PDF - Smithville`s Stella Luna gallery closing after 10
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PDF - Smithville`s Stella Luna gallery closing after 10
alk e ong WEB exclusives ucbjournal.com • Bobby Q’s changing spaces • TTU renames nursing building for Bell • Crossville dealership building new digs • UC favorites named to ‘Best’ list NOVEMBER 2013 Issue #103 A voice for businesses in the Upper Cumberland executive PROFILE Barry O’Connor 8 UC posed to welcome seventh winery MEDICAL PROFILE Dr. Sangeetha Pabolu 10 LIZ ENGEL CLARK | UCBJ Editor SEC Enterprises merges with Tullahoma beverage distributor Dalton Paschall holds a “winning” cluster of grapes grown at Hickory Hill Vineyards and Farms in Smith County. LIZ ENGEL CLARK | UCBJ Editor PUTNAM COUNTY – Citing increased instances of consolidation, two Tennessee beverage distributors have joined forces to create one of the largest distribution companies in the state. SEC Enterprises Inc., a locally owned and operated beverage distribution company serving the Upper Cumberland for 25 years, has merged with Tullahoma-based Mid-South Distributing Inc. The new company will operate under the Mid-South Distributing name. Combined, the merger while create a single company with almost 100 employees, approximately 1,700 retail accounts across SEE sec | 3 Presorted Standard U.S. Postage Paid Monroe, Ga Permit No. 15 ati UPPER CUMBERLAND ucbjournal.com BE CONNECTED. STAY INFORMED. BRUSH CREEK – Since their first vines were planted in 2006, Scott and Rebecca Paschall have made grape-growing their newfound labor of love. Which is hard work. But a means to keep going the family farm. That job is about to get a lot more labor intensive, it seems. Instead of selling off their product commercially to wineries across the midstate, the Smith County couple is looking to start making and selling their own product onsite. Hickory Hill Vineyards and Farms, which has harvested grapes for a number of years in the Brush Creek community, south of Carthage – grapes that have been sold to wineries like Bean’s Creek in Manchester, Arrington Vineyards south of Nashville and DelMonaco Winery in Baxter – is planning to become a Tennessee bonded winery. SEE winery | 3 Unintended consequences: Could UC see employee turnover with ACA? LIZ ENGEL CLARK | UCBJ Editor UPPER CUMBERLAND – A source for higher premiums for the healthy. Or a deeper pond for business to pool risks. A jobs killer. Or the breath of fresh air for companies anxious about rising health care costs. Since its passage, the pros and cons of the Affordable Care Act (ACA) have been embattled, aired out and rehashed, moreso following the Oct. 1 rollout of the health insurance exchanges. But could it also mean high employee turnover in the Upper Cumberland? An increase in divorces? Those are just a pair of scenarios that some say may play out locally as those exchanges see a slow start up in the region. Tonya Hinch, owner of insurance firm Don Hinch & Associates in Crossville, has been making quite the speaking circuit lately, talking locally to different groups about the ACA – from bar associations, to HR managers and retirement community groups. The health care law is not only the “biggest social experiment of our lifetime,” she said, but also the largest data R O R ER SEE health | 5 They treated me like I was number one. ary Morgan of Livingston had delayed getting treatment for peripheral artery disease in her legs until the pain became so bad that she had to quit working. She turned to Cookeville Regional, where Dr. Brian Gerndt discovered a blockage in her neck as well as several in her legs. M “Sooner or later, I would have been facing having probably one of my legs, if not both of them, taken off, because I wasn’t getting any blood circulation at all through there,” said Morgan. Since Dr. Gerndt performed procedures to remove the neck blockage and replace the arteries in her legs, Morgan’s pain is gone, she’s walking again, and she even stopped smoking. “There’s nothing that can hold me down now!” said Morgan. “I just thank the Lord for Cookeville Regional and for the doctors who did this for me.” It’s these kinds of results that have helped Cookeville Regional achieve the Healthgrades® rank of #1 in Tennessee for Vascular Surgery for 2012. While we feel very honored to receive this level of recognition, it’s the changed lives of patients like Mary Morgan that make it all worthwhile. CRMC– Putting First Things First Mary Morgan Livingston, TN 931-528-2541 • crmchealth.org #1 in TN for Vascular Surgery (Healthgrades® 2012) news ucbjournal.com // OPINION // feature // profile // column // community and serving our customers with the same attention to detail as we always have,” Ottis Phillips, owner of SEC Enterprises, said. Phillips, a Cookeville native, has been in the beer distribution industry since 1980 and returned to his hometown in 1990 to assume the role as general manager of SEC, which was established in 1988 with the purchase of Whitson Distributing. Over the years, Burks Distributing and Whitaker Distributing were added to the SEC fold. He said he’s known Mid-South president Rick Gerwe since 1990, and since their respective operations are similar in size, geography and product mix, they’ve also shared their best practices and performance numbers on an ongoing basis. The merger has been a topic of discussion for at least five years, Phillips said, before both finally decided to move forward. “Our industry has experienced a tremendous amount of consolidation. As a result, the number of independent beer wholesalers has declined by over 30 percent in the past 20 years,” Phillips told the UCBJ. “By consolidating SEC and Mid-South Distributing we will be able to realize some economies of scale along with doubling our distribution area covering 31 counties in Tennessee. This arrangement makes us a stronger competitor and will allow us to continue to invest and grow our brands in Tennessee.” “This merger creates so many benefits for our employees and our suppliers,” Gerwe said in a statement. Mid-South previously acquired Stevens Distributing in RICHARD LAWSON FROM winery |1 Advertising Cassey spakes COLTON MULLIGAN This summer, commissioners in Smith County unanimously rezoned 23 acres of the Paschall’s farm off Highway 53 as an agritourism overlay district to allow them to make their vino onsite. Pending federal and state approval, Hickory Hill could become the Upper Cumberland’s seventh winery, joining the likes of Chestnut Hill, DelMonaco, Highland Manor, Holly Ridge, Red Barn and Stonehaus. Rebecca Paschall said they hope to receive all the necessary approvals by this time next year. The goal is to be fully operational – and selling wine – by Memorial Day 2015. “We’re in the process of buying equipment. Hopefully, it will go smoothly,” Rebecca said. it was overturned. We almost got hung with a cross in 2010. We had about 10,000 pounds (of grapes) that DelMonaco ended up buying at the last minute. “After that, the state came up with an idea called custom crush, which allows a grower to have their wine made at a bonded winery, brought back to their farm and sold,” she continued. “Originally we were going to do that and grow and then sell wine on the side, but when we started looking around, it was so cost prohibitive that we decided to become a bonded winery.” The operation will be on the smaller scale – at least in comparison with the likes of Arrington and DelMonaco. They’d like to run the operation as a “boutique” winery, she said, only open Friday-Sunday and during the week by appointment only. There will be a tasting room and tours and the ability to host small events. Bottom line: it will be their way to keep farming the land that once belonged to Scott’s grandfather. This year, they had their biggest crop ever – about 25,000 pounds of grapes, she said, were sold to Arrington Vineyards. “This is something that rural communities really need to look into,” Rebecca Paschall said. “You’re keeping the rural landscape, and that was our main thing. We wanted to keep the farm. The thought of it being developed was just heartbreaking. “I really think, wine, even though a lot of folks are against it, it can really change a FROM SEC |1 31 counties with annual sales revenue in excess of $40 million. SEC has distribution rights for 17 counties, while Mid-South, which has served the Tullahoma and Columbia areas since 1979, covers 14. “We are excited to expand the size of our company while still being a part of our UPPER CUMBERLAND JAY ALBRECHT Publisher Editorial LIZ ENGEL CLARK Editor DESIGN/LAYOUT Jarrod conner Published by PTT VENTURES, LLC Larry mcdonald Chairman MIKE MCCLOUD Principal Advisor info@ucbjournal.com The Upper Cumberland Business Journal is published monthly by PTT Ventures, LLC. It is produced by MMA Creative at 705 N. Dixie Ave., Cookeville, TN 38501. PHONE: (931) 528-8852. FAX: (931) 520-3833. E-MAIL: info@ucbjournal.com. Every attempt is made to present factual information; neither the Cumberland Business Journal, nor PTT Ventures can be held responsible for opinions expressed or erroneous information provided by contributing writers. Upper Cumberland Business Journal© by PTT Ventures, LLC. All rights reserved unless granted by written permission. Call for subscription rates. Tennessee fresh The Paschall farm spans 100 acres. Back in the early 2000s, it was slated to become an 80-home residential development, but the Paschalls, hoping to save the land, approached Scott’s parents and aunt and were successful in buying it back to keep it a family operation. This was also around the time when the state was encouraging the planting of grapes over tobacco. The Paschalls planted their vineyard in 2006, five acres total of grapes. Their first harvest followed in 2009. “When we planted, a Tennessee winery had to buy 75 percent of its fruit from Tennessee growers. That’s how the state law was written,” Rebecca Paschall said. “But (in 2009) 2013 NOVEMBER CLASSIFIED 3 Shelbyville and Hickman Distributing in Pulaski. A merger in 2003 with Columbia Mid-State Distributing brought Coors brand products to the company. Gerwe will assume the role of CEO and Phillips will remain in Cookeville and serve as president. The Cookeville warehouse will remain but the corporate office will be located in Tullahoma, Phillips said. For MillerCoors, the newly shaped MidSouth Distributing will become its largest geographic and fourth largest volume distributor in Tennessee. Among the other breweries represented Nashville’s Blackstone, Modelo, Boston Beer, Heineken, Mikes Hard Lemonade, Lagunitas, Gallo, Brown Forman, Sierra Nevada, Diageo, Shiner and Pabst. “I really think, wine, even though a lot of folks are against it, it can really change a community, and in a good way, and bring in new jobs.” community, and in a good way, and bring in new jobs,” she said. And, should all go well, there are bigger plans in store. “The main thing now is getting all the kinks worked out,” Rebecca Paschall said. “We’ve got a plan of possibly getting a little bit larger down the road. I hope to have at least a couple part-time employees and host events, but you never know until you get into it. “People, they’re out searching for things to do – it used to be movies or shopping, but now people want to get out, go zipline, or hike, or go taste wine, do all these creative things, and they’re willing to spend the money to do it. We’ve got to take advantage in these rural communities. “I look forward to joining the wine industry here,” she added. “I think this is an area that can really grow.” (931) 456-6071 Field’s Engineering Consultant Services, LLC Barry R. Field, P.E. • 25+ Years Experience Above and beyond in resident & patient care 931.484.6129 456 Wayne Avenue, Crossville, TN 38555 77 Cother Street, Crossville, TN 38555 FieldEngineering.net Civil, Environmental & Structural Engineering Services Construction Management & Inspection Services Water Distribution/Treatment Systems Wastewater Collection/Treatment Facilities Groundwater Monitoring Facilities Subdivision Development Building Design / EPA Phase I and II Audits Offering equipment from: Liberty Pumps is a leading U.S. manufacturer of pumping products for ground water and wastewater removal in residential and commercial applications. 