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INSIDE: Education • Health • Business Digest

MORNING STAR

Complimentary

Business Report September 2015

Del Tech Surgical Technology program

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Business Report | September 2015

Publisher’s notes

By Mike McClure

Our health is a very valuable commodity. The health care industry provides a valuable service to people looking to keep a high quality of life as they age.

This month’s edition of the Business Report features businesses that provide health care services, starting with Annette Silva’s story on the challenges involved with continuing to implement the Affordable Care Act. Among the other feature stories on businesses tasked with keeping us going are: Delaware Tech’s Terry Campus offering the state’s only surgical tech program, the addition of a doctor at Delaware Injury Care’s offices which are located across Kent

and Sussex counties, Bayhealth’s new 3D mamography program, CHEER’s direct care McClure workers who as act as lifelines for their patients, Urology Associates of Dover celebrates 50 years of practice downstate, Aquacare Physical Thearapy expands its services, and Beebe Medical center provides accessible care to its patients in Sussex County.

I hope you enjoy this month’s edition of the Business Report. Next month we will feature Women in Business.

AMISH COUNTRY BIKE TOUR - The Amish Country Bike Tour on Saturday, Sept. 12 in Dover is one of the top East Coast cycling events for all ages and abilities. Online and mail-in registration will remain open through Sept. 8, and cyclists may also register on the day of the event from 7 to 10 a.m. Cost is $60 per adult; $30 for ages 5-16; and free for children under five. It includes a full catered barbecue meal, map, up to four food/rest stops including the famous “pie stop” at the Amish Schoolhouse where slices of locally-baked pie will be served, plus the catered barbecue meal after the tour. A portion of every registration fee benefits the Dover YMCA, participating churches, the Amish Schoolhouse Fund and as many as seven additional local organizations. For more information visit www.amishcountrybiketour.com.

Individualized learning in the capital city

Located in historic Dover, Delaware, Wesley College offers more than 35 areas of study, offering both undergraduate and graduate degrees, more than 30 student organizations and 17 NCAA Division III sports. Our dedicated facility and small class sizes ensure you make the most of your education.

wesley.edu 302-736-2400

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Business Report | September 2015

CHAMBER LISTINGS Chamber

Phone

Bethany-Fenwick Chamber of Commerce Delmar Chamber of Commerce

Key contact

Dues*

Members

Fax

539-2100

Kristie Maravalli

$211

800

539-9434

846-3336

Diane Johnson $75

67

846-3336

Georgetown Chamber of Commerce

856-1544

Karen Duffield

$150

460

856-1577

Laurel Chamber of Commerce

875-9319

Don Dykes

$130

130

280-6365

Lewes Chamber of Commerce

645-8073

Betsy Reamer

$210

432

645-8412

Milford Chamber of Commerce

422-3344

Jo Schmeiser

$165

310

422-7503

Millsboro Chamber of Commerce

934-6777

Amy Simmons

$150

260

934-6065

Milton Chamber of Commerce

684-1101

Lisa Sumstine

$150

120

684-1101

Rehoboth-Dewey Chamber of Commerce

227-2233

Carol Everhart

$210

1303

227-8351

Seaford Chamber of Commerce

629-9690

Lynn Brocato

$150

330

629-0281

Central Delaware Chamber of Commerce

734-7513

Judy Diogo

$260

868

678-0189

Delaware State Chamber of Commerce

655-7221

Chuck James

$315

2000

654-0691

Delaware Small Business Chamber

482-2120

Bob Older

$295

170

Delmarva Black Chamber of Commerce

450-4501

Clay Hammond

* Annual membership cost based on businesses with fewer than 10 employees. For Delaware State and Central Delaware chambers membership cost figure is for 1-5 members.

