CENTRAL ARIZONA DENTAL SOCIETY FOUNDATION - TOHONO OODHAM 2017.PDF

Maricopa County — Formal (2017-05-24)

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General information
Organization Central Arizona Dental Society Foundation
Contact First name Joan
Contact Last name Smalley
Contact e-mail joan@azmom.org
Contact phone number 6025250332
Address
Street 7130 N 23rd Pl
City Phoenix
State AZ
ZIP Code 85020
From what tribe is the Tohono O’odham Nation
organization requesting the
grant?
Total grant amount request 10,000
1 / 1




May 4, 2017
Mr. Edward D. Manuel, Chairman,
Tohono O’odham Nation
P. O. Box 837
Sells, Arizona 85634
Dear Chairman Manuel:
According to 2012 Maricopa County Community Health Survey, dental problems and
access to dental care are two of the most critical issues impacting our community. When
the Arizona Legislature cancelled dental coverage for adults under the AHCCCS, over
250,000 poor and vulnerable adults were left without access to dental healthcare. Many
local dentists were appalled by this. It’s as if the mouth and teeth were not considered to
be a part of the body anymore.
Mission and History
In 2010 five compassionate dentists in the Phoenix area, all members of Central Arizona
Dental Society (CADSF), decided to right this wrong to the best of their ability. They
started the Arizona Dental Mission of Mercy (AZMOM) based upon the successful model
created by America’s Dentists Care Foundation. Through this model, Dental Mission of
Mercy (MOM) events have been held across the country in 32 states since 2003, caring for
more than 243,000 patients and providing nearly $159 million in free dental healthcare.
The CADSF mission is to provide free charitable dental care to residents of Arizona,
reducing health risks and suffering for those in need through the AZMOM program.
How AZMOM Program Fits into Your Priority Area of Healthcare:
1. AZMOM provides free dental healthcare to men, women, children and the elderly.
Women comprise 61.81% of patients and 28.93% of patients are over 51 years of age.
2. AZMOM improves long-term health outcomes for individuals. Some of our patients
haven’t eaten real food in years due to loss of teeth from neglect and damage. AZMOM
volunteers can restore function, even fitting and building full mouth dentures in one day.
Our highest priority is relieving patients’ pain and infection.
3. AZMOM impacts the under-served. Our Exit Survey, conducted with each patient at
the end of their treatment, reveals 76% had not visited a dentist in the past year because
they could not afford the cost, 89% did not have dental insurance, 77% earned less than
$20,000, and 11% could not even remember when they last saw a dentist.
4. AZMOM promotes partnerships within the community including:
1. Arizona Dental Association - volunteer recruitment
2. Central Arizona Dental Society – leadership, volunteer recruitment, fundraising
3. Delta Dental of Arizona Foundation – funding, volunteer recruitment
4. Phoenix Community Tool Chest – medical/dental equipment lending and donations
5. Central Arizona Shelter Services (dental clinic) – patient referrals
6. Society of St Vincent de Paul– patient referrals, refreshments and food for patients
7. University of Arizona Medical School - medical triage volunteers
CENTRAL ARIZONA DENTAL SOCIETY FOUNDATION
5300 N. Central Avenue, Suite 200, Phoenix, AZ 85012 602-567-3617 www.AZMOM.org

8. AT Still University – dental instructors and dental students
9. Lions Club – free eyesight screening and eye glasses offered to all attendees
In 2016, the retail values of the medical collaborations were:
• Eyesight screening and eye glasses - $265,000
• Medical screening, triage and treatment - $170,810
• Free flu shots - $9,350
• Total - $2,421,961, an average of $1,347.03 per person
Populations
Ethnicity breaks downs as follows: American Indian – 1.81%; Asian – 1.81%; Black –
15.45%; Caucasian – 35.34%; Hispanic, Latino or Spanish – 36%; Other – 9.59%. These
include homeless people, low income families, veterans (20% of patients), seniors
(28.93% of patients are over 51 years of age), and women (61.81% of patients).
Residents of Maricopa County comprise 94.08% of patients. We do not require any
confirmation of financial or legal status from patients.
Consequences of Lack of Dental Healthcare
Lack of dental care can lead to tooth decay and other oral diseases. That, in turn, can
cause systemic health issues including diabetes, cardiovascular diseases, increased risk
of dementia, cancer and respiratory distress.
Barriers to dental care have health implications, but there is also social and economic
impact as well. Those who have dental diseases, damaged, or no teeth have experienced
the shame and embarrassment of poor appearance and low communication skills which
can affect their employability, contributing to homelessness.
Goals and Activities
Our short-term goals are to continue to provide free dental healthcare to Arizonans who
face barriers to access, and recruit enough dentists and other dental professionals as
volunteers to provide care. Our goal for 2017 AZMOM is to continue to serve 2,000 low
income underserved people, including providing at least 100 sets of dentures, built and
fitted in one day. Long-term goals are to expand the dental mission of mercy model to
additional communities in Arizona to serve vulnerable populations in rural areas.
Arizona Dental Mission of Mercy (AZMOM) hosts a clinic in the second weekend in
December annually, setting up a “mash” dental hospital at the Veterans Memorial
Coliseum from Thursday afternoon to Sunday evening.
In 2012, the first Arizona Dental Mission of Mercy clinic was held. When people started
lining up more than 48 hours prior to the doors opening, sleeping outside in the rain just for
a chance to have their painful mouths treated, CADSF members realized they had under
estimated the community need. Over 22 hours in two days, volunteer dentists and dental
technicians provided 1,561 patients with basic dental care such as oral exams, x-rays,
extractions, and fillings.
By 2016 the program had advanced to providing 14,007 dental procedures, including
restoring entire mouths with full set of dentures, implanting crowns and surgically removing
erupted teeth for 1,798 women, children and men, valued at $1,976,801. A total of 1,717
volunteers, including 315 dentists, participated through five shifts.
CENTRAL ARIZONA DENTAL SOCIETY FOUNDATION
5300 N. Central Avenue, Suite 200, Phoenix, AZ 85012 602-567-3617 www.AZMOM.org