4 NOVEMBER 2013 news // OPINION // feature // profile // column // CLASSIFIED ucbjournal.com Health care marketplace a marred experience I logged in on a Wednesday, just your typical, run-of-the-mill cool-weathered fall day, a hair before the lunchtime strike. I entered my full legal name, email address (several times, actually), I picked a password and struggled to come up with easy-toremember responses to the impossibleto-answer security questions. My identity was verified (thank heavens for that). More personal information was entered. And just like that, I was in. Welcome to the lauded land of the health insurance marketplace. So this was the fabled exchange. It was a decently attractive site. But for some odd reason, I was expecting faux grocery store-like aisles, lined with binder-sized boxes, kind of like what you’d see in a Progressive car insurance ad. I was also looking for that all too common error message I had heard so much about – one that has everyone up in arms just weeks after the launch of the exchanges, a centerpiece of the so-called Obamacare – that’s prevented so many from signing up for the coverage they want and need. Simply curious, I logged in a few days after President Barack Obama’s mid-October speech about the disappointments in the website, and the promises put forth to fix it. I guess they were still working on it; I didn’t get my error message, but I did get stuck. Then I had to log back in. And got stuck again. Then logged back in. Then got stuck. You get the LIZ CLARK UCBJ EDITOR VIEWPOINT drift. I’m not known as a particularly patient person (I mean, have you read my Viewpoints?), so I started to get frustrated. I’m also a fan of avoiding most things political, so I was hoping the “glitches” were just media hype, but my experience was real. I only gave my health care exchange experience 30 minutes tops, because I had more important things to do. I was on deadline, for goodness sake. Oh, the things us reporters will do for a story. By the way, I’d love to hear from UCBJ readers who have logged into the exchange – whether because of an insatiable need to see it for themselves, like me, or to actually purchase insurance. My contact info is below. Now for part II of this month’s column. I’m sure you’ve all heard the reports. It was quite the shift from the efforts traditionally put forth to market Cookeville and the Upper Cumberland as an attractive place to be, so understandably, this was not shouted from the rooftops – but it went viral all the same. Supposedly, we’re, like, the poorest city in America. Well, to be technical, we’re the sixth poorest, according to Credit.com. Whatever that is. The report pooled census data for the Cookeville micropolitan area, namely Putnam, Overton and Jackson counties, and found that the average income for those 106,498 residents was a measly $31,813 per list wanted to lay claim to the report, and none was exactly thrilled with their ranking. Most countered in various outlets that their low cost of living makes much smaller salaries stretch farther. All pointed to what census data doesn’t say – the real meat-and-bones of a community – it’s educational, recreational and lifestyle opportunities. And we all know we have those here in the greater UC. So I don’t feel the need to air out the issue any more than that. year. In the poorest city, Lumberton, N.C., located south of Raleigh, average income was $28,293. Meanwhile, the median U.S. household income topped out at just more than $51,000. Since I’m writing this after the shutdown, I had the ability to verify the statistics used, but, of course, that’s not the true problem. Obviously, not one of the 10 cities on the Of course, all that was just icing on the cake when it came to another top 10 list: the news that Tennessee was the most dangerous state in the country. At least we’ve got that going for us. Liz Engel Clark is the editor of the Upper Cumberland Business Journal. She can be reached at liz@ ucbjournal.com. Celina Health and Rehabilitation Center Offering Adult dAy ServiceS CHRC Adult Day Services is the destination of choice for adults seeking a caring, stimulating and safe environment to spend their day. Benefits include: • Nutritious meals and snacks • Improvement in mental and physical health • Socialization and peer support • Caregiver Respite • Social Activities and Stimulating Therapies • Costs covered by many TennCare Choices programs 120 Pitcock Lane • Celina, Tennessee 38551 931-243-3139 • CelinaHealthAndRehab.com news ucbjournal.com // OPINION // feature // profile // column // CLASSIFIED 2013 NOVEMBER 5 FROM health |1 River Park Hospital trained certified application counselors (CAC’s), from left, Vonda Myers, Andrea Porter and Jenny Milgathering effort the government has ligan help Trent Curtis navigate the www.healthcare.gov site undertaken since the start of the comparing insurance plan options. federal income tax. But misinformation abounds. “It’s huge,” Hinch said. “There’s some really interesting ramifications of the law. “A lot of larger employers are thinking, ‘phew, the employer mandate got delayed, so I don’t have to worry about it.’ I think they do have to worry,” she added. Perhaps one of the biggest is the potential for some high employee turnover. Here’s the scenario: Employer offers health insurance to its worker, but said worker also holds side jobs as an additional means of income, like construction or farming, if they’re only putting in their hours with said employer for the benefit of insurance, it’s possible they could be dropping off the roles come Jan. 1. “I think that’s a big issue for this area because so many people are in their 50’s and early 60’s, just trying to hang on until Medicare,” Hinch said. “Offering benefits has been one of the Solloway, owns Small Biz Staffing in number one drivers in getting employees Crossville, a recruiter for professionals, in this area, because Tennessee’s not a clerical, industrial, technical and skilled guaranteed issue state, now that’s off the table. labor positions, has attended one of Hinch’s It forces you to rethink the entire employee recent presentations. She agrees with her benefits side of your business model.” predictions. Vicki Baucum, who, along with Norma While the national headlines say the Audiology The Specialty for Hearing Loss Audiologists for Cookeville and the Upper Cumberland Lisa Davidson, Au.D., Doctor of Audiology Reed Norwood, Au.D., Doctor of Audiology Call today for an appointment! Your Experienced Hearing Care Team Cookeville Audiology & HEARING AIDS Comprehensive hearing examination by a doctor of audiology Providers for Medicare, BCBST, and most major insurances Wide range of types of technology and prices Custom hearing protectors and musicians’ monitors Financing available www.tnaudiology.com 888.429.5188 COOKEVILLE 728 S Jefferson Ave, Ste 8 MCMINNVILLE 904 N Chancery St, Ste 1 Did you know audiolo gists ar e the most hig h ly t r ained profess ion medica als for nonl Ask tod hearing loss? ay if yo care pro ur hearing vider is Doctor of Audio a logy! staffing industry as a whole will see an increase in the number of temps hired – she predicts our region will see more of the aforementioned employment change. “If benefits were the reason you thought you were keeping your workforce, that’s going to change,” Baucum said. “We’re going to see a shift in our employment base, because the people who historically, over the last 15-20 years, have been working for benefits and health insurance, no longer need that (because of the exchanges).” SEE health | 12 6 NOVEMBER 2013 news // OPINION // feature // profile // column // CLASSIFIED ucbjournal.com It’s always something: IRS grants ACA delay but there’s still plenty to keep employers on their toes IRS grants employers a reprieve with one-year delay of Affordable Care Act’s employer mandate, but other rules and rulings will keep employers busy in 2014 On July 9, the Internal Revenue Service (IRS) officially granted employers covered by the Patient Protection and Affordable Care Act (“ACA”) a welcome, one-year reprieve from the ACA’s employer mandate. The reprieve provided that enforcement of the mandate will not take place until 2015. The IRS’s action also included relief from two key reporting requirements associated with the employer mandate. Other portions of the law, including the individual mandate, are unaffected by this delay in enforcement. There are still plenty of other requirements in the ACA to keep employers on their toes next year, however. And in other news, the IRS recently issued a revenue ruling stating that, in light of the U.S. Supreme Court’s ruling in “United States v. Windsor,” same-sex couples who are legally married will be treated as spouses for federal income tax purposes. JEFF JONES SPECIAL TO THE UCBJ LEGAL Following is a brief look at these recent developments. ACA checklist for 2014 Notice of coverage options As of Oct. 1, all employers covered by the Fair Labor Standards Act (FLSA) were required to distribute a Notice of Coverage Options to employees, informing employees of coverage options available through the health insurance exchange (now called the “marketplace”), as compared with coverage options available through the employer. The notice requirement applies to all employers subject to the FLSA, regardless of whether or not the employer offers health insurance and regardless of whether the employer is subject to the employer mandate. Although it got off to a bumpy start, Tennessee’s federally-run online marketplace did open on Oct. 1 as scheduled. Even though there is no fine or penalty for failing to provide the notice, according to guidance the DOL posted to its website on Sept. 11, employers who have not already done so should provide the notice as failing to do so could run afoul of disclosure requirements regulated by ERISA. Going forward, the notice must be provided to new employees upon hire. In May, the DOL issued technical release 2013-02 to provide temporary guidance regarding the notice requirement until final regulations are issued. The DOL has also promulgated model notices. Summary of benefits and coverage As in 2013, a Summary of Benefits and Coverage (SBC) must be distributed during open enrollment for the 2014 coverage period. The SBC must indicate whether the employer’s plan provides minimum essential coverage as defined by the ACA and whether the plan or coverage meets the minimum value requirements. The SBC template has been revised somewhat for 2014; the template is available on the Employee Benefits Security Administration (EBSA) website. W-2 reporting Employers that issued 250 or more W-2s in the previous tax year must again comply with the ACA’s requirement to report the aggregate cost of health coverage on employees’ W-2 forms. Employers filing fewer than 250 W-2s continue to be exempt from the requirement. In other words, small employers will not need to report health insurance coverage on 2013 W-2 forms, issued in January 2014. Tax treatment of same-sex spouses In light of the Supreme Court’s “Windsor” decision, the IRS issued a revenue ruling on Aug. 29 broadly interpreting the marriage provisions of the tax code in a gender-neutral way. This means that for all federal tax purposes, the terms “spouse,” “husband and wife,” “husband,” and “wife” include an individual married to a person of the same sex if the individuals are lawfully married under state law. Additionally, for federal tax purposes, the term “marriage” includes a marriage between individuals of the same sex. The ruling is to be prospectively applied beginning Sept. 16. The general rule recognizes a samesex marriage if the marriage was validly entered into in a state whose laws authorize SEE irs | 16 50 OR OVER? CALL US TODAY! 