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17 <br /> <br />b. Dental Health Services in Southern Orange County Proposal <br />The Board received a proposal highlighting potential options for dedicated dental health <br />services in southern Orange County. <br /> <br />BACKGROUND: <br />Prior to June 30, 2011, the Orange County Health Department Dental Clinic operated in two <br />locations. Services were offered two days per week at Carr Mill Mall in Carrboro and 2 ½ days <br />per week in Hillsborough. Because the annual rent for the space at Carr Mill Mall was <br />approximately $62,000 and the space was in great need of renovation, the Orange County <br />Board of Commissioners voted to close the Carr Mill Mall Clinic when the lease expired on June <br />30, 2011. The dental clinic located in Hillsborough was renovated to include eight dental chairs, <br />began operating five days per week, and continues to do so today. <br /> <br />Since the closure of the dental clinic in Carrboro, there has been a desire to bring back a dental <br />clinic to the southern part of the County by adding a permanent facility at the Southern Human <br />Services Center (SHSC) location. The upcoming renovation to the SHSC brings the opportunity <br />to make this possible. The attached presentation highlights expanding dental services via a <br />mobile dental clinic that would visit schools, community centers, and nursing homes two days <br />per week, and be located at SHSC 2 ½ days per week to deliver services. <br /> <br />FINANCIAL IMPACT: The chart below compares the financial impact to expenditures and <br />projected revenue for both the proposed permanent dental clinic at SHSC and the proposed <br />mobile dental clinic. The permanent clinic would be staffed with all new positions while the <br />mobile clinic would be staffed with shared positions from the Hillsborough clinic. The potential <br />decrease in revenue at the Hillsborough clinic would be recovered by revenue received through <br />the mobile clinic. <br /> <br />Financial Impact Table <br />Permanent Dental <br />Clinic Expenditure <br />Name <br />Permanent Dental <br />Clinic Expenditure Cost <br />Mobile Dental Clinic <br />Expenditure Name <br />Mobile Dental Clinic <br />Cost <br />Construction* $115,000 Vehicle Purchase* <br />(Equipment Included) <br />$456,825 <br />New Staff (Dentist, <br />Hygienist, Dental <br />Assistant, Office <br />Assistant) <br />$355,443 New Staff (0.5 FTE <br />Driver/Office Assistant) <br />$47,412 <br />Equipment (Medical, <br />Technological, and <br />Furniture)* <br />$139,158 Insurance, Maintenance, <br />and Fuel <br />$6,912 <br />Supplies (Medical and <br />Office) <br />$30,000 Supplies (Medical and <br />Office) <br />$15,000 <br />Other (Training, <br />Advertising, Interpreters, <br />Telephone, Repairs, <br />Uniforms) <br />$19,410 Other (Advertising, <br />Uniforms, Interpreters) <br />$3,800 <br />Total Year 1 $659,011 Total Year 1 $529,949 <br />Total Subsequent <br />Years <br />$404,853 Total Subsequent <br />Years <br />$70,324 <br />Projected Annual <br />Revenue <br />$224,297 Projected Annual <br />Revenue <br />$103,169