Annual Report

Fiscal Year 2014

Karla Rinto, APSI Executive Director and
Tom Gannon, APSI Board President

Dear Friends,

The DD system in Ohio is going through tremendous change and the people APSI serves are experiencing those changes first hand. In our annual report for Fiscal Year 2014 we highlight success stories for those we serve as they are experiencing supports in new and exciting ways.

New initiatives like Employment First and a new rule for Home and Community Based Services from the Center for Medicaid and Medicare (CMS) are moving our system towards more individualized services and supports. These changes are exciting and

promote the least restrictive setting and services for everyone.

We at APSI believe we are uniquely qualified to support individuals during these ever-changing times. APSI's goal has always been to help the people we serve receive supports in the least restrictive setting and in the most person-centered way possible.

APSI serves many individuals who experience significant challenges medically or behaviorally. Each individual we serve deserves the opportunity to experience supports in their local community whenever possible, and our goal is to advocate for those supports. We anticipate more change in the coming years and we strive to work collaboratively with all involved to support individuals with DD to live and work in their communities.

In FY 2014 we also achieved successes as an agency which included:

Implementing a Family Involvement Policy which will promote increased contact with the families of those we serve.
Improving technology by updating phone systems in APSI's regional offices throughout the state.
Implementing a comprehensive performance assessment process for APSI Protective Service Representatives.
Initiating a salary schedule for Protective Service Representatives which recognizes experience working in the DD system
Increasing alternative funding from foundations and other donors.

As you review the information contained in this annual report, you will see that APSI continues to make a difference by serving critical needs, one person at a time.

Sincerely,

Karla Rinto

Executive Director

Tom Gannon

Board President

JD began working at Sam's Club in Dayton in August of 2014. He currently works 30 hours a week completing a variety of janitorial duties including cleaning, emptying the trash, sweeping the floors, and cleaning up spills. When asked if he enjoys his job he says he does, but he would like to be considered for the position of door greeter and he intends to ask his supervisor about it. JD worked closely with Trudy Woods from the Montgomery County Board of DD to apply for and secure his current job at Sam's Club.

Employment in the community is very important to JD. He says, "I like that you are out on your own in community work, and I feel like an adult." JD is also a man with a plan. Since he began his work at Sam's Club he has been planning exactly what he would like to do with his earnings. JD states, "I would like to get a car to drive to work and anywhere else I like to go. That is what I hope." In the meantime JD has used his earnings to turn his bedroom into a pretty nice man cave. He has a big flat screen TV on the wall that is hooked up to a gaming system, and a comfy recliner where he can relax on his days off.

When he isn't working or relaxing at the home he shares with his roommates, JD enjoys going out to eat and spending time with friends.

Randy

Have you ever wished you could choose your own family? Some people receiving IO Waiver services are doing something very close to it. Randy is one of those people. Over the years, he has lived in a number of different residential settings including group home settings and a developmental center. None of these settings provided exactly what Randy needed. In 2014 Randy, his APSI representative, and his support team began to discuss the idea of a potential Host Home living situation.

In Randy's case, the host family was very easy to identify. Chris had known Randy for at least 15 years and worked with him as a paid staff person through his residential provider agency for much of that time. Randy had been struggling in his group home placement for many reasons, and as talk turned to the possibility of Randy moving in with Chris and her family, Randy got excited. Then, in 2014, after a great deal of planning and work, Randy moved into his new home.

Randy is quick to share what he likes about this arrangement. First on the list is that he doesn't have any roommates, just Chris and her family. He also enjoys the animals at home and explained they have several aquariums and some dogs (his favorite is named Mister). He also likes the fact that they do a lot of activities together such as fishing and going to thrift stores and garage sales. Randy and Chris both talked about plans they are making to take a trip to Florida later this year. They are excited about the trip because it will be Randy's first time seeing the ocean.

Chris shared that she really likes that it feels more like a family relationship than anything else and says they really enjoy having Randy live with them. It seems clear that Randy shares those feelings. When asked if he was planning to live with Chris for a while Randy replied, "I would like to stay forever."

Sharon

Timing is everything. Just ask Sharon. For nearly 50 years she resided at a developmental center due to the high level of specialized services required to support her in her daily life. On more than one occasion attempts were made to help Sharon make the transition from living at a developmental center to living in the community. Unfortunately, the challenges were too great and she returned to the developmental center.

All of that changed in 2010. This time, all the preparation and necessary supports were developed to result in a very positive transition. Today Sharon lives in a small house in Cincinnati and has supports through an IO Waiver.

The road to this point hasn't always been easy, but today Sharon likes living by herself in her own house. She attends day programming at the Hamilton County Board of DD. When she gets home from work she enjoys napping or sitting in her rocking chair and watching TV (Family Feud and gospel programs are her favorite). When asked what she likes to do for fun she says, "Go out to eat and shop for new clothes!" Sometimes things are worth the wait. Just ask Sharon.

Billy

Ask Billy what he likes most about his community job and he is quick to respond. "I like that it gives me something to do." Every Monday morning you will find Billy hard at work on the campus of Wittenberg University. Billy is assigned to the Tower Hall dormitory where he is responsible for emptying the trash cans on all twelve floors, including the basement!

Billy had a desire to pursue janitorial work in the community because of his experience working at the Creative Life and Works Services (CLW) day program in Springfield. At this program Billy routinely sweeps floors and cleans off tables.