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Training, 2008-09 and the continued loss a master pastry chef in demand throughout Europe, and certainly, along with ambition and of manufacturing and production their daughter. Regular visits to Ireland and occasional UPPER CUMBERLAND BUSINESS JOURNAL determination are necessary values UPPER CUMBERLAND BUSINESS JOURNAL facilities. While O’Connor developed visits by his family dull the pain of being apart, and his to a successful career. For some, a menu that drew from the strengths tasks in the pub keep him so occupied that he has had little what drives them is a hunger for of the local farming economy, time for some of his favorite pastimes, such as sailing and perfection. focusing on the concept of “field to fork,” Silvestri rugby. With his work visa extended until 2014, O’Connor Referring to a map or Internet browser, the distance and Mandli invested heavily to repair and reinforce a anticipates that between his responsibilities coordinating between Middle Tennessee and the west coast of Ireland building that had seen better days, while at the same time a busy restaurant, training and teaching associates and is almost 3,800 miles as the crow flies. Yet, in many meeting the requirements of the design guidelines for the would-be amateur chefs, his workload will be such that ways the distance is minimal. The original settlers to Gainesboro historic district and retaining authenticity of thoughts of Cork will be minimized to the reminders the Cumberland Plateau, men and women alike, largely the structures. Finally, in March, the Bull & Thistle Pub restaurant patrons post on the Bull & consisted of immigrants from Ireland and Scotland. A trek was opened, drawing accolades from the start from Thistle Facebook page, and his Skype along the Avery Trace, which runs nearly the length of the critics and customers alike for both the charms calls to his family. As to his laurels, as state, bears mute witness to the fortitude, strength and of the décor and the menu. he adds to his already impressive list of bravery of those early colonists. O’Connor has continued his practice of accomplishments, he will be on his feet So it is that Jackson County sees a new settler, not sharing his expertise by teaching seminars in way too often to even consider resting on marking his trail on tree trunks, but on a restaurant menu. haute cuisine and by hiring as associate chefs them. Chef Barry O’Connor was already well known and individuals from the Jackson County area who highly regarded by his peers and customers in cities like Barry O’Connor is chef at The Bull and Thistle Pub, bring their passion and talent to the kitchen. The London and Cork, two centers of European cuisine that 102 S. Main St., Gainesboro. Call the pub at (931) Bull & Thistle Pub also provides employment produce critics and palettes alike that are hard to satisfy. 268-7170 for information on O’Connor’s cooking opportunities to many other local residents, Good chefs, though, as O’Connor will tell you, are not seminars. For more information, visit https:// some with disabilities, who work in the kitchen made, they’re born. www.facebook.com/BullandThistlePub or www. and throughout the restaurant in many different In O’Connor’s case, this lineage includes his mother, a bullandthistle.com. capacities. In addition, he and the owners are hoping sous chef in Cork, his grandfather and two of his uncles. to reach out to the local school system to give high A lifelong exposure to excellence in fresh cuisine, and the school students opportunities in the restaurant trade. temptation of creating memorable feasts and one of a kind A strapping man with the rust colored hair found dining experiences, moved O’Connor at the age of 14 into a in many of his countrymen and a hearty brogue, career that he has pursued for more than 30 years. O’Connor knows what he wants from This quest – a search for excellence in flavors, his associates and trainees. As ready to ingredients and preparation methods; a hunger if you share a healthy laugh as he is to correct will – drove the young O’Connor from training at the mistakes in his kitchen, he has found prestigious Rockwell Hotel and Catering College to that Tennessee residents, and Jackson apprenticeships under other chefs, to positions across the County inhabitants in particular, have European continent and England, either running a kitchen welcomed him with open arms. “Chef for someone else or for himself. Yet it was more than his own satisfaction that moved and Barry,” as most regulars at the pub call him, inspired O’Connor. He wanted to share what he’d learned, found his initial series so he began teaching classes in culinary arts. He was of cooking classes so moved to help others less fortunate, so he created further popular that when a sign opportunities in gastronomic education for individuals up list for an advanced with autism thriving on helping those with aptitude and class was passed around motivation to establish their own careers. at the final introductory Still, O’Connor sought new horizons. So when a pair of session in July, it was entrepreneurs and successful business owners, Dr. Loui filled to capacity by Silvestri and Diana Mandli, began their search for a chef the time the list made with whom to team up for a new enterprise, chef was its way around. So intrigued. Their goal was to operate an authentic Celtic well regarded were restaurant and pub in Gainesboro. The investors and the master chef found their goals were in line with one another the classes that the local school system and a partnership was born. Chef Barry O’Connor. paid for their staff to Bringing his heritage and his palette to the table, Photo Tom Glynn/Dodson Branch Graphics enhance their skills with O’Connor worked with Silvestri and Mandli in developing Steffan Gilbert | Special to the UCBJ EXECUTIVE PROFILE PROFILE EXECUTIVE One HearT fOr HealTHCare Take Charge of Your Health We’ve just launched a brand new service designed to keep you informed about the newest medical advances and health news. Sign-up today for Health eNews to choose the topics you want to know more about in addition to the newest advances at our hospitals. Visit OneHeartForHealthcare.com Sign-up for our enewsletter and choose topics that matter to you. DCH, HMC and SrH are partly owned by some of the physicians who serve our patients. Visit our websites to learn more. Capella-StThomas_FourHospitals_TakeCharge_10.375x2.indd 1 OneHeartForHealthcare.com 5/16/13 7:54 PM news ucbjournal.com // OPINION // feature // profile // column // 2013 NOVEMBER CLASSIFIED 9 Compressed natural gas manufacturer moves into McMinnville LIZ ENGEL CLARK | UCBJ Editor MCMINNVILLE – A Nashville-based company that manufactures natural gas compressors for fueling vehicles has expanded its operation to Warren County. Simpkins Energy Corp. purchased a 15,000-square-foot building on Belmont Drive in McMinnville and is in the process of hiring around 30 employees; 15 are on site so far. The company has also brought Rock Island’s Boles Tools into its fold for its machining operation. Kent Simpkins, president of Simpkins Energy, said Boles played a big factor in the move, calling the deal between the two a consolidated merger. So far, Simpkins Energy’s machining operation is 100 percent up and running. Overall, he said they are about 80 percent established. Simpkins Energy’s natural gas compressors are designed for small-tomedium-sized fleets, and the models are the first of their size to be manufactured and assembled in the United States. Compressed natural gas (CNG), an alternative to gasoline and diesel, is said to be safer, less expensive and environmentally cleaner. “The business is experiencing a tremendous growth,” Simpkins said. “The demand for compressed natural gas fueling vehicles – it’s $1 a gallon versus $3.50. That’s our whole business.” Simpkins Energy customers, among others, include utility companies, and the company a recently secured job for Waste Management vehicles. While the company calls its Nashville headquarters home, Simpkins said at some point, he’d like to move the whole business to McMinnville. “I don’t really know that exact timeline. We’re just taking one big step at a time,” Simpkins said. “The worst thing you want to do is go too quick on something, you make a lot of mistakes. And I have a backlog of orders. “I’m 8-9 weeks backlogged with orders. So I have to be very careful in moving operations and different things, because I can’t afford to stretch those deliveries out any later.” But he did credit the McMinnvilleWarren County Industrial Development Board and its director of economic development, George Burke, for their efforts in recruitment. “He’s worked very hard, and so have the members of the industrial board, basically soliciting me to come there, and the willingness and openness to work together and the friendly environment that they present,” he said. “The business is just doing tremendous.” We offer the folloWing: Cleanings, Fillings, Root Canal Therapy, Extractions, Oral Surgery, Crowns, Partials, Dentures, Bridges, Orthodontics, Pediatric Dentistry • Dr. Rachel Thornell Erwin • Dr. Joshua Gravelle • Dr. Michael Sawaf • Dr. Jack Stalker • Dr. Adolfina Polk • Dr. Jeffrey Carter • Dr. Bryan Byrnside Hours: Mon. – Thurs. 8:00 a.m. – 4:00 p.m. • Fri. 8:00 a.m.- 3:00 p.m. E.S. 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CRMC’s average time for stopping a heart attack is 43 minutes! As a matter of fact, we have been recognized RV EN T I ON TOP O That’s because, according to the American College of Cardiology, if the heart is in distress for longer than 90 minutes, heart muscle and other organs can become damaged beyond repair. The Heart and by HealthGrades® as being in the top 5% in the U.S. and #1 in Tennessee for coronary intervention (stopping heart attacks). And we’re the only health care facility in the region with interventional capabilities to stop a heart attack and perform surgery if necessary. 