ANNUAL REPORT FISCAL YEAR 2012 | July 2011 - June 2012
FROM THE PRESIDENT
Dear friends: It was another transformational year for Planned Parenthood of the Heartland. It was a year that included a merger, a consolidation, further implementation of the Affordable Care Act (ACA), four state legislative sessions, two new health centers, record-breaking education programs, tremendous new fundraising events and the start of many new and lasting friendships. The entire state of Iowa is now under one affiliate service area, as Planned Parenthood of Southeast Iowa (PPSI) merged into PPHeartland. I am so appreciative of the remarkable work and dedication of all staff and supporters in making this merger so seamless. It truly feels as if they have always been part of the PPHeartland family. Then, while many were celebrating the New Year, at PPHeartland we were waiting on word that the consolidation with Planned Parenthood of Arkansas and Eastern Oklahoma was official. Tackling this monumental endeavor would not have been possible without the support and generosity of so many friends — those willing to stand behind their convictions and put in the resources, hard work and dedication needed every day to ensure PPHeartland is here today and tomorrow, providing access to quality affordable health care in our communities.
Jill June, President & CEO Planned Parenthood of the Heartland
Before you turn to the next page, I hope you notice the updated Planned Parenthood logo and tagline on the front cover: Planned Parenthood. Care. No matter what. This refreshed brand identity will launch our organization into the next era of health care; heath care that is changing exponentially with the implementation of the Affordable Care Act and expansion of the Medicaid program. This new world is unlike anything we’ve ever experienced and I, for one, am ready to see Planned Parenthood become the provider of choice for the thousands of newly insured within our four-state affiliate. How we achieve this goal is not just with an updated logo or new marketing campaign, but it is through the essence of how we approach our world. It is through the passion we feel each day for the work we do. We Care. Deeply. Nonjudgmentally. Respectfully. No matter who you are. No matter where you live. We will do everything we can to get you the care you need. To our board members, donors, advocates, volunteers, employees and so many more – this annual report is truly a reflection of your contribution to the ongoing success of our organization. I Thank You.
FY12 BOARD MEMBERS
Mission Statement TO BE A LEADER IN PROVIDING ACCESSIBLE REPRODUCTIVE HEALTH CARE, EDUCATION AND ADVOCACY, RESPONSIVE TO THE NEEDS AND RIGHTS OF FAMILIES AND INDIVIDUALS.
Board of Directors
Board of Trustees
Loree Miles, Chair Katie Brandert, Vice-Chair Jason Lehman, 2nd Vice-Chair Patrice Sayre, Treasurer Dr. Robert Shaw, Secretary Ann Distelhorst, Executive Member Caroline Abbott Renaisa Anthony Edward A. Bell Margaret Borgen Joy Corning Lee Lee Doyle Sheila Drevyanko Michelle Ginsburg Duhl Jason Dunn Linnea Fletcher Gregory Allen Gray Wayne Houston Barb Jacobson David Kroll Michelle Lange DiAnne Lerud-Chubb Robby Marvin Susan McGillick Doug McLeese Cheryl Morton Jill Nelson Marketa Oliver Jennifer Rasmussen Amy Reasner Ron Rosenblatt Aaron Saylor Kathleen Glasgow Sparks Heather Starr Katherine Tachau Katie Weitz White Roberta Wilhelm
Janet Griffin, Chair Pat Schneider, Vice-Chair Herman Riva, Treasurer Rusty Hubbell, Secretary Robert Becker Cheryl Cooper Catherine Dietz-Kilen Susan Knapp Nancy Lowenberg Loree Miles Murray Newman Mary Riche
Planned Parenthood Voters of Iowa Board Lori Beary, Chair Diane Kolmer, Vice-Chair Barbara Brown, Secretary/Treasurer Carol Deppe Fran Fleck Joe Hall Heather Matson Robyn Mills Deb Moore Jill Nelson Phyllis Peters
PPVI PAC Steering Committee Phyllis Peters, Chair Alicia Claypool, Vice-Chair Fran Fleck, Secretary/Treasurer Debbie Gitchell Judie Hoffman Jill Pecoraro
Planned Parenthood Voters of Nebraska Board
Paul Landow, Chair Kelli Oâ€™Brien, Vice-Chair Jennifer Rasmussen, Secretary/Treasurer Sharon Brodkey Mary Ann (Andy) Holland Randall Moody
EDUCATION “Record-shattering” is an appropriate way to describe the year when discussing our education and outreach services. We provided 3,415 programs and trainings to 56,546 people in Arkansas, Iowa, Nebraska and Oklahoma during the year – increases over last year of 76 percent and 71 percent, respectively.
