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Verveer, Melanne Correspondence: January to June 1997: R-S [3]
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Verveer, Melanne Correspondence: January to June 1997: R-S [3]
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PIERRE SPECIAL NEEDS PROJECT
AND DEVELOPMENT
This project contains information for the benefit of : Sampson, Bladen, Pender, Hanover,
Cumberland and Duplin counties.
The impact study of this project
1.
Housing project for the blind, disabled, and elderly
2.
Guidelines and rules to be followed must apply to new construction and
restoration to the above in number 1: must show evidence of the cost factor and
the design of existing and nonexisting structures and must meet all requirements
for rehabilitation setforth by federal regulations, and/or agencies
3.
Studies must meet the cost of living standards and/or its economic factors or
results
A.
Show an adequate site plan for approvals, included in this would be
designs to establish an elevator system, correct dimensions and specific
floor plans
4.
Must make sure that cost is sufficient with the housing authority and is consitant
with various, disability and special needs laws.
5.
Improvement of all site possibilities to be obtain
6.
Give details of estimated operating expenses
7.
Must show financial credit exceptance
8
Must employ general contractor for said project
9.
Facility will contain 100 or more according to state and federal regulations of the
classes described
10.
Physical inspection will occur on a periodic basis according to the agency's
regulations
11.
Must show marketability
A.
for the physically, mentally disabled persons, or the elderly
B.
give and show proper inspections of housing facilities upon request
12.
Will meet all proper requirements as related by the federal government or other
agencies
13.
Mechanical, electrical, plumbing, landscaping, interior design, and all such
amenities and standards are met by the contractors and subcontractors as stated in
a given contract which meet all agencies guidelines and contractors stipulations
and approvals
14.
Designs and standards in areas such as parking areas, driveways, utilities, sewer.
drainage system
I.
15.
Will provide on site and off site services
16
Will provide proper materials for facilities foundations and support structures
A
Dimension plans for each living area on a one fourth inch scale, which
includes elevators, and basements, patio structures to meet specific
structural requirements
17
Soil testing requirements will be met
18
Contractors will be licensed and/or certified by the correct governing bodies, and
must be general contractors Subcontractors will be hired by the general
contractors. All involved must have proper licenses in their fields. Must be in
business at least 3 years. Must show a financial statement from his or her public
accountant.
19.
Provide a lease/tenant contract showing a maximum of at least forty (40) years of
occupancy
20.
Will show nonprofit and tax exempt status
21.
All rules and regulations applying to proposals or facilities will have the consent
and the approval of the attornies in charge
22.
Make sure all zoning requirements meet facilities site approvals
23
Must meet all specific site requirements and inspections for facilities legal
requirements
24.
Will establish a drug-free workplace and facility
25.
No lobbying activities will take place while the proposals are in the application
and exception stage
26.
Proper roads and highways and transportation will be established
27
Maintenance, plumbing electrical will have the proper materials to meet all
agency guidelines
28.
Survey site and all deeds and all addemdums
29.
Will employ housing manager and a field site coordinator
A
Will meet with agencies for all proper documentation to be inspected and
qualified.
30.
Facility employee and staff must and will meet all requirements for the care and
service for all concerned
A.
Home care
B
Transportation
C.
Medical care
D
Education
E.
Security and safety
F
Educational and meditational programs
All existing rules and regulations established by the federal housing handbook, as stated will be
met and abided to by this facility/center for the good of all that are concerned with this project.
Facility buildings will be owned by the federal government and for its agencies With this in
mind, we will have community development and local planning programs, i.e., music, dancing,
arts and crafts, religious functions. field trips, marketing programs, social programs, question
and answer sessions. This will be informative and helpful to all that are entitled under the
facility/center operations.
All buildings located on the site will have the proper amenities and sizes according to U. S
Housing and Urban development requirements.
Most buildings will consist of:
1.
Separate kitchen, bedroom, dining, living room environments
2.
Library facilities
3.
Disabled parking areas and/or lots
4
Refuge disposal and retention areas
5.
Proper heating and air conditioning installed, (based on cost)
6.
Shared roofing will have a forty (40) year guarantee
7.
Constuction will be of brick quality
8.
Central laundry facilities
9.
Recreational facilities for games, plays, religious functions, social events,
meetings, etc.
The facility center will have the following
1.
Security cameras
2.
Satelite systems
3.
Interpreters
4.
Safety officers
5.
Employment recruiters (job development and training)
All land and building costs will be provided at a reasonable rate set by and established by the
federal governments to meet their established rules and regulations setforth by their agencies
Also provided:
1.
Health related services through specific agency or agencies
2
Social service information on their related programs
Will work with all private and public funding agencies or organizations for the development of
Y'
the facility/center.
The project will also consist of :
A.
Housing structures. i.e. disabled. displaced, and elderly
B.
School structures
C.
Medical structures
All fees will consist of:
A.
Construction
B.
Lease fees
C.
Survey/title fees
D.
Marketability fees
E.
Cost. and/or organizational fees
All costs must meet the standards set by H U.D. In the establishment of a publiccharter school
that will be certified and regulated by the state and its agencies.
This proposal will contain a percentage of 50-70 percentile rate for equipment and materials
pertaining to electrical. plumbing, and heating services. To protect against energy losing
qualities and standards for said items.
All proposals will cover the cost of administration, applicable taxes, land development and or
any other such incurments that may arise. And to make sure that there is quality control for all
projects pertaining to the facility/center.
A financial statement concerning the projects endeavors will be supplied in writing upon request
to persons of required agencies involved at any given time.
Business Plan and Proposal
Budget Plan
A. This Elderly housing and building program will be developed for the elderly,
blind, deaf, and people with disabilities and special needs.
For the first year it will consist of 150 people and 250 from 5 to 10 years
and from 10 to 15 years 260 people and from 15 to 20 years for 260 people.
For the first year with 150 people the total is: $11,400.00
250
"
"
"
"
$13,200.00
In 10 to 15 years with
"
11
"
"
"
$15,600.00
" 15 " 20
"
"
"
"
"
"
"
$15,600.00
B. The following services will be provided;
1. Administration office
2.75 patience rooms
3.75 bathrooms
4.4 partial bathrooms
5.12 baby despenser systems
6.2 secratary romms
7.2 doctors and nurses lounges
8.1 kitchen with dining romm, for nutricious meals
9.1 custodial room
10.1 maintenance and transportation room
11.1 game and activity room
12.1 dry cleaners and laundry, pick up area.
13.1 library and entertainment area for social events
14.1 beauty salon
15.1 barber shop
16.1 chaplin developement center
17.1 vistors recreation and social function center
18.1 security developement center
19.100 fire alarms
20.100 sprinkler systems
21.3 entrances and exits
22.15 cameras and v.c.r.'s with playback for security monitoring
23.1 PBX telephones in all rooms
24. t.v. in all rooms
25.1 pharmacy, for in patience desepencing of drugs
26. outdoor and entertainment section
All the proper electrical wiring and plumbing will be placed properly and
meet groverment inspection and codes.
Kitchen and dining room and sanitary inspection of all equipment and rooms.
Inspection of foods, water and systems and bathroom and other facilities.
C. Transportation will consist of;
1.2 buses
2.5 cars
3.2 ambulance's to be rented for on call duties.
4. parking lot with paved and line area
5. well maintained landscaped areas.
D. The medical center will also provide;
.Ambulatory home care
2.physical therapy rooms
3.M.R.I. testing
4.C.A.T. scaning
5.ultra scaning
6.E.E.M. and E.E.G. and E.K.G.
7.dancing therapy
8.research center
9.35 specialist
10. .dental care
11.hearing aid care
The patiences will have the options of payment such as, insurance, medicade,
medicare,private checks, visa, mastercard or cash..
E. The medical building and its facilities will be making constance efforts to protect
all of its patience and employees on a continual basis. We will have in place all
the applicable insurances, bonding, with ommisions and errors.
We will instill and install saftey equipment and measures, first aid There will be
constant get togethers. meetings, social functions, question and answer boxes,
field trips, sports activities, recreation and entertainment events.
F. The assets and or profits befor the liabilities are:
For the first year for 150 people $17,100,000m
"
"
five years
11
"
"
$85,500,000m
"
"
"
"
" 250
"
$165,000,000m
"
"
"
"
"
ten vears
$300,000,000m
"
"ten to fifteen "
260
"
$365,000,000m
"
"fifteen to twenty
"
"
$3,650,400,000billion
Our total profits from one year to twenty years are, $45,830,040,000billin
G. Our professional staff and building will provide an experience team of qualified
people with dedication and commitment to the patience and the medical center.
The program will also provide all with a comfortable country living setting for an
utmost safe and loving enviorment with all of its great possibilities.
Mary L. Stewart
President
"OUR MOTTO"
Our Children are our Future
ELdERLY HausiNG First NURSING CARE HOME
Building @, 100,000 Six.Ft.
10 ACRES $40,000
SURVEY @
5,000
10 ACRES.
EldERLY HOUSiNG ANd CARE BuildiNG
NUMBER OF
Brom
500mg
DIRES
L: EFFICIENCY APARTNENTS BR., \ BAthRM
so 30X20
3 ENTRANCES Plus Exits
of
5,000
8 80.BAthRams PATiENCE ANa EMPLOYEES
3812
100 TIRE ALARM
73,000
4
PARtiALS
9X12
100 SPRINKLER system
53,003
89 TieLists
\ ALARM
(ii)
15,000
89 Sinks
15 CAMERA'S with V.C.R. heckups 25,000
89 Showers
3 iNJ out LiBits
5,000
85
\ A.O. SYSTEM
70,000
12 STATIONS
\ PBX HELEPH NE SYSTEM
80,000
SECRATARY offices
9 X 12
MARKIN32 PAYMENT
25,000
adimiNiste ATIVE CHICE
23 X50
LANdSOPEING
10.000
a
SEMINAR Rooms
20 X.30
Equip,
903,000
S community Rooms.
SQVSO
UNDERIORS EXTERIOR cast OF
\
Kitchen with CUNINS
33 X SO
CONStRUCTiON
4,003,000
\
custodiANS RM.
50%20
Kitchen to Utility Fill EQUIP:
75,000
\
MAINTANCE in FAIL
30X80
GAME AIRLABILIVITY CENTER
20,000
PhARmACY & DRUGS (Drug Room) Storage
Systems FOR build.
202,000
200,000
30860
Backs MATERIALS EDMP 75,000
Community Roans consist of:
120X20
Pricks - StEEL- CONCRETE
$00,000
BEAUTY SALON
20 X50
TRANSBATION
\
BARDER Shop
92X83
26 BUSES
\
ChAPLiN development CENTER
33%60
5 CARS
1000P RECEPTION CENTER
22X50
\ MEdicAL
SECURITY development CERTIER
23%90
CENTER
50,000
a outdoor's SPORTS ANDERHERTSINMENT
20%
SECTION
TIN $7,130,000
Firtit FOR ELLERLY CARE HOUSING Building
150 PEOPLE X 12morthe A Yes At 455 $11,400 x 150 PERE = 17,100,000 FOR AYe. 485, 500,000 FEF. 5Yr.
250 PEOPLE x 12 marthe A YR = 33,000,000 FOR \ VR. 165,000.000 PURL5YRS
506,000,000 FOR IONRE
1940154RS. Dbc PEOPLE X 12. months A YR At 1,300.00= 15,600.00 additions = 3615,040,000m FORKHES
to 3,650, 400,000
190 YEAR PEOPLE 17,100,00m 17,100, 000m
5th YOR (ii You) (") 85,500,000m
5 YEARS
250 PROPLE
165,000,000m
10 (ii) (1) (.) 3w,000,c0m
104015 YEARS Dia 3165,040,000.com 365 040 com
(") (ii) 3,650,400,000
\ taso YEARS Profit PR before LiAbiLitiES Total 45, 830,40, 600 billion
TRYROLL PARL PROFESSIONAL Werry Helens rind NURSING CAPE Home
ANTOUR
A YEAR A YEAR 5 YEARS DONLEARS
S POSTORS
70 ANDR ShRdAY
145,000.X3 576,00 2304000 3456200
\ ChsiF.Admin
40
162,400.1 102,400 400,600 6,1,74,003
\ DiADitoR
80
76,800.X1 76,800 15280000
\ HEAD MR.
8
"
64,000 8,500,000 14,800,000
15
76,800.0 76,000 3,843,00315,889.000
4.0005KS
10
25,800X4 102,400 409.60 6,144,000
12 NURSES
20
51,500.12 6,440,000 3804 000,000 billion
8 NURRES Assis 9.50
24,350X8 1,975,60 7,785,400
5 NURSES Prides %
30,493X5 1,524,000 $150,000 716,800,000.00
+ + Custations 10.50
32,000X-4 1,380,000 6,200,000
A Cooks
12
6,154.00
95
2 ElectRicient
25
11
"
64,000.0 103/00
340,000 9,600,000m
Flumbers
55
64,000.02 123,000 1540,000
STRIVERS
15
11
334012 76,800 S,UTS,000 4,303,000m
! PHARMISISTS
39,600 3,534,00 53,760,000m
TOTALS.
752,030,400
5,454,960,000
All PARFICS will go back iNto thE PUBRAC school INC OPERATING to Agsts ANdeR ACCOUNTS.
