Harrisonburg Rockingham Dental Clinic A Non-Profit Fee-for-Service Dental Clinic.

Harrisonburg Harrisonburg Rockingham Dental Rockingham Dental

ClinicClinicA Non-Profit Fee-for-Service Dental A Non-Profit Fee-for-Service Dental

ClinicClinic

Free Clinic Strategic Goal for 2008 – 2010Free Clinic Strategic Goal for 2008 – 2010

Open a full service dental clinic serving Open a full service dental clinic serving Medicaid and uninsured patients that Medicaid and uninsured patients that

could be funded long term through fees could be funded long term through fees and not compete for charitable dollars with and not compete for charitable dollars with

the Free Clinicthe Free Clinic

Creating a Business PlanCreating a Business PlanDocument the needDocument the need

Organizational PlanOrganizational Plan

Operational PlanOperational Plan

Financial Plan and Cash Flow ProjectionsFinancial Plan and Cash Flow Projections

The Need for a new Dental ClinicThe Need for a new Dental ClinicLimited availability of volunteer dentists to Limited availability of volunteer dentists to significantly expand the free dental clinicsignificantly expand the free dental clinic

3-month wait for extraction clinic3-month wait for extraction clinic

No low-cost dental option for adults without No low-cost dental option for adults without insuranceinsurance

Only about 40% of Medicaid children receiving Only about 40% of Medicaid children receiving dental caredental care

OrganizationOrganizationSeparate 501(c)(3) to be able to charge fees Separate 501(c)(3) to be able to charge fees

and accept reimbursementand accept reimbursementBoard of Directors with representation from Board of Directors with representation from

the Free Clinic Boardthe Free Clinic BoardShare Executive Director with FCShare Executive Director with FC

Rent Space from Free ClinicRent Space from Free Clinic

501(c)(3) Formation501(c)(3) FormationArticles of IncorporationArticles of Incorporation

Employer ID numberEmployer ID numberInitial Board of DirectorsInitial Board of Directors

BylawsBylawsDACS registrationDACS registration

IRS Tax Exempt StatusIRS Tax Exempt StatusSales Tax ExemptionSales Tax Exemption

Projected ServicesProjected Services70% Medicaid children70% Medicaid children

30% adult insured and uninsured30% adult insured and uninsuredFlat fee scale for uninsuredFlat fee scale for uninsured

Preventative and restorative for children Preventative and restorative for children and adultsand adults

Continue the evening free extraction clinicContinue the evening free extraction clinic

EligibilityEligibilityResidents of Harrisonburg City or Residents of Harrisonburg City or

Rockingham CountyRockingham County

200% or less of FPL (only use legal 200% or less of FPL (only use legal dependents to calculate income)dependents to calculate income)

No dental insuranceNo dental insurance

Uninsured Fee ScheduleUninsured Fee Schedule$30 per visit for preventative, basic restorative$30 per visit for preventative, basic restorative

$170 or $220 for RCT$170 or $220 for RCT

$250 for Crowns + $60 build-up fee$250 for Crowns + $60 build-up fee

RCT, Crowns referred out through Voucher RCT, Crowns referred out through Voucher ProgramProgram

Dentures to Affordable DenturesDentures to Affordable Dentures

Start-up – July 2008Start-up – July 2008Start-up cash available - $113,700Start-up cash available - $113,700Sources – Individuals, businesses, CDBG, Sources – Individuals, businesses, CDBG, Baxter FoundationBaxter Foundation$70,000 loan for equipment purchases (digital x-$70,000 loan for equipment purchases (digital x-ray and electronic charting capability)ray and electronic charting capability)Initial staff - FT Dentist, Dental Coordinator and Initial staff - FT Dentist, Dental Coordinator and Dental AssistantDental Assistant

FT Clinic – October 2008FT Clinic – October 2008Additional funding for equipment - $5,000Additional funding for equipment - $5,000Funding to pay dentist time while building up Funding to pay dentist time while building up Medicaid practice – Virginia Health Care Medicaid practice – Virginia Health Care Foundation - $50,000 in 2009Foundation - $50,000 in 2009Staff - 2 Dentists, 3 Assistants, Hygienist, Dental Staff - 2 Dentists, 3 Assistants, Hygienist, Dental Coordinator, Accountant, DirectorCoordinator, Accountant, Director

Next Developmental StepsNext Developmental StepsIncrease Medicaid children practice – PR efforts Increase Medicaid children practice – PR efforts

in schools, clubs, private practices, SS etc.in schools, clubs, private practices, SS etc.Build Board to full membershipBuild Board to full membership

Build donor base in the communityBuild donor base in the communityPurchase additional equipment as possiblePurchase additional equipment as possible

Recruit FT dentistRecruit FT dentistDevelop Longer Term Strategic PlanDevelop Longer Term Strategic Plan

To Cover Operations Thru FeesTo Cover Operations Thru FeesDaily Dentist ProductionDaily Dentist Production– 4 uninsured at $30 per visit4 uninsured at $30 per visit

– 9 Medicaid patients at $145 per visit9 Medicaid patients at $145 per visit

Daily Hygiene ProductionDaily Hygiene Production– 3 uninsured and 7 Medicaid3 uninsured and 7 Medicaid

Current OperationsCurrent Operations$30,000 per month operating costs$30,000 per month operating costs

80% adult, 20% children80% adult, 20% children

67% female67% female

Clinic hours – 8 am to 4:30 pm Monday Clinic hours – 8 am to 4:30 pm Monday through Fridaythrough Friday

ChallengesChallengesMeeting production targetsMeeting production targets– Complexity of patient needsComplexity of patient needs

– Numbers of adults needing serviceNumbers of adults needing service– Educating parents of children with MedicaidEducating parents of children with Medicaid

– No-showsNo-shows

ChallengesChallengesPractice Management and LeadershipPractice Management and Leadership

– General AdministrationGeneral Administration– Fundraising and PRFundraising and PR

– Staff Management and DevelopmentStaff Management and Development– Financial and Facilities ManagementFinancial and Facilities Management

– Problem resolutionProblem resolution

Thank you for your Thank you for your support!support!

Harrisonburg-Harrisonburg-Rockingham Dental Rockingham Dental

ClinicClinic25 West Water Street 25 West Water Street

Harrisonburg, Virginia 22801 Harrisonburg, Virginia 22801 (540) 437-2900(540) 437-2900

(540) 437-2901 (fax)(540) 437-2901 (fax)[email protected]@hrdentalclinic.org

Website to be developed atWebsite to be developed at

www.hrdentalclinic.orgwww.hrdentalclinic.org