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Business Report | September 2015

SERVPRO® of Sussex County

302-856-9768 Independently Owned and Operated

SERVPRO® SYSTEM SERVICES

CLEANUP & RESTORATION

Restoration:

Fire, Smoke and Soot Water Removal & Dehumidification Mold Mitigation & Remediation Catastrophic Storm Response Move Outs and Contents Restoration Electronics and Equipment Document Drying Contents Claim Inventory Service

Cleaning: Air Ducts & HVAC Biohazard, Crime Scene & Vandalism Carpet, Upholstery, Drapes & Blinds Ceilings, Walls and Hard Floors Deodorization *Services vary by location

inside September 2015

Del Tech graduates ready for the work force. Page 18

CHEER Senior Care offers safe, dependable, compassionate 24/7 care. Page 22

Features 4 - Chamber Listings 6 - Personnel File 8 - Health 14 - Business Digest 27 - Tourism 30 - Business Licenses 32- Accounting column 33- Marketing column 34 - Business Directory

On the Cover

Students in the Delaware Tech Terry Campus surgical technology associate degree program utilize an on-campus lab designed and equipped to replicate an operating room. See story page 18.

Photo by Charles Uniatowski

September Theme Health Care 18 - Delaware Injury Care 21 - Bayhealth 22 - CHEER 23 - Urology Associates of Dover 24 - Aquacare 25 - Beebe

October Theme: Women in Business Contact Chris Redman at (302) 262-9137 or credman@mspublications.com.

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Business Report | September 2015

PERSONNEL FILE McGibbon joins Beebe practice

Karen McGibbon, MD, a family practice physician, has joined Beebe Family Practice – Millville.

A physician with Beebe Medical Group, she is a Board Certified Family Physician with 18 years of experience McGibbon diagnosing and treating pediatric and adult patients.

Prior to joining Beebe Medical Group, McGibbon worked with Potomac Physicians in Annapolis, Total Health Care in Baltimore and served at Pope Air Force Base in Fayetteville, N.C. She received her degree from Howard University School of Medicine and completed her residency at St. Francis Hospital in Wilmington. She is a member of the American Association of Family Practice and the American Medical Association.

Prentiss Adkins, DO, a Board Certified Family Practice physician who previously practiced at the Millville office location, has moved to Beebe Family Practice – Millsboro.

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Business Report | September 2015

New Clinical Laboratory leadership

Beebe Healthcare announces new leadership in the Clinical Laboratory, headquartered at the Medical Center in Lewes.

Rosemarie “Ro” Pruden Rosmarin, PhD, is the new director of Laboratory Operations and Rich Matthews, ASCP BOR Cytology, MBA, is the new manager of Pathology.

Rosmarin earned her bachelor of science in chemistry Rosmarin and biology from Xavier University in Cincinnati and a Ph.D. in medical microbiology and immunology from the University of South Florida.

Her experience includes medical laboratory chief, U.S. Army Medical Service Corp; director of quality, American Type Culture Collection (ATCC) and lead assessor, ACLASS, American National Standards Institute-American Society of Quality (ASQ).

Matthews comes to Beebe from Montrose Memorial Hospital in Montrose, Colo., where he served as cytology supervisor

for 14 years; he has worked in pathology for 25 years. He received his bachelor of arts in biochemistry and cell biology from the University of California, San Diego, and his ASCP BOR in cytotechnology from the former Mary and Matthews Will Hippen School of Cytotechnology in San Diego. He received his MBA from the University of Colorado at Denver.

New chair elected to board

The Georgetown Boys and Girls Clubs of Delaware has announced Linda Price of Georgetown has been elected board chair of the Georgetown Unit Board of Directors. She replaces Ed Lester who served as board chair for more than six years.

Price, a banker for 30 years, is employed as branch manager of Fulton Bank’s Georgetown office. She has served as secretary of the Georgetown Chamber Board and Economic Development Council and past president and board member of the Georgetown Millsboro Rotary Club.

Brenneman completes second year

Cristal Brenneman, executive assistant and director of special events, of the Central Delaware Chamber of Commerce, has completed her second year at Institute for Organization Management, a four-year nonprofit leadership training program at Villanova University in Pennsylvania.

“Institute graduates are recognized across the country as leaders in their industries and organizations,” said Raymond P. Towle, IOM, CAE, the U.S. Chamber Foundation’s vice president of Institute for Organization Management.

Jirak named president/CEO

The Beebe Medical Group Board of Directors announces the appointment of George V. Jirak, MD, MBA, as president/CEO of Beebe Medical Group.

Dr. Jirak brings more than 28 years of patient care experience as an obstetrician/gynecologist and over 15 years of leadership experience, with both physician Jirak and healthcare organizations.

