Sozialwerk St. Georg e.V. 2008 Sozialwerk St.Georg e.V.

Working not for, but with people Preface by the Executive Board Contents 4

Retrospect, guidelines, prospects 6 6 Tasks, aims, structures 10 Foundation

KEY FIGURES 2008

People assisted: about 3,600* Services offered and target groups Members of staff: about 2,200 11 Work and employment/activities Personnel expense: € 77.3 m Living / accommodation Turnover: € 97.5 m Special services offered Total operating performance: € 108,3 m Leisure Total capital expenditure: € 10,3 m

*The number of people benefitting from our services also increased in 2008.The number 3,600 expresses the number of assistance relationships. 15 Figures, data, facts 2008

IMPRINT: Publisher responsible for the contents: Sozialwerk St. Georg e. V., Gelsenkirchen Editor: Stefan Kuster Original concept/design: XEO creative communication, Düsseldorf Current layout design: GLADE-MEDIEN,

We would like to express our gratitude to all of the authors of the contributions and to all those who have contributed in any other way to the success of this publication.

2 | Sozialwerk St. Georg Working not for, but with people.

We wish to provide person-centred services so that people with disabilities, illnesses or social difficulties can live in a self-determin- ed way. We consider it an important Christian and social task to assist and support every individual person so wishing, to respect him or her in his or her uniqueness and dignity and to make it possible for that person to take part in social life. In order to be able to ensure this on a permanent basis in the interest of our clients we must take up the challenges and assert ourselves in the market as a social service-providing com- pany. Our committed and highly qualified members of staff are guarantors of the quality of our work and the basis of our economic success.

From the brochure ‘Unternehmenskonzeption/Programm 2000plus’ – this is available online at www.sozialwerk-st-georg.de > Vision – Leitlinien Preface by the Executive Committee

Dear Friends and Sponsors,

„Working not for, but with people“ is the leitmotif of Sozialwerk St. Georg. The central theme for 2008 is ‘Live a sharing life – experience neighbourliness’. Neighbourhoods in which solidarity is lived and responsibility is assumed and in which the generations live together in mutual respect, are an essential module for a social culture. Voluntary commitment triggers stimuli which radiate into the direct neighbourhood since whoever commits himself/herself would like to actively shape and leave his/her mark on his/her living environment. Neighbourly efforts strengthen cohesion in society, enriches all those involved and builds bridges for a bit more quality of life. Whoever makes an effort on behalf of others gives our society a human face. This honorary commitment requires partnership-like structures. That is why our permanent staff support and assist honorary members of staff and develop, together with those interested, ideas about where and how they can, with their competence, their time and their abilities, enrich the work and the numerous projects in our services and facilities for the mentally handicapped, for people with psychological disorders or social difficulties. Under the motto “FOR ME AND WITH OTHERS’ the Sozialwerk has, on its own responsibility, been providing young people with the opportunity to undertake a Voluntary Social Year, to get to know the work with our clients and, linked with that, to commit themselves to social objectives. The sustainable promotion of social networks, neighbourhood help and civil society commitment, within the scope of help with integration, help for the old-aged and for young people, is gaining in importance, above all seen against the background of demographic and social change. It has proved advisable to link offers of help for the elderly with those for other generations and, if possible, to also orientate them in an inter-generation way: an important pre-requisite for the integration and/or participation of the elderly and of people requiring care as well as of younger people. A community-orientated conception promotes self-help forces and the ‘social area’ relationship. For this, networking with self-help groups and associations as well as the involvement of local schools and facilities for children and juveniles are also important. In connection with the changing of existing structures of help for the elderly in the recent past, above all ‘neighbourhood concepts’ have gained in importance as community-orientated living projects in urban neighbourhoods. The objective of these sustainable approaches to

4 | Sozialwerk St. Georg Dieter Czogalla (on right) and Wolfgang Meyer in front of the opened door of the Ascheberg Farm, a facility of Sozialwerk St. Georg for people with mental and/or learning handicaps: “A warm welcome and here’s to good neighbour- liness!”

solutions is to make possible a self-determined life and the longest possible stay in one’s own four walls and thus to adhere to the principle of ‘out-patients rather than in-patients’. The quarter concepts are intended to contribute, with the help of assistance and care in keeping with needs, to an enhancement of the quality of life of people requiring help. And a dynamic involvement of honorary staff in the process of care and assistance is intended to permit provision of a service without any loss of quality. In various projects Sozialwerk St. Georg is developing living forms which combine the retention of independence, mutual help as well as neighbourly and inter-generation living together with professional help and to created living areas at the interface between self-help and support. Our task is to (re-)integrate those people with whose care we have been entrusted into our society – and in this case what applies is: lived neighbourliness is ‘pure integration’! Since how could integration aid function better than with the help of contacts with the neighbour- hood, by means of joint events, sponsorships or visits? It is along this path that we want to continue also in the future – together with you. At this point, thank you very much to all of the friends and sponsors who have already supported and assisted us so far. Without your work and participation many of the things we can offer to the people requiring assistance with whom we have been entrusted, would not be possible. We wish you pleasant and exciting reading!

