Survey Results NYS Meals on Wheels Commonalities Differences

Survey Results NYS Meals on Wheels Commonalities, Differences, Strengths and Opportunities Prepared by:

Who we are…. Who we serve.

About Your Organizations How is your organization incorporated? 8. 7% We are an agency 91. 3% 0% We are a foundation We have both an agency and a foundation Year Incorporated Response Percentage (%) 1950 s 17% 1960 s 21% 1970 s 48% 1980 s 8. 6% 1990 s 0% 2000 s 0% 2010+ 4. 3%

Your Staff and Volunteer Numbers How many staff members do you have? 0% 11. 5% 19. 2% 15. 4% 34. 6% How many volunteers do you have? None, volunteers only 0 - 25 5 or less 26 - 50 13. 0% 6 - 10 17. 4% 11 - 25 26 - 50 More than 50 21. 7% 51 - 100 101 - 250 8. 7% 251 - 500 26. 1% 13. 0% 0% 0% 501 - 750 751 - 1, 000 More than 1, 000

Delivering the meals… Meals Delivered by: Response Percentage (%) 100% by volunteers 23% 75 – 99% by volunteers 32% 50 – 74% by volunteers 9% 25 – 49% by volunteers 9% 1 – 24% by volunteers 27% 0% by volunteers 0% Rural only Urban only 16% 8% 4% 4% 36% 16% Suburban only Rural / Urban Rural / Suburban / Urban Rural / Urban / Suburban

About Your Clients Percent under poverty line Response Percentage (%) 45, 00 Unsure 20% 40, 00 < 25% 15% 35, 00 25 – 50% 15% 30, 00 51 – 75% 25% 76 – 100% 25% Percent are veterans Response Percentage (%) Unsure 25% < 25% 60% 25 – 50% 15% 51 – 75% 0% 76 – 100% 0% To the best of your ability, please indicate what percentage of your clients fall within each age range: 25, 00 20, 00 15, 00 10, 00 5, 00 18 and under 19 - 39 40 - 59 60 - 74 75 - 84 85 and older

An ethnically diverse clientele % Ethnically Diverse 5% Unsure 0 to 10 15% 11 to 20 21 to 30 31 to 40 20% 41 to 50 40% 51 to 60 10% How many congregate sites do you offer ethnic meals through? * 67% None * 26% One or Two * 7% Three or more 61 to 70 Need advice? (Ethnic meal experts): 71 to 80 * Jewish Community Council of Canarsie * MOW – Greater Newburgh * MOW – Western NY * Open Door Senior Center * Ridgewood Older Adult Center * Queens Community House 81 to 90 0% How many HDM sites do you offer ethnic meals through? * 50% None * 44% One or Two * 6% All (70 sites)

The details of our meal programs

HDM Annual Meal Counts HDM Per Year Response Percentage (%) Less than 10, 000 10. 3% 10, 000 – 25, 000 6. 9% 25, 000 – 50, 000 20. 7% 10, 000 - 25, 000 50, 000 – 75, 000 3. 4% 25, 000 - 50, 000 75, 000 – 100, 000 6. 9% 50, 000 - 75, 000 How many home-delivered meals do you serve per year? Less than 10, 000 75, 000 - 100, 000 – 250, 000 34. 5% 250, 000 – 500, 000 6. 9% 500, 000 – 750, 000 6. 9% 750, 000 – 1, 000 0% More than 1, 000 3. 4% 100, 000 250, 000 500, 000

Home-Delivered Meals Do you offer a meal choice for HDM clients? * 50%Yes *50% No # of Sites 5. 3% 1 Site 2 to 10 11 to 20 15. 8% 68. 4% 21 to 30 31+ (70 sites) If yes, how often do you offer a meal choice? * 43% - Daily * 14% - Weekly * 7% - Monthly * 35% - Other options: * Specialty (medical) diets only * Choice of hot entrée each day * Choice of 1 or 2 meals each day You offer 1 to 8 choices a day, including: * General choice, renal, ADA, allergy restricted, puree / chopped, medication interactions, and variations to the primary menu Need advice? (Daily choice experts): * Carter Burden Luncheon Club * MOW – Staten Island * Queens Community House * FM-JD MOW * MOW – Chemung County * MOW – Syracuse * Stanley Isaacs Neighborhood Center

