Annual Report

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1 Annual Report Florida Association of Rehabilitation Facilities 2475 Apalachee Parkway, Suite 205 Tallahassee, Florida Fax:

2 Mission: Florida ARF promotes the interests of individuals with disabilities by acting as a public policy change agent and promotes and serves the interests of community human service provider organizations. Florida ARF member profile (62): Community Based Waiver 84% Residential/Long Term Care 65% Employment Centers 29% Employment 69% Four (4) Allied Partners: Florida Insurance Trust, Scioto, SourceAmerica & Therap Three (3) Professional Members: Mitchell & Company; Moore Stephens Lovelace, PA; Peggy Wall We are: Private (Profit & Nonprofit) providers Goodwill Industries United Cerebral Palsy Affiliates Arc Chapters RESPECT Employment Centers Residential Programs HCBS Waiver Programs Community Rehabilitation Agencies (VR) Charter Schools Faith based programs ICF/DD Facilities Community employment programs

3 Member driven! Board of Directors: Advocate for individuals with disabilities! Executive Committee Katie Porta, Chair (10/1/12 8/23/13) Troy Strawder, Vice Chair & Acting Chair Diana Flenard, Secretary Phillip Hall, Treasurer Clint Bower, Past Chair Jean-Marie Moore, Parliamentarian (10/1/12 7/1/13) Members Dr. Joseph Aniello, Shirley Balogh, Michele Barnes, Roger Bradley, Jim Freyvogel, Richard Gilmartin, Phillip Hall, Dennis Haas, Natalia Laver, Gary Morin, Patricia Varner Parent Members Aleli Puig Santibanez & Gloria Wetherington

4 Florida ARF Provides: Industry Leadership: Appropriations Rate-setting Health care reform Medicaid Waiver rules (Federal & State) Program compliance Wage and Hour laws Service delivery for persons with disabilities Employment options Long-term residential care Provider billing assistance Networking Opportunities: Quarterly meetings Peer questions, answers, & linkages Trainings Teleconferences & webinars Information sharing Advocacy: Professional & grassroots Local agency involvement Provider & parent testimony Training

5 Fiscal Year Accomplishments Advocacy: Additional funding for HCBS waiver: $37 million for FY 13-14; $40 million for FY deficit Supported Employment funding and data management system for APD Across-the-board 3% rate increase for Adult Day Training (ADT) services ICF/DD proviso language Adults with Disabilities funding (VR program) Early Steps Program - $6 million additional funding Public policy: ibudgets, ICF/DD reimbursement rates, and Group Home Licensure Employment Outcomes Professional training: Eight sessions for staff and agencies to improve job placement outcomes Affinity groups (6) for Employment Forum members on topical issues Collaborated with VR leadership to promote program models: Project Search & OJT

6 Fiscal Year Accomplishments Industry Information: Maintained website featuring industry news for members Developed white papers, forum notes, virtual library, ICF/DD Info Center, grassroots & forum updates See: Industry Publications: Electronic communications (250+) Monthly Issues Forum Breaking News Monthly Issues Forum Grants Capitol Breaking News Legislative alerts Public Policy Input: Tracked policy changes Attended public hearings & provided oral / written testimony, for 21 Administrative Rules such as: Licensure of Residential Facilities ibudgets ICF/DD Rate Setting ICF/DD Licensure Background screening Member Representation: Participated in 223 events: Stakeholder meetings, legislative events, public hearings, agency meetings, conference calls.

7 Fiscal Year Accomplishments Training & Education: 3 quarterly meetings: Gearing Up Back on Track Changing the Paradigm Other: Employment Outcomes Professional Wage & Hour Trainings (2) Legislative Platform Development Member Ad Hoc Groups: Managed Care Supported Employment Adults with Disabilities Behavior Services Quality Assurance Tools Agency Liaison Involvement: Department of Management Services Department of Education VR Agency for Persons with Disabilities Department of Children & Families Agency for Economic Opportunity Agency for Health Care Administration Department of Health Department of Elder Affairs Commission for Transportation Disadvantaged Florida Senate/House of Representatives Governor s Office Florida Developmental Disabilities Council Disability Rights Florida Influencing public policy to make a meaningful difference in the lives of individuals with disabilities.