3,415 programs and trainings for 56,546 people in Arkansas, Iowa, Nebraska and Oklahoma.
We expanded our presence in Oklahoma and Arkansas during the year. We hired two new health educators in Oklahoma, and our staff worked closely with the Arkansas Department of Education to be part of its new strategic plan surrounding prevention of pregnancy and HIV.
A volunteer staffing our booth at an outreach event.
We also continued to build our capacity to serve diverse communities, including Latino, African-American and LGBT. And, because our health educators are highly regarded experts in sexual health, they are increasingly sought after by other organizations and groups.
Our outreach booth at the 2012 Tulsa Pride festival.
ADVOCACY & PUBLIC AFFAIRS The year was a time for solidifying our support in Nebraska and Iowa, and for gaining a foothold in Arkansas and Oklahoma. In Oklahoma, we partnered with the American Civil Liberties Union (ACLU), ACLU of Oklahoma, Center for Reproductive Rights, Oklahoma Center for Reproductive Justice (OCRJ) and Oklahomans Against Personhood to activate an outcry against a so-called “personhood” initiative that would give full legal rights to a fetus. In Arkansas, we supported the ruling against efforts to place “personhood” on the ballot.
In Nebraska, we ended the 2012 Legislative Session without the passage of legislation against women’s access to health care — the first time that occurred in four years.
2012 LOBBY DAY ATTENDEES Emails Lawmakers Sent to Attendees Visited Lawmakers
We continue to build our base of supporters in all four states. In Iowa we gathered 3,135 new supporters and in Nebraska 2,634 new supporters. In Arkansas and Oklahoma, outreach activities are now coming to fruition, and we anticipate thousands of new supporters in the upcoming year.
Iowa 133 62 391 Nebraska 93 38 240
In Iowa, we defeated an amendment to the Health and Human Services Appropriations Budget that would have destroyed access to family planning services, as well as defund our organization. Our lobbying efforts there were instrumental in the creation of a state appropriation of $500,000 to offset the costs of cervical cancer prevention and detection for low-income Iowans.
PLANNED PARENTHOOD ACTION NETWORK
# of # of # of Emails Email Supporters who Sent to Alerts Sent Took Action Lawmakers Iowa 7 Nebraska 4 Arkansas 1 Oklahoma 8
2,443 32,149 653 653 84 84 1,694 10,550
COMMUNITY SUPPORT Care. No Matter What.
Planned Parenthood: Care. No matter what. That statement personifies what PPHeartland does every day. In FY12, PPHeartland provided more than $8.5 million in uncompensated care â€“ the amount our affiliate absorbed to provide services to patients who may not have adequate insurance or the means to pay for the services they received.
The outpouring of support received both nationally and locally after the Susan G. Komen for the Cure Foundation announced a decision to stop providing grants to Planned Parenthood, a decision it quickly reversed, enabled PPHeartland to expand our breast health services.
The only way PPHeartland is able to provide this amount of uncompensated care is through the financial support of our donors. Generous donations have an immediate impact on the life of the women and men in our communities who need quality affordable health care.
FY12 UNCOMPENSATED CHARITY CARE $10,000,000
$6,000,000 IOWA $4,971,759.09
ARKANSAS * $283,746.38
*Includes PPAEO numbers from January 1 - June 30, 2012
This expansion is part of a nationwide initiative by Planned Parenthood. Locally, we received more than $23,000 from 600+ supporters who believe in the care we provide. These funds, along with other grants we received specifically for breast health services, allows us to provide additional screenings, education and outreach programs across our four-state affiliate. Last year, PPHeartland provided breast cancer screenings for more than 19,000 women. Now, with nearly $60,000 in grants and donations, we expect to help thousands more, with low- or no-cost cancer screenings, diagnostic services and educational resources that will help women identify potential breast health issues early.
COMMUNITY SUPPORT Breaking New Ground Because of the amazing generosity of our many donors, our $11.5 million capital campaign, Breaking New Ground, made great strides in FY12, raising more than $2 million and reaching 78.7 percent of goal. Far more important, though, is what those dollars mean for our patients and communities.