Congregate Annual Meal Counts Congregate Per Year Response Percentage (%) Zero / N/A 35. 7% Less than 10, 000 10. 7% 10, 000 – 25, 000 7. 1% 25, 000 – 50, 000 28. 6% 50, 000 – 75, 000 10. 7% 75, 000 – 100, 000 0% 100, 000 – 250, 000 0% 250, 000 – 500, 000 3. 6% 500, 000 – 750, 000 0% 750, 000 – 1, 000 3. 6% How many congregate meals do you serve each year? N/A / Zero Less than 10, 000 - 25, 000 - 50, 000 - 75, 000 - 100, 000 250, 000 500, 000

Congregate Meals Do you offer a meal choice for Congregate clients? * 29%Yes *71% No # of Sites 5% 0 10% 1 to 5 If yes, how often do you offer a meal choice? * 100% - Daily 6 to 10 30% 50% 11 to 20 If you offer choice, you offer 1 to 3 choices a day. 21+ (45 sites) Need advice? (Daily choice experts): * Carter Burden Luncheon Club * Stanley Isaacs Neighborhood Center * Ridgewood Older Adult Center Post-presentation note: * City. Meals can connect you with any of these partners

Meal trends – by the numbers Congregate counts vs. last year Percentage responding (%) 29% Down >5% 57% 0% 0% Down 3 – 5% 0% Down < 3% 7% 7% Down < 3% 0% Flat 14% Flat 29% Up <3% 7% 7% Up <3% 14% Up 3 – 5% 0% 7% Up 3 – 5% 0% Up >5% 43% 35% Up >5% 0% HDM referrals HDM actual vs. last year counts vs. last year Down >5% 29% Down 3 – 5%

How Many Per Unit HDM One Meal 33. 0% 40. 0% Other 26. 0% 3. 8% Two Meals OTHER: * One or two meal options * Seven person * Mixed (some one, some two) * One hot weekdays, one hot / one cold weekends; differs by location / program * Differs by county (1, 2) * One hot, optional frozen * Client has choice between one and two Congregate Zero / N/A 34. 6% 1 Meal 61. 5% 0% Two Meals OTHER: * One meal on MTW, one meal and take home meal on RF

Meal Production and Monitoring How are your meals produced? We own our own kitchen and use a caterer 18. 5% We own our own kitchen and are selfoperational 25. 9% How often does your government partner (county, AAA, state, etc. ) monitor operations in your kitchen? 3. 8% 11. 5% 14. 8% 40. 7% We purchase meals from another organization / vendor / caterer Other: 3% own equipment / donated kitchen Daily Multiple times each week Weekly We rent a kitchen and use a caterer We rent a kitchen and are self-operational 3. 8% 50. 0% 19. 2% Bi-weekly Monthly Quarterly 11. 5% Annually No monitoring takes place

Our special diets… What special diets do you offer? (check all that apply) 80, 0% 70, 0% 60, 0% 50, 0% 40, 0% 30, 0% 20, 0% 10, 0% ) sp ec /N e se on ea N sp y O th e r( pl Al le rg ify /A fic ec i sh er Ko e re Pu n ar ge t Ve G lu te n -fr ia ee ac di ar C G ro un d d Bl an l en a R D ia be tic /c al or ie -c on tro lle d 0, 0% Other diets: * Low sodium (2) * Reduced lactose * Fish allergies * Accommodate allergies * Lactose free * Meat diced * Specialized upon physician request

Special diet expansion Are you planning to add any special diets? * 9% Yes * 59% No % who are adding 8% * 32% Unsure Renal Bland 8% 8% 8% Cardiac 8% Gluten-free 25% 33% Vegetarian Puree When are you adding your new diet(s)? * 8% By year-end * 92% Unsure

More than just a meal!

Ancillary Services (check all that Other Services % Who Have None / N/A 9. 1% Home medicine 0% Call assurance 31. 8% Transportation 27. 3% Home health care aids 4. 5% Social Work services 54. 5% Nutrition counseling / ed. 72. 7% Nutrition assessment 50% “Ani. Meals” (pet food) 37. 5% Book program 18. 8% Audio books 12. 5% Cards and tray favors 31. 3% Phone tree (socialization) 6. 3% Birthday gift / cake 62. 5% Other 40% apply) OTHER: * Case Management * Friendly Visits * Referrals * Recreational / wellness activities * Monthly drivers education (AARP) * EBI AAA programs and screenings * RN assessments * Warmest wishes bag in winter * New clients – free book “Rich in Years”

Weekend Meals Do you provide weekend meals? * 82% Yes * 18% No Who receives weekend meals? 17% 61% All clients Our most vulnerable clients as assessed by staff 22% Clients who request them 0%

