Attendant Employee DevelopmentProviding clients with compassionate, dedicated, skilled and knowledgeable caregivers is of utmost importance to Helping Restore Ability. To this end, we continue to expand our training and human resources supports to better meet the needs of those we serve.

A Note from the CEOAs another year passes, the landscape of caregiving is changing in significant ways. Whenever I am invited to speak with a group, one of the first questions I ask is how many in the room are caregivers for family members who are unable to manage completely on their own, and the number of hands raised is always surprising to me, and to the audience members as they scan the room and see over half of the hands raised.

More than one in five workers ages 45 to 64 is a caregiver, typically for a parent. More than 45 million Americans perform some form of consistent care for older or impaired adult relatives or friends, ranging from assistance with paying bills, to driving Mom or Dad to doctor appointments,

to more personal care such as bathing, dressing, and meal preparation. In fact, family caregiving is the backbone of long term care in this country, providing a staggering $450 billion worth of unpaid care annually – equivalent to Wal-Mart’s total annual sales in 2009.

Over 40 percent of family caregivers feel they had no choice in taking on their caregiving role. Increasingly, men are taking on this role that is new for them. Caregiving can be stressful, frustrating, and overwhelming. The stress and time involved can take a toll on the caregiver’s own health and finances as they take time off from work, dip into savings, and perform work that is physically demanding. As former First Lady Rosalynn Carter said, there are only four kinds of people in the world: those who have been caregivers, those who currently are caregivers, those who will be caregivers,and those who will need caregivers.

Helping Restore Ability has been providing caregiving services for over 36 years, and we continue to develop new programs to support family caregivers in this most difficult yet rewarding call to care for others. We want you to know that you are not alone. You can turn to us. We are here for you and your family as a resource. Here for Good – together.

Vicki Niedermayer

• All attendants participate in a new hire orientation and receive the Personal Attendant Services (PAS) Attendant Handbook, which is updated regularly. Orientation topics include Client Rights and Advance Directives, Personal Care Tasks, Infection/Exposure Control and Precautions,Risk Management/Safety in Home Care, Emergency Preparedness, HIPAA (Confidentiality), Drug Free Workplace, Harassment, and Abuse, Neglect and Exploitation.

• Attendants supporting United Way’s Healthy Aging and Independent Living (HAIL) initiative also receive CPR and first-aid training. MHMR attendants receive additional behavior management training.

• Employees attend a comprehensive PAS attendant training annually, featuring presentations from the attendant manager and human resources director. Following the most recent session, 95% of those attending rated the content excellent. The highest rated topic was Abuse, Neglect and Exploitation.

• The monthly “Did You Know?”newsletter keeps attendants informed of client care strategies and benefits, events and activities within the agency.

• Each fiscal year, attendants complete at least six hours of online training through aQuire. The training is self-paced, interactive and covers topics including physical and developmental disabilities, elder care, and more. More than 60 training modules are available to enhance the level of skill and knowledge of our caregiving team.

A Note from the Board PresidentAs the “Baby Boomers” and their parents age, there has never been a more critical time to find the best solution to meet the growing demands for compassionate, efficient care for those we love. With the implementation of managed care, The Affordable Care Act and continuing budget cuts at both the state and federal level, it has also become increasingly more difficult to find quality care for our loved ones.

Helping Restore Ability was originally formed in 1977, and has since grown to providing caregiver services across the state to the elderly and individuals with disabilities of all ages. Over the last year alone, the agency has seen growth of 25% in the number of people served.

With 97 cents out of every dollar going directly to client care, the agency leads the way in providing an effective solution for those needing additional assistance, as well as providing a fiscally responsible choice for those wishing to help others through their donation of time and financial resources.

As the Board President, I join the other volunteer members of the Board of Directors in helping the agency in its goal to meet the needs of as many people as possible. Without the generous support of caring individuals volunteering, providing services and donating financially, the agency would not be able to provide these services to the many that need our help. I thank those who have already helped continue the important mission of Helping Restore Ability, and urge others to join our family through your donation of time, services or financial assistance.Thank you again for supporting Helping Restore Ability.