Buttet of
UTiLitiES ANd Universitials FOR PRABISSIONAL HOUSENS 3N8306 15 were HemE
DEPART. \ YEAR 5 5.MISARS DONEARS
Electric 150,000 2,550,000
TELEPHONE 40,000 120,000 6,200,000
FUEL&NAME sace 30,000 servece
Food 30,000 1,300,000 4,500,000
CENERATORS 10,000 40,000 1,500,000
INSURANCE 320,000 800000 3 ,000,000
TOTALS $480,000 $2,880,000 $17,550,000
PRIFIT And wss STATEMENT
LiAbility 120 YEAR 31, BOXS, 828 M.
ASSEts
PROFIT
5th YEAR 72,113, 400 M.
LiAbility 1st YEAR SI 1,162,333m.
50 YEAR 7,209
$7,120,000 GRIVERMENT GRANTS Find others
LiAbiLity titial FOR \ Year awed Eve, 942, 38 in
PreFits in YESARB its Asset" 165,000, coom
LiAbiLitiES 5 YEAR3 - 73,110 400
TOTAL
56,610, 400
LiAbiLitiES For INLAR - 6,945 888
TOTAL PROFIT
49, 667,512m bear, 512m
10 +215 YEARS PROFIT #365, 040, coom.
15 150.50 to 50 YEARS PROFIT $3,650, 430, can billient
20 YEAR Liability 7,209, as billioN
TOTAL Pruft a 3, 194,550 billioN
1+05 VISARB PRINT 49267, 512 M.
\ state YEARS Profits & 3. 194, 520 billien
TOTAL
152, as 032 biliioN
I
PROPOSAL AND GRANT PLAN--NEW--
EXISTING FOUNDATION
RULES FOR PROPOSAL AND BUSINESS PLANS
1.
Analyze
2.
Analyze list
3.
Look for clues
4.
Fact finding
5.
Make a variety list
6.
Make a determination list (benefits)
7.
Benefits to public
8.
Lock in, need for convincing law proposal and their benefits
9.
Outcome:
(1) cost factors
(2) benefits
(3) area needs
2
10.
Proposal grant funds
1.
Rehabs center
2.
Special education grants
3.
Human resource center
4.
U.S. department of education
5.
Local community involvement
6.
Laws and other information and benefits
7.
Housing laws:
A.
rules and regulations and by-laws
B.
development programs
C.
research grants
8.
Outcomes
RULES FOR MEDICAL PROPOSALS
1.
Analyze
2.
Analyze list
3.
Look for clues
4.
Fact finding
5.
Make a variety list
6.
Make a determination list (benefits)
7.
Benefits to public
8.
Lock in. need for convincing law proposal and their benefits
3
9.
Outcome:
(1) cost factors
(2) benefits
(3) area needs
10.
Proposal grant funds
1.
Rehabs center
2.
Special education grants
3.
Human resource center
4.
U.S. department of education
5.
Local community involvement
6.
Laws and other information and benefits
7.
Housing laws:
A.
rules and regulations and by-laws
B.
development programs
C.
research grants
8.
Outcomes
CONVINCING ENFORCEMENT PLAN
1.
Telecommunication:
1.
Local
State
Federal agencies
2.
Local boards of education
A.
Public charter school
B.
Medical boards
C.
H.U.D.
D.
Other foundations
E.
Legislation/politician
F.
Political organization
G.
Secretary
H.
Written proposal to all politician
I..
Look for answers and follow-up
4
J.
Directors
K.
Advisor to politicians
2.
Community details outline--cause and affect
1.
Safety of program proposal security
2.
Details concerning all laws
A.
Local
B.
State
C.
Federal
3.
Set appointments with:
A.
Chairman of commission
B.
Politician
C.
Information disseminator
4.
Convincing/communication
1.
Local
State
Federal agencies
2.
Local boards of education
A.
Public charter school
B.
Medical boards
C.
H.U.D.
D.
Other foundations
E.
Legislation/politician
F.
Political organization
G.
Secretary
H.
Written proposal to all politician
I..
Look for answers and follow-up
J.
Directors
K.
Advisor to politicians
Community details outline--cause and affect
1.
Safety of program proposal security
2.
Details concerning all laws
A.
Local
B.
State
C.
Federal
Set appointments with:
A.
Chairman of commission
B.
Politician
5
C.
Information disseminator
5.
Find other existing grants
A.
Private, i.e., community,
B.
Public
6.
Accountability
1.
Keep all records
7.
New projects
Work with:
A.
Chairman
B.
Politician
C.
Advisors
D.
Finance
E.
Mayor
F.
Governor
G.
Foundations
H.
Outcome
8.
Building and development
1.
Contractor
2.
Real estate agent
Outcome:
9.
Determination List
1.
Outcome
2.
Profits
3.
Loss
10.
Personnel and recruitment
Program staff development with interview
1.
Analyzation with interview
2.
Recognition awards, wages, benefits packages
1.
Medical
2.
Housing division
3.
Transportation-- car purchasing
4.
Stock
5.
Pension funding
11.
Convincing
1.
Local
2.
State
3.
Federal
4.
Mayor and advisor
6
5.
Governors
6.
Senators
12.
Retraining/in house programs
1.
Students/parents
2.
Night training
3.
Welfare
4.
Rehab clinic
5.
Clients, parent, staff
For career of recruitment program
(existing and non projects)
Work with:
A.
Chairman
B.
Politician
C.
Advisors
D.
Finance
E.
Mayor
F.
Governor
G.
Foundations
H.
Outcome
Building and development
1.
Contractor
2.
Real estate agent
Outcome:
Determination List
1.
Outcome
2.
Profits
3.
Loss
Personnel and recruitment
Program staff development with interview
1.
Analyzation with interview
2.
Recognition awards, wages, benefits packages
1.
Medical
2.
Housing division
3.
Transportation-- car purchasing
4.
Stock
5.
Pension funding
Convincing
1.
Local
7
2.
State
3.
Federal
4
Mayor and advisor
5.
Governors
6.
Senators
Retraining/in house programs
1.
Students/parents
2.
Night training
3.
Welfare
4.
Rehab clinic
5.
Clients, parent, staff
1.
Presidents and Assistant with tape and store project or program
1.
approval and review all information before disseminating to (all)
2.
President has final approval on all:
1.
Grants
2.
Proposals
3.
Projects
4.
Payrolls
5.
Employment--hiring and termination
6.
Checks--petty cash
7.
All benefits packages
1.
Health
2.
Stock options
8.
Promotions
9.
Transfers from one project to another or facilities
10.
Communitive directive
A.
Political and legislative actions
1.
President and assistant to president
2.
Vice president
3.
Assistants
All approvals and administration politics in all of the above matters concerning the center will
have the signature of the president; also will examine all records and follow the guidelines will
not give signature or approval without the president's approval.
45-377
1015 Feet Hwy Frontage
701 Highway North
PROFESSIONAL MEDICAL BUILDING For
EXCEPTIONAL CHILDREN, FAMILY 15 STAFF Members
BLDE: 400 sq, Ft,
SURVEY: 8,000
12A X5,000 60,000
68,000
12 ACRES
QTY
QTY
35
DOCTOR'S OFFICES
20 X 40
2
EEG RM
20x30
8.
BATHROOOIS(ComPITeD)
9x 16
2
EMG RM
20 X 30
7
PARTIAL BATHROOMS/WSINK
9X 12
2
CAT SCAN RM
20 x30
2
EYEGLASS S. LeNS
20 x40
20
Commodes
/
EYeGLASS LAB
20 x80
15
SINKS
/
HEARING AID OFC
20 x60
7
SHOWERS
8
BATHTU55
3 NURSING LOUNGE
20 X 40
10
DIAPER CHANGES
/ CUSTODIAN OFC. LOUNGE
30 X 60
15
HANDICAP RAMPS
/ PHAMACY
20 X 60
/ CONVALeSCeNT RM &
30 X 80
/
KITCHEN W/DIMING RM,
30 X 80
OTHER SUPPLIES
TOTAL IN/OUTSIDE CONST. COST
20,000,000
10
secretary OFFICES
9 x 12
3 ENTRANCES
100,000
3
ADMINISTRATIVE OFFICES
20 X 40
LAND SCAPING
80,000
/
ADMITTING OFFICE
20 x 30
PARKING E PAVEMENT
$
800,000
/
OUTPATIENCE LOUNGE
20 x40
115 FIRE ALARMS
150,000
4
DOCTOR'S LOUNGE
20 X 30
115 SPRINKLERS
150,000
2
SemiNAR INFLAXEMENT 2M
20 x30
/ ALARM SYSTeM
200,000
2
SURGERY Roams
20 X 801
32 CAMERAS SIT-UPS w/ver
400,000
2
Recovery RDOM
30 x80
PLAYBACK
3
Reseach CeNTeR
20 X x80
3
IN AND OUT LIGHTS
10,000
/
PHYSICAL THERAPY
RM
20 x 60
/
AC/HEAT SYSTEM
900,000
2
COUNSELING RM
20 x40
4
CONFERENCE RM
20 X 20
2
X- RAY RM
20 x60
/
2
ULTRA SOUND RM
20 X60
PBX BRICKS Telephone System
500,000
1,000,000
/
Memo GRAM RM
20 x20
ELECTRICAL WIRING(BLDE, & EQUIP.)
1,000,000
2
MI7 RM
20 X 60
INSPECTION #0711E2 Fees
800
W
45-373
Made
TY
QTY
SURGERY RM. EQUIPMENT
$1,000,000
1
KITCHEN UTLITIES RM. EQUIPMENT
300,000
Recovery RM,
11
800,000
3 Nurses LOUNGES
11
11
200,000
ReseACH CTR.
11
1,000,000
/ CUSTODIAN OFC, LOUNGE, E
PHYSICAL THERAPY 11
800,000
SUPPLIES
500,000
, DOGOR OFC.
11
2,000,000
/ PHAMACY
2,000,000
2 Couseling RM
11
300,000
/
CONVALeSCeNT to OTHER supplies 11
2,500,000
i CONFERENCE Rm
11
400,000
!
Seminar RM
11
600,000
BOOKS, MATERIAL SUPPLIES
1 DOCTOR'S LOUNGeS
1,000,000
"
200,000
TRANSPORTATION
1 OUTPATIENCE RM
11
300,000
/ ADMITTING OFC
"
400,000
20 CARS
500,000
3 ADMINISTRATION RM
"
800,000
10 Buses
300,000
1) Secretary Rm
"
800,000
3 AMBULANCES
400,000
D SUPPLY Rm,
11
2,000;000
28,106,500
P COMPLETE BATHROOMS
11
5,000
7 PARTIAL BATHROOMS
"
1,1500
/ HeARING AID DFC
11
800,000
2 X-RAY ROOMS
11
1,000,000
2 ULTRA-SOWD RM
"
1,000,000
) SCATSCAN
n
800,000
2 EMG RM
11
800,000
2 EE G! I RM
11
600,000
I LAB TESTING
11
500,000
Memo-GRAM RM
"
300,000
:
EYe-GLASS w/lens
11
900,000
EYe-GLASS CAB
11
800,000
MII Rm
11
1,500,000
4
OPERATING PAYROLL FOR PROFESSIONAL MeDICAL OFFICE BUILDING- 540 EMPLOYEES
PAYROLL
- 70 DOCTOR'S SALARY
90/hr.
$187,200
X
70
"
1,3,104,000/yr.
$65,520,000/5yrs.
262,080,000/20yrs.
-
/ CHIEF of STAFF
115/hr.
239,200 X / =
239,200/yr,
4,784,000/20yrs.
- 29 DIRECTORS
75/hr.
156,000 x29 =
4,524,000/yr
22,620,000/54rs,
90,480,000/20yrs.
- 4 PHARMACIST 85/hr. 176,800 X 4 = 707,200/yr.
3,536,000/5yrs.
14,144,000/204rs.
- 94 SECRETARY-HeAD RAGRS,
$35/hr, 72,800 x94 = 6, 843,200/yr
34,216,000/5yrs.
136,864,000/204rs.
- 93 NURSES
50/hr, 104,000 X 93 = 9,672,000/yr
48,360,000/54rs.
193,440,000/2045.
- 30 NuRses ASST.
20/hr
41,600x30 = 1,248,000/yr,
24,960,000/20 yrs,
- -34 TeCHNICHIANS
45/hr,
93,600 X 34 = 3,182,400/yr
111
15,912,000/5yrs,
63,648,000/20nrs
-140 CLERKS
20/hr,
41,600 x140 = 5,824,000/yr.
29,120,000/54rs,
116,480,000/28yrs
-15 -
CUSTODIAN
$15/hr,
31,200 X 15 =
-
-5
COOKS
468,000/yr.
2,340,000/5yrs. 780,000/5yrs.
9,360,000/20yrs
15/hr
31,200 x 5
1)
156,000/yr
3,120,000/204.5.
-4
ELECTRICIAN
35/hr,
72,800 X 4
11
291,200/yr.
-2 - 2
1,456,000/5yrs
5,824,000/2045.
PLUMBERS
35/hr
72,800 X2
"
12/hr,
145,600/4c.
728,000/5yrs,
-15
DRIVERS
24960 x15
=
374,400/yr,
1,872,000/5 yrs,
7,488,000/20 yrs,
-
4
PARAMEDICS
40/hr,
83,200 X 4
=
332,800/yr,
1,664,000/5yrs,
6,656,000/20.rs
$47,112,000/yr.
945,296,000/204rs.
UTILITIES $ INCIDENTALS FOR PROFESSIONAL MEDICAL BUILDING
ELECTRIC
41,000,000/Yr
5,000,000/5yrs,
$20,000,000/20yrs.
Telephone
600,000/yr.
