FY 2011A N N U A L R E P O R T

im·pactnoun the force exerted by a new idea, concept, technology or ideology: the impact of the industrial revolution.

verb (used with object) to have an impact or effect on; influence; alter: The decision may impact your whole career. The auto industry will be impacted by the new labor agreements.

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A LETTER FROM OUR PRESIDENT & CEO AND BOARD CHAIR

Have you ever thought about the impact substance abuse has on an individual, a family member, a friend, co-workers or even your community as a whole? Your response to this likely depends on your history and how you have been impacted by substance abuse during your life.

Some may say they have never been affected by substance abuse at all. However, the long reach of substance abuse can surprise those who feel they’ve never been affected. For example, the impact can be as simple as the inconvenience for cold and allergy sufferers who now must see a pharmacist and show photo identification before purchasing medications containing pseudoephedrine, a primary ingredient used in manufacturing crystal meth. In reality, substance abuse has a great impact on our lives and community services. Visit an emergency room, speak with a member of law enforcement, spend a day observing the local court system, meet a child welfare worker who had to remove a child from the home because parents were abusing substances. When your children were small, you kept medicine in a safe place so they would not mistake it for candy. Now, parents of teens must hide or lock addictive prescription medications so their children do not experiment with these drugs or sell them to others. One out of every 10 infants born in Sarasota has been drug exposed and the rate of addicted newborns has increased 87% since 2005. The emotional toll is high for those involved in the situation; the community carries the financial burden associated with paying for the medical expenses associated with the care of these infants.

The impact of substance abuse reaches all facets of society.

David J. Beesley, MPHPresident & CEO

Richard G. Carlson,Board Chair

B O A R D O F D I R E C T O R S

OFFICERSRichard G. Carlson, ChairPeter Abbott, Vice-ChairElizabeth LaBoone, SecretaryRichard G. Carlson, Treasurer

MEMBERSSilvia BlancoKeith FitzgeraldDana KeaneJohn LambieCapt. Wade McVayDr. Lawrence MillerCapt. Richard MontemagnoDr. Kevin O’NeilLynne D. RossLee PetersonPepper Wakeland

First Step’s efforts have a positive impact on the community through its substance abuse prevention and treatment programs. In the five years since the opening of the Addiction Receiving Facility, more than 10,000 individuals have been treated, saving thousands of dollars in healthcare costs and freeing emergent medical resources for life threatening physical injuries and illnesses.

The Mothers & Infants program has saved tax payers an estimated $50 million in medical costs by ensuring that pregnant women with a history of substance abuse issues receive treatment for their addiction, pre-natal care, parenting and nutrition classes, as well as a many other services. To date, nearly 275 healthy, drug-free babies have been born since the program’s inception in 1995.

First Step has been actively working with other local and governmental agencies in an effort to curb the prescription drug epidemic that has swept the country, and especially Sarasota County. First Step works tirelessly to both improve the quality of life, while at the same time, cushioning the economic burden of the area. Treatment programs are designed to offer clients hope for a healthy, productive future that also has a positive impact on the community as a whole.

Make an impact; support First Step.

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M I S S I O NS E R V I C E S

First Step prevents and treats alcohol and drug addictions, and associated disorders. We foster fully functioning, productive individuals by offering a full array of services in partnership with our community.

FIRST STEP PROVIDES SERVICES UNDER CONTRACTS FUNDED BY THE FOLLOWING:

Central Florida Behavioral Health NetworkFlorida Department of Children & FamiliesFlorida Department of CorrectionsSarasota CountyThe Florida Center for Child and Family DevelopmentUnited States Probation Office

A C H I E V E M E N T S O F N O T EDave Beesley, President & CEO was named one of Biz 941’s Best Bosses in April 2011.

First Step won the John J. Cox Community Partner of the Year Award from the EDC.

Celebrated 5 year anniversary for Addictions Receiving Facility.

