Northfield Business Plan Final 2011-10-13
Transcription
Northfield Business Plan Final 2011-10-13
Northfield Ministries Strategic Business Plan January 1, 2011 Northfield Home, of Northfield Ministries, welcomes you! Here is the welcoming front entrance of the Northfield Home in Cumberland County, Virginia. The Northfield Home, part of Northfield Ministries, is a non-profit residential treatment facility for young women with eating disorders, self harm anxiety, depression, and in some cases even unplanned pregnancies. ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 2 of 123 Northfield Ministries Strategic Business Plan January 1, 2011 Table of Contents Executive Summary………………………………………………………………………. About Northfield Ministries……………………………………………………………….. Mission & Vision………………………………………………………………………... The Community Need…………………………………………………………………….. The Northfield Program…………………………………………………………………... The Competitive & Partnership Environment………………………………………….. The Northfield Home……………………………………………………………………… Northfield Licensing & Zoning…………………………………………………………… Leadership & Staff Personnel……………………………………………………………. Board of Directors………………………………………………………………………… Volunteers…………………………………………………………………………………. Accomplishments…………………………………………………………………………. Long Term Vision…………………………………………………………………………. Northfield Needs…………………………………………………………………………... Financial Information……………………………………………………………………… 4 10 10 12 24 34 42 44 46 50 56 57 62 68 70 Appendices: Appendix 1 – Certificate of Incorporation………………………………………………. Appendix 2 – IRS Letter Confirming Tax Exempt Status……………………………... Appendix 3 – Program Research……………………………………………………….. Appendix 4 – Cumberland County Rezoning Letter…………………………………... Appendix 5 – Northfield Home Renovations…………………………………………… Appendix 6 – Resumes of Members of the Board of Directors………………………. Appendix 7 – Resumes of Staff Personnel…………………………………………….. Appendix 8 – Job Descriptions………………………………………………………….. Appendix 9 – Listing of Volunteer Organizations…………………………………….. Appendix 10 – Independent Audit Opinion…………………………………………….. 73 75 77 80 82 85 94 97 105 113 ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 3 of 123 Executive Summary About Northfield Northfield Foundation for Eating Disorders, Inc. (“Northfield Ministries” or “Northfield”) is a Christ centered non-profit organization, dedicated to providing a safe haven for young women struggling with challenges such as eating disorders, self-injury, depression and other co-existing disorders which may be accompanied with an unplanned pregnancy. Northfield initially will offer, through supportive residential care and/or community-based services, comprehensive assessments and individual treatment plans for young women ages 18 and over. These treatment plans will include: Counseling, Education, Life Skills Training, and Comprehensive Community Based Services. The Community Need The Northfield Ministries is focused on supplying the physical, emotional and spiritual assistance required to deal with some of the biggest problems faced by young women: eating disorders, self-harm, anxiety and depression, all of which may be accompanied with an unplanned pregnancy. The Northfield Program The Northfield Cornice The Northfield Program will offer, for each unique young woman, a comprehensive assessment and individualized treatment plan which may include counseling, education, and supportive residential care as well as community based services such as medical and psychiatric care. The Northfield goal is to empower each young woman to break free and embrace her future through God’s unconditional love and mercy. Young women participating in this program will gain the following: ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 4 of 123 A renewed sense of their self worth and God’s purpose for their lives. The skills to identify root causes and triggers for eating disorders and other disordered behavior. Resources and tools to make informed decisions about their future and, for pregnant clients, their unborn child’s future. Life skills to equip them to successfully manage activities of daily living The Competitive & Partnership Environment Unfortunately, eating disorders and young women in crisis are common and growing problems; there are varying degrees to the disorders and relatively few affordable treatment programs exist. As a result, Northfield does not view other eating disorder facilities as competition in the truest sense. Key providers of similar services include Mercy Ministries, Remuda Ranch, Sheppard Pratt and Carolina House. While similarities exist among the programs, Northfield will differ in important ways as described in more detail later in this document. Northfield has established relationships with Mercy Ministries and Remuda Ranch to provide for appropriate two-way referrals (e.g., when Northfield or other facilities are at full capacity). Northfield has helped many young women by assisting them in finding the appropriate residential treatment program to meet their needs. Northfield has referred young women to each of the programs identified above and discussed later in this document. The Northfield Home The Northfield Home is located on a beautiful Southern plantation established in the 19th century in rural Cumberland County, about 37 miles west of Richmond, Virginia, just off of Route 60 (189 Old Buckingham Road, Cumberland, Virginia 23040). The Northfield Home is a treatment center contained in a 9,500 square foot plantationstyle house situated on 49 acres of beautiful countryside. The complex includes barns, a guest cottage and chapel, along with gardens, a pond and a gazebo, all of which create an idyllic setting for treatment and recovery. ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 5 of 123 Significant renovations on the Northfield Home are nearly complete; the renovations have been accomplished almost 100% by volunteers. The Northfield Home will open to the young women residents immediately upon attainment of appropriate levels of financial resources. Northfield Licensing & Zoning Northfield is pursuing licensure by the Commonwealth of Virginia Department of Behavioral Health and Developmental Services (“DBHDS”). Preparation for this licensure process is well under way and is discussed in detail on pages 44 through 46 of this document. Northfield has received zoning approval from Cumberland County. Leadership & Staff Personnel The current staff personnel of Northfield are primarily focused on various activities associated with preparing Northfield to open its doors and managing ongoing Northfield operations. These staff personnel currently receive no compensation for their Northfield efforts. Current staff personnel, who also serve as a member of the Board of Directors, include: Gwen Seiler, Executive Director Catherine Boyle, President of Board of Directors & Chief Operating Officer Dennis Stone, Facilities Director More information is provided about these staff members and Directors on pages 51 through 56 of this document and in Appendix 7, beginning on page 91. Other staff personnel include: Erin White, Communication & Public Relations Consultant Christine Sheppard, Home Renovation Project Director More information is provided about these staff members on pages 47 through 48 of this document and in Appendix 8, beginning on page 100. ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 6 of 123 As Northfield approaches the completion of the licensing process and begins its Ministry, other staff personnel will be required and will be added as full time, paid employees of Northfield. Specific staff personnel required to open Northfield includes: Chief Administrative Officer Direct Care-Provider House Staff Board of Directors Northfield’s Board of Directors consists of a committed group of diverse volunteers who provide Northfield with a wide variety of experience, skills and capabilities. Members of Northfield’s Board of Directors include: Gwen Seiler, Executive Director Catherine Boyle, President of Board of Directors Dennis Stone, Facilities Director Trish Harper, Secretary Patricia Mills Tom Mishoe Sig Seiler Sherry Shrader These Directors do not receive any compensation from Northfield for their services. More information about these Directors is provided on pages 51 through 56 of this document and in Appendix 7, beginning on page 91. Volunteers Northfield has developed a truly committed group of volunteers who have provided significant time, financial, networking and other assistance. These volunteers consist of individuals, professional volunteers and organizations. ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 7 of 123 In regard to individual volunteers, over 2,300 volunteers (includes one-time and repeat volunteers) have donated over 20,000 labor hours. These volunteers have primarily been involved in the renovation of the Northfield Home. In regard to professional volunteers, examples include Erin White, PR Specialist, and Christine Shepard, Director of Northfield’s Inspiration House Project. There also are many diverse organizations providing periodic and recurring assistance to Northfield. These organizations include 25+ churches of various Christian denominations, five area high schools, four Virginia colleges and four area civic groups. These organizations are identified in Appendix 10, beginning on page 110. Accomplishments Since its founding, Northfield has accomplished much. Key accomplishments include, but are not limited to: Ministry: Development of the Northfield Ministries. The Northfield Home: The Northfield Home is almost completely renovated, to facilitate the opening of the residential component of the Northfield Ministry. The Northfield Ministries Organization: Northfield has developed appropriate organizational structure to more fully develop, and achieve, its objectives. Key aspects of this organizational structure include, but is not limited to: a working Board of Directors; and, a truly committed group of individual, professional and organizational volunteers who have provided significant time, financial, networking and other assistance. Fund Raising: From inception through December 2010, Northfield has received $1.35+ million in total donations from approximately 700 donors, both large and small. Regulatory: The two key regulatory challenges for Northfield are receiving licensure approval from the Virginia Department of Behavioral Health and Developmental Services (“DBHDS”) and receiving zoning approval from Cumberland County. Preparation for the licensure process with DBHDS is well underway and zoning approval has been received from Cumberland County. Communications: Northfield has accomplished much in regard to outside communications and currently is communicating through the following means: Speakers Bureau; website (http://www.northfieldfoundation.org/); Facebook; and, communications with interested individuals. Northfield has developed a “permission granted” mailing list of 5000+ individuals. This mailing list includes ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 8 of 123 both email contacts and “snail mail” contacts. Northfield provides monthly email updates and quarterly newsletter mailings. Financial & Strategic: Northfield has made great strides in strategy development and financial management. These achievements include the independent audit of its financial statements (all with an “unqualified opinion”, the best independent audit opinion available), development of a Strategic Business Plan and implementation of a strategic planning process. Relationships & Affiliations: Northfield is actively seeking appropriate relationships and affiliations. For example, Northfield is a member of GuideStar, a pre-eminent provider of non-profit information to 3rd parties and is listed with GiveRichmond.org, a website listing comprehensive information about favorite nonprofits (a collaborative effort between The Community Foundation and Guidestar). These accomplishments are further discussed on pages 58 through 62 of this document. Long Term Vision Northfield’s long term vision is wide ranging and, ultimately, dependent upon God’s guidance. This vision is extensively discussed on pages 63 through 68 of this document. Northfield Needs While Northfield has been blessed with outstanding volunteers and donations of time and money, Northfield does have significant needs to move forward, meet its Ministry objectives and fully achieve its long term vision. These needs are summarized on page 69 through 70 of this document. Financial Information Northfield’s summary financial information is discussed on pages 71 through 72 of this document. More detailed financial information is available upon request. ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 9 of 123 About Northfield Northfield Ministries, incorporated on September 13, 2005 (see Appendix 1, page 73), is a Christ centered non-profit organization (see Appendix 2 on page 77), dedicated to providing a safe haven for young women struggling with challenges such as eating disorders, self-injury, depression and other co-existing disorders which may be accompanied with an unplanned pregnancy. Northfield will initially offer, through supportive residential care and/or community-based services, comprehensive assessments and individual treatment plans for young women, ages 18 and over. These treatment plans will include: Counseling, Education, Life Skills Training, and Comprehensive Community Based Services. Northfield’s goal is to empower each young woman to break free and embrace her future through God’s unconditional love and mercy. The Northfield Mission and Northfield Vision are described below: The Northfield Mission Embrace young women and their families where they are; Embark with them on the journey to restoration and healing; Empower them with the knowledge to break free. The Northfield Vision Young women will know good health, well being and abundant life. ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 10 of 123 How is Northfield different? Northfield is thoroughly Christ-centered. Northfield provides a transitional environment where young women can fully recover from issues such as eating disorders, self-harm and depression. Northfield mentors young women after discharge from residential care. If the young woman is from out-of-town, Northfield may make arrangements for the young women to receive aftercare services wherever they live. Northfield is positioned to help a young woman who has a history of eating disorder or self-harm if they also face unplanned pregnancy. Unlike many programs to help young women with eating disorders and self-harm issues, Northfield believes that spiritual freedom and restoration is critical to lasting recovery. Northfield believes that recovery is possible and asks the young women participating in the Northfield Program to have faith that they will get better. The Northfield program will be tailored to the specific needs and measurable goals of each young woman participating in the program. Northfield knows that relapse occurs on the road to recovery. Northfield will walk with and teach young women through periods of relapse. The Northfield program will celebrate and tangibly recognize milestones achieved. The Northfield program will use gates and keys as visible symbols of freedom. Northfield serves as a resource center for young women, families and professionals experiencing or working with eating disorder, self-harm or unplanned pregnancies. Northfield staff will provide referrals and resources to address the needs through individual support, community based therapeutic interventions, support groups, Bible studies and/or residential treatment. Northfield operates on a not-for-profit basis, resulting in significantly more affordable services than many other eating disorder programs. Northfield will offer needs-based scholarships for young women to receive the services they need to reach recovery. Northfield will walk beside, teach and mentor young women until they recover. The young women will not be forced to leave our program until they embrace a new life of health. ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 11 of 123 The Community Need Northfield Ministries is focused on supplying the physical, emotional and spiritual assistance required in dealing with some of the biggest problems faced by young women: eating disorders, self-injury, anxiety and depression, which in some cases may be accompanied with an unplanned pregnancy. The following information serves to highlight the issues and community needs which Northfield Ministries will address. Eating Disorders A picture is often worth a thousand words (photo obtained at http://ehgazette.blogs.brynmawr.edu/category/uncategorized/). This is an eating disorder. According to the National Eating Disorders Association, Eating disorders, such as Anorexia Nervosa, Bulimia Nervosa and Binge Eating Disorder (collectively “Eating Disorders”), include extreme emotions, attitudes and behaviors surrounding weight and food issues. These Eating Disorders are serious emotional and physical problems that can have life-threatening consequences for both females and males.1 All Eating Disorders are coping mechanisms, a misuse of food in a misguided attempt to control anxiety, stress and resolve problems. Eating Disorders offer a sense of control, but solve no problems, and in fact, create many additional problems. Per the National Eating Disorders Association, Anorexia Nervosa, Bulimia Nervosa, Binge Eating Disorder and Eating Disorders Not Otherwise Specified are each further described below and the symptoms of each of these Eating Disorders are identified.1 “Anorexia Nervosa is characterized by self-starvation and excessive weight loss. Symptoms include: Refusal to maintain body weight at a minimally normal weight for height, body type, age and activity level Intense fear of weight gain or being “fat” Feeling “fat” or overweight despite dramatic weight loss ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 12 of 123 Loss of menstrual periods Extreme concern with body weight and shape Bulimia Nervosa is characterized by a secretive cycle of binge eating followed by purging. Bulimia includes eating large amounts of food - more than most people would eat in one meal - in short periods of time, then getting rid of the food and calories through vomiting, laxative abuse or over-exercising. Symptoms include: Repeated episodes of bingeing and purging Feeling out of control during a binge and eating beyond the point of comfortable fullness Purging after a binge, (typically by self-induced vomiting, abuse of laxatives, diet pills and/or diuretics, excessive exercise or fasting) Frequent dieting Extreme concern with body weight and shape Binge Eating Disorder (also known as Compulsive Overeating) is characterized primarily by periods of uncontrolled, impulsive or continuous eating beyond the point of feeling comfortably full. While there is no purging, there may be sporadic fasts or repetitive diets and often feelings of shame or self-hatred after a binge. People who overeat compulsively may also struggle with anxiety, depression and loneliness, which can contribute to their unhealthy episodes of binge eating. Body weight may vary from normal to mild, moderate or severe obesity.1 Eating Disorders Not Otherwise Specified can include some combination of the signs and symptoms of Anorexia Nervosa, Bulimia Nervosa and/or Binge Eating Disorder. While these behaviors may not be clinically considered a full syndrome eating disorder, they can still be physically dangerous and emotionally draining. All eating disorders require professional help”1 Each type of Eating Disorder - Anorexia Nervosa, Bulimia Nervosa, Binge Eating Disorder and Eating Disorders Not Otherwise Specified - has different occurrence rates, behavior patterns and variations in treatments. In all cases, the key to a successful outcome is early diagnosis and appropriate treatment, according to the National Institute for Mental Health.2 The peak onset of Eating Disorders occurs during puberty, late teen and early adult years, but symptoms can occur as young as kindergarten. Key statistics and facts from the National Eating Disorders Association about Eating Disorders include.3 ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 13 of 123 As many as 10 million females and 1 million males in the U.S. are battling Eating Disorders such as Anorexia Nervosa and Bulimia Nervosa. Millions more are struggling with Binge Eating Disorder.3 Millions more practice disordered eating due to an obsession with dieting.3 An estimated 0.5 - 3.7 % of females suffer from Anorexia Nervosa in their lifetime,2 an estimated 1.1 - 4.2 % of females have Bulimia Nervosa in their lifetime2, and community surveys have estimated that between 2.0 - 5.0% of Americans experience Binge Eating Disorder in a six month period.2 Eating Disorders affect people from all walks of life, including young children, middle-aged women, men and individuals of all races and ethnicities.3 According to the National Institute of Mental Health, Eating Disorders are serious illnesses with a biological