2014 ANNUAL REPORT Together Towards Tomorrow SM ANNUAL REPORT 2014
2014 ANNUAL TABLE OF CONTENTS Letter from Kermit 3 REPORT JACKSON RECOVERY CENTERS MISSION IS TO SAVE LIVES BY PROMOTING RECOVERY AND PROVIDING PROGRAMMATIC EXCELLENCE Lives Touched By Jackson Lives Changed Building A Dream Community Relations Psychiatric Care Financial Health Board of Directors/Foundation Board 4 5 6 8 10 12 13 2
LETTER FROM KERMIT President and CEO Jackson Recovery Center, Inc. It all started with one family, the Jacksons. They committed themselves to finding ways to help children and adolescents with substance use disorders to receive the help they so desperately need. They succeeded because they knew that they could not accomplish their goal without help from and collaboration with many. Their example leads Jackson today. All the growth and successes we have experienced to date, is due to the help of many a large extended family. There is no better example of this than our successes in 2014. Without the help of many, our largest project since our creation would not have experienced such positive progress. Our new Child and Adolescent Recovery Hospital took major steps to its final completion and our grand opening which took place in the spring of 2015. This project was the dream of our founders Bill and Marienne Jackson and was articulated as early as March of 1980. With the help of many, the dream never faded, but rather it gathered energy and support of so many in our community. The Board of Directors officially put plans in place to actualize this dream in 2012. The Foundation Board began raising the necessary funds in 2013. The facility plan was the collaboration of RML architectural firm, our leadership team, Dr. David Paulsrud, and our partners in the community. As the design came together, so did our family of supporters. We began construction in 2013 with overwhelming community support and their literal turning over of the first shovels of dirt. A team effort from the start, every challenge encountered during construction was met. This successful collaboration aligns special staff, special programs, special patients, with a special facility. The Jackson family dream becomes a reality! Our extended family also helped us keep our focus on more than just our new Child and Adolescent Recovery Hospital. They helped us maintain a commitment to the continuous improvement of all our programs. We made huge steps in 2014 toward accomplishing our vision of creating a recovery centered Siouxland and our mission of Saving Lives by promoting recovery and delivering programmatic excellence. We look forward to our accomplishments and the growth of our extended Jackson family in 2015. 3
5,029 PATIENTS LIVES TOUCHED BY JACKSON INCREASE OF 1,679 PATIENTS FROM 2013 177 296 304 150 Adolescent Center Synergy Center Women and Children s Center Transitional Living Inpatient program for adolescents with substance abuse/addiction and/or mental health disorders. Inpatient program for men and women with addiction and/or mental health disorders. Inpatient addiction and co-occurring disorder treatment for women who are pregnant or parenting. Children attend treatment with their mothers. Grandview House (adult men), Marienne Manor (adult women), Chad s House (teen boys), Sanctuary Apartments. 4,102 Outpatient Services Serving adults, adolescents, children and families in Woodbury, Plymouth, Cherokee, Monona, Ida, Crawford and Shelby Counties. Treating drug and alcohol addiction, process addictions, children s mental health and in-jail treatment. 4
OUR COMMUNITY PARTNER IN HEALTH Rachel Wurth, ARNP FNP-BC Jackson Recovery Centers, Inc. For nearly 40 years Jackson Recovery Centers has been the leader in substance abuse treatment for both adolescents and adults. Along the way, we have partnered with several organizations to help us battle the disease of addiction. The generosity of these partners has helped us save countless lives and helped many of our patients be better parents to their children, said Kermit Dahlen, Jackson s President and CEO. as the Assistant Medical Director and began exclusively seeing our patients on a full-time basis. In 2015, our collaboration was strengthened after a two-year, $50,000 grant was awarded to SCHC allowing our partnership to provide both mental health and addiction services to those in Siouxland. Jackson will provide these services to patients onsite at the health center. One of those organizations we especially want to highlight is Siouxland Community Health Center (SCHC). Together, we re making sure that patients health needs are continually met as they receive treatment for their addiction. We do this in a number of ways. For several years SCHC medical staff has provided services to our patients at Women and Children s Center. In 2011, Nurse Practitioner Rachel Wurth, who is employed at SCHC, began seeing our patients at Synergy Center in Cherokee. Towards the end of 2011, our organization collaborated once again to open the doors to a health clinic located on the second floor of Jackson s downtown office building. The following year, a grant was awarded for Screening, Brief Intervention and Referral Treatment, or SBIRT, to all of SCHC s 25,000 patients. After years of seeing our patients part-time, Wurth was appointed 5
BUILDING A DREAM Dr. William Bill and Marienne Jackson 6