Dieter Czogalla Wolfgang Meyer CEO CFO Spokesman of the Member of the Executive Committee Executive Committee

Sozialwerk St. Georg | 5 Retrospect, guidelines, prospects

Tasks, aims, Our tasks and how we perform them structures The foundation Founded in 1952 by the Catholic parish of St. Barbara in Gelsenkirchen-Buer-Erle, Sozialwerk St. Georg assists people who need support. Committed to the aim of making participation in social life with equal rights possible for people with disabilities, we have developed into a social service company with differentiated services on offer for people with disabilities and mental illnesses in structures allowing flexible change-over between the in-patient and out- patient levels. It corresponds to our self-conception to respect every human being in his or her uniqueness and dignity and to give him or her any necessary support for a self-determined life. We perform this task by • Offering care in hostels: as of 31.12.2008 there were 1,870 persons (including special accommodation and treatment rates as well as help for children and juveniles) there as compared with 1,793 in 2007; in 2008 we were able to discharge 167 persons into private living situations as compared with 148 in 2007 (see graph).

Discharges to private living conditions

250 number of cases 200 167 148 150 126 128 111 111 85 90 100 64

50

0 2000 2001 2002 2003 2004 2005 2006 2007 2008

• Ensuring appropriate care where necessary: 7.70 % of cost bearing commitments in the hostels in 2008 related to help for care according to Art. 61 of the German Social Code XII as compared with 8.87 % in 2007, 18,100 assignments for our psychiatric specialist care service were carried out in private flats in 2008 as compared with 22,537 in 2007. The out-patient psychiatric specialist care according to the German Social Code V has unfor- tunately been in marked decline due to the limiting of care to a four-month period according to the health insurance companies’ rules, to the disadvantage of the clients, since 2005. • Providing assistance in their homes to people who can shape their lives on a largely independent basis: as of 31.12.2008, there were 691 persons in out-patient assisted living as compared with 569 in 2007.

6 | Sozialwerk St. Georg Dieter Czogalla, CEO Spokesman of the Executive Committee

• Running workshops which prepare people for the requirements of the general labour market and provide permanent jobs (there were 886 employees in 2008 as compared with 864 in 2007). • Providing opportunities for employment, meetings and education in day-care centres as well as in contact and counselling offices. At the same time our principle is that general services on offer are to be made use of before specialist help, out-patient care before partly in patient help and partly in-patient help before in-patient help, if the individual aim of the respective help can thus be achieved. The high degree of flexibility permitting movement between our out-patient and in-patient structures permits a flexible provision of services in line with needs. Organised in the legal form of a registered association, Sozialwerk St. Georg together with its subsidiaries bears responsibility for about 2,200 members of staff (full-time and part-time employees as well as young men performing civil services as an alternative to military service), who care for 3,600 people with disabilities on an out-patient, partly in patient and in-patient basis. 886 persons with disabilities work at Sozialwerk St. Georg Werkstätten gGmbH. The Sozialwerk currently runs homes at 50 locations and 25 out-patient contact centres. There are 500 occupants living in 252 external flats. 79 clients at the out patient care service ALPHA gGmbH receive their help and assistance in their own flats and/or in the shared housing for persons detrimentally affected by dementia. 92 per cent of the people cared for as in-patients have work or activities outside of the housing groups in workshops/day-care centres.

General Membership Meeting

Supervisory Board

Executive Committee (CEO, CFO)

Sozialwerk St. Georg e.V. Central divisions Working not for, but with people (control support and service centres)

Meetings of shareholders, wholly owned subsidiaries 51 % shareholding 49 % vBA Bethel Sozialwerk St. Georg ALPHA gGmbH Sozialwerk St. Georg Internat AUTEA gGmbH Werkstätten gGmbH Out-patient psychiatric/geron- Bauen und Bad gGmbH Counselling and further Workshops and day-care to-psychological care, shared Wohnen GmbH Institution (boarding training based on the centres accommodation for persons school) providing public TEACCH model suffering from dementia assistance to young people

331/3 % shareholding 1 je 33 /3 % each Josefs-Gesellschaft, Stiftung Liebenau und Ev. Stiftung Alsterdorf Sozialwerk St. Georg Sozialwerk St. Georg Sozialwerk St. Georg ambient assisted Ruhrgebiet gGmbH Westfalen-Nord gGmbH Westfalen-Süd gGmbH living GmbH Range of services for out-patients Range of services for out-patients Range of services for out-patients Living in assisting surroundings ¶ ¶ ¶

Division Ruhr Division Westphalia North Division Westphalia South Specialist area of Range of living accommodation Range of living accommodation Range of living accommodation autism and day-care centres for people and day-care centres for people and day-care centres for people Living accommodation, with disabilities with disabilities with disabilities work and out-patient services for autistic persons

Stiftung Sozialwerk St. Georg - Foundation, promotion of projects of the registered association.