basis modified and influenced by emotional and cultural factors.3 Eating Disorders are preventable and treatable, yet hundreds of people die from these illnesses every year. Anorexia Nervosa has the highest mortality rate of any mental illness.3 Of great concern, 86% of individuals with Eating Disorders reported the onset of the illness by the age of 20.4 Research results also suggest that about 4% of college-age women have Bulimia Nervosa.5 To give one a sense of the magnitude of how many young women in college are impacted by Eating Disorders, below is an estimate, based upon national occurrence statistics, of the number of young women potentially dealing with this issue on a few of Virginia’s larger college campuses (based on 2009 enrollment figures): Estimated # Of Young Women With Eating Disorders Estimated # Of Potential Deaths Of Young Women With Eating Disorders University of Richmond 626 4 Virginia Commonwealth University 5877 35 University of Virginia 2848 17 Total 933 56 Early intervention is a key requirement of successfully dealing with Eating Disorders, but young women with Eating Disorders often do not recognize or admit that they are ill. As a result, these young women may strongly resist seeking help and resist ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 14 of 123 staying in treatment. Family members or other trusted individuals can be helpful in ensuring that the young woman with an Eating Disorder receives needed care and rehabilitation. For this reason, access to a local care facility can have a significant impact on the recovery process. The treatment for an Eating Disorder can extend for several years and the affected individual can suffer relapses. The need for ongoing support, often beyond what a family can offer at home, is critical for long-term success. Based on a ten year study by the National Association of Anorexia Nervosa and Associate Disorders, only 50% of women reported being cured of their Eating Disorder with an estimated 6% of cases resulting in death.4 As of October 2007, only two non-hospital treatment facilities treating Eating Disorders existed in Virginia. On a nation-wide basis, there are less than 80 non-hospital treatment facilities dedicated to helping eating disorder patients. Of these, the vast majority are aimed at helping individuals who need acute care whereas Northfield’s goal is to treat young women with non-acute diagnoses and to provide out-patient support programs. Most treatment facilities for eating disorders are for-profit entities. Information received from the young women (and the families) served by Northfield indicates these entities charge in the range of $1800 - $3000 per day, with most patient stays averaging 45 ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 15 of 123 days, thus resulting in facility costs of $81,000 - $135,000. Health insurance plans (particularly HMO plans) rarely provide adequate mental health coverage for in-patient treatment of Eating Disorders. Northfield seeks to provide care to all young women in need of help, regardless of income or health insurance benefits. According to The National Eating Disorder Association, “Despite its prevalence, there is inadequate research funding for eating disorders. Funding for eating disorders research is approximately 75% less than that for Alzheimer’s disease. In the year 2005, the National Institute of Health funded the following disorders accordingly: National Institute of Health 2005 Disease Funding Illness Prevalence Research Funds Research Per Affected Individual Eating Disorders 10 million $12,000,000* $1.20 Alzheimer’s 4.5 million $647,000,000 $143.78 Schizophrenia 2.2 million $350,000,000 $159.09 * The reported research funds are for anorexia nervosa only. No estimated funding is reported for bulimia nervosa or eating disorders not otherwise specified. Research dollars spent on eating disorders averaged $1.20 per affected individual, compared to $143.78 per affected individual for Alzheimer’s and $159.09 per affected individual for schizophrenia.”9 Self-Injury10 “Self-Injury (also referred to as self-harm, self-mutilation and self-abuse) can be defined as the deliberate, repetitive, impulsive, non-lethal harming of one’s self, including but not limited to: Cutting Burning Picking or interfering with wound healing Infecting oneself Punching self or hitting self with objects Inserting objects into skin ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 16 of 123 Bruising or breaking one’s own bones Some forms of hair pulling While these behaviors pose serious risks, they may be symptoms of a problem that is treatable. Self-Injury, like many addictions, is often a coping mechanism to deal with some manner of internal pain, such as: Emptiness Inability to understand or express feelings Loneliness Fear Past abuse Depression Many who struggle with Self-Injury also struggle with other issues such as Eating Disorders and alcohol and drug abuse. “While Self-Injury may be someone’s way to cope with or relieve painful or hard-to-express feelings and is generally NOT a suicide attempt, relief is always temporary and usually only perpetuates a destructive cycle that continues the struggle. This cycle often means that those who do not get help can become more depressed and shameful, adding to the pain and need for relief, thus perpetuating the cycle. Experts estimate that 4% of the population struggles with Self-Injury. It has the same occurrence between males and females, even though in popular culture it can appear to be more prevalent among girls. Self-Injury is very dangerous. While Self-Injury may not be about attempting suicide, the damage done while harming oneself ALWAYS carries the risks of inflicting serious, and even lethal, harm to oneself regardless of whether suicide is intended or not. The continued cycle of addiction and self-harm, as in substance abuse and other Eating Disorders, can have a destructive effect on one’s health both physically and mentally, and struggles worsen as time continues without treatment. Self-Injury, like alcohol and drug abuse and Eating Disorders, is addictive and thus not something that is easy to simply ‘stop’. However, while all addictions are very difficult to overcome, help and treatment are available, and recovery and freedom are possible. Northfield believes this is true whether someone’s struggles may be self-injury, depression, drugs and alcohol, body image issues, sexual addiction or other areas of brokenness. ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 17 of 123 Research shows that those who seek professional help and therapy have a very good chance of recovery, and finding relief from symptoms such as depression and anxiety as well as others. Self-Injury remained very much a mystery until 1996 when Princess Diana revealed that she had struggled with Self-Injury. It has become much more visible in society within the last ten years.”10 Suicide is the eleventh leading cause of death for all US Americans, and is the third leading cause of death for young people 15-24 years. Youth suicide is increasing at the greatest rate. Northfield longs to intercept young women before the pattern of Self-Injury escalates into suicide. In the United States, the Centers of Disease Control and Prevention report that there is clear empirical evidence that a subgroup of individuals with Eating Disorders engage in Self-Injury behavior. Individually these disorders are difficult to treat; in combination they represent a chaotic intersection.11 Self-Injury behavior ranges from various nonlethal forms of Self-Injury to genuine suicide attempts. The prevalence of non-lethal Self-Injury among Eating Disorder patients is approximately 25%, regardless of the type of Eating Disorder or the treatment setting.11 Depression Adolescent females with Eating Disorders are at risk of also developing anxiety disorders, and vice versa, according to a new study. Dr. Pamela K. Keel, of the University of Iowa, Iowa City, and colleagues examined the simultaneous occurrence of Eating Disorders and mood disorders among 672 female twins (ages 16 to 18 years) from the Minnesota Twin Family Study. The subjects completed structured interviews that determined the presence of Anorexia Nervosa or Bulimia Nervosa and assessed mood, anxiety, and substance use. Eating Disorders were highly likely to co-exist with major depression, anxiety disorders, and nicotine dependence, the investigators reported in the International Journal of Eating Disorders. Within a group of 14 identical twin pairs who did not both have an Eating Disorder, the risk for anxiety disorders was nonetheless increased among the non Eating Disordered co-twins. Conversely, among 52 identical twin pairs of whom only one had anxiety disorder, those without anxiety disorders had an increased risk for Eating Disorders.12 According to the World Health Organization, depression is one of the leading causes of disability, with approximately 121 million people suffering with depression worldwide. The National Institute of Mental Health states that approximately 18 million people suffer from depression in the United States alone. Depression does not discriminate across age, race, gender, or class.10 Key statistics and facts about depression: ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 18 of 123 There are as many as 8.3% of teens suffering from depression for at least a year at a time, as compared to 5.3% of the general population.10 Between 20% to 50% of children and teens struggling with depression have a family history of this struggle with depression and the offspring of depressed parents are more than three times as likely to suffer from depression.10 Depression often co-occurs with anxiety disorders and substance abuse, with 30% of teens with depression also developing a substance abuse problem.10 Two thirds of those suffering from depression never seek treatment.10 Untreated depression is the number one cause of suicide, and suicide is the third leading cause of death among teenagers.10 Eating Disorder Accompanied By Unplanned Pregnancy Nationwide, almost 750,000 teenage women, aged 15-19, become pregnant every year, which translates to an estimated 2,055 pregnancies per day. Although the last decade has seen a decline in teenage pregnancy and birth rates, three in ten teenagers will get pregnant at least once prior to their 20th birthday. Moreover, 81% of these births occur out of wedlock - a statistic that applies both to the nation and to Virginia.13 In Virginia, there were more than 140,500 teen births between 1991 and 2004, almost 10,000 per annum, which is about 10% of all pregnancies.14,15,16 According to Virginia Department of Health Statistics for 2009, the teen pregnancy rate in Virginia for 10 -19 years olds was 24.3 for each 1,000 female population and teen pregnancies were 8.9% of all Virginia pregnancies. 20% of these pregnant teens will be experiencing their second pregnancy. Two-thirds of these young women will make the life-affirming choice to give birth while the remaining one-third will choose abortion. Pregnancy and motherhood require a great amount of physical and psychological strength. During pregnancy, the growing baby receives all its nourishment from the mother’s body. When stores of carbohydrates, proteins, fats, vitamins, minerals and other nutrients are low, a woman’s body will drain them to support the growth and development of the baby. If reserves are not sufficiently restored through healthy eating, the mother can become severely malnourished, and this in turn can lead to depression, exhaustion and many other serious health complications. The average woman gains between 25-35 pounds during pregnancy. While this amount of weight gain is required for a healthy pregnancy, this magnitude of weight gain for women with Eating Disorders can be very frightening. Some women with disordered eating are able to more easily cope with weight gain during pregnancy because they see it as a sacrifice for an important cause. But others may plunge into deep depression as they struggle with the tension between the idea of weight gain and their ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 19 of 123 body image issues. Most women with Eating Disorders view their own situation somewhere between these two extremes. Women with Anorexia Nervosa are underweight and may not gain enough weight during pregnancy. They risk having a baby with abnormally low birth weight and related health problems. Women with Bulimia Nervosa who continue to purge may suffer dehydration, chemical imbalances or even cardiac irregularities. Pregnancy heightens these health risks. Women who are overweight due to Binge Eating Disorder are at greater risk of developing high blood pressure, gestational diabetes and overgrown babies. Risks for the Mother: Risks include poor nutrition, dehydration, cardiac irregularities, gestational diabetes, severe depression during pregnancy, premature births, labor complications, difficulties nursing and post-partum depression. Risks for the Baby: Risks include poor development, premature birth, low birth weight for age, respiratory distress, other peri-natal complications and feeding difficulties. Professionals recommend that women with Eating Disorders do their best to resolve the Eating Disorder related weight and behavior problems before they attempt to get pregnant. It is important to consult with your physician, counselors and/or registered dietician before attempting to get pregnant. Women with Eating Disorders who become pregnant are advised to seek specialized medical and psychological help. Pregnant women with Eating Disorders should inform their obstetricians about these problems and may require “high risk” obstetrical care”.17 Northfield is located within a 50 mile radius of three of the top four areas with the highest teen pregnancy rates for 15 - 19 year olds in Virginia. For those pregnant young women who are struggling with an eating disorder and have chosen life for their child, during the first and second trimester Northfield will provide the necessary support and guidance to help them deliver healthy babies. Other Contributing Factors Recent research also indicates that women who have unresolved emotional issues related to past abortions often continue to engage in high risk behaviors, such as drug and alcohol use, as a means of coping behavior. Regardless of the specific cause(s) that a young woman experiences one of these issues, all of these young women suffer from depression, continued low self-esteem, shame, guilt and impaired family and social relationships. Many young women with disordered behaviors such as Eating Disorders and Self Harm have been sexually abused. Stop Child Abuse Now estimates that one in four young women and one in six young men have been sexually abused before their eighteenth birthday.18 ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 20 of 123 Regardless of the specific disordered behaviors, the roots of all the emotional issues experienced by the young women served by Northfield are spiritual in nature. Disordered behaviors addressed by Northfield are so intertwined with the beliefs of these women that they cannot distinguish between God’s truth and the lies they believe about themselves. The issues of eating disorder, self-harm, depression and risky sexual behavior may appear disconnected, but they have common roots in depression and beliefs about themselves. The young women Northfield will serve will become free of their disordered behaviors not only through individualized treatment plans, but particularly as they are taught and subsequently live out the truths in God’s Word. Evidence shows that there is a genetic disposition for eating disorders, yet environment triggers the onset. Underlying causes for eating disorders include severe family dysfunction (e.g., living with alcoholism or mental health impairment, physical or emotional abuse, etc.), sexual abuse, lack of coping skills and living in a culture that promotes thinness. Likewise, adolescents with poor coping skills who engage in risky sexual behaviors often fail to consider the possibility of pregnancy. When pregnancy naturally occurs, these same adolescents frequently exhibit an inability to fully research and consider parenting options. Recent research also indicates that women who have unresolved emotional issues related to past abortions often continue to engage in high risk behaviors, such as drug and alcohol use, as a means of coping behavior. Additionally, many of these women are also affected by eating disorders.19 ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 21 of 123 The Community Need - Sources & Notes 1 National Eating Disorders Association. What is an Eating Disorder? Some Basic Facts. 2005. Accessed on the website of National Eating Disorders Association, located at: http://www.nationaleatingdisorders.org/nedaDir/files/documents/handouts/WhatIsEd.pdf, February 2010. 2 Spearing, Melissa. Eating Disorders: Facts about Eating Disorders and the Search for Solutions. Maryland: Booklet published by National Institute of Mental Health, 2001. 3 National Eating Disorders Association February 26, 2009 Press Release. National Eating Disorder Association Unveils Powerful & Provocative Ad Campaign. Accessed on the website of National Eating Disorders Association, http://www.nationaleatingdisorders.org/in-the-news/news-releasedetail.php?release=29&title=National%20Eating%20Disorder%20Association%20Unveil s%20Powerful%20&%20Provocative%20Ad%20Campaign on February 2010. 4 National Association of Anorexia Nervosa and Associated Disorders (ANAD). Facts About Eating Disorders. Accessed on the website of ANAD, http://www.anad.org/getInformation/abouteatingdisorders/ , February 2010. 5 Healthy Place. How Many Children Have Eating Disorders? Accessed from Healthy Place website, http://www.healthyplace.com/eating-disorders/main/how-many-childrenhave-eating-disorders/menu-id-58/, February 2010 6 Based on 3,000 total students of which 52% are women and estimating 4% are affected by an Eating Disorder. Numbers were obtained from http://oncampus.richmond.edu/academics/grants/facts.html on October 30, 2006. 7 Based on 29,349 total students of which 50% are women and estimating 4% are affected by an Eating Disorder. Numbers were obtained from http://www.vcu.edu/about/ on October 30, 2006. 8 Based on 13,151 total undergraduate students of which 54% are women and estimating 4% are affected by an Eating Disorder. Numbers were obtained from http://www.virginia.edu/stats&facts/ on October 30, 2006. 9 National Eating Disorders Association. Statistics: Eating Disorders and Their Precursors. Accessed on website, http://www.nationaleatingdisorders.org/uploads/statistics.tmp.pdf/, February, 2010. 10 Information from To Write Love On Her Arms. Information accessed on website: http://www.twloha.com/facts, February 2010. ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 22 of 123 11 Eating Disorders, Self-Harm and Bulimia Nervosa: A Complex Connection. Stephen Wonderlich, Tricia Myers, Margo Norton, Ross Crosby; Vol. 10, Issue 3, Autumn 2002, pp. 257-267. 12 PsychCentral, Eating Disorders, Anxiety Go Hand in Hand, John M. Grohol, PsyD, Accessed http://psychcentral.com/blog/archives/2005/09/30/eating-disorders-anxietygo-hand-in-hand/, February 2010, 13 Students Against Drunk Driving. Teen Pregnancy. Information accessed on website http://www.sadd.org/stats.htm#pregnancy, February 2010. . 14 The National Campaign to Prevent Teen and Unplanned Pregnancy, By the Numbers: The Public Costs of Teen Childbearing in Virginia. Accessed on website http://www.thenationalcampaign.org/costs/pdf/states/virginia/fact-sheet.pdf, February 2010. 15 Virginia Department of Health, Resident Total Pregnancy Statistics 2004– Table 2, Accessed February 2010, http://www.vdh.virginia.gov/healthstats/VitalEvents04.pdf. 16 Virginia Department of Health, Resident Teenage Pregnancies 2004 – Table 8, Accessed February 2010, http://www.vdh.virginia.gov/healthstats/TeenPregAge04.pdf. 17 National Eating Disorders Association, Eating Disorders and Pregnancy: Some Facts About the Risks. Accessed on website February 2010, http://www.nationaleatingdisorders.org/nedaDir/files/documents/handouts/Pregnant.pdf 18 Stop Child Abuse and Neglect, Prevention Through Education Workshops. Accessed February 2010 on website, http://www.scanfw.org/preventionthrougheducationworkshops.html. 19 Forbidden Grief: The Unspoken Pain of Abortion, by Theresa Burke, Ph.D.with David Reardon, 2002. ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 23 of 123 The Northfield Program The Northfield Program will offer, for each unique young woman, a comprehensive assessment and individualized treatment plan which may include counseling, education, and supportive residential care as well as community based services such as medical and psychiatric care. The Northfield goal is to empower each young woman to break free and embrace her future through God’s unconditional love and mercy. Young women participating in this program will gain the following: A renewed sense of their self worth and God’s purpose for their lives. The skills to identify root causes and triggers for Eating Disorders and other disordered behavior. Resources and tools to make informed decisions about their future and for pregnant clients, their unborn child’s future. Life skills to equip them to successfully manage activities of daily living Note: The Northfield facility is equipped to house 12 young women. East Dorm West Dorm Population to be Served Northfield seeks to serve troubled young women experiencing eating disorders, self harm and co-occurring disorders, accompanied in some cases with an unplanned pregnancy and are in need of residential placement to address their issues. Northfield will provide a thorough admission assessment to determine if the client is appropriate for admission to the Northfield program. All young women admitted to Northfield ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 24 of 123 must be willing participants in the program in its entirety. Northfield reserves the right to decline admission to any applicant unable or unwilling to comply with program requirements. Admission Criteria The criteria for admission into the Northfield program are as follows: Females, initially ages 18 and older. Life challenges which may include the following: o Disordered eating issues to include Anorexia Nervosa, Bulimia Nervosa, Binge-Eating Disorder and Eating Disorders Not Otherwise Specified. o Other disorders which may include self injury, depression, sexual abuse, Attention Deficit Hyperactivity Disorder, Obsessive-Compulsive Disorder, Bi-Polar Disorder, anxiety and panic, Post-Traumatic Disorder resulting from a history of trauma, such as sexual abuse. o Any of the above disorders which may be accompanied by an unplanned pregnancy. * Must be medically stable and able to perform self care. Must be willing to participate in the Northfield program as individually determined and described by the Individualized Treatment Plan. * Pregnancy cannot be the primary reason for admission. Young women who are in their first trimester of pregnancy may be admitted for at least 120 days, but must be discharged or transferred to a more appropriate setting prior to the 30th week of pregnancy. Should they experience any complications of pregnancy or be found to be a high risk pregnancy, this will result in discharge and/or transfer to a more appropriate setting. Exclusion Criteria The following will serve as exclusionary criteria: Those in need of acute medical care requiring medical interventions such as tube feedings, intravenous therapy and other monitoring and/or treatment devices. Those in need of acute psychiatric care. ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 25 of 123 Those with a history of violence. Those actively suicidal or homicidal. Those with a history of animal abuse. Those with a history of fire-setting. Schizophrenia. Some personality disorders. Note: The Northfield facility is not equipped for clients with severe physical disabilities. Clients must be ambulatory and able to provide self care. Discharge Criteria The following will serve as discharge criteria: Completion of goals in the Individualized Care Plan. Recommendation of Program Director. Discharge plan with client and family (or authorized guardian) involvement. Note: Early discharge could result from an unwillingness to comply with Program and/or Home rules. At discharge, the young women will be placed in the least restrictive environment available and appropriate to them. This will include returning to their home, placement with a relative or independent living for those 18 and older. Services To Be Provided Northfield will provide a relationship-based model of care. Northfield teaches the keys of wisdom that unlock freedom, walking beside and mentoring those in need. We will walk with, we will teach, we will mentor these young women. Upon completion of the Admission Assessment and meeting the criteria for admission, each young woman will have an Individualized Plan of Care developed by the Chief Administrative Officer and/or Program Director and other members of the team, with ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 26 of 123 input from the client and her family. The Plan of Care may include, as appropriate, the following multi-disciplinary assessments, therapeutic interventions, life skills training and experience and activities: Assessments include: Medical Assessment * Psychological Assessment * Psychiatric Assessment for Medication Evaluation * Nutritional Assessment* * Denotes that assessments may be performed on an outpatient basis Therapeutic Interventions are based on Biblical principles and may include, but are not limited to, the following: Ongoing medical evaluation and care (pre-natal care for pregnant clients)* Individualized counseling and support Group sessions Individual Counseling Room Family sessions Nutritional interventions Group Counseling Room ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 27 of 123 Expressive art and writing activities Care and nurture of animals Denotes that assessments may be performed on an outpatient basis Life Skills trainings may include: Household chores and laundry Money management Meal planning and preparation Stress management Time management Healthy habits Volunteerism Conflict resolution and relational skills Integrity-based living Life decision skills Prenatal classes and education for pregnant clients Personality style inventory Recreation and Activities may include: Physical activity Gardening Pet care Games Off campus trips ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 28 of 123 Spiritual Activities may include: Bible study Prayer partners Small groups Church/worship attendance Spiritual gifts inventory The Chapel Curriculum The Curriculum will be based on a Recovery and Discovery model and a Life Coaching process. Each young woman admitted will be assigned to the appropriate group based on information gathered during the admission history and assessment. Discovery Group: The main objective of this group is to assist young women in discovering their self-worth and in determining the needs they have in order to move toward a healthier lifestyle. They will learn about integrity based living and identify behaviors that sabotage personal growth. Recovery Group: The main objective of this group is to assist young women who have determined their need for assistance and their desire to heal and completely recover from the challenges they are currently experiencing. Life Coaching: Another important part of the curriculum involves Life Coaching. Life coaching sessions will be conducted individually with each young woman by a qualified resource (e.g., social worker, or someone with educational training in assessments and counseling). ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 29 of 123 The goal of Life Coaching is to individually work with each young woman, to bring about self-discovery and self-awareness, to uncover one’s God-given personality, gifts and abilities so that each young woman can contribute to God’s kingdom in ways that bring Him glory. The foundation of Life Coaching is based upon three key Scriptures: Psalm 139: 13-16 For you created my inmost being: you knit me together in my mother’s womb, I praise you because I am fearfully and wonderfully made: your works are wonderful, I know that full well. My frame was not hidden from you when I was made in the secret place. When I was woven together in the depths of the earth, your eyes saw my unformed body. All the days ordained for me were written in your book before one of them came to be. Psalm 8: 3-8 When I consider your heavens, the work of your fingers, the moon and the stars, which you have set in place, what is man that you are mindful of him, the son of man that you care for him? You made him a little lower than the heavenly beings and crowned him with glory and honor. You made him ruler over the works of your hands, you put everything under his feet: all flocks and herds, and the beasts of the field, the birds of the air and the fish of the sea, all that swim the paths of the seas. Jeremiah 29: 11-14 For I know the plans I have for you declares the Lord, plans to prosper you and not to harm you, plans to give you hope and a future. Then you will call upon me and come and pray to me and I will listen to you. You will seek me and find me when you seek me with all your heart. I will be found by you, declares the Lord and will bring you back from captivity. Life Coaching Assessments: Through a series of discussions and assessments, each young woman will be able to uncover their true essence: Personality: The young women will take the Keirsey Temperament Sorter II to learn their Myers-Briggs personality type and will engage in discussions regarding their strengths and challenges associated with the results. Other tools would include the Myers Briggs Type Indicator and other on-line tools that give similar information. Resource Books will include Please Understand Me by Keirsey and What Type Am I by Renee Baron. ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 30 of 123 Values: Northfield will assist each young woman in identifying and documenting their values (e.g., creating beauty, quiet time, family outings, nature, physical activity, etc.) and the character traits important in relationships. Spiritual Gifts: The young women will identify their spiritual gifts via various assessments either on-line or hard copy – note gifts and passages from scripture that relate to specific gifts Unique Abilities and Strengths: The young women will use tools such as Gardner’s Multiple Intelligences or Tom Rath’s Strengths Finder 2.0 to identify their unique abilities and strengths. Passions and Purpose: The young women will identify their passions and purpose through various activities and coaching conversations. Throughout the coaching process, each young woman will be encouraged to journal their self discoveries and begin to formulate goals for their future, such as finishing high school, training and college, developing career goals, etc. based on the self discoveries learned through this coaching process. The end result will be a written one year and five year plan. The counselor working with each individual young woman will affirm their plan and encourage them to continue to explore with God their purpose and to update their written plans as they better visualize their future goals. Some of the assessments and discussions will be appropriate in a group setting, but each young woman will receive individual attention throughout this process. This may be a weekly or every two week session with the young women reading and journaling between sessions. Resources that will be used during this process include: The Purpose Driven Life by Rick Warren (2002) (particularly the section on S.H.A.P.E. on pages 234-248). S.H.A.P.E. by Erik Rees (2006). S.H.A.P.E. small group study guide, DVD, etc. The following activities will further nurture personal development: Journaling Reading and quiet time Other personal development activities may include: Local church attendance on Sundays ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 31 of 123 Daily time of worship: music, devotional, Bible study Small group work Educational Services Each resident will have academic tutoring based on home-bound or online studies prepared by their individual school systems. Documentation Each resident will have a confidential medical record which will include the results of any medical or psychological assessments, treatments, the Plan of Care, medications administered, noted progress in meeting goals of the plan, significant medical and dental complaints, injuries and other significant occurrences related to the resident. Northfield’s staff will be trained to document effectively and confidentially in the resident’s record. Daily Schedule The anticipated daily schedule for the young women at Northfield is as follows: 7 - 8 AM 8 - 9 AM 9 - 10 AM 10 - 12 Noon 12 - 1 PM 1 - 5 PM 5 - 6 PM 6 - 7 PM 7 - 8 PM 8 - 9 PM 9 - 10 PM 10 - 11 PM 11 PM Morning routines and chores Breakfast Praise, Worship, Bible Study Academic Tutoring Lunch Recreation, Study, Counseling, other Interventions/Activities Free time Dinner Group Time Study Time Personal Care Quiet Time Lights Out Residents of Northfield will participate in household chores, planning and preparation of meals and will be responsible for doing their own laundry. ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 32 of 123 Program Research Northfield’s Program has been developed with the use of qualitative (focus groups) and quantitative (written surveys) research. The research accomplished three things: (1) provided new insight into the Program; (2) confirmed many of the ideas included in the original Northfield Program; and (3) provided a better understanding and focus when communicating to the young women and their parents. See Appendix 4, beginning on page 82, for details regarding this research. A Focus Group of Young Women Working at the Northfield Home ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 33 of 123 The Competitive & Partnership Environment Eating Disorders and young women in crisis are common and growing problems; there are varying degrees to the disorders and relatively few treatment programs exist. As a result, Northfield does not view other Eating Disorder facilities as competition in the truest sense. The Remuda Ranch and Sheppard Pratt programs are more clinical in nature than Northfield and provide hospital-type services to those young women who require 24/7 medical care. Mercy Ministries accepts young women who are medically stable and provides off-site medical care. Northfield has established relationships with Mercy Ministries and Remuda Ranch to provide for two-way referrals when Northfield or other facilities are at full capacity. Northfield has helped many young women by assisting them in finding the right residential treatment to meet their needs. Northfield has referred young women to each of the programs discussed below. Mercy Ministries Mercy Ministries (“Mercy”) is most similar to Northfield’s values and program. Mercy is a Christ-based program founded in 1983 by Nancy Alcorn. Ms. Alcorn founded Mercy after working for a Tennessee state correctional facility for juvenile delinquent young women and investigating child abuse cases. Working in this environment on a daily basis provided Ms. Alcorn with direct knowledge of secular programs that were not producing permanent results as exemplified by changed lives. Ms. Alcorn watched many of these young women pass the age of eighteen and end up in the women's prison system because they never received appropriate help. Through her experience, Ms. Alcorn realized that only Jesus could bring restoration to the young women who were desperately hurting and searching for something to fill the void in their hearts. Ms. Alcorn has written several books about Eating Disorders and the other issues addressed by Mercy. Mercy has several locations in the United States as well as several International affiliates (see chart below). Mercy receives financial support and media attention through support from Joyce Meyer Ministries (“JMM”) and other well-known ministries and Christian bands. JMM gives a portion of its donations, received through a partnership program, to support Mercy. Early in the Northfield planning process, Northfield representatives visited Mercy in Nashville, Tennessee due to Mercy’s strong Christian values and a history of transformed lives. Northfield was allowed to purchase, for a nominal fee, Mercy’s policies and procedures manual as well as their Bible-based curriculum. Northfield has ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 34 of 123 referred several young women to the Mercy program and has received very positive feedback from the young women who have participated in the Mercy program. Key aspects of the Mercy program are identified below: Brand & Tagline Tagline: “Lives transformed. Hope restored.” Mercy has a cool and edgy website that depicts real young women they have helped. They have produced a very “real” video that tells the realities of what these young women go through. Mission Descriptive words: real; trust (in God to provide); cool; risk takers; Biblically sound; up-to-date; focused on the young women. Mercy Ministries provides opportunities for young women to experience God’s unconditional love, forgiveness and life-transforming power. Vision: Mercy is committed to being an effective and well-respected global organization dedicated to transforming lives of generations searching for truth and wholeness. Core Principles: (1) Do not take any state or federal funding that may limit the freedom to teach Christian principles; (2) Accept young women free of charge; and (3) Always give at least ten percent of all Mercy Ministries' donations to other organizations and ministries. Services Mercy serves a diverse population of young women ages 13-28 having problems such as drug and alcohol addictions, depression, eating disorders, unplanned pregnancy, physical and sexual abuse, and self harm. Services include individualized programs, biblically-based counseling, nutrition education, fitness instruction, life-skills training, educational opportunities, adoption services and transitional care. Program Non-conventional approach to healing allows young women to Position permanently stop destructive cycles and prepares them to take hope out into their communities. Associations Charity Navigator – 4 Star Rating ECFA – Evangelical Council for Financial Accountability Locations Monroe, LA; Nashville, TN; St. Louis, MO; Sacramento, CA; affiliates in the United Kingdom, New Zealand, Canada and Peru. Plans to open more sites, both in United States and internationally. Cost and Free and average stay is 6 months Average Stay ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 35 of 123 Remuda Ranch Founded in 1990, Remuda Ranch (“Remuda”) has provided in-patient and residential programs for women, girls and boys suffering from Anorexia Nervosa, Bulimia Nervosa, other Eating Disorders and related issues. Treatment is based on a bio-psycho-socialspiritual framework. Although individual treatment differs depending on unique need, all Remuda programs share certain commonalities. Each utilizes the Remuda Model of Treatment and a multidisciplinary treatment approach, including primary care providers, psychiatrists, psychologists, masters or doctoral-level therapists, registered dietitians and nurses. Each resident receives an individualized treatment plan, designed to meet their specific needs and recovery goals. Remuda provides several programs: Remuda Ranch: Holistic in-patient treatment for women, adolescents and children struggling with anorexia, bulimia and related issues. RedStone: Intensive holistic treatment for boys, 17 and under, struggling with eating or anxiety disorders including Anorexia nervosa, Bulimia Nervosa, BingeEating Disorder, Obsessive Compulsive Disorder, Body Dysmorphic Disorder, Trichotillimania, Panic Disorder, Agoraphobia, Social Phobia and Separation Anxiety Disorders. Remuda Life: Residential treatment options to women and girls struggling with eating or anxiety disorders in Phoenix, AZ where residents live in homes or apartments and enroll in one of three tracks: Residential Care, Independent Living or Emotional Eating. Remuda Anxiety Disorders Program: Provides intensive holistic treatment for women and girls struggling with anxiety disorders including Obsessive Compulsive Disorder, Body Dysmorphic Disorder, Trichotillimania, Panic Disorder, Agoraphobia, Social Phobia and Separation Anxiety Disorders. Other Remuda services include: The Remuda Review: The Christian Journal of Eating Disorders: Published by Remuda Ranch and available for purchase on the Remuda website. The Remuda Professional Network: Assists healthcare and pastoral professionals with diagnosis and treatment of Eating Disorders. Educational events and conferences Education Consulting Services Books and Devotionals ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 36 of 123 Key aspects of the Remuda program are identified below: Brand & Tagline Mission Services What they tout Associations Locations Cost and Average Stay “Hope, Healing, Life” “Find Hope. Begin Healing. Embrace Life.” Descriptive Words: clinical; rigid; Christian but not thoroughly Christcentered Goal: true recovery for all patients. Each patient has a team of professionals, including a primary care provider, psychologist, therapist, psychiatrist, dietitian and nurses. Professional staff also helps with such issues as depression, anxiety, compulsive behaviors, substance abuse and trauma. Along with individual and group therapy, patients engage in experiential therapies such as art, body image, equine and challenge courses. 89% of patients served report improved relationships with family and friends. 85% of patients served feel that Remuda positively influenced their spiritual growth. 98% of anorexic patients achieve ideal body weight by discharge, compared to 78% at admission. 