of $600 will swallow all respite money of six months, and in the situation of a family that is providing personal care, $840 will constitute the payment they receive for 50 days of providing personal care. The Parents' Wish List Many parents/host families presented suggested on what should be done to enhance respite care services. Their ideas include: the creation of a new agency that will take care of respite care and train the providers adequately, a 24 hours' drop -in service, especially for emergency cases, a respite facility, an available bed placement for emergency cases in an existing group home, an alternative arrangement for explosive behaviors. As an alternative for the days when Foothills Gateway Inc. is closed, some host families suggested using the gym in the building for activities with dependent adults. Parents and host parents can take turns in volunteering their time, creating a cooperative. Other proposals involve starting a place with a coffee shop atmosphere, where people with developmental disabilities could drop by and have fun, create opportunities for continuing education for adults with developmental disabilities, organize long day events, like a trip, an outing, a picnic etc. to give recreation to the consumer and respite to families and starting a chorus. Some parents expressed the desire to participate in a 22 support group, where they can talk about their daily struggles with people that are in the same boat. Conclusions and Implications for Practice Families provide care for adults with developmental disabilities for different reasons. In some cases this may be a temporary situation until the adult moves out to live in an apartment, group home, or another living arrangement. In other cases, it is a definitive choice of families that consider caregiving as their main responsibility. In addition, a growing number of families have chosen to become host families, turning caregiving for dependent adults in an in -home business. Whatever the reasons, the people who undertake caregiving roles need respite support so that they can continue to lead a life in which caregiving does not necessarily become their batch of identity. They need time for themselves so that they can continue to nourish other important relationships in their life and prevent eventual burn out and its consequences. Efforts are being made by the professionals that work with these families in Larimer County to provide opportunities for respite and friends and relatives give a helping hand as well. However, it must be noted that the caregivers' needs for respite are not being met adequately. This research showed that the need for respite services is experienced even in those cases when some families may not report dissatisfaction with their current situation. The degree of needs for respite is varied for the families, and so are the respite solutions they require. Providing respite care for families of dependent adults is a complex issue, which involves taking adequate measures to meet the needs of all involved parties in the process i.e. the caregivers and the dependent adult/s, and benefiting the amelioration of the functioning of the family unit. Because of the 23 paramount importance of the latter it would be worthwhile to consider starting a new service in the county that will specialize in providing respite care services in a facility and/or in the home. What is needed is the creation of a comprehensive and coordinated delivery system that will tap on existing and new financial resources and come up with innovative solutions. w 24 Reference List Barrett, V. (1993), Programmatic and caregiver barriers to respite care. In Tepper, L. M., & Toner J.S. (Eds). Respite care: Programs problems and solutions. Philadelphia: The Charles Press, Publishers. Grant, G.,& McGrath, M. (1990). Need for respite -care services for caregivers of persons with mental retardation. American Journal on Mental Retardation, 94, 638-648. Grossi, C. E., & Naransinham, P.(1993). The caregiver: The forgotten patient. In Tepper, L. M., & Toner J.S. (Eds). Respite care: Programs, problems and solutions. Philadelphia: The Charles Press, Publishers. Jennings, J. (1987). Elderly parents as caregivers for their adult dependent children. Social Work. 32, 430-433. Kropt N. P.(1997). Older parents of adults with developmental disabilities: Practice issues and service needs. Journal of Family Psychotherapy, 8(2), 37-55. Lutzer V.D, & Brubaker, T. H. (1988). Differential respite needs of aging parents of individuals with mental retardation. Mental Retardation. 26(1),13-15. Marsh, D. T. (1992). Families and mental retardation: New directions in professional practice. New York: Praeger. Massachusetts Developmental Council. Martico-Greenfield, T. L.(1993). Innovative institutional approaches to respite care. In Tepper, L. M., & Toner J.S. (Eds). Respite care: Programs,problems and solutions. Philadelphia: The Charles Press, Publishers. Rabins, P. V. (1993). Financial, medical, personal and social barriers to respite care. In Tepper, L. M., & Toner J.S. (Eds). Respite care: Pros, problems and solutions. Philadelphia: The Charles Press, Publishers. 25 Rosner G., & Cunning, J. (1993). Financing care for the chronically ill: The respite care factor. In Tepper, L. M., & Toner J.S. (Eds). Respite care: Programs. problems and solutions. Philadelphia: The Charles Press, Publishers. Seligman M., & Darling, R.B. (1989). Ordinary families. special children: A Ustems approach to childhood disability. New York: Guilford Press. Tepper, L. M. (1993). A life-style rehabilitation approach to manage the stress of caregiving. In Tepper, L. M., & Toner J. S. (Eds). Respite care: Programs. problems and solutions. Philadelphia: The Charles Press, Publishers. POTENTIAL NEED FOR ADULT RESPITE CARE IN LARIMER COUNTY FEBRUARY 2004 1. SLS Consumers Living with Families Age group Total Fort Collins Loveland LaPorte Berthoud Estes Park Wellington Other 18-20 20 12 6 1 1 21-44 86 36 41 1 2 1 1 4 45-69 17 9 7 1 Total 123 57 54 1 4 1 1 4 2. SLS Consumers on the Waiting List for Comprehensive Services Age Group Total Fort Collins Loveland Berthoud Wellington Other 18-20 20 12 6 1 1 21-44 91 48 38 1 1 3 45+ 16 9 6 1 Total 127 69 50 3 1 4 3. Individuals on the Waiting List for SLS Age Group Total Fort Collins Loveland LaPorte Berthoud Estes Park Wellington Other 18-20 31 13 11 1 2 2 1 1 21-44 39 23 7 1 1 7 45+ 10 6 2 1 1 Total 80 j 42 j 20 j 1 j 3 j 3 j 2 9 Foothills Gateway, Inc. 400 Wood Street Nonprofit Lease March 2004 provides facility —based respite care for only 7 individuals 18-21 years of age, while the need for this group includes more than 52 individuals. There is no other organization that provides facility -based respite for adult individuals with a developmental disability in Larimer County. B. Our proposal meets the zoning requirement for Adult Day/Respite Care Center. C. Our proposal will result in a positive use of the property. ■ The mission of the Adult Respite Care will be to provide families and host families that care for persons with developmental disabilities (consumers) who are 18 years and older, temporary, intermittent and substitute care that will allow for relief from the daily demand of caregiving. The expected benefits are a reduction in tension for caregivers and family members and the improvement of family functioning in general as well as enhancement of the quality of life for the dependent adults. ■ The program will provide several levels of services to families such as (a) planned respite care, (b) emergency and crises respite care, (c) non -emergency drop -in respite care, and (d) relevant family support services. The capacity will be 8 consumers at the same time during the day and 3 overnight. ■ Social and community activities will form the bulk of the program. Whenever possible, the consumers will engage in continuing education, recreation activities, sports activities, community events, gardening, small repairs, arts and crafts, training for independent living skills and various clubs. Close collaboration with the Alternative Recreational Opportunities division of the Parks and Recreation Program of the City of Fort Collins is envisioned. ■ This support will be in full compliance with the Consumers' Individual Plans and the included goals and objectives. Personal assistance will be provided according to the level of the need for mobility, medications, eating and personal care/hygiene. Meals will be provided at the facility. ■ Service hours are established at 24 hours per day and seven days a week. 2 POTENTIAL NEED FOR ADULT RESPITE CARE IN LARIMER COUNTY FEBRUARY 2004 4. Consumers in Host Homes Agency # consumers # providers Fort Collins La Porte Loveland Wellington Berthoud Mosaic 48 41 27 16 1 1 Carmel 5 5 3 2 Com. Adv. 3 3 3 Foothills Gateway 18 14 7 8 1 2 Good Shepherd 9 8 6 2 1 REM 6 6 3 2 1 Spectrum 22 19 17 2 3 Total 111 96 66 4 32 2 4 5. Combined Table of Non -Duplicated Count Total Fort Collins Loveland LaPorte Berthoud Estes Park Wellington Other SLS with families 123 57 54 1 4 1 1 5 SLS Waiting List 80 42 20 1 3 3 2 9 Host Homes Ill 66 32 4 4 2 Total 314 165 106 6 11 4 5 14 What exists is good, but of 98 awake hours a week receiving only 10 of service is inadequate. This is 88 hours a week where we, as a family, have to provide stimulation, supervision, enrichment and socialization. This is an overwhelming task. (A comment from an SLS family in the Family Satisfaction Surveys, July 2003) th�lls tewaINC. ' O R T I N G PEOPLE T H D IS A B I L IT I E S ANNUAL REPORT YEAR OF 2003 ANNUAL MEETING MARCH 1, 2004 FOOTHILLS GATEWAY. INC. BOARD OF DIRECTORS Karel Applebee Fort Collins Service League Ted Davis/President TR Davis & Associates Jim Disney/Vice President Community Member Mark Durand Community Member Karen Pielin Director of Special Education Thompson R23 Schools Jinnie Pierce-Ginther/Secretary Community Member Linda Drees Parent & Attorney BOARD OF DIRECTOR COMMMEES Mikel Zimmerman Consumer Jan Havener Community Member Carol Ward Foothills Service League Bob Richardson/Treasurer Director of Pupil Services Estes Park R-3 Schools Fred Schacht Parent & Physician Chris Schott Poudre R-1 School District Student Services Specialist Program Committee: The Program Committee reviews policies and makes recommendations as to the provision and monitoring of services and supports to individuals with developmental disabilities. The Committee periodically reviews aggregate data regarding services and supports and waiting list information. Fiscal and Property Management Committee: The Fiscal and Property Management Committee reviews and makes recommendations to the Board of Directors for approval of annual operating budget, quarterly financial reports, long range financial planning, and the annual financial audits. In addition, the Fiscal and Property Management Committee monitor the condition of physical assets and recommends budgetary funding of repairs, improvements, and replacements as required. Community Relations Committee: The Community Relations Committee reviews and/or recommends projects and proposals to enhance Foothills Gateway public relations. They also monitor, assist and coordinate fund raising activities in the community. Executive Committee: The Executive Committee monitors the organization's programs and services to ensure that they are consistent with the Mission Statement and the organization's purpose. Page 2 of 18 PRESIDENTIAL and EXECUTIVE DIRECTOR ADDRESS In our thirty-first year of service to people with disabilities, the challenges have been great, the rewards greater. Foothills Gateway continues to thrive in a difficult funding environment. As our agency grows our major sources of funding decrease, but through the dedication of our wonderful staff, Board of Directors, parents and other community supporters, Ted Davis, Foothills Gateway has expanded Board President our consumer base to include additional children in Early Intervention services, increased the number of families receiving services through our Family Support Program and specialized services for offenders with developmental disabilities. In the upcoming year we will continue to face funding challenges as well as program challenges. The legislature continues to wrestle with a difficult budget after several years of revenue shortfalls. However, despite funding reductions, the Colorado system of services and Foothills Gateway will begin the development of an exciting new approach to services called "Self -Determination". Self -Determination is a catchword for services designed to place the consumer in a position to direct the development and budgeting for their own services. This is widely viewed as another evolutionary step in a system that for years has embraced individualized services and the opportunities for individual choices in the design of supports. As we continue to grow in the number of individuals and families served, it is becoming far more apparent that we are going to need to build our capacity, both in facilities and programs to meet our mission. In the past decade Foothills Gateway has grown at an annual rate of ten percent in terms of consumers served. This growth of consumers continues and Foothills Gateway must look for ways and spaces to serve an ever-expanding number of people. People with developmental disabilities, their families and the organizations that support them, have met challenges in the past, and we will continue to do so, together, in partnership. This has been our commitment over the years, and we remain steadfast in our mission. On behalf of the Board of Directors we present our Annual Report to our members, families and individuals served and the community at large. We wish to thank community agencies and supporters for assisting Foothills Gateway to meet its mission in 2003. Page 3 of 18 CORE VALUE STATEMENT "Foothills Gateway, Inc, supports the implementation of services in Larimer County which provide opportunities for personal choice making, promote inclusion and enhance the ability of people to participate in typical neighborhood and work activities". In 2003, Foothills Gateway's Supported Employment program continued to actively place individuals receiving services in community jobs. Supported Employment staff make regular contacts with area employers to develop employment opportunities for individuals receiving services. Supported Employment staff also maintain ongoing contact with individuals receiving services and their respective employers to ensure the stability of the job placement once independence on the job site is obtained. Despite the depressed job market, FGI's Supported Employment (SE) program found 30 individual community positions, for the second consecutive year, for people receiving services in 2003. Some of those successful job placements in 2003 include Wayne at Jorgenson Labs, a veterinary supply company in Loveland. Wayne works independently, four days per week, at the company's warehouse, and is primarily responsible for the packaging of their products and for compiling numerous items into kits before packaging them. Other career opportunities for individuals receiving services during 2003 were also developed. In October, two individuals served by our SE program began working at Genesis Fixtures, a cabinet fabrication business in Fort Collins. The two individuals, Jeff and William, continue to spend three days per week at Genesis assembling hardware components and cabinetry. Both Jeff and William .are very pleased with their jobs, and our Supported Employment program intends to maintain the good rapport he had with Genesis in hopes of integrating more individuals into that work setting. Foothills Gateway's SE program continues to maintain their contract with the General Services Administration to provide janitorial services at the Fort Collins Federal Building/US Post Office. Currently there are two full time staff and seven individuals receiving services working at that site. Foothills Gateway provides janitorial services at the Federal Building / US Post Office for more than 70 hours each week. Although our Supported Employment staff worked intensely throughout 2003 to find employment for individuals receiving services, jobs in Larimer County remained sparse for all citizens. We remain hopeful that 2004 will bring a more promising trend and an improved economy so that our staff can continue to be successful in finding community jobs for individuals with developmental disabilities! By: Tina Eckert Page 4 of 18 Department of community Services and Supports (DCSS): Core Value Performance (continued): The year 2003 was a successful and busy time for the Community Participation Program Area. Community Participation (CP) consists of 39 consumers divided into 12 groups of 3-4 individuals each. Each of the 12 Activity Coordinators supports the consumers in participating in a variety of activities that educate, mentally stimulate, and positively challenge individuals. Staff also support the consumers in successfully accomplishing personal goals and encouraging participation in new experiences that help to integrate them into the community. This past year, all 12 groups continued to roll and deliver papers for the Coloradoan's What's Hot'. Each group continues to deliver meals for the local Meals on Wheels Program, and there are 2 groups that also deliver meals for the Volunteers of America Program Senior Chuckwagon. This was the fifth year CP Groups cleaned Barnes Softball Complex in Loveland. At the Barnes Complex, three groups were scheduled each day to work on cleaning the restrooms, score box, bleachers and softball field. Due to state budget cuts, the City of Loveland was only able to pay our groups to work three days each week rather than five days each week. We have not been informed yet, but we are hopeful that CP Groups will be able to work five days a week for the 2004 season of cleaning. Since each group has members with varying abilities and interests, they volunteer at a variety of places in the community. For example, two of the groups water plants and fill bird feeders at Good Samaritan Retirement Village in Loveland and New Mercer Commons in Fort Collins. FGI has another group who volunteer weekly at the Habitat for Humanity Thrift Store. They help by sorting donations and stocking sales items on the shelves. Yet another group volunteered this year at Elderhaus, which is an adult respite program for individuals with Alzheimer's disease. They help by cleaning vehicles and sorting supplies for craft activities. Other groups collect and sort recyclables for Trios Salon and Red Cross. For the second summer, CP Groups developed and cared for a Sensory Garden in a courtyard at Foothills Gateway. Groups helped decorate planters by spray painting stenciled designs and adding seashells, creating beautiful plant containers. Groups then worked together to plant a variety of flowers, herbs and vegetables. Two groups were scheduled each day to care for the garden, watering and enjoying vegetables that were ready to be picked. They also made tea and sensory items from the herbs. We have developed creative activities that have increased the consumers' artistic abilities. As a result, consumers have been working with a variety of multi media techniques, creating a variety of images and designs. Seventeen entries from the consumers were placed on display in the first annual Creative Abilities Art Show held at the Foothills Fashion Mall. Our groups continue to participate in a variety of recreational and social activities in the community such as swimming at Epic and Mulberry Pools in Fort Collins, Page 5 of 18 and bowling in Loveland. Groups enjoy feeding fish and turtles at Gulley's Greenhouse, and visiting local libraries and museums. Throughout the year, CP creates different projects in which all groups are able to participate. The most favored project this year was the Community Scavenger Hunt. All CP staff - contributed ideas of things that the groups would seek out and find in the community. Several consumers communicated their excitement about this project to their parents or guardians. We were very happy to hear praise from the families, and delighted that the Scavenger Hunt was a success. Examples of the challenges included: 1) What is the price of avocados this week at - Wild Oats? 2) Visit Martinez Farm and get some fur / hair from one of the animals and bring it back to Foothills Gateway. 3) What is the Colorado State Tree? Name a location in town in which it grows. - Our plans for 2003 were carried out with positive results and were flexible enough to allow the , addition of volunteering our services to New Mercer Commons and Elderhaus, as well as the new artistic abilities endeavor. The Community Participation Program will continue to search for appropriate volunteer and vocational activities that our consumers will enjoy. We would also like to increase our consumers' opportunities in developing their artistic skills in the year 2004. By.- Cynthia Hanford CORE VALUE STATEMENT "Foothills Gateway, Inc, supports the implementation of services in Larimer County which provide opportunities for personal choice making, promote inclusion and enhance the ability of people to participate in typical neighborhood and work —, activities". Due to voter approval of an initiative in November of 2001, the Supported Living Services (SLS), Family Support Services (FSSP), and the Early Intervention (EI) programs were able to expand through increasing staff and enrolling individuals from the waiting list. The Request for Proposal procedures allow consumers and their families to become informed about program approved service agencies, independent contractors, and methods of service provision. Consumers and families then participate in the development %. of the Individual Plan. This year saw the continuation of many of the programs that strengthen lives of participants in SLS. One of these programs is the Full Power self -advocacy program presented by Thompson Valley Full Power and coordinated and funded by the SLS program. This program offers participants the chance to practice establishing personal boundaries and learning techniques to avoid dangerous situations. le' Page 6 of 18 The SLS program also coordinated nutrition classes in conjunction with the CSU Cooperative Extension Services. These classes stressed the importance of balanced diets while presenting low cost options. In addition, the SLS staff coordinated a weekend YMCA trip for 20 consumers and expanded the membership of the Men's and Women's Groups. By. Debble Lapp CORE VALUE STATEMENT "Foothills Gateway, Inc, believes that the citizens of the community must be aware of the needs of people with developmental disabilities and the services and supports available, so that existing networks of support can be utilized to enhance the quality of life in the cvmmunity'� Department of Resource Coordination and Development (DRCDI: Core Value Performance: In an effort to promote awareness and information in regard to the individuals we serve, FGI is involved with various avenues of imparting this. Fred DeCrescentis, Director of the Division for Developmental Disabilities visited FGI as part of a statewide tour to educate himself in regard to services offered for children and to be more able to effectively advocate for and support children's programs in the State of Colorado. FGI staff participates on several committees in collaboration with various community agencies. These committees include The Sex Offender Summit (SOS) with Poudre School District; Placement Options Review Team (PORT), Child Protection, Adult Protection, Life Board, Juvenile Integrated Services Task Force (JIST), Family Resource Team (FRT), with the Department of Human Services; and Interagency Resource Team (IRT) and Larimer Interagency Coordinating Council (LICC) with Resource Access for Families of Infants and Toddlers (RAFT). These committees serve as cross system/multi-agency teams to the cooperative/collaborative effort to which FGI aspires. Case Managers also attend Individual Education Planning (IEP) meetings in public schools for consumers enrolled in school programs as well as foster care reviews for consumers in foster placement. The FGI Executive Director participates in a community wide effort, coordinated by the Health Department, to coordinate services for Larimer County children with disabilities and high medical needs. The Children's newsletter is published quarterly with resource information and legislative updates. This newsletter reaches over 265 families. FGI also shares information with consumers, families and the community through the intake packet, which includes information about the support and services provided by FGI. The SLS program developed a family friendly brochure to be included in the packet, which enables consumers and families to be more familiar with the program as they enter the program. We will continue to find ways