Prior to joining Beebe Medical Group, Dr. Jirak served as vice president of Augusta Health in Fishersville, Va., as well as the president of Augusta Medical Group.

Dr. Jirak earned his undergraduate and medical degree at the University of Wisconsin, Madison. He completed both a residency in obstetrics and gynecology and a flexible internship at Brooke Army Medical Center in San Antonio, Texas, earning his Physician Executive MBA at the University of Tennessee. He is a Fellow of the American College of Obstetrics and Gynecology and a member of the International Urogynecology Association and the Leadership Council for the University of Tennessee Physician Executive MBA Program.

Harbeson.

Scott Yackel has been promoted to plant manager at Cordova, having previously served as assistant plant manager at Harbeson.

Jim Quinton will serve as senior manager transportation and environmental services and reports directly to CEO Steve Evans. He previously served as senior manager of Cordova operations and transportation.

Fulkrod named director

Ray Fulkrod, RN, MBA, MSN, has been promoted to director of performance improvement and quality at Nanticoke Health Services.

Fulkrod is responsible for the day-today operations of the Quality Management Department - an integrated department serving all aspects of the organization in both performance improvement activities and quality of care. He is Fulkrod also responsible for the Infection Prevention, Patient Safety, Stroke Care Coordination, and the Quality Measures Reporting Programs.

Fulkrod began his career at Nanticoke Memorial Hospital in the spring of 2012 as an Emergency Department (ED) nurse. His background includes 18 years of experience in the healthcare field.

Fulkrod holds two master’s degrees in business and nursing. Professional memberships include the Emergency Nurses Association, Delaware Emergency Nurses Association, National Association for Healthcare Quality, and the American College of Healthcare Executives.

Menard named CSNN

Nanticoke Health Services welcomes Fredeline Menard, MBA, RN, to the position of Cancer Screening Nurse Navigator (CSNN) at Nanticoke Cancer Care Services.

As CSNN, Menard advocates for patients and providers by determining and meeting cancer screening needs and serves as a community ambassador for underserved communities within Sussex County. She also volunteers for Menard the Delaware Breast Cancer Coalition.

Menard received her bachelor of science in nursing and her MBA with a concentration in healthcare management from Wilmington University in New Castle. She received her RN diploma and several certifications from Methodist Hospital School of Nursing in Philadelphia, Pa. Menard is licensed in Delaware and Pennsylvania and is a member of the Oncology Nursing Society.

Pelot named AVP

Tres Pelot, BS, RRT, has been promoted to assistant vice president of Clinical Services at Nanticoke Memorial Hospital.

Pelot will be accountable for services provided by several departments including Cardiology, Neurology, Nutrition, Pulmonary Pelot Function Lab, Respiratory Therapy, Sleep Lab. He will also oversee the operation of all Nanticoke Immediate Care locations in Georgetown, Laurel, and Seaford along with other special projects.

Pelot began his career at Nanticoke in 2002 as the director of Respiratory Therapy.

He has had over 20 years of extensive experience in respiratory therapy. Pelot earned his bachelor of science in respiratory therapy from Salisbury University. He is certified in Delaware and Maryland and is a member of the American Association of Respiratory Care.

Allen Harim announces promotions

Allen Harim has promoted four employees to senior level positions.

Sylvia Nicholson has been promoted to senior director of human resources and corporate communications. Since joining the company in Oct. 2014, she has overseen human resources strategy development, as well as employment services, compensation and benefits, employee relations, and professional training and development.

Everett Brown was promoted to senior director of operations responsible for both Harbeson and Cordova. He joined the company in March, 2014 as senior manager at

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Business Report | September 2015

Dr. Madisi joins Bayhealth practice

Bayhealth Endocrinology of Bayhealth Medical Group welcomes Nira A. Madisi, MD. Dr. Madisi earned her medical degree at the University of the West Indies. She continued her training at George Washington Madisi University Hospital, in Washington, D.C., completing her fellowship in endocrinology. She completed her residency in internal medicine at Johns Hopkins University, Sinai Hospital of Baltimore, where she was chief resident.

Dr. Madisi is a member of several professional societies including The Endocrine Society, American Thyroid Association, and the American Diabetes Association.

