SpaceCoast BUSINESS - Health Edition

JUNE 2019

HEALTH B E YO N D T H E

HOSPITALS HEALTH FIRST IS

IMPACTING COMMUNITY HEALTH & WELLNESS

Let our Business Law and Real Estate Law Group serve as your trusted legal advisors.

J. Cole Oliver

Kevin M. Barry

Clifford Repperger Jr.

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Firm Practice Areas Business Law • Real Estate Law • Probate / Trust Administration Asset Protection • Estate Planning / Wealth Preservation • Matrimonial & Family Law Civil & Complex Litigation • Local Government Law • Appellate Law • Land Use Law Employment Law • Healthcare Law • Guardianship • Elder Law www.RosswaySwan.com

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Melbourne 321.984.2700

Coral Gables 305.443.5020 (By Appointment)

WELCOME

PUBLISHER’S NOTE

THE FUTURE OF HEALTH CARE IS HERE

No sector of the economy impacts our life like health care, and none is experiencing more innovation and global competition. The consulting and research firm, Deloitte, released their 2019 outlook, which began by saying, “What goes up, must come down. However, this doesn’t apply to the health care industry, which will top $10 trillion globally by 2022."

Here are the top 6 predictions: 1. New care delivery models will be used to improve access and affordability.

Moving from volume to value will require building an outcomes-based financial model and data infrastructure

to maximize value-based care (VBC) reimbursement pathways, which will likely be fundamental to many health systems’ sustainable growth.

and well-being are driving shortages of appropriately skilled health care staff in both developed and developing economies.

2. Investing in digital innovation and

5. Asia is positioned to become the

transformation will increase.

new innovation hub for global drug and device advancements . Historically, the medical innovation pipeline has flowed from West to East, this year could be a tipping point where the flow reverses.

There’s been an exponential increase in the pace and scale with which digital health care innovations are emerging.

Digital technologies are supporting health systems’ efforts to transition to new models of patient-centered care and are helping them develop “smart health” approaches to increase access and affordability, improve quality and lower costs.

3. There will be a push to maintain regulatory compliance and cyber security.

6. Innovative private insurance models will shake up the health care payer industry.

To ensure future growth globally, a number of insurance companies are already providing data and digital-driven health care services to their policyholders to personalize the experience and reduce the cost from potential claims.

As data is becoming the new health care currency, protecting it will be key.

4. Recruiting, developing and retaining top talent is paramount.

An aging workforce, rising demand for health care services, concerns for morale

Eric Wright PUBLISHER ERIC@SPACECOASTBUSINESS.COM

THIS MONTH’S THEME: HEALTH CARE

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What Moves YOU?

Justin Connors

“ONE MUST HAVE A

nor are they willing to accept big market losses. Basically, they want to ensure they

REASONABLE OPTIMISM,”

O

Finding the Right Fit

“Our client base falls into the ‘Millionaire

27.4 %

MOVING TRENDS

10.2% OTHER

By Eric Wright

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Advising for Peace of Mind

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can maintain their lifestyle and not run Next Door’ profile,” said Connors, one halfthe of all Americans in the ”last making these destinations permanent homes. According to Milton S.verHershey, founder of thehave moved out of money. referring to a bestselling book published 10 years and a little over 10said. percent have moved twice. the 2017 Mayflower Mover Insights focusedthe on famous chocolate company, once in 2010 by twoStudy, PhDswhich that showed When it comes to our retirement years, In 2016, of those who MAKES had moved, 39.53 percent were millennial moving trends, two in ve (41 percent) millennials “IT IS THE FORCE THAT majority of fimillionaires in America are everyone wants to enjoy the opportunity interstate moves and 60.47 percent were local. Not surprising, are “vacation movers” not — that is, they have to a new city THE WORLD GO.” in Beverly Hills moved or on Park Avenue. to pursue long-postponed personal based on the school year and weather in much of the without intending to settle there permanently.

Rather, they down live simply, in average interests, such as travel or time with We allStates, wantover to be optimistic abouthappen United 48 percent of all moves Furthermore, more than (53accumulated percent) of neighborhoods, andhalf have friends and family. What2is0more, our future. .2% on millennials between MayFor andsome, August.however, There arethat a wide say they are likely make their wealth through hard workto and thrifta. average, optimism is basedpeople on wishful ILY people are living far longer J range of reasons move,thinking from a temporary, or “vacation,” move in the M ever, and that longevity continues than or simply a positive disposition.

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WE’RE IN ONE OF THE LONGEST "Millennials are a generation of carry you to your destination; rather, With the addition of more of those vibrant, MARKET CYCLES SINCE WORLD Quality of life is one of the reasons it is an alignment of your plans and what I call 'adventure movers.' healthy years to relish, many people’s WARTheir II, HAVING PASSED THE the fourthat major actions will metro get youareas to theoftarget motivations for moving financial resources are not positioned to Florida Orlando, Jacksonville, MARKET CYCLE OFbyTHE 90’s,” you are— optimistically hoping to hit. are influenced a sense of underwrite the life and lifestyle they have Tampa and Miami — must have intersect so said Connors.

“Typically, longer and This is where optimism adventure, makingthe these moves anticipated for as long as it may be. Also, much attraction. The old adage, higherrelatively these cyclesshort-term," go, the harder they with reasonableness. saidtend Dr. the cost of healthcare, which is helping “Why not live where others come to fall.Jeff Our is to Research position our clients reygoal Arnett, Professor make that longevity possible, continues For Justin Connors of Connors Wealth to vacation?” makes a lot of sense. not to the highs so of they don’t incur in ride the Department Psychology at to rise at a rate that may far outpace Management, helping clients be bigClark lossesUniversity. during market corrections. ”⊲ Florida ranksand second in moves, below inflation and income. One other factor: However, according reasonable optimistic about their California andheabove Texas. In his looking more and more individuals are dependent to Mayflower’s study, the majority of future is what has dedicated life to.

42 at interstate migration, more move from on positioning their own funds to pay for millennials say they feel more positively “What people are seeking is peace of .

2 % G California to Texas, with moves from New Yorktheir retirements as U company HO SIN pensionsthan negatively when it comes to settling mind. We recognize that comes from to Florida coming in second. Florida also leadsgothe the way of the dinosaur, so protecting down in their current city. It seems that 30 is the being informed and setting realistic nation in number of residents moving in versus theirleaving. irreplaceable retirement capital has magic number; about 51 percent of millennials who claimed and achievable goals for their future,” become much more essential. they hope to settle down say they plan to settle down around What About Millennials? he explained.

“Our clients are usually age 30 or 35, and four out of five millennials, or 81 percent, For millennials, whoand are defi nedexpect as 18 to fairly conservative don’t to35-year-olds, they tend plan to become homebuyers when they finally find a city in to flock urban destinations like San Francisco, Los Angeles make infltoated returns on their portfolio, and Seattle. A new study by Mayflower indicates they are not which to settle down.

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| YOUNG PROFESSIONALS NAME: Yari Fumero TITLE: Junior Loan Officer COMPANY: Shelter Mortgage YEARS IN AREA: 12 YEARS AT COMPANY: 10

NAME: Yari Fumero TITLE: Junior Loan Officer COMPANY: Shelter Mortgage YEARS IN AREA: 12 YEARS AT COMPANY: 10

JANUARY 2019

A

Brevard County resident since 2004, Yari Fumero is a native Floridian, born and raised. Working in the mortgage industry since she was very young, she started her career at Shelter Mortgage nearly a decade ago as a Loan Officer Assistant. After taking a break to start a family, she worked in the title industry where she expanded her knowledge to include the title and closing aspect of the home buying experience. Returning to Shelter Mortgage in early 2016, she arrived as a well-rounded and knowledgeable Junior Loan Officer.

Justin Connors

Yari truly enjoys what she does and it fuels her passion to help individuals and families get into their new homes. She also understands the importance of the huge financial decision that her clients are making, because as she says, “They aren’t just buying houses; they’re buying homes for themselves and their families to enjoy for a lifetime.”

Justin Connors

Yari truly enjoys what she does and it fuels her passion to help individuals and families get into their new homes. She also understands the importance of the huge financial decision that her clients are making, because as she says, “They aren’t just buying houses; they’re buying homes for themselves and their families to enjoy for a lifetime.”

