2010 marked the 20th Anniversary for Missoula Developmental Service Corporation (MDSC), a nonprofit fee-for-service organization. Conceived in the late1980s, the MDSC model was presented to the citizens of Montana as the enlightened path towards better stewardship of adults with severe developmental disabilities. Living lives of greater self-determination is what we still work towards for all 61 members of our community of adults with severe developmental disabilities. The high ideals MDSC had in 1990 still hold true as we head into the next decade of service. We look at each succeeding year as an opportunity to reinvigorate our mission through innovative approaches to staff resource development, state-of-the-art client support, and time and energy-saving technologies.
July saw us leap into an ambitious 3-year Strategic Plan to establish the organization as an innovative leader in developmental disability client service and superior staff preparedness. The year 2010 brought more independent acknowledgement of our sound fiscal and service management policies. Some of them are: 1) Developmental Disabilities Program Quality Assurance Review 2) Continued Group Home Licensures from the State of Montana Quality Assurance Division 3) Unqualified Financial Audit from Anderson ZurMuehlen and 4) a 3-year CARF International Accreditation (the highest awarded).
A noticeable change initiated by MDSC management was the redesign of our logo. Rejuvenated through the efforts of our Executive Team and the director of our new Communication and Development section, the logo emphasizes home and community integration. Ultimately, with the added motto “Opening Doors, Transforming Lives” it symbolizes the transformation that MDSC has brought about in the lives of our clients. We held two successful community events in 2010: one thanking the community for 20 years of support and the other, our first fundraiser at MCT.
MDSC FY2010 Ledger
Current Assets 506,508
Total Current Assets $992,478
Land & Building (net) $1,886,204
Equipment (net) 358,185
Total Fixed Assets 2,244,389
Other Assets 87,319
Total Assets $3,497,463
Liabilities & Fundraising Balance
Current Liabilities $464,262
Long Term Debt 164,728
Fund Balance 2,868,473
Total Liabilities $3,497,463
Financial Overview: Budget Struggles force focus on essentials
Affected by the turmoil in our national and local economies, MDSC road the turbulence to stay afloat and realized another financially productive fiscal year ending June 30, 2010. MDSC’s reported revenues over expenditures for 2010 were $206,205. In fiscal year 2009, the State of Montana changed the methodology used to reimburse all developmental disabilities providers for client transportation costs. This change resulted insubstantial budget cuts for MDSC and reduced our program revenue by over 70%. Although MDSC’s transportation funding loss for this fiscal year was over $80,000 our increase in net assets was only down $67,000 from the previous fiscal year. This is a reflection of MDSC’s determination and ability to decrease operating expenditures in response to diminished funding streams. The task of decreasing total operating expenses was challenging due to rising costs in almost all expense categories; most notably in workers compensation and health insurance. Everyone at MDSC contributed to our success in providing consistent, quality service and care to clients in a year with some very real budgetary limitations. MDSC’s statement of financial position at June30, 2010 saw an increase of $146,000 in total assets and a decrease $60,000 in liabilities. Through aggressive debt management, MDSC realized a decrease in total debt of $85,000 from the previous fiscal year. On June 30th, MDSC’s total debt balance was less than $193,000. As always, people come first at MDSC. Under the direction of MDSC’s leadership and management teams, we will continue to exercise effective financial management and planning strategies to offer opportunities and choice to the individuals we serve and provide a quality work environment for our dedicated staff during the anticipated further funding cuts and tough economic times.
Service Delivery Outcome Measurement System
Our Outcome Measurement System has five corporate goals supporting 27 objectives measuring effectiveness and/or efficiency. These goals are used to determine the success of our residential, day and employment services as related to our Strategic Plan. For FY 2010, MDSC was able to achieve the goal for all but two of the objectives. MDSC performed above goal on all objectives related to our corporate goals of achieving maximum independence in daily living within the community, achieving maximum independence in employment through community and center-based employment and achieving effective communication skills and interpersonal relationships. We met all but two objectives in our goals of achieving maximum physical and mental well being and healthy lifestyles, and achieving maximum participation in integrated recreation and leisure activities within the community. We continue to look for ways to achieve our goals. Over the past year we provided training to staff, worked with our pharmacy, increased monitoring, evaluated and modified systems and modified Personal Support Plan actions. These efforts resulted in steady improvement on the two objectives that were below goal. We look forward to achieving our new goals in the future as they are drawn from our Strategic Plan.
MDSC maintains nine residential sites in the Missoula area. Each home is unique in structure, personality and interests. Community integration and exposure to new activities was abundant throughout the past year. Four gentlemen enjoyed their first overnight vacations and had the opportunity to visit Tacoma, Washington! These men came a long way in their independence as they participated in planning, packing and deciding where they wanted to visit. One gentleman spent time with his mother while the others visited museums, did some shopping and enjoyed their time away from work. Another person rented a cabin at Yellowstone and took in the peace and tranquility of the park. MDSC values individualized experiences, education and promotion of self-determination for clients to make acceptable choices based on their abilities. MDSC maintains nine residential sites in the Missoula area. Each home is unique in structure, personality and interests. Community integration and exposure to new activities was abundant throughout the past year. Four gentlemen enjoyed their first overnight vacations and had the opportunity to visit Tacoma, Washington! These men came a long way in their independence as they participated in planning, packing and deciding where they wanted to visit. One gentleman spent time with his mother while the others visited museums, did some shopping and enjoyed their time away from work. Another person rented a cabin at Yellowstone and took in the peace and tranquility of the park. MDSC values individualized experiences, education and promotion of self-determination for clients to make acceptable choices based on their abilities.