3,000,000/54rs.
12,000,000/204rs,
FUEL $ $MAINTENANCE
800,000/yr,
4,000,000/5yrs
16,000,000/20yrs.
FOOD
800,000/yr
4,000,000/5yrs.
16,000,000/204rs,
-
PROPANE
200,000/yr,
1,000,000/5yrs.
4,000,000/20yrs.
MEDICAL EQUIP, MAINTENANCE 300,000/yr.
1,500,000/5 yrs.
6,000,000/20yrs,
3,700,000
23
6
PROFITS FROM PROFESSIONAL MEDICAL OFFICE BUILDING
) yr.
20 yrs,
OFFICE VISITS LAB TeSTING (BI-MONTIFLY) x 550 students
X $150/140 x/2 = $1800 =
990,000
$19,800,000
X 2,500 PARENTS w/children X $150/me. x12 = 1,800 $4,500,000
$90,000,000
STAFF, EMPLOYEES É PROFESSIONALS
X 540
X 150/mo. x12 = =1,800 = 972,000
$ 19,40 ,000
Spouse & CHILDRENS
X 2,260
X 150/mc, X/2 = 1,800 = 4,068,000
$81,360,000
SCHOOL STAFF
X 152
x/50/mo, x12 = $1,800 = 273,600
5,472,000
CHOOL STAFF SPouse CHILDReN
X 608
1/50/mo, x12 1,800 = 1,094,400
$ 11,888 ,000
SURGERY OPERATION
$11,898,000
$ 237,960,000
6,610
x
$5,000 =
$33,050,000/yr
4661,000,000/2045.
-MII
6,610
X 1,700 =
11,237,000/y
- LASER
x 8,000 =
52,830,000
- -EEG
6,610
X
450
=
2,974,500/yr
1,057,600,000/20/rs, 59,490,000/20
-EMG
11
X
550 =
3,635,500/
yr
- SCAT SCAN
72,710,000 yrs,
11
x
650 =
4,296,506
- Memo GRAINS
85,930,000/20 yrs.
11
X
650
=
4,296,500/yr,
85,930,000/ 20 yrs,
Ultra SOUND
11
X
700
=
4,627,000/yr.
92,540,000/20 yrs,
- - X-RAY TeSTINO 11
X 850
=
- EYeGLASS LeNSTeST
5,618,500/yrs
112,370,000/ 20 yrs,
V 150
=
991,500/yr.
19,830,000/20 yrs.
- EYEELASS & LeNS 11
X
330
11
2,181,300/yr
43,626,000/204rs
Z
National
:3 372
- COUNSELING TesTiNG { 16,610 X $50 = 4,296,500 $5,930,000/2045.
Seminar PLACEMENT
- PHYSICAL THERAPY
"
y
$700 = 4,627,000
- HORECARE
92,540,000/204rs,
"
X 150 =
991,500
19,830,000/2045
- PHARMACY DRUGS
11
X 1500 = 9,915,000
- AMBULANCE SeRvice
11
x
150 =
991,500
- CONVALESCENT EQUIP
11
X 2,500 = 16,525,000
330,500,000/204rs 198/300,000/2045 (9,830,000/20/20/yrs,
- Psycology Counseling
"
X
350 = 2,313,500
46,270,000/20.155,
- MeALS (3)
11
X 18 =
118,980 111
2,379,600/20.455,
$
172,998,980/4r,
$ 3,459,979600/20 , 20 ,
+
11,898,000
+237,960,000
$184,896,980
$3,697,939600
SUMMARY
FIRST YeAR
FIFTH YeAR
ONe Time : LAND
$
68,000
BLDG $ 25,290,800
$
1907730
EQUIP $ 28,106,500
236,324000
$53,465,300
119,077,300
18,500.000
254,824,000
ONe YeAR PAYROLL & 47,112,000,47,112,000
50,812,000
UTILITIES 18,500,000 3,700,000
53,465,300
$ 65,612,000 50,812,000
104 27,300
104,277,300
20 YeAR
PROFIT FOR FIRST YEAR : $ 184,896,980
945,296,000
104,277,300.
74,000,000
$80,619,680
$1,019,296,000
Ee
INSurance -
PROFIT FOR Five YEAR 924,484,900 PROFIT FOR 20 years
First year
800,000.00
254,824,000
$ 3,697,939,600
5 x r s
4,660,660,900
-1,019,296,000
3-20,000,000
(
Profit after INSU mee total
20Yrs -
Profit For First year 13,033,910
$ 2,578,643,600
800,000,000
profit nacid For 5years V-C 341 966, 09.00
TABLE OF CONTENTS
1. PROPOSAL AMENDMENT MEDICAL CENTER
2. BUSINESS PROPOSAL MEDICAL CONTRACT
3. MEDICAL CENTER / PROCESS DIVISION
4. RECOMMENDATION SECTION
5. IMPACT-MISSION STATEMENT FOR RESEARCH, TRAINING
OTHER COUNTRIES, RESEARCH AND TRAINING PROGRAMS
DEVELOPMENT
CENTER
1
STATEMENT OF IMPACT
I.
The proposed medical building of 35 specialists, physicians, with eight degree and board-
certified, with experience. The medical building will consist of 13 divisions:
1.
Research development specialist programs, testing
2.
Research-lab-testing programs, include blood-testing
3.
Psychological counseling research-testingalso
4.
Behavioral research testing programs
5.
Psychiatry and neurology-research testing programs
6.
Psychiatric research,testing programs
7.
X-ray research, testing programs
8.
General medical science research, tesing programs
9.
Pharmacist, research, testing programs
10.
Speech research, testing programs
11.
Hearing aid research, testing programs
12.
Lazers, research, testing programs
13.
Eye glasses, research, testing programs
14.
Convalescent equipment, research, testing programs
15.
Physical theraphy research, testing, programs
The office building for physicians will have trained physicians, with testing, research center for
diseases, treating diseases, on time treatment, with long life-spans.
2
The project consists of three sections: (1)School Project, (2) Medical Project,(3)Housing Division
for special education.
II
Mission and Purpose
State the educational and research, focus medical project, physicians, surgeons, spm podiatrist,
surgeon, MD, testing, specialist testing, research, cardiology, endocrinology, diabetes, gastroenterology,
hematology, oncology, pulmonary, critical-care, neuro-internal medicine-research, testing, hypertension
cardiology, deriatic, pediatric specialists, testing and research, children and adults, testing allergy and
immunology, throat, otolarnygolsy, head and neck-research and surgery testing, arthitis, surgeons-MD,
research-testing-cardiovasculat diseases, cardiology, heart general board certified-specialist-testing in-
prevention, diagnosis and treatment of heart problems. Board certified in nephrology, adult and
pediatric, research and testing, kidney diseases, and surgeon-MD-Family Practice, testing research
programs dermatology, research, testing, diseases skin, hair and nails eith surgery testing-removal of
moles and skin cancer, treatment of scars, removal of face veins and leg veins, dermabraision, laser
surgery. liposuction, and body contourins-physicians and surgeons-MD. gastrolenterology research-
testing (digestive disorders) in the liver and intestinal disorder, with research testing hematology
(blood) testing by physicians-surgeons-MS, neurology-adult and child research, testing in electron
cephalography, EMG and nerve conduction, evoked potenital, physicians and surgeons, MD, testing
programs. Physical Therapy, research, testing and testing equipments, obstetrics and gynecology,
research-testing-high risk obstetrics, cryo-surgery, hysteroscopy, sterilization, infertility. laparoscopic,
hysterectomy, pelvic-surgery-teen pregnancy, testing, cancer, tumors, norplant, research, testing Unc-
eyes-surgery, laser surgery of eyes, reconstructive, surgery-testing, glaucoma testing surgery, macular-
degeneration, diabetic eve disease festing by oncology, physicians, MD orthopedic, research-testing
bones and joints, general orthopedics, sports medicine, arthroscopy, joint replacement fractures,
arthritis, testing for cancer by orthopedic surgeons, MD, research-testing malignant diseases, cancer,
chemotherapy-testing of the eyes by oncology, cars, noses, head and neck, medical and surgical
3
treatment and testing, research, treatment testing nose-ears, sinuses and throat by otolaryncology
physicians, MD. Hearing-research, testing with hearing fitting for pathology physicians, and surgeons,
speech-research-testing with-physicians for adult-child. Pulmonary disease treating research-testing
(lung) lung-cancer--adult, child, pulmonary medicine, critical-care including allergy testing care,
asthma-research- testing, copd, poulmonary physicians. Rheumatology research, testing (arthritis) by
general and vascular surgery MD neurological research-testing-adult-pediatric-neuro-surgery-neuro-
oncology surgery testing of the brain and spinal cord and nerves treatment of the cardiovascular
disease surgery for prevention of stroke, spinal surgery, research-testing for ruptured discs, bones spurs,
tumors and spinal fractures, insured or pinched nerves in the arm or leg. disorder cancer related pain
syndromes, neurodiological intervention neuro-surgery, MD. Testing, research-testing of kidney,
bladder, prostate, kidney stone, lithotripsy, treatment of impotence and in continence vasectomyu,
penile, implants, ultrasound and surgery-prostate laser, endourology, oncology, by urology physicians.
Psyschologist-tesearch-tesing and counseling testing of the mind by psychologists, MD, x-ray- research-
testing for all of the above using MIR, mammography, EEG. testing EMG machines and equipments,
lab-research testing diseases of all of the above by physicians, MD and by technicians, lab-research for
glasses by physician-MD.Pharmist-research testing by the physician MD, by pharmacist, testing in
drug-department, convalescent-cquipment-research-testing programs.
III Perspective: State the Likely Impact on the Community
This project provides medicare for special education students, family members, and staff and their
family members--cause longer life span. This project is to gain employment for commumity, the
medical building wouls provide jobs for 540 employees and 152 empoloyees for the project for the
school. The students and parents and staff and teir family members would have housing division, low-
rent program which would stay the same rent for 20 years. Profit for federal taxes income-employee
working pay to federal government. Profits for office visits, lab-testing, x-ray testing, MIR testing,
4
major and minor surgery, eye glasses, hearing aid, home-care, 24-hour services, convenescent
department, pharmacist supply and others listed above. The profit 1yr 80, 619, 680, 5 years 669, 660,
900 profit the profit for 20 years-2,578, 643, 600. The community would have better life style of
living.
IV Missions and Purposes
A. Describe programs implements purpose outlined-students achievements goals.
The propose to build medical project consist of 15 divisions, listed on "statement of impact sheet"
on pagel. The student will be living own their own with jobs and some will go to college.
V
Admission Policies and Procedures
1. Thirteen selections for research center
2. Placement center for selections of job training-placement
3. Admission office for patient and out-patient surgery
4. Seminar programs
5. Follow medical--state--law
6. Patients will sign agreement for consent form;s, office visit, x-ray, MIR, testing surgery, minor
or major, etc.
7. Patients will sign agreement form to pay the bills
8. Patients will fill out application forms, insurance forms, etc
9. Patient policies--home-care and after surgery
10. Patient information desk-questions and answers
11. Patients will sign in and out sheet before going home
12. Sign in sheet sign out sheet for the visitors
13. No eating or smoking in building-outpatient stay, will be able cat meals.
VI Staff Expulsion and Exclusion ground for Expelling and Excluding
1. Staff tardiness, 4 times in 2 weeks, poor tardiness
5
2. Poor qualities and quality of work
3. Poor manners, behavior patterns,
4. Stealing funds--fired on spot
5. Use of illegal drugs--fired on spot
6 After 3 times warning then fored or expelling
VII instructional Programs
A. Curriculums
(1) Marketing Programs
(2) Research Specialist Programs
(3) Lab-Testing Programs
(4) X-Ray--Testing Programs
(5) Minor and Major Surgery Programs
(6) Lazer Programs and Study
(7) Psychiatric Programs ans Study
(8) Pharmacist Programs and Study
(9) Psychiatry Counseling, Behavioral Programs and Study
(10) Neurology Testing and Study
(11) Psychiatry and Neurology Programs and Study
(12) Blood Testing Programs and Study
(13) Lab--Programs and Study
(14) Pharmacist Programs and Study
(15) Lazer Programs and Study
(16) Hearing Aid Programs and Study
(17) Speech Programs and Study
(18) Physical Therapy Programs
6
(19) Convalescent Equipments Programs
(20) Home-Care Programs and Study
(21) Grant and Funding-raising Programs
(22) Conference Meeting and Seminar
(23) Monitoring, Staff--Programs
(24) Questions and Answers Box Programs
(25) Family Planning Programs
(26) PMS, Childbirth Classes
(27) Norplant Programs
(28) Plastic Reconstructive Programs
(29) Eye Testing Programs
(30) Fire Drills, Safety Programs
(31) Holiday Party
(32) Field-trips
Pierre Exceptional Medical Building
4556 Garland Highway
Clinton, N.C. 28328
Phone No--(910) 590 - 3316
Attach-Organizational Chart
New-Project has not been selected.
VIII Projected Types of Staff Of Medical Building
Providing List of all Positions
70 doctors
1 Chief of Staff
29 Directors
7
4 Pharmacists
94 Secretary--Head Mngr
93 Nurses
30 Nurses'- asst
34 Tech.
140 Clerks
15 Custodians
5 Cooks
4 Electricians
2 Plumbers
15 Drivers
4 Paramedics
IX
Qualification Required for Individuals Employed by Medical--Building
As for professional, specialists physicians with licenses with 8 yr degree, some should have
psychological degree and experience. Directors, should have 4 years college degree and some special
education in some area but not in admin., positions. Nurses hould have 4 year degree and nurses
assist. should have at least 1 and ½ years of college. Tech, should have 2 years of college some
experience, clerks, should have some experience some should be able to type with at least high school
student, graduate. Chief of Staff should have at least 5 years of college degree or some experience as
director, love working with people. Secretary--Head Mngr should have 2 to 4 years of college of
experience. Pharmacist, should have 4 years of college degree in with pharmacist, experience.