Sozialwerk St. Georg | 7 Retrospect, guidelines, prospects

Number of Turnover per case 1996 to 2008, homes and assisted living cases U

The consideration reduced to what is known as the ‘main house area’ (= without special accommodation and treatment charges) results in an average annual value for 2008 of € 89.40 per case

Number of Number of places occupied in the area of the homes as of 31.12. (Percentage change as against the previous year) cases

4.5%* 4.3% 1.8% 1.1% 0.9% 2.3% 1.1% 2.7% 3.3% 8.2%

2.1% 1.9% 2.7%

Number of Clients of assisted living as of 31.12. (Percentage change as against the previous year) cases

21.4%* 13.6% 27.9% 18.9% 26.8% 23.0% 30.4% 32.4% 35.0% 65.5% 7.3% 26.2% 9.4%

* budgeted figures

8 | Sozialwerk St. Georg Wolfgang Meyer, CFO Member of the Executive Committee

In 2008, turnover amounted to approx. U 97.5 million (including all divisions, U 92.5 million in 2007), and the total operating performance increased to U 108.3 million (previous year: U 101.1 million) and total capital expenditure amounted to approx. U 10.3 million. (2007: U 9.2 million)). The personnel expense incurred was approximately U 77.3 million (in 2007, U 70.3 million). In 2008 a total of approximately 667,000 care service days were achieved in the in-patient facilities of the Sozialwerk. The rate of capacity utilisation in the area dealing with in-patients was approximately 97 per cent. The economic success of our company enables us to invest in the future. During the financial year 2008 we were able, by means of investment in tangible assets in the amount of U 10.3 million, to further improve the living accommodation situation for the people living with us and the activity and work situation in the day-care centres and workshops; the Land of North Rhine-Westphalia, Landschaftsverband Westfalen-Lippe (LWL), the foundation Stiftung Wohlfahrtspflege, AKTION MENSCH and the District of Siegen-Wittgenstein promo- ted this capital expenditure. That strengthens our position in the market as regards the future and is therefore continued in our further capital expenditure planning. Without the subsidies for capital expenditure and personnel expense we would be unable to perform many of our tasks; the following overview shows the commitment of the providers of promotion funds during the last two years in the overall enterprise Sozialwerk St. Georg.

Promotion funds (additions of appropriated capital expenditure 2008 2007 and personnel expense subsidies / funds from Land of NRW Aktion Mensch 1,143,329.98 2,183,793.94 Stiftung Wohlfahrtspflege 136,800.00 793,800.00 District of Siegen-Wittgenstein 13,104.00 0.00 Promotion by the Land of NRW and by the LWL* 1,103,887.36 1,924,632.51 Federal Labour Agency 111,856.68 61,129.99 Total 2,508,978.02 4,963,356.44

* The Landschaftsverband Westfalen-Lippe promotes the capital expenditure by providing shares of the accommodation and treatment costs (capital expenditure lump sum)

Sozialwerk St. Georg is a corporate member of the Caritas Association and a member of the Bundesverband Caritas Behindertenhilfe und Psychiatrie e.V. (CBP) (Federal Association Caritas for Help for the Disabled and Psychiatry). The CBP is a recognised specialist association of the German Caritas Association. Its members provide services for people with disabilities and psychological disorders. For further information: www.cbp.caritas.de Sozialwerk St. Georg is, moreover, a founding member of the Brussels Circle (Brüsseler Kreis), an amalgamation of large Protestant and Catholic social enterprises in . Their facilities and services are concentrated on activities in help for the disabled, the elderly and for children and juveniles, the health system and education. They employ approximately 40,000 per- sons and together they have more than 35,000 in-patient, partial in-patient and out-patient places on offer and with that they reach about 100,000 clients. The cumulative annual turnover is about U 1.7 billion. As an active partner in the European social market, the Brussels Circle is positioned at the interface between a developing social Europe and the changing welfare state. It takes up positions and develops proposals on current socio-political developments and on legislative measures. For further information: www.bruesseler-kreis.de

Sozialwerk St. Georg | 9 www.stiftung-st-georg.de

A photo from the foundation newsletter published for the first time in 2008: the project “Our shop” promoted by the founda- tion and its sales team of people with impairments are impor- tant for the people in Wilnsdorf-Anzhausen in the District of Siegen-Wittgenstein; their food service fosters contact with the neighbourhood!