Recognized by Board of County Commissioners for 5th Anniversary of VIP-ER program.

Received “no recommendations” and three exemplary conformances from CARF following three-year survey.

First Step completed a $561,939 renovation of the Residential Services Campus located at 4613 North Washington Boulevard. This project was funded by Sarasota County’s Community Housing Fund.

In January 2012, First Step broke ground on a new building that will sit adjacent to the Residential Services Campus. This will be the home of First Step’s administrative staff offices, as well as site of the Residential Campus kitchen, dining and laundry centers. The building will also provide much-needed space for group presentations and family visits. We look forward to its opening later in the year.

Adult DetoxificationAdult Outpatient CounselingAdult Residential Recovery ProgramsAnger Alternatives ProgrammingAssessment and ReferralsCase ManagementCo-occurring Disorders ProgrammingCrisis StabilizationDrug CourtDUI & Drug ServicesEarly InterventionFamily Reunification Services & SupportG.E.D. PreparationHalfway House

Homeless CareIndividual and Group TherapyInterventionMarchman Act ReferralsMoral Reconation TherapyParenting ClassesPrevention ProgramsPsychological CounselingSenior OutreachSober HousingSuboxone TreatmentTherapeutic CommunitiesWorkforce Readiness TrainingYouth Outpatient Counseling

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REFERRAL SOURCE

Self & Family . . . . . . . . . . . . . . . . . . . . . .42% Judicial System . . . . . . . . . . . . . . . . . . . .32% Mental Health & Social Services . . . 11% Hospitals & Physicians . . . . . . . . . . . . . 8% Law Enforcement . . . . . . . . . . . . . . . . . . . 6% Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2%

INDIVIDUALS SERVED

Outpatient . . . . . . . . . . . . . . . . . . . . . . . .73% Detoxification . . . . . . . . . . . . . . . . . . . . . 16% Residential Programs . . . . . . . . . . . . . . 11%

CLIENT PROFILE BY AGE

13-17 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4% 18-24 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22% 25-39 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39% 40-49 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22% 50-59 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11% 60+ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2%

C L I E N T D E M O G R A P H I C S

In FY 11, First Step served a total of 23,096 individuals, including 5,117 in substance abuse recovery programs and 17,979 in community-based prevention and education programs.

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CLIENT PROFILE BY COUNTY OF RESIDENCE

Sarasota . . . . . . . . . . . . . . . . . . . . . . . . . .54% Manatee . . . . . . . . . . . . . . . . . . . . . . . . . . . 12% DeSoto . . . . . . . . . . . . . . . . . . . . . . . . . . . .20% Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3% Homeless/Indigent . . . . . . . . . . . . . . . . 12%

CLIENT PROFILE BY GENDER

Male . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .58% Female . . . . . . . . . . . . . . . . . . . . . . . . . . . .42%

CLIENT PROFILE BY PRIMARY DRUG OF CHOICE

Alcohol . . . . . . . . . . . . . . . . . . . . . . . . . . . .35% Cocaine/Crack Cocaine . . . . . . . . . . . . . . 7% Heroin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1% Marijuana . . . . . . . . . . . . . . . . . . . . . . . . . 13% Opiates . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6% Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2% Prescription Medications . . . . . . . . . . .36%

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F I N A N C I A L I N F O R M A T I O N D I R E C T O R Y

OPERATING REVENUE & SUPPORTAwards & Grants $3,481,724County & Local 1,844,404Client Fees 2,388,070Contributions 65,202Interest & Investment Income 8,631Rental Income 72,885Other Income 83,494

Total Operating Revenues & Support $7,944,410

OPERATING EXPENSESPrograms & Services $6,947,589Administration 910,931

(Total Operating Expenses) (7,858,520)

NET ASSETSChanges in Net Assets from Operations $333,394Capital Contribution 416,828Loss on Disposal of Building & Equipment (24,021)Loss on Abandonment of Project (145,303)

Net Assets Beginning of Year $6,082,749Net Assets End of Year $6,416,143

Year Ended June 30, 2011

Fiscal information prepared from financial statements of First Step of Sarasota, Inc., as audited by Purvis Gray and Company, Certified Public Accountants.