Paramedics with 2years of college- degree with experience. Custodian should have experience.
Plumbers and Electricians should have experience and licenses. Drivers, should have experience and
bus snd driver licenses. Cook, should have experience.
X
Committments of Staff to Date 100
8
New--construction--New Project For Special--Education
540 Staff members
XI
Projected Enrollment
1997-1998 each year
1998-1999 each year
1. School Students 550, parents and childrens 2,500
2. Staff school 152 employees family members 608 total
3. Staff medical building 540 employee the family members 2,260, total 6,610 patients each
year
A.
Two-year Budgets 1997-1998
Revenue Projections
Sources
State Funds 25,358,000
Local Funds
Federal Grants--102,299,733,000
Grants
Foundation--10,834,000
Private Funds--9,672
Student Fees
total--464,316,450
1998-1999
State Funds--23,400.000
Local Fund
Federal Grants--120,719,500
Foundations 20,814,600
9
Private Funds
10,600
Students--
Total--562,971,500
B.
Facility
Pierre Exceptional Medical Building
4556 Garland Highway
Clinton, N.C. 28328
New-Constructional-Special. Education Project
Description of Facility
Total Space Feet 400,000
35 doctors offices 20 X 40
8 bathrooms--completed 9x16
7 partial bathrooms--9x12
w/sinks
20 commodes
15 sinks
7 showers
8 bath-tubs
10 diaper changes
15 handicap ramps
1 kitchen w/dining room 30x80
10 secretary office 9x12
3 administrative offices 20x40
I amiitting office 20x40
10 outpatient lounges 20x40
10
4 doctors lounges 20x40
2 seminar--inplacement 20x30
2 surgery rooms 20x80
2 recovery rooms 20x80
3 research rooms 20x80
1 physcal therapy 20x60
2 counseling rooms 20x40
4 conference rooms 20x20
2 x-ray rooms 20x60
2 ultrasound room 20x60
I mamogram room 20x20
2 MIR room 20x60
2 EEG room 20x30
2 EMG room 20x30
2 CAT scan 20x30
2 Eye glass lens 20x40
1 eve glass lag 20x80
1 hearing aid office 20x60
3 nurses lounges 20x40
I custodian office/lounge 20xa60
1 pharmacy 20x60
I convalescent room 30x80
In/outside const brick cost
3 entrances
Landscaping
11
Parking and Pavement
115 sprinklers
I alarm system
32 cameras, sit-ups/w/ver/playback
3 in and out lights
AC/heat sustem
I P Bx telephone system
Brick-Building
Electrical--wiring and Equipment
Inspection and other fees
Survey land
Follow state medical laws.
C.
The building has not been inspected new project-new construction
D. Fire Drills--twice month
E.
Safety Programs, 3 ENT--handicap ramp,fire--alarms sec 2m, 10 handicap--hand-care
F. Describe how the maintenance will be kept for facility--custodians, will keep the bathrooms, clean
at all times, the floors will be clean at all times in this building for safety reasons. The grass will be cut
when needed. The plumbers, will take care of the plumbing at all times, when needed. The eletrician
will repair all electrical problems make sure the building is safe at all times. Follow state lay medical
building.
G. Marketing- marketing plan, recruiting facilities and attracting certified doctors and others
We plan to have research--testing to fight diseases with 35 specialists, physicians also lab--testing,
research, x-ray testing, general medical science research, proagrams, psychiatry and neurology research-
-testing lazer--rescarch--testing, physical therapy research--testing, lab, research--testing blood--testing
research programs. Psychological counseling research, testing also behaborial patterns, pharmacist--
12
research testing, hearing aid research--testing, speech research--testing, Provide housing division, school
dividion, medical building for patient care for staff and theif family under special education--trade
system, academic system, monitor medication--first aid classes, CPR, one on one training, in house
training progrmms, promotions 24-hr service, monitoring patient progress, home care, x-ray testion,
minor and majhor survey, lab--testing research center, counseling programs, physical therapy programs,
pharmacy for drugs, hearing aid equipments, eyeglassses, lens services. eye glass--lab, seminar in--
placement room, administratime office, secretary office, kitchen/w/dining room, paramedics care. The
salary and benefits are great the staff and their family will have the use of the medical building and
also the staff and their family members, and the students and their family members, will have the use
of the housing division at very low-rent not change in 20 years.
H. Working Capitol Assets
List--Describe
Certificates of Deposit 681.00
Bond--saving
6850
Real-estate
510,000
Motor vehicles
9,000
Other assets
Insurance policy
260,000
Total
853,950
I.
Program Audits
Procedures method for auditing medical building programs.
CPA accountant should keep records on everything spent per week include the payroll, and
inventory every two weeks. CPA accountant, keep general ledgers, and general journal, work-sheets,
every month. CPA accountant, keep records on all payrolls once a month. CPA accountant should keep
records of all grants, donations, that comes in every month. CPA, accountant should file income taxes
13
I time year, should check on all bills, checks all debits and profits for the medical building. Follow the
medical state laws.
J.
Financial Audits. Describe procedure conducting independent financial -audit for meical building.
Admin., staff, directors, consist CPA, accountant keeps redcords, payrolls, all money spent for
each day and week, make inventory once a month, will keep general ledgers, general journal,
worksheets, taxes, conducting financial - audit. The records should be kept up and recorded in the
computer--work spread-sheet selections. Follow all the state medical-laws.
K.
Health and Safety Requirements
1. Should keep all patients records in safe files, private records only marks for employee use only
2. Medical recordds office--permission slip for recordsd by patients only
3. Immunization shots on file
4. Follow State medical laws
L.
Fire and Safety Regulations
All electrical equipments should be checked a all times by electrician. Fire alarm sec 2m and fire
drills safety programs and meeting are required. Follow the state medical laws.
M. Food-inspections-Food will have been inspection on the food. The cooks should wear hair net on
their hair, wash their hands using athe bathroom before and after. Should wear gloves on their hands
to serve the food. Should keep the kitchen and dining room, cleaned and safe at all times.
N.
Hazardous chemicals--Custodians, will keep all hazardous chemicals in safe place and have
safety meeting and programs. Should keep the building safe at all times and the pavement and parking
lots, and the landscaping. Follow the state medical laws.
O. Transportation
20 cars. 10 buses, 3 ambulances
Will have home-care-pick up and ambulances, services, nurses visits to patients. Follow state
medical law
14
Federal tax-ID 31- 1474747
Total
Medical Building 1997-1998 325,000,000
1998-1999 325,000,000
per year
Civill Liability Insurance
(1) State Coverage
General liability bldg cost 25,290,800
cost per year 100,000]
Equipment cost 53,465,300
cost per insurance 100,000
(2) 540 staff-members--comprehensive liability 1,500,000
(3) Officer Director/errors and omissions 400,000
(4) Motor bech. liability insurance
20 cars
10 buses
3 ambulances
540 employees cost 250,000
(5) Bonding--cost 900,000 per year
1997-1998
(2) Expenditure Projections
Source
Personnel--
Doctors--(70) 13,104000
Chief of staff (1) 239,200
Directors (29) 4,524,000
15
Pharmacist (4) 707,200
Secretary--head mngr (94) 6,843,200
Nurses (93) 9,672,000
Nurses - Asist. (30) 1,248,000
Tech (34) 3,182,400
Clerk (140) 5,824,000
Custodian (15) 468,000
Food Service (5) 156,000
Electrician (4) 291,200
Plumbers (2( 145,600
Drivers (15) 374,400
Paramedics (4) 332.800
Employee benefit 1,000,000
Staff--Development 400,000
Rent--Material Const. 25,358,800
Bldg
1997-1998
Instructional Equipments--28,106,500
camera, vcrs, (TV) MIR, EEG othe equip--pharmacy, convalescent
Office Equipment--650,000
Testing materials--1,000,000
and book
Utilities--3,700,000
Transportation--13,000,000
Marketing---1,000
Professor Office for physicians with Children's Exceptional with
Disabled and Despondent Proposal Amendment Plan
Mission Statement:
Physician's office for the exceptional disabled and despondent needs are cooperation,
dependability, and trust. Our specific entities are A-1 staff, patience testing rooms, with
physicians, surgeons, SPM podiatrists, surgeons, Md., specialists, cardiology,
endocrinology diabetes, gastroenterology, hematology, oncology, pulmonary, critical
care, neurosurgical surgeons-MD, internal medicine, hypertension, cardiology, geriatric,
pediatric specialists, children and adults also with allergy and immunology, throat,
otolamygology-head and neck surgery PA, arthritis, and surgeons-MD-cardiovascular
diseases, cardiology 9heart), plastic surgery-MID-surgery plastic reconstructive, surgeon-
MD- general, Board Certified Specialist in prevention, diagnosis, and treatment of heart
problems, Board Certified in nephrology, adult and pediatric, kidney diseases, physicians
and surgeons- MD- family practice, dermatology, cosmetic surgery board Certified in
Dermatology, diseases and surgery of the skin, hair, and nails. Removal of moles, and
skin cancer, treatment of scars, removal of face veins and leg veins, dermabrasion, laser
surgery, liposuction, and body contouring, physicians and surgeons-MD,
Gastrolenterology (digestive disorders) Certified American Board of Gastroenterology
Specialists in liver and intestinal disorders. Physicians and surgeons- MD- hematology
(blood), Diploma American Board of Psychiatry and Neurology adult and child,
specializing in electroncephalograhy, EMG, and nerve conduction evoked potentials,
physicians and surgeons- MD- nerology- child- and adult, diploma American Board of
Obstetrics and Gynecology. High risk Obstetrics, cryosugery, hysteroscopy, sterilization,
infertility, laparoscopic hysterectomy, pelvic surgery teen pregnancy, family planning,
PMS, child birth classes, Norplant, Board Certified Associates Professor, UNC- eye
surgery specialists-Laser surgery of the eyes, reconstructive surgery, glaucoma surgery,
macular degeneration, diabetic eye disease, Board Certified eye physicians and surgeons
for opthamologist, physicians and surgeons-MD- oncology-malignant diseases, cancer
chemotheraphy office, Diploma American Board of Orthopedic Surgeons- MD-bone and
joints, general orthopedics, sports medicine, arthroscopy, joint replacement, fractures,
arthritis, had surgery and foot, Board Certified in Otolaryncology (ears and throat related
allergies)-MD- Head and neck surgery, medical and surgical treatment of the ears, noses,
sinuses, and throat. Hearing testing and hearing aid fitting, physicians and surgeons MD-
I
for pathology physicians and surgeons MD pulmonary diseases (lung) adult-child
pulmonary medicine, critical care including asthma, COPD, lung cancer, occupational
(lung diseases) Board certified MD, arthritis and allergy care with physicians and
surgeons MD. Rheumatolgy (arthritis) physicians and surgeons MD surgery general MD
general and vascular surgery, physicians and surgeons, MD Surgery neurological
surgery. Adult-pediatric-neurosurgery- neuro- oncology, surgery of the brain and spinal
cord and nerves treatment of the cardiovascular disease surgery for the prevention of
stroke. Spinal surgery for ruptured discs, bone spurs, tumors, and spinal fractures,
injured or pinched nerves in the arm or leg, disorder, cancer related pain syndromes,
neurodiological interventional neuro surgery Diploma American Board of urology,
Adults-Pediatrics Urology, MD, disease of kidney, bladder, prostate, kidney stone
lithotripsy, treatment of impotence and incontinence vasectomy, penile implants,
ultrasound, and surgery- prostate laser, endourology, oncology, psychiatric, Physicians-
MD, of the mind, psychologists and counseling PA- with degree, outpatients surgery
room- minor with surgeons, physicians, MD, x-ray, and blood testing, with ultrasound,
mammography, medical arts imaging center for MIR testing with lab for testing diseases
with technicians, nurses, nurses assistants, kitchen with cooks. As for the professional
physicians must be Board Certified with classifications of job titles with eight 98) years
of college, Diplomas American Board Certified by Physicians. MD received Bachelors
Degrees for different study foe eight years, must have four (4) year degrees Technicians
must have received a two(2) year or more degree in their field. Psychological counseling
must have completed two (2) year or more of college study in crology and psychology
and received a Bachelors Degree in Science and Arts and all the above must have a good
background and plausible personality and have worked in some form in community
services. Each and all will be comparable suited to work with people. Working together
as a team with in-house training programs, testing diseases, monitoring patients with
psychological counseling room, physicians ranching room, outpatients surgery room, 24
hour on call for physicians and nurses, 15 bathrooms, complete x-ray room, EMA, EEG,
ultrasound, mammography, MIR testing, Laser surgery room, patients and outpatient
waiting room, outpatient surgery room recovery, equipments, supplies, secretary and
nurses room 14 rooms. custodians room. Additionally we will have an eye glass office,
lens, eye glass lab and hearing aid office. A Pharmacist, supply office, convalescent
department and the blind will have a Braille office and supplies. We will have
experience physicians, nurses, nurses assistants, secretaries, cooks, technicians,
psychological counselors, and custodians.