Advising for Peace of Mind

Over the years, Yari has worked closely with realtors and homebuilders all over the east coast of Florida and has built many long lasting relationships and partnerships that have served her well. Bilingual, she has used this to her advantage while working with both her English and Spanish speaking clients. Having grown up in a primarily Spanish speaking home and seeing her parents struggle to communicate helped her understand the need for bilingual loan officers. These skills combined with her extensive knowledgeAstro of many Pakdifferent returns mortgage loan programs has allowed her to the Space Coast help hundreds of familiesto finance their dream homes with little to no money out of their pockets. Se Habla Español. ◆

Advising for Peace of Mind

Over the years, Yari has worked closely with realtors and homebuilders all over the east coast of Florida and has built many long lasting relationships and partnerships that have served her well. Bilingual, she has used this to her advantage while working with both her English and Spanish speaking clients. Having grown up in a primarily Spanish speaking home and seeing her parents struggle to communicate helped her understand the need for bilingual loan officers. These skills combined with her extensive knowledgeAstro of many different Pak returns mortgage loan programs has allowed her to the Space Coast help hundreds of familiesto finance their dream homes with little to no money out of their pockets. Se Habla Español. ◆

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JANUARY 2019

A

Brevard County resident since 2004, Yari Fumero is a native Floridian, born and raised. Working in the mortgage industry since she was very young, she started her career at Shelter Mortgage nearly a decade ago as a Loan Officer Assistant. After taking a break to start a family, she worked in the title industry where she expanded her knowledge to include the title and closing aspect of the home buying experience. Returning to Shelter Mortgage in early 2016, she arrived as a well-rounded and knowledgeable Junior Loan Officer.

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Stand OutJustin & Be Seen Connors

What Moves YOU?

“ONE MUST HAVE A

For Justin Connors of Connors Wealth Management, helping clients be reasonable and optimistic about their future is what he has dedicated his life to.

“What people are seeking is peace of mind. We recognize that comes from being informed and setting realistic and achievable goals for their future,” he explained. “Our clients are usually fairly conservative and don’t expect to make inflated returns on their portfolio,

FA

By Eric Wright

10.2% OTHER

Advising for Peace of Mind

We all want to be optimistic about our future. For some, however, that optimism is based on wishful thinking or simply a positive disposition. But a positive disposition alone will not carry you to your destination; rather, it is an alignment of your plans and actions that will get you to the target you are optimistically hoping to hit.

This is where optimism must intersect with reasonableness.

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“IT IS THE FORCE THAT MAKES THE WORLD GO.”

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Milton S. Hershey, the founder of the famous chocolate company, once said.

nor are they willing to accept big market Finding the Right Fit losses. Basically, they want to ensure they “Our client base falls into the ‘Millionaire REASONABLE OPTIMISM,” can maintain their lifestyle and not run Next Door’ profile,” said Connors, one halfthe of all Americans moved in the ”last making these destinations permanent homes. According to Milton S.ver Hershey, founder of thehave out of money. referring to a bestselling book published 10 years and a little over 10said. percent have moved twice. the 2017 Mayflower Mover Insights Study, which focused on famous chocolate company, once in 2010 by two PhDs that showed the When it comes to our retirement years, In 2016, of those whoMAKES had moved, 39.53 percent were millennial moving trends, two in five (41 percent) millennials “IT IS THE FORCE THAT majority of millionaires in America are everyone wants to enjoy the opportunity interstate moves GO.” and 60.47 percent were local.

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WE’RE INConnors, ONE OF THE LONGEST "Millennials are a generation of carry you to your destination; rather, With the addition of more of those vibrant, MARKET SINCE WORLD of life is oneof of your the reasons out of money.” what published ICYCLES call 'adventure movers.' itQuality is an alignment plans and referring a bestselling book healthy years to to relish, many people’s the fourthat major WARTheir II, HAVING PASSED THE motivations for moving actions will metro get youareas to theoftarget financial resources are not positioned to Florida Orlando, Jacksonville, MOVING MARKET CYCLE OF THE 90’s,” are influenced by a sense of you are — optimistically hoping to hit. inunderwrite 2010 by two PhDs showed the the life and lifestyle they have that When it comes to our retirement years, Tampa and Miami — must have intersect so said Connors.

“Typically, longer and adventure, makingthe these moves This is where optimism anticipated for as long as it may be. Also, muchreasonableness. attraction. The old adage, higher these cyclesshort-term," go, the harder they tend with Dr. TRENDS majority of millionaires in relatively America aresaid the cost of healthcare, which is helping everyone wants to enjoy the opportunity “Why not live where others come to fall.Jeff Our goal is toResearch position our clients rey Arnett, Professor make that longevity possible, continues For Justin Connors Wealth to vacation?” makesofa Connors lot of sense. not Park to rideDepartment theAvenue. highs soof they don’t incur in the Psychology at inatBeverly Hills or on to rise a rate that may far outpace Management, helping clients be not to pursue long-postponed personal bigClark lossesUniversity. during market corrections. ”⊲ Florida ranks second in moves, below However, according inflation and income. One other factor: reasonable and optimistic about their California andheabove Texas. Inhis looking simply, in average to Mayfl ower’s study, the majority of more and morethey individualslive are dependent has dedicated life to. Rather, interests, such as travelfuture oris what time with 42 at interstate migration, more move from on positioning to pay for millennials say they feel more positively .2% their own funds “What people arewith seeking peace ofYork California tomore, Texas, movesisfrom New neighborhoods, have accumulated HO than negatively when it comes to settling their retirements as U company pensions SINGand friends and family. What is mind.

Wecoming recognize thaton comes to Florida in second.

Floridafrom also leadsgothe down in their current city. It seems that 30 is the the way of the dinosaur, so protecting being and setting moving realisticintheir nationinformed in far numberlonger of residents versus wealthretirement through work thrift . claimed theirleaving. irreplaceable capitalhard has magic number; about 51 percent and of millennials who average, people are living and achievable goals for their future,” become much more essential. they hope to settle down say they plan to settle down around What About Millennials? he explained.

“Our clients are usually age 30 or 35, and four out of five millennials, or 81 percent, For millennials, whoand are defi ned as 18 to they tend than ever, and that longevity continues fairly conservative don’t expect to35-year-olds, “WELosHELP THEM plan to become UNDERSTAND homebuyers when they finally find a city in to flock urban destinations like San Francisco, Angeles infltoated returns on their portfolio, and Seattle. A new study by Mayflower indicates they are not to grow. Great, right? make which to settle down.

27.4 %

“ONE MUST HAVE A REASONABLE OPTIMISM,”

WE’RE IN ONE OF THE LONGEST

With the addition of more of those vibrant, MARKET CYCLES SINCE WORLD healthy years to relish, many people’s WAR II, HAVING PASSED THE financial resources are not positioned to MARKET CYCLE OF THE 90’s,” underwrite the life and lifestyle they have said Connors. “Typically, the longer and anticipated for as long as it may be. Also, higher these cycles go, the harder they tend the cost of healthcare, which is helping to fall. Our goal is to position our clients make that longevity possible, continues not to ride the highs so they don’t incur to rise at a rate that may far outpace States Most Americans Are Moving Tobig losses during market corrections.” ⊲ inflation and income. One other factor: States Most Americans Are Moving From more and more individuals are dependent on positioning their own funds to pay for their retirements as company pensions go the way of the dinosaur, so protecting their irreplaceable retirement capital has become much more essential.

U N D E R

4 0

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FEATURE

A NEW HOME FOR YOUR BEST SELF, DERMATOLOGY & PLASTIC SURGERY [ By Eric Wright, Publisher ] Drs. Anita Saluja and Rebecca Nova have a professional and clinical synergy that few medical partnerships enjoy. Saluja, one of the most respected and innovative dermatologists in the region, and Nova, a celebrated plastic and reconstructive surgeon, combine their talents to bring a wide range of services and products to their ever-growing ensemble of patients.

With a practice that focuses on head-to-toe anti-aging, along with skin cancer detection and treatment, they attract patients from the beaches to Viera and Melbourne. As their practice expanded, they searched for a centralized location and found it in Brevard Medical City. The new location, on Wickham Road in Suntree, provides proximity to major crossroads, such as Pineda Causeway and Interstate 95, along with added visibility.

In addition, since many visits may involve medical procedures, the location has convenient entrances at the back of their facility, allowing for privacy.

“We listened to our patients; their experience and results are our primary focus,” said Saluja. “We were seeking increased privacy, less time spent in a busy waiting room and a beautiful, fresh, modern, stateof-the-art space.”

Creating A Perfect Setting If designing a place where patients would feel confident and comfortable in making transformational decisions was the goal, Saluja and Nova hit the target. The design is modern, but warm and visually engaging.

To provide privacy for patients who are getting consultations and services that are often personal and elective, For Your Best Self gave special attention

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to those sensitivities, especially through the check-

and what we could improve upon,” Saluja said.

in and check-out process, while simultaneously optimizing work flow and appropriate space for

They also found the time spent at the construction

team members to have quiet, focused work time.

site, along with the receptivity and flexibility they received from general contractor W + J, helped the

“We also try to keep things as simple as possible,”

project evolve.

Nova commented, adding, "Simplicity is the ultimate

“W+J had consistent onsite supervision that was

sophistication," quoting Renaissance master artist,

wonderful,” Nova said, specifically mentioning Travis

Leonardo da Vinci.

Lorenzen, project manager, and Jim Ferguson, the superintendent. “We were able to develop a relationship

By making exam rooms mirror images of each

that involved open communication, and the onsite

other, they can each be multi-functional, therefore

team could then execute.”

optimizing efficiency. The over 2,000-square-foot space contains four exam rooms and one large

Of the project, Erik Costin, W + J vice president and

aesthetician/procedure suite, a retail space, reception

operations manager said, “We have completed over

area, a staff break room and improved storage.

