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 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 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

11. Market Analysis Opportunities 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 Threats PCPs 11 urgent care clinics Established relationships with providers

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 Topeka School Care, LLC Katy BlackMegan Reid Brandy Stewart Accounting, Lawyer

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 2 nd 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?