The Daily Activities:
Lab testing, psychological counseling, outpatients surgery-minor 24 hour on call
services, physicians visit with patients, testing diseases, in house training, meeting, hold
seminars, monitoring hygiene, monitor placement, material, equipment, books, supplies,
CPR, and first aid classes, education program for students EP, BEH, ED, TMH, EMH,
OHI, Autistic, S/P- Behavioral, evaluating programs and activities, monitoring captioned
programs, television programs, emergency programming for hearing impairments, and
exceptional children.
Who will Benefit:
Everyone will benefit because this 2 byproduct of the national, international, as
well as the local and state which government run no specific ideology, theology,
gender, creed, race orthoplgraphy. Provide medical care for exceptional children and
awards for the staff. We retrieve for the best for our exceptional children.
We need incentives:
Our exceptional children will be provided with medical care, love, and
understanding with a longer life span to fight diseases from our children by monitoring
testing with the outcome being the best for our exceptional children.
The location:
It will be positioned 90 degrees west of Bladen Co., 90degrees east of Duplin Co.,
90 degrees north of Sampson Co, and 90 degrees west of Cumberland Co. Our sights are
to accommodate and be feasible for those depleted of funds. The building restrooms
accommodations conductive lighting systems, sturdy tables and chairs which are braced
to the floors especially for those who are blind and maneuverably handicapped and
exceptional children. There must be a guard rail, and the floor must be appropriately
finished and evenly shined. The heating and air conditioner units must fit square inch per
square inch. The stairs must be concisely padded. Doors will be light weight in the
corridors, with all safety equipment inside and outside the building. Testing and retesting
for safety. Will also have handicap ramps for safety with tested material and first aid
programs.
Outcomes
Outcomes goals for the future of exceptional children.
A. Goal 1. Testing check on when needed by physicians ;care for by nurses and nurses
assistants.
B. Goal 2. Exceptional children will be able to be competent normal students skilled
enough to go to college and on the job.
C. Goal 3. Our exceptional children will be tested by the physicians, will be first as skill
workers. t will also achieve achievements in science and math.
D. Goal 4. Office building for physicians will have trained physicians with testing
research center for diseases, treating diseases, on time treatment with long life spans.
E. Goal 5. Every exceptional child and staff member will be on their positive discipline
manners and be drug free.
F. Goal 6. Every exceptional child will have nutritious meals and snacks while staying
in outpatients care so they will have a healthy lifestyle.
G. Goal 7. Every exceptional child will be treated and cared for all health problems and
disease and some will be cured from disease so if the funds from social service, SSI, and
others are cut off by the government our exceptional children will be cured of diseases,
able to work and some will go to college and live on their own at the age of 18 and 21
and will be able to live and have a normal life.
Endorsers
Mr. Larry Smith Chairman/Commissioner Bladen Co.
Mr. David Edge Assistant Superintendent Bladen Co.
Mr. Tom Bacote Chairman/Commissioner Cumberland Co.
Dr. Charles Gainey Clinton City Schools Sampson Co.
Dr. John Griffin Board of Education Cumberland Co.
Mr. Johnny Melvin Commissioner/Consruction Sampson Co.
Mr. Alexander Community Leader Sampson Co.
Mr. John Blanton School Principal/Commissioner Sampson Co.
Mr. Watkins Community Leader Sampson Co.
Mr. James Robinson Philosopher/ Community Leader Sampson Co.
Mrs. Mary Stewart Organizational Leader Sampson Co.
Congressman Walter Jones Congressional Third Congressional District of North Carolina
Mrs. Lorrie Lloyd Community Leader Cumberland Co.
Rev. Marcus Clonney Minister Sampson Co.
Miss Terry Melvin Community Leader Sampson Co.
Dee Biggers Community Leader Sampson Co.
Dr. Lawson Board of Education Bladen Co.
Senator Helms U.S. House of Representatives
Senator Faircloth of North Carolina
Senator Marc Basnight- President of General Assembly
Mary L. Stewart
STATEMENT OF EDUCTION
UNITED STATES DEPARTMENT OF EDUCATION
ENTED STATES OF AMERICA
OFFICE OF LEGISLATION AND CONGRESSIONAL AFFAIRS
September 18, 1996
Honorable Jesse Helms
United States Senator
Post Office Drawer 2888
Raleigh, NC 27602
Dear Senator Helms:
Thank you for your recent letter on behalf of Mary L. Stewart.
Since this request involves a specific program within the
Department, I have referred your letter to the appropriate
official, Assistant Secretary for Special Education and
Rehabilitative Services Judy E. Heumann.
Assistant Secretary Heumann will respond directly to your concerns.
If the Office of Legislation and Congressional Affairs can be of
further assistance, please let me know.
Sincerely,
Kay Casstevens
Assistant Secretary
600 INDEPENDENCE AVE., S.W WASHINGTON. D.C. 20202-3100
Our mission is to ensure equal access to education and to promote educational excellence throughout the Nation.
LAUCH FAIRCLOTH
NORTH CAROLINA
United States Senate
WASHINGTON, DC 20510-3305
September 10, 1996
Ms. Mary L. Stewart
4556 Garland Highway
Clinton, North Carolina 28328
Dear Ms. Stewart:
Thank you for contacting me in your pursuit for a grant from
the Department of Education.
At your request I have written to the Department of
Education cutlining the importance of this grant to Bladen,
Sampson, Duplin and Cumberland counties.
Thank you again for contacting me. Please let me know if I
can be of any further assistance.
Warmest personal regards,
LF:lp
PRINTED ON RECYCLED PAPER
Public Schools of North Carolina
State Board of Education
Jay Robinson, Chairman
Department of Public Instruction
Bob Etheridge, State Superintendent
September 30, 1996
Ms. Mary L. Stewart
4556 Garland Highway
Clinton, North Carolina 28328
Dear Ms. Stewart:
The office of Senator Jesse Helms has sent me a copy of your proposal for federal and
State grants. He asked me to respond to your request.
Mr. Lowell Harris, Director of the Exceptional Children Division in the Department of
Public Instruction informed me that he has reviewed the information about your proposed school
and he has discussed the proposal with you. You have also sent the packet of materials to several
other individuals in the Department. We are pleased that you are interested in helping children
with disabilities. There are so many of the children who need a great deal of help.
Please work closely with the school systems in your area. If you apply to have a Charter
School, you might submit the application to the school system(s). The State Board of Education
approved the application on September 5. A copy will be sent to you soon so that you can apply
if you wish.
Charter Schools can offer a great deal to children with disabilities. However, each school
must follow federal and State laws governing programs for children with disabilities. Please
work closely with the Exceptional Children Division to make sure you understand these laws.
Lowell Harris will be pleased to work with you. His telephone number is (919) 715-1565 in
Raleigh. You should also work closely with the local special education directors in Bladen,
Sampson, Duplin and Cumberland Counties. Each of the school systems have worked hard to
provide appropriate services to their children.
Thank you again for your interest and efforts.
Bolack
Sincerely
Bob Etheridge
BE/LH/sc
c: Ms. Alice McCall
301 N. Wilmington Street
Raleigh, North Carolina 27601-2825
An Equal Opportunity/Affirmative Action Employer
JESSE HELMS
NORTH CAROLINA
United States Senate
WASHINGTON, DC 20510-3301
August 26, 1996
Ms. Mary L. Stewart
4556 Garland Highway
Clinton, North Carolina 28328
Dear Ms. Stewart:
Thank you for your recent letter requesting
assistance in locating grant monies to help build a
special education school to serve Bladen, Sampson,
Duplin and Cumberland Counties. I appreciate you
brining this project to my attention and certainly want
to be of assistance.
I have contacted the proper officials of the U.S.
Department of Housing and Urban Development, U.S.
Department of Education, and the N.C. Department of
Public Instruction. In doing so, I have requested
their careful attention and consideration of your
situation. Just as soon as I hear from them, I will be
in touch with you.
Again, thank you for contacting my office. Should
you have any questions, please do not hesitate to
contact Mrs. Alice McCall in my Raleigh office at
(919) 856-4630.
WITH
Sincerely,
JESSE HELMS : am
IMPACT: Curriculum -- statements, pediatric primary care training, physicians assistant. nurse
anesthetist education, programs, advanced nurse educations programs, nurses anesthesia
traineeships, nurses practitioner and nurses midwifery programs, nurses anesthesia faculty
fellowship, training, general internal, medicine and general pediatrics, faculty developments in
general internal medicine-general pediatrics, nurses special project programs, disadvantaged
backgrounds nursing work force diversity, graduate training in Family medicine, predoctoral
training in Family medicine, faculty development in Family medicine, Establishment of
Departments of Family Medicine, General Medicine training, Family medicine training, center of
excellence, Rural health medical Education Programs, aids, cancer, strokes, norplants, diabetes,
education research and training programs, General Medicine and Family Medicine, training and
research programs, dental programs and training research programs, national research service
award primary care general medicine, Family medicine care training and research programs,
health Education and training Centers, faculty training Project Geriatric medicine and dentistry,
allied health special projects programs, health careers opportunity programs, Departments of
family medicine and general medicine, exceptional--financial need scholarships, general
medicine, Family medicine training and research programs, graduate training in, internal
medicine, Family medicine, General medicine, Dentistry, research and training programs, public
health traineeships, research and training programs, bureau of health professions research and
training programs development center, Clinical education training to improve information,
resources for health issues with all nurses, physicians, surgeons, nurses midwifery, a health
professions of education for circle of excellence, for expands recruitment of students, for training
and research, performance, activities which increase and designs, targeted establish expand
programs, to target to enhance academic performance with target dates to train and research
clinical--education field and health issues, programs and development.
MISSION STATEMENTS
Students testing and research rooms with physicians, surgeons, nurses, MS specialist,
cardiology, endocrinology. diabetes, gasroenterology, hematology, oncology, pulmonary. critical
1
care, neurosurgical surgeon--MD, internal medicine, hypertenisional, cardiology, geriatric,
pediatric specialists, children and adults, also with allergy and immunology, throat
otolarnysology--head and neck surgery, PA, arthritis and surgeon MD, cardiovascular diseases
cardionogy, heart, work train plastic surgery MD, work with MD. Board certified in Nephrology,
adult and pediatric, kidney disease with physicians, surgeons, nurses, and family practice will be
train, dermatology, cosmetic, surgeons board certified in dermatology, disease and surgery of
the skin, hair and nail, removal of moles and skin cancer, treatment of scars, removal of face
veins and legs veins, and legs veins dermabrasion, lazer surgery, liposuctional, and body
contouring, physicians and surgeons, MD, train, nurses, physicians, surgeons, surgeon room
and train in the research room with target date, train the students, includes nurses and
physicians, gastrolenterology, physicians specialists, in liver, and intestional disorders,
hematology, blood testing with physicians, nurses, surgeons, MD, train and research in
psychiatry and neurology, adult and child specializing in electronic--ephalography EMG, and
nerve conduction. evoked potentials, by physicians and surgeons, MS-- neuroloty, child and
adults, students, such as, nurses, nurses midwifery, physicians, surgeons, will be train and
research training obstetricis and gynecology, high risk obstetricis, cryosurgery, hysterosopy,
sterilization, in fertility, laparoscopic, hysterectomy, pelvic surgery, teen pregnancy with training,
PMS, child birth classes Training students norplants surgery specialists, lazer surgery of eyes,
reconstructive surgery, glaucoma surgery, macular--deginalton, diabetic eyes disease,
physicians and surgeons, nurses, for opthamologist, physicians and surgeons, training, MD,
oncology malignant disease, cancer, chemotheraphy--MD. Research training urology MD,
disease of kidney, bladder, prosate, kidney stone, lithotripsy, treatments of impotence and
incontience vasectomy, penile implants, with training with ultrasound and surgery prostate lazer,
endourology, oncology, training classes of the mind, with nurses and physicians and researching
training--programs. Training courses, surgery neurological surgery, adult--pediatric--
neurosurgery neuro--oncology, surgery of the brain and spinals cord and nerves treatments of
the cardiovasculat, disease surgery for the prevention of stroke, spinal surgery training and
2
research for ruptured disc, bone spurs, tumors, and spinal fractures, injured or pinched nerve in
the arms, or legs, disorder, cancer, related pain syndromes with neurodiological interentional
neuro--surgeon MD, training with target date. Training classes in the research center for cancer,
strokes, aid, heart trouble with target dates Recruitment training and retention for minorities
training for new-- physicians, with students with the 35 specialist physicians, pharmacy research
training with target date. Training research in dentistry, dentist oral and maxillo--facial surgery,
orthodontists, braces, training classes, periodontists, gum disease, gum recession, implants,
dentist--Endodontists, roots canal, training by Diplomate American Board orthodontist, DDS, PA,
physicians training programs and research programs with target-dates. Research and training
programs, for surgery and recovery rooms and operating rooms, for nurses, physicians. nurses
anesthesia, physicians assistants, nurses pracatitioners, nurses midwifery, surgeons,
orthodontists, podiatric care doctors, family medicine and general medicine, podiatrists foot--
training--nurses and physicians, corns, callouses, bunions, ingrown nails, heel pain, diabetic and
children and adult foot problems, total foot care, geriatric and adolescent care, foot and ankle
surgery, diabetic foot care, sprains and fracture, lazer surgery, endoscopic surgery, heel and
arch pain, sport medicine and training and research on foot and ankle surgery a total research
and training programs by podiatrists, surgeons, and nurses, total foot care training and research
programs.
