COMMUNITY DENTAL CARE

ANNUAL REPORT 2016

Dear Friends, Partners and Colleagues, On behalf of all of our patients, staff, Board of Directors and Advisory Council, we are pleased to present the 2016 Annual Report! It has been an exciting year full of growth and innovation. Community Dental Care started with humble beginnings as one of the first private clinics in the Twin Cities that focused primarily on serving low-income, minority, and refugee populations. Since incorporating into a 501(c)(3) nonprofit in August of 2004, we have seen tremendous growth throughout these many years. From serving 500 individual patients in 1982 with one chair, to this past year of 2016 serving 46,800 individual patients with 58 chairs. Community Dental Care grew not only in service but also through our programs. We launched a pilot focused on infants and toddlers — the Minnesota Cavity Free Kids Project. We expanded our School-based Sealant Programing to serve students at the Robbinsdale Middle School. For the first time in Community Dental Care history, w e broke ground for a clinic expansion in Rochester’s Eastwood neighborhood. In 2016, we raised over $1,700,000 in unprecedented grants and individual gifts for our new clinic in Rochester and our community programs. A special thanks to Otto Bremer Trust, Mayo Clinic and Delta Dental of Minnesota Foundation for their ongoing commitment to Community Dental Care.

Our success would not be possible without our dedicated and compassionate team of board members, advisory council members, staff members, and supporters such as you. Because of you, we are able to provide quality dental care and preventive education for thousands and thousands of families in Minnesota. We would not be able to continue this work without the generosity of our funders and donors. Thank you for supporting this important work, reaching underserved communities and families in need. We are so grateful.

Warm regards, Cedric Long Vacharee Peterson, DDS Board Chair Chief Executive Officer

Community Dental Care – www.cdentc.org Maplewood 1670 Beam Ave, Ste. 204 Maplewood, MN 55109 (651) 925-8400 Saint Paul 828 Hawthorne Ave E St. Paul, MN 55106 (651) 774-2959

Rochester - RCTC Heintz Center 1926 College View Rd. SE Rochester, MN 55904 (507) 258-4046 Robbinsdale 3359 West Broadway Robbinsdale, MN 55422 (763) 270-5776

Our Board and Staff

Who We Are

Community Dental Care (CDC) is a 501(c)(3)

nonprofit organization and Minnesota safety

net dental clinic providing general dental

services to people in need, especially low-

income, minority, and refugee communities

living in the Twin Cities Metro and

Southeastern region of Minnesota.

Our Mission

Our mission is to provide culturally sensitive

community oral health care, preventive

education and professional training, and to

advocate for access to all.

Our Vision

Our vision is that all people will have access

to high quality, affordable dental care to

improve their overall health in a convenient,

caring, and respectful environment.

Program to Improve Community Oral

Health (PICOH) provides in-clinic oral health

prevention and education for children (ages

0-12) and pregnant women; outreach to the

general community; and school-based

preventive oral health programming. Children

and pregnant women enrolled are given

extended oral hygiene and nutrition

instruction, provided with follow up calls to

the home, and treated for preventive and

restorative oral health needs. One of our

goals is to teach immigrant and minority

women and children the importance of oral

hygiene to last a lifetime.

Our Values

Community – We work in partnership to

improve the quality of life for the communities

we serve through preventive education and

oral health care.

Compassion – We are committed to helping

and advocating for those who cannot help

themselves and providing an environment that

values the dignity of all.

Integrity – We strive to do what is morally and

ethically right, acting with fairness, honesty,

and respect.

Professionalism – We hold ourselves to the

highest standard of excellence and ensure that

the needs of our patients always come first.

Quality – We are committed to rigorous

evaluation, accountability, and continuous

improvement for the good of our patients.

Diversity – We believe diversity and inclusivity

strengthens and enriches every aspect of our

organization and our community.

Valued Employees – We value our employees

and empower them to best serve our patients.

Our Student Training Program offers clinical

training for oral health professional students

(advanced dental therapists, dental hygienists,

dental assistants) nursing, and community

health worker students in collaboration with

nine Minnesota schools.