Sincerely,

Doug Tonne, Board President

PAS Attendant Years Of Service

H e l p i n g R e s t o r e A b i l i t y 2 0 1 1 - 2 0 1 2 A n n u a l R e p o r t 020 20 40 60 80 100 120

have between 5 and 30+ years of service with Helping Restore Ability

1 Year

1 to 5 Years

5 to 10 Years

10 to 15 Years

15 to 20 Years

20 to 30 Years

30+ Years

44Employees

Helping Restore Ability is proud to introduce Custom Care Services into the array of quality services available to assist families with children with special needs. Custom Care connects families with an expert in public and private services available to children with disabilities. A private assessment includes an in-depth critical review of current services used and discussion of all services and supports available. Personalized recommendations for additional services for the child and family and an immediate and long term action plan is developed to ensure the child and family are able to effectively utilize all available services, both now and in the future. Families periodically reconnect with their expert to address questions and concerns. Barriers to service access are discussed and resolved, alternative resources are identified as needed, and action plans are revised based upon situational changes or progress made. Assistance is available to update and revise the action plan as the child grows and needs change. If you’d like to learn more, call our offices at 817.469.1977 and ask about Custom Care now!

Special Needs Planning SeminarsIn collaboration with Jason Smith, financial advisor with Edward Jones, and Antoinette Bone, estate planning attorney, Helping Restore Ability offers free monthly seminars exploring

the financial, legal and programmatic needs of children with disabilities. These free seminars provide important information on protecting the long term financial and legal needs of children with disabilities. Vicki Niedermayer, CEO of Helping Restore Ability, discusses Medicaid waiver programs and community care options available for families in caring for their children. Antoinette Bone presents The ABC’s of Special Needs Trusts, explaining how a special needs trust can help maintain a child’s eligibility for Supplemental Security Income, Medicare and other assistance programs throughout their adult life. She also explains how a special needs trust can protect the assets from predators, creditors and judgments. Jason Smith covers common strategies used to fund a special needs trust, and explains the importance of the co-trustee relationship. Each session includes time to answer participants’ questions related to their family’s situation. Response to these sessions has been overwhelmingly positive, with representatives attending from Baylor Hospital, Child Study Center, Tarrant County Aging and Disability Resource Center, Mental Health Mental Retardation of Tarrant County, Accountable Aging, and Ridge Life Church, as well as numerous families who have attended and benefited. Interested in attending one of these free sessions? Contact Jennifer Watelski at 817.635.6008 to reserve your spot now!

Custom CareServices

Awards & RecognitionHelping Restore Ability Named to the 7th Annual Aggie 100 Honoring the Fastest Growing Aggie Owned or Managed Companies Worldwide

Helping Restore Ability was recognized as number 68 among the top 100 companies named to the 2011 Aggie 100 honoring the fastest-growing companies in the world, owned or operated by Texas A&M University former students. The Aggie 100 honors graduates from across disciplines and is a program created by the Center for New Ventures and Entrepreneurship in Texas A&M University’s Mays Business School.

The Aggie 100 list in its entirety may be viewed atwww.aggie100.com.

Vicki Niedermayer, CEO of Helping Restore Ability, accepts the Aggie100 Award

H e l p i n g R e s t o r e A b i l i t y 2 0 1 1 - 2 0 1 2 A n n u a l R e p o r t 04

Program Accomplishments• In conjunction with a Board volunteer, developed and implemented Balanced Scorecard goals to fully integrate all aspects of agency into ongoing, measurable quality enhancement actions.

• Scored 94% on Consumer Directed Services (CDS) audit, the highest score achieved in the state by any CDS program (January 2012).

• Selected by Area Agency on Aging of Tarrant County (AAA) to offer Schmieding Caregiving training to the North Central Texas area.

• In partnership with Area Agency on Aging of Tarrant County, provided respite care services to veterans.

• Selected through a competitive process as the sole provider of the Client Managed Personal Attendant Services (CMPAS) contract for a 5 year period (2012-2017) in North Central Texas as a result of excellent audit results and exemplary client satisfaction with services.

• Launched Custom Care service in Fall 2012, providing expert assistance to families with children who have disabilities in planning for their future.

• Implemented Sandata custom client/attendant database software, which streamlines staff scheduling more efficiently and effectively.