to inform stakeholders in regard to the services and supports we provide and participate in the development of relationships with consumers, families and allied agencies. By: Debbie Lapp Page 7 of 18 Public Relations: Core Value Performance: In 2003, Foothills Gateway continued its legislative activity through a number of activities aimed at educating and informing our local representatives of the needs of people with developmental disabilities. New legislators have been contacted and sent "fact sheet" information sheets listing critical statistical information, as well as, general descriptions of available services and supports. Personal contacts were made with these individuals and veteran legislators to discuss specific issues. Members of Foothills Gateway staff, board of directors and parents have regularly attended CACCB- sponsored events that have allowed them the opportunity to learn more about our statewide government and to meet and have lunch with local representatives. In the fall of 2003, Foothills Gateway, along with the Larimer Center for Mental Health, sponsored a "Legislative Forum" with five legislators and over 80 community members. Information regarding the impact of the state's funding for people with developmental disabilities was shared at this forum and also relayed through ongoing articles in local newspapers. Foothills Gateway has continued to keep all our families and community members informed as to important issues through a series of six public forums held throughout the summer, fall and winter. Topics included budget, HIPAA, self-determination, satisfaction survey results and goals and outcome measurements. Other opportunities to increase awareness of Foothills Gateway and our programs were used through attendance and participation at various community activities, including "Make a Difference Day", the CSU Community Homecoming Parade and through various fund raising events sponsored by Foothills Gateway and our support groups: the Foothills Gateway Foundation, the Foothills Service League and the Fort Collins Service League. By: Diana Foland CORE VALUE STATEMENT "Foothills Gateway, Inc, understands that volunteers and service providers arse best , prepared to support individuals when they have comprehensive training available to them on an ongoing basis. f Human Resources: Core Value Performance: In 2003 we continued to look at ways to improve employee turnover. Since more than half of our total number of employees are part time and many are students, we know employee turnover will always be an inherent concern in managing our Residential and Supported Living Services Programs. Never the less, we experienced an agency wide 18% reduction in turnover r' in 2003. Looking forward, we introduced a new combined Paid Time Off benefit, replacing the previous vacation time/sick time benefit. The new benefit, which went into effect in July of 2003, allows employees greater latitude and responsibility for managing their time off. We believe that the cost of this benefit change will be negligible and it will be of much greater value to employees than the previous benefit. Other benefit enhancement ideas that do not add to Page 8 of 18 ro the cost of employment, yet result in greater appreciation by employees are being reviewed in the scope of improving employee retention. By., Randy Petersen Department of Resource Coordination and Development (DRCDI• Core Value Performance: Many opportunities for increased knowledge and comprehensive training have occurred at FGI this past year. • An interactive, collaborative effort between RAFT and FGI training was provided for Early Intervention contractors so that they would become more well -versed in birth to three -year -old services and entitlements. • Beginning and Advanced Investigation training for FGI staff and Program Approved Service Agencies (PASAs). • Colorado Physical Intervention training and Avoiding Power Struggles for families in the children's programs. • Regional quarterly FSSP Council meetings to learn about the legislative process and issues affecting families. • HIPAA training to all staff. • MANE, Incident Reporting, Confidentiality, and Communication training updated, improved and offered on a greater frequency to staff. • Extensive training to Case Managers for the 100.2 form (eligibility) due to changes in Medicaid requirements. • Policy and procedure book was completed, updated, and made available to staff and PASAs. By., Debbie Lapp RE VALUE STATEMENT "Foothills Gateway, Inc, supports the idea that the provision of appropriate services and supports, the achievement of the mission and the enhancements of the quality of life ofpersons with developmental disabilities, will be attained if agencies and individual providers use existing resources etPecdvely and responsibly. Department of Resource Coordination and Development (DRCDI: Core Value Performance: Foothills Gateway has worked diligently to assure the efficient and effective use of resources and to assure satisfaction with services and supports provided in our service area. The following are some of the accomplishments toward this goal: • The Early Intervention (EI) program reorganized the payment structure to allow for more flexibility when planning services. Children and families have fewer unmet needs and more control over their services than in previous years. • Larimer Center for Mental Health continues to have offices at FGI and provides services for approximately 150 consumers who have co-occurring diagnoses. • The Resource Allocation Committee (RAC) allocates funds for Supported Living Services (SLS) and Children's Extensive Support (CES) stressing support of health and safety concerns. The Family Support Services Program (FSSP) allocation committee uses assessments to consistently allocate funds to its participants based on age, need, and services related to the disability. Page 9 of 18 Foothills Gateway, Inc. 400 Wood Street Nonprofit Lease March 2004 Personnel Qualifications Foothills Gateway, Inc. has the necessary experience and capabilities to hire, train and support satisfactorily qualified personnel for the Adult Respite Care. ■ Adult Respite Care will have a full time director, a full time activity director/schedule coordinator, a full time administrative assistant/office manager and 24 part time support staff (15 FTE). ■ The experience level and the organizational ability of the director is considered key to the success of Adult Respite Care. The director will be the main contact with the community for publicity, fund raising activities and events and overall direction of the program. Minimum requirements for this position will include a bachelor's degree in Social Work or in a Human Service field, at least two years of supervisory experience and at least one year experience in working with persons with developmental disabilities. Other job experience preferred will include the areas of management, grant writing and public relations. A full job description will be prepared prior to advertising for the position. Foothills Gateway, Inc. has the necessary experience in hiring, training and supporting managers for similar programs in the Department of Community Services and Supports such as the Individual Residential Services and Supports program, the Community Participation program, the High Needs program, and others. ■ The activity director/schedule coordinator will be responsible for designing planning and scheduling the various activities for the respite care services. This includes not only the routine activities, but also the special activities that may be tailored to the special needs of the adults with disabilities and their families. Activities must be planned with several concepts in mind including available budget, community accessibility, transportation issues, consumer needs and family desires. Additionally, he/she will be responsible for the assessment for the consumers prior to enrollment. Knowledge of each consumer's capabilities will be important to the success of this function. Minimum requirements for the activity director will include a bachelor's degree in Recreational Therapy or a human service field and at least one-year experience in working with persons with developmental disabilities. A full job description will be prepared prior to advertising for the position. M • The Comprehensive Services Assessment Tool (CSAT) is used to consistently assess needs of individuals in comprehensive services and set rates accordingly. • FGI has a very low error rate on the billing and data systems indicating that all staff are working together to ensure total payment for all services provided. • FGI attempts to gain insight into the satisfaction of services through a variety of means. One method is to solicit information through consumer and family satisfaction surveys. FGI values the input that each consumer and family has to offer about the quality of services provided to them. The staff at FGI takes the information derived from these surveys very seriously. Every attempt is made to address the concerns arising in the surveys and find ways to work towards increasing the quality of services provided to program participants. A report is then designed to summarize the results of the consumer and family satisfaction surveys. Satisfaction remains high for consumers and families as evidenced by the final results. W- Debbie Lapp Page 10 of 18 265 250 237 235 220 205 190 175 160 1 145 130 115 100 85 70 55 40 25 + 10 Jan 237 242 o� i Feb March AprilMay _ _ June July_ _ _ August ___Sept FOWait list Total ■# immediate need 1 238 Foothills Gateway, Inc. 2003 Waiting List Report 212 210 213 Waiting List Information 2003 Number of Persons on Waiting List December 31, 2002 Number of Persons on Waiting List December 31, 2003 Decrease of 15 Percentage Decrease 7% Number Waiting for Early Childhood Services 17 Number Waiting for Family Support Services 29 Number Waiting for Comprehensive Services 18 Number Waiting for Supported Living Services 37 Persons age 14-18, need either Comprehensive or SLS at 18 80 Persons with Safety Net or Out of State Plan 32 TOTAL 213 Number of Persons Added to Waiting List in 2003 Number of Persons Removed from Waiting List in 2003 Number of Persons Admitted to Comprehensive Services not Counted in Wait List numbers Persons Admitted to Services 2003 Number Admitted to El 81 Number Admitted to FSSP 55 Number Admitted to SLS 41 Number Admitted to Comprehensive 15 TOTAL 192 Persons Admitted to Services Using Local Fundina 2003 Number Admitted to El 19 Number Admitted to FSSP 17 228 213 167 182 10 Page 11of18 STATEMENT OF ACTIVITIES YEAR ENDED NNE 30, 2003 with comparative totals for 2002 Fees and grants from government agencies Fees for services State of Colorado Grants and other Larimer County Dept. of Housing and Urban Development Education Consolidation and Improvement Act Other Total fees and grants from government agencies Public support Contributions United Way Total public support Other revenue Total support and revenue Expenses Program services Early Intervention Medicaid comprehensive State adult supported living Medicaid supported living Children's extensive support Family support Case management Other program services Total program services Supporting services General and Administrative Fundraising Total supporting services Total expenses 2003 2002 $ 16,251,200 $ 15,402,735 2,195,002 2,053,161 22,432 16,310 46,367 94,157 18,515,001 17,566,363 -N 129,138 161,743 'IN 18,082 61,920 147,220 223,663 1,019,709 $ 19,681,930 $ 228,094 12,723,881 484,338 2,425,446 111,700 417,807 994,034 651,107 18,036,407 997,854 $ 18,787,880 $ 217,360 11,797,855 362,044 2,239,131 138,706 438,192 774,314 110,788 16,078,390 1,127,780 935,692 P. 49,721 150,575 ., 1,177,501 1,086,267 19,213,908 17,164,657 -� Page 12 of 18 STATEMENT OF FINANCIAL POSITION YEAR ENDED JUNE 30, 2003 with comparative totals for 2002 ASSETS Current assets Land, building, and equipment, net Other assets Total Assets LIABILITIES AND NET ASSETS Current liabilities Long-term debt Total Liabilities Total net assets Total Liabilities and Net Assets $20,000,000 $18,000,000 $16,000,000 $14,000,000 $12,000,000 $10,000,000 $8,000,000 $6,000,000 $4,000,000 $2,000,000 $0 2003 2002 $3,317,002 $4,746,333 3,320,568 3,240,198 2,237,302 369,183 $8,874,872 $8,355,714 $1,486,476 $1,421,413 176,637 190,564 $1,663,113 $1,611,977 7,211,759 6,743,737 $8.874.872 $8,355.714 Foothills Gateway, Inc. Program to Supporting Costs 1999 