From 1993 to 1996, Elderly Services, Inc. (ESI), which ran an adult day center called Project Independence in rural Vermont, more than doubled its program attendance and achieved financial break-even.
The project was part of the Robert Wood Johnson Foundation (RWJF) Partners in Caregiving: The Dementia Services Program national program.
In two-and-a-half years, average daily attendance at Project Independence increased more than 100 percent to 40 (the maximum the space could accommodate).
Elderly Services achieved financial break-even by abandoning its use of a sliding-scale fee in favor of set fees at rough parity to its costs—with available discounts. At the same time it undertook an aggressive outreach to referral sources, expanded hours of operation, and oversaw approximately $50,000 in center renovations.