ADMINISTRATIVE OFFICES1970 Main Street, 5th Floor Sarasota, FL 34236

SPECIAL SERVICES & ADDICTIONS RECEIVING FACILITY1726 18th Street Sarasota, FL 34234

RESIDENTIAL CENTER4613 N. Washington Blvd. Sarasota, FL 34234

FAMILY SERVICES CENTER1750 17th Street, Suite K2 Sarasota, FL 34234

COURT SERVICES2075 Main Street, Suite 2A Sarasota, FL 34237

OUTPATIENT OFFICES 1750 17th Street, Suite J2 Sarasota, FL 34234

6935 15th Street East Suite 107 Sarasota, FL 34243

7810 South Tamiami Trail Suite A-12 Venice, FL 34293

707 North 12th Avenue Arcadia, FL 34266

First Step of Sarasota, Inc. complies with state and federal non-discrimination laws and policies that prohibit discrimination based on age, color, disability, national origin, race, religion or sex. It is unlawful to retaliate against individuals or groups on the basis of their participation in a complaint of discrimination or on the basis of their opposition to discriminatory practices.

First Step is a 501 (c) (3) non-profit organization. We rely on the generosity of our donors and friends to help fund programs, services and capital improvements required to meet the increasing need for substance abuse recovery programs.

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First Step depends on the individuals, businesses and foundations whose gifts help us make the most of our resources.We gratefully acknowledge all annual donors as members of the First Step Medallion Society.

Platinum Medallion – gifts above $5,000

Annette J. Hagens Memorial Foundation

Glasser Schoenbaum Human Services Center

Harold C. & Jacqueline F. Bladel Foundation, Inc.

Eluned & Edward Russell Charitable Foundation

Welch Family FoundationWilson-Wood Foundation

Gold Medallion – gifts between $2,500 and $4,999

Keith FitzgeraldThe GTR Foundation Inc.Halfacre ConstructionLee & Robert PetersonPublix Super Markets Charities

Silver Medallion – gifts between $1,000 and $2,499

Apisdorf Charitable FoundationBank of America FoundationRichard & Sandra CarlsonRobert GeyerCavanaugh & Co.Knox Family FoundationElizabeth & Perry LaBooneLeslie Glass Foundation N&M Cool TodayReach Out RecoverySarasota County Aging NetworkSun and Fun RV ResortSunTrust Bank

Bronze Medallion – gifts up to $999

Geraldine AaronPeter AbbottAdvantica EyecareAetna Foundation, Inc.AIG Matching Grants ProgramHelen AllenPatricia AllenAMI Kids SarasotaJudy & Guy AmusoLarry ArevaloThomas ArthurBrenda AsherBeverly AustgenLinda BaglioStevan BambargerTeresa & Jose Luis BasurcoGreg BaumgardnerCaroline & Bill BeallElsa BeckermanNeil BediDavid BeesleyBeneva Flowers Helping Hands Program

Bruce BergRochelle BernardBouchard Insurance

BrighthouseGene BrownDawn Marie BurchamElaine & Bruce BurtonByron Family CorporationCapTrust Advisors, LLCMollie & Ronald CardamoneTom CarrollVanessa CarusoneCavanaugh & Co., CPACarrie CermakTaber ChadwickElaine & Mark CharynVicki Ann ChatleyCatherine CiccolellaDr. Joseph CiprianiCity of SarasotaBrenda & Rick ClarksonLaura & Drew ClearieMarilyn CohenTaylor & Stevan CollinsColonial LifeTerry CooperDr. William CrockettCS&L CPA’sJudith CuppyDaniel DavisDavi & Valenti MoversDolores & Dick DobbynBennie & Robert DodsSue DohertyNancy DonnellanJoan & William DoyleJim EckesMicki EvansFergeson, Skipper, Shaw, Keyser, Baron & Tirabassi, PA