Bayhealth Endocrinology has offices in Dover and Milford.

Bayhealth offers CPR/AED course

Bayhealth will offer the American Heart Association Heartsaver CPR/AED from 5-8:30 p.m. on Wednesday, Sept. 16, at

HEALTH

Bayhealth Kent General, General Foods Conference Room, 640 South State St., Dover.

The course, designed for non-health care providers, reviews the steps of CPR for adults, children and infants. In addition, participants will learn the use of an automatic external defibrillator (AED). Participants must be at least 14-years-old.

The cost is $25. Registration deadline is Sept. 11. A course completion card is issued with recertification needed every two years.

For more information, call 744-7135 or toll-free at 877-453-7107 or visit bayhealth. org/classes.

physicians who work exclusively with hospital patients from infancy through adulthood.

When seen by a pediatric hospitalist, your child will receive the same high-quality care that you have come to expect from your pediatrician or primary care physician.

The pediatric hospitalists will oversee all medical treatment from admission to discharge, including examining your child, ordering tests and medications, and answering any questions you or your family may have. Hospitalists participate in care for newborns after birth and help ensure a safe transition to the chosen primary care physician.

Pediatric hospitalists at Bayhealth

Sponsorships are available for the 16th Annual Jean and Joan Cancer Fund Charity Golf Tournament which will be held on Monday, Sept. 28, at Kings Creek Country Club. The charity tournament has donated $415,000 from tournament proceeds to support cancer care at Beebe’s Tunnell Cancer Center.

The proceeds from this year’s tournament will be donated to purchase another patient transport van – at a cost of approximately $56,000. The 14-passenger bus, equipped for two wheelchairs, will be used by the Cancer Center to help patients who do not have their own transportation receive their treatments.

Several categories of participation and recognition are available. For more information about the tournament, online registration and sponsorship opportunities, visit www. jeanandjoanfund.org.

Bayhealth has formed a partnership with Christiana Care Health System to provide on-site pediatric hospitalists at Bayhealth Kent General. This partnership allows hospital-based physicians to be available 24 hours a day, seven days a week for emergency consultations and inpatient care.

Pediatric patients from Kent and Sussex counties can be referred by their physician to Bayhealth Kent General to receive a higher level of care, delivered closer to home.

Pediatric hospitalists are board-certified

“I didn’t know my wife could receive in-home care through Medicaid without having to spend our life savings first.”

If you are caring for an ill spouse and are concerned about paying for the care they need, resources are available to you.

Contact our office at 302.628.4140 to schedule a consultation.

Planning today to protect your family’s tomorrow. www. pww l aw .c om 8

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Offices in Seaford and Lewes

Business Report | September 2015

Charity golf tournament is Sept. 28

Go Red for Women luncheon, show Heart disease is the Number one killer of men and women. To raise awareness about heart disease in women, the American Heart Association in 2004 kicked off the Go Red for Women initiative, which includes an annual fundraising luncheon bringing women together to learn more about the disease.

Beebe Healthcare will sponsor the Ninth Annual Go Red for Women Luncheon and Fashion Show Prasad Wednesday, Sept. 16, at the Clubhouse at Baywood Greens in Long Neck. Doors open at 11 a.m. and lunch will be served at noon.

Cost is $30 a person.

Keynote speaker will be cardiologist Rajinder Prasad, MD, FACC, medical director of the Dean Ornish Program for Reversing Heart Disease™ at Beebe. Dr.

COMMITTEE SELECTED - Bayheath, Inc. board member Bill Strickland will serve as chair of the Campaign for Bayhealth – Phase III, a capital fundraising campaign that will support the new health campus in Milford, which is slated to open in 2019. The following individuals have been recruited to serve on the committee: William “Bill” Andrew, Margaux F. Azzanesi, I.G. Burton, Robert A. “Bobby” Fischer Jr., Connie Fisher, Patricia “Pat” Fisher, Garrett L. Grier III, Judy Grier, Dr. Jose A. Guzman, Sara Kate Hammer, John A. Hopkins III, Dean Y. Johnson, Ben Jones, Cynthia Jones, Dawn Kenton, James “Jamie” Masten, Paul Mills, David N. Rutt, William J. “Bill” Strickland, Lois Studte, Robert J. “Bob” Voshell. To participate in the Campaign for Bayhealth – Phase III, contact the Bayhealth Foundation at 302-744-7015 or visit www.bayhealthfoundation.org.