PLANNED PARENTHOOD OF THE HEARTLAND CAPITAL CAMPAIGN
RAISED: $9,050,657.06 GOAL: $11,500,000
Brick and mortar is not the only change that Breaking New Ground funds allowed us to accomplish. In FY12 we purchased and implemented electronic health records (EHR) and electronic practice management (EPM) systems at all of our 29 health centers. While we anticipated some reduction in productivity and capacity during the changeover, our â€œfast trackâ€? implementation minimized the impact on our patients and revenue, enabling our entire affiliate to be up and running on both systems within six months. Breaking New Ground also allowed us to acquire a new phone system, purchase upgraded computer hardware and employ software that efficiently tracks our legal contracts and obligations. All of these long-term investments improve access to services throughout our expanded network of health centers.
This year, we opened a new flagship facility in Lincoln, Neb., and a beautiful new health center in Dubuque, Iowa. Each of these buildings was completely remodeled and include updated equipment and technologies that address the changing needs of our patients.
The Education Resource Center in the new Lincoln Health Center.
HEALTH SERVICES It was a very busy year for our health services department. Not only did we see the consolidation with six health centers in Arkansas and Eastern Oklahoma, but July 2011 officially brought the five southeast Iowa health centers of Burlington, Keokuk, Mount Pleasant, Fort Madison and Washington into the fold of PPHeartland. In total, 64,095 patients across our four-state affiliate received services from us in FY12.
64,095 patients across our four-state affiliate received services from us in FY12.
And, as an affiliate that is always ahead of the curve in innovation and technology, PPHeartland fully converted all of our 29 health centers to electronic health records (EHR); we were one of the first affiliates in the country to do so. EHR allows us to keep all of our patient records electronically, which significantly improves efficiency and patient satisfaction.
Our staff also participated in reproductive health research, which is the basis of new products or techniques used by other health care providers across the country. Additionally, we partnered with three Planned Parenthood affiliates to establish a Laboratory Services Corporation (LSC) to process tests for Chlamydia and Gonorrhea – which resulted in additional cost savings and efficiencies of scale. We also expanded services at many of our health centers – offering contraception by mail (c-mail™) to patients in Southeast Iowa and Nebraska, family practice services in Tulsa, and colposcopy and LEEP (loop electrosurgical excision procedure) for women with an abnormal Pap test result.
FY12 FINANCIALS REVENUE*
1% BOOK SALE 6% 1% MISC INCOME $380,929 INVESTMENT $1,698,921 INCOME 6% $264,068 CAPITAL CAMPAIGN $1,598,506 10% GOVERNMENT GRANTS $2,673,281
Patient services $13,890,520 Government grants $ 2,673,281 Contributions $ 6,974,442 Capital campaign pledges $ 1,598,506 Book Sale (-$72,200 costs) $ 380,929 Investment income $ 264,068 Miscellaneous income $ 1,698,921 __________________________________________ Total Revenue
51% PATIENT SERVICES $13,890,520 25% CONTRIBUTIONS $6,974,442
4% FUNDRAISING $1,202,714
Progam services $26,518,684 Administrative & general $ 3,772,024 Fundraising $ 1,202,714 National & regional dues $ 317,841 __________________________________________ Total Expenses $31,811,263