In 1976, Dr. Bill and Marienne Jackson recognized an unmet need in Siouxland to create a place for children and adolescents in this community to find a lifetime of recovery from the disease of addiction. Over the next four decades, this special program was located in several different facilities, none of which fully met the needs of the program or the patients it served. However, in 2013, a dream to build a special place for our patients became a reality. In August of that year, dirt was turned on the new Child and Adolescent Recovery Hospital, located on Jackson s West 4th Street Campus in Sioux City, but it wasn t until 2014 that construction work really took off on this new 53,000 square foot facility and excitement in the community began to grow. The new recovery hospital offers a full continuum of care under one roof. It has also provided Jackson with the opportunity to expand its current inpatient program from 50 to 72 beds. This new recovery hospital also houses a 12-bed Stabilization Unit, designed to help teens get help right here in Siouxland, instead of being sent to other places two to three hours away. In order for this seamless transition to occur between all programs, work needed to begin on building programming, systems and services. A Steering Committee was created, with members from across the organization, to monitor the project and provide guidance while seeking out information and resources through several subcommittees. These smaller groups focused opportunities to enhance clinical programming for inpatient and outpatient programs, food service, information and technology, along with creating new programming for educational services and the Stabilization Unit. I am extremely proud of all those who worked on the committees and those who have supported our efforts, Traci Merchant, Administrative Director of Prevention and Adolescent Services said. I am excited to be a part of the life saving work we have done and will continue to do in our new Child and Adolescent Recovery Hospital. Our patients truly are miracles. On April 28, 2015 those miracles were able to spend their first night at the new recovery hospital. It was a night, four decades in the making, with the hopes of beginning their life-long journey in recovery. 7
A STRONG TEAM FOR OUR PATIENTS Psychiatric disorders and symptoms commonly coexist with substance use disorders. Those who struggle with addictions often have symptoms that mirror mental health disorders such as depression, anxiety, cognitive impairment and even psychosis. This makes it difficult to sort out which is the result of the substance use disorder and which are pre-existing primary mental health disorders. As a matter of fact, recent data shows about 80 percent of alcohol dependent people have a least one psychiatric disorder. For decades, when a patient presented with both a psychiatric disorder and substance use disorder each was treated separately, often in entirely different settings. This led to care which could be fragmented, inefficient, and less effective. Some common psychiatric interventions can actually be quite risky for a person in recovery. At Jackson Recovery Centers, we recognize the challenges that come with treating our patients with co-occurring disorders. We have learned the best approach is to assume mental health and substance abuse will co-occur and employ a comprehensive approach to evaluating and treating both. To help us with this, Jackson has made substantial investments to ensure the best care for patients. In February 2013, Dr. Richard Brown, Jr. was hired to be the Medical Director of our Child and Adolescent Services. Dr. Brown has more than 30 years of experience working in the psychiatric field. For the past three decades, Collette McCullough, ARNP (Advanced Registered Nurse Practitioner) has served our patients through conducting initial and ongoing psychiatric assessments, medication monitoring, and treatment planning to advance the integrated model of care. We also utilize the services of Dr. Denise Marandola who serves as a consulting psychologist for our child and adolescent staff. Early in 2015, we strengthened our team even more by hiring Jodi Best, ARNP, psychiatric nurse practitioner. She works with patients both at the Child and Adolescent Recovery Hospital and at River Hills. Having a strong psychiatric team allows Jackson to provide more effective treatment to our patients says Dr. Cliff Millard, Jackson s Chief Operating Officer. In addition, having these mental health professionals on staff helps train our staff and increase their ability to deal with addictions in an integrated fashion. Psychiatric services are available within all of Jackson s inpatient programs and at River Hills Recovery Center. They are also available, on a more limited basis, to our outpatient programs. 8
Dr. Richard Brown Medical Director, Child and Adolescent Services Dr. David Paulsrud, Medical Director, Jackson Recovery Centers Jodi Best, ARNP Psychiatric Nurse Practitioner Collette McCullough ARNP, MSN 9
FINANCIAL HEALTH Revenue 2014 2013 Gross Revenue $15,156,574 $15,343,111 Revenue Deductions $5,731,593 $6,765,290 Grant Revenue $3,349,381 $3,458,628 Other Revenue $347,515 $413,348 Total $13,121,877 $12,449,797 Expenses Salaries $6,286,569 $5,956,344 Employee Benefits $1,851,276 $1,670,197 Supplies and Other $3,001,229 $2,983,959 Purchased Services $604,265 $614,824 Bad Debts $263,696 $672,560 Total $12,007,035 $11,897,884 Income from Operations $1,114,842 $551,913 Charity Care: In 2014, Jackson provided more than $3.3 million in charity care to those that couldn t otherwise afford treatment. Jackson Recovery Center contributed more than $8.1 million to the Siouxland economy. 10
2014 BOARD OF DIRECTORS Jackson Recovery Centers Board of Directors Charlie Lanphier (Chair) Dan Moore (Vice-Chair) Terri Avery (Treasurer) Hillard Knutson (Secretary) Kermit Dahlen (President & CEO) Rod Clay Dennis Gann Marilyn Hagberg Jerry Haack Charlie Knoepfler Jennifer Jackson Gary Mennen Dean Meine Ellen Nichols Stephanie Mohrhauser Linda Phillips Jacson Recovery Centers Foundation Board of Directors Ronald Yockey (President) Marilyn Hagberg (Vice-President) Marilyn Christiansen (Secretary) Jennifer Jackson (Treasurer) Ken Beaulieu David Paulsrud Ginny Peterson Greg Berenstein Kermit Dahlen Ben Nesselhuf (Executive Director) 11
800 5th Street, Sioux City, IA 51101 Phone: 712.234.2300 Fax: 712.234.2399 www.jacksonrecovery.com Email: info@jacksonrecovery.com Facebook: www.facebook.com/jacksonrecoverycenters