An Intake Survey is done at registration, capturing data on patient ethnicity, geographic
area, gender, and age. Patients are treated based on the most urgent need, with infection
control and pain elimination as the priority. Secondarily, we provide restorative services
when possible, and if not possible on site, referrals will be given for follow-up care with our
partner community dentists.
Evaluation
CADSF measures both the processes and outcomes of the AZMOM program annually.
The processes measured are: 1. number of patients treated over the two-day event; 2.
patient satisfaction determined through Exit Surveys; and 3. volunteer experience
satisfaction determined through a subsequent online survey. Over 99% stated they
planned to volunteer at a future AZMOM.
Outcome measurements are evaluated through a 16 question First Stage Exit Survey at
the event and a Second Stage Survey, conducted 9 months after each event. CADSF
measures: (1) the elimination of pain and/or infection; 2. patient satisfaction with treatment
and their entire experience; and (3) patient demographics through In-take and Exit
surveys. This information is compiled in an annual Event Summary Report.
The Event Summary Report includes patient demographic and procedure data: (1) number
of patients served; (2) number of procedures performed; (3) number of volunteers; (4) total
dollar value of treatment provided; (5) age; (6) ethnic background; (7) tender; (8)
county/zip code; (8) income; and (9) veteran status.
Sustainability
Central Arizona Dental Society Foundation raises its funding from a variety of sources
including individual donations and sponsorships, corporate donations and sponsorships,
restricted and unrestricted grants, in kind donations of dental and laboratory supplies and a
small amount of third party special events. The actual income in 2016 was $404,268. In
2016 CADSF was awarded grants from many organizations including the Salt River Pima-
Maricopa Indian Community which provided a 12% distribution of $2,500.00 in 2016.
CADSF has not yet received funding from Tohono O’odham Nation.
Amount of Grant Request
Because the Arizona Dental Mission of Mercy program is capable of addressing the need
for free dental healthcare for the indigent, the CADSF Board respectfully requests a grant
in the amount of $10,000 to: a) sponsor 30 full dentures at a cost of $400 per arch, for a
total of $5,000 and b) utilize the remaining $5,000 to purchase disposable supplies such as
needles, gowns, gloves, and lidocaine, an anesthetic to make patients comfortable just as
they would in a local dentist’s office. We are working with Maricopa County on this request.
As of May 3, 2017, we have secured $280,00 in grants and donations and have $50,000 in
grant requests pending (see attached for list).
Thank you for your consideration of our request. I look forward to working in partnership
with the Nation to help under-served people who desperately need free dental healthcare.
Sincerely,
Kevin Conroy
Kevin G. Conroy, Executive Director, Primary Contact Person
Phone: 602-242-4745; email: Kevin@AZMOM.org
CENTRAL ARIZONA DENTAL SOCIETY FOUNDATION
5300 N. Central Avenue, Suite 200, Phoenix, AZ 85012 602-567-3617 www.AZMOM.org

Central Arizona Dental Society Foundation
2017 Organization Budget
and List of Secured Grants
Program Organizati
Program Expenses - AZMOM 2017 Cost Totals on Cost Totals
Contractors (all staff are contractors)
Accounting $0 $10,500
Legal $0 $100
Computer & Network Services $12,000 $3,000
Videographer $2,000 $4,000
Program Coordinator $36,000 $0
Executive Director $20,000 $10,000
Grant Writer $0 $36,000
Public Relations $0 $8,500
Contract Services - Other $1,000 $1,000
Social Media $4,000 $6,000
Total Contractors Expense $75,000 $79,100
Other Expenses
Payroll Processing Fee $0 $500
Bank fees - fundraising $2,500 $3,000
Web Services - Other $0 $2,000
Postage & Delivery $150 $150
Telephone & Technology $350 $200
Total Other Expenses $3,000 $5,850
Travel & Meetings
Board Meetings Expense $0 $2,500
Travel $0 $3,000
Total Travel & Meetings $0 $5,500
AZMOM Expenses
Printing Patient Material $3,200 $0
Rental of Treatment Chairs $50,575 $0
Purchase Dental Equipment $28,000 $0
Purchase Dental Supplies $35,000 $0
Purchase Lab Supplies $35,000 $0
Purchase Non Dental Supplies $15,000 $0
Insurance Expense for Event $1,800 $0
Web Services at Event $3,000 $0
Storage-Donated Equipment, Supplies $5,000 $0
Equipment Delivery Charges to & from Storage
$2,000 $0
Volunteer Food & shirts at event $10,600 $0
Volunteer Appreciation $1,500 $0
Volunteer Mgmt. Software $1,100 $0
Other Expenses - electronic $7,000 $0
Total AZMOM Event Expenses $198,775 $0
5/4/2017 1

Central Arizona Dental Society Foundation
2017 Organization Budget
and List of Secured Grants
Total Expenses $276,775 $90,450
5/4/2017 2

Happy women with their new dentures
AZMOM 2016