MDSC welcomed three new clients in the past 18months. Zach entered services in July ‘09, Hunter joined day services April ‘10 and Jackie has been with us since October ‘10. We are excited to see new faces and appreciate what our new folks bring to the organization.
In November 2010, MDSC said goodbye to one of our own. Esther passed away Wednesday, November 3rd from natural causes. Esther touched the lives of many around her, creating memories with friends and acquaintances stretching back over many years. Her presence, lovely hats, bright attention, involvement and her “ni, ni” as she headed off to bed will be long remembered.
Day Services Club
MDSC continues to evaluate our program and generate new ideas in order to be a productive, creative, and educational program. We maintain 5 diverse areas for our clients, which are REACH (OT/PT), The Blue Hat Society (Retirement Based Activities), Club Med (Recreation &Leisure), Vocabilities (Job Development) and The Speak Easy (Communication). Special Olympics Area Games were held in April2010. 40 athletes from MDSC attended this year - almost a 68% participation rate. This is an increase from the previous year! For the State Games, we doubled the number of athletes to ten competitors representing MDSC in Bozeman. Again, one client participated in the State Winter Games in Whitefish! Club MDSC continued to have many activities that occurred daily, weekly and/or seasonally. We enjoyed making apple cider at Fort Missoula, glazing switch plates at Zootown Arts Community Center, finding our way through the Missoula Maze, visiting the Missoula Art Museum, Flathead Industries Camp, and traveling to Helena to take a boat trip through the Gates of the Mountains. Several folks traveled to Corvallis to take horseback riding lessons at Bitterroot Therapeutic Riding. We had a puppet show with homemade puppets, a carnival with games and prizes, a Mardi Gras parade, several choir concerts, dances, a Christmas play, and a special production of The Little Engine That Could.
What the Future Holds for Client Services…
MDSC’s Strategic Plan (2010-2013) is the foundation of our strategic vision over the course of the next three years. A key driver of MDSC for 2010-2013 is to secure funding and obtain a new corporate facility which will house day service activities. MDSC aims to acquire a state-of-the-art service delivery center with amenities that foster continual growth and provide an atmosphere of learning and engagement. Service Delivery strives for excellence in Client Services and providing increased opportunities, and individual choices.
As we move forward we research ways to promote, include and enhance the opportunities for the men and women of MDSC. Employee Training and Continuing Education are at the heart of MDSC Have you ever been on the web and gone to a page that said, “Site Under Construction”? Well, at MDSC, our Training Department has been and still is “under re-construction.” Our organization’s new hire orientation was revised to include more of the required components of training thus making it less challenging for all to ensure critical training is provided in a timely manner. This review and revision of orientation is something MDSC is committed to by reviewing our standards every two to three years. In addition to sharing quality information, our staff wants training to be meaningful, useful and efficient in order to provide them the necessary tools to do their job in a way that ensures the success and growth of the clients we serve. With that thought in mind, we also looked at our management training. We evaluated our management training in order to decide what we needed to work on and how to get us there.
The momentum really picked up at the end of FY 2010 when we purchased a five-video series called “An Abuse-Free Life” created and narrated by Abuse Prevention Specialist Roger MacNamara. The philosophy is not to teach people what abuse is, but how to prevent it and to be responsible and accountable caregivers. “An Abuse-Free Life” started us on a journey to educate our personnel --starting with the management team-- about how to make different choices in hiring, training and service delivery management through diagnostic supervision. It is a process that we are committed to and participation has been engaging. Our goal is to complete this management training by June 2011.
In our pursuit to quickly involve newly hired staff, we have also realized a need for an additional day of orientation that focuses more on the technical HOW to work with clients with developmental disabilities especially in challenging situations. This will include location specific scenarios and practical situations as well as basic interaction training. Some of these pieces we already have in place, however, we need to enhance and expand the curriculum. We are looking forward to the changes our commitment to this program will bring to the people we serve and those we employ.
MDSC is unique amongst organizations in the Missoula area and throughout Montana serving adults with developmental disabilities because we have a dedicated medical department which is comprised of seven Licensed Practical Nurses (LPN) and one Registered Nurse (RN) who serves in the capacity of MDSC’s Medical Services Administrator. Our approach promotes optimum physical and mental health conditions for our clients by ensuring good nutrition, personal engagement, outside opportunity and exercise. Safe, clean and comfortable group home residences and a day activity center with medical unit help to maintain stability in the lives of our clients all year long. MDSC’s nursing department has a strong relationship with area physicians, hospitals, and ancillary medical businesses which has proven to be a valuable asset in maintaining and addressing the health needs of our clients. The MDSC nursing department operates 24hours, 7 days a week and works closely with the Department of Client Services to bring about the best lifestyle choices for each individual whom we serve. The medical team continues to excel by conducting--- for each client--- a quarterly physical assessment thereby identifying problematic issues that may need medical attention by their physician. Through our standard medical procedures at MDSC, we live by the motto that prevention is key to good health.
Especially notable this year is that the medical department developed lesson plans for our Kent Street Medical Group Home to be used as training instruction initiation manuals for newly hired habilitation assistants. This new module along with the hands-on training better prepares new employees to anticipate client needs in situations where clients are already health-compromised. We have seen the effectiveness of this new program.
Human Resource Management
MDSC currently employs 168 employees, most of whom provide companionship and care to our clients24/7, 365 days per year. In an industry that often struggles with turnover, we are pleased to note that 52 percent of our employees have been with MDSC two years or longer. And, 27 percent of our employees have been here five years or longer. This longevity is attributed to employees doing the work they enjoy, working in a family friendly environment, and providing all of our employees an exceptional amount of training, such as over 4, 700 hours in one year. This is also the year that we were able to celebrate three of our employees reaching their 20-year anniversary.