Accessible rooms
Patients can walk in, transfer with assistance, or remain safely in their own wheelchairs.
Private feasibility review · v2.8
A place to receive
ordinary dental care.
For children and adults whose medical, physical, or cognitive condition makes an ordinary dental appointment unworkable.
The patient who has nowhere to go
Care should begin before a preventable problem becomes a crisis.
Some patients cannot fit safely beside a fixed dental chair. Others cannot transfer, lie flat, control a tremor, tolerate a rushed appointment, or navigate a complicated medical history in an ordinary practice.
They still need examinations, cleanings, fillings, periodontal care, and dentures. Without a continuing source of care, small problems become painful ones and families are left searching for help.
“This is the place where we can finally tell these patients and their families: come here, and come back every six months, like everyone else does.”Edward R. Kirsh, DDS
The proposed clinic
Designed around the patient—not the other way around.
Time to provide care
Longer appointments for positioning, communication, medical review, treatment, and recovery.
Special-care clinicians
A team prepared for medically complex patients and trained to recognize when hospital care is required.
Training + CE
A community resource helping dentists incorporate appropriate special-needs patients into daily practice.
Design vision
The environment should make care feel possible before treatment begins.
Biophilic design is part of the clinical idea: daylight, planted courtyards, calm circulation and visible greenery help the building feel less institutional before treatment begins.
Garden Pavilion concept study and planning/reference imagery. Final design, equipment, permissions and clinical program remain subject to feasibility and professional review.
Garden Pavilion concept study. Final design and equipment remain subject to feasibility and professional review.
A clear clinical boundary
An accessible outpatient clinic—not a miniature hospital.
In the clinicRoutine care with accessible positioning, additional time, and communication support.
In the clinicNitrous oxide, oral sedation, and appropriately permitted IV moderate sedation when clinically appropriate.
Hospital / qualified facilityGeneral anesthesia and cases requiring hospital-level medical support.
The precise scope of office-based sedation, equipment, personnel, permits, emergency protocols, and referral arrangements will be established during Phase 0 and approved by the independent board.
The immediate opportunity
$250,000 to determine whether—and how—the clinic should be built.
This is a feasibility commitment, not a construction request. It creates a disciplined go, revise, or stop decision before substantially greater capital is placed at risk.
- 1
Govern independentlyAn outside board and clinical advisory committee establish oversight from the beginning.
- 2
Verify the needA professional study documents local demand, referral partners, payer mix, and the first 250 patients.
- 3
Set the clinical modelThe board approves sedation scope, hospital relationships, credentialing, staffing, and safety requirements.
- 4
Choose the pathSite economics, lease versus acquisition, capital needs, and operating assumptions are independently tested.
Healthcare & institutional partnerships
Independent in mission. Connected to the healthcare community.
The clinic is proposed as an independent nonprofit organization, but it is not intended to operate in isolation.
During Phase 0, the governing board will evaluate relationships with hospitals and health systems, Federally Qualified Health Centers and FQHC Look-Alikes, universities and dental schools, rehabilitation programs, disability organizations, and other community healthcare providers.
These relationships may strengthen referral pathways, medical–dental care coordination, access to higher-acuity treatment when required, professional education, grant opportunities, and long-term sustainability.
One feasibility question is whether formal alignment with an existing healthcare institution or community health organization provides advantages over operating solely as an independent nonprofit. No institutional affiliation or FQHC status is assumed in the current model, and neither is required before the concept can be evaluated.
Patients + familiesan ongoing dental home
→
Accessible dental cliniccare + training + evidence
↔
Healthcare networkFQHCs · hospitals · universities · disability organizations
What the pilot is designed to prove
A small clinic with a larger regional effect.
Current planning estimates are intentionally subject to feasibility validation. The board would publish outcomes annually, including access, treatment completion, recall, hospital referrals, patient experience, and philanthropic cost per patient. The clinic would also report the training and continuing education it provides to dental practitioners in the community.
~1,900people served annually by Year 3
Training + CEhelping community dentists expand appropriate special-care access
55%operating cost covered by earned income
78%covered after annual fundraising
A patient journey with less friction
Accessibility is also about how people move through the building.
A clear route, generous circulation, and room for caregivers and mobile equipment can reduce confusion and avoid unnecessary transfers before treatment even begins.
Accessibility in practice
The room adapts to the patient.
For some patients, the most important design decision is eliminating a difficult or unsafe transfer. Wheelchair-positioning platforms, mobile delivery equipment, and generous working clearances let the team bring care to the patient.
Governance before growth
The model budgets for leadership; the board decides who serves and what is paid.
The financial plan includes an operating allowance for executive and clinical leadership, but it does not establish compensation for Dr. Kirsh or any other individual. The base case assumes $0 in pre-opening leadership compensation.
After formation, any payment for documented pre-opening services would require separate approval by the independent board using appropriate comparability data and conflict-of-interest procedures.
Review materials
The concise story and the complete workings.
The PDF presents the full benefactor case, clinical boundaries, Phase 0 scope, governance, and financial summary. The Excel workbook exposes the detailed assumptions and formulas for independent review.
PDF · visual business planBenefactor business plan
The complete visual plan with architectural, garden and accessibility imagery.
Open PDF ↗ PDF · v2.8 addendumHealthcare & Institutional PartnershipsFQHC/FQHC Look-Alike, hospital, university, rehabilitation and disability-community strategy for Phase 0.
Open addendum ↗ Excel · financial modelFinancial review modelAssumptions, startup costs, projections, sensitivities and milestones.
Download Excel ↓Private planning materials. Financial, legal, FQHC, credentialing, anesthesia, licensure, architectural, partnership and clinical assumptions remain subject to independent professional review and board approval. Concept and reference imagery must be cleared before public distribution.