A 12-member, all volunteer Board of Directors governs Community Dental Care. We also have a four member Advisory Council located in Rochester. We have 238 employees (188 full -time) including 39 dentists, 33 dental hygienists, 1 dental therapist, and 68 dental assistants. About 65% percent of our staff is an ethnic minority and/or bilingual with 27 languages represented: English, Hmong, Thai, Laotian, Vietnamese, Karen, Burmese, French, Farsi, Oromo, Somali, Arabic, Spanish, Hindi, Amharic, Marathi, Punjabi, Swahili, Dinka, Luganda, Ukrainian, German, Russian, Bosnian, Serbian, Croatian and Nepali. We work with over 150 interpreters fluent in 20 languages and train all staff in treatment delivery through interpreters. Community Dental Care is recognized by MDH as one of six successful models statewide that provide dental services for underserved communities.

Currently, we have 85,804 unduplicated patients of record (2014 - 2016). Of our patient base, 46.7% are children and 69% are an ethnic minority with 83.1% enrolled in public insurance programs, 8.2% uninsured and 8.7% on commercial insurance. In 2016, over 41% were new patients and 30% were emergencies. Services include preventive, restorative, endodontic, oral surgery, pediatric, prosthodontic and emergency procedures.

In 2016, 267 community volunteers contributed 2,410 hours of service, equating to $60,732 worth of services based on Independent Sector’s estimated dollar value of volunteer time at $25.20 per hour. Volunteers contributed time to Give Kids a Smile Day; assisted with health resource fairs and distributed oral health care kits; participated in the annual two-day Mission of Mercy; assisted with special events; and donated professional consultant services.

Community Dental Care underwrites between 3-4% of its budget in uncompensated care annually. The amount of charges foregone in 2016, based on established rates, was approximately $1,064,400. This includes emergency care for patients unable to pay, funded through donations from private donors, foundations and clinic revenue. In 2016, grants paid for $29,740 for 264 patients, 46 of whom were children and an additional $2,620 in preventive and restorative care for 38 children in our school -based program. We also provided $33,909 worth of charity care for 259 children through our school-based program. All of our services are available on a sliding fee scale of 10-50% for low-income patients not eligible for public programs.

2016 Patient Service

Statistics

St. Paul

Clinic

Maplewood

Clinic

Rochester

Clinic

Robbinsdale

Clinic

Total

Patient Encounters 29,507 64,576 19,521 20,670 134,274

Unduplicated Patients 11,275 22,997 5,245 7,351 46,868

Emergency Patients 2,267 7,236 1,546 3,091 14,140

New Patients 3,848 8,288 2,119 5,197 19,452

Program to Improve Community Oral Health (PICOH) Year 2016 Total #

School-based Prevention & Education

Participating schools 23

Children received classroom education 6,189

Children received fluoride varnish 827

Children received sealants 573

In-Clinic Prevention & Education

Children enrolled (ages 0-5) 3,779

Children enrolled (6-12) 1,838

Pregnant women enrolled 304

Community Outreach

Children, pregnant women, parents and seniors educated

9,795

Since PICOH began in 2006, we have provided preventive care, caries risk assessment and education in

our clinics for approximately 33,015 children and 2,772 pregnant mothers. Through the outreach

component of this program, we have provided presentations and distributed oral hygiene kits at

community outreach sites to over 47,107 individuals. Since beginning the School-based Sealant

Program in 2011, we have provided educational events for 16,339 children; screened 3,522 children;

provided sealants for 1,962; fluoride varnish for 2,826; and made referrals for additional care for over

1,202. New to the program this year, we provided oral health education to all 6th graders (400

students) during their health class rotation and promoted the program at Robbinsdale Middle School.

Student Training Program

Year 2016 # of Students Trained

Dental Hygiene Students 133

Dental Assistant Students 28

Nursing Students 147

Total # of Students Trained 308

In 2016, we trained 308 students from nine schools—Argosy University; Century College; Hennepin Technical College; Herzing College; Minneapolis Community and Technical College; Minnesota State University-Mankato; Normandale Community College; Rochester Community and Technical College; and St. Cloud Technical College.