5% PRO C E D U During a heart attack, every minute counts. AL Don’t let the clock beat you Dr. Sangeetha Pabolu is a physician with Cookeville Regional Medical Group and is currently seeing patients in the Professional Office Building, 145 W. Fourth St., Suite 201. She is board certified in internal medicine. For more information, call (931) 738-5848. in U.S.A. S • C OR MEDICAL PROFILE PROFILE MEDICAL and very pleasant to work with, and that was definitely one of my priorities in where I wanted to work.” RE A majority of patients, at least nationally, suffer from osteoarthritis, the most common rheumatoid COOKEVILLE – For patients disease and one that will continue its suffering with the aches and pains of upward growth curve with the aging arthritis, there’s a new specialist in UPPER CUMBERLAND BUSINESS JOURNAL population; rheumatoid arthritis, a town to tend to their needs. UPPER CUMBERLAND BUSINESS JOURNAL chronic inflammatory disorder, also Dr. Sangeetha Pabolu, a very common; as well as conditions rheumatologist, has joined the such as lupus, scleroderma, sjogren’s ever-growing ranks of Cookeville syndrome, inflammatory myositis, spondyloarthropathies, physicians. vasculitis and others. Pabolu, a native of India, comes from a family full of While many rheumatoid disorders are recognized doctors – among those, her father, an ob/gyn; her brother, an and diagnosed earlier than in the past, the cause eye doctor; and host of cousins who also practice in various of several is still unknown. A disorder like other specialties. gout, though, can be liked to alcohol and high Ironically, she is the first rheumatologist in that bunch – cholesterol, while smoking is “definitely” a risk and she’s also the first full-time practicing rheumatologist in factor for rheumatoid arthritis, Pabolu said. the Cookeville area. She joined Cookeville Regional Medical “If there’s one message I can give to the Group, a group of multi-specialty physicians employed by general community, it’s not to smoke,” she Cookeville Regional Medical Center, in September. said. “That’s one thing that’s definitely A majority of her patients suffer from muscle and joint pain. known as a risk factor for rheumatoid A rheumatologist helps diagnose, treat and manage patients arthritis and rheumatic disorders.” with arthritis and other diseases. Now that her practice is in its “I believe a rheumatologist is needed in every community,” building phase, Pabolu is looking to she said. “(Here) a lot of patients have been going to Nashville further develop her outside interests, or Knoxville, making a long drive to see a rheumatologist. which, admittedly, have taken a back Others had been holding off seeing one because of the seat to medical school and training. distance. As a child, she enjoyed Bharata “If you look at a common internal medicine or primary Natyam, or traditional Indian care practice, 50-60 percent of people have that complaints dancing. She also likes to sing and of muscle and joint pain. People can now come here with no paint and wants to learn how to swim. commute.” Her family includes her husband, For all her expertise, Pabolu almost didn’t find her way into Chiranjeevi Gadiparthi, who her specialty, since it was actually dermatology that peaked is also a physician –a her initial interest. After she graduated in 2003 with her hospitalist at bachelor’s of medicine and bachelor’s of surgery from Kurnool Gateway Medical Medical College, a prestigious medical school in southern Center in India, she followed with a fellowship in that particular field of Clarksville – and interest. a 3-year-old It wasn’t until her move to the United States with her daughter. husband in 2006 – a move prompted by the promise of a “I am so higher level of medical training – that she fell in love with happy and rheumatology. She did her internship and residency in internal glad to be here medicine at Texas Tech and her fellowship in rheumatology at to serve this Indiana University School of Medicine. She says she enjoys the community,” different challenges it can bring day-to-day. Pabolu said. “The subject itself always fascinated me, and when I came “It’s only to do my medical training here, my interest grew,” she said. been a month, “There was no rheumatology in my part of the country (in but I have loved India) at that time – there was no separate subspecialty for it. this place so “I also had a professor in my internal medicine training much,” she said. who was a rheumatologist, and he was an inspiration to me,” “The people Pabolu continued. “He was an excellent teacher, and the way are really good he approached this subject and his patients made a big impact Dr. Sangeetha Pabolu people and are on me. This specialty does deal with a lot of rare disorders, very cooperative, so there is a lot of diversity. Each and every patient is so understanding different.” LIZ ENGEL CLARK | UCBJ Staff ucbjournal.com BIZBUZZ UPPER CUMBERLAND BUSINESS JOURNAL UPPER CUMBERLAND BUSINESS JOURNAL BIZBUZZ Livingston Regional joins HighPoint system LIVINGSTON – Livingston Regional Hospital has joined forces with HighPoint Health System, becoming the fourth hospital that the Gallatin-based organization oversees. Livingston, a 114-bed facility, will be joining Sumner Regional Medical Center in Gallatin, Trousdale Medical Center in Hartsville and Riverview Regional Medical Center in Carthage. The announcement was made in early October. It’s expected to be finalized by Dec. 1. “By operating as one system, the four hospitals will be in a stronger position to provide comprehensive services in a costeffective manner, capture additional market share from the combined service area and effectively compete against other providers surrounding the region,” HighPoint Health System CEO Susan Peach said in a statement. “Uniting Livingston Regional Hospital to HighPoint Health System will enhance our ability to serve our communities in many ways,” added Mike Meadows, CEO of Livingston Regional Hospital. “Our hospital has much in common with the hospitals of HighPoint. We share a common mission and the same unwavering commitment to provide the highest quality care to our communities. We will be able to improve the effectiveness and efficiency of services through shared best practices and resources across the four hospitals, which will strengthen our position to grow and expand to meet the health care needs of this region in the future.” The transition will include organizational and operational changes, as well as a logo change for Livingston Regional. Livingston Regional and the other three HPHS hospitals will maintain their current hospital facilities and the services currently offered at each location will remain. Peach will continue to serve as CEO of the combined health system, with Meadows remaining as CEO of Livingston Regional Hospital. Evins Mill Inn under construction SMITHVILLE – The Inn at Evins Mill in Smithville broke ground on The Solstice, a 6,000-square-foot luxury lodge in October. Located at the highest elevation of the property, the project will feature private rooms and suites, including a three-bedroom penthouse condominium with its own kitchen, dining and living spaces. With eight bedrooms total, The Solstice increases the resort’s total number of rooms from 12 to 20, allowing it to host larger corporate, special events and accommodate higher occupancy demands during peak seasons. The Inn at Evins Mill is on the eve of its 19th year in business. news // OPINION // feature Zwirner Equipment Company to open new facility in Trousdale HARTSVILLE – Zwirner Equipment Company will open a new facility in Hartsville. Zwirner Equipment LLC’s relocation from Ohio represents a $750,000 investment and the creation of 24 new jobs. Zwirner will locate in the former SteelTek building in the Hartsville-Trousdale County Industrial Park at 580 Industrial Park Drive. The building has been empty for more than three years. Zwirner Equipment LLC and the Four Lake Authority, which represents a // profile // column // 2013 NOVEMBER CLASSIFIED five-county area including Trousdale, Smith, Macon, Wilson and Sumner, have started renovating the property and expect to add about 24 jobs over the next three years. Zwirner Equipment Company will provide stainless steel processing equipment for liquid products to the food, dairy, beverage and chemical industries. Zwirner business will involve sales, purchasing and remanufacturing. Staffing needs will require welders, machinists, mechanics, polishers, laborers and office personnel. “It is exciting to see a vacant building converted into a home for viable jobs in 11 Hartsville,” Four Lake Authority Executive Director Don Rigsby added. “Four Lake appreciates everyone’s assistance and cooperation on this project.” Compass Advisory Group welcomes Wakefield COOKEVILLE — Chris Wakefield recently joined Compass Advisory Group as a financial advisor. In his new role, he will assist clients with all aspects of financial planning. “I look forward to helping our clients SEE buzz | 14 “YOUR FAMILY MEDICINE & URGENT CARE SPECIALISTS” NOW WELCOMING NEW PATIENTS! FL NOW U SHO TS *whil AVA e I lies laLABL E! st supp ACCEPTING MOST INSURANCES! (Including Commercial, Medicare, Medicaid, “ObamaCare” & Replacements) WELCOMING OUR NEWEST PROVIDERS, JUSTIN KINDRICK FNP-BC & CYNTHIA FOLYER FNP-BC On-Site Prescription Filling Online Services Ultrasounds & Echoes DIGITAL CT-Scan & X-Ray Family & Internal Medicine, Pediatrics, and Urgent Care Prevention & Disease Management Full Lab Much More! Physicals & Well-Woman OPEN 7 DAYS A WEEK WALK-INS WELCOME NO-APPOINTMENT NECCESSARY COOKEVILLE MEDICAL CENTER, P.C. Cookeville Medical Clinic, PLLC PHYSICIANS URGENT CARE, P.C. 225 NORTH WILLOW AVENUE 225 NORTH WILLOW AVENUE COOKEVILLE, TENNESSEE 38501 PHONE: (931) 528-8899 COOKEVILLE, TENNESSEE 38501 PHONE: (931) 525-5454 FAX: (931) 520-7655 www.CookevilleMed.com www.CookevilleUrgentCare.com COOKEVILLE MEDICAL CENTER, P.C. Cookeville Medical Clinic, PLLC 402 EAST GORE AVE GAINESBORO, TN 38562 PHONE: (931) 268-6899 www.CookevilleMed.com 12 NOVEMBER 2013 news // OPINION // feature FROM health |5 Staffing surge Kristi Nixon said it became most noticeable last December. More companies started inquiring about the need for temporary workers to round out their employment base. Nixon, owner of Express Employment Professionals in Cookeville, isn’t alone. In so many words, Obamacare has been attributed to increases in the rate of hire of temporary workers, mostly from small and mediumsized companies who may be using temporary staffers to help them stay below that allimportant 50-worker mark. Nixon said she’s seen a 55-60 percent increase in client contacts – maybe more. Since Express Employment is able to offer a full benefits package to those “flexible staffers,” companies are increasingly seeing the benefit. “Companies are really concerned with health care,” Nixon said. “They really don’t know what’s coming, so they’re trying to limit their numbers. They want to be able to provide their employees with health insurance, but as an organization they might not be able to afford to do that. They’re trying to be as cost effective as they can be.” While Nixon declined to name any client specifically, she did say most were “close to the 50” employee mark but also ranged from 35-80 workers. But for businesses that already provide health insurance, there needs to be some retooling, too. Hinch suggested bolstering other offerings – such as disability, long-term SUE CONLEY TIM MCGILL PAUL KORTH care, life insurance – so-called secondary benefits to retain and recruit employees. “Employers need to look at their workforce, look at the age of their workforce, and do some education about what motivates their people to come to work,” Baucum said, who also mentioned opinion surveys as a means to gauge employee opinion. “Because it’s not always money. Sometimes it’s flexible schedule. Do they have a workforce where management and employees work together well?” “The big thing I think employers have