Physicians 35 specialists, surgeons, nurses anesthesia, physicians assistants, nurses
practioners, nurses midwifery, dentistry and of orthodontists, podiatric, general medicine, family
medicine, training and research programs, with academic performance, recruitments, training
and retention, of physicians and nurses, MD training development programs--in-house training
programs and research training programs, meeting and training programs, placement training
programs, first aid, CPR programs, evaluating research and training programs. monitoring
programs and outcome with target date,
Who Will Benefit.
3
Everyone will benefit because this is by product of the national, international as well the
local--state which run government run no specific ideology, theology, gender, creed, race
ortholgraphy, provide medicare and research and training with careers award for the staff with
the circle of excellence, spirit of service, academic performance due to the high training
programs awards, recruitment programs training performance awards, research training award.
We need incentives--with outcomes, goals medical center will provide medical care, love
and understanding, with circle of excellence, spoirit of service award, academic-performance
training award, recruit ment and in-house training awards programs qward and outcome, with
long life spans, to fight disease, for our childrens and adult by training, recruitments, research,
in-house hospice-care training programs awards home care, short and long-term, in-patient and
out-patient research and training programs.
4
Mational 45-373
Made USA
1015 Feet Hwy Frontage
701 Highway North
PROFESSIONAL MEDICAL BUILDING For
EXCEPTIONAL CHILDREN, FAMILY & STAFF Members
BLDG: 400 sq, Ft,
SURVEY: 8,000
12A X5,000 60,000
68,000
12 ACRES
L
45-679
are
Made USA
QTY
QTY
35
DOCTOR'S OFFICES
20 40
2
EEG RM
20x30
8
BATHROOMS(COMPURTeD)
9 X 16
2
EMG RM
20 20x30 X 30
7
PARTIALBATHROOMS/WSING
9 x 12
2
CAT SCAN RM
20 20 x30 x30
2
EYEELASS w LeNS
20 x40
20
Commodes
1
EYeGLASS LAB
20x80
15
SINKS
1
HeARING A10 OFC
20 x60
7
SHOWERS
8
BATHTUBS
3 NURSING LOUNGE
20 X40 X
10
DIAPER CHANGES
/ CUSTODIAN OFC. LOUNGE
so X 60
15
HANDICAP RAMPS
/ PHAMACY
20 X 60
/ CONVALeSCeNT RM 1
30 x 80
/
KITCHEN w/DIHING RM,
30 X 80
OTHER SUPPLIES
TOTAL IN/OUTSIDE CONST. COST
20,000,000
10
SecreTARY OFFICES
9.X.12
3 ENTRANCeS
$ 100,000
3
ADMINISTRATIVE OFFICES
20 x 40
LANDSCAPING
80,000
/
ADMITTING OFFICE
20 x 30
PARKING É PAVEMENT
800,000
/
OUTPATIENCE LOUNGE
20 X40
115
FIRE ALARMS
150,000
4
DOCTOR'S LOUNGE
20 X30
115 SPRINKLERS
150,000
2
SeMINAR INPLACEMENT 2M
20 x30
/ ALARM SYSTEM
200,000
2
SURGERY Roams
20 x 80
32 CAMERAS SIT-UPS w/ver
400,000
2
Recovery RDOM
30 x80
PLAYBACK
3
Reseach CeNTeR
20 x80
3 IN AND OUT LIGHTS
10,000
/
PHYSICAL THeRAPY
RM
20 x60 X
/ AC/HEAT SYSTEM
900,000
2
COUNSELING RM
20 x40
4
CONFeReNCe RM
20 X <20
2
X- RAY RM
20 x 60
/
2
ULTRA-SOUND RM
20 x60
PBX BRICKS Telephone System
500,000
I
ELECTRICAL WIRING/BLDE, w. EQUIP)
1,000,000
MeMo GRAM RM
20 X 20
$ 000000
2
MILL
3
CINational* 43-573
Brand
Made USA
3
TY
QTY
:
SURGERY RM, EQUIPMENT
$1,000,000
1 KITCHEN & UTLITIeS RM. EQUIPMENT
300,00
!
Recovery RM,
11
800,000
3 Nurses LOUNGES
11
11
200,00
ReseACH CTR.
11
1,000,000
/ CUSTODIAN OFC, LOUNGE, &
PHYSICAL THeRAPY
11
800,000
SUPPLIES
500,00
> DOCTOR OFC.
11
2,000,000
/ PHAMACY
2,000,00
2 Couseling RM
11
300,000
/
CONVALESCeNT $ OTHER SUPPLIES 11
2,500,00
L CONFERENCE RM
11
400,000
/
Seminar Rm
11
600,000
Books, MATERIAL ESUPPLIES
1 DOCTOR'S LOUNGeS
1,000,000
"
200,000
TRANSPORTATION
/
OUTPATIENCE RM
"
300,000
/ ADMITTING OFC
"
400,000
20 CARS
500,000
3 ADMINISTRATION RM
11
800,000
10 Buses
D SecreTARY Rm
300,000
11
800,000
3 AMBULANCES
400,000
D SUPPLY Rm,
11
2,000,000
$ 28,106,500
8 COMPLETE BATHROOMS
11
5,000
7 PARTIAL BATHROOMS
"
1,500
/ HeARINGAID we
11
800,000
2 X-RAY ROOMS
"
1,000,000
2 ULTRA-SOUND RM
11
1,000,000
} SCATSCAN
n
800,000
2 EMG RM
11
800,000
2 EEG RM
11
600,000
1 LAB TESTING
FL
500,000
Memo-GRAM R.M
n
300,000
n/
EYe-GLASS w/LeNS
11
900,000
Eye- GLASS LAB
"
800,000
MII Rm
11
1,500,000
4
Macional 45-670
Made AUSA
OPERATING PAYROLL FOR PROFESSIONAL MEDICAL OFFICE BUILDING- - 540 EMPLOYEES
PAYROLL
- 70 DOCTOR'S SALARY
90/hr.
$187,200
x
70
))
1,3,107,000/yr.
65,520,000/5yrs.
262,080,000/204.
-
/ CHIEF of STAFF
115/hr.
239,200 X / =
239,200/yr,
31,960,000/5yrs,
4,784,000/204r
- 29 DIRECTORS
75/hr.
156,000 x29 =
4,524,000/yr.
22,620,000/545,
90,480,000/204r.
-
4
PHARAMACIST
85/hr.
176,800 X 4 =
707,200/yr.
3,536,000/5yrs.
14,144,000/204r
- 94 SECRETARY-HeAD NGRS,
35/hr.
72,800x94 = 6,843,200/yr,
34,216,000/54rs.
136,864,000/204rs
-93 - NURSES
50/hr,
104,000 93 = 9,672,000/yn
48,360,000/54rs.
193,440,000/2045.
- 30 NaRSes ASST.
20/hrs
41,600 x30 = 1,248,000/yr,
24,960,000/20yrs.
- -34 Technichians
45/hr,
93,600x34 = 3,182,400/yr 111
15,912,000/5yrs,
63,648,000/20yrs
-140 CLERKS
$20/hr,
41,600 x140
=
5,824,000/yr.
29,120,000/54rs,
11
116,430,000/20gr.
-15 -
CUSTODIAN
$15/hr,
31,200 X 15
=
468,000/yr,
2,340,000/Syrs,
9,360,000/204r
-5 - COOKS
15/hr
31,200 5
=
156,000/yr.
780,000/5yrs.
3,120,000/204.
-4 ELECTRICIAN
35/hr,
72,800 x 4
\\
291,200/45
1,456,000/5yrs
5,824,000/2045
V -2 PLUMBERS
35/hr,
72,800
11
-15
DRIVERS
12/hr,
145, 600/4r.
728,000/5yrs
24,960
11
374,400/yr,
1,872,000/5 yrs,
7,488,000/20yrs,
A
4
PARAMEDICS
40/hr,
83,200 x4
=
332,800/yr,
1,664,000/5yrs,
6,656,000/20yrs.
$47,112,000/yr.
$ 236,324,000/5yrs.
945,296,000/204rs
UTILITIES $ INCIDENTALS FOR PROFESSIONAL MEDICAL BUILDING
ELECTRIC
5,000,000/5yrs,
$ 20,000,000/20yrs.
Telephone
600,000/yr,
3,000,000/54rs.
12,000,000/20yrs,
FUEL $ MAINTENANCE
8 00,000/yr,
4,000,000/5yrs
16,000,000/20yrs.
FOOD
800,000/yr,
4,000,000/5yrs,
16,000,000/204rs,
PROPANE
200,000/yr,
1,000,000/54rs.
4,000,00c/20yrs.
MEDICAL EQUIP MAINTENANCE 300,000/yr.
1,500,000/5yrs
6,000,000/20yrs,
3,700,000
$ 18,500,000/5yrs
National* 43-579
Brand
Made HOUSA
PROFITS FROM PROFESSIONAL MEDICAL OFFICE BUILDING
1-y.F,
20yr
OFFICE VISITS LAB TeSTING (BI-MONTI+LY) X 550 students
X $150/mo, x/2 = $1800 = 990,000
$19,800,00
X 2,500 PARENTS w/children x $150/ms. x12 = $1,800 4,500,000
$90,000,00
STAFF, EMPLOYEES & PROFESSIONALS
X 540
X 150/mo. x12 = = 1,800 = 972,000
$ 19,40 ,00
SPouse ≤ CHILDReNS
x 2,260
x 150/mo, x/2 = 1,800 = 4,068,000
$81,360,000
SCHOOL STAFF
x 152
x150/mo, x12 = $1,800 = 273,600
5,472, 000
CHOOLSTAFF Spouse CHILDReN
X 608
X/50/mo, x12 =1,800 = 1,094,400
$11,888,000
$11,898,000
$237,960
000
SURGERY OPERATION
-V
6,610
x $5,000 =
$33,050,000/yr.
$661,000,000/204rs.
-MII
6,610
x 1,700
11
11,237,000/yr
$224,740,000
LASER
1,
X 8,000
"
52,880,000
1,057,600,000/20 yrs,
- EEG
6,610
X
450
=
2,974,500/yr,
59,490,000/20
-EMG
11
X
550
11
3,635,500/-
- SCATSCAN
yr.
72,710,000/20 yrs.
"
x
650
11
4 296,500
85,930,000/20 yrs.
- Memo GRAMS
11
X
650
=
4,296,500/yr.
85,930,000/ 20 yrs,
Ultra SOUND
11
X
700
=
4,627,000/yr
92,540,000/20 yrs,
- X-RAY TeSTING I/
X 850
11
5,618,500/yr.
112,370,000/20 yrs,
- EYeGLASS Lenstest
X 150
=
991,500/yr.
19,830,000/20
EYeGLASS LeNS 11
x
330
II
2,181,300/4r,
43 626,000/2045,
yrs,
Z
5013
A
National: 45-579
Propered
Made USA
3.
- COUNSeLING TeSTING E
6,610 X $650 = $ 4,296,500 " $85,930,000/20455.
Seminar PLACEMENT
- PHYSICAL THERAPY
"
X
6700
11
4.617,000
- HORECARE
11
X 150
=
991,500
- PHARMACY DRGGS
X 1,500 = 9,915,000
198,300,000/2045 92,540,000/2045, 19,830,000/2045.
11
- AMBULANCE SeRvice
11
x
150 =
991,500
(9,830,000/20 yrs,
- CONVALeSCeNT EQUIP
11
X
2,500 = 16,525,000
330,500,000/20455
- Psycology Counseling
11
x
350 = 2,313,500 46,270,000/20,rs.
- MEALS (3)
11
X 18 =
118,980 111
2,379,600/2045,
$ 172,998,980/4r, T 11,898,000
$ 3,459,979600 / 20 yrs.
+237,960,000
$184,896,980
$ 3,697,939600
GHationals 45-573
SUMMARY
FIRST YeAR
FIFTH YeAR
ONe Time : LAND
68,000
BLDG 25,290,800
$19077,3.00
236,324 000
EQUIP 23,106,500
53,465,300
119,077,300
18,500-000
254,824,000
ONe YeAR PAYROLL 47,112,00047,112,000
50,812,000
UTILITIES 18,500,000 18, 3,700,000
53,465,300
$65, 612,00 50,812,000
1011 7,
104,277,300
20 YeAR
PROFIT FOR FIRST YEAR : $ 134,896,980
945,296,000
104,277,300
74,000,000
$80,619,680
$1,019,29,6,000
INSURANCE
PROFIT FOR Five YeAR 4924 484,900 PROFIT FOR 20 YeARS
First year
800,000.00
254,824,000
$ 3,697,939,600
5 y r s
$ 669,660,900
(
-1,019,296,000
320,000,0
Profit after Insura are total
20Yrs -
Profit For First Year 13,033,910
$ 2,578,643,600
800,000,000
ProFit For 5years 34, 966 , 09.00
43-572
Made
SCHOOL
PAYROLL
1YR.