8 Fiscal Year Accomplishments Legal Advocacy: RESPECT of Florida: Tracked ibudget implementation ICF/DD rate challenges Tracked DOJ Activity Networking: Sponsored 3 quarterly membership meetings & trainings/ seminars Hosted 25 teleconferences to obtain member input Ask a Peer opportunities and provided linkages Served as RESPECT Central Nonprofit Agency to facilitate competitive employment opportunities. 51 RESPECT nonprofit agencies produced office, safety, and janitorial products; provided contract services such as call center management, custodial, and interstate rest area maintenance. Approximately 1,300 persons with disabilities were employed through RESPECT. Products and services sales totaled approximately $28 million. Conducted 60+ visits with community agencies

9 Statement of Activities For the 12 Months Ending September 30 Projected Audited September 30, 2013 September 30, 2012 (1) (2) Program Revenues 28,106,029 27,148,417 Interest Income 538 6,784 Total Revenue 28,106,567 27,155,201 Cost of Sales & Services 26,191,680 24,668,434 Gross Profit 1,914,887 2,486,767 Salaries & Benefits 1,352,327 1,314,044 Consultants 240, ,292 Travel 90,769 72,320 Depreciation/Amortization 8,935 5,497 Professional Fees 41,552 32,124 Property & Casualty Insurance 87,966 86,817 Other Operating Expenses 246, ,928 Total Expenses 2,068,534 1,958,023 Change in net assets (153,647) 528,745 (1) $448,000 negative deferred revenue on long term contracts (2) $588,000 positive revenue recognized on long term contracts Florida ARF: Proudly serving community agencies for 37 years

10 Fiscal Year Operational Goals 1. To guide the Association's programs and activities in a direction that is consistent with its mission and in accordance with the overall direction established by the Board / membership. Achieved. Communications, testimony, and Agency presence provided frequently. Attended 21 hearings and participated in 223 events including community stakeholder meetings, legislative events, public hearings, state agency meetings, and conference calls. Resources targeted to accomplish the goal via the operating budget -Staff, IT, Consultant Contracts. Staff performance measures negotiated in support of goals. Internal process improvements made: Staffing, website, & accounting systems.

11 Fiscal Year Operational Goals 2. To conduct a viable legislative campaign responsive to the Association's needs. Achieved. Campaign deemed successful; Funding for HCBS waiver: $37 million for FY and $40 million for FY APD deficit; Supported Employment funding & data management system for APD; Across-the-board 3% rate increase for ADT services; ICF/DD legislative proviso language; Adults with Disabilities funding protected; Early Steps Program - $6 million funding. Government relations consultants were well prepared and provided stellar representation. Remained member driven. Published Capitol Breaking News weekly.

12 Fiscal Year Operational Goals 3. To ensure that the Association operates in a financially solvent manner. Achieved. The audit report for FY verified the Association s finances are in good shape and are well accounted for; the annual audit provided only minor suggestions for improvement. With renewal of Asset Management contracts and increases in products sales, revenues are exceeding the original budget plan. Membership totals 69 members (regular, corporate, professional). Dues revenues are above plan and membership has remained stable. One new member was added in July. The Florida ARF Finance Committee meets regularly (usually quarterly) to review financial statements. The Association is operating under budget and should end the year in a strong financial position.

13 Fiscal Year Operational Goals 4. To plan, direct, and manage the operations of the Association in a professional manner. Achieved. The Association is staffed by professionals committed to the mission. Finance and Accounting functions are excellent; contract monitoring operates efficiently; strong IT Human Resources Support exit and Member Services are good. The Association contracts with a corporate attorney to ensure appropriate decision-making and contract reviews. Part-time Medicaid Specialist is responsive to membership needs. The Member Services Manager was upgraded to Member Services Director and is assuming more duties. October 2013, new RESPECT website and catalog will be launched and will improve the Commodities/Products line.

14 Fiscal Year Operational Goals 5. To provide at least one successful deliverable member benefit to the following membership forums: ICF/DD, Community Supports, Employment, Infant, Children, and Youth, and RESPECT of Florida. Achieved. ICF/DDs Tracked vacancies; maintained QAF; Resolved rate challenges; Obtained favorable proviso language. Community Supports Enhanced waiver funding $70 million; ADT 3% increase; ibudget refinements; communicated industry position on residential habilitation, ADT, behavior services, and other services. Employment Hosted 6 Affinity calls; Promoted OJT pilot and other VR models that resulted in revenues for member agencies; Held quarterly meetings with VR; Provided EOP training & offered stipends to RESPECT Employment Centers. Infant, Children and Youth Tracked and responded therapy changes, tracked children in nursing homes; Supported Early Steps $6 million additional funding. This forum was moved under the Community Supports Forum. RESPECT of Florida Enhanced staffing, Renewed significant service contracts; Increased sales; Amended several procedural guidelines.

15 Fiscal Year Operational Goals 6. To develop new programs providing opportunity for growth and profitability potential. Achieved. Renegotiated DOT asset maintenance contracts. Developed new RESPECT product lines. Resolved rate cuts for member agencies. Increased ADT rates 3%. Provided monthly grant opportunity announcements. Enhanced HCBS Waiver funding $70 million. Reduced proposed administrative requirements in rules. Referred members for program development opportunities. Provided trouble shooting services regarding provider billings.

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