to do is talk to employees,” Hinch added. “This is the time to really educate them on the ACA, let them understand the pros and the cons and give them a chance to look at coverage, and then they can make an educated decision.” Just a trickle Of course, there hasn’t really been a flood of Upper Cumberland residents enrolling in the exchanges just yet. Dec. 15 enrollment is needed for Jan. 1 coverage. Various resources are set up in the UC to help prepare and educate people in that process but it’s been slow going. Need more therapy before returning home? // profile AND REHABILITATION CENTER New State-of-the-Art Equipment Set up a tour today! Fully Staffed, Experienced Therapists Safe “Transition-to-Home” Assessments 931-525-6655 444 One Eleven Place, Cookeville, TN www.tnhealthmanagement.com/bethesda column // CLASSIFIED The Tennessee Health Care Campaign (THCC) (931-528-8422), which opened its Cookeville office in October at 14 Madison St., says as many as 60,000 people in the Upper Cumberland could benefit from enrollment in the exchange. That number includes roughly 10,000 in Putnam County, says Cookeville Regional Medical Center (CRMC) CEO Paul Korth. For the most part, hospitals are limited in what they can do, but CRMC is partnering and directing people to the THCC and the Madison Street office. But even those initial calls to the medical center for information have been virtually nil. “I think people are waiting,” Korth said. “I’ve not gotten any calls. I think the mass confusion they’ve had (with the www. healthcare.gov website) has discouraged people, and I think people are just in the waitand-see mode.” Sue Conley, CEO of Stones River Hospital in Woodbury and DeKalb Community Hospital in Smithville, like many hospital administrators in the area, said there’s still also lots of questions. Even with all the unanswered, of course, having more people with insurance is good for their bottom line, she said. But it likely won’t be enough to make up for the 2 percent cuts made in sequestration. DeKalb is looking at an additional $300,000 in revenue with the health care coverage expansion. Stones River is expecting $100,000. But the respective cuts, for example, are roughly $600,000 for DeKalb and about ucbjournal.com half a million for the Woodbury facility, respectively. “That’s a lot for a small, rural facility to overcome,” Conley said. “We’re really going to have to come up with new ways to serve our communities and keep our hospitals viable. “In the very beginning, hospital groups were for this, because we thought we’d have a lot more patients with insurance,” she added. “The (insurance) coverage expansion is supposed to help a little bit, but we’ve not seen any effect of that yet. “It’s kind of like when people do their taxes, a lot of people wait until the end,” Conley said. “Getting people signed up is going to be key. I think we’ll get more questions and hopefully we’ll have better answers as we get closer to the deadline.” Likewise, said Tim McGill, CEO of River Park Hospital in McMinnville. He said they are gearing up for November, since October as month one was mostly a startup phase. The hospital will have computer kiosks placed throughout the facility and six certified application counselors who are trained to assist people with the exchanges. McGill also hopes to hold some town hall meetings and is circulating Tennessee Hospital Association (THA) materials at the library and other locales. About 5,000 people in McMinnville could benefit or are being targeted for the exchange. “Here in our community, for example, we’ve had 33 applications attempted – so there’s not a lot of application activity,” McGill said. “For the most part, consumers SEE health | 13 Your Morning MaYor with Bethesda Health Care // Dwight henry 6-8 a.m. My most effective business tool? A Confident Smile. When it comes to creating beautiful smiles, make sure you turn to the professionals in cosmetic dentistry. Whether it’s a smile makeover or an enhancement, we’ve got solutions that will help you seal the deal every time. Sedation Dentistry Professional Whitening Cosmetic Braces Porcelain Veneers Tooth Colored Fillings Crowns Sealants Children Partials Dentures Onlays and Inlays Root Canal Therapy 620 E. 10th Street, Cookeville, TN 38501 HayesDentistry.com 931-526-1614 news ucbjournal.com FROM health |12 are calling us with general questions, and I’ve been told, throughout our company (Capella Healthcare), there’s not a lot of patient interest. Perhaps the government shutdown had an impact.” Of course, outside the exchanges, there’s other story lines for hospitals in regard to the Affordable Care Act. Tennessee is not a Medicaid expansion state – Gov. Bill Haslam’s decision on the matter is reportedly on hold. Nationally, Obamacare is being attributed for a record of physician shortages – with the addition of 30 million people to the insured rolls. Nationally, there has been a decline in applications for medical school, fewer doctors are being trained, and the attitude is changing in regards to the lifestyle those physicians expect. Patient accountability is also key, since hospitals will be penalized for readmissions. And then there’s senior citizens’ future ability to access Medicare – and consequently maybe retiree recruitment in the UC. “Right now, one of the No. 1 issues for retirees moving here, is, ‘Can I get a doctor?’” Hinch asked. “In Cumberland County alone, they’re saying there’s between 4,000-5000 people who are uninsured. If half those people got a policy through the exchange, and doctors could all of a sudden have them as patients, where they make more money on that person on a reimbursement basis and that person probably takes up less time than someone who is a Medicare patient, I think // OPINION // feature you’re going to see more doctors refusing to take new Medicare patients. Which has huge implications for our ability to recruit retirees.” Story lines continue. All that being said, leaders may know more about the ACA than at this time last year, but there are still many questions that have yet to be answered. “We’re hopeful,” McGill said. “There’s a lot that we don’t know yet. It’s such a big initiative,” he added. “We as hospital CEOs want to be the engine, if you will, to drive this process in our respective communities, because each of us have the only hospitals in our towns. We feel committed to be the source for information and implementation.” 1250 Cedar Hills Drive Cookeville,Tn 38506 // column // CLASSIFIED 2013 NOVEMBER 13 On your feet all day? 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Welcome Home... “When It’s Your Family, Experience Means Everything!” // Tom Polite General Manager Venefit™ Targeted Endovenous Therapy • • • • Minimally invasive Fast and mild recovery Covered by Medicare and other insurance Allows you to return to normal activities within a day Middle Tennessee SURGICAL SPECIALISTS 203 N Cedar Ave Cookeville, TN 38501 931.528.1992 MidTnSurgery.com ™ 14 news NOVEMBER 2013 FROM buzz |11 with their financial futures, which is our main focus here,” Wakefield said. “Retirement planning; college planning; and reviewing their life, long-term care and disability insurance is part of an overall package of evaluating where they are and helping them get to where they want to be.” Prior to joining Compass, Wakefield ran a real-estate Wakefield development company for 15 years. “It’s harder and harder every day for a small business person to make it and succeed, so I want to try to do everything I can to help them with that,” Wakefield said. “If I’d known what I know now and had applied some of that years ago, it would have been extremely helpful to me, so I want to share some of that knowledge with other small business owners.” A Cookeville native, Wakefield is a graduate of Cookeville High School and Tennessee Tech. He and his wife, Lori, enjoy spending time with their two children, Avery and Taylor. “I believe that Chris’ background, his aptitude for this business and his desire to help others will be of great benefit to our current and future clients,” said Compass Advisory Group owner David Hatcher. “We’re very glad to have him on board.” Compass Advisory Group is an independent investment management // OPINION // feature firm. From assessing clients’ goals and current reality to defining risk tolerance and resources, Compass advisors combine personalized service and investment advice to develop a unique investment policy for clients and their families. To learn more about Compass Advisory Group, visit CompassAdvisoryGrpCookeville.com, 1330 Neal St., Suite A, Cookeville, or call (931) 526-2190. // profile // column // CLASSIFIED courts (four indoor), two outdoor pools, a community and conference center with meeting rooms, a gym and an indoor pool and several restaurants – is now an official Retire Tennessee town. The Crossville-Cumberland County Chamber of Commerce and Fairfield Glade are partnering together to enhance marketing strategies to recruit families and retirees. “We are delighted to have such a knowledgeable and dedicated team of ucbjournal.com professionals at the Crossville-Cumberland County Chamber,” said Mary Jo Paige, director of marketing and events for the Fairfield Glade Community Club. “Fairfield Glade looks forward to our partnership and sharing with families the benefits of this special Tennessee lifestyle.” “We are so excited to extend a partnership with Fairfield Glade that will benefit our residents and visitors as well as potential residents,” added Ashley Allen DeRossett, in Fairfield Glade earns official Retire SEE buzz | 17 Tennessee distinction CROSSVILLE – Cumberland County has been attracting retirees and families for years, and many media sources have chronicled those efforts. Topretirement.com ranks Cumberland County as a Top 100 Best Place to Retire, Ohio Magazine, At Home Tennessee, Travel 50 and Beyond, Where to Retire, Ideal Living, Fairway Living have all published articles on Cumberland County, which is a member of the American Association of Retirement Communities and winner of the Seal of Approval award in 2007. Fairfield Glade is heading many of those efforts. The resort-style community – which includes five golf Celebrating Fairfield Glade’s Retire Tennessee status are, from left, Harry Price, Misty Keyes and Bob Diller, Fairfield Glade Community courses, 11 lakes, two marinas, Club board members; Ramay Winchester, Retire Tennessee; Ashley DeRossett, Crossville-Cumberland County Chamber of Commerce; Pete nature trails, 12 tennis Cahill, Bob Stackhouse and Phil Gover, Fairfield Glade Community Club board members. HOPE • HEALTH • PEACE the PATH to Recovery Mental Health • Drug & Alcohol Recovery Ten Broeck Tennessee is a licensed adult inpatient psychiatric hospital specializing in rehabilitating adults with psychiatric disorders and chemical dependency. Ten Broeck Tennessee offers inpatient hospitalization, outpatient partial hospitalization and intensive outpatient care. Our 36 bed hospital is located on the campus of Cookeville Regional Medical Center. We are now accepting adult patients ages 18 and older. We offer a full continuum of care, with inpatient hospitalization, outpatient hospitalization care, which is provided Monday through Friday, 9 am-3 pm, and intensive outpatient care offered 3 days a week, from 2-5 pm. For more information about the program or our admission process, call 855-828-8111 (24 hours). 