Sarah Warvel, Community Employment Specialist, reached out to Wittenberg University on behalf of Billy and was pleased to find that they had employed individuals with disabilities in the past and they were very happy to consider employing him. Billy completed a job interview and had a background check as part of the employment process. Sarah also explained that Billy has some limitations due to health concerns but, she said, "they were really happy to meet his needs and they understand that he needs to do things differently."

Billy began his new job in November of 2014 and is supported at work by Shannon Thompson of Whispering Pines. Overseeing Billy's job performance is Ray Delgado of WFF Facility Services. Ray is happy with the work Billy does and said, "now that he is familiar with the building he does a good job."

FY 2014 OUTCOMES

Statistic	What It Means
4351 individuals received protective services from APSI.	APSI is the only statewide non-profit provider of guardianship services for people with DD in the state of Ohio. There are approximately 90,000 people with DD living in Ohio.
45 new individuals were awarded to APSI.	These new awards were mainly via direct appointment by the probate court.
81 referrals were made to APSI.	County Boards of DD, families, and DD service providers as well as probate courts turn to APSI for help.
6902 emergency messages were responded to by APSI's after-hours staff.	APSI is available 24 hours a day to provide informed consent for emergencies.
26,003 visits were made to individuals by APSI staff. APSI averages 6 visits per year to individuals served.	Each APSI representative has a caseload of approximately 58 cases. Decreased funding has forced an increase in the staff to client ratio. Representatives complete an average of 31 visits per month.
2675 significant medical procedures were authorized by APSI on behalf of individuals served.	APSI staff members advocate for the medical needs of the individuals we serve and help make decisions about major healthcare needs.
27 successor guardianships were completed as a result of APSI's efforts.	APSI wants to be the guardian of last resort and seeks family members or other entities to serve as guardians whenever possible.
7 individuals were restored to competency and are making their own decisions as a result of APSI's advocacy.	It is always APSI's goal to restore the individuals it serves to competency whenever possible.

APSI BOARD OF TRUSTEES FY 2014

Thomas A. Gannon, President (North Central) Retired Outreach Coordinator Cincinnati Children's Hospital	Dave Dohnal, Esq. (North Central) Retired Counsel Goodyear Tire & Rubber
Donna M. Owens, Vice President (Central) Retired Ohio Center for Autism and Low Incidence	Brad Eberhard, CPA, CVA (Central) Audit Manager Clark Schaefer Hackett
Becky Campbell, Treasurer (Central) Chief Financial Officer Community Living Experiences	Naeem Khan, Ph.D. (Central) Psychologist Retired State of Ohio
Patrick Rafter, Secretary (Central) President Creative Housing, Inc.	Larry Martin, CPA (Central) CPA Consultant
Melissa Bibbey (South Central) Technology Director Wheelersburg School District	Fred O'Dell (East Central) President and Chief Executive Officer North Valley Bank
Carolyn Borden-Collins (Central) Retired Assistant Deputy Director Ohio Dept of Jobs and Family Services	Susan Payne (South Central) Retired Educator Ohio University Adjunct Professor
Blaine P. Brockman, Esq. (Central) Attorney Brockman Legal Services	Edward Sterling, DDS (South Central) Retired OSU Nisonger Center
Debra D. Buccilla (Central) Exec Vice President and Chief Operating Officer Alvis, Inc.	Rebecca Strafford, M.D. (South Central) Medical Director Retired State of Ohio
Shari Lynn Cooper (South West) Community & Staff Relations Associate Goodwill Easter Seals Miami Valley	Ellen Williams, Ph.D. (North West) Retired Professor Bowling Green State University

APSI FY 2014 DONORS

AEP, Ohio

Melissa & Vaughn Bibbey

Carolyn Borden-Collins

Blaine & Catherine Brockman

Deb Buccilla

Becky & Corky Campbell

Betsy Carr

Shari Cooper

Dave & Susan Dohnal

Art & Glenda Drewyor

Brad Eberhard

Tom & Barb Gannon

Harry C. Moores Foundation

Naeem Khan, Ph.D.

Ronald Kozlowski

Larry & Peggy Martin

Nevalyn Nevil

Fred & Judy O'Dell

Donna Owens

Sue & Larry Payne

Pat Rafter & Maureen Corcoran

Karla Rinto

Schneider Downs

Steve Silvers

Kati Stark

Ed Sterling, DDS

Rebecca Strafford, M.D.

Jamie Vandenbark

John Vlasko

Ellen Williams, Ph.D.

Recently, a long time Protective Service Representative was recognized in a testimonial APSI received from the sister of an individual formerly served by APSI:

This is a note of appreciation and thanks for the wonderful services you and APSI provide. It has been three years since my sister, Sandra, passed. You helped me and my brother make the hard decisions that neither of us had ever considered.

It was great that Sandra had someone to oversee her care. I thank you too for the support you gave to me as I looked to find placement closer to Cleveland...

-Sandra's Sister

Revenue Sources FY 2014

State of Ohio General Revenue Fund	$4,710,518
Title XX	$452,068
Donated Facilities	$294,814
Other (including donations, interest, and dividends)	$14,327

Total Revenue	$5,471,727

Expenses by Function FY 2014

Program Salaries, Taxes, and Benefits	$3,967,553
Program Auto and Travel	$289,399
Program Depreciation Expense	$53,164
Other Program Expenses (includes rent, telephone, office expenses)	$720,113
Administrative Salaries, Taxes, and Benefits	$310,898
Administrative Depreciation Expense	$18,167
Other Administrative Expenses (includes telephone and office expenses)	$170,045

Total Expenses	$5,529,339