2000 2001 2002 2003 Fiscal Years Page 13 of 18 2 Supporting Costs ■ Program Costs The Human Rights Committee (HRC) serves as an impartial third party to safeguard the rights of persons receiving services. HRC members are: +► Don Fish, Chairperson, Psychologist +r Pam Bishop, Colorado State University, Department of Social Work +� Clara Chaney, Parent a Mary Harper, Parent and retired Registered Nurse Candace Mattos, Larimer Center for Mental Health Karlene Poor, State of Colorado, Division of Vocational Rehabilitation - Mary Schacht, Parent and retired Registered Nurse _ a Gary Thurman, Larimer County Human Services, Adult Protection Unit +r Shirley Surface, Parent The Family Support Council enjoyed another productive year, completing projects such as fund raising, development of new allocation processes and increasing the efficiency of the overall program. Family Support Council Members are: s Libby Stoddard, Parent/CHAIR +� Brittain Hoffman, Parent/CO-CHAIR + Sang Yong Woo, Parent ^ , Brenda Tuttle, Parent �► Marita Flagler, Parent ♦ Marla Maxey, Foothills Gateway ♦ Debbie Lapp, Foothills Gateway r Kim Walkenhorst, Larimer County Health Department ^ Pam Miller, Family Support Services Program/Foothills Gateway Liaison The Family Support Services Allocation Committee continued to meet monthly to make sure that resources received were allocated in a fair and equitable manner with information on parent resources, inclusion opportunities, legislative issues, different treatments, recreational opportunities, etc. Family Support Services Allocation Committee Members are: + Liz Davis, Thompson R23 School District Representative +� Debbie Frederick, Larimer County Department of Human Services �► Phyllis Freeman, Placement Coordinator, Foothills Gateway r Jane Haack-DeBroux, Social Worker/Referral Coordinator, Poudre School District, Barton Early Childhood Center r Cheryl Rhodes, Larimer County Department of Human Services r Brittain Hoffman, Parent ♦ Marla Maxey, Case Management Coordinator, Foothills Gateway Page 14 of 18 l�•1ltlttl�rrrl.�r�tlS.r r�rr�.���lr�.rl rl.rl � �.r. Referral and Placement Committee (RPC) is an interdisciplinary and inter -agency committee responsible for determining eligibility for services funded by Developmental Disabilities Services and for making recommendations for admission into HCBDD Waiver Services, Regional Centers or ICF-MR settings. RPC Members are: • Phyllis Freeman, Placement Coordinator, FGI ■ Cheryl Rhodes, Larimer Public Health / HCP ■ Linda Conte, Division of Vocational Rehabilitation ■ Jacque Penfold, Larimer Center for Mental Health ■ Bill Reeves, Thompson R23 Schools • Paula Shepard, Poudre R-1 Schools ■ Jan Irvin, Program Administrator for EI and Employment Services, FGI Resource Allocations Committee (RAC) was created in order for Foothills Gateway to have a fair, equitable and reliable manner in which to allocate SLS/CES dollars to consumers. The SLS program serves 212 adults and the CES program serves five children. This committee uses criteria and prioritizes health and safety needs first. The RAC meets twice per month, or more often, as needed. RAC Committee members are: • Pat Carney (Chair), SLS Coordinator • Kathy Duncan, Parent • Phyllis Freeman, Placement Coordinator • Alison Lamagna, SLS Quality Assurance Specialist • Debbie Lapp, DRCD Director • Marla Maxey, Case Management Coordinator • Sylvia McGrath, Utilization Technician SLS/CES • Laura Wehling, SLS Coordinator for Mosaic, Inc. LARIMER 414111ITiff r Carmel Community Living Corporation +► Center for Community Participation/C.S.U. ► Community Advantage, Inc. ► Foothills Gateway, Inc. �► Good Shepherd Homes +� Mosaic, Inc. r REM Colorado, Inc. Spectrum Community Services Page 15 of 18 ifffllffffflff � ..--.11fff��ll fffffl���l. 2003 CONTRIBUTORS On behalf of the Board of Directors, the staff, the consumers and their families, we would like to express our heartfelt appreciation to the people, companies and organizations in our community who support Foothills Gateway, Inc. and allow our programs to continue. ABC Signworks Karl Abele Agilent Technologies, Inc. Aimling Family Cary R. Alburn, III American Furniture Warehouse Betty Jo & Dean Anderson Anonymous Friends Mike & Pat Astley Sandy Atchison, Coldwell Banker David & Jennifer Baker Eloise Baker Chris Bartholomew Timothy Bastille Margaret & Floyd Beasley Nancy L. Beasley Bob Beck Kevin & Nicci Becker Maxine Bell Tasha Beswick Peter & Lisa Bicknell Bob's Appliance Service Mr. & Mrs. Philip Bogetto — Hermes Foundation Eva Bower Boy Scout Troop #82 Loretta Brackin Rosalind Brodsky Brownie Troop #102 Robert R. Brunson Marie Buquo Kathy Busch Bruce Carr Doug & Bobbie Casey Chapel of the Interlude James R. Chinn Citizen Printing Chris Cole Diane Cohn Sharon Courtney Mary Croissant Scott & Dianne Dahm Tracy Davis Daryl Dekkers Kelly Dodge Kevin Dunlap James & Kim Durand Mark Durand Stephanie Dutton Richard Elder Jr. Douglas W. Evans Marian Febvre Allan & Elizabeth Fegley Dr. Don Fish Dave & Diana Foland Foothills Gateway Foundation Foothills Service League Fort Collins 4x4 Club Fort Collins Junior League Fort Collins Nursery Fort Collins Service League Robert Foxx Pam Franek Brian & Amy Galloway Monica Garcia Gilsdorf Garage Goes Funeral Care John & Nancy Goldey David & Norma Govan Linda Graae Grant Farms Betty Green George & Virginia Grove Gulley Greenhouse Beth Haines Bill and Sue Hancock Hannah Publications, Inc. Rodney & Susan Harr David M. Hart Page 16 of 18 Daniel Harty Lavonne Heth Sandra Hoefs Karen Holman Mrs. Earl Howard Dr. Hultsch Susan Hunter Hydro Construction Co., Inc. Michael Irvin Janice & Jim Jackson Jerry Jaycox Laura Jimenez Susan Johnson Joan W. Keane Kempe Family Janice Kerr Anthony Klein Norman & Patricia Klumpp Knights of Columbus - FtC Mrs. Edith Kruse Gerald & Gale Kwan Georgeann S. Lage David Lancaster Steve Larson Dr. & Mrs. A.C. Lee Sondra Lee Dona Leonard Deb LePera Lincoln Center Sue Lindner Margaret and David Lindstrom Virginia Link William Link Lions Club of Estes Park Lions Club of Loveland Bud & Carol Litchfield Dave Lombardi Vicky & Stephen Lord Loveland Lion's Club i, . I1.. , Storrey & Margaret Lynn Ralph Olson Mama Roni's Pizza Tim & Cindy O'Neill J. Brad March Amber Owen George & Kathleen Marek Parkwood Estate Residents Jean Mariol Nancy Patton Patsi Maroney Mr. & Mrs. Carl Plock Kathy Martin James & Shirley Plumb William & Grace Mathews Karlene Poor Foundation Nancy & Mike Posten Maverick Stimulation Poudre Valley R.E.A. Company Gail Raetz Leah McAndrews April Rikhoff Donna McBroom Duane & Carol Ritchie Diane McCormick Alta M. Roosa McKee Trust Rotary Club — Thompson Mr. & Mrs. James Meiman Valley Billie Miller Claude & Ethel Rudy Paul & Paula Morris Christopher Ruebel Michael & Melanee Debra Ruybal-Mascarenaz Mortensen William & Lorraine St. Clair Pam Moses St. John's Ladies Auxiliary Richard & Robin Nash — Margaret Santini Mariah's Kids Fund Douglas & Martha Scheiwe Bill & Kathy Neal Emi Schnell Paul & Marjorie Nerger Kathleen Schroeder Linnea Ness Don Shannon Russ Noblett John & Maril Shelton Sharmon Noe David Shirk Northern Co. Woodcarvers George & Jean Smith Club Jeanne Sprague Gordon Nuttall, Jr. Christian Stough Lyle Alexander Bob Andrasek Craig Arno Janet Bell Shannon Borm Mary County Tamela Entzi Alfreda Ek Eddie Hicks William Hoffman, Sr. Judith Holt Don Hope Reverand Howard Barbara Stutsman Margaret Sullivan Clara Taylor David Templeton Diane Thies Thompson Valley School District Jr. High Students Norma Thompson- Pomerleau Judy Tomcak Martha Scott Trimble Trust United Ways of Larimer County Terry & Ruth Usrey J. Valente Lori Vanagunas Rosie Veum Alan & Jennifer Wade Wal-Mart Foundation Debbie Webber Dr. West John A. White Eileen Wieda Wild Turkey Federation Saxton Wiley Don & May Wilkins Charitable Trust Joan Williams Dr. James & Julie Wise Wolf Man Vac James Zafarana 2003 MEMORIALS IN MEMORY OF: Jack Jones (FGI employee 1974-2003) Louise Kirby Bill Ledbetter J. William McIntosh Catherine Parga Laurie Parrish Victor Pergande Robert Quick Victor Santini Fred ShufFler Donald Wise Emily Wygant Page 17 of 18 THE MISSION OF FOOTHILLS GATEWAY, INC. IS TO FACILITATE A COORDINATED COMMUNITY EFFORT DEDICATED TO CHALLENGING AND SUPPORTING LARIMER COUNTY CITIZENS WITH DEVELOPMENTAL DISABLILITIES TO ACHIEVE THEIR MAXIMUM POTENTIAL AND INDEPENDENCE. Foothills Gateway, Inc. 301 W. Skyway Drive Fort Collins, Colorado 80525 (970) 226-2345 Fax (970) 226-2613 Email address: info@foothillsgateway.org Web Site: www.foothillsgateway.org UNITED WAY MEMBER AGENCY STATE OF COLORADO edhs Colorado Departlrert of Nrmar Services people who help people OFFICE OF ADULT, DISAMM AND REHABILITATION SERVICES John P. Dauto, Manager DNISION FOR DEVELOPYENML DISABLIMS 304 West Pdricelon Cirde Phone 303-NO-74W TDD 303-OW7471 FAX 303-W&7470 w m.cdhs.state.00.us Fred L DeCrescmlis DNactor June 2, 2003 Timothy O'Neill, Executive Director Foothills Gateway, Inc. 301 Skyway Drive Ft. Collins, CO 80525 Dear Tim, - d. RECEIVEDq�$ JUN 0 3 2003 * x J ** [BY: MI Owens Governor Pursuant to CRS 27-10.5 and the Division for Developmental Disabilities Rules and Regulations Section 16.210, the application required to be submitted as a condition for designation as a Community Centered Board has been reviewed. The Division for Developmental Disabilities is pleased to inform you that your agency will be designated for the next fiscal year July 1, 2003 through June 30, 2004. Please find attached to this correspondence your agency's certificate of designation. Please remember that we need to receive updates within 30 days of any changes to committee memberships or by- laws. This information may be sent to the attention of Matthew Solano. Thank you for your continued efforts on behalf of people with developmental disabilities in your area We look forward to a positive and productive working relationship with your agency during the upcoming fiscal year. Sincerely, Fred DeCrescentis, Director Division for Developmental Disabilities cc: file attachment Ow h6mm is to Design and Deivu Ouaily Hunan Services sut h.qx the Safely and Independence of the People of Colorado Foothills Gateway, Inc. 400 Wood Street Nonprofit Lease March 2004 Foothills Gateway, Inc. has the necessary experience in hiring, training and supporting personnel for similar positions in the Department of Community Services and Supports such the Community Participation program, the High Needs program, the Sensory Integration Program and others. The administrative assistantloffice manager person will take care of the daily details in accounting, timekeeping, payroll input, accounts receivable, accounts payable and be responsible for general office operations. This person will make sure that the enrollees meet the CDBG financial requirements and will prepare the quarterly reports for the CDBG. Minimum requirements include: at least two years of accounting or related experience; strong computer skills (ability to use Microsoft Word, Excel, Windows), must be detail oriented, have strong organizational skills, strong time management skills, obtain knowledge of state and federal regulations, have strong communication skills, and ability to manage multiple priorities and meet timelines as well as knowledge of basic office equipment, phone systems, fax machine and copier. A full job description will be prepared prior to advertising for the position. Foothills Gateway, Inc. has the necessary experience in hiring, training and supporting personnel for similar positions. ■ The support staff will assist in the delivery of the individualized services for consumers and they will also facilitate communication skills training, educational/vocational skills training, exercise/health hygiene skills training and to develop positive/proactive behaviors for consumers in a group situation in compliance with the Individual Plan. They will ensure a positive safe environment for all consumers and will assist consumers with medication as need indicates. They will also assist with transportation, community participation, and other activities. Minimum requirements for the support staff will include a high school diploma and at least one-year experience in working with persons with developmental disabilities. They must have good communication skills and ability to work as a team member, must be willing to assist consumers with personal needs and all areas of independent living, must pass background, reference and motor vehicle checks and must be able to drive