Prasad, who has offices in Lewes and in Ocean View, is medical director of the Beebe Cardiac Rehabilitation Program.

Nurses from Beebe’s Population Health Department will provide free blood pressure

screenings from 10:45-11:45 a.m. For tickets, contact Pat Sandy at 302-236-1537 or Muriel Pfeiffer at 302-947-2640.

High Definition Surveillance Changes Everything

Pedal Away Prostate Cancer race

The Seventh Annual Pedal Away

Prostate Cancer Bike Race and Health Fair will be held on Saturday, Sept. 19, at Eden Hill Medical Center in Dover.

The annual event is sponsored by the Delaware Prostate Cancer Coalition (DPCC), and raises funds that support free prostate screening programs and outreach.

The bike event is open to cyclists of all abilities, with prizes for top finishers. The race also serves as the 40K race for the Delaware Senior Olympics (DSO). A picnic lunch will follow.

A “Go Blue” health fair will be held from 9:30 a.m. to noon at the finish site.

Free PSA vouchers and prostate cancer screening registrations are available. The event includes health care and other local vendors; food, beer and wine samplings; and free massages.

To learn more and to register, visit bikereg.com.

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Business Report | September 2015

HEALTH

QUALITY AWARD - Nanticoke Memorial Hospital has received the American Heart Association/American Stroke Association’s Get With The Guidelines – Stroke Gold Plus Quality Achievement Award with Target: Stroke Honor Roll. The award recognizes the hospital’s commitment and success ensuring that stroke patients receive the most appropriate treatment according to nationally recognized, research-based guidelines based on the latest scientific evidence. “Nanticoke Memorial Hospital is dedicated to improving the quality of stroke care, and the American Heart Association/American Stroke Association’s Get with The Guidelines-Stroke helps us achieve that goal,” said Steven Rose, RN, MN, president and CEO of Nanticoke Health Services. Pictured, Laurie Saint Clair, American Stroke Association, presents the award to Nanticoke Memorial Hospital staff.

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Business Report | September 2015

Beebe plans wellness course

Beebe Healthcare presents “Wellness Works: Nutrition, Stress Management, and Exercise,” a four-week course facilitated by Catherine Murphy, MSN, RN, of Beebe’s Population Health Department.

The class will meet for four consecutive Mondays from 3-4 p.m. beginning Sept. 14 at the Lewes Public Library’s second floor conference room.

For more information and to register, visit www.beebehealthcare.org/beebehealthcare-host-four-week-wellnesscourse.

Free community CPR classes

Beebe Healthcare will offer free CPR classes for non-medical members of the community at 9 a.m. on the second Saturday of each month at Beebe’s Medical Center in Lewes. The class includes facilitation by a trained volunteer and a small reference book. This is not a full-certification CPR class and cards are not issued.

The course teaches adult hands-only CPR, child CPR, infant CPR, automated external defibrillator (AED) use, and what to do when someone is choking.

Each class will last about two hours. For reservations or information, call 645-3248.

CAMP REHOBOTH DONATION - Beebe Healthcare and the Beebe Medical Foundation presented a check for $2,500 to CAMP Rehoboth for its 25th anniversary celebration, the Silverbration Celebration Weekend, Oct. 9-11. Pictured from left: Judy Aliquo, president & CEO, Beebe Medical Foundation; Tom Protack, director of development, Beebe Medical Foundation; Jeffrey M. Fried, president & CEO, Beebe Healthcare; Chris Beagle, vice president, CAMP Rehoboth Board of Directors and chairperson of the 25th Anniversary committee; and Kathy Davison, CAMP Rehoboth 25th Anniversary committee member.

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Business Report | September 2015

HEALTH

La Red opens Milford center

The Milford Chamber of Commerce held a ribbon cutting ceremony for La Red Health Center’s new location in northern Sussex County at 1 Sussex Ave., Milford.