Ferguson Ent.Jeanine FlicknerThe Florida Center for Child & Family Development

Forty Carrots Family CenterCarol FournierKelly & Steve FrenchAlynna & John FrickeSandy FulkersonCarolyn GarveyGateway BankLeigh Anne & Greg GeyerLorraine & Richard GilmoreBrad GoddardMarsha GoldsbyGrand Aerie Fraternal Order of Eagles

Carol B. & Jules GreenCarol GreenJim GreerBrittany & Evan GuidoJerilyn HattendorfDeborah HerrygersSuzanne HoffmanRita HollanderTonya HunterInsignia BankCharlotte & Jonathan Isaacs

Christine JenningsMonique JoannetteMonia JoblinCarolyn JohnsonDana KeaneGerald KeaneKerkering, Barberio & Co.Laura & Patrick KielyMarcy KleinHershel KuykendallMargaret LachmannCurtis LavarelloJoan & Bartram LevensonLiberty Savings BankJudith LierschBarbara J Lorry PHDLynn LudeckeManatee Glens Barbara MandJudith & Donald MarchJoe MarraAmanda McConnellRobert McEnteeMacie McGeeGraci & Dennis McGillicuddyLydia & Larry McIntireElyce McLarenCynthia McMullinSue & John MichaelMarlene MinzeyRichard MontemagoSharon NewmanNorthern TrustIsabel & Randy NortonPatricia Nygaard & Donald Schoenbaum

Frank & Hazel O’DonnellOdato Marketing GroupMargaret & Donald O’LearyMaryrose & Kevin O’NeilDonn & Barbara OsmonThe Out-of-Door Academy, Inc.Patricia OwenDr. David PantingCarol PapishNancy Park-ReidSandy PassPaychexVirginia & Stuart PeltzJoseph Popson & Lorraine FoxPresbyterian Women of Siesta Key Chapel

Professional Benefits, Inc.Publix Super Markets, Inc.Purvis Gray & CompanyElizabeth RabbittYen & Michael ReedSuzanne ReimanRiddell Law GroupJulienne RiddellJill & Raymond RiondetFlori RobertsLynne D. RossRobert RoweRusty Plumbing, Inc.

Blanche RutmanJulie SalzmanSaraMana Business Products, Inc.Sarasota Coalition on Substance Abuse

Sarasota County Sheriff’s OfficeSarasota Specialty Pharmacy & Wellness Center

John SavagePatti SchimmelBetty SchoenbaumEileen ScudderAnne SeidmanSenior Home Companions, Inc.Mary Anne ServianNancie ShawJohn J. SheaRita & Frank ShewerJan & Elliott SilvermanBarbara SmithDuane SmithKathie SmithAnna Marie SochurekBill SpitlerBarbara SteinfirstStenten’s Golf Cart AccessoriesSusan StewartDiane Otis StirlingDon StuartCindy StuhleySuperChemChristine SvensonJudy SwansonT&T ShellAnne-Marie TardifSusan ThomasMarjorie TickTidemark Financial Services, Inc.Tracy LawKaren TranterMartha TroyerPam TruittJudith & Ross TuckerStephanie TuckerUnited Way of Northeast FloridaUnited Way of Sarasota CountyUniversal Engineering Sciences, Inc.Verna UrbanskiVoiceTechPaula WakelandWallace Welch & Willingham, Inc.Sue WeeksEdy WeinbergerSheila & Charles WeissBarbara & Frank WheelerConni WheelerWilde HondaWindstreamKathleen Wingate GoffSora YelinJim YoungTony ZanoniJanice Zarro

1970 MAIN STREET 5TH FLOORSARASOTA, FL 34236

941 366 5333800 266 6866www.fsos.org

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