A Testament of Your Investment – Thank You for Contributing to Our Mission!

As a mom of two little children there are many things that I did not know about dental care and finding this program helped me a lot in many ways. First of all, the dentists took the time to explain what tooth decay is and what can cause it and how we can prevent it. Not only did I receive information directly form the staff but I also received information by the program in an audible, visual and written form. What did I learn from this program?

That I must take my children to the dentist since they were born.

It is better to drink water from the tap than from the bottle.

Avoid drinking juices as they contain a lot of sugar.

Give them healthy snacks instead of sweets.

Put on your toothbrushes, the paste the size of a grain of rice.

Wash your teeth 2 times a day.

What would you suggest for the program?

To make the program more extensive and not only for children under 2 years.

You could do the program on a morning schedule.

I really enjoyed learning and hope this program can spread throughout the United States and we have children with healthy teeth and never caries. Thank you, Laura

Laura with her baby at his first dental visit (lap-to-lap exam pictured above).

Applying fluoride varnish to Laura’s two-year-old son.

With deepest gratitude, thank you to the following foundations, businesses, community organizations, and individual donors for their partnership, support,

and remarkable generosity!

Foundations

3M Foundation Amazon Smile Foundation

National Children's Oral Health Foundation - America's ToothFairy

American Dental Association Foundation - Samuel D. Harris Fund

Otto Bremer Trust Park Dental Foundation

American Endowment Foundation Pickhardt Resnick Family Fund

Aronson Philanthropic Fund Ray Edwards Memorial Trust

Benevity Community Impact Fund Rochester Area Foundation

Boston Scientific Foundation

Delta Dental of Minnesota Foundation

Delta Dental of Minnesota Foundation - Smiles@School

Businesses & Organizations

F.R. Bigelow Foundation Direct Benefits, Inc.

Faegre Baker Daniels Foundation First Unitarian Universalist Church

Hardenbergh Foundation Metropolitan Pediatric Specialists

HealthEast Foundation Minnesota Department of Health

Healthier Minnesota Community Clinic Fund Patterson Dental Mayo Clinic Minnesota Dental Foundation

Udell Dental Laboratory, Inc. – Don & Carolyn Udell

Mount Sinai Community Foundation

Individual Donors Letts, James & Erinn

Amundson, Craig & Kris Liebling, Tina & Liebow, Mark

Anderson, Donald & Linda Litton, Stephen & Bonnie

Arend, Maud Long, Cedric & Karen

Aug, Charles Loomis, Russ

Baldwin, Joe Lor, Nary

Barcenas, Andrea Mayer, Tom

Bass, Carolyn Mullins, Kara

Bass, Clarence Nelson, Kathleen

Bausch, Kristine Nicholas, Tim

Beatty, Suzanne O'Hara, Sally

Blakestad, Nancy Olson, Arron

Brickle, Colleen Peterson, Andrew & Vacharee

Brown, Jason Pickering, Robert & Amy

Buelow, Joe & Susan Pickhardt, Walter & Resnick, Sandra

Carlson, Greg Quinn, Katherine

Carr, Alan Rasmussen, Uttara & Thue

Chase, Stephen Schaap, Matthew J.

Chlareli, Alessandra Seymour, Bonnie & Dean

Clarke, Sarah Sharpe, Luke

Drake, Craig & Gloria Sievert, Katherine & Unseth, Isaac

Erie, Janet Siripasraporn, Adul & Pat

Gerbi, Bayissa & Hordofe, Misgone Smith, Linda K. & Michael D.