1,500 projects and some really large — from the Apollo/Saturn V Center at KSC to the the Morton

From Concept to Reality

Salt facility at Port Canaveral. But every project is

Saluja and Nova had previously worked together on

large to the client; it isn’t just a building, it is their

a building project, which allowed for this experience

money, their future and their dream.”

to run smoothly. “We knew things that worked well

JUNE 2019 : 7

FEATURE

WHERE THE BUSINESS OF HEALTH CARE IS MOVING McKesson is one of the largest companies in the U.S., with revenues topping $208 Billion in 2018, along with being the 6th highest revenue generator in America. Well known within the medical industry, they distribute pharmaceuticals and provide health information technology, medical supplies and care management tools.

In 2018 they produced an insightful report identifying trends and some areas of concern about the state of healthcare in the U.S. Here are some of their findings.

Emergency Care Nearly 50% of all hospital care is delivered to patients through the emergency department.

Of the more than 3.5 billion patient visits to hospitals during a 15-year period, 47.7 percent of care was delivered through the hospital emergency room, according to a study published in the International Journal of Health Services. From 1996 through 2010, there were more than 3.5 billion hospital-patient care episodes, reported the researchers. Of those episodes, 47.7 percent occurred in the emergency room, 37.6 percent were outpatient visits and 14.8 percent were inpatient admissions. That distribution changed little over the entire 15-year period.

Only slightly more than 3% of emergency department visits are “avoidable” Given the volume of hospital care delivered through the emergency room, the question is how much of it is necessary. According to researchers, the answer is “most.” Studying 115,081 medical records representing 424 million ED visits from 2005 through 2011, the researchers said 3.3 percent of the visits met their definition of “avoidable.” The top five patient complaints that led to an avoidable trip to the emergency room were toothache, back pain, headache, sore throat or a symptom related to mental illness. The researchers recommended expanding access to mental health and dental care as a possible solution.

Emergency Care Clinical Decision Support Physicians say more than 20% of medical care is unnecessary The consensus of 2,106 surveyed doctors is that 20.6 percent of overall medical care provided to patients is unnecessary. Of the specific types of medical care provided to patients,

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FEATURE 24.9 percent of diagnostic tests, 22 percent of prescription medications and 11.1 percent of medical procedures are unnecessary, the doctors said. The physicians cited malpractice concerns, pressure or requests from patients and difficulty accessing patients’ medical records as the top three reasons for overtreatment of patients. The top three remedies, according to the doctors, are training medical residents on clinical treatment appropriateness criteria, improving access to patients’ medical records and developing additional practice guidelines.

Physician awareness of Choosing Wisely, a 5-year-old initiative to reduce unnecessary medical care, has yet to rise to a level that’s having an industry-wide impact. Only 25 percent of 600 doctors surveyed this year said they knew about Choosing Wisely.

Hospitals and Health System Nearly 70% of hospitals are part of health systems The independent, standalone hospital is a rarity, 69.7 percent of all U.S. hospitals were part of health systems at the end of 2016. In fact, the top 5 percent of all health systems each operated 18 or more hospitals and had 2,500 doctors or more each on staff. Of all the primary-care physicians in the U.S., 42.7 percent were affiliated with health systems, according to AHRQ’s Compendium of U.S. Health Systems. The report also said 91.6 percent of all hospital discharges in 2016 were from system-based hospitals. On the other end of the spectrum, more than half of the 626 systems in operation ran just one or two hospitals and had fewer than 250 physicians on staff, AHRQ said.

Hospitals and health systems spend nearly $39 billion each year to comply with federal regulations Hospitals, health systems and post-acute care providers spend $38.6 billion each year to comply with federal regulations in nine areas, according to a report from the American Hospital Association. The AHA’s report, Regulatory Overload: Assessing the Regulatory Burden on Health Systems, Hospitals and Post-Acute Care Providers concluded, “Some of these rules do not improve care, and all of them raise costs.”

Long-Term Care Hospitals with preferred long-term care networks benefit from faster declines in readmission rates Researchers compared readmission rates of 16 hospitals in eight U.S. markets. Four hospitals in two markets had built formal networks of preferred skilled-nursing facilities (SNFs) to which they steered patients who needed long-term care. The study credited the faster decline in readmission rates to enhanced care coordination and to using data to measure the clinical performance of SNFs in preferred networks.

JUNE 2019 : 9

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By Sebastian Northside

Committed to the Space Coast GrayRobinson’s Melbourne Office

By Sebastian Northside In January of 1990, two decades after the company’s establishment, GrayRobinson merged with the Brevard County-based law firm, Kirschenbaum and Peeples, establishing the firm’s presence on Florida’s Space Coast.

Subsequently, in 1996, GrayRobinson moved its Brevard County headquarters to Melbourne, merging with the Melbourne firm, Nohrr & Nohrr. These expansions pioneered the way for GrayRobinson’s presence throughout the nation, now boasting 14 offices in Florida and one in Washington, D.C. Since then, the GrayRobinson Melbourne office has continued to lay down roots in the community, establishing itself as one of the largest fullservice law firms in Brevard County. The 21 attorneys of the Melbourne office offer many years of experience in practice areas including, but not limited to, litigation, probate, corporate, real estate, taxation, estate planning, trusts, maritime, wealth transfer and elder law.

The GrayRobinson Melbourne office is involved in organizations such as the Space Coast Health Foundation, LEAD Brevard, American Heart Association, Keep Brevard Beautiful, Brevard Cultural Alliance, Cape Canaveral

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Hospital Foundation, Brevard County Estate Planning Council, Melbourne International Airport Authority and Brevard Schools Foundation. The firm’s participation in these organizations attests to its focus on going beyond clients and into the well-being of the community. In addition to outside involvement, GrayRobinson continues its commitment to the Space Coast community at all levels, through their youngest attorneys and new leadership to their longstanding partners. Their growth as a firm reflect dedication to the economic development of Brevard County, stemming from their deep history in the area.

Meet Some of the Team Shareholder and litigation attorney Amanda Smith has a long history with and dedication to Brevard County. Along with her general civil litigation practice, focusing on guardianships, trust and probate litigation, she’s served as a board member for the Community Foundation in Brevard since 2014, also serving as secretary since 2016. Smith is also involved in the Cocoa

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Beach Regional Chamber of Commerce, serving as legal counsel and non-voting board member since 2014, and parliamentarian since 2016. In 2014, she graduated from LEAD Brevard and since 2015, she has been a volunteer for Junior Achievement of the Space Coast.

Shareholder Adam Bird’s practice matches that of his civic experience: well-versed and varied. He has experience in many general litigation matters, but focuses on corporate and commercial litigation, including contract disputes, real property and real estate litigation, residential and commercial landlordtenant matters, labor and employment issues and other legal matters facing both individuals and business organizations. His civic endeavors include being a member of the board for the Space Coast Health Foundation and LEAD Brevard. In the past, Bird served as treasurer for 2-1-1 Brevard, legal advisor for the South Brevard Sharing Center and graduated from Leadership Brevard in 2011.

Attorney and CPA Brad White is another shareholder in GrayRobinson’s Melbourne office who shows versatility through his practice and commitment to the community. White has significant experience representing clients involved in complex business transactions, including mergers, acquisitions, dispositions, recapitalizations, reorganizations, investments and joint ventures. He is currently a member of the Melbourne Regional Chamber of East Central Florida and serves on the board of directors for the Economic Development Commission of Florida's Space Coast.

GrayRobinson’s newest additions include litigation attorney, Paul E. Parrish, and real estate attorney, Michael Schneider, both shareholders. Parrish, a former partner at Quarles & Brady, LLP, brings decades of insurance and maritime litigation experience to GrayRobinson. As a veteran commercial litigator, Parrish has acted as trial counsel in state and federal courts in litigation arising under the Employee Retirement Income Security Act of 1974 (ERISA), including litigation concerning pension benefits, health and disability benefits and breach of fiduciary duty claims. Schneider further solidified the firm’s real estate practice, joining with more than 20 years of experience handling real estate closings in Florida. His practice focuses on structuring real estate holdings and navigating real estate transactions.

The most recent alteration to Melbourne’s office structure was the transition of Erik Shuman as the office’s managing director in Q3 of 2018. Along with the office’s management responsibilities, he maintains a successful estate planning and elder law practice.

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J UNE 2019 : 13

Brevard Health Alliance

Improving the health status of the medically underserved by providing extraordinary service.

[ By Lorin Vargas ]

In 1992, Holmes Regional Medical Center created project HOPE (Health Outreach Prevention and Education) to provide follow-up services to uninsured patients following emergency department visits. The first clinic, at University Park Elementary School in Melbourne, opened in 1994 with a group of volunteer physicians and nurse practitioners from HRMC.

A Medical Partnership In 2004, recognizing a significant opportunity to expand services to the community, project HOPE applied to HRSA (Health Resources and Services Administration) to become a Federally Qualified Health Center. Project HOPE was supported by a community stakeholders group and Health First leadership. Upon receiving approval, HOPE became The Brevard Health Alliance, Inc. (BHA), receiving significant federal funding and enhanced Medicare and Medicaid reimbursement rates.