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For example, vision problems are evaluated and treated by optometrists, who are non-medical degreed specialists, while medical and/or surgical treatment of the eye is performed by ophthalmologists, who are M.D.’s and surgeons. Likewise, hearing and balance problems are evaluated and treated by audiologists who are non-medical degreed specialists, while otolaryngologists (ENT’s) are trained in the medical and surgical treatment of the ear. Audiology is a relatively new profession and is often unfamiliar to many laypersons, but is the only profession whose sole purpose is the evaluation and management of hearing and balance disorders. The practice of audiology requires licensure by the state of Tennessee, just as the practice of medicine, dentistry or optometry does. The minimum requirements to practice audiology require a master’s degree in audiology from an accredited university. Now all audiologists trained have either an AuD (doctor of audiology), which is the clinical training degree, or a Ph.D. (doctor of philosophy in hearing science), which is The the education and research degree. Most audiology training programs are comprised of four additional years of education and training beyond the standard four-year undergraduate college degree. Audiology training includes classes in anatomy and physiology of the ear, hearing and balance mechanisms, acoustics, speech science, evaluation of hearing, evaluation of balance, psychological aspects of hearing loss, and hearing aid technology. During their period of study, audiology students also observe and then participate in the evaluation and management of patients with hearing and balance disorders. Generally, the fourth year of training is an externship in which the student works in an audiology practice under the supervision of a licensed audiologist. After meeting these requirements, an audiologist may apply for and be licensed by the state to practice and then be credentialed as a provider of services for Medicare, Medicaid and private insurance companies. Not everyone who evaluates hearing loss patients is an audiologist. Most states allow licensed hearing aid salespersons to evaluate hearing for the purpose of fitting and selling a hearing aid. In Tennessee, there are no requirements that these licensed salespersons have any formal college level training in the aspects of hearing loss. Hearing aid salespersons are not licensed to perform diagnostic evaluations nor are they recognized by Medicare to be able to provide services. Some offices use “audio techs” for hearing testing, however, the state of Tennessee currently does not license “audio techs” and the few training programs for them recommend that they perform only very limited portions of a complete hearing evaluation under the supervision of a licensed audiologist. Audiologists are trained and licensed to evaluate all types of hearing loss and then to refer to a physician if the hearing loss requires medical or surgical intervention. Studies have shown that medical treatment is indicated in only about 20 percent of adult hearing loss cases. Doctors of audiology have in depth, post graduate training in hearing aids and in Tennessee are licensed to dispense hearing aids as well as perform comprehensive assessment of hearing loss. Our ability to hear requires a wondrous and complicated auditory system involving many different anatomical structures that must work in concert with one another to function. Appropriate evaluation of hearing loss requires specialized professional training and experience. Appropriate treatment of hearing loss likewise requires a skilled professional who understands the auditory mechanism and the treatment must be highly individualized for each person in order to be successful. If you or someone you know is having difficulty hearing, seek out an evaluation by a licensed audiologist for your best hearing health care. Lisa Davidson and Reed Norwood are doctors of audiology and co-owners of McMinnville Hearing Center, located at 312 N. Chancery St., McMinnville, and Cookeville Audiology & Hearing Aids, located at 728 S. Jefferson Ave., Suite 8, Cookeville. They can be reached at (931) 473-3833 or (931) 854-9499. TOP TIER in Orthopedic Care John M. Turnbull, M.D. Gregory J. Roberts, M.D. James D. McKinney, M.D. Philip Elizondo, M.D. Carl M. Hollmann, M.D. J. Keith Nichols, M.D. F or more than three decades, Tier 1 Orthopedics (formerly Upper Cumberland Orthopedic Surgery) has specialized in the care of our patients’ musculoskeletal systems. Our board certified orthopedic surgeons have mature judgment, successful experience and high qualifications. We are the primary provider of orthopedic services to Cookeville Regional Medical Center, which has received numerous orthopedic Healthgrades® awards. Tier 1 Institute offers services in a brand-new, convenient facility. Because when it comes to top-level care, we give our patients first place. 105 S. Willow Avenue, Suite 100 Cookeville, TN 38501 (931) 526-9518 Fax: (931) 372-0087 T1Institute.com 16 NOVEMBER 2013 news // OPINION // feature // profile // column // CLASSIFIED ucbjournal.com Biz Foundry to host startup summit, 48 Hour Launch Intensive program scheduled for Nov. 22-24 Foundry. The 48 Hour Launch starts with idea generation, he added, so participants are encouraged to submit startup ideas at www.thebizfoundry.org. The weekend-long event will begin at 5:30 p.m. Friday, Nov. 22. Entrepreneurs will first pitch their ideas, and then teams will be formed around those ideas. The next two days will be an intense work session to bring about a viable business model. On Sunday, Nov. 24, each team makes a final presentation to the public and judges in order to determine the winning project. The Biz Foundry is Launch Tennessee’s regional business accelerator. The non-profit organization strives to increase the viability of startups in the region by connecting them with the resources they need. More information on The Biz Foundry and 48 Hour Launch can be found at www. thebizfoundry.org. COOKEVILLE – The Biz Foundry will host the Upper Cumberland’s first “48 Hour Launch” Nov. 22-24. The 48 Hour Launch is a weekend-long business startup summit, designed to inspire entrepreneurial action at the local level. 48 Hour Launch is an intensive period of planning, incubation and launching. The program is a collaborative project, so it brings entrepreneurs, writers, designers, developers, programmers and marketing specialists together. “Relationships and connectivity are integral in the ecosystems of startups, and 48 Hour Launch provides space and time for an environment of entrepreneurship to take root,” said Jeff Brown, director of The Biz FROM irs |6 the marriage of two individuals of the same sex. The marriage is recognized “even if the married couple is domiciled in a state that does not recognize the validity of same-sex marriages.” Thus, if an individual marries a same-sex spouse in another state that recognizes same-sex marriage, the IRS will (and the Tennessee employer must, for “federal tax purposes”) recognize the marriage, even if the state of residence (e.g., Tennessee) does not. The IRS declined, however, to extend the definition of marriage to individuals (whether of the opposite sex or the same sex) who have entered into a registered domestic partnership, civil union, or other similar formal relationship recognized under state law that is not denominated as a “marriage” under the laws of that state. Finally, note that in a similar but “not identical” vein, the DOL recently issued guidance applying the “Windsor” ruling to FMLA leave. Specifically, the DOL states that leave to care for a spouse with a serious health condition must be granted to same-sex spouses, but “only if the state where the employee resides” recognizes the marriage. Thus, because Tennessee does not recognize same-sex marriage at this time, under the DOL’s current interpretation a Tennessee employer would not be obligated to offer FMLA leave to care for a samesex spouse to its employees residing in Tennessee. Jeffrey G. Jones is a regional managing member for Wimberly Lawson Wright Daves & Jones PLLC. He can be reached at jjones@wimberlylawson.com. Dental Implants: For a Better You! Dental Implants: the Natural Choice A dental implant is the closest thing to your natural teeth that is available today. They have some distinct advantages over natural teeth because they do not decay, will not need root canals and will never be sensitive to hot, cold, or sweets. What Is a Dental Implant? A dental implant is an ideal tooth replacement for people who are missing one or more teeth as a result of injury, periodontal disease, or any other reason. A dental implant is a man made titanium root replacement (anchor) placed in the jaw bone by an implant dentist. Once in place and time allowed to heal (3-6 months) an abutment (usually titanium) is secured to the implant. Next a crown is fabricated and secured to the abutment with either a titanium screw or dental cement. In some cases, the implant can be put into immediate function. JohnsDentistry.com Your teeth were designed to last a lifetime, but sometimes they don’t! Replacing missing teeth is important to your general health and to the health of your other teeth. Not only do you lose chewing ability when a tooth is lost, but unreplaced teeth can cause other teeth to be lost, tipped or crowded and create subsequent problems. Also, there are the obvious problems of poor appearance and loss of self-esteem caused by one or more missing teeth. stephen C. Johns DDs, FaaID • Over 30 years of training and experience in implant dentistry • Diplomate in the American Board of Oral Implantology (ABOI) • Fellow in the American Academy of Implant Dentistry (AAID) Dr. Johns has been trained to not only place your implants but also complete the whole restorative procedure at one location by one provider. 