95% of patients served are in good recovery and are “living life”. Joint Commission’s Gold Seal of Approval (Healthcare accreditation program) Sponsor of National Eating Disorder Association (NEDA) True Campaign: Exists to end the crisis of distorted self image by challenging cultural ideals about identity and beauty, so we can be free to impact our world as God intended. Wickenburg, AZ; rural Virginia (1 hour north of Richmond) (closing Spring 2011) 45-60 day average stay for acute care; acute care rate = $2,889 per day; residential/transitional care rate = $1,289 The Center for Eating Disorder at Sheppard Pratt Since 1989, The Center for Eating Disorders at Sheppard Pratt has been part of the Sheppard Pratt Health System, the largest provider of behavioral health and special education services in Maryland. Sheppard Pratt treats adults, adolescents and children with complex eating disorders through in-patient, day hospital and intensive out-patient programming as well as ongoing out-patient therapy and support groups. Patients are able to enter the program at a level of care that matches their specific needs and then move through progressive levels towards recovery. Residents experiencing setbacks can move into levels of more care for additional support and ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 37 of 123 stabilization, then progress to stepped-down care when ready. Out-patient care and treatment may include individual, group and/or family therapy, nutritional counseling, and medication management. Other Sheppard Pratt programs include: Support Groups: Free, weekly support groups for individuals with eating disorders. This group is also open to support persons of those with Eating Disorders, including friends, parents, spouses, significant others and adult children. Community Education: Promoting Self Esteem & Healthy Body Image: A Program for the Jewish Community. Community Campaign: Annual “Love Your Tree” creative arts and body image campaign. Middle school, high school and college students from across the state of Maryland are invited to participate by creating a poster in response to the statement, "Like a tree, my body is...” This poster campaign is a celebration of students using art to challenge the narrow definition of beauty that exists within our society. Key aspects of the Sheppard Pratt program are identified below: Brand & Tagline Mission Services What they tout Associations Locations Cost and Average Stay No tagline. Descriptive Words: Clinical; hospital-type setting Sheppard Pratt, a not-for-profit behavioral health system, is dedicated to the improvement of quality of life in communities by serving the behavioral health and special education needs of individuals, families and organizations. Holistic approach using a team of psychiatrists, psychologists, nutritionists, occupational therapists, expressive arts therapists, nursing staff, licensed clinical social workers and professional counselors. n/a n/a Baltimore, Maryland Up to $1900 per day and average stay of 21 days ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 38 of 123 Carolina House Carolina House is a 24-hour, 12-bed residential eating disorders treatment facility for women ages 17 and older. Situated in a farmhouse and surrounded by 10 acres of forest in Durham, North Carolina, Carolina House provides evidence-based care to women with anorexia nervosa, bulimia nervosa, binge eating disorder, and related physical and mental health concerns. Brand & Tagline Mission Services Carolina House…North Carolina eating disorder treatment Transformation, Empowerment, Healing Goal: Patient will have the awareness and tools to significantly improve her daily functioning, maintain health through optimal nutrition, and thrive with a greatly enriched quality of life. Multi-disciplinary treatment approach combines medical, psychiatric, psychotherapeutic and dietary interventions alongside other helpful ancillary services. Highly skilled clinical team consists of certified eating disorder specialists, master’s and doctoral level psychotherapists, dietitians and a board-certified psychiatrist, each of whom work closely with 24-hour nursing staff, internal medicine physician, residential patient assistants and full-time chef to ensure that patients receive the most comprehensive and effective treatment available for their eating disorders. Dialectical Behavior Therapy (DBT) is the foundation of treatment at Carolina House. In a safe, nurturing environment, they address the development and strengthening of vital life skills: mindfulness, emotion regulation, distress tolerance, and interpersonal effectiveness. Using the DBT skill sets, patients examine their current beliefs, worldviews, and core values for increased awareness of the dynamics of their eating disordered behaviors. What they tout Believe eating disorders are serious mental illnesses that are mediated by biological and genetic factors, requiring a multidisciplinary treatment approach including medical care, psychiatry, psychotherapy, and dietary interventions. Committed to evidence-based eating disorder treatment Associations Commission on Accreditation of Rehabilitation Facilities (CARF) American Psychiatric Association (adheres to Levels of Care Guidelines for the Treatment of Patients with Eating Disorders.) Locations Raleigh-Durham, North Carolina Cost and Length of stay averages 2-3 months; acute care = $1,500 per day; Average Stay partial care/transitional day program = $1,000 (not including lodging) ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 39 of 123 There is a definite need for Northfield, a Christ-based ministry and program. While Mercy and Remuda are Christ-based, it does not appear that Sheppard Pratt has any spiritual base. Northfield is most like Mercy Ministries, though Northfield has other elements incorporated into its program which are not included in the Mercy Ministries program. Primary differences between Northfield and other Eating Disorder programs: In contrast to Mercy, who provides services free of charge to the young women in residence, Northfield will charge a reasonable daily rate. Northfield believes that young women (and their families) will take more ownership of their recovery if they have to contribute to their own costs. It is Northfield’s goal to have a scholarship fund to help the young women (and families) who need financial assistance. Unlike each of the “competitors” discussed above, Northfield will provide mentoring upon discharge, for periods of time to-be-determined on a case-bycase basis as the young women move through the recovery process at their individual paces. This will help the young women achieve, and maintain, recovery. While the “competitive” programs report high success rates, Northfield has met with several of these young women in declining mental and physical health after discharge from these programs and has assisted them in connecting with alternative resources. Northfield will continue with the appropriate care (residential, counseling, mentoring or other) until full recovery is achieved. In addition to medical and behavioral therapies, other programs offer select onsite therapies (art, equine, others). Because of the unique location and amenities of the Northfield Home and property, on-site equine, art, gardening, music and other therapies will ALL be offered in addition to off-site medical and behavioral therapies. Northfield plans to incorporate malnourished-rescue horses into its equine therapy program. As the young women make attempts to get the horses to eat so they can live, the parallel dynamics of their own need for food to live is an instructional real life experience, demonstrating what is occurring in their own lives. ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 40 of 123 Many programs are located in hospital-like settings, or significantly restrict outdoor access. Northfield research shows that young women want the opportunity to be outdoors. The Northfield Home property offers a serene outdoor setting to aid recovery. Northfield will offer life-skills training and spiritual gifts assessment, unlike traditional Eating Disorder programs. Northfield will teach young women how to put into practice what they are taught in the Northfield program, to help them reach full recovery. Northfield will have daily prayer and Bible study times as part of its curriculum. Northfield is able to take pregnant young women with a history of Eating Disorders for 1st and 2nd trimesters (no other Eating Disorder treatment facility in Virginia can do this). Remuda, Carolina House and other eating disorder facilities have told Northfield there is a huge need for another long-term transitional Eating Disorder facility in this geographic region. While each program discussed above has transitional programs, many of the young women (and their families) cannot afford the cost of extended care. Northfield will provide a much needed extended care transitional facility where young women have an increased amount of time to receive the support needed for a full recovery and complete healing. ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 41 of 123 The Northfield Home The Northfield Home is located on a beautiful Southern plantation established in the 19th century in rural Cumberland County, about 37 miles west of Richmond, Virginia, just off of Route 60 (189 Old Buckingham Road, Cumberland, Virginia 23040). The Northfield Home is a treatment center located in a 9,500 square foot plantationstyle house situated on 49 acres of beautiful countryside. The complex includes barns, a guest cottage and chapel, along with gardens, a pond and a gazebo, all of which make an idyllic setting for treatment and recovery. The Northfield Home has been almost totally renovated; this renovation has been completed almost 100% by volunteers: The body of Christ has come together, from all over the United States, to donate their talents, time and resources to Northfield Ministries. Over 2,300 volunteers (includes one-time and repeat volunteers) have donated their time and/or resources to renovate the Northfield Home. ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 42 of 123 These volunteers include individuals, companies, church groups, colleges and civic groups. Many of the Northfield volunteers say that their lives have been greatly transformed by God through working on the Northfield Home. The Barn The Chapel ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 43 of 123 Northfield Licensing & Zoning Northfield is pursuing licensure by the Commonwealth of Virginia Department of Behavior Health and Development Services (“DBHDS”) and must receive Cumberland County rezoning approval. Each of these requirements is further discussed below. Licensing Process By DBHDS Northfield must complete the following to be licensed by DBHDS to provide all other services – with the exception of children's residential services: Submit and receive preliminary approval of the Initial Provider Application (and required attachments). Submit, receive approval of, and demonstrate knowledge of required licensing policies, procedures and forms. Submit and receive approval of required Human Rights Policies and Procedures. Affiliate with a Local Human Rights Committee, (LHRC). Request the LHRC to approve their Human Rights Policies and Procedures. Set up an account and request criminal history and central registry background investigations for identified staff as required by Virginia Code §37.2-405 and submit Child Protective Services reference checks. Have an on-site review of the physical plant, to include interviews with applicants over the content of their service description and policies and procedures, as well as compliance with other regulations, and copies of forms and sample client and personnel records. Various Northfield program components including: Philosophy and objectives Population to be served Criteria for admission Services to be offered Communications to be provided to community ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 44 of 123 Intake and admission procedures Exclusionary criteria Supervision policies and procedures Additional information regarding the licensure process may be found on the DBHDS website: http://www.dbhds.virginia.gov/OL-Application.htm, including application, requirements, regulations, and more. Cumberland Rezoning Northfield also received Cumberland County rezoning approval. Northfield has been through the rezoning approval process; this zoning approval has been received from Cumberland County (see Appendix 5 on page 86 for the rezoning approval letter). Changes were made to the Cumberland County zoning code to make appropriate allowances for a group home such as the Northfield Home. These zoning changes were completed following multiple planning commission meetings and public hearings. These zoning changes qualify the Northfield Home as a transitional home, permitting Northfield to simultaneously serve up to 20 young women. The Northfield Home currently will house 12 young women. ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 45 of 123 Leadership & Staff Personnel The current staff personnel of Northfield are primarily focused on various activities associated with preparing Northfield to open its doors. These staff personnel currently receive no compensation for their Northfield efforts. Current staff personnel who also serve as a member of the Board of Directors include: Gwen Seiler, Executive Director Catherine Boyle, President of Board of Directors & Chief Operating Officer Dennis Stone, Facilities Director More information is provided about these staff members and Directors on pages 51 through 56 of this document and in Appendix 7, beginning on page 91. Other staff personnel include: Erin White, Communication & Public Relations Consultant Christine Shepard, Home Renovation Project Director More information about staff personnel is provided below and in Appendix 8, beginning on page 100. Erin White – Public Relations & Communications Erin is using her Public Relations skills to help spread the Northfield “Story”. Erin graduated with a B.A. in Communications from Randolph-Macon Woman’s College in 1994. Following graduation, she worked both behind and in front of the television camera reporting, anchoring and producing news programs. Erin later joined Family Resources of Rutherford County (“FRRC”), a non-profit organization which serves women and children in crisis, where she acted as a public relations liaison between FRRC’s agencies and the community through video packages, television commercials and press releases. Erin left FRRC to be at home full time with her family as it grew. She and husband Jaime have two children, Jay and Kate. ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 46 of 123 Erin has continued to work with children through church and community organizations. Her hope is that each young woman who calls Northfield “home” will also call Jesus into her heart and, by doing so, be able to finally lay her burdens down at his feet and be whole again. Christine Shepard - Home Renovation Project Director Christine grew up in rural Pennsylvania, the daughter of a nurse and a farmer/Brethren minister. She graduated in 1991 from West Chester University with a BS in Athletic Training, which relocated her to Richmond in 1993. She was the Athletic Trainer at James River H.S. for six years before returning to school to obtain her Physical Therapist Assistant license. Six years, and three children, later, she retired from the medical profession and started her custom drapery business, Iron Gate Interiors. For 14 years, each time Christine and her husband drove past the Northfield Home, it tugged at her heart. She used to think it was her farm girl roots that attracted her. She now knows that the Lord was preparing her heart for His plan in her life. It is because of her involvement with the drapery/upholstery and design industry that Christine had the audience needed to renovate Northfield into a warm, nurturing home where young women will find refuge. Christine lives in Midlothian with her husband, Bruce, and their three children, Emma Kate, Maggie and Landon. As Northfield approaches the licensing process and begins its ministry, other staff personnel will be required and will be added as full time employees of Northfield. Specific staff required to open Northfield include: Chief Administrative Officer Care Provider House Staff Appendix 9, beginning on page 103, contains the job descriptions for these full time employees. Northfield has developed certain policies and procedures for the hiring, training and assessment of Northfield staff. Key aspects of this hiring, training and assessment process is described below: Each employee will have a detailed job description to include qualifications. Each employee will complete a background check prior to employment. ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 47 of 123 Each employee will complete an orientation and training related to the program at Northfield. Each employee will demonstrate competency in the care of the client population and the philosophy of Northfield Ministries. Each employee will have a 6 month probationary period. At the end of the 6 months, the Program Director will document an interim evaluation and note whether the probationary period has been successfully completed. Additionally, Northfield will require that each staff member successfully completes training and demonstrates competence in the following areas: Vision, Mission, and Philosophy of Northfield Ministries Eating Disorders and other related Issues Self Injury Substance Abuse Depression, Obsessive-Compulsive Disorder, and other mental health issues Issues of Addiction Discovery Group Recovery Group Pregnancy in Adolescents Spiritual truths House Rules Reward System – Point System How to deal with non-compliance or breaking of the Home rules; not following the Individualized Service Plan, etc. Crisis Intervention, to include physical restraint Cardio Pulmonary Resuscitation; Automated External Defibrillator; First Aid Emergency procedures to include evacuation of the Home ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 48 of 123 Adolescent growth and development Overview of medical interventions and treatment options to include medications Any staff member administering medications must either be a licensed nurse or have completed medication certification as recognized by the VA State Health Professions Board Small Group Process Documentation in the client’s personal record ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 49 of 123 Board of Directors Northfield’s Board of Directors is a “working board of directors” and consists of a committed group of diverse volunteers who provide Northfield with a wide variety of experience, skills and capabilities. Members of Northfield’s Board of Directors include: Gwen Seiler, Executive Director Catherine Boyle, President of Board of Directors & Chief Operating Officer Dennis Stone, Facilities Director Trish Harper, Secretary Patricia Mills Tom Mishoe Sig Seiler Sherry Shrader These Directors do not receive any compensation from Northfield for their services. Each Director’s biography and interest in Northfield is briefly described below. Appendix 7, beginning on page 91, contains resumes for each Director. Gwen Seiler Gwen’s vision birthed Northfield Ministries and she serves as Northfield’s Executive Director. As a Registered Nurse, trained at Virginia Commonwealth University’s Medical College of Virginia, Gwen has been interested in eating disorders since nursing school, where a friend was anorexic and bulimic. Gwen has worked with youth and college students for years in her church and has a passion for leading young women’s Bible studies. She often encounters eating disorders in young women and sees a tremendous need for a local facility where young women in crisis can go for help. Northfield Ministries is the result of more than thirteen years of listening to God’s call and seeking the courage and wisdom to pursue that calling. It is Gwen’s desire to help these troubled young women see themselves through God’s eyes and to recognize their ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 50 of 123 beauty and worth as God’s creation. Gwen wants young women to have the opportunity to live abundant lives, free of disorder and guilt. Gwen is married to Sig Seiler and has three teenage daughters. Catherine Boyle Catherine serves as the President of Northfield’s Board of Directors and is involved in all aspects of Northfield’s operations. Catherine graduated from James Madison University with a degree in Accounting and later added a Master of Business Administration degree from Virginia Commonwealth University. Catherine enjoyed a successful career in a large southeastern bank where she served as Vice President in Corporate Trust, Strategic Marketing and key areas of the bank’s Y2K project. After the birth of her second child, Catherine gave up her banking career for the role of full-time “Mommy”. Catherine became involved with Northfield while writing Hungry Souls: What the Bible Says About Eating Disorder. As a teen and young adult, Catherine struggled with both anorexia and bulimia. Catherine knows first-hand that the only way to completely break free of eating disorders and the accompanying mindset is by knowing and walking with God. In addition to her work with Northfield, Catherine has a national speaking ministry and serves in many other volunteer roles. Catherine is “Mommy” to Jack and Natalie and is married to Barney Boyle. Dennis Stone Dennis directs the renovation construction and maintenance activities for the Northfield Home. Dennis’ experience is wide ranging: leadership; communications; operations; and, real estate construction, maintenance and sales. Dennis has been a licensed real estate agent with Long & Foster (formerly Bowers, Nelms & Fonville since 1992 Dennis has been, and remains, actively involved in church activities. Dennis has served as the Administrator for Bethany Baptist Church. ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 51 of 123 Dennis is a humanitarian. In addition to serving on the Northfield Board of Directors, Dennis has: lead a crew repairing homes damaged during hurricane Katrina; built wheelchair ramps for a non-profit group; and, provided home repairs for widows. Dennis’ interests include Church, Family, Sailing, Woodworking, Antique Cars (past president of Model A Ford Club of Richmond) and Construction. Trish Harper Trish serves as the Board Secretary for Northfield. Trish received her BS in Nursing from the University of Virginia and began her career working with newborns and their mothers at the Medical College of Virginia. She quickly broadened her practice to include labor and delivery where her passion for young women in crisis grew. Trish returned to school to pursue a law degree which she received from the College of William and Mary. Throughout law school, Trish continued to work as a labor and delivery nurse at MCV and returned there when she took a break from the practice of law to begin a family. Trish and her husband Glenn have three children, Libbie, Molly Anne and Vaughn. Trish is currently in-house legal counsel to an engineering and construction firm (and nurses whenever she can!), and has found in Northfield an opportunity to use both her legal and nursing skills to assist a group of young women desperate to understand the love of God. It is her desire that Northfield will be able to help these young women to recognize their infinite worth to God and to see themselves as He sees them—beautiful and worthy of the abundant life He has to offer. Patricia Mills Patricia Mills is a graduate of Virginia Commonwealth University with a degree in Interdisciplinary studies with a combined focus in Substance Abuse and Health Education. Currently, she is the Coordinator of Richmond City Health District’s, Resource Mothers Program working with first-time pregnant and parenting teens. Prior to working with the Health District, she worked in various management positions for a multi-faceted local substance abuse treatment agency. Patricia volunteers with various community organizations advocating wellness and prevention, sings soprano in a gospel group, is a member of Swansboro Baptist Church, writes and directs gospel musicals, is a member of a local book club, enjoys tutoring reading and is a published author. Patricia and George, her husband of 37 years have one son. ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 52 of 123 Thomas M. Mishoe, Jr., CPA, CMA, MBA Tom is the founder and president of FinOpStrat Advisors, LLC, a business advisory firm committed to helping privately owned companies create company and shareholder value through sophisticated financial, operational and strategic advisory services. Services provided by FinOpStrat Advisors include: strategy development and implementation; merger, acquisition and divestiture representation; financing assistance; business revitalization; and, transitional senior management services (chief financial officer, chief operating officer and chief executive officer assistance). Tom has served both public and private companies in the roles of director, managing director, president, chief executive officer, chief operating officer, chief financial officer and chief restructuring officer. He has provided consulting services, both independently and for Ernst & Young, a big four public accounting firm, to diverse national and international clients. Tom is a graduate of Hampden-Sydney College (political science and philosophy) and earned a Masters in Business Administration from Virginia Tech. Tom is a Certified Public Accountant and Certified Management Accountant. Tom is the son of a retired Baptist minister and has been involved in church and church outreach activities throughout his life, including serving as a deacon and serving on the stewardship committee of two separate churches. Tom is married to Dana, his college sweetheart; they have two daughters, Katy (a recently married communications graduate of Christopher Newport University) and MacKinsey (a college student studying to be a teacher). Tom and Dana are members of Bon Air Baptist Church. As he became involved with Northfield, the need for this Ministry became so apparent to Tom. As a father, he has seen the friends of his two daughters deal with eating disorders and unplanned pregnancies and has seen the significant personal and family impact caused by these challenges. Tom hopes to use his business and leadership skills to make some small contribution towards assisting these young women and their families deal with the challenges of eating disorders and unplanned pregnancies. Sigmund Seiler, MD Sig will oversee the general medical needs of the young women at Northfield. Sig graduated from Medical College of Virginia, Virginia Commonwealth University’s medical school in 1986 and subsequently from Medical College of Virginia’s family practice residency program in 1989. Sig has since been in private practice in Midlothian. ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 53 of 123 Sig has a great desire to help others and participates monthly in Crossover Free Clinic and has been to Honduras on numerous medical mission trips. Sig is active in his church as a deacon and is a teacher for youth Sunday School. Sig has prayed, along with wife Gwen, for many years about God’s plan for them regarding an affiliation with the Northfield property. It has been, and continues to be, amazing to see God’s plans unfold for the Northfield Ministry. Sherry Shrader Sherry earned her Bachelor of Science Degree in Nursing from the Medical College of Virginia School of Nursing. She is currently employed by the Virginia Department of Health at the Richmond City Health District where she serves as Senior Manager over Clinical Services. Sherry has held nursing management positions at Virginia Commonwealth University Health System and has experience in Women’s and Children’s Health, Ambulatory Care, Medicine, Cardiology, Research, and Psychiatry. In addition, Sherry has served on the Family Assessment and Planning Team for the City of Richmond where she determined placement and treatment regimens for children in foster care. Sherry and her husband Jeff are members of Bon Air Baptist Church. They have two grown children and are grandparents. They supported their daughter during her struggle and recovery from an Eating Disorder. When employed as a School Nurse Specialist for the Virginia Department of Health, Sherry researched Eating Disorders and Co-Existing Disorders, was a frequent speaker on the topic for school personnel across the state, and worked with the Department of Education to produce an educational video on Eating Disorders. Board Organization The Board of Directors has begun a process to organize the Board for better Board performance. This process was developed to (1) identify the specific needs of Northfield and the Northfield Board, (2) identify the experience, skills and passions of each Director and (3) match the needs of the Northfield Board with the ability of each Director to contribute to Northfield. This process consists of each Director self-identifying their skills, capabilities and passions. Additionally, the perceived skills, capabilities and passions of each Direction are also being identified by fellow Directors. This information is being compared, and along with individual and group conversations, the Board of Directors intends to ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 54 of 123 organize itself in a fashion to best utilize each Director’s ability to contribute to Northfield’s mission. As part of this process, unfilled Board and Ministry needs are being identified and documented. Additionally, a formal plan is being developed to identify potential Director candidates, contact these candidates, ascertain their interest in serving on the Board and assess the abilities and compatibilities of these potential Directors with the existing Board. A key goal of this process is to create and maintain an effective Board. Another key goal is to create and maintain a diversified Board from several perspectives, including but not necessarily limited to: experience, abilities, capabilities, backgrounds, race, gender and age. ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 55 of 123 Volunteers Northfield has developed a truly committed group of volunteers who have provided significant time, financial, networking and other assistance: Individual Volunteers Northfield has amassed a large group of interested, motivated and talented individual volunteers who provide assistance on an ongoing and recurring basis. Over 2,300 volunteers (includes one-time and repeat volunteers) have donated over 20,000 labor hours. An Upholstery Day These volunteers have primarily (but not only) been involved in the renovation of the Northfield Home. As the renovation of the Northfield home is nearing completion, Northfield is beginning to seek volunteers to assist in various other Northfield activities such as administration, website management, marketing, etc. Professional Volunteers Northfield also has a significant group of professional volunteers. Examples include Erin White, PR Specialist, and Christine Shepard, Director of Northfield’s Inspiration House Project. Organizational Volunteers There are many diverse organizations providing periodic and recurring assistance to Northfield. These organizations include 25+ churches of various Christian denominations, five area high schools, four Virginia colleges and four area civic groups. See Appendix 10, beginning on page 110, for a listing of organizations providing assistance to Northfield. ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 56 of 123 Accomplishments Since the inception of this organization, Northfield has accomplished much. And while there is much more that Northfield needs to do in order to “open for business” and to begin to achieve its achieve its mission and vision, it is important and instructive to recognize what Northfield has accomplished in its short life: Ministry While the Northfield Home is not yet completed and it not yet “open for business”, there still is much occurring in the area of Ministry. And we should never forget that, in spite of all of the “stuff” that needs to be done to achieve the goal of “opening the doors”, the main objective of Northfield is to provide the Ministry to the young women who seek help. Current activities of Northfield in regard to the Ministry of Northfield to the young women, parents and the community include: Minister to young women and families in the greater Richmond community. Provide resources to young women and families. Refer young women to other professionals, such as counselors and dieticians. Assist young women and families in the process of applying to other treatment facilities. Facilitate weekly Bible study for young women. The Northfield Home The Northfield Home is, to many, the visible focus of the Northfield Ministry. Much has been accomplished in regard to the Home. These accomplishments include: Purchased and renovated a Cumberland County plantation home (9,500 square feet) on 49+ acres. Renovations to the Northfield Home are mostly complete (see pictures of the Northfield Home renovations in Appendix 6, beginning on page 88). The renovations to the Northfield Home have converted an historic plantation home into a bright, comfortable and modern home that the young women being served by ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 57 of 123 Northfield, as well as visitors to Northfield, will find most welcoming, nurturing and pleasant. The renovations to the Northfield Home have been extremely thorough and include, but are not limited to, painting of walls and ceilings, new floors (carpeting, hardwood floor refinishing and new tile), totally redone bathrooms and kitchen, updated electrical, updated heating and air conditioning, total update of the guest cottage, restoration of the chapel and painting of the property fencing. One must simply see the renovated Northfield Home to understand the amount of effort and the welcoming nature of the facility. The Northfield Organization Northfield has developed appropriate organizational structure to more fully develop, and achieve, its objectives. Key aspects of this organizational structure includes, but is not limited to: Board of Directors. Northfield has established a “working” Board of Directors. These Directors are a diverse group of accomplished individuals with significant personal and organizational achievements. The background and experience of the Directors include medical, business, financial, legal, accounting and communications. Most importantly, these Directors have a love for these young women who need help and have a true desire to see Northfield succeed in its objectives. See pages 51 through 56 of this document and Appendix 7, beginning on page 91, for more information about the members of the Board of Directors. Volunteer Organization. Northfield has developed a truly committed group of volunteers who have provided significant time, financial, networking and other assistance: Individual Volunteers. Northfield has amassed a large group of interested, motivated and talented individual volunteers who provide assistance on an ongoing and recurring basis. These volunteers have primarily (but not only) been involved in the renovation of the Northfield Home. As the renovation of the Northfield home is nearing completion, Northfield is beginning to seek volunteers to assist in various other Northfield activities such as administration, website management, marketing, etc. Professional Volunteers. Northfield also has a significant group of professional volunteers. Examples include Erin White, PR Specialist, and Christine Shepard, Director of Northfield’s Inspiration House Project. ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 58 of 123 Organization Volunteers. There are many diverse organizations providing periodic and recurring assistance to Northfield. These organizations include 25+ churches of various Christian denominations, five area high schools, four Virginia colleges and four area civic groups. See Appendix 10, beginning on page 110, for a listing of Northfield’s organization volunteers. Fund Raising From inception through December 2010, Northfield has received approximately $1.35+ million in total donations from approximately 700 donors, both large and small. These donations include the following: $700,000+ in cash donations. $350,000+ in volunteer donated labor for Home and grounds renovation and maintenance. Over 2,300 volunteers have donated over 20,000 labor hours. $330,000 in donated custom furnishing for the Home. Other donated activities for which no value has been attached include: professional interior designer created space plan; professionally developed business plan; and, independent audit of Northfield’s financial books and reports. Development of the Northfield 400 donor program. This program is based on a three year commitment of $100 per month, $1,200 per year or $3,600 for the three year commitment period. This program has 69 members and is expected to grow. The Board of Directors also is beginning to focus on identifying and conversing with large potential donors to create knowledge of and interest in the Northfield mission, with the goal of receiving donations large enough to create a “tipping point” that will lead to the quick opening of the Northfield Home. Regulatory The two key regulatory challenges for Northfield are receiving licensure approval from the Virginia Department of Behavioral and Developmental Services and receiving zoning approval from Cumberland County. Preparation for this licensure process is well under way and is discussed in detail on pages 44 through 46 of this document. Northfield has received zoning approval from Cumberland County (see Appendix 5, beginning on page 86). ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 59 of 123 Communications While there is no real need to market Northfield’s services (unfortunately, there are many more young women than places at Northfield), there is an ongoing need for Northfield to make the community more aware and to communicate with the Northfield stakeholders. Northfield has accomplished much in this regard and currently is communicating through the following means: Speakers Bureau. Northfield representatives are speaking often in the community, primarily to churches and civic groups and to other groups providing Northfield with opportunities to educate young women and parents of young women. Website. Northfield has completed the roll out of its new website. Please visit the Northfield website at http://www.northfieldfoundation.org/ Facebook. Northfield has developed a presence on Facebook and has 260 (and growing) registered Facebook “fans”. Northfield provides a weekly Facebook update to “fans” and others. Twitter – Northfield has recently established a presence on Twitter and has a growing fanbase. Emailing and Mailing Lists. Northfield has developed a “permission granted” mailing list of 5000+ individuals. This mailing list includes both email contacts and “snail mail” contacts. Northfield provides monthly email updates and quarterly newsletter mailings. Financial & Strategic Northfield has made great strides in strategy development and financial management: Audited Financial Statements. Northfield has obtained an independent audit of its financial statements from inception through 2008, all with an “unqualified opinion”, the best independent audit opinion available. The independent audit opinions are included in Appendix 11, beginning on page 118. Strategic Business Plan. Since you are reading this document, you know that Northfield has developed a Strategic Business Plan to help plan and document its strategic direction. This document will be used a guide to moving into the future. Northfield plans to review and update the Strategic Business Plan on an ongoing basis. Strategic Planning. Northfield has held informational focus groups to hear the thoughts of young women, parent and the professionals who serve these young ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 60 of 123 women and their parents. The information obtained from these focus groups has assisted Northfield in honing its communications, brand and statement of mission and values. GuideStar. Northfield is a member of GuideStar, a pre-eminent provider of nonprofit information to 3rd parties. ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 61 of 123 Long Term Vision Northfield’s long term vision is wide ranging and, ultimately, dependent upon God’s guidance. The Essence Of Northfield First and foremost, the long term vision is focused on the question of: What is the essence of Northfield? This key question is answered, in part, as follows: Northfield is God’s work: No one owns Northfield. Gwen and Sig Seiler “own” the Northfield Home and the Northfield property but certainly desire to change this ownership. 1 Corinthians 9:1 “Am I not free? Am I not an apostle? Have I not seen Jesus our Lord? Are you the not the result of my work in the Lord?” The Body of Christ continues to be heavily involved in the Northfield project. The ongoing working together in unity of many people and groups all under the leadership of Christ reveals the heart of this Ministry and the heart of God. Northfield Will Develop Mentors: Northfield will be established such that the Northfield program participants can help others in the way they have been helped. 2 Corinthians 1:3-7 “Praise be to the God and Father of our Lord Jesus Christ, the Father of compassion and the God of all comfort, who comforts us in all our troubles, so that we can comfort those in any trouble with the comfort we ourselves have received from God. For just as the suffering of Christ flow over into our lives, so also through Christ our comfort overflows. If we are distressed, it is for your comfort and salvation; if we are comforted, it is for your comfort, which produces in you patient endurance of the same sufferings we suffer.” Northfield Ministry Themes: The Northfield Ministry themes reveal the true heart of Northfield: gates, building, creating and rescuing. Northfield Symbolism: The symbolism that the first Northfield home was a slave plantation is highly significant to the Northfield program. What once was a house of slavery is now a home of freedom. The Ministry themes flow from the physical properties of the Cumberland site. ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 62 of 123 Haggai 2:9 “The glory of this present house will be greater than the glory of the former house”, says the LORD Almighty. “And in this place I will grant peace” declares the LORD Almighty.” Northfield Program Steps Are Deliberate: The Northfield Program steps are deliberate and the symbolism at each step will be identifiable and celebrated. (e.g., jewelry will be given to each participant upon graduation from the program). Each aspect of the Northfield curriculum is designed to aid in recovery and freedom of the young women in the Northfield program. Help To Others: Because no one owns “Northfield”, Northfield will give away, or sell at a very reasonable cost, the materials developed by Northfield so that others can also be healed. Northfield Growth Another key question is: How does Northfield grow (growth in terms of funding, clients served, developing a full complement of programs, etc.)? This question is answered in part as follows: Put the Northfield Financial House in Order: Of first order is to put the Northfield “house” in financial order. Become debt free. Pay off the mortgage on the Northfield Home. Obtain appropriate grants, donor contributions, etc. to provide adequate cash to support ongoing operations and to provide cash support to those clients who are unable to pay for treatment. The Body of Christ: The Body of Christ (rather than one individual) continues to do the work of Northfield. Northfield continues to be a picture of what the church should really look like (without denominational divisions). Internet: Develop robust website to be a one-stop shop of information for young women, parents and professionals. Radio: Begin with weekly internet radio program and/or short information piece that can be picked up by existing stations. Radio program or information pieces deal with heart issues from a godly perspective as related to Northfield’s mission (Eating Disorder, pregnancy, self-harm, etc.). Television: Establish inexpensive internet television program. Once radio audience is established, television program should be easier to obtain. Speaker’s Bureau: Seek “celebrities” to participate in the Northfield Ministry to help promote and grow the Northfield Ministry. Celebrities may be able to help establish ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 63 of 123 radio and television programming. Train young women associated with Northfield, gifted in speaking, to be a part art of the Northfield Speakers Bureau. Magazine and Other Publications: Create a regular Northfield branded magazine focusing on issues related to Northfield’s mission and the work of Northfield. Other publications could include Northfield developed Bible studies, journals, recovery plan, etc. Ministry: Themes that are unique to Northfield will draw and keep participants plugged into the program and will be tools to use for post-residential care (e.g., gates, building, creating, rescue of horses from slaughter, etc.). Curriculum: Northfield’s curriculum includes spiritual gifts, personality and love languages testing and development to enable girls to become who God has created them to be. The curriculum includes training in “lost skills” such as sewing, canning, gardening, cooking, etc. The curriculum also includes instruction in “life skills” such as budgeting, strategic grocery shopping, meal planning, etc. Also, the curriculum includes therapies unique to residential treatment facilities (e.g., training discussed above, equine therapy, etc.). Movies: Eating disorder/self-harm movie made by Sherwood Church (made movie entitled Fireproof) or similar film-making ministries. A documentary film-maker, has indicated interest in working with Northfield. Mentoring Training: Northfield will develop and implement Mentoring Training, in order that young women who “graduate” from Northfield can teach others the skills they have learned. Mentoring Training will include, but is not limited to, the development of therapy groups and parent support. Business Model: It is hoped that Northfield’s business model will one day change from one of treatment to one of prevention. The “big dream” is that the Northfield program will be so successful that no longer will young women need to go to a residential treatment facility. Create Funding Streams Northfield will pursue opportunities to create funding streams through the development of various products and services. It should be noted that while receiving services at Northfield, residents will not be employed by any Northfield business, nor will the staff of the Northfield Home in Cumberland County have duties related to any of these business ideas. Potential product and service ideas include, but are not limited to: Renovate existing barn and build new double-decker barn to be used as dormitory and/or conference center for church and other events ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 64 of 123 Bottle “Northfield water” from spring on the Northfield property. Build additional on-property housing to be rented to young women who graduate from the Northfield program and who need a supportive place to live or rented to employees of Northfield. Sell jewelry designed and/or created for Northfield and/or by the young women at Northfield. Run a “Northfield coffee shop”, operating as both a place for locals and travelers to obtain a “Starbucks” type coffee “fix” and a local Christian youth “hangout” with guitarists during evenings. Turn Northfield into a “working farm”, with horses, goats, other animals, vegetable gardens etc. to create a more self-sustaining property. Sell produce to regional restaurants. Develop business related to horses and equine therapy. Obtain horses set for slaughter to be all or part of Northfield’s herd. Young women with eating Disorders often perceive themselves as worthless. By accepting horses no one wants, Northfield declares that the animals have value beyond the products made from their bodies. In the fate of the horses, there is a significant spiritual correlation to the women we serve. Healing and restoration will take place not only for the horses, but also for the women nursing the horses back to health. As the young women make attempts to get the horses to eat so they can live, the parallel dynamics of their own need for food to live is an instructional life experience, demonstrating what is occurring in their own lives. Open store to sell select resources used in Northfield program, including Bible studies, journals and products discussed above. The store could be either or a combination of a “brick and mortar” store on the Northfield property and/or in Midlothian as well as an online store. Sell nutritional supplements formulated for the Northfield program that help with the brain chemistry issues common to those involved with Northfield residents. Of course, all of these (and additional) product or service ideas will be appropriately analyzed to ensure: Full compliance with all aspects of the rules and regulations of the Virginia Department of Behavioral Health and Developmental Services. Full and continuing safety and confidentiality of the young women in residence at the Northfield Home. ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 65 of 123 Appropriate business viability, the possibility of a positive financial contribution to Northfield and that it is the “right time” for implementation by Northfield. Additionally, and more importantly, these product and service ideas will be implemented only if they provide a more positive environment for the young women who will be served by Northfield. When Northfield “Grows Up” What will Northfield look like “when it grows up”? What will Northfield look like in 20 years, in 2030? Northfield expects the following: Northfield will be the pre-eminent world-wide resource for the behaviors/issues addressed by the Northfield program. Northfield will be the pre-eminent online database and repository of counselors, homes and other resources throughout the United States and around the world. Northfield will have high brand recognition. When people think of help for eating disorders, self-harm and unplanned pregnancy, they will think of Northfield. Northfield Ministries will be located in every state within the United States and will also have Ministries located outside of the United States. These additional Northfield Homes may be operated as franchises or may be owned and run directly by the original Northfield organization. Northfield Ministries will include separate homes specifically for young women with unplanned pregnancies. Northfield will provide treatment for women over age 21. Certain functions, such client billing, will be centralized to enhance internal control and organizational efficiency. Northfield will provide in-house psychiatrist, counseling and OB/GYN services. Northfield will own additional property in Cumberland County (20 - 30 acres adjacent to the Northfield Home and/or across the street). This property will be used to build additional homes (for family visits or short-term residences for women who have left the residential program), conference facilities and expand planned business operations. Northfield’s business model will one day change to that of prevention. The Northfield program will be so successful that no longer will young women need to go to a residential treatment facility. Northfield will be debt free and will generate appropriate revenue to cover all operations and provide for residents who do not have the financial means to obtain treatment from Northfield. ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 66 of 123 Northfield will be an internet based one-stop shop of information for young women, parents and professionals serving these young women. Northfield will have a radio presence, consisting of national, international and internet programming. Northfield will have a television presence, consisting of national, international and internet programming. This will include original movies and programming. Northfield will have a Speaker’s Bureau, consisting of motivational speaking, teaching and ministry. Northfield will provide a periodic magazine and other publications. The Northfield Ministries themes, curriculum and programs are well established, working well for those in the Northfield programs and remain “fresh” and responsive to cultural changes. Northfield’s equine therapy will include horses set for slaughter. Northfield will have well established parent support and therapy groups. Northfield products and services are well established and well known throughout the areas in which Northfield operates. Northfield franchises and regional Homes will develop products and services unique to their region (i.e., “Northfield Maine” may sell fresh blueberry syrup and lobster ravioli, “Northfield Louisiana” may sell original recipe crab cakes, etc.). The Body of Christ continues to be heavily involved in the ongoing development of Northfield. Northfield’s volunteers have come from diverse denominations, races and stations in life. Northfield will continue to be a picture of what the church should really look like (without denominational divisions, which often split along racial lines). Because Northfield has been developed by the body of Christ, rather than one particular church or denomination, Northfield is uniquely positioned to demonstrate and teach the reversal of destiny God desires. Through the many individuals who will continue to build Northfield Ministries, Northfield, a former plantation worked by slaves, will be used for racial and social reconciliation to the young women we serve, the Church and in general. ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 67 of 123 Northfield Needs While Northfield has been blessed with outstanding volunteers and donations of time and money, Northfield does have significant needs to move forward and meet its Ministry objectives. In regard to donated time, Northfield will be seeking additional volunteers to help with office, administrative, technology, marketing, social media and other related activities. However, the biggest challenge which Northfield faces in regard to “opening the doors” and beginning to implement the Northfield mission and vision is to obtain adequate capital. Capital is needed to provide for ongoing operations, to implement the Northfield vision and to provide for young women who do not have the financial resources to become a resident at the Northfield Home. These needs are summarized in the table below: SUMMARY STATEMENT OF NORTHFIELD FINANCIAL NEEDS MINIMUM ($) REQUIRED TO OPEN $35,000 OPTIMAL ($) TO ACHIEVE VISION $2,000,000 $250,000 $600,000 Cost Of Contractor Prior to Opening Home $10,000 $20,000 Cost of CAO Prior to Opening Home $21,000 $25,000 Cost Of Other Staff Prior to Opening Home $44,000 $75,000 Operating Cost Prior to Opening Home $11,000 $20,000 $0 $4,000,000+ $371,000 $6,740,000+ NORTHFIELD NEEDS Punch List and Maintenance Operating Cushion/Line of Credit Endowment To Fund Needy Young Women TOTAL THANK YOU FOR YOUR PAST, CURRENT AND FUTURE CONSIDERATION & ASSISTANCE! ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 68 of 123 PROJECTS REQUIRED TO COMPLETE NORTHFIELD FACILITIES NORTHFIELD FACILITIES PROJECTS “Punch List” Renovations MINIMUM ($) REQUIRED TO OPEN OPTIMAL ($) TO ACHIEVE VISION $3,000 $30,000 $65,000 $100,000 Maintenance $7,000 $20,000 Furniture $2,000 $15,000 Miscellaneous equipment $1,000 $5,000 Staff salaries and training before opening/client revenue Pay off bank loan on Home $1,000,000 Pay off “Whitlock” loan on Home $200,000 Barn renovation $75,000 Build new “barn conference center” TOTAL $600,000 $78,000 $2,045,000 ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 69 of 123 Financial Information The Profit and Loss Statements for Northfield for the years 2006 – 2009 are presented immediately below: Contributions Earned Revenues Total Revenue 2006 2007 2008 2009 88,345 19,895 108,240 111,112 800 111,922 228,238 0 228,238 141,684 10,952 152,636 Grants to Other Organizations Salaries, Personnel & Professional Non-Personnel Expense Occupancy & Interest Expense Other 5,987 13,087 8,249 16,993 4,157 10,177 909 23,412 48,715 9,123 76,912 106,206 6,429 137,877 111,684 8,462 134,480 121,664 638 154,831 Net Income 31,328 -25,955 93,758 -2,195 8,207 The Balance Sheets for Northfield for the years 2006 – 2009 are presented immediately below: 2006 2007 2008 2009 Assets: Checking/Savings/Deposits Fixed Assets NR-Tamworth Properties Total Assets 35,330 0 200,000 235,330 9,384 0 200,000 209,384 69,288 18,855 200,000 288,143 21,816 73,105 0 94,921 Liabilities & Equity: Loan From Director NP-Whitlock Foundation Equity Total Liabilities & Equity 4,000 200,000 31,330 235,330 4,000 200,000 5,384 209,384 4,000 185,000 99,143 288,143 4,000 0 90,921 94,921 ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 70 of 123 Note: the Northfield Board of Directors has committed to donate 10% of received donations to other Christian-based ministries. Detailed financial statements for these time periods are available upon request. Note that the financial statements for 2006 - 2008 have been audited by an independent Certified Public Accountant. These reports received an “unqualified opinion”, the highest opinion available. A copy of the unqualified opinion letter is included in Appendix 9. Also, note that the Northfield budget for the first twelve months of operations is available upon request. Requests for any of these financial statements may be directed to either of: Gwen Seiler, Executive Director 804-399-4634 [email protected] Catherine Boyle, Chief Operating Officer 804-243-2002 [email protected] ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 71 of 123 APPENDICES ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 72 of 123 Appendix 1 Certificate of Incorporation ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 73 of 123 ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 74 of 123 ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 75 of 123 Appendix 2 IRS Letter Confirming Tax Exempt Status ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 76 of 123 aa ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 77 of 123 Appendix 3 Program Research ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 78 of 123 Research In January 2009, Northfield conducted research to aid in building a program for the young women to be served. While the research conducted was not scientific by professional research standards, Northfield was able to glean profitable information as well as confirm previous ideas incorporated into the Program. Both qualitative and quantitative means were used to gather the information. Qualitative Methodology The Qualitative Methodology included conducting two sets of informal focus groups with 8 - 10 participants in each group. The groups consisted of: Young women who have or are currently struggling with an emotional crisis, including eating disorders (anorexia, bulimia, etc.), cutting and unplanned pregnancies. Mothers and fathers of young women who have or are currently struggling with an emotional crisis, including eating disorders (anorexia, bulimia, etc.), cutting, and unplanned pregnancies. Those in a skilled profession who counsel, treat or case manage young women in an emotional crisis, including eating disorders (anorexia, bulimia, etc.), cutting, and unplanned pregnancies. Experienced volunteer facilitators were used to facilitate the group discussions. Volunteers included Cathy Boyle, Sherry Shrader, Anna Hebb, Kathryn Freeman-Jones and Jeff Shrader. To recruit the focus group members, Northfield mailed a recruitment letter to families and professionals that had relationships with the Northfield Board of Directors as well as to professionals recommended by friends. Parents were invited to bring other family members who had experienced Eating Disorders and professionals were allowed to bring fellow colleagues. A discussion guide of topics and questions was developed to maintain consistency between the two groups. The focus of the young women’s group was to understand their experience at other Eating Disorder facilities as well hearing what type of facility and program they would like to see created at Northfield. The focus of the parents and family group was to obtain their perspective regarding the treatment their daughters received. The focus also included discussion of the needs of the parents while their daughters were in treatment and recovery. The focus with the group of professionals was to obtain their perspective on current trends, experiences with other Eating Disorder facilities and their thoughts on the criteria for a successful program. ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 79 of 123 Quantitative Methodology The quantitative methodology included gathering information through a written survey completed by the young women and parent/family groups after their participation in the focus group discussion. Personal open ended questions were asked that challenged the young women and family members to express their true feelings and struggles with an Eating Disorder without the hindrance of sharing to a large group. The number one emotion they felt while going through their crisis was ranked. Research Summary Young Women Group Focus Groups: • We want an easy transition from residential care and we desire help beyond residential care. • Our families need help. • Meet me where I am. • Safety, both mentally and physically. • The outdoors is a magical place that transports us from our worries. • We need accountability. Treatment centers need to understand the necessity of accountability. Parents/Family Group Focus Groups: • We want education. It is difficult to find resources. We are overwhelmed, so searching for the right information is a challenge. • We need support groups. • We need affordable treatment. Survey: “My biggest hurdle was to do the right thing even though I felt worthless or afraid.” Survey “Will she ever be well enough to live a happy, healthy, productive life?” Number one emotion: I am lonely. Biggest hurdles: “Getting at the truth.” Professional Group Focus Groups: • Include the family in all aspects of care assessment, decision making. • Counseling need for parents and young women separately as well as a family. • Relational care between all levels of staff and young women. • Individualized treatment plans. • Need for physical fitness or activity for young women recreation and fun time. • Need for a spiritual component to all aspects of care. Number one emotion: I am scared (leads to withdrawal, which is their daughter’s biggest fear: to be alone). ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 80 of 123 Appendix 4 Cumberland County Rezoning Letter ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 81 of 123 ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 82 of 123 Appendix 5 Renovated Rooms of Northfield Home ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 83 of 123 Setting Bathroom Tile The Guest Cottage The House Parent Suite One of the Finished Bathrooms Home Guest Room Sitting Area in Young Women’s Dorm ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 84 of 123 Young Women’s Bedroom The Ball Hall Restoring the Fishing Cottage Restoring the Fishing Cottage Painting the Fence ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 85 of 123 Appendix 6 Resumes Members of Board of Directors ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 86 of 123 GWEN SEILER SKILLS, BACKGROUND & EXPERIENCE As a Registered Nurse, Gwen has been interested in eating disorders since nursing school, where a friend was anorexic and bulimic. Gwen has worked with youth and college students for years in her church and has a passion for leading young women’s Bible studies. PROFESSIONAL EXPERIENCE NORTHFIELD MINISTRIES 2005 - Present Founder & Executive Director Gwen’s vision birthed Northfield Ministries. Northfield Ministries is the result of more than thirteen years of listening to God’s call and seeking the courage and wisdom to pursue that calling. Gwen often encounters eating disorders in young women and sees a tremendous need for a local facility where young women in crisis can go for help. It is Gwen’s desire to help these troubled young women see themselves through God’s eyes and to recognize their beauty and worth as God’s creation. Gwen wants young women to have the opportunity to live abundant lives, free of disorder and guilt. HUGUENOT PRIMARY CARE Nurse & Office Management 2002 - 2005 SURGICAL ASSOCIATES OFFICE Surgical Nurse 2000 - 2001 JOHNSTON-WILLIS HOSPITAL Staff Development Coordinator Patient & Community Education Coordinator Staff Nurse 1986 - 1994 1992 - 1994 1987 - 1992 1986 - 1987 MEDICAL COLLEGE OF VIRGINIA Staff Registered Nurse Nursing Extern/Assistant 1984 - 1986 1984 - 1986 1984 - 1985 EDUCATION Medical College of Virginia, Virginia Commonwealth University, BS, 1985 James Madison University, 1980-1982 FAMILY Gwen is married to Sig Seiler and has three young adult daughters. ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 87 of 123 CATHERINE BOYLE SKILLS, BACKGROUND & EXPERIENCE Service experience includes Church Treasurer, Women’s Ministry leader, Preschool Board Chair, Bible study teacher of authored material, Spiritual Mentor and High School Sunday School teacher. Business experience includes Publishing, Ministry, Banking, Non-Profit, Government and External Auditing. PROFESSIONAL EXPERIENCE NORTHFIELD MINISTRIES President of Board of Directors Chief Operating Officer Secretary of the Board 2007 - Present Serves on the Board of Directors, to open a state licensed residential home for young women with eating disorders and other emotional issues. CATHERINE BOYLE MINISTRIES New Look Press, Publisher 2005 - Present God opened the doors for Catherine to lead a significant women’s ministry at her church, and shortly thereafter, to become a speaker for a national ministry. Today, Catherine spends much of her time writing, speaking and teaching the truth and application of God’s Word. Catherine’s first book, Hungry Souls: What the Bible Says About Eating Disorder, was released in 2007. Catherine has also written and taught Hungry Souls as a Bible study and contributed to several other books. CRESTAR BANK Vice President, Y2K Vice President, Strategic Marketing Vice President, Corporate Trust Internal Audit Officer 1986 - 2000 1997 - 2000 1995 - 1997 1989 - 1995 1986 - 1989 EDUCATION James Madison University, BBA in Accounting, 1985 Virginia Commonwealth University, Masters in Business Administration, 1990 ACTIVITIES, INTERESTS & FAMILY In addition to her extensive volunteer activities, Catherine is an avid athlete and loves sewing, knitting and needlework. Catherine lives in Chesterfield County with her husband, Barney Boyle, and children, Jack and Natalie. ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 88 of 123 DENNIS STONE SKILLS, BACKGROUND & EXPERIENCE Leadership. Communications. Operations. Real Estate Construction, Maintenance & Sales. Humanitarian. PROFESSIONAL EXPERIENCE NORTHFIELD MINISTRIES Facilities Director 2007 - Present Serves on Board of Directors; directs maintenance activities for the Northfield Home. LONG & FOSTER (formerly BOWERS, NELMS & FONVILLE) Licensed Residential Realtor 1992 - Present BETHANY PLACE BAPTIST CHURCH Administrator 1994 - 1996 HY-TECH PARKING MAINTENANCE 1994 - 1996 DOVE HOMES, INC. 1991 - 1991 JARVIS COMMUNICATIONS GROUP 1975 - 1991 S.W. THORPE ELECTRICAL CONTRACTOR 1973 - 1975 NCR COMPANY 1970 - 1973 UNITED STATE ARMY Communications Specialist 1967 - 1970 EDUCATION Old Dominion College ACTIVITIES, INTERESTS & FAMILY In addition to serving on the Northfield Board of Directors, Dennis: lead a crew repairing homes damaged during hurricane Katrina; built wheelchair ramps for a non-profit group; and, provided home repairs for widows. Dennis’ interests include Church, Family, Sailing, Woodworking, Antique Cars (past president of Model A Ford Club of Richmond) and Construction. ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 89 of 123 TRISH HARPER SKILLS, BACKGROUND & EXPERIENCE Trish is in-house counsel at an engineering and construction firm where she focuses her practice on contract drafting and negotiation, licensure issues, corporate governance and employment law. Trish also is a registered nurse who has worked in labor and delivery for over twenty years, dealing with many teenage girls in crisis. Trish has served many years as a grade school Sunday School teacher, Director of the Church Preschool Department (where she was instrumental in establishing a Church Preschool Ministry) and is active in Women’s Ministries. PROFESSIONAL EXPERIENCE NORTHFIELD MINISTRIES 2005 - Present Trish has been instrumental in the development of the Northfield Program. ENGINEERING & CONSTRUCTION FIRM 2006 - Present Trish serves as in-house legal counsel to an engineering and construction firm. MEDICAL COLLEGE OF VIRGINIA 1985 - 2009 Trish began her career working with newborns and their mothers, quickly including labor and delivery where her passion grew for young women in crisis. GENTRY LOCKE RAKES & MOORE 1990 - 1992 Litigation associate with practice focused on insurance defense. EDUCATION University of Virginia, BS in Nursing, 1985 William and Mary Law School, JD, 1990 ACTIVITIES & INTERESTS Reading, public affairs, teaching children’s Sunday School, hiking and fishing with son and spending time with family. FAMILY Trish lives in Midlothian with her husband, Glenn, and their three children, Libbie, Molly Anne and Vaughn. ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 90 of 123 PATRICIA MILLS SKILLS, BACKGROUND & EXPERIENCE Patricia Mills currently works with first-time pregnant and parenting teens and has worked in various management positions for a multi-faceted local substance abuse treatment agency. PROFESSIONAL EXPERIENCE RICHMOND CITY HEALTH DISTRICT Car Seat Safety Program District Coordinator Coordinates safety seat distribution efforts within the district. 2010 - Present Resource Mothers Program 2001 - Present Manages the grant-funded program which works with first-time pregnant teens. HUMAN RESOURCES, INC. Human Resource Director Managed the multi-faceted substance abuse treatment agency. Outpatient Program Facility Director Implemented and monitored service provision in all departments. 1999 - 2001 1996 - 1999 Residential Program Facility Director 1991 - 1996 Managed residential program facility, scheduled staff and counseled clients. EDUCATION Virginia Commonwealth University, Interdisciplinary Studies: combined focus in Health Education and Substance Abuse ACTIVITIES & INTERESTS Patricia volunteers with VCU-MCV and various community organizations advocating wellness and prevention, serves as Girl Scout Troop leader and Scout Unit Treasurer, sings soprano in a gospel group, is a member of Swansboro Baptist Church, writes and directs gospel musicals, is a member of a local book club, enjoys tutoring for reading, participates in Coordinated Mentoring Program and is a published author. FAMILY Patricia and George, her husband of 37 years, have one son. ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 91 of 123 THOMAS M. MISHOE, JR. SKILLS, BACKGROUND & EXPERIENCE Senior level executive experienced in strategic, financial and operational activities. PROFESSIONAL EXPERIENCE FINOPSTRAT ADVISORS, LLC 2000 - Present Founder & President Tom assists companies in creating value through financial, operational and strategic advisory services: strategy development and implementation; mergers, acquisitions and divestitures; financings; business revitalization; and, transitional senior management. FIDIA ADVISORS, LLC Principal & Managing Director 2004 - 2007 OPEN PLAN SYSTEMS, INC. President & Chief Executive Officer; Director 2001 - 2002 ESKIMO PIE CORPORATION Chief Financial Officer; Treasurer; Corporate Secretary; Director 1996 – 2000 GOLDOME CREDIT CORPORATION Chief Financial & Administrative Officer 1993 - 1995 ERNST & YOUNG, LLP 1982 – 1993 FIRST & MERCHANTS NATIONAL BANK 1976 - 1982 EDUCATION & CERTIFICATION Virginia Polytechnic Institute & State University, MBA, 1976 Hampden-Sydney College, BA, Political Science, Philosophy, 1974 Certified Public Accountant Certified Management Accountant ACTIVITIES & INTERESTS Golf, snow skiing, fishing, home improvement, college football, cooking and reading. FAMILY Tom lives with wife Dana; they have two “grown” daughters, Katy (recently married) and MacKinsey (a college student) and a Chinese Pug, Charlotte. ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 92 of 123 SIGMUND P. SEILER PROFESSIONAL EXPERIENCE HUGUENOT PRIMARY CARE, INC. Family Physician/Partner 2003 - Present MIDLOTHIAN FAMILY PRACTICE, LTD. Family Physician/Partner MEDICAL COLLEGE OF VIRGINIA Preceptor/Instructor for First year Medical Students 1989 - 2002 1990 - Present STUART CIRCLE HOSPITAL ER Physician 1988 - 1989 LOUISE OBICI MEMORIAL HOSPITAL House Physician 1987 - 1989 RICHMOND METROPOLITAN HOSPITAL ER Physician 1987 - 1989 STAFF AFFILIATIONS Johnston-Willis Hospital Medical College of Virginia 1989 – 2006 1994 - Present EDUCATION & CERTIFICATION Medical College of Virginia, Virginia Commonwealth University, MD, 1986 Eastern Mennonite College, BS Biology and Chemistry, 1982 Medical College of Virginia’s Family Practice Residency Program ACTIVITIES & INTERESTS Sig enjoys mission work and has been to Honduras on numerous medical mission trips. Sig is active in church as a teacher for youth Sunday School and also serves as a teacher for 3rd and 4th year medical students. Sig enjoys engaging in improvement and maintenance activities on the Northfield Home. FAMILY Sig lives in Midlothian with wife Gwen; they have three young adult daughters. ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 93 of 123 SHERRY FERGUSON SHRADER SKILLS, BACKGROUND & EXPERIENCE Experienced Nursing Administrator in clinical operations: Public Health; School Nursing; Ambulatory Care; Research; Cardiology; Psychiatry; Producer of Eating Disorder Video; and Public Speaking on Eating Disorders, Self Harm and Depression. PROFESSIONAL EXPERIENCE VIRGINIA DEPARTMENT OF HEALTH Nurse Manager, Richmond City Health District School Health Nurse Specialist 2005 - Present 2007 - Present 2005 - 2007 YOUTH EMPOWERMENT SERVICES, INC. Director of Special Services 2004 - 2005 CITY OF RICHMOND HEALTH DEPARTMENT Nurse Case Manager for the Family Assessment and Planning Team 2003 - 2004 VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM Nurse Manager for Ambulatory Care Research Nurse Coordinator, Department of Cardiology 1988 - 2002 1994 - 2002 1988 - 1994 TUCKER PAVILION Staff Nurse, Psychiatric Flexi-Pool 1992 - 1994 MEDICAL COLLEGE OF VIRGINIA HOSPITALS Nurse Manager of Cardiology Unit and other clinical positions 1978 - 1988 EDUCATION & LICENSURE West Virginia Institute of Technology, Associate of Science in Nursing, 1974 Medical College of Virginia School of Nursing: Bachelor of Science in Nursing, 1987 Cum Laude, Sigma Theta Tau License: Commonwealth of Virginia Department of Health Professions Board of Nursing ACTIVITIES & INTERESTS Sherry enjoys outdoor activities, reading good books and traveling with her husband. FAMILY Sherry lives with husband Jeff; they have two grown children and are grandparents. ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 94 of 123 Appendix 7 Resumes Staff Personnel ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 95 of 123 ERIN K. WHITE SKILLS, BACKGROUND & EXPERIENCE Writer, editor, media and community relations, press release creation, grant-writing and development for non-profits, creation of non-profit newsletters and marketing materials, training and program development for early childhood learning, classroom teacher. PROFESSIONAL EXPERIENCE NORTHFIELD MINISTRIES Communication and Public relations Consultant 2008 - Present VALENTINE RICHMOND HISTORY CENTER History Center Teacher 2008 - Present BUILDING BLOCKS PRESCHOOL Preschool Teacher 2003 - 2007 FIRST BAPTIST WEEKDAY SCHOOL Preschool Teacher 2001 - 2002 FAMILY RESOURCES OF RUTHERFORD COUNTY, INC. Child Care Provider Support Staff Marketing and Public Relations Representative 1997 - 1998 ISOTHERMAL COMMUNITY COLLEGE Course Instructor: NC Child Care Credentials I and II 1998 - 1998 NORTHLAND CABLE NEWS 1995 - 1997 Channel 5 News Anchor, Reporter, Camera Person, Copywriter and Editor EDUCATION & CERTIFICATION Randolph-Macon Woman’s College, BA, Communications, Sociology/Anthropology ACTIVITIES & INTERESTS Erin enjoys writing, painting, teaching, cooking, being outdoors and family time. FAMILY Erin lives in Midlothian with husband Jaime; they have two children, Jay and Kate. ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 96 of 123 CHRSTINE K. SHEPARD SKILLS, BACKGROUND & EXPERIENCE Owner of Iron Gate Interiors, a full-service custom fabrication studio, specializing in draperies and soft furnishings. Member of national organizations specific to the interior design and window coverings industry. Previous career as a Certified Athletic Trainer and Physical Therapist Assistant dealing with adolescent athletes and their overall health and wellness. PROFESSIONAL EXPERIENCE IRON GATE INTERIORS Owner 2007 - Present REHAB PLUS PHYSICAL THERAPHY Certified Athletic Trainer and Licensed Physical Assistant 2000 - 2006 CHESTERFIELD PHYSICAL THERAPHY Certified Athletic Trainer contracted to James River High School 1993 - 1999 JAMES RIVER HIGH SCHOOL Head Athletic Trainer 1993 - 1999 EDUCATION & CERTIFICATION West Chester University, BS in Athletic Training John Tyler Community College, AAS in Physical Therapy Assistant program AFFILIATIONS Window Coverings Association of America (current local chapter officer) Custom Home Furnishings Academy Forum, Drapery and Design Professional ACTIVITIES & INTERESTS Family, sewing, interior design and renovation, reading and volunteering. FAMILY Christine lives in Midlothian with husband Bruce; they have three children, Emma Kate, Maggie and Landon. ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 97 of 123 Appendix 8 Job Descriptions ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 98 of 123 Northfield Foundation Job Description Job Title Chief Administrative Officer Job Reports to (title) President, Board of Trustees Job Directly Supervised (list the titles and number of people) Number of Jobs Indirectly Supervised Prepared by Approved by Status Full time or Part time AND Date Regular or Temporary Exempt or Non-exempt Basic Purpose To direct the Northfield Foundation’s programs of intervention for girls with eating disorders and unplanned pregnancies in a residential environment where they can receive superior medical and mental health services and where they can experience God’s love and grace. % of Time Job Tasks and Responsibilities These are the primary responsibilities of the job; however, other duties may be assigned from time to time. Direct the Northfield program to ensure compliance with Standards for Licensed Children’s Residential Facilities; evaluate the program periodically and implement changes as necessary to maintain the Standards. Manage Northfield staff including creating job descriptions, interviewing and hiring, setting clear expectations for performance, providing regular feedback, and conducting annual performance reviews. Ensure adequate staffing on a daily basis and administer payroll. Address performance issues promptly. Inform the Board as necessary, and obtain approval from the Board in advance of all hiring and termination decisions. Develop the program of care including acceptance criteria, Individual Service Plans, methods of monitoring progress, appropriate medical and/or mental health services, recordkeeping for each individual, appropriate policies and procedures for the facility and its residents, case management services (as required in 22VAC40-151-700), and exit processes. Monitor the budget and financial needs of Northfield. Communicate with the Board to ensure adequate ongoing funding for the facility. Maintain an adequate volunteer workforce to assist in all aspects of programming and facility operations. Attach a current organization chart. ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 99 of 123 Northfield Foundation Job Description Qualification Requirements: To perform this job successfully, an individual must be able to perform each of the essential duties satisfactorily Education and Experience What type and level of training and/or experience are required to do this position? "Qualified Mental Health Professional (QMHP)" means a clinician in the health professions who is trained and experienced in providing psychiatric or mental health services to individuals who have a psychiatric diagnosis; including a: (i) physician: a doctor of medicine or osteopathy; (ii) psychiatrist: a doctor of medicine or osteopathy, specializing in psychiatry and licensed in Virginia; (iii) psychologist: an individual with a master's degree in psychology from a college or university with at least one year of clinical experience; (iv) social worker: an individual with at least a bachelor's degree in human services or related field from an accredited college in: social work, psychology, psychiatric rehabilitation, sociology, counseling, vocational rehabilitation, human services counseling or other degree deemed equivalent to those described AND with at least one year of clinical experience providing direct services (developing, conducting, and approving assessments and individual service plans or treatment plans) to persons with a diagnosis of mental illness; (v) Registered Psychiatric Rehabilitation Provider (RPRP) registered with the International Association of Psychosocial Rehabilitation Services (IAPSRS); (vi) registered nurse licensed in the Commonwealth of Virginia with at least one year of clinical experience; or (vii) any other licensed mental health professional. Skills and Knowledge List skills and knowledge required to perform effectively. • • • • • • • • Proven excellent leadership and administrative skills. Excellent oral and written communication skills Excellent interpersonal relationship skills including managing difficult situations in a calm, caring way. Established network within the Richmond, VA area of medical and mental health providers Proven self-starter with strong initiative. Proven financial manager Staff management experience required having previously managed both medical and non-medical staff. Active membership in an evangelical church is required. Applicants will be asked to provide: -provide official transcripts from college or university -provide confirmed employment history with dates of employment and ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 100 of 123 past supervisor contact information -submit to criminal background check -submit to credit check -provide two references who can attest to professional credentials and experience ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 101 of 123 Northfield Foundation Job Description Job Title: Care-Provider Job Reports to Chief Administrative Officer Job Directly Supervised: Supervises girls in residential care Number of Jobs Indirectly Supervised Prepared by Approved by Status Full time or Part time AND Date Regular or Temporary Exempt or Non-exempt Basic Purpose: To positively supervise and assist girls in meeting goals on their Individual Service Plans, in a manner conducive to demonstrating God’s love and grace. % of Time Job Tasks and Responsibilities These are the primary responsibilities of the job; however, other duties may be assigned from time to time. Oversee physical care schedule Model integrity-based living with acceptable habits and attitudes Manages resident behavior Helps girls to meet the goals and objectives of their individualized ISP’s Reports any issues to the CAO/Program Director Attach a current organization chart. ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 102 of 123 Northfield Foundation Job Description Qualification Requirements: To perform this job successfully, an individual must be able to perform each of the essential duties satisfactorily Education and Experience What type and level of training and/or experience are required to do this position? Direct Care Staff in Residential Services Knowledge, Skills and Abilities Knowledge of some characteristics and concepts of mental health disorders, and related physical conditions and treatment approaches for women. Knowledge of simple nursing care, first-aid, behavior management, personal and environmental hygiene. Ability to implement and follow the policies and procedures of the department, facility or service entity. Ability to engage in the care, training and rehabilitation of physically or mentally ill. Ability to perform established training, care and programmatic activities. Ability to participate with professional staff in the design and implementation of training and programmatic activities. Ability to observe the rights and personal dignity of others. Ability to observe, record and report clients' behavior, attitude and physical condition. Ability to perform simple math and communicate effectively, both orally and written. Ability to maintain effective working relationships with clients and other employees. Minimum Qualifications Training: Education equivalent to graduation from high school and at least 21 year old. Experience: One year of full-time or equivalent part-time paid or volunteer experience. Skills and Knowledge List skills and knowledge required to perform effectively. • • • • • • • • Proven excellent leadership and administrative skills. Excellent oral and written communication skills Excellent interpersonal relationship skills including managing difficult situations in a calm, caring way. Established network within the Richmond, VA area of medical and mental health providers Proven self-starter with strong initiative. Proven financial manager Experience leading small group studies and/or prayer groups Active membership in an evangelical church is required. Applicants will be asked to provide: -provide official transcripts from college or university -provide confirmed employment history with dates of employment and past supervisor contact information -submit to criminal background check -submit to credit check -provide two references who can attest to professional credentials and experience ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 103 of 123 Job Title: House Staff Job Reports to Chief Administrative Officer Job Directly Supervised: Supervises daily house-hold duties, including meal preparation, overseeing chores throughout house. Number of Jobs Indirectly Supervised Prepared by Approved by Status Full time or Part time AND Date Regular or Temporary Exempt or Non-exempt Basic Purpose: To manage & oversee functions to maintain household efficiency and safe, clean environment % of Time Job Tasks and Responsibilities These are the primary responsibilities of the job; however, other duties may be assigned from time to time. • Plans menus and prepares food for Northfield residents • Supervises meal times • Maintain household supplies • Report to CAO need for repairs in/around house, including a repair log • Maintains groceries/works with nutritionist to plan wholesome meals for girls and staff • Stays/sleeps at home during 3-4 days of “on-duty” time • Wakes up periodically to perform checks to see if night staff is awake • Serves as ancillary “awake” night staff in case of emergency • Feeds and arranges veterinary care for any animals residing at Northfield ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 104 of 123 • Schedule and oversee chores performed by residents of Northfield • Prepares welcome bundles for each new resident • Transports girls to/from activities and appointments • Dispenses medicine to girls (upon completion of appropriate training) • Reports to the CAO/Program Director significant behaviors demonstrated by girls against themselves or others Education and Experience • Suitable candidates will have a minimum of 3 years’ relevant experience in youth camp leadership, counseling, pregnancy resource center administration, or similar experience. • Preferably background in hotel/restaurant management (class-time and or experience), though not a requirement What type and level of training and/or experience are required to do this position? Skills and Knowledge List skills and knowledge required to perform effectively. • Food Preparation – 1 year experience • Pass Background Check as well as 2 solid references • • • • • • • Proven excellent leadership and organizational skills. Excellent oral communication skills Excellent interpersonal relationship skills including managing difficult situations in a calm, caring way. Proven self-starter with strong initiative. Proven manager of household affairs Experience working with young women, mentoring, serving as positive role-model Active membership in an evangelical church is required. Applicants will be asked to provide: -provide official transcripts from college or university, as applicable -provide confirmed employment history with dates of employment and past supervisor contact information -submit to criminal background check -submit to credit check -provide two references who can attest to professional credentials and experience ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 105 of 123 Appendix 9 Listing of Volunteer Organizations ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 106 of 123 Churches & Church Groups Bethia United Methodist Church Bon Air Baptist Church Central Baptist Church Celebration Center Christ Episcopal Church Clover Hill Baptist Church Cornerstone Christian Church Emmaus Christian Church Family Worship Center First Presbyterian Church Women Grace Covenant Presbyterian Church Ironbridge Baptist Church Movers & Shakers of PUMC New Hope Lutheran Church Powhatan United Methodist Church Prime-Timers of BABC Restoration Outreach Salt & Light Sunday School Class of BABC St. Bridget’s Catholic Church St. Giles Presbyterian Church Shiloh West End Presbyterian Church ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 107 of 123 Civic Groups Appomattox River Women’s Club Chesmond Women’s Club James River Kiwanis Manchester Richmond #1078 Women of the Moose Midlothian Women’s Club Cumberland Historical Society ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 108 of 123 Schools & Universities Banner Christian School St. Gertrude’s High School St. Catherine’s High School Trinity Episcopal High School Liberty University Longwood University The College Of William & Mary University of Richmond University of Mary Washington University of Virginia Nursing Students Virginia Commonwealth University ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 109 of 123 Business Contributors (Matching Gifts, In-Kind, or $ Contributions) Edward Jones Financial Group FinOpStrat Advisors, LLC Focus on the Family General Tax Services MeadWestvaco Foundation Mills Heating & Air Phillip Morris USA Southworth Auto & Power Equipment The Community Foundation Trane Ukrops Golden Gifts Wharton Group LLC ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 110 of 123 Northfield’s Interior Design Team: Angela Elliott Angela Elliott Interiors, Richmond, VA Courtney Ludeman Courtney Ludeman Interiors, Richmond, VA Debbie Brooks and Amy Satterfield Posh, Midlothian, VA Kathy Maddox Draperies Plus, Charlottesville, VA Judy Miller Judy Miller Interiors, Charlottesville, VA Megan Lowden Lowden Design Consulting, Richmond, VA ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 111 of 123 Northfield’s Design and Window Coverings Industry Sponsors: Behr Paint, Santa Ana, CA donated 46 gallons of paint Calico Corners, Charlottesville, VA donated fabric Custom Home Furnishings Academy, Charlotte, NC provided forum support and promotion donated classes at CHFA for raffle Duralee Fabrics, Ltd., Bay Shore, NY donated fabric Foam to Size, Ashland, VA donated foam and upholstery supply Friends of CHF Forum and Friends of WCAA 85 members have attended Weekend Events 25 additional members have, or will, fabricate window treatments Glen Raven, Inc, Glen Raven, NC donated Sunbrella headboards and ottomans Greenhouse Designs, High Point, NC -donated fabric and sold foam at cost Hamblin Fine Furniture Frames, Inc, Salt Lake City, UT donated 13 ottoman frames Hammie’s Designs, Richmond, VA donated embroidery and monogramming Hanes Fabrics, a division of Hanes Company, Inc., Conover, NC donated 977 yards of FR lining and interlining, plus shipping Helser Brothers Drapery Hardware, Chandler, AZ donated drapery hardware for the house The Home Depot, Glen Allen, VA donated 46 gallons of paint Kravet Fabrics, New York, NY sold $8,000 worth of fabric at wholesale less 50% ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 112 of 123 Lowe’s, Midlothian, VA provided materials to renovate 8 bathrooms and create 9th bathroom for less than $5,000 Midlothian Tile and Granite, Midlothian, VA donated granite and fabrication for all bathroom vanities and kitchen PK Lifestyles, New York, NY donated fabric Rowley Company, Gastonia, NC donated approximately $2,000 worth of upholstery supplies for events Textol, Carlstadt, NJ donated upholstery supplies The Charles Stewart Company, Hickory, NC sold furniture frames and webbing at significant discount The Mosaic Tile Company, Richmond, VA donated tile and setting materials for all 9 bathrooms The Robert Allen Group, Foxboro, MA sold $10,000 worth of fabrics at 40% discount off wholesale sold furniture at 15% discount off wholesale Thibaut, Newark, NJ sold ballroom fabric at wholesale less 20% United Supply Co., Charlotte, NC donated faux wood blinds for entire 2nd floor of house donated over $2,500 in Select drapery hardware donated 6 traverse rods Schneider Banks Inc. Fine Fabric Finishing, Athens, TX donated FR treatment for all fabrics Virginia Tile & Stone, Troy, VA donated radiant heat mats for bathroom floors Williams & Sherrill/The Interior Outlet, Richmond, VA donated $1,000 worth of fabric Window Coverings Association of America paid for Beth Hodges, president of WCAA, to speak at the April 2008 Weekend Event Woven Materials, Cary, NC donated all trims necessary for the home ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 113 of 123 Appendix 10 Independent Audit Opinions ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 114 of 123 NORTHFIELD FOUNDATION FOR EATING DISORDERS, INC. FINANCIAL STATEMENTS December 31, 2006, 2007 and 2008 (With Independent Auditor’s Report Thereon) ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 115 of 123 September 24, 2009 TABLE OF CONTENTS PAGE Independent Auditor’s Report…………………………………………………………… 1 Financial Statements Statement of Assets, Liabilities, and Net Assets- Cash Basis………………………. 2 Statement of Revenues, Expenses, and Changes in Net Assets – Cash Basis….. 3-4 Notes to Financial Statements………………………………………………………...... 5-6 ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 116 of 123 VERNON O. RAGLAND, JR. CERTIFIED PUBLIC ACCOUNTANT INDEPENDENT AUDITOR’S REPORT To the Board of Directors Northfield Foundation for Eating Disorders, Inc. Midlothian, Virginia I have audited the accompanying statements of assets, liabilities, and net assets – cash basis of the Northfield Foundation for Eating Disorders, Inc. as of December 31, 2006, 2007 and 2008, and the related statements of revenue, expenses, and changes in net assets – cash basis for the years then ended. These financial statements are the responsibility of the Foundation’s management. My responsibility is to express an opinion on these financial statements based on my audit. I conducted my audit in accordance with auditing standards generally accepted in the United States of America. Those standards require that I plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes consideration of internal control over financial reporting as a basis for designing audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the Foundation’s internal control over financial reporting. Accordingly, I express no such opinion. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principals used and significant estimates made by management, as well as evaluating the overall financial statement presentation. I believe that my audit provides a reasonable basis for my opinion. As described in note 2, these financial statements were prepared on a cash basis of accounting, which is a comprehensive basis of accounting other than accounting principles generally accepted in the United States of America. In my opinion, the financial statements referred to above present fairly, in all material respects, the assts, liabilities, and net assets of the Foundation as of December 31, 2006, 2007 and 2008, and the changes in its net assets for the years then ended on the basis of accounting described in Note 2. ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 117 of 123 Midlothian, Virginia NORTHFIELD FOUNDATION STATEMENTS OF REVENUE, EXPENSES, AND CHANGES IN NET ASSETS CASH BASIS For the years ended December 31, 2006, 2007 and 2008 Support and Revenue Contributions Rental Special events – net 2006 Unrestricted 2007 Unrestricted 2008 Unrestricted $88,345 $111,122 800 $228,238 111,922 228,238 89,914 4,459 4,169 204 5,621 86,200 4,500 7,327 4,175 15,000 150 3,353 1,476 5,977 8,798 Total support and revenue Expenses Program services Compensation and related expenses Rent Utilities Real estate taxes Personal property taxes Whitlock Foundation – interest Lawn maintenance Repairs and maintenance Depreciation Property insurance Education Occupancy expenses – other Total program services 97,143 500 42,128 1,076 3,439 768 160 1,839 1,107 226 1,143 49,440 107,313 128,158 Supporting services Administrative and General: Compensation and related expenses 1,350 Professional fees 1,439 1,000 Supplies 14 70 1,123 Postage and mailing 871 2,942 Printing & copying 986 5,626 Conferences and meetings 158 290 Bank fees 62 59 990 Contract employees 4,048 6,899 Corporate expense 25 100 80 Insurance 3,323 5,060 1,004 ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 118 of 123 Advertising Miscellaneous expenses - other Outside computer services Fundraising expenses 5,027 420 301 66 10,357 200 1,134 1,100 7,307 Total support services 16,373 24,262 22,796 Total expenses 65,813 131,575 150,954 (Continued) See accompanying notes to financial statements ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 119 of 123 NORTHFIELD FOUNDATION STATEMENTS OF ASSETS, LIABILITIES, AND NET ASSETS - CASH BASIS December 31, 2006, 2007 and 2008 ASSETS 2006 Current Assets Checking - Northfield Foundation Checking - Inspiration House $35,330 2007 $7,884 1,500 Other Current assets 2008 $68,512 526 250 Total current assets 35,330 Fixed Assets Leasehold improvements Furniture, fixtures & equipment Less: accumulated depreciation Net fixed assets $35,330 9,384 69,288 7,400 7,400 18,305 7,951 26,256 1,107 2,583 6,293 23,673 $15,677 $92,961 LIABILITIES AND NET ASSETS Current Liabilities Loan from Directors $4,000 $4,000 $4,000 Total current liabilities 4,000 4,000 4,000 Total liabilities 4,000 4,000 4,000 31,330 11,677 88,961 31,330 11,677 88,961 $35,330 $15,677 $92,961 Net Assets Unrestricted Total net assets See accompanying notes to financial statements ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 120 of 123 NORTHFIELD FOUNDATION STATEMENTS OF REVENUE, EXPENSES, AND CHANGES IN NET ASSETS CASH BASIS – CONTINUED For the years ended December 31, 2006, 2007 and 2008 2006 Unrestricted Change in net assets 31,330 Net Assets, beginning of year Net Assets, end of year $31,330 2007 Unrestricted 2008 Unrestricted (19,653) 77,284 31,330 11,677 $11,677 $88,961 ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 121 of 123 NORTHFIELD FOUNDATION FOR EATING DISORDERS, INC. NOTES TO FINANCIAL STATEMENTS December 31, 2006, 2007 and 2008 1. Nature of Organization Northfield Foundation is a non-profit organization dedicated to provide a safe haven for young women struggling with challenges such as eating disorders, self-injury, and depression, which may be accompanied with an unplanned pregnancy. It offers a comprehensive assessment and an Individual Service Plan which may include counseling, education, and supportive residential care or community-based services such as medical and psychiatric care. The Foundation’s goal is to empower each young woman to “break free” and embrace her future through God’s unconditional love and mercy. The Foundation has been funded primarily through contributions. Pledges due from donors are not included in the financial statements. The Foundation is currently renovating the Inspiration House (residential facility for young women), located in Cumberland County, Virginia, with occupation planned for early 2010. 2. Summary of Significant Accounting Policies Basis of Accounting: The Foundation’s policy is to prepare its financial statements on a cash basis of accounting. Under this basis of accounting, revenues and the related assets are recognized when received rather than earned and expenses are recognized when cash is disbursed rather than when the obligation is incurred. Financial statements prepared on this basis of accounting are not intended to present financial position and results of operation in accordance with accounting principles generally accepted in the United States of America. Basis of Financial Reporting: The Foundation adopted Statement of Financial Accounting Standards (SFAS) No. 117, “Financial Statements of Not-for-profit Organizations”. Under SFAS No. 117, the Foundation is required to report information regarding its financial position and activities according to three classes of net assets: unrestricted, temporarily restricted, and permanently restricted. The Foundation does not have any temporarily or permanently restricted assets at this time. Accordingly, net assets and changes therein are classified as follows: Unrestricted Net Assets – Net assets that are not subject to donor-imposed stipulations, representing investment of property and equipment and the portion of expendable resources that are available without limitation for support of Foundation operations. ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 122 of 123 Contributions: The Foundation has adopted SFAS No. 116, “Accounting for Contributions Received and Contributions Made”, whereby contributions received are recorded as unrestricted, temporarily restricted, or permanently restricted support depending on the existence and/or nature of any donor restrictions. Functional Reporting of Expenses: As required by SFAS No. 117, information about expenses is reported by functional classification, such as major classes of program services and supporting activities. The functional classifications are: Program Services: Defined as the activities that result in goods and services being distributed to beneficiaries, customers, or members and guests that fulfill the purpose or mission for which the Foundation exists. Supporting Services: Defined as all activities of a not-for-profit organization other than program services. Generally, they include management and general, fundraising, and membership-development activities. Income Tax Status: The Foundation is exempt from income taxes under Section 501(c) (3) of the Internal Revenue Code. 3. Fixed Assets Furniture, fixtures and equipment are stated at cost. Depreciation has been reflected in the financial statements based on a 5 year life using a straight-line methodology. Leasehold improvements (renovation work) are still underway on the residential facility. Renovation work is expected to be completed early in 2010, at which time depreciation will start using a straight- line methodology. 4. Contributed Services A substantial number of unpaid volunteers have made significant contributions of their time to aid the Foundation in its house renovation and fundraising activities. In addition, furniture and other tangible assets have been donated to the Foundation. The value of the aforementioned is not reflected in these statements 5. Program Services Whitlock Foundation interest - A loan was provided from the W. W. Foundation to Tamworth, LLC in the amount of $200,000 for the purchase of the residential facility in Cumberland County, Virginia on July 13, 2006. Annual interest payments in the amount 7% are required with a balloon payment of principal due on July 1, 2016. The Foundation has made interest payments on the W. W. Whitlock Foundation loan in the amount of $20,621. Tamworth, LLC also obtained a loan in the amount of $960, 000 from the Bank of Virginia toward the purchase of the residential property. The Foundation is making the monthly payment on the Bank of Virginia loan. ………………………………………………………………………………………………………………………… Northfield Ministries - Strategic Business Plan Page 123 of 123