Citizens – Sponsors – Exhibitors

Delaware Technical Community College, Terry Campus

7 th

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The Milford Chamber of Commerce held a ribbon cutting ceremony recently for La Red Health Center (LRHC), which has expanded its primary care services by opening a new health center in northern Sussex County at 1 Sussex Ave., Milford.

Sussex County is federally designated as a Medically Underserved Area (MUA), a low-income Health Professional Shortage Area, (HPSA), a Dental HPSA, and a Mental Health HPSA – all of which underscore the fact that Sussex County is in dire need of accessible quality health care services.

The opening of the new 6,534 squarefoot-site site will fill a health care void in northern Sussex County. The Milford Health Center is staffed with an internal medicine physician, a women’s health nurse practitioner, a licensed practical nurse, a behavioral health consultant, a pediatrician and a receptionist. The Milford Health Center is the third clinical site that LRHC has opened since 2012.

LRHC offers a sliding fee scale based on income and family size for uninsured patients, and accepts Medicare and Medicaid, most commercial insurance plans, and most plans available through the Delaware Marketplace.

For more information or to make an appointment, call 302-855-1233 or visit www.laredhealthcenter.org.

Community: ConneCtion, Collaboration, and CommuniCation

9•22•15

Terry Campus Conference Center | 100 Campus Drive | Dover, DE 19904 To register, sponsor, or exhibit call 302.857.1400 or visit www.dtcc.edu/economicsummit

#KentEconSummit2015 Cost: $30/person | Breakfast and lunch included 12

Business Report | September 2015

Governor Jack Markell was one of the speakers at the grand opening ceremony.

NURSE EXTERNS - Ten nursing students have started Beebe Healthcare’s 2015 Nurse Extern Program. These externs are currently enrolled in nursing programs and will work with Beebe Healthcare nurse mentors to gain valuable hands-on knowledge of the hospital work experience.

Pictured in back, from left: Jennifer Hargreaves, RN, extern coordinator; Megan VanSant, Margaret H. Rollins School of Nursing at Beebe Healthcare; Beth Willing, Margaret H. Rollins School of Nursing; Aubrey Bull, York College of Pennsylvania; Katie Daniels, Margaret H. Rollins School of Nursing; and Alyssa Luongo, Penn State. Front: Sophia Thomas, Georgetown University; Lindsay Hetrick, Margaret H. Rollins School of Nursing; Kayla Krause, Lynchburg College; Ashley Rego, Margaret H. Rollins School of Nursing; and Erica Lemmert, University of Charleston.

FESTIVAL OF TREES - The Festival of Trees returns to the Delaware Hospice Center in Milford on Dec. 4–6. Delaware Hospice seeks artisans and designers to decorate trees and wreaths for its 2015 Festival of Trees. Volunteer artisans and designers are needed to help decorate the Delaware Hospice Milford Center, where holiday items are on display throughout the weekend.

Additional help is also welcomed with setup, take down, and sales. Festival proceeds benefit Delaware Hospice’s programs and services to patients and their families. To learn more, contact Peggy Dolby at pdolby@ delawarehospice.org or 302-746-4666.

Connect the Dots to Your Assets: Insurance Investments Banking Lora Davis, Wye Financial & Trust

Jon Horton, Jack Martin & Associates Yacht Insurance

Ginny Biondi, Freestate and Son Insurance

Seth Beatty, Avon-Dixon Insurance

Dee Andrews, CNB

Dawn Brode, The Talbot Bank

Jason Wilson, Elliott Wilson / Avon Dixon Insurance

From banking to insurance to investments, we bring you the strength of the area’s largest independent financial institution, with the trust and friendliness of a local business that knows you by name. Learn more at ShoreBancshares.com

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Business Report | September 2015

BUSINESS DIGEST Survival Products joins Ace

Rommel Holdings has acquired Survival Products, the area’s leader in pellet stoves, wood stoves, fireplaces and paddlesports products.

“Rommel Holdings brings financial strength and infrastructure to Survival Products, ensuring its continued growth for many years to come. Survival Products brings great brands such as Harman, Quadra-Fire, and Heat & Glo in the stove and hearth market. On the paddle sports side, they bring brands like Hobie, Wilderness Systems, and Yakima. Most importantly, Rick and Sue Turner and their team bring experience and a commitment to great customer service,” said Rommel Holdings Company President, Mike Cottingham.