12% ADMINISTRATIVE & GENERAL $3,772,024
1% NATIONAL & REGIONAL DUES $317,841
83% PROGRAM SERVICES $26,518,684
*Includes PPAEO numbers from January 1 - June 30, 2012
FY12 HEALTH SERVICES <1% PRENATAL & PEDIATRICS 609 <1% COLPOSCOPIES & BIOPSIES 773
45% CONTRACEPTION ENCOUNTERS 127,576
<1% FAMILY PRACTICE - 1,982 2% PHARMACY - 5,247 2% ABORTION - 5,832 3% CONTRACEPTION WITH A DELAYED EXAM (DEX) 8,665
26% STI TESTS 73,046
6% PAP TESTS - 16,081 7% BREAST EXAMS - 19,104 8% PREGNANCY TESTS - 22,885 ADOPTION PLACEMENTS IN FY12 = 4 8% NUVARING - 23,155 速
7% DEPO-PROVERA - 18,794 速
3% EMERGENCY CONTRACEPTION - 8,729 2% ORTHO EVRA PATCH - 5,275 速
<1% IUD - 2,227 79% BIRTH CONTROL PILL 226,271
<1% IMPLANT - 1,637
CONTRACEPTION* *Includes PPAEO numbers from January 1 - June 30, 2012
FY12 HEALTH SERVICES PATIENT AGES* ** 9% UNDER 18 5,854 3% 45+ 2,082
46% 18-24 29,666
41% 25-44 26,493
2% OVER 250% OF POVERTY - 1,528 2% 201%-250% OF POVERTY - 1,050 5% 151%-200% OF POVERTY - 2,899 9% 101%-150% OF POVERTY - 5,533
33% UNDECLARED 21,317
50% AT OR BELOW POVERTY 31,768
PATIENT FINANCIAL STATUS* ** *Includes PPAEO numbers from January 1 - June 30, 2012 **Some patients do not disclose
FY12 HEALTH SERVICES PATIENT DIVERSITY* ** 21% NOT REPORTED 13,675
9% BLACK - 5,594
63% WHITE 40,560
2% OTHERS - 1,381 2% TWO OR MORE RACES - 1,300 1% ASIAN PACIFIC ISLANDER - 906 1% NATIVE AMERICAN/ALASKAN - 679
7% HISPANIC - 4,731
93% NON-HISPANIC 64,095
PATIENT DIVERSITY - HISPANIC* ** *Includes PPAEO numbers from January 1 - June 30, 2012 **Some patients do not disclose
PPHEARTLAND AT-A-GLANCE 33
6 1 13
24,25 19 21
OUR LOCATIONS 1
AMES 2530 Chamberlain St. Ames, IA
DUBUQUE 1766 Central Ave. Dubuque, IA
LITTLE ROCK 5921 W. 12th St., Ste. C Little Rock, AR
ANKENY 704 N. Ankeny Blvd. Ankeny, IA
FAMILY PRACTICE CENTER DES MOINES 1000 E. Army Post Rd. Des Moines, IA
OMAHA EDUCATION & RESOURCE CENTER 3105 N. 93rd St. Omaha, NE
JACQUELINE N. BLANK BOOK WORKS 123 Clark St. Des Moines, IA
FAMILY PRACTICE CENTER TULSA 1007 S. Peoria Tulsa, OK
OMAHA NORTHWEST 3105 N. 93rd. St. Omaha, NE
BROKEN ARROW 818 S. Aspen Ave. Broken Arrow, OK
FAYETTEVILLE 3729 N. Crossover St., Ste. 107 Fayetteville AR
BURLINGTON 620 N. 8th St. Burlington, IA
FORT DODGE 30 N 27th St. Ft. Dodge, IA
CEDAR FALLS 2520 Melrose Dr., Ste. L Cedar Falls, IA
FORT MADISON 2201 Ave. H Fort Madison, IA
QUAD CITIES 2751 Tech Dr. Bettendorf, IA RED OAK 950 Senate Ave., Ste. B Red Oak, IA SIOUX CITY 4409 Stone Ave. Sioux City, IA
CEDAR RAPIDS 3425 1st Ave., Ste. 100 Cedar Rapids, IA
IOWA CITY 850 Orchard St. Iowa City, IA
COUNCIL BLUFFS 1604 Second Ave. Council Bluffs, IA
MARY LOUISE SMITH EDUCATION & RESOURCE CENTER 1168 6th Ave. Des Moines, IA
KEOKUK 1626 Morgan St. Keokuk, IA
SPENCER 1900 Grand Ave N. Spencer, IA
ELIZABETH BATES COWLES CENTER 1171 7th. St. Des Moines, IA
ELIZABETH & DAVID KRUIDENIER CENTER 1168 6th Ave. Des Moines, IA
TULSA MIDTOWN 1007 S. Peoria Tulsa, OK
CRESTON 1109 S. Sumner St. Creston, IA
MOUNT PLEASANT 114 E Monroe, #111 Mount Pleasant, IA
TULSA SOUTH PEORIA 5780 S. Peoria Tulsa, OK
DES MOINES SUSAN KNAPP 2304 University Ave. Des Moines, IA
LINCOLN EDUCATION & RESOURCE CENTER 5631 S. 48th St., Ste. 100 Lincoln, NE
TULSA WESTSIDE 4733 S. Union Tulsa, OK
DES MOINES ROSENFIELD 1000 E Army Post Rd. Des Moines, IA
LINCOLN SOUTH 5631 S. 48th St., Ste. 100 Lincoln, NE
WASHINGTON 311 N. 4th Ave. Washington, IA
DES MOINES WEST 10534 New York Ave. Urbandale, IA Current as of November 1, 2012
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