Topeka School Care, LLC

1. Topeka School Care, LLC

2. Product Definition • School based health clinic serving the students of USD 501 Topeka • Staff: 1 full time APRN, 2 part time APRNs • Main location: Quinton Heights Building • Monday-Friday 7am-noon, 1-5pm • Satellite Clinics at district nursing offices • 20 hours a week per part-time APRN at rotating schools

3. Services Offered • Routine physical exams, including sports physicals • Early detection, diagnosis, and treatment of illness/injury • Vision, dental, and BP screenings • Mental Health services • Limited onsite lab (glucose, urine dipsticks, strep screens) • Medication prescription • Health education, counseling, and wellness promotion • Fitness and nutrition counseling • Referrals for services not provided by clinic • Immunizations

4. Vision and Mission Vision: To provide affordable, accessible, high quality healthcare to the students of Topeka 501 Unified School District. Mission: The mission of Topeka School Care, LLC is to provide essential health services to the students of Topeka 501. We believe that helping children improve and maintain their health will result in improved academic performance and greater success in life.

5. Values • Service: We serve the students and families of the Topeka 501 to improve our community. • Respect: We respect the right of all children to have access to primary and urgent care services. • Collaboration: We will work with community resources to improve healthcare for the district’s children. • Quality: We commit to evidence based health care practices. • Education: We will strive to keep students healthy enough to learn. We will offer health promotion programs.

6. The Benefits • Allow students with acute/chronic illness to attend school • Improved overall health and wellness of all students • Increased access to healthcare (primary care and prevention) • Decreased trips to the ED • Decreased urgent care visits • Convenient • Decreased absenteeism • Increased academic performance

7. Market Analysis…About 501 • Largest School District in Shawnee County • 14,084 students (2011-2012) • 67% economically disadvantaged • Over 50% receive free-reduced lunches • Shawnee County Children • 22,900 CHIP • 114,700 Medicaid • 7.4% uninsured

8. Market Analysis…501 Nursing Services • 1800 accidents • 35,500 communicable diseases reported • 32,300 conferences with parents/staff/Health care provider • 7,500 health concerns (asthma, vision) • 2,800 psychological disorders (ADD/ADHD and anxiety) • 47, 500 medications administered (stimulants, BP meds) • 612 cases pediculosis • 60 pregnancies

9. Market Analysis…Competition • Very Limited • Population is underserved • Limited financial resources • Long wait times for providers • Shawnee County Health Agency • Stormont-Vail and St. Francis Hospital • Primary Care Networks • Urgent Care Centers

10. Market Analysis Strengths Weaknesses $ for start-up Lack of school funds to provide service Lack of parents knowledge about services Seasonal Kids out of school for the summer • Direct access to care at school • Improve attendance • Access for all students • Easy for parents • Increased preventative services • Easy Referrals • Decreased ED and urgent care trips

11. Market Analysis Opportunities Threats PCPs 11 urgent care clinics Established relationships with providers • ACA mandates for health insurance and expansion of Medicaid • PCP shortage • Size of USD 501 • Growth of student body • Potential to incorporate teachers and staff

12. Marketing Strategy….GET the Word Out! • Brochures and consent forms at enrollment • Educate current NU staff so they can educate parents • Information booths at school events • Fliers given to coaches prior to athletic seasons • District emails and alerts • Information home with students about special events • Flu shot clinics • Sports physical days • Health promotion events

13. Distribution and Sales • KanCare largest payer (67%)due to district socioeconomics • 7% uninsured • 26% private insurance

14. Pricing • Accept KanCare reimbursement rates • Private insurance: pay fee for service charges • Uninsured: charged KanCare rates

15. Strategic Alliances • Topeka 501: Major Collaborator • No direct funding for services • Use of facilities: Quinton Heights Clinic, Nurse Rooms at schools • Staff resources • Nursing services • Teachers • Couselors • OT/PT/ST • Administrators

16. Strategic Alliances • St. Francis Family Medicine • Provides protocol physician • Available for referrals • St. Francis Hospital: at a reduced rate • Inpatient services • Lab • Radiology • Other diagnostics

17. Human Resources • Partnership of 3 APRNS • 1 Full time APRN, 2 Part time APRNs • Anticipate expansion of part time positions

18. Financial Plan: Assumptions • Cooperation with 501: office space, equipment, and support • 1 FT, 2 PT (reduced summer schedules) NPs • Patients seen: • 70hr/week total – school year • 50hr/week total – summer • Fluctuations r/t school year (e.g. summer and enrollment) • Average of 10 office visits per day with additional physicals, immunizations, labs, and procedures • Initial office visits primarily new patients with increasing number of established patients with time

19. Financial Plan: Assumptions • Payroll, coding, and billing outsourced • EMR • Professional liability and 1/2 of certification fees for FT, otherwise no benefits • 2nd year – individual health insurance will be provided for FT

20. Pro Forma • Start-Up Expenses • 3 co-owners • Start-up cash: $5000x3 + $50,000 = $65,000 • 10% down • 5% interest • 5 years

21. Start-Up Expenses

22. Pro Forma • Cash Flow • Profitable in Year 1 and 2 • Revenue positive – no break even number • February • Least net increase • Expected delays in reimbursement • Monthly loan payment: $850 includes 5% interest • Total interest in Year 1: $2,065

23. Cash Flow

24. Pro Forma • Projections • Revenue increase in Year 2 • Increased awareness • Increased efficiency • Year 2 • Revenue: $397,410 • Operating income: $136,542

25. Income Statement

26. THE END! • Questions?