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Each of these benefits was designed to enable BHA to significantly expand health services to Brevard County’s uninsured and underinsured citizens.

In late 2005, BHA assumed operations of the Wuesthoff Wellness Clinic, then a not-for-profit organization, and expanded BHA services into Central Brevard County. In late summer of 2010, BHA assumed the operations of the Parrish Medical Center Community Medical Clinic, receiving substantial, continued financial support and substantial free diagnostic support from Parrish Medical

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FEATURE “BHA WAS CREATED TO IMPROVE THE HEALTH OF THOSE IN OUR COUNTY, OFTEN THE NEEDIEST, THAT WOULD OTHERWISE GO WITHOUT CARE. THESE PEOPLE ARE OUR NEIGHBORS, FRIENDS AND CO-WORKERS. IT’S OUR RESPONSIBILITY TO CREATE AN ENVIRONMENT WHERE OUR PHYSICIANS, DENTISTS, PSYCHOLOGISTS, NURSES AND OTHER CLINICIANS DELIVER HIGH QUALITY PATIENT-CENTERED CARE.” LISA GURRI CHIEF EXECUTIVE OFFICER BREVARD HEALTH ALLIANCE

Center. Through the support of Parrish Medical Center, this acquisition allowed BHA to complete a key objective of offering services throughout Brevard County. The leadership of both Parrish Medical Center and Wuesthoff recognized the potential of a private-public partnership to leverage their investment in community health improvements.

BHA’s Differentiator No one is turned away due to an inability to pay, and this is what truly sets the BHA clinics apart from other health services. The mission of BHA is to improve the health status of Brevard County’s medically underserved populations by providing extraordinary quality of service and care in the areas of primary health care, dental health care, mental health care, preventive services, and educational services.

J UNE 2 019 : 15

FEATURE

Brevard Health Alliance also features mobile units, which deliver services to citizens at numerous locations throughout Brevard County. Currently, they provide health care services for about 2,500 Brevard County citizens that present as homeless. The portable units run Monday through Friday, and times vary upon location. A calendar for each month is provided on their website and via social media accounts. No appointment necessary – the mobile vehicles deliver on a first come, first served basis.

Brevard Health Alliance began operations on March 7, 2005 with 16 associates and a desire to improve the health of the medically underserved population of Brevard County. Today, they employ 275 associates and have registered approximately 101,000 patients. Since beginning, they have opened six medical clinics across the county and provided medical, dental or behavioral health services to more than 101,000 individual Brevard County citizens. The clinic has also provided more than

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851,000 medical, dental, behavioral health or enabling encounters to patients, discounted services by more than $34,000,000 to Brevard’s citizens, and provided more than $53,750,000 in free medications to patients (as valued at average wholesale price).

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“BHA DOES NOT STAND ALONE. SINCE OPENING OUR DOORS IN 2005, AND THROUGH THE GENEROSITY OF HEALTH FIRST, PARRISH MEDICAL CENTER, AND THE SPACE COAST HEALTH FOUNDATION, WE HAVE PROVIDED MORE THAN $46,000,000 IN FREE DIAGNOSTIC AND LABORATORY SERVICES TO OUR PATIENTS.” – THOMAS CULBRETH CHIEF FINANCIAL OFFICER, BREVARD HEALTH ALLIANCE

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COVER STORY

GIVING BACK HEALTH FIRST INITIATIVES IMPROVE THE WELLNESS AND HEALTH OF BREVARD [ By Eric Wright, Publisher ]

The numbers are quite staggering.

Though Health First is known in the area for its world-class hospitals and clinicians, fitness and rehabilitation centers and various medical clinics, few know how much the health care and insurance provider invests back in community support. It totaled over $171 million in fiscal year 2018, which includes charity and uncompensated care.

When it comes to ensuring health care is accessible to all of Brevard’s residents, the life-saving and lifechanging impact of Health First is far more about deeds than words.

Michael Seeley, President of the Health First Foundation.

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Careful Aim to Ensure Measurable Outcomes With the same thoughtful preparation and foresight that goes into medical treatment, Health First, a Brevardbased not-for-profit organization, does an in-depth Community Health Needs Assessment (CHNA) in collaboration with the Space Coast Health Foundation. The CHNA provides a comprehensive analysis of widely-accepted health indicators that identify health disparities for each demographic area served by their respective facilities. This data serves as the foundation for developing implementation strategies that often include partnerships with community organizations in creating initiatives to address health needs.

Michael Seeley, the president of the Health First Foundation, also oversees the Community Benefit department of Health First. He spoke of his initial foray into the world of healthcare administration in California and how agonizing it was dealing with families who were having to make care decisions based on the ability to pay. “Because of what I saw, we grew our own non-profit

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for our 50+ provider practice,” he said. “My fondest memories of that time in my career was what we were able to do for those disadvantaged individuals and families to get the care and services they needed. Years later, when this position opened, it was the easiest decision I’ve ever made. To be around a thoughtfully structured approach to address critical needs and shortfalls is so rewarding.”

Investments in community support programs like Who We Play For. This remarkable program began back in 2007 on the goal line of a Cocoa Beach High School soccer field, when 15-year-old student athlete Rafe Maccarone went into sudden cardiac arrest, following a warmup routine before the beginning of practice. The community was shocked when this young man, who passed all his sports physicals, died the next day from heart disease, stricken while playing the sport he loved most. Recognizing the condition was detectable with screening electrocardiograms (EKG), Who We Play For was launched.

Health First has been a partner with Who We Play For since 2016,

JUNE 2019

COVER STORY screening more than 2,000 students in Brevard County. During that first year, a 17-year-old cheerleader from a local high school suffered and survived sudden cardiac arrest while training for cheer tryouts.

The student and her family became champions of the cause to create awareness about sudden cardiac arrest. About a year later, at her high school, her best friend was screened.

The EKG revealed a potentially lifethreatening heart condition and she was successfully treated. A few months later, three members of the student’s family were identified with the same, hereditary heart condition.

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One of the most impactful programs that Health First partners with is the Brevard Health Alliance (BHA), which is Brevard County’s only Federally Qualified Health Center.

Since March of 2005, BHA has provided extensive primary health care services to residents regardless of their ability to pay. By offering services on a sliding-fee scale, BHA services include pediatrics, behavioral health, dental services, diagnostic services, resource management services, medication assistance and specialty referrals to Brevard County’s economically disadvantaged residents.

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BHA operates seven fixed clinics in Palm Bay, Malabar, Port St. John, Rockledge, Melbourne and Titusville, along with their principal clinic on Sarno Road in Melbourne. BHA also operates Mobile Health Units to provide professional medical and dental care to Brevard’s residents “where they are” – on the streets, in shelters, at soup kitchens and at drop-in centers. According to their website, “We currently provide services to approximately 2,500 Brevard County citizens that present as homeless.”

Top Priorities The Community Health Needs Assessment, (which is available on Health First’s website) identifies the priority areas that Health First will address and the strategies they will use. “The most successful Community Benefit programs around the country identify areas where a tangible difference can be made, and we identified two,” Seeley said. “The first, was access to health care, when it is needed, where it is needed, regardless of the ability to pay. The second was overweight/ obesity, poor nutrition and/or lack of

physical activity and its relationship to chronic diseases, especially at the pediatric level.”

The second area of focus has led to a partnership with the Brevard Public Schools, to enhance their physical education programs for middle schools with the purchase of new gym equipment. Health First has also partnered with the United Way of Brevard in supporting the Health First Mayors’ Fitness Challenge for the past three years. This communitywide initiative encourages mayors of Brevard County’s municipalities to get their residents moving and adopt

a healthier lifestyle. This year, there were 2,445 participants and eleven municipalities participating with the City of Cocoa Beach receiving the award for “Most Fit City.”

In addition, a Great Weight-off competition for adults was held to recognize the male and female participant losing the largest percentage of their body weight during the competition. The female winner from Palm Bay announced that the Challenge inspired her to start eating more sensibly, resulting in losing 41.8 pounds or 16% of her body weight in just 8 weeks. She JUNE 2019

COVER STORY

stated that she is about halfway to her goal and winning this competition has given her an added incentive.

To help develop healthy lifestyles a m on g o u r m o s t v ul n e r a b l e communities, Health First supports the Boys & Girls Clubs of Central Florida and The Children’s Hunger Project. Every day after school and all summer long, Boys and Girls Clubs provide a safe and caring experience for children between the ages of 6 and 18 from the region’s most 22 : SPACE C OAST B U S I N E SS

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disadvantaged neighborhoods, at no or little cost to their families. “At Boys & Girls Clubs of Central Florida, we believe that every child, regardless of income or life circumstance, should be empowered to excel in school, become good citizens and lead healthy, productive lives,” their website states.

Childhood hunger leads to a weaker immune system, difficulty in learning and paying attention in class, along with being able to

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behave properly to retain what they learn. In addition, hungry kids are sick more often and have lower academic achievement. In Brevard over 50 percent of students qualify for a reduced-price meal program, and Brevard Public Schools works valiantly to provide both a healthy breakfast and lunch for those who need it. The Children’s Hunger Project is a Brevard-based program that works to see students through the weekend, by providing weekend

meals that students can take home in backpacks.

Through Health First’s giving back initiatives and partnerships, these programs and the services are able to impact families and individuals across the county, every day. It helps to level the field in terms of access to essential medical services and not only provides care to the sick, it helps to improve the wellness and health of everyone in Brevard.

JUNE 2019

PALM BAY

Life Care Center of Palm Bay Premier Long-Term Care Facilities [ By Matt Weinstein, Contributor ] Headquartered out of Cleveland, Tennessee, the Life Care Centers of America operates more than 200 skilled nursing, rehabilitation, Alzheimer’s and senior living campuses in 28 states. In our area, the campus is located near the heart of Palm Bay, between Palm Bay Hospital and the offices of Brevard County’s largest physician group — an ideal location for their rehabilitation and skilled nursing facilities. The Palm Bay location was constructed in 2004 with the community’s future growth in mind. The expanding population foreshadowed the continuing need for senior care services. The Life Care Center of Palm Bay is able to fulfill those needs with its premier services.

Life Care Center of Palm Bay focuses on inpatient and

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outpatient rehabilitation with 24-hour skilled nursing care and state-of-the-art rehabilitation equipment. A highly skilled nursing staff offers a higher acuity of care that aging patients require. Will Tarbet, the executive director of the Palm Bay location, has noticed that the needs of their patients have evolved. “The acuteness and complexities of the patients we serve in this kind of environment evolved because the hospitals are trying to get patients discharged sooner,” says Tarbet. “That acuity trickles down throughout the post-acute field to all these facilities.” The expedited process has caused an increase in the need for additional, specialized care, as well as the readmission of patients; Tarbet and the Life Care staff see the need to help members of the community facing these issues.

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The Palm Bay location specializes in the treatment of patients that were hospitalized and need postacute rehabilitation and physical, occupational and speech therapy. “We are a post-acute nursing and rehabilitation provider,” says Tarbet. The center also provides a higher acuity level of care for a multitude of diagnoses with a focus on orthopedic, neurological, cardiac and pulmonary services, all received in a safe environment designed to offer independence and security. In partnership with Health First, Tarbet said the focus is on reduction of patient readmissions to the hospital.

Tarbet and the Life Care team work with the community to provide numerous volunteer and partnership efforts. They participated in a water collection drive on World Kindness Day this past year. “In support of World Kindness Day, Life Care Center of Palm Bay selected The Daily Bread, a local non-profit supporting the homeless of Brevard County,” Tarbet said. “This is a great organization that does amazing work locally and this donation will be put to good use. We are extremely proud of our associates who collected 187 cases and 13 gallons, which was the equivalent of 77,511 ounces of water.” The center also actively participates and partners with civic organizations that organize health fairs and health testing in local communities.

In addition, the center supports local school activities and youth sports.

Our mission is to serve, advocate and promote as the trusted voice for our business community.

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MEMBERSHIP HAS ITS BENEFITS • Business promotion and referrals • Legislative advocacy • Alignment with a trusted brand and valuable community resource • Personal and professional development • Networking opportunities at over 90 events • Job listings to fill employment needs • Listing in Chamber online membership directory • Promotion on our social media sites

and much more!

FOR MORE INFORMATION: WEBSITE: www.lifecarecenterofpalmbay.com PHONE NUMBER: 321-952-1818.

ADDRESS: 175 NE Villa Nueva Ave, Palm Bay, FL 32907

A PERFECT PLACE TO GROW YOUR BUSINESS 4100 Dixie Highway NE, Palm Bay, 32905 info@greaterpalmbaychamber.com 321-951-9998 www.GreaterPalmBayChamber.com

JUNE 2019

MELBOURNE

Nationwide Medical Licensing Licensing Thousands of Medical Professionals Every Year [ By Matt Weinstein, Contributor ] The licensing of medical professionals is essential to ensure your care providers are up to date and qualified to practice in their discipline. The licensing process is often a lengthy and tedious process to undertake. It requires providers to take time away from patients to certify and recertify. This is where Nationwide Medical Licensing comes in to help. Nationwide Medical Licensing specializes in assisting with the administration of medical licensing applications and credentialing procedures.

Established in 2007, Nationwide Medical Licensing provides their services all over the country, including a location here in Melbourne, Florida. Nationwide Medical Licensing is an “A+” rated member of the Better

LET US TAKE CARE OF YOU WHILE YOU TAKE CARE OF YOUR PATIENTS.

- Nationwide Medical Licensing 26 : SPACE C OAST B US I N E S S

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Business Bureau.

Nationwide Medical Licensing operates in all 50 states as well as Puerto Rico and Guam. Their services allow for a professional to relocate and quickly obtain their licenses for practice anywhere in the country.

They take the stress out of the licensure process by doing 99% of the administrative work for you, greatly reducing the time it takes to receive your license in any given state. Nationwide Medical Licensing assists in licensing thousands of medical professionals every year, including the fields of MD, DO, PA, DDS, RN, NP, CRNA, LPN, DA, telemedicine and telenursing licensing.

They are dedicated to providing a level of unbeatable excellence to the healthcare professionals they assist.

Tierra Williams, Chief Operating Officer for the Melbourne Location wants to expand their scope and let health care professionals know that Nationwide Medical Licensing is here to help. “We are trying to get out into the community more to show our presence,” says Williams. In addition to how helpful these services are, Nationwide Medical Licensing also prides themselves on offering exceptional services for a much lower cost than most other medical licensing companies. Plus,

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their licensing services are tax deductible.

Williams has noticed a large trend of younger professionals applying for licenses. More nurses and doctors are in their younger 30’s due to greater educational opportunities around the country producing more graduates. This is why Nationwide Medical Licensing’s services are so influential. Williams described that many of professionals don’t have the time to undertake the application process. They are tied up with long hours, school, and families. Nationwide Medical Licensing sees the need among this segment of professionals for reliable experts. “We are doing the administrative work and helping to facilitate the processing of the

license applications for those who don’t have the time,” says Williams. The Melbourne Nationwide Medical Licensing location is working to connect with more local Brevard professionals who need their services.

Nationwide Medical Licensing is often out in the community volunteering and sponsoring different organizations. They encourage their team to volunteer at least four times a year, with management personnel participating in monthly actions in the community.

Nationwide Medical Licensing recently sponsored the Doctors’ Goodwill Foundation, which helps improve the health care system by offering education for both professionals and the general public. Nationwide Medical Licensing also works with different institutions like Keiser University to partner with their medical programs and offer their services. Their contributions in the community truly display their investment in Brevard.

For more information, visit nationwidemedicallicensing.com or call 321-622-9030. Nationwide Medical Licensing, Melbourne is located at 2006 Vernon Place, Melbourne, FL 32901.

WHAT CAN Chamber Membership DO FOR YOUR BUSINESS? • Business support and development resources • Networking events, including monthly business breakfasts, business after hours events, council events, and more • New business opportunities • Access to professional development, including seminars and workshops • Participation in councils and committees pertaining to your field • Complimentary listing in Melbourne Chamber Member Directory on website and app • Complimentary Traffic Catcher website • Exclusive advertising and sponsorship opportunities to other chamber members as well as the community • Representation on governmental issues • Advocacy for a strong business community

Contact the Chamber today for more information.

1005 East Strawbridge Avenue Melbourne, FL 32901-4782 Tel: (321) 724-5400 www.MelbourneRegionalChamber.com

JUNE 2019

COCOA BEACH

Parrish Healthcare Center Port Canaveral

A One-Stop Solution for the Live, Work and Play Community [ By Matt Weinstein, Contributor ] The Parrish Healthcare Center at Port Canaveral provides a primary care/walk-in clinic, as well as occupational medicine services, workers’ compensation care, diagnostics, physical therapy, industrial rehabilitation and sleep disorder services. The healthcare center is located at 390 Challenger Road, opposite Cruise Terminal No. 1.

The opening of the healthcare center in the summer of 2017 was the answer to repeated requests from area businesses and community members. The center provides Brevard residents and visitors convenient access to superior health services.

The availability of health care services from this on-port location is important for the seafaring community, too. Cruise ship guests, crew members and shore-side support staff, who are in close proximity to cruise and cargo operations, now have easy access to health care that was not before available in the immediate area.

The occupational health programs are led by board-certified physicians and offer comprehensive, tailored programs designed to help organizations foster a healing work environment that results in multiple benefits to employers, including: • Reducing health care costs • Minimizing workers' compensation expenses 28 : SPAC E C OAST B US I N E SS

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• Increasing workplace safety • Lowering risks for workplace injury • Returning employees to work sooner • Compliance with state and federal health and safety regulations In addition to the Port Canaveral location, Parrish Healthcare centers have a growing network with locations in Titusville and Port St. John. These healthcare centers bring together physicians and other providers with diagnostic services, immediate/urgent care services, occupational health services and other outpatient services to provide a one-stop solution for the people who live, work and play in these communities.

Parrish has a 60-year history serving Brevard. Through the ebbs and flows of both the county’s evolution, as well as the national health care system’s evolution and transformation, Parrish has proven its resolve to its mission, vision and values.

In 2016, with the announcement of Parrish Medical Center becoming the first nationally integrated care-certified health care organization by The Joint Commission, Parrish Healthcare was introduced. Parrish Healthcare includes Parrish Medical Center, a Mayo Clinic Care Network member; Parrish Medical Group, which includes

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COCOA BEACH REGIONAL Chamber of Commerce

Occupational Health Services at Parrish Healthcare Center Port Canaveral Audiometric and Vision Testing Cardiovascular Fitness Testing Corporate Wellness DOT Mandated Exams Drug and Alcohol Screening On-site Ergonomic Evaluations Health Risk Assessments Immunizations Lab Services (blood tests) Medical Surveillance for Hazardous Material Handling OSHA Training, Surveillance and Mandatory Examinations Physical Examinations - USCG, DOT and non-DOT Preplacement Evaluations Public Service Exams Pulmonary Function Testing (PFT) Respirator Clearance Exams (OSHA) Respiratory Fit Testing Wellness & Injury Prevention Education Work-Related Illnesses and Injury Treatment Worker’s Compensation Case Management

primary care practices, all certified as Patient-Medical Homes by the National Committee for Quality Assurance; and Parrish Health Network, a regional network of collaborative health service providers.

Parrish Healthcare is the culmination of a vision that collaborative partnerships, over costly competition, are the way to improve quality, safety and service, as well as reduce costs. Parrish Healthcare’s collaborative network of hospitals, providers, insurers and other allied health, social and community-based service partners, are effectively removing duplication of services and applying shared, evidence-based best practices to achieve real integrated healing care for patients, families and communities.

The physicians at Parrish Healthcare Center located at Port Canaveral include Dixitkumar N. Modi, MD, Family Medicine; Homi Cooper, MD, Occupational Health; Nintin Hate, MD, Occupational Health and Environmental Medicine.

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Partnership of more than 1,500 local businesses Expanded offices in Viera, Cocoa Beach and kiosk desk in Port Canaveral’s Exploration tower Consists of 80% small business Assists in bridging the gap between big business and small business Fosters a pro-business environment while providing valuable tools and resources to ensure business success

Stop into any of our locations for area information, coupons and more!

Cocoa Beach Regional Chamber of Commerce (Main Office) (321) 459-2200

The Avenue Viera (321) 454-2021 Convention & Visitors Bureau Tourism Information Office (321) 784-6444 Tourist Information Kiosk, Exploration Tower 670 Dave Nisbet Dr. Port Canveral

CocoaBeachChamber.com JUNE 2019

TITUSVILLE

SANA VIVO

ALTERNATIVE HEALTHY VENDING OPTIONS

[ By Matt Weinstein, Contributor ]

Based out of Titusville, Lorelei and Allan Sprayberry were upset with the diet and eating habits of local children and adults. “I saw how poorly our children eat and what it was doing to their health,” said Lorelei. “We established this company to help pass on better eating habits to not only children, but to adults as well.”

Sprayberrys get mobile report updates when items get vended or issues come up. This makes restocking and maintenance much easier to handle and much more efficient. The machines take cash, credit card, atm card, Apple Pay, Google Pay, Samsung Pay and just about every major provider.

As a former school teacher under the disciplines of health and physical education, Lorelei taught at Titusville High School for 18 years before retiring this past September to tackle the problem head on. Her husband, Allan, became her partner in the creation and operation of a new company. Allan, a school teacher as well, is currently involved part-time, but plans to join his wife full time upon his retirement from the education system.

Their new company, Sana Vivo, provides healthy vending snacks and beverages to businesses, government offices, schools and large companies as a healthy alternative to the traditional snack machine. “People are generally becoming more health conscious,” says Lorelei. As they actively look for healthier snack and drink options in the workplace, Sana Vivo is able to provide employees and customers with the healthy and delicious snacks, drinks and meals that they crave.

“We have something for everybody, and we are really proud of what we do!”

Both snack and beverage based, the offerings in a Sana Vivo vending machine include Veggie Straws, Skinny Pop, Chex Mix, a healthier version of beef jerky, Goldfish, protein cookies, fruit snacks, Kind Bars, Cliff Bars, Luna Bars and much more. Their beverages include water, protein drinks, Propel Fitness Water, Bai, and low calorie G2. The available offerings also include items that are GMO free, kosher, vegan, vegetarian, gluten free and low-fat.

Vending options can also be customized by partners that reserve machines with the company. This healthy alternative for schools and businesses also works to help lower rising healthcare costs and promote a healthier, more productive environment.

With snacks and beverages located in one frame, the machines are set up as a dual machine. This makes them very compact and economical to operate. With a footprint similar to that of a small refrigerator, the compact size can still hold over 300 items. These hightech machines also make service much easier. The 30 : SPAC E COAST B U S I N E SS

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“We’re really excited about it. We love the products that we sell, and we stand by them. We put our heart and soul into it and do everything we can to make the client happy.”

The Sprayberrys are looking to focus on the space industry as they continue to expand in the area.

Stemming from their years as educators, they are focused on the school systems to foster better eating habits among children,. They are currently looking to enter Volusia County Schools and then move to Brevard County Schools once Allan retires. “Being a former school teacher, the education system is of high interest to me,” says Lorelei.

The Sprayberrys also attend many of the events hosted by the Titusville Chamber. They feel that it helps grow their connection to the community.

In addition to a focus in improving the health of individuals, they are also dedicated to helping by volunteering with local organizations. On one occasion, they packed bagged lunch meals for needy children that don’t have meals on the weekends.

Through their various efforts, this proactive couple wants to “spread the wealth” of health.

# L A U N C H F R O M H E R E

AREA CHAMBER OF COMMERCE

Rich in history, nature, recreation and technology, Titusville is the place to begin your visit, your business, your career, your family, your life.

Today Titusville and the surrounding area includes many of our highest-visibility corporate neighbors, and we're on the move.

The economy is ramping up (along with our rocket launches), and three major cycle trails converge right here. Keep watching.

.ORG

And if you need a place to begin to make connections that can make a difference, start here.

Marcia Gaedcke Gaedcke@Titusville.org

CIT Y OF

F L O R I DA

Edyie McCall Edyie.McCall@Titusville.com

Troy Post, CEcD, CBE Troy.Post@BrevardFL.gov

LAUNCH FROM HERE is a community-forward initiative to help tell the story of Titusville and provide a vital and united way to bring greater attention to its unique accomplishments, places, people and opportunities.

JUNE 2019

IMAGINE A WORRY FREE RETIREMENT

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Will the Internet kill magazines?

Did instant coffee kill coffee?

New technologies change many things, but not everything. You may surf, search, shop and blog online, but you still read magazines. And you’re far from alone.

Readership has actually increased over the past five years.

Even the 18-to-34 segment continues to grow.

Typical young adults now read more issues per month than their parents. Rather than being displaced by “instant” media, it would seem that magazines are the ideal complement.

The explanation, while sometimes drowned out by the Internet drumbeat, is fairly obvious. Magazines do what the Internet doesn’t. Neither obsessed with immediacy nor trapped by the daily news cycle, magazines promote deeper connections.

They create relationships. They engage us in ways distinct from digital media.

In fact, the immersive power of magazines even extends to the advertising. Magazines remain the number one medium for driving purchase consideration and intent. And that’s essential in every product category.

Including coffee.

space oast www.SpaceCoastMagazines.com

Identify your risk Determine what areas of your business are vulnerable if a hurricane hit. Look at your surroundings. Does your building have structural weaknesses? Could the location of your business have issues being accessed after a storm?

What would you do if your building is severely damaged?

Determine what equipment is necessary for your business to operate after a hurricane.

Determine how your business would function without water, gas, power, internet, or telecommunications.

Are your servers secure and protected if your building were severely damaged?

pay overhead if your business income is interrupted during a storm?

Examine your insurance policy and determine if there are any areas of the business that are not covered.

Determine your communications. How would you commua hurricane? could not report to work after a storm.

Determine how you would receive supplies after a hurricane.

Determine how your business would survive if closed or not accessible for 3 to 7 days.

Develop a Plan Prepare your business before hurricane season begins.

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Establish procedures & a platform for communicating to staff and the community before, during, and after a storm.

Identify and secure surrounding physical risks such as loose fences, signs, and poles.

Identify how inventory will be stored and protected.

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Keep important records safe (insurance policies, contracts, and employee records).

Have emergency supplies ready such as satellite phones, cash, water.

Identify redundancy for computer systems.

For more information on disaster preparedness, visit www.sddatacenter.com/beprepared

The SD Data Center can help you with your business continuity plan by protecting your data.

Whether your business is small or a global enterprise you need an ongoing, coordinated program of plans, prevention, and protection for your data – so when a hurricane strikes, you’re ready.

SD Data Center aims to develop the optimal business continuity plan customized to each customer’s unique business needs. We take a business-centric approach to assess and understand the customer’s technology, customer-base and industry to determine the business impact and recommend the most effective plan.

Our team of experts will help identify the priorities for the processes and applications that need to come online first. You can rely on us to be your business continuity subject matter experts, included free of charge with our services.

HURRICANE CHECKLIST Protect Your Business

In advance of hurricane season, consider one or more of the following: Relocate your servers and equipment to a secure, storm rated facility; consider migrating critical data to the cloud; and implement an offsite to cloud backup or server replication strategy.

Protect Your Property

Anchor large furniture to the walls, move valuables away from windows and place sand bags around any areas prone to flooding.

Safely Store Important Documents

Gather any important business documentation, including sensitive employee information, and store in a safe, dry place.

Keep a Preparedness Checklist

Make sure you’re prepared in case of an emergency situation with an evacuation bag; important documents; pictures or video of your business for insurance purposes; and your critical data backed up off site.

Communicate With Your Staff

Establish a communication plan with your staff in case terrestrial networks are down. Encourage them to setup emergency communication solutions, such as satellite phones. Make sure your employees are up-to-date on information concerning their workplace, including operating hours or any special instructions.

Unplug All Electronics

Make sure to unplug all electronics to lower the risk of fire. If possible, move electronics away from flood prone areas. If your servers and data are migrated already, they will not be impacted by powering down.

Listen to Emergency Management Officials

In the event of an emergency, be sure to heed the advice of emergency officials. Evacuate when necessary and stay safe!

TO LEARN MORE Contact our team at +1 321.610.5900 Email us at sales@sddatacenter.com Visit our website at www.sddatacenter.com/beprepared

Š2019 Satcom Direct, Inc. All rights reserved. 04/2019

EXALTING FREEDOM

THROUGH ETHICAL CAPITALISM

AGELESS, EVEN IN THE SPACE AGE

By Jeff Piersall & Eric Wright

Examining the ROI on Current Trends In the last century, Western Civilization embraced the idea that traditional morality was entirely relative, based purely on the existential values of the individual. An, “it may not be right for you, but it is right for me” perspective came to be accepted, like it was the law of gravity.

Jeff Piersall

At one point, the prevailing thought was that morals could not be derived from any kind of collective experience or from centuries of trial and error. This is what our nation’s founders referred to as “nature’s law.” Nor could it be based, God-forbid, on revelation (pardon the pun). As a result, the definition of freedom somehow morphed from an ability to be self-governed from within and responsible for one’s life purpose, to more or less, ethical anarchy or at least arbitrary ethics.

Eric Wright

It is funny what happens when these philosophical waves crash against the rocky coast of reality. Much like how the

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utopian expectations of liberty, equality and fraternity, that ushered in the French Revolution, soon eroded into the Reign of Terror. But of course, the French experience pales in comparison to the lofty ideals of the 20th century Marxists, which led to genocide and oppression on a scale unheard of in history.

Reality Check But coming out of this low earth orbit perspective and down to the terra-firma where we all live, the consequences of moral relativity, to remarkable individuals like Tiger Woods, are immediately apparent.

Woods admitted when his marriage began to unravel, “I thought I was above the laws that govern others.”

That honest, self-awareness was one of the reasons I celebrated his brilliant Masters victory at Augusta this year.

What troubles me is how popular culture tends to stone anyone who steps up to say, “There are rights and wrongs that apply to all.” Then, the same group will stone the people who act-out as though there are no “rights or wrongs that apply to all.”

The latest victim of this dichotomy is Jeff Bezos. Stefan Aarnio, an author and professional coach, dubbed it the “$35 Billion Zipper.” In case you had not heard, Jeff’s dalliance with a woman he described as, “A really fun dancer,” is costing him his marriage and a whopping $35 Billion divorce settlement. As is the case with most women, or men for that matter, his wife Mackenzie, like Tiger’s wife Elin,

doesn’t appreciate the sophistication of modern trends.

What We Chose and What We Can’t Please don’t get me wrong, I feel for both Jeff Bezos, Tiger Woods and their ex-wives. Marriage is in my opinion, as essential as it is challenging and I empathize with all those who, as Theodore Roosevelt said, “Are actually in the arena.”

The point is, though we make our

own moral choices, we cannot choose the consequences of those choices. Therefore, as a

culture, we desperately need to reintroduce the benefits, if not the pleasures, of wise and disciplined behavior, while at the same time heralding the potentially bankrupting return on poor choices.

Will Durant, the famous historian once said, “A nation is born a stoic and dies an epicurean.” Certainly, both Tiger, with his Zen like focus on golf perfection and Bezos devotion to building Amazon into a word wide phenomenon would be considered stoic in their early approach. Both however, experienced the ROI of an epicurean lifestyle, no matter how much they or others thought their success put them above typical conventions.

Trep Talk is the educational platform of Jeff Piersall and Eric Wright; for more information visit www.linkedin.com/company/trep-talks-ec

JU NE 2 019 : 39

BEST PRACTICE

BOARD PARTICIPATION

Donald R. HATT Mr. Hatt, a resident of Viera, Florida, spent more than forty years in executive roles within the financial services industry and served on numerous for-profit and non-profit Boards of Directors including the role of Chairperson.

You may contact Mr. Hatt at drhatt55@yahoo.com (email) or 603-498-8779(mobile)

THE "WHY" OF BOARD ORIENTATIONS 8 ESSENTIALS FOR SUCCESSFUL ONBOARDING

Without an effective Board orientation process, how can any individual be prepared to exercise his or her fiduciary duty?

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Building a successful company takes many years, and the best way to safeguard that hard work is to establish an accomplished and reliable Board of Directors. Experienced business professionals find board spots as an appealing opportunity to share the knowledge they’ve gained throughout a successful career. However, the only way those new Board members can be successful is if they receive a thoughtful orientation process.

As you consider what the orientation process might look like for your Board, you should include the following components: 1. A detailed historical narrative outlining the history of the company or organization with particular emphasis on the most recent 3-5-year-period. This narrative should include at a minimum: • Key events that have impacted the health and welfare of the company, such as various strategic initiatives, mergers and |

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acquisitions, divestitures, product changes, changes to laws or regulations, etc.

• Past corporate governance changes typically captured in corporate by laws.

• Financial results that might reflect a pattern of volatility accompanied by an explanation of what contributed to both positive and negative performance.

• Explanations of key management and staff changes along with retention statistics and the impact these changes have had on corporate culture, financial results, etc.

• Board and staff organization charts including Board committees and roles.

2. An executive summary of: • Strategic plans that are in place and the effectiveness of current strategies.

• A review of audited financial statements with explanations of key footnotes.

• A review of any regulatory exams with a summary of key recommendations and the company’s progress on implementing

accepted changes 3. In the absence of strategic plans: • An overview of competitors and an assessment of the current competitive environment.

• Plans for to maintaining a strong competitive position, or; • Plans to improve the competitive position in the marketplace.

4. The company’s or organization’s funding strategy.

5. Guidelines for Board members outlining how to discharge their responsibility for confidentiality, while fulfilling their responsibilities to various constituents. For example, when is it appropriate to share information with outside parties regarding confidential matters impacting current or future operations of the company or organization?

6. An overview of the CEO evaluation process, performance guidelines for any management incentive plans, the performance expectation for Board members and how the Board is held accountable for its performance.

7. A review of key corporate policies, both Board policies and Management policies which guide the day-to-day activities of the company. Policies typically cover topics such as human resources, budget and finance and compliance.

8. A summary of the corporate culture which typically includes: • A clear mission statement providing direction and meaning.

• A sense for the depth of involvement of the organization’s members (participative management).

• The organization’s ability to adapt and respond to change.

• An understanding of how values and principles are consistently applied.

Without an effective Board orientation process similar to the one outlined above, how can any individual be prepared to exercise his or her fiduciary duty? Given the responsibility Board members have accepted to represent various company or organization constituents, you can’t afford for them to be Board members in training!

Effective Board governance demands independent thinking and actions in order to ensure the long-term viability of any corporate entity. It takes many years to build a successful company. One individual in a key position without proper oversight can destroy that company or organization in a relatively short period of time. In my judgment, this failure usually traces back to a failure of the Board of Directors to exercise its fiduciary obligation.

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JUNE 2019 : 41

BEST PRACTICE

CONSTRUCTION

Ken WELSH Ken Welsh is the president and CEO of Welsh Construction in Melbourne, Florida. He has over 35 years in the commercial construction and design-build industry. He and his wife, Gina, have enjoyed raising a family and living here on the Space Coast for over 40 years.

HOW TO'S OF DESIGN-BUILD 9 EASY STEPS TO A NEW COMMERCIAL BUILDING

Utilizing the design-build

Your business is expanding or maybe you are just starting out. Either way, you know it’s time for a new building. You want something designed specifically to your needs, but you don’t now where to start.

The building process can be daunting; however, if you follow these simple steps, it doesn’t have to be.

1. Determine the size/needs of your project. Write down what you need from the building. These needs include: your special requirements, how many offices will be needed and storage space. Determine whether you will need a conference room or if this will be a manufacturing facility. If so, how large will this space be? Is there anything unique that you will need for this building? Questions like these will help guide you in the right direction.

method ensures that your facility is constructed in a very streamlined and efficient manner.

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building. Where would you like your new facility to be located? If you are undecided, pick out a few locations that will meet your requirements. Consult a local commercial realtor and search commercial real estate websites like LoopNet and CoStar.

3. Secure your funding. If you don’t have a large pile of cash earmarked for the project, then you will need to meet with your commercial banker to determine how much money is available to you for the project. Ideally, you should meet with a few bankers to determine who will be able to provide you with the best financing package.

4. Interview and secure a designbuilder. Find a competent firm specializing in design-build in your market area. Review their websites and qualifications and then meet with them to discuss your project.

5. Meet with your design-builder. Once you decide on the firm you will partner with on your project, it is important to have a kickoff meeting. At this time, you will further define your project and design requirements. From this meeting, a conceptual design will be formulated.

8. Construction documents. After the engineering is added to the design, the design documents can be brought to 100% completion. After review and acceptance, the project is ready for final pricing and agreement on the final project cost, along with the final project schedule.

6. Design development. Once the conceptual design is accepted, the design can move forward to the next stage, which involves providing the engineering to fill in the design. A preliminary budget can be produced along with a preliminary project schedule.

9. Secure your permits and start building. At plan completion, your design-builder will start the permitting process with the municipal authorities and construction can begin!

7. Secure your property. Now that you know the size and layout of your building, it is time to select and secure your property. You may use your own commercial realtor or one of the realtors that your design-builder uses. The choice is yours. It is also good to use a transaction attorney for purchase of commercial property and project funding.

If you follow these simple steps, your building will be completed in no time! Utilizing the designbuild method ensures that your facility is constructed in a very streamlined and efficient manner with one point of contact and the least number of headaches as possible. All you need to do is watch as your dream becomes a beautiful reality.

You’re the Pioneer.

We’re Mission Control.

JUNE 2019 : 43

FEATURE

IT'S NOT A HABIT, IT'S AN EXCURSION

LOCAL AFICIONADO'S EXECUTIVE CIGAR SHOP AND LOUNGE

By Eric Wright Perhaps when you think of cigar smokers your mind goes to historic figures like Winston Churchill, Ulysses Grant or, for Baby Boomers, Archie Bunker. But if you survey the covers of Cigar Aficionado magazine, you quickly realize that those who enjoy a fine cigar are much like the connoisseurs of fine wines.

You’ll see sports icons like Michael Jordon and Michael Strahan, along with the full gamut of Hollywood’s most recognizable faces, from Arnold Schwarzenegger to Matthew McConaughey and Denzel Washington. Did we mention the ladies like Catherine Zeta-Jones, Sharon Stone and Raquel Welch?

According to Tony Nardone, the local aficionado who owns Downtown Melbourne’s iconic cigar des-

tination, the Executive Cigar Shop and Lounge, the comparison to the oenophilia – the one who loves wine – is the closest analogy to those who enjoy an excellent cigar. “The factors that go into producing a great cigar, from where and when the tobacco is grown, to how it is blended and how a company maintains the consistent taste and aroma that a consumer expects … with so many variables, is really amazing,” Nardone said.

ney from owning a small cigar club to the current location, which is a combination of an elegant glass showroom that transitions into a well-designed and appointed lounge area, where clients can pair their favorite smoke with a craft beer or wine. It also has a ventilation system that Nardone spent more on than

Creating a destination It was his father that convinced Nardone to come to Florida from the Midwest after a successful stint as a drummer in a band that toured widely. The move began a professional jour-

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most spend on their bar’s décor and furnishings.

“I wanted to create a place where the person who has enjoyed cigars all their life could find the brands they love and the camaraderie and conversation that is part of an establishment like this. But it is also for the individual who has never

bought or tried a cigar, where they could come and learn from experts and experience what it is like,” he explained.

Nardone described a good cigar as an opportunity to break from the ordinary and envision yourself on an excursion to one of the exotic locations where these cigars are

carefully crafted by award winning experts known around the world.

It is one of those simple pleasures that spans cultures and generations that the Executive Cigar Shop and Lounge has captured for the Space Coast’s existing and would be aficionados.

JUNE 2019 : 45

UP CLOSE

The Advantages of Being Nimble and Innovative Brian Fleming and Omega Medical Imaging [ By Eric Wright, Publisher ]

Often, large corporations – which may dominate a market sector like the medical imaging field, which includes computerized tomography (CT), magnetic resonance imaging (MRI) and radiography – are so large they are not able to adapt to new, even disruptive, technologies. Sometimes these are spun off into other companies, as is the case with Harris Corporation and AuthenTec, which developed the fingerprint technology used on Apple phones. Other times, a smaller, nimbler company may emerge that introduces something transformative. Such may be the case with Central Florida’s Omega Medical Imaging led by Brian Fleming, which recently received FDA approval for its FluroShield system.

EW: I want to talk about how you became CEO of Omega, but first, explain the FluroShield system.

BF: Radiological imaging equipment is used to do very exacting procedures, in cardiac cath labs, electrophysiology labs and in other interventional endoscopy procedures.

Our technology, powered by AI (artificial intelligence), uses an ultrafast collimator and the world’s most advanced image processing, which has shown to reduce radiation by up to 80%.

EW: Explain, for a layman, how it works.

BF: During an interventional case, where x-rays are being used to guide a surgical procedure – in other words, serve as the eyes of the doctor – AI-enabled technology detects the Region of Interest (ROI), or where in the anatomy, or the place on the patient, say over the heart, the interventionalist is primarily focused. What we call the Our system, automatically collimates to the ROI, which is a narrow focus and only takes full Field of View (FOV) images – which is the larger surrounding area – every so many frames.

EW: So, the larger area, what you call the full Field of View images, appear clear, because they are enhanced, much like how you don’t see the individual frames clicking by when watching a film?

BF: That is the basic idea. It merges the ROI and the FOV into one seamless image. The advantage is that the amount of radiation that both the patient and the medical team are being exposed to is dramatically reduced.

EW: So why isn’t every hospital getting one of these?

BF: The medical profession is very conservative, and we don’t have the advertising budgets of a GE Healthcare, Philips Medical or Siemens Medical, but we are doing all we can to get to both the clinicians and the administrators to understand our product. Currently, it is being demonstrated at AdventHealth in Orlando (formerly Florida Hospital). We have even considered doing a direct to consumer campaign, so that the patients can inquire if our technology is available as an alternative to the high exposures that are involved with equipment in common use.

M AY 2019 : 47

UP CLOSE

EW: I would think, if I was a radiological interventionalist who did these procedures on a regular basis and was getting some exposure, sort of on an ambient basis, I would be very interested?

BF: I agree, these are not short procedures like a typical dental or fracture x-ray, they may take an hour or more.

EW: So where is your equipment manufactured and what is the connection to the Space Coast??

BF: We are based in Central Florida. All of our engineering and design work is done here, and our manufacturing facility is in Sanford.

Actually, it is a Melbourne-based firm. Venture Management Group (VMG) and Skip Hauer are our partners and initially contacted me about Omega back in 2010.

EW: Explain?

BF: I started in the defense industry and ended up at GE. They had a spinout company; it wasn’t GE owned, but they developed the technology that was used in a health care application. Eventually, I ran the company.

While there, I was introduced to Omega as one of our customers. We looked into acquiring it, 48 : SPAC E C OAST B US I N E S S

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unsuccessfully. Then, when I was on my own, I tried to buy it, but I wasn’t able to put the deal together.

One day I got a call from Skip Hauer with VMG and, believe it or not, I almost hung up on him. He said they were approached about an acquisition of Omega, but he said they don’t buy companies unless they have a CEO partner to run them. He asked if I would be interested. That was back in 2010. Since then we have enjoyed double digit annual growth.

Skip and his team not only have an amazingly innovative business model, they also are great personally, and have had an incredible impact on a lot of people, like me.

EW: What are the differentiators of Omega?

BF: Many of these larger companies – and I know because I was part of one – won’t focus on an innovation that doesn’t move the needle a billion dollars … it isn’t significant enough for them. Because we are smaller, we are nimbler and can bring new technologies to the market much quicker. Plus, in most cases our equipment is more durable and cost effective. It is just a matter of getting the word out.

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N O M I N AT I O N S N O W O P E N C E L E B R AT I N G S PAC E C OA S T B U S I N E S S LEADERS UNDER 40 N O M I N AT E AT S P A C E C O A S T B U S I N E S S . C O M

© 2015 Southwest Airlines Co.

Without a Heart, it’s just a machine.

So in 1971, a little Heart built a different kind of airline—one that made sure everyone could fly.

Everyone has important places to go. So we invented low-fares to help them get there.

To us, you’re not 1A or 17B. You’re a person with a name, like Steve.

Here, we think everyone deserves to feel special, no matter where you sit or how much you fly.

And with all the places we’re going next, we’ll always put you first, because our love of People is still our most powerful fuel.

Some say we do things differently.

We say, why would we do things any other way?

Without a Heart, it’s just a machine.