121 South Washington Avenue • Cookeville, TN 38501 • (931) 528-6547 ucbjournal.com FROM buzz |14 charge of the daily operations of the tourism and community development division, which includes retiree recruitment/relocation for the chamber. “We both have a common goal to provide the beneficial information and amenities to enrich the lives of others. I want families and individuals to love their town as much as I do Crossville.” Eight years ago, Cumberland County chose to participate in the Retire Tennessee program as a pilot community. Retire Tennessee is one of only three programs in the U.S. responsible for recruiting retirees to Tennessee. Sixteen counties across the state are now a part of this program. Community inventory and program criteria are required to participate. Cumberland County is home to 10 championship golf courses, health care facilities, arts and historical attractions such the Cumberland County Playhouse, four seasons, low cost of living with high quality of life and natural beauty. Kindrick joins Physicians Urgent Care/ Cookeville Medical Center COOKEVILLE – Dr. P.K. Jain and his team at Physicians Urgent Care, Cookeville Medical Clinic and Cookeville Medical Center PC welcome their newest nurse practitioner, Justin W. Kindrick, FNP-BC, MSN, APN. Specializing in both urgent care and family medicine, Kindrick is a Tennessee board certified nurse practitioner who is welcoming patients of all ages in news // OPINION // feature Cookeville and Gainesboro. Born and raised in Cookeville, Kindrick graduated magna cum laude with his undergraduate degree from Tennessee State University. He pursued his bachelor’s of science in nursing from Regis University in Colorado and his master’s of science in nursing from Ball State University in Indiana, becoming a board certified nurse practitioner. He was also inducted in the Sigma International Honors Society and the Golden Key International Honors for his academic achievements. He is currently an affiliate member of the American College of Physicians, Infectious Disease Society of America and the HIV Association of America. Cookeville Medical Center PC and its affiliated entities provide primary care and urgent services including ancillary services, on-site prescription filling, a full laboratory, digital CT and X-ray, ultrasounds, online access and other services in both Cookeville (225 N. Willow Ave) and Gainesboro (402 E. Gore St.). For more information, call (931) 528-8899 or visit www.cookevillemed.com. J&S Construction adds two COOKEVILLE – J&S Construction, experiencing one its largest backlogs in company history, has added two new employees to its family. Billy Flanary joined the group as an assistant pre-construction manager. After some restructuring, he was moved over to the project management team as an assistant project manager. His primary duties include // profile // column // 2013 NOVEMBER CLASSIFIED 17 Mariano Amicarelli and Billy Flanary. subcontract agreements, quality control plan reviews, purchase orders as well as contract reviews. He has close interaction with clients, field managers, subcontractors and vendors. Born in Pikeville, Ky., Flanary moved to Gray, Tenn., at the age of 7 and has remained a Tennessean ever since. He graduated from East Tennessee State University with a B.S. in construction engineering technology and has almost 10 years of residential construction experience. Billy and his wife, Heather, were married June 2013. Mariano Amicarelli joined the project management team in early spring, with his main focus being the government sector. His responsibilities include overseeing SPARTA 456 Vista Dr., Sparta, TN 38583 931.836.2713 fax 931.836.2843 “Care is Our Business” subcontracts, purchase orders, submittals and payment applications. Amicarelli graduated from Florida International University with a B.S. in civil engineering with a focus in structural engineering. He was born in Buenos Aires, Argentina, and has lived in the U.S. for more than 20 years. Mariano’s bilingual skills in English and Spanish provide J&S Construction with a more versatile working environment. Mariano’s wife of three years, Jessica, is currently finishing her Ph.D. in chemical engineering at Tennessee Tech. For information about J&S Construction, call (931) 528-7475 or visit www. jsconstruction.com. HomeCare “When Care Comes To The Home” • Skilled Nursing • Physical Therapy • Occupational Therapy • Speech/Language Therapy • Medical Social Services • Home Health Aides 931.528.7312 1120 Sam’s Street | Cookeville Tn | 38506 SatelliteMed.com Our state-of-the-art facility features: on-site laboratory, digital x-rays/CT scans, Ultrasound, Allergy Testing, Impact Concussion Testing, DOT Drug Screening, a medication dispensary and many more services! Monday-Friday: 7 am - 7 pm; Saturday: 9 am - 5 pm 18 NOVEMBER 2013 news // OPINION // feature // profile // column // CLASSIFIED ucbjournal.com professional directory financial Cookeville, TN 744 S. Willow Avenue • 931.528.0138 1065 east 10th Street • 931.528.1152 JAmeSToWN, TN 416 e. Central Ave. • 931-879-7007 www.SoutheastBank.com We offer savings & checking accounts, online banking, wealth management, lending services and investing. health care Hospitals in the Capella Healthcare family will be the center point for transforming the quality of life in their communities, focusing first on improving the health and well-being of every individual. 1 Medical Center Blvd, Cookeville, TN 38501 931.528.2541 • www.crmchealth.org At MMA Creative we believe creative ideas are most effective when an agency and its client partner collaborate. Our strategic partners and creative thinkers work with a client’s experience and market expertise to make meaningful connections with an audience. We are a strategically-driven agency with digital DNA. general CIA METAL SALES MOYER’S C U M B E R L A N D McMinnville, Smithville, Sparta, Woodbury www.capellahealth.com MARKETING Cookeville 931.528.8852 • Nashville 615.297.6886 mmacreative.com insurance CRMC offers more than 40 specialties and over 200 physicians. We prove ourselves every day by meeting health care needs with compassion and a commitment to excellence. UCBJournal.com INSURANCE AGENCY Cookeville • Sparta Jamestown • Smithville www.CumberlandInsurance.com Cumberland Insurance Agency is your independent agent providing solutions compatible with your requirement needs of all types. Health Benefit Solutions LLC New Location 931.528.7232 • www.healthbenefitsolutions.com Come visit us at our new location, 1640 S. Jefferson Avenue, Cookeville. Your “Obamacare” experts with plans for Individuals, Groups, and Senior Citizens. Serving the Upper Cumberland since 1985. legal 5161 Hickory valley Road, Sparta, TN 38583 ph 931.738.7335 • fax 931.738.7302 Custom trim shop, #1 metal in-stock, screws, accessories and pole barn kits. Watson Metals 1210 S. Jefferson Avenue, Cookeville, TN 38506 931.526.1236 • www.WatsonMetals.com • Wood & Metal Trusses • Some Panels in Stock • Trim & Supplies • Tools & Accessories • 20 colors / 40 year warranty CONSTRUCTION 347 East Stevens Street • Cookeville, TN 38501 931.528.5514 • www.CHCcompanies.com With a reputation for continuously providing revolutionary solutions to today’s energy challenges, coupled with an outstanding safety record and fewer delays, CHC Mechanical remains one of the region’s premier heating, cooling, refrigeration and plumbing specialists. Wright Daves & Jones,PLLC 1420 Neal Street, Suite 201, Cookeville TN 38503 931.372.9123 • www.WimberlyLawson.com E.S. Construction We are a law firm that represents management exclusively in all areas of labor and employment law. We serve clients throughout the United States with prompt, diligent and cost-effective legal advice and services. 1.866.647.4644 • www.esconstruction.com For only $75 per month, your business can be featured in its respective professional category with its logo, contact information and a brief description of what makes you special. Take advantage of this new feature today and be seen by thousands of Upper Cumberland business leaders potentially looking for your assistance. We offer commercial roofing solutions for all kinds of roofs, and we are a certified, warranty-trained Master Contractor. • Conkin Roofing Systems •Lowers your energy costs year-round •Custom-built on-site •Multi-surface versatility •Save money by saving energy Classifieds Commercial Property For Sale Cloverleaf Property is 1.37 acres located off Hwy 111 and 30 in Spencer, perfect place for bank, McDonald’s or gas station. Call Cassey at 931-409-9027. Real Estate For Sale Perfect for Golf Enthusiasts. Cabin sets just off golf course near Fall Creek Falls State Park. Fully Furnished, 2BR & 2BA, 1008 sq. ft. fireplace. In a gated community. Great second home or retirement home. Call Cassey at 931-409-9027. BUSINESS SERVICES Enhance your business or home with live interior plants. Dr. Your Plants offers design, installation, weekly maintenance, and for your home, vacation plant care. Free Consultation. Call Mark at Dr. Your Plants, 931-252-4180. To place your classified in the UCBJ, contact Melissa at 931.528.8852 or email classifieds@ucbjournal.com. news ucbjournal.com // OPINION 9.7 9.7 7.1 11.8 9.2 8.6 Source: Tennessee Department of Labor & Workforce Development 8.2 8 11.1 9.2 11.5 7.4 feature // profile Commercial Building Permits September 2013 Upper Cumberland Unemployment: august 2013 7.7 // 9 Editor’s note: Due to the government shutdown, September unemployment numbers were delayed. They will be posted at www.ucbjournal.com as soon as they are available. City of Cookeville/ Putnam County List includes: Owner/contractor, type of construction, address and estimated cost Collegeside Church of Christ/J & S Construction Co. Inc., remodel church, 252 E. Ninth St., $30,000 Cookeville Retail Holdings LLC/ Mattcon General Contractors Inc., remodel commercial, 377 W. Jackson St., Suite W1D, $150,000 G and J Properties/Class-A Restoration & Remodel, addition commercial, 1100 Chocolate Drive, $12,100 September shows steady sales tax collections UPPER CUMBERLAND – The Upper Cumberland saw steady increases in state sales tax collections in September, including from the region’s three largest counties. Putnam, the biggest collector with nearly $7.4 million, was up 6.5 percent from September 2012. Cumberland County, which brought in $3.8 million for the month, saw an increase of 1.1 percent. And Warren County was up 2 percent with more than $2 million in collections. Others seeing increases were Pickett (13.0), Smith (12.5), Clay (11.5) and Van Buren (6.4). White, which topped the $1.1 million mark for collections, was down 2.8 percent. Jackson County took the biggest tumble with an 8.4 // column // CLASSIFIED Lawrence A. Middlebrook/No contractor, accessory building, 39 Church Ave. $1,000 Pam and Jim Nash/No contractor, addition commercial, 304 N. Washington Ave., $25,000 Roberson Partnership L P/ Holloway & Sons Construction, remodel commercial, 428 E. Broad St., $20,000 Stacy Ray Winningham/ Tennessee Master Restoration, addition commercial, 932 E. 10th St., $9,000 Cindy Bellis/Farley’s Masonry Inc., new commercial (Humane Society), 180 Miller Road, $276,000 Engrafted Word Church Inc./No contractor, demolition, 3 W. Broad St., $50 Engrafted Word Church Inc./ No contractor, demolition, 15 W. Broad St., $50 Counties Vanus Medlock ETUX Robert & Krista Conner/Danny Roberts Construction, 1703 W. Broad St., demolition, $50 Bank of Putnam County/Norrod Builders, commercial-structures/ warehouses/shops/additions/ alterations, 408 E. Stratton Ave., $600,000 Double Springs Church of Christ/Pippin Construction, commercial-structures/warehouses/ shops/additions/alterations, 4665 Norton Drive, $600,000 City of Crossville/ Cumberland County List includes: Contractor, permit type/description, square footage, address and valuation RTV Contractors, buildingcommercial, Bojangles’ Restaurant (3,808 square feet), 2801 N. Main St., $338,875 September 2013 Cannon 2013 NOVEMBER $298,223 Morristown Mechanical, plumbing, plumbing for restaurant, 2801 N. Main St., $130 Construction Asb, LDP, land disturbance permit, new car dealership, East Tennessee Dodge, 2712 N. Main St., $100 Construction Asb, buildingcommercial, new car dealership, East Tennessee Dodge (22,698 square feet), 2774 N. Main St., $1,879,094 J & S Construction, buildingcommercial, drying room addition (2,000 square feet), 435 Sweeney Drive, $104,000 Plateau Construction, buildingcommercial, business (4,850 square feet), 67 Wyatt Loop, $200,000 J. Cumby Construction, LDP, land disturbance permit, tile plant addition (30,892 square feet), 301 Porcelain Tile Drive, $100 Year prior % change $310,440 -3.9 11.5 1.1 -1.9 N/A -8.4 -1.0 -1.9 13.0 6.5 12.5 6.4 2.0 -2.8 N/A 3.4 $247,376 $221,931 Clay percent loss. Also down for the month were $3,810,822 $3,770,480 Cumberland Cannon (-3.9), DeKalb (-1.9), Overton (-1.9) $798,881 $814,443 DeKalb and Macon (-1.0). N/A $650,611 Fentress There was an error in Fentress’ recording, $157,184 $171,660 Jackson which hadn’t been corrected on the state’s $917,374 $926,867 Macon website as of press time. If the East Tennessee $760,356 $775,027 Overton county had at least