The Sozialwerk St. Georg foundation – needs your support!... Tasks, aims, structures ... For we want to continue helping to secure the financial future and the large variety of the The foundation Sozialwerk’s social tasks. In times of scarce public funds and an ever increasing pressure from the organisation bearings costs we must repeatedly find new means and ways of continuing to be able to ‘work not for, but with people’. In this connection the reforms of German donations and foundations law make it now even more attractive to support our foundation. In the sense of overall community responsibility of all social groups, the foundation calls on citizens, companies, citizens’ initiatives and institutions: Please support our work! Since only in that way can the foundation promote projects which contribute to improving the living and working conditions of the people with mental handicaps, mental illnesses or social difficulties at Sozialwerk St. Georg. This was most recently, for example, outdoor games equipment for people with autism in Schmallenberg , the theatre “The Sozialwerk St. Georg foundation also promotes group with people with disabilities in Gelsenkirchen or projects which assist clients and local residents in offers of courses of further experience neighbourliness even more intensively.” education/ training for Werner Cordes, since April 2008 CEO and Chairman of the Executive Committee occupants. of Sozialwerk St. Georg foundation, and Gerhard Lutter, Deputy Chairman The capital of the foundation was increased to about 542,000 euros last year. In total about 47,000 euros were available in 2008 for measures with which to strengthen people Sozialwerk St. Georg with handicaps and to help them to participate in social life. foundation Executive Committee: Support us now in order to make possible or to safeguard further current / future projects Werner Cordes such as the acquisition of musical instruments as a therapeutic course offered to adolescents (Chairman), with eating disorders in Attendorn, the promotion of therapeutic riding in Ascheberg or of an Gerhard Lutter (Dep. Chairman) early diagnosis centre for autism in the Sauerland. You can support the foundation, with tax benefits, in the following ways: Emscherstr. 62, • by ‘normal’ donations to one of the accounts at the bottom right 45891 Gelsenkirchen Phone: 0209 7004-276, • by allocations to the foundation which directly increase the foundation’s capital Fax 0209 7004-249 • by means of the estates of deceased persons or bequests (free of inheritance tax!) [email protected] Also the establishment of a dependent foundation and/or the setting-up of a www.stiftung-st-georg.de Accounts: foundation fund under the umbrella of the Sozialwerk St. Georg foundation without any im Bistum eG, administration expense of the founder’s own is possible. Konto 10 221 013, We would be pleased to send you our current foundation newsletter and further informati- BLZ 360 602 95 Volksbank Schmallenberg eG, on and to inform you individually about the various promotion possibilities in order to find a Konto 15 001 700, suitable form of support together with you. We look forward to receiving your phone call! BLZ 460 628 17

10 | Sozialwerk St. Georg During daily work an area of social relationships grows: the ‘Our shop’ team

Help for a self-determined life For people with mental handicaps, mental illnesses or social difficulties we open up ways of living on a self-determined basis and of participating actively in the community.

Work and employment/activities

For people with disabilities, illnesses or social difficulties, work and employment have the same meaning as for all of us: they create sense, strengthen self-confidence and provide an area for social relationships. We make allowance for this high relative importance with our facilities for rehabilitation and integration into work and employment. Our workshop must also strive for economically efficient work results. At the same time, however, production and service for the market are inseparably linked to the personal care for Production and services and promotion of those employed there. In our workshops for the disabled we open up new in line with the market, vocational and personality-developing prospects. Our range of jobs offered comprises, among linked with personal care and promotion other things, metalworking in shift operation, vehicle maintenance, servicing and tyre changing, wood processing and wood working in the joiner’s workshops, services, for example, in large-scale catering establishments and canteens, in office service and digital archiving. In vocational training, our PC training places attract great interest. Many clients find a second living area in our day-care centres. On the basis of individual planning of help, we teach practical know-how, skills and action competence for structuring one’s life. Within the scope of the integration assistance, our day-care centres are being increasingly opened up for day-structuring care and employment as a service offered on a partly in-patient basis. In our facilities, we develop and promote an even greater networking of in patient, partial in-patient and out-patient structures in order to create even more permeability and transparency.

Sozialwerk St. Georg | 11 Services on offer and target groups

Decentralised structures promote contact with the neighbours – like here often door to door in the neighbours’ own flats