5-YRS, YRS,
20yes
15- DOCTOR $80/hr. 166,400 X 15 = $ 2496,000
12,480,00
49,920,000
12- - DIRECTOR $60/hr VA 124,800 x 12 = $1,497,600
7,488,000
29,952,000
28 - TEACHERS $35/min 72,800 X 28 = $2,038,400
10,192,000
40,768,000
30 - TeACHeRS ASST 15/m
31,200 X 30 = 936,000
4,680,000
18,720,000
/ - PRINCIPLE 55/m 114,400 X / = 114,400
572,000
2,288,000
20 - TRACHER AIDS $10/hr 20,800 x20 = 416,000
2,080,000
8,320,000
5- - COOKS
8/m
16,640 X = 83,200
416,000
1,664,000
2 - PLUMBER 35/m 72800 X = 145,600
728,000
2,912,000
4- ELECTRICIAN 35/Min 72,800X4 = 291,200
1,456,000
5,824,000
35-1345 DRIver 15/m 111 31,200 x35 = = 1, 092, 000
5,460,000
21,840,000
6-CUSTODIAN 12/m 117 24960x 6 = 149,760
748,800
2,995,200
3 - -SeCReTARY 5/6/M 111 33,280.X3 = 99,840
499,200
1,996,800
HeAD MER 40/m 111 83,200 x4 = $332,800
1,614,000
6,456,000
OpeRATioN + TEACE
PHOTOCOPY
PRESERVATION
Clinton Library Transfer Form
Case #, if applicable
Accession #
Collection/Record Group
Clinton Presidential Records
Series/Staff Name
Verveer, Melanne
Subgroup/Office of Origin
First Lady's Office
Subseries
Folder Title
Verveer, Melanne Correspondence: Janua
OA Number
12167
Box Number
2
Description
VHS tape WAGA - Atlanta November 1. 1995 - Bedford Pines, VHS tape - WAGA (Fox) Atlanta "Operation Peace", June 9, 1997
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1/28/2014
THE WHITE HOT SE
WASHENGION
May 20, 1997
Ms. Maureen S. Steinbruner
President
Center for National Policy
One Massachusetts Avenue, NW
Suite 333
Washington, DC 20001
Dear Mo:
Thank you very much for your thoughtful letter and for
"LIFE in the City: A Status Report on the Revival of Urban
Communities in America," which is extremely useful - filled as
it is with invaluable information.
Thanks for writing and best wishes.
Sincerely,
Ince
Melanne Verveer
Chief of Staff to
the First Lady
GNP!
Center for National Policy
Chair
Michael D. Barnes
Vice Chairs
May 6, 1997
John Joyce
Joyce adner
President
Manreen 5. Steinbruner
Melanne S. Verveer
Treasurer
The White House
Ronald M. Ansin
Washington, DC 20500
Secretary
Ralph B Exeren
Dear Melanne:
Counsel
Enclosed is a copy of "LIFE in the City: A Status Report on the Revival of
James 1. Emmer. II:
Urban Communities in America," and a few related press clips.
Board Members
John Bradencas
It's our belief that the information this report contains, and the efforts we have
Robert ]. Brooks
Robert L.. Burken
made to ensure that its findings are widely noted, will contribute to a new national
Paul 1.. Cejas
dialogue about the American city -- a healthier, more pragmatic and more positive
Dentin Chambers
dialogue than we have had in recent years.
John K Cooke
James 11. DeGraffenreidt, In
From the South Bronx, to the South Side of Chicago, to South Central L.A.,
Douglas II. Donts
hope is rising, as inner-city community development groups demonstrate increasing
Thomas Foles
competence and achieve the rehabilitation of larger and more significant areas. New
Carol lucker Foreman
office, retail, entertainment, sports and arts complexes have been completed in most
John Freidenrich
major cities around the country. Fiscal crises have been overcome in the places they
Allen 5. Gartner
occurred earliest.
Benjamin 11. Hememan. II:
Lester . Hyman
Charles kim
Undeniably, there is a long way to go. While crime rates are down and city
Peter 5. Knight
incomes are up compared with past decades, there still is too much poverty and
Peter B. kovler
random violence in urban neighborhoods, schools are still underperforming, and core
Kathleen M Emehan
economies remain problematic. Not all cities have bottomed out yet. But generally,
lerence R McAnlife
a spirit of renewal is unmistakable. The foundation for the reconstruction of
Kirk Donell
America's cities is being laid, appropriately enough, from the ground up. Local
Andrea S. Panatins
community spirit and determination have driven the progress that's been made up to
Parvizian
this point. Now, it's time for the rest of us to take notice.
Howard ( ; Paster
Robert N. Rubin
Some federal programs have been essential in supporting successful local efforts.
Deborah M. Sale
Vincent R. Sombrotto
Further reductions in federal spending could undercut the gains made.
Donald M. Stewart
Terrence D. Stranb
I hope you'll take the time to look at this report, and consider its findings. It's
Fugene I: Swanzey
important. Thanks very much for your interest and for your support.
Manrice Tempelsman
CATTIS R. Nance
Sincerely,
Carolyn Sech Wiener
Mo Pund
Adam Yarmolinsky
Vice President
How
Maureen S. Steinbruner
Michael Peno
your
President
Director of Public Affairs
and External Relations
Anne ( ... Sester
Administration Director
William \| Jones
One Massachusetts Avenue, NW, Suite 333
Washington, DC 20001
Phone (202) 682-1800
Fax (202) 682-1818
*
E-Mail: [email protected]
*
Internet Homepage: www.access.digex.net/~cnp
*
Cambodia Office: спр(а forum.org.kh
The Washington Post
April 23, 1997
David S. Broder
crime, drugs and joblessness. "While
could no longer maintain it. and has
certain neighborhoods within the cit-
made it a day care and social service
Give Up
ies remain disaster areas." the report
center. with the sanctuary serving as
says. "increasingly effective local or-
home for art. theater and bailet
ganizations are succeeding where ear-
classes. Susana Vasquez, who joined
lier attempts failed and are bringing
the staff a year ago, proudly teils a
On the
devastated areas back to life."
visitor that 77 buildings with 100
I saw evidence of exactly that when
units of housing have been rehabilitat-
Kspent a day driving through Chicago.
ed, many of them by a construction
Cities?
the city of my youth. with Andrew J.
company launched by the Resurrec-
Mooney. the program director for
tion Project. which has created 58
LISC Chicago. LISC and its affiliated
jobs for local residents.
National Equity Fund are the financial
But maybe the most dramatic
CHICAGO-it appears that the
lifeline for many of these efforts. Na-
change is just beyond the United Cen-
several thousand reporters who de-
tionally, it has raised more than $2.5
ter parking lots west of downtown.
scended on last summer's Democratic
billion from foundations and business-
where Ernest Gates, a self-employed
National Convention at the United
es, and it puts more than $100 million
trucker and part-time head of the
Center-me among them-missed a
a year of loans and grants into locally
Near West Side Community Develop-
big story that was right under our
led initiatives that are changing
ment Corporation. mobilized his
noses. And it wasn't the Dick Morris
neighborhoods from the South Bronx
neighbors and stared down both city
resignation.
to San Diego.
officials and Jerry Reinsdorf, the own-
The story we missed was that all
The folks who are spearheading
er of the Chicago Bulls, to insist that
around the United Center are signs of
these efforts are inspirational. In the
construction of the new arena should
revival in a once-blighted slum neigh-
blighted Washington Park area west
be the spark to revive the area-not
borhood: treshly painted houses. a
of the University of Chicago, the Rev.
weaken its already fragile underpin-
new park and library, start-up small
Dr. Richard L. Tolliver has made St.
nings.
businesses. And if a joint report to be
Edmund's Episcopal Church a cataiyst
Pointing to the new town houses
issued tomorrow in Washington by
for neighborhood revival since he ar-
and apartment buildings. the new
the Center for National Policy and the
rived seven years ago. With a mixture
health center and drugstore, Gates
Local Initiatives Support Coalition
offederal and city grants, low-income
says, "The change has been light-
(LISC) can be believed. similar locally
housing tax credits and help from
years. You'll see no graffiti in this
led neighborhood renewal efforts are
LISC and other donors, he has resi-
neighborhood now. The community
beginning to halt the downward cycle
dents pursuing what he calls a "hous-
has a sense of ownership. The gangs
in many cities and offer hope of a
tic" strategy for dealing with housing,
help police the area. When equipment
brighter future for their residents.
education and security deficits.
was stolen from the field house, they
7 he drait of "Life in the City" that I
Tolliver can report progress on all
saw that IT was returned. and they put
read before my visit here said that
fronts: 67 units of rehabbed housing
the culprits on a work detail in the
"nonprofit community groups formed
completed. another $13 million of
park themselves."
by churches. civic associations and
new construction and renovations un-
As Gates is the first to acknowl-
ordinary residents. working with gov-
derway; an independent. nonparochial
edge. there is a long way to go before
ernment and the private sector
school with four classes launched in
all the residents of the public housing
have produced hundreds of thousands
the church building, with plans to add
project in the midst of the neighbor-
of. affordable homes, and some have
a grade a year; 14 block-watch clubs
hoed "can break the cycle of depen-
invested in commercial enterprises or
that meet monthly; and. with a big
dency and be integrated into the
are involved in anti-crime, child care,
boost from beat-walking community
broader society." But so much has
job training, health care and other
police, a 15 percent drop in the crime
happened already, he says, "we're
activities."
rate.
entitled to hope."
The picture drawn in this report
Farther north, in the Pilsen area,
(For a copy of the report. contact
and exemplified by what I saw here
the Resurrection Project, a coalition
the Center for National Policy at 1
contradicts the general notion that all
of neighborhood churches, has taken
Massachusetts Ave. NW, Suite 333,
the old city neighborhoods are
St. Vitus Church. a gift from the
Washington. D.C. 20001. Phone
trapped in a downward spiral of
Roman Catholic Archdiocese, which
202-682-1800.
Chicago Sun-Times
Thursday, April 24, 1997
Chicago, other U.S. cities enjoy turnaround, study says
Initiatives Support Corp., II group that fosters
and the Dearborn Park and Central Station
BY ALEX ROUNIGUEZ
low income neighborhood redevelopment.
residential developments-and in the return of
PHOTONAL REPORTAR,
"The public perception is that cities are still
jobs and home buyers to some of the city's
The American city, hobbled for decndes by
heading downbill," anid Maureen Steinhruner,
poorer neighborhoods.
rimpant poverty and disinvestment, is making n
president of the Conter for National Policy.
11 singled out the Chicago Lawn, Kenwood,
comeback:
"What we're saying la that
for the most part
Near Went Side and Pilsen neighborhoods as
Al lenst that's what A study on the state of the
that downhill slide has been arrested."
examples of economic rebirth. Community de-
nation's major citles claims.
velopment corporations, nonprofit developers
Chicago and other U.S. cities nave made
As evidence, the study cites statistics that
that target low-income neighborhoods, have fu.
strides ebuilding-their downtowns and crime-
show population 1088 has slowed in places such
eled those communities' turnarounds, according
Hdden neighborhoods, despite n widespread per-
as Cleveland, Philadelphia and Onkland, Calif.,
to the study.
ception they remain inited In decline, the study's
and employment and per enpita income have
For example, In the Kenwood, Oakland and
authors sold.
improved in most cities since the 1980s.
Woodlawn neighborhoods, community develop-
The report, released Wednesday, was com-
Chicago's comeback, the study said, can be
ment corporations in recent years have lured
piled by the Center for National Policy, n
seen in the revitalization of downtown-buoyed
new housing to vast tracts of vacant land and
Washingthn-based: think tank, and the Local
by such projects as the State Street renovation
buildings deserted since World War 11.
THURSDAY. APRIL 24. 1997
Los Angeles Times
Los Angeles Is Becoming More Neighborly
get to it."
chipping away at the social and economic
They include
rools o: turmoil: the Vermont Slauson Eco-
GRASS-ROOTS FILE
Dozens of community-based initiatives
nomic Development Corp.. the Esperanza
from Pasadena to San Pedro, including a
Community Housing Corp., Concerned Citi-
zens of South Central L.A. and the Dunbar
showcase grass-roots model. the Pacoima
Economic Development Corp.
espite its promotional motto, "To-
Urban Village, an initiative that has spread
D
Recognition of Los Angeles neighborhoods
gether we're the best" Los Angeles-
from a school-based parent involvement
and support for community-based efforts are
the !al and sprawiing city of quartz-
program to a career and job service for
also increasing through Los Angeles Urban
has to fight a reputation as a balkanized and
neighbors.
Funders. a collaboration formed after the
inhospitable place for building community.
A city program. Neighborhood Net-
riots in 1992, and the California Community
In fact. even with deepening poverty and
works4KIDS. created by the new Commission
Foundation, which recently announced a
social divisions. Los Angeles is one of many
for Children, Youth and Their Families
$25-million. five-year program to fund
major cities on the rebound. showing "sur-
which will help residents restore their neigh-
neighborhoods interested in community
prising vigor at the neighborhood level.
borhoods, starting with Cypress Park.
building.
where residents have led government and
Some activists contend that the wide range
An eight-area regional council. proposed
private industry" in finding solutions to
of efforts reflects L.A.'s mobile, global. cul -
by the county's Children's Planning Council,
diverse problems. according to a report issued
turally and geographically diverse nature.
to serve as an intermediary between neigh-
today in Washington by the private. non-
encouraged by a diffused political and admin-
borhoods and county government
istrative structure.
profit Center for National Policy and the
Sixty neighborhood projects ranging from
Because Los Angeles lacks a strong central
Local Initiatives Support Corp.
health 10 safety to education, funded by
locus of political power. solutions will have IC
Actually, hundreds of exciting experiments
Community Partners, an intermediary fund-
emerge community by community rather
are underway, and they are growing expo-
ing group.
than from "some master plan in City Hall.'
nentially. said USC social work professor
AL least 400 coalitions devoted to improv-
according to the Center for National Policy's
Jacquelyn McCroskey, who is chairing an
ing social conditions for children and families
new report.
analysis of community building for the Los
"There isn't any one organization like The
Angeles Roundtable for Children. "Almost
About 60 more traditional community
Los Angeles Community Building Network.
anybody you talk lo over the course of the
development corporations. focusing mostly
and if we run true to form, there never will be
last live years has become involved in many
on housing, funded by the private sector
one. USC's McCroskey said. "We don't trust
kinds of partnerships they were not involved
through the Local Initiatives Support Corp.
concentrated power."
in before. A lot may not start with the notion
Among them are four neighborhood-based
of building community, but almost all of them
groups in South-Central Los Angeles that are
-LYNN SMITH
Clinton Presidential Records
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marker by the William J. Clinton Presidential Library Staff.