“Blizzard Boxes” 100% of us offer “blizzard boxes” to clients in advance of inclement weather. How many times per year do you distribute "blizzard boxes"? 5% Once per year 31% Twice per year As many times as needed 50% Other (please specify) 14% Who receives blizzard boxes? * 72% All clients * 18% Vulnerable clients (staff assessed) * 0% Client choice * 9% Other: * Government contracted clients * WIN clients

More about MOWs… Do you sell frozen meals to the public or at your congregate site? * 96% No * 4% Yes, at congregate only Need advice? * Carter Burden Luncheon Club Do you provide a supplemental nutrition program (such as Boost or Ensure)? * 82% No * 18% Yes Need advice? * FM-JD MOW * Jewish Community Council of Canarsie * MOW – Syracuse * MOW – Western NY Do you provide a mobile food pantry? * 100% No * 0% Yes Post-presentation note: * City. Meals does have a mobile food pantry

Diversifying Funds, Developing New Business

Meal Costs & Fee-For-Service Single Meal Cost (FOOD / PRODUCTION ONLY) Response Percentage (%) Single Meal Cost (TOTAL COST) Response Percentage (%) Under $4 11% Under $2. 50 33% $4 - $4. 50 11% $2. 50 - $3 11% $4. 50 - $5 22% $3 - $3. 50 44% $5 - $5. 50 0% $3. 50 - $4 0% $5. 50 - $6 11% $4 - $4. 50 0% $6 - $6. 50 11% $4. 50 + 11% $6. 50 + 33% Do you have a fee-for-service program? * 43. 5% Yes *43. 5% No *10% Unsure What do you charge for a fee-for-service meal? * 22% charge < $4 * 33% charge $4. 75 - $5. 50 * 44% charge $6+

MLTCs and Other Business Opportunities MLTC Contracts Response Percentage (%) Pursue new business? Response Percentage (%) Zero / N/A 42. 9% Yes 39. 1% 1 -3 23. 8% No 60. 9% 4 -7 23. 8% 8 – 10 4. 8% 11+ 4. 8% Other contracts? Response Percentage (%) 0 69. 9% Need advice? (8+ contracts): 1 -3 17. 3% * MOW-Western NY * Senior Services of Albany 4+ 13% Need advice? (4+ contracts): * MOW – Cattaraugus County * MOW – Western NY * Senior Services of Albany * Stanley Isaacs Neighborhood Center

Readmission prevention programs Do you do a readmission prevention program with any area hospitals? * 14% Yes * 86% No How long have you been doing this program? * 1 response - 6 months * 1 response - 2 years * 1 response - Depending on client’s situation How is this program funded? * Grant * United Way grant * Was through CMS * Now looking at DSRIP for possible funding Need advice? (Readmission program experts): * Open Door Senior Center * MOW – Cattaraugus County * Senior Services of Albany

How we fundraise… Other: * MOW / Friends of Aging campaign with local foundation * Memorial gifts * Capital campaign Other (please specify) Kickstarter, You. Give, etc. Traditional advertising Legacy giving Online giving Grants (all types) Small special events Direct mail 100, 0% 90, 0% 80, 0% 70, 0% 60, 0% 50, 0% 40, 0% 30, 0% 20, 0% 10, 0% Large scale special events (100+ people or $20, 000+ raised) What type of fundraising do you do? (check all that apply)

Common priorities, helping each other

Priorities and areas I need MY HIGHEST PRIORITIES I NEED HELP WITH… help… 1. Securing funding 1. Grant seeking and writing 2. Finding and keeping qualified staff 2. Working with MLTCs 3. Volunteer recruitment 3. Developing a business plan 4. Changing needs / desires of seniors 4. Board relations 5. Government relations 5. Volunteer recruitment 6. Program awareness 7. Program growth (too slow) 6. Securing new business and sales process 8. Program growth (too fast) 7. Budgeting and financial matters 9. Developing new business 8. Working with government partners 10. Board relations 11. Volunteer retention 9. Dietary guidelines and best practices 10. Redesigning congregate to meet the changing needs of seniors

Trends & Take-Aways * We have tremendous diversity across programs * Most of us are looking for ways to find more secure funding, develop new business and collaborate with others (e. g. , MLTCs) * Every issue or opportunity that you face, you have a colleague in the state who has already conquered it! *Use your colleagues as resources and sounding boards!

Questions?

Tara A. Ellis President and CEO Meals on Wheels for WNY 716 -822 -2002 ext. 26 tellis@mealsonwheelswny. org Rachel Leidenfrost Chief Communications Officer Meals on Wheels for WNY 716 -822 -2002 ext. 33 rleidenfrost@mealsonwheelswny. org