agency vehicles. A full job description will be prepared prior to advertising for the position. Foothills Gateway, Inc. has the necessary experience in hiring, training and supporting personnel for similar positions in the Department of 4 Designation Period: July 1, 2003 to June 30, 2004 j� DEPARTMENT OF HUMAN SERVICES/DIVISION FOR DEVELOPMENTAL DISABILITIES PROGRAM APPROVAL RENEWAL Based on the findings of the recent survey, the service agency is in substantial compliance with rules and standards and Program Approval is continued for the programs) as indicated below. Group Residential Services and Supports (GRSS) Facility Name: Facility Address: DPH&E Licensure Date: Individual Residential Services and Supports (IRSS) * Integrated Employment Services (IES) Integrated Activities Services (IAS) Non -Integrated Work Services (NIWS) Non -Integrated Activities Services (NIAS) X Support Services (CCB) Adult SLS X Support Services (CCB) CES Support Services (SLS and CES) Service Agency Only Service Agency: Foothills Gateway. Inc. Service Agency Address: 301 Skyway Drive FortCOWn3. CO 80525 Community Centered Board(s) Foothills Gateway. Inc. Date of Survey and Re -Survey, if applicable: May 19-23.2003 * Agencies approved to provide HISS and using Host Homes are hereby also certified as QUALIFIED FOSTER PLACEMENT AGENCIES as defined by the federal Fairness for Foster Care Families Act of 2001 that amended the Internal Revenue Code of 1986. >st Esquibel, Program Q lity erry Ste , DDD Assistant Director CC: Approved Program File: SLS CES �Z/3%- Date V&Jc Date (revised 05/03) DEPARTMENT OF HUMAN SERVICES/DIVISION FOR DEVELOPMENTAL DISABIUTIES PROGRAM APPROVAL RENEWAL Based on the findings of the recent survey, the service agency is in substantial compliance with rules and standards and Program Approval is continued for the programs) as indicated below. - Group Residential Services and Supports (GRSS) Facility Name: Facility Address: DPH&E Licensure Date: X Individual Residential Services and Supports (IRSS) * Integrated Employment Services (IES) Integrated Activities Services (IAS) Non -Integrated Work Services (NIWS) Non -Integrated Activities Services (NIAS) Support Services (SLS and CES) CCB Support Services (SLS and CES) Service Agency Only Service Agency: Foothills Gateway, Inc. Service Agency Address: 301 Skyway Drive Ft. Collins, CO 80525 Community Centered Board(s): Foothills Gateway, Inc. Date of Survey and Re -Survey, if applicable: 6/27/03 * Agencies approved to provide IRSS and using Host Homes are hereby also certified as QUALIFIED FOSTER PLACEMENT AGENCIES as defined by the federal Fairness for Foster Care Families Act of 2001 that amended the Internal Revenue Code of 1986. adheWSolano, DDS Program Quality qLA4,1n "�_ . & � au�' Kerry Sterd, DDS Assistant Director CC: Approved Program File Phyllis Blackford 7�z2/�3 Date 7 ?_q-03 Date (revised 07/02) STATE OF COLORADG �, .1VED COLORADO DEPARTMENT OF HUIVAN SERVICES J � L 0 7 003 OFFICE OF ADULT, DISABILITY, AND REHABILITATION SERVICES 000 DIVISION FOR DEVELOPMENTAL DISABILITIES BY: Foothills Gateway Rehabilitation Center 301 Skyway Drive Fort Collins, CO 80525 is certified to participate in the Colorado Medicaid Program, Home and Community Based Services for the Developmentally Disabled as a provider of. Case Management from to Specialized Habilitation Day Program from to 6 -3O -100q IC Individual Residential Services and Supports from 63 to K� Community Accessibility from 7 - I-7©Q3 to 6 -30 -aO0 `f Non -Medical Transportation from to Prevocational Services from to K Supported Employment Services from '2-1-)BO3 to JUL 0 7 2003 STATE OF COLORADO COLORADO DEPARTMENT OF HUMAN SERVICES OFFICE OF HEALTH AND REHABILITATION SERVICES DIVISION FOR DEVELOPMENTAL DISABILITIES Foothills Gateway — SLS 301 Skyway Drive Fort Collins, CO 80525 is certified to participate in the Colorado Medicaid Program, Home and Community Based Services for the Developmentally Disabled as a provider of: Supported Living Services from July 1, 2003 to June 30, 2004 *MedicaiProgramecialist Developmental Disabilities Services wr/1 �- it 9 i v l •KC STATE OF COLORADO COLORADO DEPARTMENT OF HUMAN SERVICES OFFICE FOR REHABILITATION AND DISABILITIES SERVICES DIVISION FOR DEVELOPMENTAL DISABILITIES Foothills Gateway — CES 301 Skyway Drive Fort Collins, CO 80525 Kr_;L:kllvrwu JUL 2003 BY. is certified to participate in the Colorado Medicaid Program, Home and Community Based Services for the Developmentally Disabled as a provider of Children's Extensive Support Services rile July 1, 2003 to June 30, 2004 Medicaid Program Specialist Developmental Disabilities Services ii.Irf, /rr 'rr i �i rat rdr� d/1 t Irt t d Ci rrl 3 ar, Foothills -Gateway, Inc. STATEMENT OF FINANCIAL POSITION June 30, 2002 nth summarized financial information for June 30, 2001) ASSETS 2002 2001 Current assets Cash $ 2,103,288 $ 783,606 Certificates of deposit 49,277 47,253 Investments 1,346,439 1,618,204 Accounts receivable Fees and grants from governmental agencies 1,073,799 831,480 Vocational contracts 124,461 81,681 Other 39,114 39,168 Prepaid expenses and other 9,955 26,287 Total current assets 4,746,333 3,427,679 Investments 369,183 - Note receivable - 141,561 Land, building and equipment, net 3,240,198 3,255,571 $ 8,355,714 $ 6,824,811 LIABILITIES AND NET ASSETS Current liabilities Accounts payable and accrued expenses $ 1,403,353 $ 1,385,485 Current portion of long-term debt 12,938 16,539 Deferred revenue 5,122 51,332 Total current liabilities 1,421,413 1,453,356 Long-term debt Notes payable, net of current portion 190,564 250,941 Net assets - Unrestricted Designated memorial funds 98,294 92,029 Designated for capital repair and replacements 40,000 40,000 Net investment in land, building and equipment 3,036,696 2,988,091 Undesignated 3,524,528 1,952,300 Total unrestricted 6,699,518 5,072,420 Temporarily restricted 44,219 48,094 6,743,737 5,120,514 $ 8,355,714 $ 6,824,811 The accompanying notes are an integral part of this statement. 5 Foothills -Gateway, Inc. STATEMENT OF ACTIVITIES Year ended June 30, 2002 (With summarized financial information for the year ended June 30, 2001) Fees and grants from governmental agencies Fees for services State of Colorado State General Fund Comprehensive Adult supported living Children and families Medicaid Comprehensive Adult supported living Children's extensive support Larimer County School districts Grants and other Temporarily Total Unrestricted restricted 2002 2001 $ 164,718 $ - $ 164,718 $ 193,025 514,908 - 514,908 580,829 595,614 - 595,614 471,155 11,673,987 - 11,673,987 10,777,322 2,360,687 - 2,360,687 2,384,678 92,821 - 92,821 101,580 2,053,161 - 2,053,161 126,967 92,859 - 92,859 78,934 Department of Housing and Urban Development 16,310 - 16,310 12,727 Other 1,298 - 1,298 2,104 Total fees and grants from governmental agencies 17,566,363 - 17,566,363 14,729,321 Public support Contributions United Way Residential room and board In -kind donations Other revenue Net assets released from restrictions Satisfaction of program restrictions Total support and revenue 83893 77,850 161,743 176,998 61,920 - 61,920 54,227 247,463 - 247,463 228,059 39,284 - 39,284 22,644 711,107 - 711,107 770,696 81,725 (81,725) 18,791,755 (3,875) 18,787,880 15,981,945 The accompanying notes are an integral part of this statement. rl i I I I I Foothills -Gateway, Inc. STATEMENT OF ACTIVITIES (CONTINUED) Year ended June 30, 2002 (With summarized financial information for the year ended June 30, 2001) Expenses Program services Medicaid comprehensive State adult supported living Medicaid adult supported living Children's extensive support Early intervention Family support Case management Other program services Total program services Supporting services Management and general Fundraising Total supporting services Total expenses CHANGE IN NET ASSETS Net assets, beginning of year Net assets, end of year Temporarily Total Unrestricted restricted 2002 2001 $ 11,797,855 $ - $ 11,797,855 $ 11,002,791 362,044 - 362,044 363,202 2,239,131 - 2,239,131 2,210,027 139,706 - 138,706 163,341 217,360 - 217,360 162,808 438,192 - 438,192 412,960 774,314 - 774,314 794,449 110,788 - 110,788 126,817 16,078,390 - 16,078,390 15,236,395 935,692 - 935,692 908,279 150,575 - 150,575 153,904 1,086,267 - 1,086,267 1,062,183 17,164,657 - 17,164,657 16,298,578 1,627,098 (3,875) 1,623,223 (316,633) 5,072,420 48,094 5,120,514 5,437,147 $ 6,699,518 $ 44,219 1G,743,737 $ 5,120,514 The accompanying notes are an integral part of this statement. WA Foothills Gateway, Inc. 400 Wood Street Nonprofit Lease March 2004 Community Services and Supports such the Community Participation program, the High Needs program, the Sensory Integration Program and the Individual Residential Services and Supports Program. A training program that meets all the requirements of the Division for Developmental Disabilities, Colorado Department of Human Services, is already in place. ■ Foothills Gateway, Inc. has an experienced and knowledgeable management team that is fully capable of providing the necessary support for the success of Adult Respite Care. Timothy S. O'Neill, Executive Director since 1992, Master of Science in Adaptive Physical Education, University of Wisconsin -LaCrosse, has 28 years of experience in directing various important programs in the field of developmental disabilities. Some of his prior positions include Assistant Director of Program Operations in the Department of Institutions, Division for Developmental Disabilities for the State of Colorado; Residential Program Manager, Division for Developmental Disabilities, Denver, CO; Area Administrator, Martin Luther Homes, Inc., Denver, CO; Director of paraprofessional Training Program, Colorado Mountain College, Glenwood Springs, CO., and others. His current responsibilities include planning and development, public relations and community information, budget and finance and program operations. M. Sharon Courtney, B.S., Colorado State University, Business Administration (Accounting), is the Director of Finance at Foothills Gateway and is responsible for the financial, technological and human resource functions at the agency. She has worked for the agency since June 1995, during which time the agency has over doubled in revenues and the associated services provided. Her experience prior to joining the agency included Controller and Financial Analyst positions at several for -profit corporations, Business Consultant for the Small Business Administration, Internal Auditor for Colorado State University and Director of Accounting and Financial Services for the Colorado Department of Revenue. She is continuing her education in pursuit of her Masters in Accounting at Colorado State University. Erin Eulenfeld, M.S. in Counseling, Western Oregon University and C.R.C.(Certified Rehabilitation Counselor) is the Director of the Department of Community Services and Supports (DCSS). Employed with Foothills Gateway since July 1978, Ms. Eulenfeld is responsible for the overall operation of all direct services provided by Foothills Gateway, Inc. to individuals who have developmental disabilities. The 5 Foothills -Gateway, Inc. STATEMENT OF CASH FLOWS Year ended June 30, 2002 (Wth summarized financial information for the year ended June 30, 2001) 2002 2001 Cash flows from operating activities Change in net assets $ 1,623,223 $ (316,633) Adjustments to reconcile change in net assets to net cash provided by (used in) operating activities Depreciation and amortization 286,684 272,470 Interest income re -invested in certificates of deposit (2,024) (2,987) Realized/unrealized loss on investments 40,477 _ Gain on sale of fixed assets (5,207) (2,581) Donated equipment capitalized (2,000) _ Change in assets and liabilities Increase in accounts receivable (285,045) (232,663) Decrease in notes receivable 141,561 - (Increase) decrease in prepaid expenses and other 16,332 (4,931) Increase in accounts payable and accrued expenses 17,868 90,392 Increase (decrease) in deferred revenue (46,210) 46,085 Net cash provided by (used in) operating activities 1,785,659 (150,948) Cash flows from investing activities Purchase of land, building and equipment (281,129) (157,797) Proceeds from sale of fixed asset 17,025 8,900 Purchase of investments (4,472,034) (1,882,457) Sales of investments 4,334,139 1,665,668 Net cash used in investing activities (401,999) (365,686) Cash flows used in financing activities Repayment of long-term debt (63,978) (14,889) NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS 1,319,682 (531,423) Cash and cash equivalents, beginning of year 783,606 1,315,029 Cash and cash equivalents, end of year $ 2103 288 $ 783,606 Supplemental data Cash paid for interest $ 18,696 $ 21,198 Non cash investing activities Donated equipment capitalized $ 2,000 $ - The accompanying notes are an integral part of this statement. 