Living/accommodation

Linked with the concept of ‘living’ is, above all, the need for protection, privacy, continuity and belongingness’. Whoever has a flat of his/her own can furnish and decorate it in accor- dance with ideas of his/her own. With in patient care in homes, we support the need for own ‘living’ space if life in a person’s own flat is not possible or not yet possible. We deliberately design our living or dwelling structures as normally as possible and give the necessary space to the personal needs of the individual. Our aim is the opening- On the one hand, there is a possibility of living in small, communities easy to handle. up and differentiation On the other hand, we also offer flats for couples or for single persons. These accommodation to a degree of different offers are to be found in cities and small town or villages, near town centres, but also in idyllic living forms in order to rural surroundings. promote the self- determined life led by Our main buildings as the centre of composite living systems are mostly smaller facilities each person with contacts in the neighbourhood. The external flats are individual apartments or flats for several persons. They are located in blocks of flats or apartment buildings and hence contribute to a normal living environment, just like the flats in detached houses or semi detached houses in corresponding residential areas. And what is quite important for privacy: people’s own rooms are decorated and furnished according to their own taste. Once the personal prerequisites for life in an external flat or in a flat of one’s own have been created we consistently continue to promote the way to it. In that way, our external flats belonging to the home are in that way a link between living in a home and assisted living. Many people with a disability would, however, like to live in their own flat. That is why for us the principle applies: ‘out-patient before in patient care’ - help in one’s own flat has priority over moving into a home. Assisted living is a widespread service offered to all clients who temporarily or for a relatively long period cannot live in their own flats without help. It comprises low threshold, visiting and counselling as well as supportive help in the living areas of housing, work and organising a day’s activities. This also includes support during crises and illnesses.

‘ambient assisted Living for us also means: sounding out the chances for new technologies and integrating living’: living in an useful inventions - wherever meaningful and ethically justifiable - into our accommodation assisted environment offers. With our innovative co-operation project ‘ambient assisted living’ we want to increase supported by technical and extend our clients’ personal freedom and autonomy and to delay in-patient stays or even aids to completely avoid them. An ‘assisted environment’ which is supported by technical aids provides people with an additional amount of safety, security and communication.

12 | Sozialwerk St. Georg ‘As much help as necessary, as much independence as possible’ - also in the new ALPHA shared flats

The boarding school Internat Bad Fredeburg strengthens children and juveniles suffering from AD(H)S

Special services offered

The range of services offered by ALPHA gGmbH comprises mainly psychiatric and geronto ALPHA: out patient care psychiatric nursing care. The target group is mentally ill persons and persons suffering from - in one’s own flat or in dementia in their private surroundings. Particularly those who are discharged after a relatively shared accommodation long stay in a psychiatric clinic can no longer cope alone at home. They are assisted by the person who regularly cares for them on the way back to the normality of everyday life. Especially for persons impaired by dementia, ALPHA also offers care and assistance in modern customised flat-sharing groups according to the motto ‘Cared for and nevertheless at home’. All of the services provided by ALPHA gGmbH are based on the patient’s own individual need for help and are provided exclusively by specialist qualified nursing and geriatric nursing staff as well as trained all-day assistants. The help provided ranges from talks for mental relief via controlled administration of medicines to help and instructions for ensuring sufficient food intake and the carrying-out of domestic chores. Support with the structuring of the day of the week and leisure organisation as well as counselling of relatives play a major part. The non-profit making institute for autism, AUTEA gGmbH, offers in close co-operation with the Bodelschwingsche Anstalten Bethel, Bielefeld, training courses and counselling for the AUTEA: help for people parents of autistic children, for adults and institutions according to the TEACCH model, with autism developed in the US. TEACCH stands for the treatment and promotion of autistic children and of other children, juveniles and adults with a similar communication disorder. People with autism are particularly disadvantaged as regards their ability to adequately structure information perceived and to make sense of it. The TEACCH program in this connection shows ways in which autistic people can compensate for the deficiencies and disorders when coping with everyday life. The aim: a maximum degree of independence in all areas of life and thus a higher quality of life. The boarding school Internat Bad Fredeburg has specialised successfully in supportive school-based promotion of children and juveniles with the attention deficiency syndrome Boarding school Internat (ADS) without hyperactivity and with hyperactivity (ADHS). These boys and girls make high Bad Fredeburg: demands on the patience of those around them. We offer them, on the basis of individualised ‘learning for life’ - help planning, a firmly structured programme for the day and an extensive range of activities in despite AD(H)S the fine arts, sports and handicrafts and thus create a healthy basis for learning and living. Our main objective is ensuring reliable pedagogical care and guidance of the children and juveniles. In order to meet the increased care and assistance requirements resulting from the AD(H)S problems there is, above and beyond the normal care relationship, also a specialist psychological service.