Fee for Services$16,053,480

CMPASPHC/FC/CASStar PlusEaster SealsAAAMetro CarePrivate Pay

Individual$186,888

131112 2

46

1836

Individual$186,888

CollinDallasDentonEllisJohnsonKaufmanTarrant

132

6

14 34

12

TarrantDallasDentonJohnsonTylerCollinEctorParkerMidlandAll Other

Individual$186,888

All Other 248

1091010

2319

7

3518

CBA DADSStar PlusCLASSCMPASDBWHCSTX-HmLMDCPPCSPHC/FC/CASPrivate Pay

Individual$186,888

135

Fee for Services$16,053,480

11 42

121

2012331418121

Through CDS, Helping Restore Ability served clients throughout the state of Texas in nine long-term care programs:• Community Living Assistance and Support Services (CLASS) f or consumers whose disability occurs before age 22• Medically Dependent Children Program (MDCP) for children under 21 years of age• Personal Care Services (PCS) for children under 21 • Community Based Alternatives (CBA) for adults 21 and older• Primary Home Care (PHC) for adults 18 and older• Client Managed Personal Attendant Services (CMPAS) for adults 18 and older (non-Medicaid eligible)• Deaf Blind with Multiple Disabilities (DBMD) for all ages• Home and Community-based Services (HCS) and Texas Home Living (TxHmL) for consumers with intellectual disabilities• Star+Plus managed care for adults (Medicaid waiver and non-waiver programs)• Deaf Blind Waiver (DBW) for all ages with congenital sensory disabilities.

CDS ProgramsUnduplicated Census 8/31/12

CDS Clients by County (Top Ten)

PAS ProgramsUnduplicated Census 8/31/12

PAS Clients by County

Helping Restore Ability’s heritage Personal Attendant Services (PAS) programs served 180 adult clients this past year. Our PAS attendants served clients in eleven counties, representing diverse backgrounds and various disabling conditions.

Through PAS, Helping Restore Ability provided direct service for clients through seven long-term care programs:• Primary Home Care (PHC) for adults 18 and older (Medicaid/DADS) • Client Managed Personal Attendant Services (CMPAS) for adults 18 and older (non-Medicaid eligible)• Star+Plus managed care for adults (Medicaid waiver and non-waiver programs)• Metrocare supported home living for persons with intellectual and developmental disabilities through MHMR• Healthy Aging and Independent Living (HAIL) for persons with dementia or Alzheimer’s disease to provide respite for family • Your Home…Your Way private duty in home care• Caregiver Respite Care in home services for Veterans (in partnership with the Area Agency on Aging of Tarrant County)

• Polio• Post-concussion syndrome• Intellectual/development disabilities• Chronic pain post-trauma• Multiple sclerosis• Cerebral palsy• Muscular dystrophy

• Coronary atherosclerosis• Cardiovascular disease• Polyarthritis• Disc degeneration• Osteoporosis• Spina bifida• Spinal cord injury

Most Common Client Conditions

H e l p i n g R e s t o r e A b i l i t y 2 0 1 1 - 2 0 1 2 A n n u a l R e p o r t

06H e l p i n g R e s t o r e A b i l i t y 2 0 1 1 - 2 0 1 2 A n n u a l R e p o r t 05

2011-2012 Annual Report: PROGRAMSIt was another exciting year for Helping Restore Ability filled with continued growth, new programs and new technology. Growth: We served 25% more clients overall, year over year. Our unduplicated client census ended the fiscal year at 791, an all-time high for the agency.

“We can’t help everyone,

but everyone can help someone.”

– Ronald Reagan

$100,000+The Meadows Foundation

$10,000 - $99,999Amon G Carter Foundation BNSF Railway Lockheed Martin Missile and Fire Control-Dallas Employee Charity FundEric and Vicki NiedermayerThe Paulos Foundation

$5,000 - $9,999The Strake FoundationVirginia Hulse Fund

$1,000 - $4,999Advanced Mobility Systems of TexasCenterpoint BuildersCombined Federal CampaignJohn DycusFrost BankThe Grainger FoundationGreenwood, Mt. Olivet, Arlington Funeral HomesCraig Hamilton and Company, PCBecky L. HaskinHealthSpring Barbra JacobsRodney and Karen KaufmanMeredith and AssociatesSuperior Health

$500 - $999AmerigroupCharlie BogartStephen BooherMarshall GoldsmithSharon and Brent LittleBonnie and Edward NobleTeresa OwingsGuy Tucker