8 AC Rv_ INSURANCE BINDER OP ID DATE 07/02/03 THIS BINDER IS A TEMPORARY INSURANCE CONTRACT, SUBJECT TO THE CONDITIONS SHOWN ON THE REVERSE SIDE OF THIS FORM. AIDPRODUCER No Ext: 970-482-7747 COMPANY &N°� 0 4479 970 _ _4165 B-wwn 6 Brown Inc - Ft Collins TRANSCONTINENTAL INS CO IS Howes, Sth Floor DATE TIME OATS TIME Box 2226 g 12:VI AM Fort Collins CO 80522-2226 07/Ol/03 12:01 PM 07/31/03 NooN Shanna Jamsa X THIS BINDER IS ISSUED TO EXTEND COVERAGE IN THE ABOVE NAMED COMPANY DOSE` SUB CODE: PErREJwIwNGpOuCYr HSF1095909147 CY WSETNO MER e: FOOTH-2 DESCRIPTION OF OPERATIONSIVEHICLESIPROPERTY (In0mlinp Location) INSURED Foothills Gateway, Inc. 301 Skyway Drive Ft Collins CO 80525 N^_nvcoenec TYPE OF INSURANCE COVERAGEIFORMS DEDUCTIBLE urwr r COINS % a AMOUNT PROPERTY CAUSES OF LOSS BAST ❑ BROAD 0 SPEC BLRT BLDG&PP BLRT BI 6 EE BOILER 6 MACH 10000 1000 100 6870840 1500000 8270840 GENERAL LIABILITY GENERAL LIABILITY CLAIMS MADE ®OCCUR CLAIMS RETRO DATE FOR MADE: - ALL VEHICLES ]( SCHEDULED VEHICLES EACH OCCURRENCE sl 000 000 XCOMMIJRCUL FIRE DAMAGE (ftam&e) s200 OOO MED EXP (Any one person) $15 000 PERSONAL 3 ADV INJURY $1 000 000 GENERAL AGGREGATE s3,000,000 AUTOMOBILE tuelLrrr % ANYAuro ALL OWNED AUTOS iCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS TOWING 6 LABOR rxxPHYSICAL DAMAGE AUTO PHYSICAL DAMAGE DEDUCTIBLE X COLLISION: 1000 X OTHER THAN COL lOOO PRODUCTS - COMP/op AGO COMBINED SINGLE LIMIT f 3 000 00 0 S1 000 000 BODILY INJURY (Per person) S BODILY INJURY (Per accident) S PROPERTY DAMAGE $ MEDICAL PAYMENTS f S , OOO PERSONAL INJURY PROT $ UNINSURED MOTORIST $1 000000 X ACTUAL CASH VALUE s $ STATED AMOUNT OTHER GARAGE LIABILITY ANY AUTO RETRO DATE FOR CLAIMS MADE: AUTO ONLY -EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT s EXCESS LIABILITY UMBRELLA ii A FORM OTHER THAN UMBRELLA FORM AGGREGATE EACH OCCURRENCE $ $2 0001000 AGGREGATE $2 , 000 000 SELF -INSURED RETENTION $ 1 O 000 WORKERS COMPENSATION AND EMPLOYERS LIABILITY WC STATUTORY LIMITS EL EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT S gp��gA Ip ED COVERAGES NAME 8 ADDRESS FEES $ TAXES s ESTIMATED TOTAL PREMIUM 1 $ MORTGAGEE ADDITIONAL INSURED iC LOSS PAYEE LOAN X AUTHORIZED REPRESENTATIVE 3hanna Jamsay ACORD 75 S (1188) NOTE: IMPORTANT STATE INFORMATION ON REVERSE SIDE CACORD CORPORATION 1993 To build .a better world; start in your.own community. _ OUR,VIEW back othills�..� Ate'wnv Oat child have been a lame- , . ational expenses. duck iwimier Coamty Com- last month, Foothills Gateway asked mission decided to take the voters to approve a 1--mill levy:inoxease heat;for lie nee commissio>t by putting. to generate sn million. That would Foothilk'Ok way.ba_ ck'into its2001 ' .fuudthe $175,000, 5 percent local match budget. plus allocate enough funds to serve an Commissioners Cheryl Olson and Jim additional 150 people on a waiting list Disney, two o►f the three'commissioners, for services. willjeave mfice next month and be re- Although several newspaper articles placedbynew.commissioners outlined the importance of l Wthills Th could- taken the;easy way Gatoiwa, supporters failed to -mount an out -by passing the question to the next aggressive campaign to inform the polo commission;;but theyinstead showed he of services the organization pro-. cfor a program vital to the vides - county Tax--wear""y voters rejected tie ballot Foothills Gateway provides service question Because they did noWinder, and suppoi tfor more than 700 people stand why an agency previously reaeiv- WA developmental disabilities. The _ ing $176,* from the county suddenly. state requites local agencies to receive was asking voters for $2.5m llion. at least 3 percent of their budget from Without the county allocation, the or - local sources. The agency uses -the local ganization'might not have reached the 5 money'19 acquire state and federal' percent match; which would have money for the'program. : risked losing federal andstate funds. Organizations serving.people with de- last week, the commission allocated velopme.ntal disabilities are the only $87 M to .the organization to help keep private ones that qualify for taxing au- it afloat for' another year. Commission- thority..' ers rleariy undentand;the importance Voters approved a Foothills Gateway of raving the organization provide local" altocatiorin the early 1980s to`pay for .a, services: building. When the voter -approved pe- tit 'ft commission made it clear riod to''for the building -expired, the Ais will be the last year it will budget_ organizahonasked the"county to con- money for the organization., tinue funding at that level to help it The codid the right thing. retire the building debt. Once the build- Now it's,up to supporters of Foothills ing debt was paid, Foothills Gateway _ Gateway to show the same kind of lead - redirected toward r - 91"AV C "A/ Gat6Wiy proves family Gratitude seen in campaign By DAVID PERSONS DavidPersons@coloradoan.com Donna Kling talks passionately about her son, Matthew. "He's so beautiful, so athletic, so funny," Kling said, showing her proud -mother side. She pointed out that her son, 26, likes to ride, bike, swim and ski. He even holds down three jobs: He delivers newspapers, works for Meals on Wheels and is a park clean-up em- ployee. Matthew also is developmentally disabled. Kling said that, while she loves her son dearly, if it were not for Foothills Gateway, a local agency that offers a variety of services to the developmen- tally disabled and their families, she would have had a hard time coping with her son's disability. "I'm a 53-year-old woman, and I have to ask myself. 'What would I be doing here now with a 26-year-old man, a healthy, athletic man, if I had to entertain him all the time," Kling said "The answer is: I couldn't. I can hon- estly say that I would have lost my daughter and my marriage without that facility to back us up. "Those people are so wonderful." Kling said her story — Matthew's story — had many ups and downs ini- tially. "When he was 10 days old, he had double ear infections that developed into meningitis," she recalled "He had seizures for four days and was in the hospital for two weeks. "He was near death, and we almost lost him" When he recovered, Kling said the family felt the worst was over, that maybe Matthew might suffer some hearing loss or, at worst, be deaf. "But at 15 months, he wasn't pro- gressing and developing like we thought he should be," Kling said "I wheeled him into our doctor, who im- 's mainstay V. Richard Harc/The Coloradwn MAKING A DIFFERENCE Matthew Kling, a client at Foothills client since he was 2, and his family is focused on helping Gateway, folds the '1 tfs Hot' section of the Coloradoan for the facility by campaigning for the proposed mill levy increase delivery Wednesday. Kling has been a Foothills Gateway which will be on the Nov. 6 ballot. mediately said: I think we have some- thing more involved here.' "When you're 27, that's pretty hard to take." Kling took her son to The Chil- dren's Hospital in Denver, where a team pf specialists evaluated him. . What came next, Kling said, nearly took her breath away. "When we sat down, one of the doctors asked us if we knew what 're- tarded' meant," Kling said "I couldn't believe what I was hearing. Did we know what'retarded' meant? It was so inhumane to put it that way. That hurt so much. "I happen to know Matthew is not retarded He is developmentally dis- abled There is a difference. He can learn." Kling said she and her husband looked around and discovered Foothills Gateway. "We got him enrolled at age 2, and he's been there ever since," Kling said "I think we were so very fortunate to get plugged into that facility so early. "Those people all made it seem not so horrible, that we could manage and it would be all right" Kling said it wasn'tjust the help that Foothills Gateway provided her son that she appreciates but also the care it gave her family as well "They gave us mostly emotional See GATEWAY/Page B3 Foothills Gateway earned the support it seeks 1b the editor - As a small-business owner in Loveland and a Lorimer Cdan ty resident for almost 30 years, I strongly support the three - fourths of a mill increase for 'Foothills Gateway. Foothills Gateway provides essential services to adults and children' staff are de to the indivi serves. The work in all 'Providing low"' who cantuot selves. from Small tax increase will help Foothills Gateway in a big way To the edifier: Disabled Resource Sem*ces encour- ages your yes vote on Referred Issue M the'/4 mill levy because it will cre . ate a permanent funding source for Foothills_Gate "y Fbothills Gateway has been providing services in Lorimer County to develop- mentally -disabled people and their families for so years. Their services -in- clude: iob'skills training- emninvmnnt " — V ... %UAFJU MWIT enuem, transportation andfamily support. These services help persons with devel- opmental disabilities reach theirfull potential as productive -citizens in soci- ety and assist them in making valuable contributions in the communities where they live. This tax increase is a smallprice to Remember, if we ppaayy' co F°ot Gateway latewaydown.' abledle pay a much high- F'ooth s,at state of Colorado funds to gene provide these ser matching fut� much rather sources This =tiway to obtain r individuals - e for them 5 cents perr +day we can assure` to oper- a .._..-.� w.V a-wca.aaao , Gateway's volunteer board of berl m& i anmer t.OUnty cannot afford to lose Foothills Gateway's contribution directors (Lorimer Countyres- to people with documented disabilities,. idents) to care for our local cit- to our communities and to the network haver the state pro- of human service agencie& vidthan e, services at a much Please vote yes on IA with an over- . higher cost to all of us. One way or another, we will . w) shove of support. Thank you. In 4!/b Nancy Jackson have to are our y,, Vote yes on 1A. We � executive director brothers' keepers Disabled Resource Services /Z {r Dan Glans` NG�lbrad- Wellington - Give to Foothills; it will gave back ' U the editor: Make a:Difference lbdayl. '�. �tioiu tc Voting yes on Amendment U, Foothills ty has he I Giateway. Gateway, will benefit innumerable: develop IVfy. M a mentally disabled individuals and thee` fadi- �!: some with Out* developme disorder: dies. Over 700 developmentally disabled in= aW Y dividaals who need Fbotliills y Gatewa are ; v first arrived in Lovelan revere cold sesvicedbythe organization. A -miIl increase that Foothilg iiane�o is'an average of less than $18per household in o: _y ' b property ,tau taxes per year This is as excellent. �Atron that could. help us way to give toyaw community with our, situation.. a Fool GatowaWout-b-us Fbothills:Gateway appreciates the support; a'ka�t of.ii and makes a point of giving back'Wthe com- G autism as Vv€ munity. Fbotfi lls Gateway contributes rough- 1y;15 million to the local.eoenomy, annually , '� o jdmted their Fama�y. L. contractingwithmmmerousareaemplonoallr Pr work purogtams and several service fal � 6 for therapy, a dwation, and training: services. y p Many disabled individuals provide -needed tl atev¢ay bR manpower and deliver important services: tobet _dft su olarrommunity.It .us th. Fbotbft 'Gateway appreciates 3' to Set' a break fteim tuna 6o as Maury. of You appreciate theirs. Please vote and: be bette> earegi yes on lA andlet's ewtinuehedpingea&oth 'the loug:umn and making a differmcem au csNpmuuity Any C. Bergman _ Levzland h Senate'presdent backs Foothills Gateway 71u the editor, a-r4 qt sup- port tothe campaign foi Foothills Gateway, a very special andimporEant organi- zation;in Lattimer County, Foothills eSn►ate.; u_- -rinn-t am cnance to live better and , more lives in the comsnproduc a inn Laritner Cotmty. Tbeit mis. Sion has been accomplished over and over, and in a man- ner that respect, those whoso needs they . ser_ _ The accomnlishmenta.nf last 30 yeaf§ is in the arena of des as as weu.as for the'rest.of the citizens of Larimer Co —,up. ty- L have shown the way and have had success for those With disabilities, their families and the general pop. Mace of Larimer'County., Foothills