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LIFE
the
City
STATUS
PEPORT
REVIVAL
Then
Now
Cleveland Roc and Roll Hallo of Fame and Museum
A report by the Urban Neighborhoods Task Force
Co-sponsored by the Center for National Policy and the Local Initiatives Support Corporation
CNPE
One Massachusetts Ave, NW
Suite 333
Washington, D.C.
20001
#: 143 ('
THE WHITE HOUSE
WASHINGTON
June 30, 1997
Ms. Ellen Subin
President
African Medical & Research Foundation
19 West 44th Street
Suite 1708
New York, NY 10036
Dear Ms. Subin:
On behalf of the First Lady, thank you for your letter
and the materials on AMREF. The work being done by
AMREF to improve healthcare in Africa is critical and most
commendable. You are so right to underscore that good health
is essential for economic growth and in order to build civil
societies.
Again, thanks for writing and best wishes in the
important work you do every day.
Sincerely,
Mean Chief of Staff to
Melanne Verveer
the First Lady
AMREF/USA
AFRICAN MEDICAL & RESEARCH FOUNDATION
Ellen S. Subin, M.P.A., M.P.H.
President
19 WEST 44TH STREET, SUITE 1708
PHONE: (212) 768-2440
NEW YORK, N.Y. 10036
FAX: (212) 768-4230
i
@
CAMREF
African Medical & Research Foundation, Inc.
USA
19 West 44th Street, Suite 1708, New York, N.Y. 10036
Phone (212) 768-2440
Fax (212) 768-4230
June 23, 1997
Dear Mrs. Clinton:
As the president of the largest public health non-governmental organization (NGO) in sub-
Saharan Africa, I am writing to ensure that you are familiar with my organization and our
important work in Africa.
The African Medical & Research Foundation (AMREF) was established 40 years ago as the
"Flying Doctors" to provide health services to the most remote regions of sub-Saharan Africa.
Since then, we have grown in our scope. our abilities and our successes. Our mission is quite
simple: to improve the health conditions for the people of the region. It is our belief that
economic growth and opportunities, and the emergence of civil societies, depend on the basic
opportunity for the people to have access to a standard of living adequate for their health and
well-being.
AMREF realizes its mission through the implementation of hundreds of public health programs.
With a focus on building community health through training and development, our programs are
responsive, sustainable and instill self-reliance. Among countless others, examples of our work
include:
In rural areas where no health care exists, AMREF develops community based health care
programs and trains villagers to prevent and treat health problems;
In countries with few trained health providers and little support for health personnel in rural
areas, we train and educate over 4,000 Africans each year in health-related studies:
While over I million Africans die each year from malaria, we conduct major clinical and
behavioral research and intervention to reduce the death toll on children and adults:
AIDS and parasitic diseases are rampant in Africa and AMREF intervenes with programs to
reduce the spread of diseases and to provide clinical care and support;
Tribal conflicts and other disasters have left thousands of refugees homeless and disease-ridden
in Africa. AMREF provides emergency relief and, when other relief organizations have left,
AMREF continues to operate hospital facilities, provide care and work with governments to rebuild
the infrastructure of their health systems, and:
AMREF was the first NGO in Africa to establish a Women and Development Unit, which
ensures that all AMREF programs take into account the indispensable role that women play in the
public economics, development of children and overall health of their communities:
In Uganda, where the population has been SO devastated by AIDS and years of civil strife. that
thousands of children live without parents or homes, AMREF has developed the "AIDS Orphans
Project". AMREF programs have given these children hope, through education, shelter and
community based-care:
AMREF's Training School, in Nairobi, Kenya, educates students from across the continent in a
curriculum that is practical. topical and "Africa relevant. and has become the most esteemed health
training education in East Africa;
AMREF works to end the practice of female genital mutilation. In Kenya, where the practice has
been outlawed but its prevalence still approaches 85%, AMREF teams educate tribes of the
consequences and dangers inherent in severe genital circumcision:
AMREF is frequently called upon for technical assistance in health related planning (ranging
from setting laboratory service standards in several countries to spearheading regional forums to
coordinate AIDS/HIV activities). AMREF has consulted in shaping health care policies and
priorities in specific countries, like Namibia and South Africa, and in the region as a whole.
What is unique and remarkable about AMREF is our position as an African organization: 96% of
our staff of nearly 700 are African. The fact that our staff remains culturally aware and sensitive
not only allows for extraordinary community access but also serves as a great advantage in our
efforts to promote healthy behavior and transform unhealthy practices. This standing ensures
that the leadership, development skills and technology learned by our staff stay in Africa, where
it is needed most. In addition, the senior Ministers of Health from Kenya, Tanzania, Uganda and
South Africa all serve on our international Board of Directors and, again, give us a unique ability
to be responsive, responsible and regional in our planning and development. AMREF is directed
by the firm belief that Africans can and must take an active role in leading Africa into the next
century.
As you know, while there are innumerable challenges facing the governments and the people of
Africa, there are also quite a few successes! Unfortunately, these have remained among the
better kept secrets. AMREF has seen. and participated in, many of these advances and
accomplishments. As an example, I have attached a piece that was submitted to the New York
Times that describes a Tanzanian study about AIDS, the results of which were not only ground-
breaking, they have a worldwide application. As the piece claims; Sometimes good news does
come out of Africa! (Please see attached.)
1 am planning to attend your briefing on Thursday, June 26. I look forward to hearing more
about your recent trip. I would also be pleased to provide you. and any others, with additional
information regarding the work of AMREF, successes in sustainable development and the
ongoing public health challenges in Africa, along with stories about AMREF's public health
pioneers.
Sincerely,
Ellen Subin, M.P.A., M.P.H.
President
Sometimes good news does come out of Africa
AIDS Research: Success In Mwanza
From the continent where conservative estimates place the number of HIV infections at over
15 million (68% of the world total), forbidding statistics that foretell a grim future have
become commonplace. The shocking statistics of the AIDS pandemic in Africa begin to fall
on deaf ears in this country, however. Americans have come to expect only the worst news
out of Africa. Disasters, civil and otherwise, seem to break upon the continent with
unrelenting frequency, tiring the American conscious. It is important to note, therefore, that
AMREF, in collaboration with the London School of Hygiene, the National Institute for
Medical Research and the Tanzanian Ministry of Health, is bucking the trend, and has made
great progress in the knowledge of the spread of the virus that causes AIDS.
Mwanza, Tanzania, on the shores of Lake Victoria, has been the focal point of AMREF's
AIDS research initiative since 1992. Beginning in that year, AMREF and its partners were
the first to conduct a randomized trial evaluating the impact of improved STD (sexually
transmitted disease) case management at a primary health care level on the incidence of
HIV infection in the general population.
In the study, HIV prevalence was recorded in 1,000 adults from each of twelve rural
communities. STD treatment services were increased and improved in six of those
communities. These improvements focused on cost effectiveness and included: the training
of health workers, health education for those with STDs, the provision of more effective
STD drugs and increased overall supervision of case management. Two years later, a
follow-up survey was conducted and the improved services were extended to the other
communities. The results of the survey were astonishing: in those communities with the
intervention in place, the incidence of HIV infection was an eye-popping 42 percent lower
than in those without.
In short, AMREF's study found that treating communities for their STD infections massively
reduces HIV new infection rates. And treatment of this kind is a cost-effective and simple
health intervention, facilitating incorporation into routine heath services and national health
schemes. It is a breakthrough in the battle to contain the spread of AIDS and its application
is worldwide.
The success of the study, which was originally published in the health journal The Lancet,
has spurred further research and implementation.
With back up technical support from the London School of Hygiene and Tropical Health,
and in collaboration with Tanzanian health organizations, including the National Institute
for Medical Research, AMREF is continuing its efforts in the region. Current programs focus
on the shortage of trained personnel in proper STD management and on establishing a
comprehensive program for early detection and treatment of STDs.
To date, over 500 health workers have been trained and STD services have been extended
to dozens of local health units, dispensaries and three district hospitals within the region.
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African Medicaland Research
8
Foundation:Meeting Africa's
Health Challenge.
AMREF
IMPACT
ORGANIZATION
PURPOSE
Founded in the United States
The African Medical and
in 1957, AMREF has affiliate
Research Foundation (AMREF)
African Medical and
What has AMREF accomplished since
offices in Austria, Canada,
has an overall aim that is
Research Foundation
it's founding in 1957? Some highlights
Denmark, France, Germany,
simple and fundamental: "To
are:
Holland, Italy. Sweden and the
improve the health of the peo-
United Kingdom. Operational
ple of Africa." More specifically,
Provides services over an area larger
AMREF's goals are to (1) bring
Meeting
than all of Western Europe
headquarters are in Nairobi
with a staff of over 650, 95%
needed health care to remote
Treated over 2.5 million people
being African. AMREF conducts
rural areas where services do
Administered millions of inoculations
programs in Kenya, Tanzania,
not exist; (2) develop local
Uganda. Rwanda, Somalia
capabilities to provide health
Performed over 40,000 major opera-
and South Africa and has
care through training and self-
tions (no patient is ever turned away)
worked in Ethiopia, Namibia,
reliance: (3) work with govern-
Sierra Leone, Sudan and other
ment ministries of health to
Evacuated over 25,000 emergency
patients
solve long-term health prob-
Health
countries of Africa.
lems.
Trains over 4.000 health workers and
AMREF is private, non-profit
managers each year
Challenge
and non-sectarian.
Produced more than 300 health care
manuals as well as other materials
African Medical & Research Foundation. Inc.
19 West 44th Street. Suite 1708
Flown over 10 million miles by its
New York. N.Y. 10036
Flying Doctors
(212) 768-2440
Created health care and training
Member of the International Service Agencies
models used by developing countries
Code #0302 in the CFC Campaign
around the world (now including South
Africa)
Facts about AMREF and the Flying Doctors.
FLYING DOCTORS
HEALTH TRAINING
HEALTH BEHAVIOR AND EDUCATION
contact and infected blood supplies. Malaria
Using small aircraft to reach isolated areas.
Working in collaboration with African
Since many health problems in Africa can
is a serious problem because of chloroquine
the Flying Doctors deliver surgical and
governments. AMREF draws over 4.000
be prevented by changes in behavior.
resistant parasites and hydatid is more
general heath care to rural villagers in
health workers and managers a year from
AMREF has developed educational strate-
prevalent in the Turkana region of Kenya
Kenya.
throughout Africa for training in health-
gies and
than anywhere else in the world.
Tanzania.
related subjects. Faculty are drawn from all
materials
Uganda. Rwanda
AMREF divisions. Training is delivered at
based on
SOUTH AFRICA
and Somalia.
AMREF facilities. village sites and
social
AMREF's Community Health and Training
and other
government installations: also through
science
departments. among others. have recently
countries upon
distance education programs via radio and
analysis of
begun rendering assistance to the South
request. Working under adverse conditions
other medium.
health
African Ministry of Health. In 1995. at the
in small health stations. the surgical team
behavior. Notably. AMREF's studies of
invitation of the South African Government.
trains local health staff. Operations include
ENVIRONMENTAL HEALTH
knowledge. attitudes and practices regard-
AMREF established an
patients suffering from leprosy. severe
AMREF's Environmental Health Unit works
ing sexually transmitted diseases have
office to help develop
burns. polio deformities and parasitic cysts.
with governments and local communities to
provided the basis for critical programs of
a primary
An average of over 2.000 operations are
help develop improved water and sanitation
AIDS education directed at school children
health care
carried out annually.
facilities. In Kibwezi Division in Kenya.
and high risk groups.
strategy for
AMREF has helped local communities build
the country's
NOMADIC HEALTH CARE
wells. install pumps. protect springs and
RESEARCH
new era.
Complementing the air units. AMREF's
install hundreds of improved pit latrines.
AMREF conducts major
Mobile Unit works from tents in the bush.
AMREF serves as a Regional Center for
research projects on AIDS.
assisting nomadic groups in Kenya such as
training in water and sanitation.
malaria and hydatid disease.
the Maasai. Concentrating on child immu-
AIDS in East Africa
nizations and maternal care. each year
HEALTH MATERIALS
is spreading
roughly 50.000 inoculations against polio.
Utilizing it's own printing press in Nairobi.
rapidly
measles. tetanus
AMREF produces a variety of health
through
and other diseases
education materials. The prevention
sexual
are administered.
of AIDS and malaria are important
Community based
components of AMREF's education
health care also is
program. The materials are being
introduced to
used by professionals in Africa. Asia
complement mobile
and Latin America.
clinics.
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of digitization. To see the full publication please search online or
visit the Clinton Presidential Library's Research Room.
AMREF
African Medical & Research Foundation
Annual Report
1 9 9 6
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visit the Clinton Presidential Library's Research Room.
Towards the 21ˢᵗ Cent
Meeting A
Healt
Challer
AMREF The African Medical and/Rese: