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IN $ IDER

VOL. 9 NUMBER 3: July 2013

THE

The Money Issue

IN THIS ISSUE: Learning About HSAs PLUS:

Hooray for T2K Family Day THERAPY 2000

We improve lives.

Also:

"One of the Best Mistakes I Ever Made" "How I Got Rid of $120,000 of Student Debt"

Survey Says | Chari-T2000 Golf Tournament | CEU Boot Camp


editorial staff Jerre van den Bent, PT EDITOR-IN-CHIEF Kyle Butler MANAGING EDITOR Alex Paris COPY-WRITER/EDITOR Belinda Williams, OTR EDUCATION Ira Kirkley HUMAN RESOURCES Ashley Sparkman, PT A WEEK IN THE LIFE Kerrie Bennett, PT CHARI-T2000 Sarah Wilkerson, SLP CHARI-T2000 Danielle Collins, MS, CCC-SLP CHARI-T2000

Inside This Issue: • Best Mistake. ...................2-3 • Money, Money, Money ...4-7 • Family Day .......................8-9 • Human Resources ..... 10-12 • A Week in the Life .......... 13 • Chari-T2000 ............... 14-15 • CEU Boot Camp ....... 16-17 • Survey Says ................. 18-20

ANNIVERSARIES July Jerre van den Bent ....................... 07/01/2000 Nancy Estes ................................... 07/08/2002 Eileen Wade ................................... 07/14/2003 Dava Reynolds .............................. 07/05/2006 Chessa Jones ................................. 07/07/2008 Amanda Treber ............................. 07/21/2008 Heather Pitner .............................. 07/28/2008 Melody Benson ............................. 07/01/2009 Jeffrey Grace.................................. 07/13/2009 Chris Moody-Musick ................... 07/20/2009 Melody Millsap .............................. 07/01/2010 Alexandria Paris............................ 07/01/2010 Amelia Rankin ............................... 07/06/2010 Amanda Foresman ....................... 07/12/2010 Lindsey Stone ................................ 07/12/2010 Tracey Raith ................................... 07/19/2010 Julie Schmidt .................................. 07/28/2010 Lauren Davis.................................. 07/11/2011 Stacy Fitts ....................................... 07/11/2011 Karen Biggerstaff .......................... 07/18/2011 Mary Jane Weiss............................ 07/18/2011 Nichole Lehnerz ........................... 07/29/2011 Trina Ard ........................................ 07/02/2012 Joshua Florence ............................ 07/02/2012 Brenda Garcia ............................... 07/02/2012 Sara Gomez ................................... 07/02/2012 Rebecca Mastrovich ..................... 07/02/2012 Caren Cuellar ............................... 07/09/2012 Meredith Honeycutt .................... 07/09/2012 Ashley Collazo .............................. 07/16/2012 Jan Dulay ........................................ 07/16/2012 Jessica Minard ................................ 07/16/2012 Michelle Coulter........................... 07/20/2012 Kirsten Selby ................................. 07/23/2012 Rebecca Vestfals ............................ 07/27/2012 Belem Acosta ................................ 07/30/2012 Jaqueline Bancayan ....................... 07/30/2012 Cindy McMillan ............................. 07/30/2012

Tran Tran ........................................ 08/26/2004 Marc Fagnan................................... 08/27/2004 Kristin Giggleman ......................... 08/16/2005 Priscilla Keating ............................. 08/01/2006 Joseph Valdez ................................. 08/04/2008 Toni Barron.................................... 08/02/2010 Kristi Hickman .............................. 08/02/2010 Amber Krumholtz........................ 08/02/2010 Nicole Giglio ................................. 08/09/2010 Michelle Parish .............................. 08/16/2010 Jennifer Rosene ............................. 08/01/2011 Becky Bloomfield ......................... 08/04/2011 Lisa Chance ................................... 08/04/2011 Natasha Cline................................ 08/06/2012 Briana Singleton ............................ 08/13/2012 Casie Cearley ................................ 08/20/2012 Lisa Espinosa.................................. 08/20/2012 Sabrina Ponce ................................ 08/20/2012 Courtney Quinn-Scott ................ 08/20/2012 Graysen Sanders ........................... 08/20/2012 Christin Christopherson ............ 08/27/2012 Melissa Uceta ................................ 08/27/2012 Kathy Clapsaddle .......................... 08/30/2012

Happ y Anniversary

August Danielle Collins ............................ 08/14/2002 Maryam Berenberg ...................... 08/23/2002 Yeisha Culp .................................... 08/16/2004

September Justin Rodriguez............................ 09/18/2002 Rebecca Andrews ......................... 09/06/2006 Milford Roque ............................... 09/18/2006 Leslie Trillo ..................................... 09/17/2007 Jennifer Lawson............................. 09/02/2008 Elisabeth Houghton ..................... 09/10/2008 Elizabeth Bryant............................ 09/15/2008 Bernardine Harshman ................. 09/17/2008 Kathy Gamble ............................... 09/23/2008 Danielle Harston .......................... 08/31/2009 Adriana Muzquiz ........................... 09/02/2009 Carmen Ojeda-Reyes .................. 09/08/2009 Pedro Sambolin ............................. 09/14/2009 Maura Maloney ............................. 09/21/2009 Christopher Rodenberg ............. 09/07/2010 Edith McCollom............................ 09/20/2010 Kerrie Owens ............................... 09/20/2010 Crystal Pirkey................................ 09/24/2010 Katie Arellano ............................... 09/19/2011


One of the best mistakes I ever made BELINDA WILLIAMS, OTR, EXECUTIVE DIRECTOR OF training and compliance One of my biggest “mistakes” occurred during my college days. I had completed all of my academic work as well as the second of three internships. I was now planning the drive from my internship in Chicago to my final internship in Wilmington, Delaware, 753 miles away without a cell phone! Cell phones weren’t available to the public until 1983 when Motorola introduced the 16 oz. Dynatac for more than $3,600 each. Having no cell phone was “normal” back then. I carefully scanned my unfolded Rand McNally map and planned stops to refuel in larger towns along route where I would use only indoor or drive up payphones to keep my parents reassured and informed of my location. I was in touch with them only three times at most during this road trip, if you count the collect call I made during the one hotel stop to let them know I had checked in before dark. Though I had carefully planned for safety, I completely forgot to call the financial aid office to follow-up on my already delayed financial aid. Long story short, I ended up with a three month lapse in financial aid during my internship and less than $100 in my checking account. Huge mistake! When I finally reached my destination I used the generously provided payphone for student interns inside the row house. I was devastated to find out that the financial aid department had lost my updated application so I had to resend it…by snail mail and wait AGAIN for them to process the application! Best case scenario; I could expect more money in about 30-60 days! I pondered carefully.What shall I do? Call Dad? Call a friend? Moonlight?

rice casserole, fried chicken, onion ring topped baked chicken, chicken salad & chicken seasoned rice were menu “favorites”! I was careful to leave the clinic at lunch time to go home (across the street) to eat lunch instead being taunted by the smells of fast food that people brought in. I washed and rinsed my clothes in the bathtub, treading back and forth in the water to both agitate and push the excess water out before wringing them. I then hung them on the lines found on the back porch. By the way…frequent exposure to laundry detergent will burn your feet! I only drove my car to worship and occasionally to the grocery store if I had some very important yet inexpensive purchase to make. I entertained myself with my cassette tapes (Stevie Wonder & Michael Franks were my favorite at the time), walking in the park nearby, fuzzy TV (poor reception on a little black and white set) and reading…lots of reading! Well, I have to say this mistake was a success! I endured! My financial aid arrived a few weeks before my internship was over and not a dollar too soon! I celebrated by telling my parents what I had accomplished, and after their initial shock and scolding, was rewarded by both parents, relenting, that they have always known me to be a survivor. We all agreed that tough times are the tests of life that can make us stronger and wiser. The moral of this story is that money can offer great security for material needs, but a real test of our character comes when there is little or no money. Since that lonely summer, I have always known…I never want to be that broke again, but also, that I am most fortunate to have found many personal values far beyond the dollar! Faith, fortitude and self-discipline — better than money!

Well, as a young adult, on the verge of independence, I made a decision to “grow up” and assume full responsibility for my forgetfulness. Since I wasn’t likely to land a night job, I took stock and buckled down for the challenge! After filling my gas tank, buying a few groceries, which included one whole chicken (which I portioned and froze), milk, rice, onions, flour, cooking oil and eggs, I figured out my food and financial rations to last for at least two months. I had a whopping $48 cash left to my name which I decided would not be spent except for absolute necessities. I ate every chicken and rice variation I could think of for two months: Chicken pie, chicken & rice soup, chicken &

Wilmington, Delaware, white row house on the end, where I chose to finish growing up.

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$$$ Money, Money, Money, Money............. We interviewed two THERAPY 2000 physical therapists at different junctures in their career paths. Elizabeth Bryant is a 2008 Doctorate of Physical Therapy graduate with a financial issue many people face at this point in their career, staggering student debt. Karen Crain has been a physical therapist for thirty-three years and is looking towards retirement in the next ten. Karen and her husband Jim are facing the same questions many baby boomers are right now — how to save for a comfortable retirement. Both physical therapists share their wisdom in the following interviews.

Elizabeth Bryant, PT, Eradicated $120,000 in Student Loans in Just Four Years In Georgia, if you keep your high school grade point average a 3.0 or higher you get a free ride to a state college. Thanks to the HOPE scholarship the state pays for 120 hours of tuition, books and student fees. Elizabeth took advantage of this perk and worked summers in college teaching swim lessons. Thanks to hard work and good grades Elizabeth was able to graduate from the University of Georgia with only $8,000 in college debt.

The Bryants in the Fjordlands near Doubtful Sound on the south island of New Zealand

Graduate school was another beast. Elizabeth got her Doctorate in Physical Therapy in 2008 from one of the US’s top ten physical therapy graduate programs, Emory University in Atlanta, Georgia. Elizabeth took a full load of classes in graduate school but continued working to keep her debt down. She shared a simple apartment with three roommates and ate most of her meals at home. Even with these frugal measures she accrued $120,000 in school debt while attending the great, but expensive, private school. For many new graduates this story is common.

Elizabeth met her future husband, Travis, right after graduate school. They had a lot in common, including a love of travel. Travis was debt free; but he knew from the start the amount of debt Elizabeth was carrying. When Elizabeth and Travis got married they decided together to make knocking out the debt out as fast as they could their mission. And that they did; they managed to eradicate her student debt of $120,000 in just four years. Not only did they get rid of the debt in four years, they also travelled internationally six times during that period. Right about now you may be wondering how exactly they managed to do that. Us too! We talked with Elizabeth to find out their secret to buckling down and paying off debt. We learned there is no one secret, just a series of smart choices, including budgeting, pre-planning and some small sacrifices. Nothing too hard, we promise. Elizabeth shared, “When you don’t have debt your brain feels more free and more doors open. “ Elizabeth did not grow up affluently. Her father lost his job once when she was very young. She was keenly aware of the sacrifices that her parents made just to keep the family dressed and fed. Her parents taught her about spending, saving and budgeting. Elizabeth now thinks back to this time as a blessing. Without those hard times she might not have the attitude toward money that she now does. She worked summers in high school and learned the value of a dollar at an early age. She doesn’t throw money around or overuse credit cards.

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Every month the Bryants allocate a certain amount of cash to use. Once the cash is gone, it’s gone; no credit cards are used to cover the difference. They make this work with a system of folders. Each folder has a label: Groceries, school loan, gas, etc., are the indispensable ones. There are fun folders too, including the dog’s allowance, and travel. At the beginning of the month when they get paid they allot cash to the proper folder. If they need to save for a specific new item like curtains, they start a curtains folder. Using cash is known to help curb impulse purchases. There is something about handing over cash that makes you really decide if a purchase is necessary. For the Bryants there needs to be some flexibility in the system to make it work. At the end of the month if one folder is empty and another one has a lot of cash leftover they reallocate differently the next month. (continued on next page)


............................................ MON-ey! $$$ They utilize credit card for items like gas, booking hotels, flights, online shopping and home bills (electric, internet, water etc.) with the knowledge that they always have to pay the balance in full at the end of each month. They make sure the money is there to pay it off by starting the month with one empty folder marked "credit card." When they pay by credit card for an item, such as gas, they move money from the gas allotted folder and into the credit card folder. At the end of the month when they go to pay the credit card the cash is always there to cover it in full. They pay the credit card online out of their checking account and deposit the cash from the credit card folder into the bank. That way they still get credit card points that add up for travel and other items without adding debt.

The Bryants and their dogs on vacation in Colorado

Elizabeth shared, “Knowing what you love helps too. We love to travel. We would prefer to travel over a fancy date night.” Life is a series of choices. Travel plays such an important role to them they know they would rather skip expensive dinners out and put that money toward travel instead. So the travel folder gets more cash than the dining folder. Of course, for other people the folders might be different. When Travis and Elizabeth first got together he already had a small house and a small mortgage. So instead of buying a new, big house or renting a fancy newlywed apartment, they stayed in the small house with the small mortgage. This left more money to pay down her school loan. This goes with another common piece of advice for people trying to save or get out of debt. Live below your means. Just because you can afford the expensive 2013 new car doesn’t mean you should buy that car. Sacrifice more in one area to be richer in another. Another tip Elizabeth shared is relatively easy. Put any windfall toward your debt. Got a raise or tax refund? Put it toward the debt. If you do it right away you’ll never miss it since you never had it in the first place. In September Elizabeth will have worked at THERAPY 2000 for five years. She said that when she first starting working at THERAPY 2000 the job helped her be more content with what she had. After all, many of the families she routinely sees in her home health physical therapy job have children with severe health problems and often have fewer material goods …but are happy. That can quickly put what’s important into perspective and make you appreciate what you have both in a physical and material sense. Elizabeth shared, "It helps to be content with what you have. Enjoy your things. It seems we are always looking towards the next thing to make us happy. Instead be content with what you have. Don’t just strive for more stuff. " Once all the debt was gone they continued to save that amount of money each month and put it toward other big purchases. By reallocating two months of former school loan payments to a travel folder they were able to treat themselves to a celebratory "no more student loans" two-week trip to New Zealand. A year of savings got them a down payment on a bigger house.They also kept their old house as a rental property and use the rental income from their new tenants to help pay down their new mortgage.They have also spent the last year allocating her old student debt folder towards purchasing a new car. Recently they also added a new folder to her savings routine — childcare. The Bryant’s are expecting their first child in August. Elizabeth and Travis continue to live below their means. Elizabeth said, “In the end, just because we paid off my debt, didn't mean we changed the way we lived. We continue to stay below our means in hopes of being able to afford new costs including a kiddo and childcare.” Future plans include starting to save for a new car for her husband in the next year. They are also looking forward to being able to give back to their church and other charities. She shared, "We've wanted to be more generous with what we have been given." The content provided in this newsletter is for informational purposes only. It is not intended to be and does not constitute financial advice and is general in nature. 5


$$$ Money, Money, Money, Money............. Karen Crain, PT shares how she is revving up her savings for retirement Karen Crain is a physical therapist who has worked at THERAPY 2000 for eleven years. She was the Physical Therapy Program Director on the Education Team for the last three years. Recently she moved into the role of Team Manager for Central Dallas. In her current job she carries a partial caseload, has several direct reports, supervises two physical therapy assistants, and also continues to present for continuing education courses with THERAPY 2000. Karen has been working in pediatrics for twenty-eight of her thirty-three years as a physical therapist. This has helped prepare her for another new Jim, Karen, and "Addy" role, Karen is now a proud grandmother to a 3-month-old named Adeline or “Addy.” In addition to her day job she is also pursuing a transitional Doctorate of Physical Therapy from UTMB Galveston. Let’s just say her free time is limited at the moment. Karen shared why she is pursuing her doctorate at this point in her career, “I have a Bachelor’s degree and wanted to get my doctorate to be current and in congruence with APTAs Vision 2020. There are so many areas of our profession that are very different from when I graduated and this is an opportunity to increase my knowledge base outside of shorter, weekend courses. The program that I am enrolled in is pediatric based, so I feel that it is also helping me in my practice.” Karen and her husband Jim have been married for thirty-six years and have two grown, married children. Recently they have started taking a hard look at their future and retirement plans. They set a goal of retiring in the next decade. Though Karen plans on continuing to work in some capacity she also looks forward to spending time at home doing all of the things she hasn’t had much time for as of yet. Like many baby boomers Karen and Jim feel like they are playing a game of catch-up on their financial retirement goals. Karen said, “We did not save as much as we would have liked when we were younger, so we are playing catch-up now.” This is probably the most common retirement issue people have and fewer than half of Americans have even calculated how much they need to save for retirement. Raising kids, home improvements, car troubles - life adds up making it a challenge to save for something that seems so far away. In retirement, the Crains are looking forward to living a lifestyle similar to what they are currently accustomed to as well as travelling more. Travel goals include taking road trips throughout the US, cruises and trips to Europe. Anyone who has bought a tank of gas or international flight lately knows these can be expensive endeavors. Thinking ahead towards retirement, Karen explained, “We realize that we will probably spend more money on travel and leisure activities in earlier years of retirement, but may have more medical expenses in later years.” In addition to travel they also plan to spend more time with their children and future grandchildren (no pressure, kids!). Karen also hopes to do volunteer work with children, study her family’s genealogy, scrapbook family photos and take classes just for fun. According to the United States Department of Labor the average American now spends twenty years in retirement. Karen 6

(continued on next page)


............................................ MON-ey! $$$ shared some of the ways her family is preparing for a comfortable retirement. They have paid off their debt and are saving money in some smart ways. One rule the Crains follow that increases the money they put away towards retirement is to overall decrease monthly bills and payments. They worked hard to become debt-free so they would be saddled with less bills and could save more. They achieved this goal by “chipping away” their debt. You do this by taking the smallest balance first and paying extra over the minimum until you pay it off. While you put more money toward the smallest balance to pay it off, you keep paying minimum payments on your other balances. Once you get rid of that first bill, you apply the amount once designated for the first bill toward the second bill. So you have two payments now going towards the second bill. This system worked well for the Crains; they kept at it until their debt was gone. In 2010, 30% of private industry workers with access to a 401(k) plan did not participate. That is losing free money. THERAPY 2000 makes matching contributions equal to 100% of the first 3% of compensation you contribute to the Plan and 50% of the next 2% of the compensation you contribute. Did you know if you're over 50 at any time in 2013; you can contribute an additional amount to your 401K? "Catch-up contributions" can add another $5,500 to your 401K. Workers aged fifty or older in 2013 can make a total contribution of $23,000 to their retirement plan accounts. If you are fifty or younger you max out your 401K contribution at $17,500. Karen is taking full advantage of the THERAPY 2000 401K by putting the maximum amount allowable each year. She admits putting so much toward the 401(K) at once does make the paychecks smaller, but knows it will pay off in the long run. One tip she shared is she sets up her withholding so it maxes out by November.That way she has a little extra “bonus” money at the end of the year for the holidays. Genius! Another tip Karen utilizes is, “As you receive increases in your salary, increase your 401K withholding by that percentage. Chances are, the increase will get lost in your checking account anyway. If you are making do with your take home pay now, just go ahead and put the bump toward your 401K.” Karen and Jim are making huge strides towards their retirement goals and she had this parting advice, “Save money as you can now, but don’t deprive yourselves. You never know what life has in store, so enjoy life now, also keeping in mind the future.”

Here is another retirement saving idea to put into use:The IRA You can put up to $5,500 a year into an Individual Retirement Account (IRA), $6,500 if you are 50 or older. There are two options for IRAs, a Roth IRA or a traditional IRA. The amount you put into each year’s Roth IRA is taxed that year, but from then on the earnings grow tax deferred. Qualified distributions are tax free, including distribution of earnings. For a traditional IRA earnings grow on a tax-deferred basis. Earnings are added to taxable income for the year distributed. So with traditional IRAs, you avoid taxes when you put the money in. With Roth IRAs, you avoid taxes when you take it out in retirement. To set up your THERAPY 2000 401(K) visit www.NetBenefits.com E-mail Matthew Dann Matthew.Dann@WellsFargoAdvisors.com our Plan Advisor with any questions.

The content provided in this newsletter is for informational purposes only. It is not intended to be and does not constitute financial advice and is general in nature.

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FAMILY DAY AT SIX FLAGS

Six Flags family day was a ticket to unlimited fun. A sea of red T2K shirts were seen from Looney Tunes USA all the way to Gotham City! Our T2K family enjoyed unlimited rides and an all access pass to family fun. The BBQ lunch was delish and the amazing array of raffle prizes dazzled‌ an iPad, Kindle Fire, cookware and gift cards galore! Thank you to the Social Events Committee for putting together such a fun event for everyone!


BUZZ #t2KFamilyday


human resources by ira kirkley, PHR, executive Director of strategic development Spotlight on HSAs: A new way of saving for your future health costS The rising cost of healthcare calls for new and creative approaches for individuals and companies alike. Most of us are familiar with a PPO plan. It’s what most companies have been offering for years. Almost every year the plan gets more expensive for you and the company. Many are less familiar with another insurance option many companies are starting to offer, the High-Deductible Health Plan and Health Savings Account. This plan and the complimentary account as well as the PPO plan are currently available to qualified THERAPY 2000 employees. PPO insurance plans have a deductible. If your PPO insurance plan has a $1,500 deductible (like t2K’s individual plan deductible) your coverage doesn't begin until you've paid out-of-pocket for the first $1,500 of your own medical expenses. Preventive care services are not subject to the deductible. Prescriptions and copays also do not go towards your deductible. The premiums you pay monthly are higher than a High Deductible Health Savings Plan. The other option THERAPY 2000 offers is called a High-Deductible Health Plan and Health Savings Account. You pay less in premiums for a High Deductible Health Plan and Health So now that we know the basics about these Savings Account but you have a higher deductible like the plan insurance options let’s take a look at what T2K name says. The deductible for an individual in a High Deductemployees are currently doing: ible Health Plan is $2,500 ($1,000 higher than the $1,500 deductible for an individual enrolled in a PPO at T2K). In conjunction with the High Deductible Health Savings plan you also have the option of a Health Savings Account.You put tax# of Employees Enrolled in T2K Health Plans (201) free money into this account, and use the funds to pay for a wide range of qualified expenses including physician office fees and prescriptions. All these expenses go towards your Total # of Employees (330) deductible. You decide how much money you want to set aside for this account each year up to $3,250 for an individual 350 and $6,450 for a family (HSA holders 55 and older get to * T2K provides insurance save an extra $1,000). THERAPY 2000 also offers a matching for 400 people. (Each insurcontribution of $500 a year or $50 per pay period towards 300 ance plan has an average of your account when you open one through payroll deduction. 2 people on it.) Though T2K may contribute some money it’s yours, even if 250 you change jobs. The unused money in the account continues to roll over if you don’t use it each year. You don’t pay 200 taxes on the money going into your account. Once you have a certain amount of money in that account you can also invest that money. 150

T2K Enrollment Statistics

Individuals in a PPO plan through THERAPY 2000 today pay a cost of $76.15 bi-weekly. For individuals enrolled in a High Deductible Health Plan and a Health Savings Account you pay a bi-weekly cost of $46.20. You have a lower deductible for the PPO but pay higher premiums. You pay less in premiums but have a higher deductible ($2,500 versus $1,500) in a High Deductible Health Savings Plan.

100 50 0


THE FACTS: •

THERAPY 2000 currently has 330 employees.

201 of our 330 employees carry health insurance through THERAPY 2000 – nearly 2 out of 3 employees. Each health insurance plan has an average of 2 people on it, meaning THERAPY 2000 is providing health insurance for just 400 people at this time.

Nearly 2 of out of 3 (268 out of 400) individuals with T2K health insurance are enrolled in the PPO plan with a $1,500 deductible. Remember prescriptions and co-pays do not count towards the deductible amount.

On average, those 268 people are paying an additional $1,100 (in higher premiums) for a PPO deductible that is $1,500. Only $1,000 less than the $2,500 deductible for HighDeductible Health Plan.

62 of the 400 people covered by T2K health insurance are on track to meet their $1,500 PPO deductible. 42 of them are on track to meet a $2,500 High Deductible Health Plan deductible.

That means somewhere between 10-15% of covered individuals will meet their deductible this year if those trends continue. 85-90% will not meet their deductible.

Last year, only 5 out of 370 spent more than $2,500 out of pocket. SEE INFOGRAPHICS BELOW

HDHP vs. PPO ENROLLMENT HDHP ($2500 Deductible)

PROJECTION: DEDUCTIBLES MET 400

PPO ($1500 Deductible)

300 200

132 Participants

400 Total Plan Participants

62 Participants on track to meet $1500 PPO Deductible

100 268 Participants

0

42 Participants on track to meet $2500 HDHP Deductible

What does this mean? * 268 PPO participants pay an additional $1100 in higher premiums for a deductible that is $1000 less.

85-90% will NOT meet their deductible this year *

10-15% of participants will meet their deductible this year *

In 2012, 5 out of 370 spent more than $2500 out-of-pocket * based on current projections


human resources by ira kirkley, PHR, executive Director of strategic development Here’s the reality, over 200 of us selected insurance for ourselves or our families because we were scared we might be one of those people that exceeds the individual deductible. 200 of us invested in security. Here’s the other reality, 85-95% of us will be wrong. Those 85-95% of covered individuals will have paid somewhere between $1,500,000 and $2,000,000 for that sense of security. In all fairness, this is how insurance plans work. As healthcare costs rise, insurance companies defer the increased expense to companies and their employees in the form of premiums. Individuals pay the increased premiums because of the fear that they will fall into the small percentage of people that will exceed their deductible on an annual basis, as only five did last year. Companies pay the increased premiums because their employees expect it. We all value a sense of security. It’s important. But here’s the bad part, the sense of security comes with other costs. Typically, with a traditional PPO we do not select services because of cost but rather the referral of our physician. Second, for every year that money is invested in monthly premiums and the deductible is not met, that money is lost to you forever. Most of us don’t currently seek out health care services with a consumer mentality because our health care costs have been hidden in premiums rather than bills for actual services. There is a different way of looking at things. What if we did start approaching our health care with a consumer mentality? For example, I looked up (within a 10 mile radius of our Lone Star office) through bcbstx.com an MRI of the Lumbar Spine without contrast. Cost ranged from $450 to $2,600. An Ultrasound of the Abdomen ranged from $189 to $900. That’s a huge discrepancy. When you start paying for your expenses out of your own account (HSA) rather than through increased premiums (PPO) you are encouraged to reap savings by seeking health care services that meet your quality and affordability standards.You shop for your services. Unfortunately, you cannot trust your doctor to help you in that process. By deferring your premium savings into your Health Savings Account and receiving THERAPY 2000’s $500 matching program, you will have the money available for short-term medical expenses and quite possibly be retaining savings for the future. If you don’t use the money you can invest these savings into interest bearing accounts once the account reaches $2,000. Here’s an example of how that can work. Fidelity Health Benefits estimates that the average medical expenses for a couple retiring in 2013 will be $220,000. A 25-year-old that pays $2,000 less in annual premiums until 65 and chooses to invest it instead in a Health Savings Account (at a 3% return) will have accumulated $300,000 for medical expenses during retirement. Of course there are down sides to the HSA too.Where people usually get into trouble with Health Savings Accounts is not contributing to them on a regular basis. As a result, they run out of funds and feel that the plan isn’t working. The other area where a person can go wrong is by not approaching health care with a consumer’s mentality. When you start paying for your expenses out of your own account (rather than through increased premiums) you need to research the providers you go to for quality and affordability and find your fit. The shopping process could take more time. You also can't be on a spouse's low-deductible plan and have an HSA. You're required to keep receipts to show that any money you took out of the HSA was for a qualified health expense. Something else that you have to keep track of in your already busy life. You can Google HSA vs. PPO to find out if you think it might be a good fit for your life. All T2K insurance subscribers can utilize the Cost Estimator tool on BCBSTX.com to find service providers that meet their quality and cost expectations. This tool will let you see a cost estimate for a variety of services from real in-network providers within a particular geographic radius. You might be shocked at the results. The tool can be found on the Blue Cross Blue Shield website here: http://www.bcbstx.com/flowserve/coverage/cost_estimator.html Have questions or want to learn more about our HSA, PPO or life in general? Feel free to email me at Ira.Kirkley@t2000.com.


a Week in the Life Of ashLeY sParkman, Pt Hi! I’m Ashley Sparkman. I have my Master’s Degree in Physical Therapy from TWU. I currently reside in the heart of East Texas, Longview. I enjoyed working in a clinic setting when I first graduated from PT school but I have truly grown to love home health in my first year with THERAPY 2000. I especially like that I can give my kids all the time they need without feeling rushed. I love using the skills God has given me in my international trips to the Ukraine, several spots in West Africa and now Guatemala. I’m heading there this coming week! Here's a "typical" week in my work life: Monday: Life in East Texas is grand. It's not too hot this morning, so I sit on the porch, finishing up paperwork. I'm coordinating with Mellissa Jones, PTA on kids we share and planning when I can supervise them. I know I'm partial, but I work with the best PTAs! I head to Shelberley's house at lunch to reevaluate her. The roads in East Texas rarely have traffic and the views on some of the county roads are beautiful. However, you may get stuck behind a tractor, horses, or road work and you often come across some things that make you laugh or scratch your head. Shelberley has made huge gains these months. We've been seeing her a while and her mom is telling me about how proud she is of the independence she's gaining as a teenager. These gains in independence are what we work for!

Typical East Texas traffic

Tuesday "Tuesdays are Sonic burger days. Tuesdays are for wrestling." ~Weston P. I have never laughed as hard with a patient as I have with Weston. He's a teenager who has seizures.Although his cognitive level is lower than his age, you wouldn't know it by his quick wit. When we arrived initially, he refused to leave the home much and definitely hated outdoors. He'll now go to the park for PT with Jose Herrera, one of the amazing PTAs who also works with Weston. Jose has, per Weston, become Weston's new best friend. Today I was re-evaluating

Weston and he has shown such great improvement that we'll be ready to discharge soon! His mom is nervous about DC because the last time he had PT and was discharged immediately, he went into serious seizures due to anxiety from the change. Therefore we are working with his mom and tapering him off slowly. Wednesday I could say this is "twinsday." See the girls below? Those are the twins, Ashley and Audrey. They were born at twentythree weeks gestation and will be having their second birthdays later this year. I love the fact that I have three sets of twins, all between 18-20 months old. These girls have overcome a ton of medical issues, but now are rocking and rolling, literally. They are so different in personality and medically, but have made great strides and are a highlight of my week. Who wouldn't love those faces!?

Ashley

Audrey

Thursday Another awesome part of my job is working with DME providers to get equipment for my kids. Today is mobility central as I meet with Ray and Ryan to get a gait trainer for one kid and posterior walker for another. Today I'm getting to demo a Grillo gait trainer with Briley for the first time. She's just beginning stepping with assist and facilitation and I'm so excited to see her start cruising in this. It's a new piece of equipment to me and I'm loving some of the features that combine elements from some of the other gait trainers I love. I'm also busy finishing up visits for the month and trying to figure out what to do about the kid that cancelled this morning because it's the end of the month and tomorrow is... Friday! Not only is it Friday, it's Continuing Education day at THERAPY 2000! I'm heading to the Dallas for an infant massage course in conjunction with the high risk infant toddler program. I love working for a company that provides so many opportunities for growth professionally!


chari-t2000

update

Dylan Chari-T2000’s latest van donation gives Dylan the motivation, excitement and freedom he has been craving. Dylan is a twenty-yearold patient who suffered from a traumatic brain injury four years ago that left him with significant challenges in his mobility and communication skills. Dylan works hard each and every Dylan with his new day to make improvements van and lift in both areas. In October 2012, his family’s van was stolen. This also robbed him of his freedom to see his friends and family outside the home and made simple tasks, such as going to the store impossible. He had to rely on transportation services for his doctor’s appointments. These services were much appreciated by his family, but he would sometimes have to wait up to two hours after his appointment to be picked up. Dylan has not let these obstacles in his path deter him from moving forward and that says a lot about his strength of character. This June, the door to more opportunities, including expanded community and fellowship with his friends and family were finally opened again. Chari-T2000 provided Dylan a van that was equipped with a lift and transfer seat. The hard work he has put in to therapy paid off as he was able to assist in the transfer into the van and communicate where his first trip would lead them. Dylan picked a local swimming pool to hit for his first outing. With a huge smile on his face and tears streaming down his mother’s cheeks, the motherson duo could not be more appreciative of the generosity of Chari-T2000. Dylan is soon to turn twenty-one and the timing is perfect for keeping Dylan moving in the right direction as he soon will have to say goodbye to his THERAPY 2000 therapists. — Kerri Bennett, PT Breanna Breanna is an energetic and happy five-year-old diagnosed with Autism and a seizure disorder. When I first started seeing her about a year ago, she only used the occasional single word to communicate and 14

Breanna loves her weighted blanket, belt, and cat printed lap pad

would run and hide from me when mom or dad opened the door. She’s made such progress since then! She’s now putting together two to three words to ask for her favorite things and she answers yes/no questions also. Breanna still struggles with sensory needs and often seeks input in inappropriate ways that can be dangerous to herself and others. Breanna’s mom did some research and told me about some things she wished Breanna had to help her stay regulated at home. I provided Amber with Chari-T2000’s information and after consulting with her occupational therapist and behavioral therapist, we placed an order for some weighted items. Now, Breanna almost always has a smile on her face when I come over. That was definitely the case when I walked in with the big box from Chari-T2000! Breanna got a hot pink weighted blanket for her bed, a weighted belt and an adorable cat print lap pad. This picture shows Breanna engaged in one of her absolute favorite activities—flipping pages in her Bible—with her brand new lap pad! When mom put her weighted belt on, Breanna took it for a spin around the house, laughing and saying, “Bea belt! Bea belt!” I’m so excited for Breanna to have these items that will help her feel safer and more comfortable. Thanks Chari-T2000. — Sara Wilkerson, SLP

CJ wearing his weighted vest

CJ CJ is a 4-year-old little boy with PDD, Pervasive Developmental Disorder. Chari-T2000 recently purchased him a weighted vest. CJ’s mom said it has been a huge help to him and keeps him calm and focused. Danielle with Rebecca and her Big Mack and switch

Rebecca Rebecca is a teenager with a sweet smile and a family that surrounds her with love. She was always so excited when voice output switches and music were used during speech therapy. Rebecca has cerebral palsy and is cortically blind so music is one of her favorite things. When it was time for her to be discharged from services, I knew the Home Exercise Program would be very beneficial for the family and wanted to get Rebecca her own Big Mack and a switch. This proved harder than I


thought. Every resource I attempted kept refusing to pay use by children with upper extremity or severe physical disand pointed me in another direction. I tried Chari-T2000, abilities. Now the family can carry out the home exercise per Kimmy Gibson’s suggestion. I was able to get the toy program - and Rebecca wants to participate! I wanted and Big Mack switch very easily! Rebecca loves — Danielle Collins, MS, CCC/SLP her new Krazy Kat toy, a switch operated toy designed for

for the

Chari-Tee 2000 Golf Tournament Friday, September 27, 2013 Woodbridge Golf Club 7400 Country Club Dr. Wylie, TX 75098

1:00 PM Shotgun Start $125 per player ($500 4 man team)

We need your help to make this event a success! Know a company that would be a good fit to sponsor our golf tournament? Want to play in a foursome? To register or sponsor visit chari-t2000.org and look under "events" for registration and sponsorship opportunities.

Sponsorship Levels: Bronze Level $250 • Hole sponsorship (Sponsorship logo displayed at tee box)

Silver Level $500 • Hole sponsorship • Email/Facebook promotion Small flyer in the welcome bag (given to all players) • Name on all publications Gold Level $1000 • Hole sponsorship • Email/Facebook promotion Small flyer in the welcome bag and promo material • Name on all publications • 2 free golf players

Platinum Level $2500 • All Gold Level Benefits • Exclusive hole sponsorship (your company will be assigned their own personal hole to advertise/promote business in a way of your choice, sales personnel/marketing agents allowed along with tables and tents) • 4 golf players /1 team Title Level $5000 • All Platinum Level Benefits • Exclusive hole sponsorship (your company will be assigned their own personal hole to advertise/promote business in a way of your choice, sales personnel/marketing agents allowed along with tables and tents) • 4 golf players /1 team • Promoted every time event is mentioned • Booth in the Pavilion Area 15


T2K Dallas Education Boot Camp a HUGE Success! Around two hundred therapists participated in THERAPY 2000’s CEU Boot Camp in Dallas on June 26th and 27th. The therapists enjoyed classes lead by T2k experts. It was a huge success thanks to the T2K team. Look for Boot Camps coming to other T2K cities soon. Here’s what attendees were saying…

On "Rethinking Therapy Service Delivery in The Schools" by Kathy Clapsaddle:

“Excellent! Super speaker,

“This was the best CE

captured interest/desire. She has excellent

presentation that I have attended

speaking voice, great tone. Inspires one to try to

this year!! Thank You” –ST

incorporate and grow to using this and then students get the best” – PT

16

On "Updates in Comprehensive P on Curren by Jennif


On "Avoiding Ethical Pitfalls: Reflective Practice Tips for the Rehab Therapist" by Belinda Williams:

“This was the best ethics presentation in my 20 years of practice!!! Thank you for making this

On "Updates in Autism: Creating mprehensive Programming Based on Current Evidence" by Jennifer Lawson:

t CE

e attended

available…for no cost!”- PT

On "Updates in Autism: Creating Comprehensive Programming Based on Current Evidence" by Jennifer Lawson:

“Thank you T2K for this AWESOME free CEU and all the yummy food! So generous! Love this company!” –ST

u” –ST

UPCOMING BOOTCAMPS for SLPs, OTs, and PTs. Spread the word! • Tyler on July 29th • San Antonio on August 7th 17


survey saYs... the insider asked you, the therapists and staff of T2K, how to stay money savvy in work and home life.

Thanks for the tips, our pockets are feeling fuller already! Here is what you had to say…

dvds. No cable TV or home phone; rarely go to movies; redbox instead. No daycare; one parent works from home part time. Estate sales or craigslist for furniture. Use houseplants to purify air quality in home. Make my own 5 gallon laundry soap; make homemade lotions and balms. Grow medicinal plants for minor ailments. Juice to stay healthy and avoid illnesses; nurse my baby vs. buy formula. — Michiko escobido, oT

How do you stay thrifty in your home life? Please share your tips. I have a family of 5, so we do not eat out much. We participate in a veggie/fruit co-op (Bountiful Baskets) and pick up fresh food every weekend. I wash and put it away when we get home on Saturday so it's ready to go for the week and cooking is easier. We have found that it's not only healthier, but saves a ton of money over time. — Trina Ard, SLP

Take advantage of 401k plans to the maximum allowable amount yearly. Plan meals weekly so we don't over shop and have food go to waste. Eat 90% of meals at home. Don't carry ANY debt except a mortgage. — Kelli Appelbaum, Division Director Houston, (SLP) Sun blocking curtains to keep out the heat, "Manager's Special" items at the grocery store and Groupons for entertainment! — Sara Wilkerson, SLP

1)We use cash envelopes for groceries and eating out- once the cash is gone, you can't spend any money in those categoI apply the "love it" rule to all my purchases. If I don't love it, ries until the next "cash cycle" resumes. 2)Never go grocery shopping when hunI don't need it. — Dolores Cardenas, oT gry, and always write out a grocery list- and do not stray from the list! 3) It's cheaper to buy in bulk Hypermile in my Prius, average (Costco, Sam’s, etc.). 4) Use coupons whenever possible. 45 MPG. Thermostat at 78 5)Turn off any lights that are not in use. 6) Set the thermowhen home, 82 when house stat up while away from home. — Amy Bihl, Social Work Case Manager is empty. Always pack my lunch, fill water bottles with filtered water from the tap. See Reduce, recycle, reuse, and cook at home. — Beatriz, SLP matinees instead of paying full price. Use Groupons & other entertainment coupons. — Kathy Gamble, PTA

18

Buy energy efficient appliances. Shop at thrift and consignments stores for quality brand name products; shop at Aldi, Towntalk. Use cloth diapers; sun dry clothes vs. use dryer; grow veggies/fruit trees and compost plant products. Use rain tank to water yard/garden. Use library for books and

I follow the Dave Ramsey plan. I make a budget each month and use envelopes to keep track of my spending in each area. I bring my lunch to work when I can, wait to buy things that are on sale and save for things I want to buy rather than putting it on a credit card or financing. — Julie Schmidt, SLP


Newspaper manufacturer coupons on top of Target coupons = double coupons. Pinterest DIY for many things (baby wipes, cleaners, laundry detergent). I usually take my lunch with me to work. There are tons of ideas for sack lunches on Pinterest to keep you from getting bored making the same lunch. Buy toys for work at thrift stores and yard sales. I get all my kids clothes at Once Upon a Child only when they have their HUGE sales (4 times/year).To keep my 3 kids entertained for no cost, I take them to free events: Lakeshore Learning store crafting every Saturday, Bass Pro Shop crafts and games, free movies at certain movie theaters on certain days, story time at libraries and Books a Million. McDonalds will give your kids a free "baby ice cream cone" usually if you go to play in the playland. San Antonio Museum of Art is free Tuesdays 4-9:00PM, Witte Museum is free 3:00-8:00PM Tuesdays, San Antonio Children's Museum is free every 3rd Tuesday of the month after 5:00PM. I also look at toys at Lakeshore and off Superduperinc.com to try to figure out how I can make a cheap version of some toys myself. I also make my own bubbles.You have to use your imagination, but it works! My baby has the worst skin problem and gets diaper rashes easily. My brother, a pharmacist, showed me how to make an amazing over the coun ter diaper rash cream that works better than any prescription cream we've had. This has saved on co-pays, time spent at the doctor and buying the prescription! — Christina Wrightsman, SlPa

I try to be as time and cost efficient as possible with all visits. I try to schedule patients starting close to my home for the beginning and end of the day and make a circle, avoiding any overlapping in driving if at all possible. I schedule patients that are near each other on the same days in order to boost productivity. I also try to bring my lunch and water when possible to save a little. — morgan bundick, SlP

Do you have any tips for staying thrifty in your job?

The hot temperatures tend to melt crayons and evaporate markers and so many other things. I use an insulated thermal pack (similar to a lunchbox) and it saves me from buying loads of crayons, bubbles, and markers. Alexis Vo, oT

Bring your lunch and snacks; buy the cheapest car that gets the job done, after a few years in this job all our cars are worth a lot less! Order tea at your Starbucks breaks instead of coffee - it's about half the price. Bring your own mug for another 10₡ off. — anne marie Pinkenburg, SlP

Work very hard to discourage canceled visits. Double check phone numbers so we can reach each other to re-schedule. Work to find a schedule that is a good fit with the family's routine. — Starla Sweda, ot For time and fuel efficiency I do try to map out my therapy sessions to have the best routes that work with my patients' needs. My family are big "brown baggers" which saves time and money all the way around. Pamela Simpson, PT I bring my lunch every day. I try to schedule patients by the distance between homes. For example I’ll try to see all my kids in north Arlington on one day and all my kids in south Arlington on another day so I don't back track and drive more then I need to. Tiffanie Klement, SLP Go home for lunch, buy drinks during Sonic Happy Hour, or stop for specials at QT and Racetrack. Use coupons for oil change. Buy toys at consignment stores. Use wifi service from home to connect. Plan visits within one area. michiko Escobido, ot

I try to schedule patients close together when possible to save miles. I schedule a break in my day so I can eat lunch at home instead of fast food. I scan lot of things to keep from using paper and ink. Carol Kretchmar, SLP (continued on next page)


THERAPY 2000 2535 Lone Star Dr. Dallas, TX 75212

survey saYs... I have used pool noodles for all types of positioners (bed, Yes, consolidate multiple loans into one for a lower interest chairs, and highchairs). Very cheap, but be sure stock up in rate and lower payments! Tina Leyva, office staff the summer! Cuyler Romeo, oT I had debt from my Masters. I drove a 14-year-old car until I use a vinyl tablecloth to create a clean working surface on it was paid off and then treated myself with a 7-year-old car the floor. Voila! Plenty of space without worrying about once I was debt free. Cuyler Romeo, oT getting dirty! Easy to clean and tote! Belinda Williams, executive Director of Training and Compliance, (oT) Are you currently saving for anything? Did you have any college debt? If so how are you lowering it or how did you get rid of it? Any tips?

Yes, a pool and retirement! Keane Byrom, SLP

Yes, unfortunately. I had student loans from graduate school. We have a family budget and make sure to pay as much as Yes, to go to Brazil for the World Cup next year. Alejandra Chaparro, office staff we possibly can to lower the amount. We have a monthly budget and make sure we stick to it! Sara Jacobson, ot I have 3 kids; I'm constantly saving for something! Tina Leyva, office staff I thought I needed a luxury apartment in graduate school, so yes. I get paid two times a month. One paycheck is for bills, groceries, savings account and fun money and the other is for loans. I've paid 25% of my student loan principle in a year! Sara Wilkerson, SlP

My husband and I are currently continuing to grow our savings account. We'd like a house and children in the future. We'd also like to open an investment account through our bank. molly Webb, SlP

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