Sozialwerk St. Georg | 13 Activities offered and target groups

Running together at the boarding school Internat Bad Fredeburg with its clearly structured daily routine

Leisure

Self-determined and Besides the doors to fun and recreation, ‘free time’ also opens other doors: whether it be meaningful organisation participation in cultural events or in everyday social life. Outside of the usual surroundings, of leisure is an impor- relationships can thus be established, new interests aroused or old hobbies revived. tant part of our support In order to enable our residents to increasingly make contacts with ‘outside’, for us the and assistance concept local integration of public institutions such as clubs, adult education institutions and church congregations plays an important role. A decisive building block in the overall concept of individualised care and support is the self-determined and meaningful organisation of the day. Therefore our colleagues promote participation in leisure activities which is as independent as possible. In our facilities, the concept ‘leisure organisation’ is filled with life: the regular activities offered comprise the areas of sport, education, creativity, culture and holidays. The facilities offer their residents, with the support of Aktion Mensch, for example, an extensive range of short holidays with destinations in Germany and neighbouring foreign countries. The organisation of holiday leisure time is based on the wishes, needs, social competence and development possibilities of those taking part. In the positive atmosphere of the holiday situation outside of the everyday surroundings, quite often hitherto unrecognised resources of the residents are revealed and, besides the fun and recreation mainly focussed on, new areas of experience of social participation and self-determination emerge.

14 | Sozialwerk St. Georg Figures, data, facts 2008

People & meetings at the Patron Saint’s Festival in Schmallenberg in 2008

Sozialwerk St. Georg - the company as a whole in 2008*

General remarks

The Group’s activities consist in the support of and care for people with disabilities - mainly of mentally ill people – based both on in-patient and also out-patient living. The lead company of the Group is Sozialwerk St. Georg e. V., Gelsenkirchen, through which the major part of the Group’s business volume is handled. Moreover, the Group maintains, as an essential factor, workshops and day-care centres which provide disabled people with extensive opportunities for work. Further main areas can be seen in support for autistic people as well as in research and development in the field of autism. Besides the parent company, the following subsidiaries were included in the consolidated financial statements: • Sozialwerk St. Georg Werkstätten gGmbH**, Gelsenkirchen • Sozialwerk St. Georg Bauen und Wohnen GmbH, Schmallenberg • ALPHA - Allgemeine und psychiatrische Hauskrankenpflege gGmbH**, Gelsenkirchen • AUTEA gGmbH not for profit institute for autism - counselling and further training based on the TEACCH model, Gelsenkirchen • Internat Bad Fredeburg gGmbH**, Schmallenberg. • Sozialwerk St. Georg Ruhrgebiet gGmbH** - integration aid for people with disabilities, Gelsenkirchen • Sozialwerk St. Georg Westfalen-Nord gGmbH** - integration aid for people with disabilities, Ascheberg • Sozialwerk St. Georg Westfalen-Süd gGmbH** - integration aid for people with disabilities, Schmallenberg

The last three companies mentioned have been managing the operational business of out- patient assisted living in the individual regional divisions since 2005.

* This is an abbreviated presentation based on the Group Management Report for 2008. Further detailed information of the situation of the parent company and the development of the subsidiaries is included there. You can find the Management Report online at www.sozialwerk-st-georg.de > Unternehmensentwicklung

** Not for profit

Sozialwerk St. Georg | 15 Course of business for the parent company in 2008

The course of business in 2008 continued to be influenced by the model agreement with the Landschaftsverband Westfalen-Lippe applying from 2006 to 2008. In it, among other things, a reduction of the remuneration rate in the amount of 1.5 percentage points (approx. U 1 million) as well as a high ‘out-patienting ratio’ (180 clients within these three years) in the area of the main buildings had been agreed upon. This also had an effect on the organi- sation and thus also on the cost and proceeds structures of the Sozialwerk St. Georg e. V. also in 2008. Hence, during the past year, from the overall home area 94 (previous year: 97) clients so far supported on an in-patient basis were able to change to ‘out-patient assisted living’ – with the result that the targets of the model agreement were able to be over-fulfilled (from 2006 to 2008 a total of 214 clients from the general care rate area / 41 clients from the special care rate area). At the same time, the facilities took in clients needing more intensive support and thus widened the range of day structuring measures. The executives and the staff and helpers at Sozialwerk St. Georg continued the implementation of various strategic projects which are intended to contribute to future diversification and/or an increase in efficiency. In that way, anticipated stagnation in the in- patient area in the future is to be offset. In particular the following projects can be mentioned: • Development of in-patient help for children and juveniles in the Ruhr as well as in southern Westphalia • Technical assistance / projects for persons suffering from dementia in Duisburg and Ascheberg • Care facility for people with disabilities • Selection and partial implementation of new operating software • Digital archiving The association Sozialwerk St. Georg e.V. also participated in projects of the subsidiaries for out-patient care and support as well as the widening of the offers of the provision of psychiatric care or the creation of alternative living forms for people with dementia and gerontopsychiatric impairments. In 2008, too, Sozialwerk St. Georg e. V. invested extensively in measures concerning new building construction and building alterations. Besides the enhancement of the living quality, this resulted in decentralization effects planned on that basis. The Sozialwerk also invested in new business fields; here in particular the area of children and juveniles is to be mentioned. The overall capital expenditure on tangible assets amounted to approx. U 9.8 million (previous year approx. U 8.4 million) and mainly affected housing construction projects within the scope of in-patient care and the daily structure.