Gateway has edu- cated all of us about the po- tential for our disabled broth suers, Mira ion and neighm Foothills Gateway is a re- source and a service that we cannot afford to lost Stan Matsunaka Loveland Fer'k Gbgna's "fhdea r. i0-M++ rne. aemax- O maa .151" tl. Foothills Gateways stati`` eral,fuhds in j,opardy. iicer, ooty coitinets►vid-: `Vote yes onIA d, MOO tb Once again, . the citizens of a8enc5` ta° Jtuie, 3�0 That ia: o�rlT1114e fr o stow I arimer County h will havea r Foothill Gat+OWtytunity to v ' ie communi y asset,, tY ease resid a sub tpGfamr, lies, help; � .. Foothills Gateway. This respect- residentia'1 sK`tpport and other services to the develop ed institution provides many mentally disabled, a g. mentally services to developmentally dis- abled citizens and their families. challenged, brain -injured; etc. = : 772. clients, many with more than L Last November, a similar Fro one disability. And there are 18 on posal to help Gateway was de- the waiting lisd feated by the electorate. Since the tragic, events on Sept IL Let's not wait until November to see whether the proposedballotis- many Americans said they have sue will pass. Your help is needed changed; they say they now take now. Please figure what your tax time to care for other people and treat kindness. obligation would have been, based others with Vot- on 8 for .a $175,000 home, and ers. now is your chance to prove ran q oums "send that amount (or more) to how much you care for your fel_- �OO�I��S�±�.,�,, P Gdew Foothills Gateway, Inc., 301 Skyway low citizens. Drive, Fort Collins, CO 80525. Re - The cost of the Gateway pro- Many years ago in Typing I member — your donation is loo posal to the taxpayers is only $14 class we took pride in typing with percent tax -deductible - per year on a home valued at out aft error. "Now is the time for If you have questions about the $200,000. That is approximately all. good men to come to the aid of work of Foothills Gateway, please 27 cents per week! That is less their country." Today would issue contact the agency at the address than a bargain can of soda from j this challenge: "Now is the time for above or call them at 226-2345. a vending machine each week { all Property owners to come to the My check is in the mail - really! Most. families of four spend aid of Foothills Gateway Inc1" :. Jeanne Stevens, more than $14 for one dining ex- In the November 2000,election, Fort C9111ffi perience at McDonald's — Find it in your hearts to help ensure the health and welfare of other deserving members of our community who need assistance on the road to independence and productivity. Please vote yes on Larimer County Referred Issue lA Karen CM1e, Fort Collins - . :, es SOT*" :bm paimcasm*es \ ■� r � r■, � � � � � � �■ � # � � , Volunteering at Foothills Gateway, Inc. is a challenging and rewarding experience. As a volunteer, you have the opportunity make a positive impact in your community. There are a variety of ways in which you can get involved. You can work directly with individuals or groups as a mentor, or you can assist the agency through fund-raising and other special events. To become a member of our team, call us today at 970-226-23451 The Faces of Foothills Gateway, Inc. More than 160 dedicated employees serve over 700 eligible individuals and their families. Ci thout this facility, I don't know what we would have done these past 16 years. Foothills Gateway is the best, and I am truly grateful." -- Parent ` / am very, very happy with all of you." -- Consumer "(7wy child goes to places with his provider that he would not go, or would not be able to go to alone. These are places that he can go with all members of the community." -- Parent ^v/ "v hank you for the help your service providers give to our families." --Family Member "v think this program is excellent and has been extremely beneficial to us." -- Parent IatewayNC SUPPORTING PEOP IE W I T H D 1 5 A B I l I T I E 5 Foothills Gateway, Inc. 301 W Skyway Drive Fort Collins, CO 80525 Phone: (970) 226-2345 Fax: (970) 226-2613 www.foothillsgateway.org A United Way Supported Agency bout Foothills Gateway, Inc. )othills Gateway, Inc. (FGI) is a non-profit ganization that functions to efficiently coordinate d provide services for Larimer County citizens th developmental disabilities. Funding for services d support comes from county, state, federal and ivate funds. )othills Gateway began in 1972 through a merger the Foothills Activity Center in Loveland and Lster Seals Gateway Center in Fort Collins, coming Foothills Gateway Rehabilitation Center. itially, services were organized and provided as an :ernative to institutionalization. Today, Foothills iteway, Inc. (renamed from Foothills Gateway habilitation Center) continues to provide services d support through a variety of programs aimed at dressing employment, housing and social needs for gible individuals and their families. that does it mean to be svelopmentally disabled? �velopmental disability is defined as "a disability at is manifested before the person reaches age 22, iich constitutes a substantial disability to the ected individual, and is attributable to mental tardation or related conditions which include rebral palsy, epilepsy, autism or other neurological adaptive behavior...." Our Mission The mission of Foothills Gateway, Inc. is to facilitate a coordinated community effort dedicated to challenging and supporting Larimer County citizens with developmental disabilities to achieve their maximum potential and independence. FGI Services and Support As a Community Centered Board, FGI is permitted by law to provide eligibility determination, case management services and the authorization of services and support either through providing services directly or by purchasing such services from other agencies. FGI service and support programs include: • Case Management • Family Support Services • Supported Living Services • Early Childhood Intervention Services • Supported Employment Services • Work services • Community Participation Services • Basic Skills/Special Habilitation Services • Transportation • HUD Program Administration • Residential Services Service and Support Program Highlights Resource Coordination/Case Management This is the point of entry for individuals seeking services and support. Case Management actively coordinates and monitors service agencies contracting with FGI, consumers receiving FGI services and individuals waiting for services. Family Support Services (FSSP) FGI provides information, support, coordination and funding to families who have a member of any age with a developmental disability living in the family home. Supported Living Services (SLS) Supported Living Services enable adult participants to make choices, receive needed services and live more independently in their own home or in the family home. Early Childhood Intervention Services FGI offers a variety of service options for children with disabilities (ages 0-3) and their families. One unique component of the program is the services of a developmental play specialist who can provide the family with the appropriate developmental information for their child, and assist the child and family in using toys and playtime to advance important skills. Supported Employment Services There are two successful service models offered through FGI's employment program: mobile crew employment services and individual employment services. The former offers a highly structured work environment, while the latter is more flexible. Work Services At Foothills Gateway, Inc., contract work procured from local businesses gives individuals with developmental disabilities the opportunity to gain valuable work skills while earning wages. Facility - based opportunities for paid work include assembly, parts packaging, mailing services, janitorial, and shipping and receiving. Community Participation Services Opportunities for individuals to participate in their communities through recreation programs, paid employment with on -going support, and volunteer positions are also available through FGI. Basic Skills/Special Habilitation Services For individuals who are medically fragile or who need intensive support and supervision, FGI offers site -based services such as therapy and daily living, recreational and community -based activities. Transportation Transportation services are also provided for individuals between their home and program/work settings. Residential Services & HUD Program Administration Participants may live in apartments or houses and are supported by agency staff or host families. Foothills Gateway, Inc. also administers a Section 8 Subsidies (HUD) program which enables participants to better afford housing by subsidizing their rent with federal funds. Financial Statements and Report of Independent Certified Public Accountants Foothills -Gateway, Inc. June 30, 2002 Foothills Gateway, Inc. 400 Wood Street Nonprofit Lease March 2004 services provided include Early Intervention (serving 79 children ages 0-3 and employing 2.5 staff); Community Residential Services (serving 50 adults with developmental disabilities and employing 90 staff); Day Program Services - Supported Employment, Community Participation, Organizational Employment, and Special Habilitation Services — serving 300+ individuals with developmental disabilities and employing 90 staff, Direct Supported Living Services serving 50 individuals and employing 20 staff; and the Transportation program. Additional areas of responsibility for the DCSS include strategic planning, budgeting, program evaluation and management of fiscal operations, human resources for the department, and Foothills Gateways physical plant. Deborah Lapp, BSW, Colorado State University, Social Work, has worked with people with developmental disabilities for 28 years in various capacities. Since 1997, she has been the Director of the Department of Resource Coordination and Development, which was instrumental in designing the Adult Respite Care Program. Prior to this position she was Residential Director for Foothills Gateway, Inc. for 11 years and a Case Manager in Eastern Colorado Developmental Services. Ms. Lapp is responsible for the overall operation and quality of services provided by the Department of Resource Coordination and Development including the following: provision of case management services, family support services, childrens' medical waiver support services, monitoring services, housing subsidy services, resource development services, advocacy services, supported living coordination, human rights committee compliance, referral and eligibility committee activity and intake and eligibility services. Availability Foothills Gateway, Inc. will start the procedure for hiring the Adult Respite Care director immediately upon receiving formal approval for occupancy. Assuming that we learn of the decision by July 1, we estimate that we may start offering services in the building no later than November 15, 2004. The following table provides more detailed information in regard to tasks that will be performed and their schedules. r-1 CONTENTS P—W,e REPORT OF INDEPENDENT CERTIFIED PUBLIC ACCOUNTANTS 3 FINANCIAL STATEMENTS STATEMENT OF FINANCIAL POSITION 5 STATEMENT OF ACTIVITIES 6 STATEMENT OF CASH FLOWS 8 NOTES TO FINANCIAL STATEMENTS 9 SUPPLEMENTARY INFORMATION REPORT OF INDEPENDENT CERTIFIED PUBLIC ACCOUNTANTS ON SUPPLEMENTARY INFORMATION 18 SUMMARY OF REVENUE AND EXPENSES BY PROGRAM 19 SCHEDULE OF MEDICAID ADULT SUPPORTED LIVING SERVICES 22 SCHEDULE OF ACCOUNTS RECEIVABLE — FEES AND GRANTS FROM GOVERNMENTAL AGENCIES 23 AUDITORS' FINDINGS AND RECOMMENDATIONS WITH MANAGEMENT'S REPLIES 24 Accountants and Management Consultants REPORT OF INDEPENDENT CERTIFIED PUBLIC ACCOUNTANTS Board of Directors Foothills -Gateway, Inc. Grant Thornton T We have audited the accompanying statement of financial position of Foothills -Gateway, Inc. (the Center) as of June 30, 2002, and the related statements of activities, and cash flows for the year then ended. These financial statements are the responsibility of the Center's management. Our responsibility is to express an opinion on these financial statements based on our audit. The prior year summarized comparative information has been derived from the Center's 2001 financial statements and, in our report dated September 17, 2001, we expressed an unqualified opinion on those financial statements. We conducted our audit in accordance with auditing standards generally accepted in the United States of America. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audit provides a reasonable basis for our opinion. In our opinion, the financial statements referred to above present fairly, in all material respects, the financial position of Foothills -Gateway, Inc. as of June 30, 2002, and the results of its operations and cash flows for the year then ended, in conformity with accounting principles generally accepted in the United States of America. Denver, Colorado September 13, 2002 1600 Broadway, Suite 1800 Denver, CO 80202 T 303.861.5555 F 303.839.5711 Audit F 303.839.5701 Tax W www.grantthornton.com Grant Thornton LLP US Member of Grant Thornton International Financial Statements Foothills -Gateway, Inc. STATEMENT OF FINANCIAL POSITION June 30, 2002 (With summarized financial information for June 30, 2001) 2002 2001 ASSETS Current assets Cash $ 2,103,288 $ 783,606 Certificates of deposit 49,277 47,253 Investments 1,346,439 1,618,204 Accounts receivable Fees and grants from governmental agencies 1,073,799 831,480 Vocational contracts 124,461 81,681 Other 39,114 39,168 Prepaid expenses and other 9,955 26,287 Total current assets 4,746,333 3,427,679 Investments 369,183 - Note receivable - 141,561 Land, building and equipment, net 3,240,198 3,255,571 $ 8,355,714 $ 6,824,811 LIABILITIES AND NET ASSETS Current liabilities Accounts payable and accrued expenses $ 1,403,353 $ 1,385,485 - Current portion of long-term debt 12,938 16,539 Deferred revenue 5,122 51,332 Total current liabilities 1,421,413 1,453,356 Long-term debt Notes payable, net of current portion 190,564 250,941 Net assets Unrestricted Designated memorial funds 98,294 92,029 Designated for capital repair and replacements 40,000 40,000 Net investment in land, building and equipment 3,036,696 2,988,091 Undesignated 3,524,528 1,952,300 Total unrestricted 6,699,518 5,072,420 Temporarily restricted 44,219 48,094 6,743,737 5,120,514 $ 8,355,714 $ 6,824,811 The accompanying notes are an integral part of this statement. 5 Foothills -Gateway, Inc. STATEMENT OF ACTIVITIES Year ended June 30, 2002 (With summarized financial information for the year ended June 30, 2001) Fees and grants from governmental agencies Fees for services State of Colorado State General Fund Comprehensive Adult supported living Children and families Medicaid Comprehensive Adult supported living Children's extensive support Larimer County School districts Grants and other Department of Housing and Urban Development Other Total fees and grants from governmental agencies Public support Contributions United Way Residential room and board In -kind donations Other revenue Net assets released from restrictions Satisfaction of program restrictions Total support and revenue Temporarily Total Unrestricted restricted 2002 2001 $ 164,718 $ - $ 164,718 $ 193,025 514,908 - 514,908 580,829 595,614 - 595,614 471,155 11,673,987 - 11,673,987 10,777,322 2,360,687 - 2,360,687 2,384,678 92,821 - 92,821 101,580 2,053,161 - 2,053,161 126,967 92,859 - 92,859 78,934 16,310 - 16,310 12,727 1,298 - 1,298 2,104 17,566,363 17,566,363 14,729,321 83,893 77,850 161,743 176,998 61,920 - 61,920 54,227 247,463 - 247,463 228,059 39,284 - 39,284 22,644 711,107 - 711,107 770,696 81,725 (81,725) - - 18,791,755 (3,875) 18,787,880 15,981,945 The accompanying notes are an integral part of this statement. 6 Foothills -Gateway, Inc. STATEMENT OF ACTIVITIES (CONTINUED) Year ended June 30, 2002 (With summarized financial information for the year ended June 30, 2001) Expenses Program services Medicaid comprehensive State adult supported living Medicaid adult supported living Children's extensive support Early intervention Family support Case management Other program services Total program services Supporting services Management and general Fundraising Total supporting services Total expenses CHANGE IN NET ASSETS Net assets, beginning of year Net assets, end of year Temporarily Total Unrestricted restricted 2002 2001 $ 11,797,855 $ - $ 11,797,855 $ 11,002,791 362,044 - 362,044 363,202 2,239,131 - 2,239,131 2,210,027 138,706 - 138,706 163,341 217,360 - 217,360 162,808 438,192 - 438,192 412,960 774,314 - 774,314 794,449 110,788 - 110,788 126,817 16,078,390 16,078,390 15,236,395 935,692 - 935,692 908,279 150,575 - 150,575 153,904 1,086,267 - 1,086,267 1,062,183 17,164,657 - 17,164,657 16,298,578 1,627,098 (3,875) 1,623,223 (316,633) 5,072,420 48,094 5,120,514 5,437,147 $ 6,699,518 $ 44,219 16,743,737 $ 5,120,514 The accompanying notes are an integral part of this statement. 7 Foothills -Gateway, Inc. STATEMENT OF CASH FLOWS Year ended June 30, 2002 (With summarized financial information for the year ended June 30, 2001) 2002 2001 Cash flows from operating activities Change in net assets $ 1,623,223 $ (316,633) Adjustments to reconcile change in net assets to net cash provided by (used in) operating activities Depreciation and amortization 286,684 272,470 Interest income re -invested in certificates of deposit (2,024) (2,987) Realized/unrealized loss on investments 40,477 - Gain on sale of fixed assets (5,207) (2,581) Donated equipment capitalized (2,000) Change in assets and liabilities Increase in accounts receivable (285,045) (232,663) Decrease in notes receivable 141,561 (Increase) decrease in prepaid expenses and other 16,332 (4,931) Increase in accounts payable and accrued expenses 17,868 90,392 Increase (decrease) in deferred revenue (46,210) 46,085 Net cash provided by (used in) operating activities 1,785,659 (150,848) Cash flows from investing activities Purchase of land, building and equipment (281,129) (157,797) Proceeds from sale of fixed asset 17,025 8,900 Purchase of investments (4,472,034) (1,882,457) Sales of investments 4,334,139 1,665,668 Net cash used in investing activities (401,999) (365,686) Cash flows used in financing activities Repayment of long-term debt (63,978) (14,889) NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS 1,319,682 (531,423) Cash and cash equivalents, beginning of year 783,606 1,315,029 Cash and cash equivalents, end of year $ 2,103,288 $ 783,606 Supplemental data Cash paid for interest $ 18,696 $ 21,198 Non cash investing activities Donated equipment capitalized $ 2,000 $ - The accompanying notes are an integral part of this statement. 8 Foothills -Gateway, Inc. NOTES TO FINANCIAL STATEMENTS June 30, 2002 NOTE A — SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES This summary of significant accounting policies of Foothills -Gateway, Inc. (the Center) is presented to assist in understanding the Center's financial statements. The financial statements and notes are representations of the Center's management, which is responsible for their integrity and objectivity. 1. SummaryofBusinessActivities The Center was incorporated under the laws of the State of Colorado in 1968 for the purpose of providing a community center board to coordinate programs through interagency cooperation and local agencies to provide services to persons with developmental disabilities in Latimer County. The Center is operated as a nonprofit organization exempt from federal income tax under Section 501(c)(3) of the Internal Revenue Code. 2. Description of Sendces Pmvided The major program services or supports and functional activities directly provided or purchased by the Center are: Program Services or Supports Comprehensive (Medicaid) refers to residential services, adult day services or supports and transportation activities as specified in the Individualized Plan. Included are a number of different types of residential settings, which provide an array of training, learnings, experiential and support activities provided in residential living alternatives designed to meet individual needs. Additionally, adult day services provide opportunities for individuals to experience and actively participate in valued roles in the community. These services and supports enable individuals to access and participate in typical community activities such as work, recreation, and senior citizen activities. Finally, transportation activities refer to "Home to Day Program transportation" services relevant to an individual's work schedule as specified in the Individualized Plan. For these purposes, "work schedule" is defined broadly to include adult and retirement activities such as education, training, community integration and employment. 9 Foothills -Gateway, Inc. NOTES TO FINANCIAL STATEMENTS (CONTINUED) June 30, 2002 NOTE A — SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (CONTINUED) 2. Description of Senices Provided (Continued) Program Services or Supports (Continued) Adult Supported Living (State and Medicaid) provides individualized living services for persons who are responsible for their own living arrangements in the community. Children's Extensive Support is a deeming waiver (only the child's income is considered in determining eligibility) intended to provide needed services and supports to eligible children under the age of 18 years in order for the children to remain or return to the family home. Waiver services are targeted to children having extensive support needs, which require constant line -of -sight supervision due to significantly challenging behaviors and/or coexisting medical conditions. Available services include personal assistance, household modification, specialized medical equipment and supplies, professional services, and community connection services. Early Intervention is for children from birth through age two which offer infants and toddlers and their families services and supports to enhance child development in the areas of cognition, speech, communication, physical, motor, vision, hearing, social -emotional development, and self help skills; parent -child or family interaction; and early identification, screening and assessment services. Family Support provides an array of supportive services to the person with a developmental disability and his/her family when the person remains within the family home, thereby preventing or delaying the need for out -of -home placement, which is unwanted by the person or the family. Case Management is the determination of eligibility for services and supports, service and support coordination, and the monitoring of all services and supports delivered pursuant to the individualized plan, and the evaluation of results identified in the individualized plan. Other Program Services — In addition to Supported Living Services and residential services in Latimer County, the Resource Coordination and Development Department also administers Section 8 (HUD) housing subsidies. The Section 8 program enables participants to better afford housing in Latimer County by subsidizing their rent with federal funds. 10 Foothills -Gateway, Inc. NOTES TO FINANCIAL STATEMENTS (CONTINUED) June 30, 2002 NOTE A — SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (CONTINUED) 2. Description of Services Provided (Continued) Supporting Services Management and General includes those activities necessary for planning, coordination and overall direction of the organization, financial administration, general board activities and other related activities indispensable to the organization's corporate existence. Fund Raising represents the Center's costs to develop and maintain a fund raising effort that generates awareness and increases support for persons with special needs within the Center's service area. Funds will be solicited within the Center's geographic service area and throughout the United States. 3. Basis ofAccountrng Financial statements of the Center have been prepared on the accrual basis, whereby support and revenue are recorded when earned and expenses are recognized when incurred. 4. Use of Estimates In preparing financial statements in conformity with accounting principles generally accepted in the United States of America, management is required to make estimates and assumptions that affect the reported amounts of assets and liabilities, the disclosure of contingent assets and liabilities at the date of the financial statements, and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates. 5. Cash and Cash Equivalents For purposes of the statement of cash flows, the Center considers all cash on hand and cash on deposit, subject to immediate withdrawal and certificates of deposit with an original maturity of three months or less, to be cash equivalents. 6. Investments The Center records investments in equity and debt securities at fair value in the statement of financial position. 11