Kalpana Rajdev,MDVirginia Emerson, J.D.,RN,CRNA

McMinnville Breakfast Rotary ClubMcMinnville, TN - September 9th 2008

Senior Companionship ProgramSpencer, TN – April 25th 2008

The Rotary Club of McMinnville, TNMcMinnville, TN – September 18th 2008

Tullahoma Rotary ClubTullahoma, TN - September 16th 2008

National Association of Home BuildersMcMinnville, TN – April 15th 2008

Van Buren Chamber of CommerceSpencer, TN – March 18th 2008

Isha Foundation is an entirely volunteer-run, international nonprofit organization dedicated to

cultivating mental, physical and spiritual wellbeing of all.

Mobile Medical ClinicAction For Rural Rejuvenation

Isha Foundation Project

• Primary objective: Improve the overall health and quality of life of the rural poor.

• Project launched in 2003. • Mobile trucks active: 20• Number of villages served:

1982• Number of patients treated:

1,879,517• Project aims to benefit 70

million rural people in 54,000 villages

• To be implemented over a period of 15 years.

• Free Mobile Medical Clinic • Village Games • Promote strategies for

sustainable use and management of the land.

• Herbal Gardening • Computer Center & Training • Library • Gymnasium

Action For Rural Rejuvenation (ARR)

Isha Foundation has special consultative status with the Economic and Social Council (ECOSOC) of the United Nations.

• An ecological initiative to prevent and reverse environmental degradation and enable sustainable living.

• Project aims to create 10%additional green cover in Tamil Nadu where presently green cover is only 17.38 %

• Drawing on large scale people’s participation PGH intends to plant 114 million trees.

• Project seeks to inspire people around the world to keep planet livable for future generations.

Project Green Hands

Results• 2005: 25,000 seedlings planted

in Tsunami affected villages

• 2006: Guinness World Record –852,587 seedlings planted on a single day in 27 districts, involving 256,289 people

• 2007: Over 4 million saplings were grown in 427 Isha nurseries and 44 partners’ nurseries and planted in Tamil Nadu.

Goals• To plant 114 million saplings.

85% of the trees will be planted in villages and 15% in schools and colleges

• To establish 4 large-scalenurseries, able to produce 1 million saplings of income-generating trees each.

Project Green Hands Results & Goals

Southern Standard – Nov 22nd 2007River Park Hospital loses $300,000 to $500,000 in unpaid services each month

Approximately 10% of total billings are unpaid

Majority of this is due to care for the uninsured

Patients who don’t pay make the bills higher for those who pay

Physician offices are experiencing similar bad debts

Number Uninsured and Uninsured Rate: 1987 to 2006Number Uninsured and Uninsured Rate: 1987 to 2006

International Comparison of Spending on Health, 1980-2005

International Comparison of Spending on Health, 1980-2005

The State of Your Health : TennesseeTrust for America’s Health

Reported Cases of Common Chronic Diseases 2003Reported Cases of Common Chronic Diseases 2003

Risk Factors for Chronic Diseases:

Obesity

Smoking

Alcohol Use

Physical Inactivity

Cholesterol

Air Quality

Illicit Drug Use

Adult Tobacco use in TNAdult Tobacco use in TN

Tobacco Marketing Expenditures in TNTobacco Marketing Expenditures in TN

• In 2007, TN allocated a total of approx. $11.6 million for tobacco prevention and control

• Between 2000 and 2006, TN received over 1 billion dollars from the Master Settlement Agreement (annual average of approx. $166.5 million). None of the money received has been specifically allocated for tobacco prevention and control programs

• For TN, the Center for Disease Control recommended an annual investment of $71.7 million in 2007, with a minimum of $51.8million. With only $11.6 million allocated to tobacco prevention and control , TN only met 22% of the recommended minimum amount and received a grade of F from the American Lung Association

Tennessee Tobacco Prevention And ControlTennessee Tobacco Prevention And Control

VOLUNTEERS IN MEDICINE

Volunteers in Medicine, Chattanooga, Inc. 3 year report - May 20, 2008

Total Medical Care Delivered (clinic rates) $3,506,969

Estimated Medical Care Delivered (ER rates) $14,027,876

3 year Stats:Cost: $77.24 cost of one patient visit. Value Delivered $271.40/clinic rate, $1,085.60/ER rates. Rate of Return: Spent $994,980. For every $1 donated the return was $3.52/clinic rate or $14.10/ER rates.