16 | Sozialwerk St. Georg Figures, data, facts 2008

People & meetings at the Patron Saint’s Festival in Schmallenberg in 2008

Key figures for the whole Group The good results both of the parent company and of the subsidiaries* in 2007 and 2008 show the sustainability of the earning power of the whole Group. Despite difficult basic conditions the staff and helpers of Sozialwerk St. Georg were able to achieve constant growth (total earnings about U 107.2 million / previous year about U 99.6 million. The consolidated net income for the year in 2008 was approx. U 2.2 million as in the previous year. The following summarized key figures for the Sozialwerk St. Georg Group are obtained in a comparison of the two years:

2008 2007 k U % k U % Turnover 97,532 91,118 Total earnings 107,245 99,635 Total operating performance** 108,254 101,071 Personnel expense 77,311 70,253 Depreciation 4,232 4,379 Profit for the year 2,171 2,160 Fixed assets 72,860 66,671 Current assets 24,071 23,707 Equity capital 24,620 22,449 Long-term outside capital 39,517 37,183 Balance sheet total 97,950 91,374 Equity ratio 39 39 Reserve ratio 23 22 Debt/equity ratio 61 61 Equity-to-fixed assets ratio 107 109 ** Total operating performance = Total revenue + revenue from public funding of capital expenditure + revenue from the writing-back of special items + other ordinary revenue

*On the development of the subsidiaries see the Group Management Report at www.sozialwerk-st-georg.de > Unternehmensentwicklung

Sozialwerk St. Georg | 17 Photo on the right: honorary guest and speaker Dr. Manfred Lütz, Senior Physician at the Alexianer-Krankenhaus (Alexian Hospital) in

Risks and opportunities of future development, 2009 forecast

Further growth and the fundamental structuring of the occupant structure leads to a clientele requiring more intensive care and thus to higher turnovers which will automatically go hand in hand with a corresponding increase in the number of personnel. Added to that, there will be a further increase in the range of day-structuring on offer as well as an enlargement of the commitment to help for children and juveniles. This development means, above all, in the area of ‘work and employment’ an advantageous range structure as compared with other providers. In 2009 the cost increase in the personnel area (above all collectively bargained wage increases) as well as general increases in the cost of materials can be absorbed by an increase in the remuneration rate so that in 2009 further expenditure on innovative projects can be carried out which are in turn intended to have a future-securing effect once again and to create stability. The increase in the remuneration rate in 2009 in the area of the homes will thus first of all lead to an economic “easing of pressure”. Seen against the background of the overall econo- mic situation, however, a further increase in the scarcity of resources in the social budgets

Consolidated profit and loss statement for the period 2008 2007 from 01.01. to 31.12.2008 1. Turnover 97,532,068.96 91,118,179.43 2. Other internally produced and capitalised assets 1,058,692.34 1,548,438.06 3. Earnings from the writing-back of special items 398,534.31 386,702.88 4. Other operating income 9,264,743.20 8,017,731.85 Total operating performance 108,254,038.81 101,071,052.22 5. Personnel expense 77,310,653.49 70,252,722.71 6. Cost of materials 15,324,223.23 14,135,092.64 7. Other operating expense 5,386,629.53 5,624,788.41 8. Maintenance costs 3,275,512.93 3,987,749.60 Operating result 6,957,019.63 7,070,698.86 9. Depreciation 4,232,172.47 4,378,906.58 10. Income from investments and financial assets 19,794.68 23,328.23 11. Net interest income/loss -532,039.38 -468,577.25 Profit/loss on ordinary activities 2,212,602.46 2,246,543.26 12. Taxes on corporate income, business profits, and net worth 41,983.66 86,211.40 Consolidated profit for the year 2,170,618.80 2,160,331.86 13. Profits relating to other shareholders -20,608.45 -3,369.99 14. Profit/loss brought forward 107,646.02 18,180.34 15. Consolidated net income for the year* 2,257,656.36 2,175,142.21 * The consolidated net income for the year will be allocated to the revenue reserves and will flow, due to the non-profit nature of the business, directly into the necessary capital expenditure measures.

18 | Sozialwerk St. Georg Figures, data, facts 2008

Patron Saint’s Festival in 2008: Werner Cordes (left) and Gerhard Lutter (right), Member of the Executive Committee of Stiftung Sozialwerk St. Georg (Foun- dation), hand over to Schmallenberg’s Mayor Bernhard Halbe (2nd from right) and the Deputy Mayor Burkhard König the Foundation Deed for an allocation to the foundation by the town

will, however, have to be expected. In this context, future collectively bargained wage agree- ments with nursing / care cost rates hardly rising will play a major part in the future, as needs to make up ground lost are likely to continue to be expressed which, however, are in contrast to the current lack of economic growth prevailing at present. For 2009, an economically positive development is expected due to the increase in the cost rate for nursing / care. However, the projects and developments initiated by the Sozial- werk in the recent past must contribute to the possibility of absorbing the cyclical fluctuations appearing with increasing clarity. Innovation, efficiency and speed will therefore play an increasingly large part also in the social welfare business.