maintained its 2012 figures, $224,811 $198,920 Pickett the UC region would have seen a 3.1 percent $7,367,153 $6,919,050 Putnam boost overall. $839,678 $746,437 Smith Collections, which are considered just one $102,087 $95,942 Van Buren measure of economic activity, are based on $2,018,216 $1,977,674 Warren state sales taxes; local option taxes are $1,148,860 $1,181,723 White excluded. Sales data lags by one month; for N/A $18,761,205 UC example, September numbers reflect August $634,842,000 $19,890,109 TN activity. Source: Compiled by the Upper Cumberland Development District from data published by Department of Revenue. Business Licenses The following businesses have received licenses during September 2013. The list includes the business name, type of business, location and owner’s name, if available. Macon County (submitted by County Clerk James Ralph Howser) Hardee’s, restaurant/fast food, 417 Highway 52 Bypass W, Lafayette, TN 37083, Andrew Puzder R Tac, firearms and accessories, 1008 Ellington Drive, Lafayette, TN 37083, Shane Reed Concrete Company, concrete, 220 Filedstone Lane, Westmoreland, TN 37186, Andrea D. Crowder Murray’s Guns, sell and transfer guns, 8686 Old Highway 52, Westmoreland, TN 37186, Johnny Murray Willette Grocery, grocery store/restaurant, 1741 Willette Road, Red Boiling Springs, TN 37150, Crystal Arnold Tammy’s Beauty Salon, hair salon, 1306 Ellington Drive, Lafayette, TN 37083, Tammy Crook Overton County (submitted by County Clerk Hugh Ogletree Jr.) ADT LLC, provision of electronic security services, 744 Melrose Ave., Nashville, TN 37211, Naren K. Gorsahaney Bailey’s Bows, boutique hair bows and gifts, 1618 Oakley Allons Road, Allons, TN 38541, Andrea Hutchinson Clenton’s Hardware, hardware, Highway 111 Fleemarket, Livingston, TN 38570, Clenton Hammock Hardee’s $150813, restaurant/fast food, 901 W. Main St., Livingston, TN 38570, Andrew Puzder Hogeye Firearms and More LLC, sale of firearms, etc., 2734 Bradford Hicks Drive, Livingston, TN 38570, Becky Edmonds Hunters Garage Inc., automotive service, 209 Mountain Road, Livingston, TN 38570, Jeffrey A. Hunter Mazelin Brothers Construction, remodeling, 95 Laurel Cliff Road, Clarkrange, TN 38553, Roger Maxelin Old Painted Lady Furniture, furniture store, 313 S. Church St., Livingston, TN 38570, Myrna Holman The Barn at Muddy Pond, event and wedding center, 4343 Muddy Pond Road, Monterey, TN 38574, Paul Thompson TN Vertical Flight LLC, commercial helicopter service, 632 Airport Road, Livingston, TN 38570, James A. Sells Yoder’s, construction business, 211 Habegger Loop, Monterey, TN 38574, Richard L. Yoder Putnam County (submitted by County Clerk Wayne Nabors) A B E C Music, lighting and sound technician, 187 Dale Lane, Cookeville, TN 38501, Daniel Duncan ADT LLC, electronic security services and installation, 744 Melrose Ave., Nashville, TN 37211, ADT LLC Angie’s Beauty Shop, hair salon, 8709 Old Baxter Road, Baxter, TN 38544, Angela J. Hurst Boiler Supply Co. Inc., boiler sales and service, 2950 Foster Creighton, Nashville, TN 37204, Boiler Supply Co. Inc. Brandon West Consulting, consulting service, 1907 Milburt Drive, Louisville, KY, 40223, Brandon A. West C Donald Roberson, excavating, 4724 Poplar Grove Road, Cookeville, TN 38506, C Donald Roberson Carl Calfee, miscellaneous sales, 438 Stanton Road, Baxter, TN 38544, Carl Calfee Cars Plus, auto sales, 2237 W. Broad St., Cookeville, TN 38501, Danny W. Greer Cole Creations LLC, custom wreaths and floral designs, 1340 Mountain Top Lane, Cookeville, TN 38506, Shirley Cole/Billy Cole Color Me Happy, coloring book design and sales, 1415 Ray Drive, Cookeville, TN 38506, Wayne Simcox/Hazel P. Simcox Community Home Solutions Inc., real estate investment services, 1791 Lee Ave., Apartment 4, Cookeville, TN 38501, Tyler Langford Contech Engineered Solutions LLC, building material sales, 980 Humble Drive, Cookeville, TN 38501, Contech Engineered Solutions LLC Cookeville Plumbing & Electric, plumbing and electric, 1020 N. Washington Ave., Cookeville, TN 38501, Cookeville Building Systems & Services Inc. Envios Lopez, wiring services, 313 E. Stewart Ave., Monterey, TN 38574, Henry Lopez/ Maria Lopez Erection Specialists Inc., construction, 8519 Strawberry Plains Parkway, Knoxville, TN 37924, Erection Specialists LLC G & L Trading Co. Inc., stainless steel and titanium tubing broker, 1975 Fisk Road, Cookeville, TN 38506, G & L Trading Co. Inc. Great Harvest Bread Co., bakery/restaurant, 120 S. Jefferson Ave., Cookeville, TN 38501, Five Loaves Inc. Green Gunsmithing & Refinishing, gunsmith, 7765 Cookeville Boat Dock Road, Baxter, TN 38544, Daniel C. Green Greens Construction, construction, 1590 Plunk Whitson Road, Cookeville, TN 38501, Haley Green Ground Up Inc., used shingle collection center, 117 S. Jefferson Ave., Cookeville, TN 38501, James Matthew Allen/ Lincoln T. Young Gyro Dude, restaurant, 298 W. Broad St., Cookeville, TN 38501, Yulenka LLC Half Time Sports Bar, sports bar, 970 S. Jefferson Ave., Cookeville, TN 38501, Gaile Prewett/ Randy L. Brewer Harrison Asphalt, asphalt sealing, 2900 Linnferry Road, Texarkana, AR 71854, Robert Harrison/ Robert Harrison Sr. Harry’s Masonry, masonry, 4373 Old Moss Road, Baxter, TN 38544, Darrine L. Taylor Hershberger & Sons Inc., excavating, 2830 Neely Road, Cookeville, TN 38501, Hershberger & Sons Inc. Hole in the Wall Antiques & Art, art and antiques, 41-B W. First St., Cookeville, TN 38501, Bill Jones/Patricia G. Jones Lil Creamery, ice cream shop, 400 Dubois Road, Cookeville, TN 38501, Linda Jones Morning Dew Art Emporium, art, handmade clothing and mineral sales, 33 W. First St., Cookeville, TN 38501, Samuel B. Burge Panaderia Guatemex, wholesale bakery, 2025D Burgess Falls Road, Cookeville, TN 38506, Guatemex Inc. Phifer Mountain Flowers, florist, 4659 Whittaker Road, Cookeville, TN 38506, Carol Hacker/ Dan Hacker Quality Beds for Less, mattress and furniture sales, 1050 Eagle Landing Drive, Cookeville, TN 38506, Curly Dog Inc. Rooney Healthcare Consulting, health care consulting service, 813 Enclave Point, Cookeville, TN 38506, Rooney Healthcare Consulting LLC Salt Box Inn, bed and breakfast, 537 Hutcheson Road, Cookeville, TN 38506, Suzanne Buck/ Edward Buck Simon Brown Jr., miscellaneous sales, 998 Stanton Road, Baxter, TN 38544, Simon L. Brown Jr. Six Lawn Care, lawn care service, 209 Young Road, Cookeville, TN 38501, Ricky A. Wilbanks/ Darlene Wilbanks Spring Creek Quilts and Fabric, retail quilts and fabric, 5725 Highway 111, Suite 3, Cookeville, TN 38506, Kathy A. Dishman Tennessee Bonding Co., bail bond service, 406 E. Spring St., Cookeville, TN 38501, Tennessee Bonding Co. The Lollipop Shoppe, 19 children’s store, 47 N. Cedar Ave., Cookeville, TN 38501, Michaela J. Goodwin Upper Cumberland Pools, pool service, 130 Falcon Pointe, Baxter, TN 38544, William W. Story Volunteer Muffler and Converter LLC, muffler shop, 559 W. Broad St., Cookeville, TN 38501, Scott Bryan Wallboard & Supply, building material distributor, 340 Industrial Circle, Algood, TN 38506, FBM W&S LLC Whittaker’s Tree Service and Lawn Maintenance, tree service and lawn maintenance, 6506 Rocky Point Road, Cookeville, TN 38501, Dawn M. Whittaker/Danny R. Whittaker White County (submitted by County Clerk Connie Jolley) ADT LLC, provision of electronic security services, 744 Melrose Ave., Nashville, TN 37211, Naren K. Gorsahaney Bill Boruff Automotive LLC, new and used dealership, 120 Auto Lane, Sparta, TN 38583, William (Bill) Boruff Carl Hunter, garage car repairs, 852 Riverhill Road, Sparta, TN 38583, Carl Hunter Catbird’s Thrifts, Gifts and Funky Junque, retail, thrifts, gifts and stuff, 26 E. Maple St., Sparta, TN the Tennessee 38583, Robin Matos Hardee’s Restaurants LLC, restaurant/fast food, 270 W. Bockman Way, Sparta, TN 38583, Andrew Fuzher J and A, construction, 2489 Crossville Highway, Sparta, TN 38583, Jonathan Morgan Luna Motorsports and Speed Shop, race cars and parts, 148 Doan Road, Sparta, TN 38583, Michael E. Luna Metro Industrial, staffing agency, 163 Mose Drive, Sparta, TN 38583, Ray McDaniel Nathan’s Hillbilly Cuisine and BBQ, restaurant, 5339 Old McMinnville Highway, Doyle, TN 38559, Nathan Hawkins Smith Landscaping and Irrigation, landscaping, 321 Gaines St., Sparta, TN 38583, Adam T. Smith Suncastle Solutions-Home Division, retail floors, kitchens, windows, etc., 3703 Roberts Matthews Highway, Sparta, TN 38583, Tracy N. Sparkman The Town Hill Bicycle Shop, bicycle sales and service, 1066 Parker Road, Sparta, TN 38583, Daniel R. Green White County Customs, motor vehicle dealer, 715A Crossville Highway, Sparta, TN 38583, Kenneth Loff Wooten Handyman, handyman services, 105 Cedar Bend, Sparta, TN 38583, J D Wooten For more information about signs and symptoms of dementia and depression or to subscribe to our free eNewsletter and get the latest news on senior health and senior caregiving, visit our website at StonesRiverHospital.com Have you observed changes in an elderly relative’s behavior? Is something the matter with grandma? The holidays can bring far-flung family members together. It is a time for sharing and reminiscing. It also may provide an opportunity for adult children who have not seen a parent or other relative for several months or even years to be aware of changes that others haven’t noticed. Dementia is a group of related symptoms that indicate problems with the brain. Early symptoms are often mild and may get worse only very gradually. A person with dementia and those around them may not notice these signs or take them seriously for some time. Memory loss, including forgetting recent events, routes to familiar locations like church or the grocery store, or the names of close family and friends, is a symptom of dementia, but others include: l increasing difficulty with tasks and activities that require Depression and the elderly concentration and planning Depression in elderly people often goes untreated l becoming confused in unfamiliar environments because many think that depression is a normal part l difficulty finding the right words of aging and a natural reaction to chronic illness, l difficulty with numbers and/or handling money loss and social transition. Elderly people do face l changes in personality and mood noteworthy challenges through loss and medical l depression vulnerability. However, unrecognized and untreated Dementia is progressive. An effected person’s brain will become depression increases the risk for medical illness more damaged and will work less well over time, and their sympand cognitive decline and can have fatal consetoms will become more severe. For this reason, it is important to have your elderly relative evaluated by a healthcare provider quences. Depression is the single most significant risk sooner rather than later if you are worried that they are exhibiting factor for suicide in the elderly population. signs of dementia. We are here to help. Riverside at Stones River Hospital provides a full range of supportive mental health services designed specifically for the older adult. We will help relieve symptoms, promote independence, ease pain, maintain safety, and make life worth living. Our 22-bed in-patient facility offers education, counseling, medication management, and arranges for resources to support you and your loved ones. 324 Doolittle Road | Woodbury, TN 37190 SRH is partly owned by some of the physicians who serve our patients. Visit our websites to learn more. Capella_SRH_Dementia_UCBJ_10.375x13_proof2.indd 1 10/22/13 12:57 PM
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