Gilkinson, Julie & James Sniffen, Shana

Grimm, Kathleen Spear, Ted & Cathy

Hagemeier, Tracey Supalla, Don & Stephanie

Hanson, Jon & Penny Sutor, April

Hoeker, Barbara Thao, Bee & Xiong, Linda

Holst, Michelle Thoele, Merry Jo

Hylden, Nancy VanDemark, Sara

Kelley, Jane Vang, Pa Chua

Knutson, Sandra Vann, Claudia

Kotila, Paulette Weinand, Nicholas

Kramer, Shelly Weiss, Ellen

Kubantseva, Natalia Yang, Chou & Yee

Lacher, Phil & Deb Yang, Crystal

Lensing, Gary & Ann Yang, Patrick

The Minnesota Cavity Free Kids Pilot Project

Dr. Vacharee Peterson, Chief Executive Officer of Community Dental Care, has made it her lifelong mission to deliver children to school as cavity free kids. “It is our mission to be able to teach every single child born, that brushing your teeth will keep you healthy and will allow you to keep your teeth for a lifetime. Parents need to brush their baby’s teeth two times a day, 365 days a year because teeth are like dirty dishes— you need to wash them after each use,” said Dr. Peterson on the importance of early dental disease prevention.

The Minnesota Cavity Free Kids Program is especially designed to serve the most vulnerable population: infants and toddlers. The goals of the Minnesota Cavity Free Kids Program are that all children will have access to preventive oral health care, recognize the importance of oral health, adopt healthy habits that support it, and grow up cavity free. Our immediate goal is to increase health literacy by educating parents in high-risk immigrant and minority populations about good oral health habits for their infants and toddlers. High levels of untreated dental decay in school-aged children impact their ability to learn, eat, grow healthy, and play. In 2016, we enrolled 45 children into our program!

$1 Million Grant – History in the Making Thanks to a $1 million grant from Delta Dental of Minnesota Foundation, more than 10,000 Southeastern Minnesota children and adults will have access to quality dental care. This is the largest grant that Community Dental Care has received in its history!

With 18 chairs, the new clinic will create 30-35 full-time, professional jobs and provide primary dental services to 10,000 people (about 35,000 encounters) annually. The services will be targeted to low-income families and people living in poverty. “The need for dental services in Rochester and our surrounding communities is enormous,” said Dr. Vacharee Peterson, CEO of Community Dental Care. “Too many people are going without even a simple exam, which can prevent the need for serious or emergency

dental procedures in the future. This new clinic will transform dental care access for thousands of these children and families in need. We are grateful for the support and the trust from Delta Dental of Minnesota Foundation.”

2016 Financials

STATEMENT OF FINANCIAL POSITION

Assets

Cash & Equivalents $2,011,735

Property & Equipment 4,372,975

Other Assets 4,675,207

Total Assets $11,059,917

Liabilities & Net Assets

Current Liabilities $1,743,295

Long-term Liabilities 1,182,513

Total Liabilities $2,925,808

Net Assets

Unrestricted $5,991,484

Restricted 2,142,624

Total Net Assets $8,134,108

Total Liabilities & Net Assets $11,059,917

STATEMENT OF ACTIVITIES & CHANGES IN NET ASSETS

Unrestricted Revenues/ Gains & Other Support $18,660,016

Operating Expenses 17,596,594

Operating Income 1,063,422

Non-Operating Gains(Losses) 303

Restricted Contribution 2,249,449

Net Assets Released (393,368)

Change in Net Assets-2016 $2,919,806

90%

9% 1%Expenditures 2016

Program Services 90%

Management & General 9%

Fundraising 1%

Board of Directors (2016)

Cedric Long, Chairman of the Board

Craig W. Amundson, DDS, Vice-Chair

Kathleen J. Nelson, MBA, Treasurer

Matthew J. Schaap, Esq., Secretary

Clarence Bass, PhD, Board Member

Janet Erie, DDS, Board Member

Stephen Litton, DDS, Board Member

Robert Pickering, Board Member

Walter A. Pickhardt, Board Member

Linda Kay Smith, Board Member

Pa Chua Vang, Board Member

Rochester Advisory Council

Jane Campion, Advisory Council Member

Mary Campion, Advisory Council Member

Don Supalla, Advisory Council Member

April Sutor, Advisory Council Member

Management Team

Vacharee Peterson, DDS, CEO

Phil Lacher, CFO

Kori Schultz, Human Resource Director

Ann Copeland, Director of Programs

Adul Siriphasraporn, Accountant

Bonnie Seymour, Maplewood General Manager

Carolyn Bass, St. Paul General Manager

Tiffany Young, Rochester General Manager

Sean Yang, Robbinsdale General Manager