Consolidated balance sheet as of 31 December 2008 2008 2007 Assets A.Fixed assets I. Intangible assets Software and licences 137,577.19 140,970.53 II. Tangible assets 72,109,875.60 65,937,744.93 III. Financial assets 612,655.26 591,912.72 B. Current assets I. Inventories 364,315.59 289,533.26 II. Accounts receivable and other assets 5,973,520.87 5,591,415.42 III.Securities 0.00 200,000.00 IV.Cash in hand, cash at bank 17,653,976.88 17,534,732.33 C. Prepayments and accrued income 78,614.79 91,490.29 D. Trust assets 1,019,248.14 996,349.95 97,949,784.32 91,374,149.43

Consolidated balance sheet as of 31 December 2008 2008 2007 Liabilities A. Equity capital 24,619,691.74 22,449,072.94 B. Special items from allocations and subsidies for the financing of the tangible assets 13,551,204.22 12,552,937.70 C. Special items with accrual character 99,538.32 114,709.49 D. Value adjustment of tangible assets 153,180.00 171,705.00 E. Accrued liabilities 10,355,360.91 10,219,311.01 F. Accounts payable 47,869,909.38 44,636,904.80 G. Accruals and deferred income 281,651.61 233,158.54 H. Trust liabilities 1,019,248.14 996,349.95 97,949,784.32 91,374,149.43

The consolidated annual financial statement was examined by Beratungs- und Prüfungsgesellschaft BPG mbH Wirtschaftsprüfungsgesellschaft, Münster, and provided with the unqualified audit certificate.

Sozialwerk St. Georg | 19 www.sozialwerk-st-georg.de

Sozialwerk St. Georg Sozialwerk St. Georg Ruhrgebiet gGmbH Werkstätten gGmbH Services for Emscherstraße 41 people requiring 45891 Gelsenkirchen assistance Phone: +49 209 7004-254 Uechtingstraße 81 Fax: +49 209 7004-474 45881 Gelsenkirchen gf@wfb. Phone: +49 209 7004-800 sozialwerk-st-georg.de Fax: +49 209 7004-810 ALPHA gGmbH info@ruhrgebiet. General and psychiatric sozialwerk-st-georg.de nursing at home Ehrenstraße 19 Sozialwerk St. Georg 47198 Duisburg Westfalen-Nord gGmbH Phone: +49 2066 99389-0 Services for [BRUSSELS CIRCLE] Fax: +49 2066 99389-10 people requiring [email protected] assistance Sozialwerk St. Georg Nordkirchener Straße 2-4 Bauen und Wohnen GmbH 59387 Ascheberg Breite Wiese 36 Phone: +49 2593 9563-0 57392 Schmallenberg Fax: +49 2593 9563-11 Phone: +49 2972 9773-300 info@w-nord. Fax: +49 2972 9773-333 [CARITAS sozialwerk-st-georg.de HANDICAPPED AIDAND [email protected] PSYCHIATRY] Sozialwerk St. Georg Sozialwerk St. Georg e. V. Westfalen-Süd gGmbH Fachbereich Autismus Services for Uechtingstraße 89a people requiring 45881 Gelsenkirchen assistance Phone: +49 209 7004-679 Breite Wiese 36 Fax: +49 209 7004-583 57392 Schmallenberg h.steffen@ Sozialwerk St. Georg e. V. Phone: +49 2972 9773-100 sozialwerk-st-georg.de Emscherstraße 62 Fax: +49 2972 9773-111 45891 Gelsenkirchen, Germany info@w-sued. AUTEA gGmbH Phone: +49 209 7004-0 sozialwerk-st-georg.de Uechtingstraße 89a Fax: +49 209 7898-01 45881 Gelsenkirchen [email protected] Internat Bad Fredeburg Phone: +49 209 7004-679 gGmbH Fax: +49 209 7004-583 Kapellenstraße 5-8 [email protected] 57392 Schmallenberg- www.autea.de Bad Fredeburg ambient assisted Phone: +49 2974 9621-0 living GmbH Fax: +49 2974 9621-11 Emscherstraße 62 info@internat- 45891 Gelsenkirchen badfredeburg.de Phone: +49 209 7004-224 [BEST www.internat- Fax: +49 209 7004-249 EMPLOYERS badfredeburg.de HEALTH u.gaden@ SECTOR 2007] ambient-assisted-living.org Sozialwerk www.ambient-assisted- St.Georg e.V. living.org

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