$100 - $499Luanne and Eliseo AlcarazAmerican National Bank of TexasViv Ann BlairLisa CoburnWilliam DuckworthAmy EkPatty EllisDavid and Anita FermanGlenn and Marie ForbesWilliam B. FrameBobby FrenchLinda FulmerPeter A. and Barbara B. GrenierHilton Fort WorthErnest JohnsonChuck Martin KirkShirley LittleWarren and Betty MelchertTanya NewmanShana NixLawrence and Mary OdomProbity Advisors Inc.R.G. Parrish FoodsJohn ReynoldsState Farm Insurance CompaniesDoug and Denise TonneErin WagnerTrakeia WalkerThomas V. Whinery, DDSDave WoodwardJulie and Steve Zimmerman

Up to $99Olivia AcostaChelsea AlexanderBrittany AllcornLeattress AndersonThomas and Kristi AvalosJulie Bangert

Angela CappelSusan CarrollShirley CoxSusan CrutchfieldAlicia DeatherageCindy DelgadilloSonja GodekenLindsey FincherCarolyn and Bo GarverGinger Head GearheartLeo GutierrezLinda HannonJake HardinApril HarrisMizelle and Margie HatcherBobbie HeckathornJ. Robert “Bob” and Sandra Hester, Jr.Mike KellerJames and Caroline KennerlyBoodie and Karen KerrTeresa KinseyFerne KybaJ. Russell LambertLandry’s, Inc.Cynthia LankfordDoris LankfordLeslie LivengoodLorrie BooherMary Jean MoloneyTenley McCarleyBo MillerCynthia MillerMeredith MooreCheryl NasonAntrice NewsomeRussel NiedermayerBill ParduePediaplex Management LLCTonya PrinceManjinderpal and Maninderjit Rai

OurDonorsHelping Restore Ability would like to thank all of the dedicated donors who contributed during our fiscal year 2010-2011. Every penny counts as we continue to educate, advocate, enrich, and enable the lives of individuals with disabilities.

**We apologize if we have overlooked any names. Each donation is very important to us and we tried to include everyone.

James ReederJoann Risinger-MunsieLynn Hope RiveraPatricia RobbinsEmily RobinsonMonique and Khalid RossPaul B. RyanSafeway, Inc.Monica SantiagoTimothy and Elizabeth SchwarzNancy SeredaShirley G. SimpsonSamantha SkiffLinda SwindlingCariana SzatkowskiRueben ThompsonJane ThompsonSamantha TillerMichael UnderwoodKaren WayEvelyn WilliamsHarriet WoldtChristiane YoungbloodKathy Jo ZeiglerXongxian Zhu

HonorariumTori Adams and Jim DuBose, in honor of Flora BrewerLorrie Booher, in honor of Courtney TrestorFrances Tynan, in honor of Bonnie Noble

In-Kind DonorsAlan Jackson Platinum Fan ClubArlington Animal ServicesArlington Center for DermatologyAthan’s Audio VisualCharles BarrosoAnita BeckendorfBilly Bobs TexasBoomerjack’s Grill and BarPatricia BourlandFlora BrewerCamp ThurmanCarol TraylorCatholic Charities Diocese of Fort WorthChuy’sCITGO Petroleum CompanyColonial American Realtors

The Container StoreCrowne Plaza Dallas GalleriaDallas Addison Marriot QuorumDallas MavericksDallas Stars FoundationDarian CoronaDonna DarovichThe Honorable Wendy Davis, Texas State Senator, District 10Gweneva J. DayStacey DodsonDyno RockFort Worth Museum of Science and HistoryFort Worth ZooFrick and FrackGalveston Historical FoundationJoyce GarciaGenghis GrillGET Technology and Accounting ServicesLinda HartHeartland ChurchHighlights for ChildrenKathy HodgesChris HuffIce at the ParksImprov Comedy Theatre and RestaurantDebbie JonesHarold R. JonesKRLD News RadioBill LangleyTeri LindseyLone Star Park at Grand PrairieRhonda LorkowskiMake and Take CreationsThe Martina McBride Fan ClubMichael MaskowJamie McCartneyPat McKinneyMedieval Times Dinner and TournamentStephanie Melchert-SmithAudra MerrittMid-Cities Human Resource Association (MCHRA)Len MusgroveOne Stop PrintingDean Peyton, D.O. and Jane PeytonPianoTex, Inc.Pump It UpRhythm BandNoe Rodriguez

Rudy’s BarbequeThe Saxton Group - McAllister’s DeliSheraton Fort Worth Hotel and SpaSilver FoxSkymates Flight TrainingSmiley’s Studio, Inc.Soaring Adventures AmericaSouthwestern Exposition and Livestock ShowDella Faye SowunmiStage WestStar-TelegramStockyards Championship RodeoSweet TomatoesTexas Ballet TheaterTexas Rangers Baseball ClubTheatre ArlingtonTimes Ten CellarsTiponi’s Legacy TrainingMyra Towner-RankinIvy WhiteAudrey YoungZiglar Inc.