VIM Staff = 4.0 FTEs

Key data as of the end of April concerning the primary care area of the clinic and the 3rd year report:

IshaCare Clinic

Located on Highway 8 at borderof Van Buren & Warren County.

Property situated on Van Buren and Warren County and within very short proximity to Sequatchie County.

194 Tin House Rd, McMinnville, TN 37110A non profit clinic governed by independent

Board of Directors.

All Care provided by VolunteersOpened Saturdays 8:00am – 12 noon

Free medical care will be provided to the uninsured and unable to afford in Warren and Van Buren County

Eligibility Criteria

No Insurance, with 200% of Federal poverty guidelinesAt least 20 hours per week for working member in household

Interest payment 600.00Prime rate insurance (liability policy) 383.77Insurance (fire & casualty 98.44Office supplies 125.00Stamps 120.00TCAC payment 466.50Payment to doctor 250.00Medical supplies 150.00Laboratory 200.00Legal fees 125.00Licensing fees 45.00Outreach (advertising, grant fees, travel)500.00Building maintenance 50.00Bank charges 18.00Utilities

Electric 100.00Gas 150.00Telephone 200.00Water 25.00

TOTAL *$3606.71

Monthly Expense Report Of Sample

Free Medical Clinic TN

Sample Clinic is open for Patients 4 half days per week

*Physician liability coverage not included

One Acre of land (donated by Isha Foundation) $5,000.00Clearing & Burning $4,500.00Concrete Floor $3,350.00Building materials $40,100.00Contractor fee $7,800.00Additional Building Installation $12,250.00Plumbing & Electrical $8,500.00Heating, Air conditioning & Ventilation $6,600.00Water Connection $2,500.00Electrical Power Connection $900.00Septic System $1,800.00Engineering/Design by Isha Volunteers $7,600.00Painting by Isha & other Volunteers $4,400.00Total Cost $105,300.00Less Isha Foundation Inc/Volunteers $29,300.00Total fund needed for Medical Clinic $76,000.00

Approximate Cost For 1450 Square Feet Medical Building

Volunteer Staff:

• Physicians• Dentists• Nurse Practitioners• Nurses• Social Workers• Clerical Staff• Legal Assistants• Pharmacist/Pharmacy Tech.• Phlebotomists• Accountant• Office Manager

Furnishings:

Collaboration with labs, hospitals, and specialty physicians

Collaboration with medical schools, physician residency programsand nursing schools

• Exam tables• Computers• Autoclave• office furniture• Exam Light• Instruments (BP cuff, otoscope, etc.)• Phone system

Clinic Furnishing and Operational Requirements

IshaCare ClinicAcknowledgement of Support

IshaCare ClinicAcknowledgement of Support

• Bank of America, Sparta• Best Western, McMinnville• Cheer Mental Health Center• Falcon Capital Funding, LLC• Harrison Ferry Mountain Volunteer

Fire Department• Isha foundation, Inc• Isha Institute of Inner Sciences• McMinnville Drug Center• Mountain View News, Spencer• Mr. John Pelham, Warren County

Executive

• Mr. Kelly Dishman, Mayor Van Buren County

• National Home Builders Association, McMinnville

• Partners for Healing, Inc.• Senior Companionship Program, Spencer• Stewart Pharmacy• The Bank of Tullahoma• Theresa Buck's Walk in Clinic• Van Buren Chamber of Commerce• WCPI 91.3 Public Radio• West and Gribble LLC

Isha Institute of Inner Sciences951 Isha Lane

McMinnville, TN 37110

Website: www.ishafoundation.orgIsha Foundation, Inc.

IshaCare ClinicPhone: (931) 815-8500

www.IshaCare.orgEmail: ishacare@gmail.com