“No one is useless in this world who

lightens the

burdens of another.”

– Charles Dickens

H e l p i n g R e s t o r e A b i l i t y 2 0 1 1 - 2 0 1 2 A n n u a l R e p o r t

08

Foundation$219,687

Individual$186,888

Fee For Services$16, 053,180

Donations$406,575

Investment Income$20,647

Annual Operating Revenue Growth

2008 2009 20102010 2011 2012

$10,161,493

$10,

161,

493

$11,

622,

363

$14,

884,

216

$15,

345,

978

$16,

480,

702

Operation Efficiency

Program Services 96.9%

Management &General 3.1%

Financial Support

Components of Revenue

Financial Support: $406,575

Throughout the year we have served many people in varying age groups:

• 40% are under 18 years of age.

• 35% are between 19-64 years of age.

• 25% are over 65 years of age.

Helping Restore Ability has the capacity to assist in a variety of situations. Because of this, we are able to grow with the families we serve and their changing needs, supporting independence and self-sufficiency.

Financial OveRView

H e l p i n g R e s t o r e A b i l i t y 2 0 1 1 - 2 0 1 2 A n n u a l R e p o r t 09

MISSION & VISION

“Promote independence and enrich the lives of those we serve.”

Helping Restore Ability is a 501 (c)(3) charitable nonprofit corporation that employs, trains and monitors personal attendant care providers for people of all ages with any type of disabilities. Through our services, Helping Restore Ability Educates, Advocates, Enriches and Enables the lives of individuals who otherwise may be confined to nursing homes.

Our goal is to help restore ability to disabled individuals by assisting them to remain self sufficient so they may continue to live in their homes, go to school and/or work, and most importantly to maintain their independence and dignity.

Helping Restore Ability Core Values

• We deliver GREAT customer service.• Our services are flexible, based on client preference.• Our staff are compassionate, reliable, and trustworthy.• First impressions are important to us.• We go the extra mile for the clients we serve.• Autonomy and independence are valued, taking ownership is supported.

4300 Beltway Place, Suite 130 • Arlington, Texas 76018 Phone: (817) 469-1977 Fax: (817) 461-2334

Helping Restore Abilityindependence through opportunity

Board of Directors

YOU CAN HE L PLearn how you can donate your time, talent, or treasure. With your support, we keep families together.Be assured of Helping Restore Ability’s financialstewardship:• 97% of our 2010-2011 budget goes toward program services.• Proud member of the Texas Association for Home Care and Hospice (TAHC&H)• Member of the Better Business Bureau’s Wise Giving Alliance, meeting all of the Standards for Charity Accountability.• Proud certified member of the Independent Charities of America.• Honored with 2011 Aggie 100 Award

For more information please visit us at www.HelpingRestoreAbility.org

Officers Doug Tonne, President

COO/President, Debt Education and Certification FoundationPatt Bourland, Vice President

Development Officer, United Way of DallasJake Hardin, Treasurer

President of Mansfield Banking Center, American National BankRodney Kaufman, Secretary

Business Owner, Frick & Frack Kustom Kreations, LLC

DirectorsStephen M. Booher

Organizational Development Specialist, City of ArlingtonDonna Darovich Community Volunteer

David Gunderson Principal, US Freedom Capital

April Harris Executive Director, Dental Health of Arlington

Jane Mac Adams Principal, Mac Adams Financial Group

Karen Meredith Owner/CPA, Meredith and Associates

Corbett NichterSenior Vice President, Gulf States Region, Adolfson & Peterson Construction

Birken Olson Founder, Backroads Partners

John Reynolds Owner/Video Producer, Middlin’ Creative Film and Video

Christiane Youngblood Marketing Representative, Lift-Aids