Rommel Holdings, a mid-sized holding company located in Fruitland, owns 11 Rommel’s Ace Home Centers in Maryland, Delaware and Virginia.

Michel receives teaching award

Bayhealth Kent General Certified Medical Dosimetrist Johnny Michel, BS,

CMD, received the Clinical Educator Award from Thomas Jefferson University’s Radiologic Sciences Dosimetry Program.

Bayhealth’s Radiation Oncology Department is a clinical site for Thomas Michel Jefferson University’s Radiologic Sciences Dosimetry Program.

Michel has worked at Bayhealth for seven years and has worked with six students from Thomas Jefferson University. The Clinical Educator Award is given based on a collection of information from students, the health care facility used and seeing how the students progress in the program.

Becker Morgan among top firms

Becker Morgan Group has been recognized

by Engineering News-Record (ENR) as a 2015 MidAtlantic Top Design Firm, ranking #62 in the region and #6 in Delaware, among many national and international design firms. The firm also ranked #6 in Master-Planned Development/Site

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Business Report | September 2015

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Infrastructure and #19 in Education.

This list includes architects, engineers, and other design professionals doing business in Delaware, Maryland, Pennsylvania, Virginia, Washington DC and West Virginia.

DBF ranks #27 in report

Once again, Davis, Bowen & Friedel, Inc., has been ranked within the top 300 architecture, engineering, and construction (AEC) firms in the country. Moving up in the Engineering/Architecture Firms category from #31 in 2014, DBF now ranks #27 in Building Design+Construction magazine’s “Giants 300 Report” for 2015.

An annual list based on revenue data, the magazine charts the largest commercial AEC firms in the U.S. based on their building-type revenue, building information modeling (BIM) revenue, green building work, and other criteria.

The various commercial building sectors covered by the magazine’s audience of more than 72,000 professionals include government, healthcare, recreation/sports, education, military, retail, hotels, transit, multifamily residential, and office structures.

For more information, and to view Building Design+Construction magazine’s full “Giants 300 Report” online, visit www. dbfinc.com.

Loan program ceiling raised

President Obama has raised the Small Business Administration 7(a) Program authorization ceiling to $23.5 billion.

“America’s small businesses are growing faster than ever. The 7(a) program has experienced unprecedented demand from the small business community, and has already approved over 45,000 loans this year totaling more than $16.5 billion. That’s a 25 percent increase over this same period last year,” said SBA Mid-Atlantic Regional Administrator Natalia Olson-Urtecho.

7a loans have made the difference for many small businesses in Delaware. For example, SBA’s 7(a) loan program provided Delmar steel fabricator Crystal Steel with start-up funds when lack of conventional financing threatened to derail its founders’ dreams of business ownership. Thanks to that SBA-backed start, Crystal Steel reports annual revenues of $60 million and employs 350, with short-term expansion plans including the addition of more than 50 positions.

Trinity Logistics recognized

For the third consecutive year, Trinity Logistics in Seaford has been named to the 2015 Top 3PL and Cold Storage Providers list in Food Logistics, the only publication dedicated exclusively to global supply chain solutions for the food and beverage industry.

The list serves as a resource guide of third-party logistics and cold storage providers whose products and services are critical for companies in the global food and beverage supply chain.

Trinity offers transportation arrangement and logistics services for dry food goods, refrigerated and frozen food, packaging supplies, and more.

Companies on the list were profiled in the August issue of Food Logistics and online at www.foodlogistics.com.

Becker Morgan wins award

Becker Morgan Group was recently awarded the 2015 Metal Architecture Ribbed Metal Wall Panels Design Award for Audi Cape Fear, an automotive dealership in Wilmington, N.C. The project is featured in the July issue of Metal Architecture and online at www. metalarchitecture.com.

The Metal Architecture Design Awards recognize winning entries based on “creativity in the metal construction industry and showcase exciting uses of steel” incorporated into project design.

VOLUNTEER WORK DAY - County Bank celebrated its 25th anniversary recently with a volunteer work day for MHDC’s Self-Help Housing Program. Eight employees from County Bank spent the day putting up siding on the home of Self-Help participant, Pansey Slayton, in Heritage Farms, Lincoln. In one day’s work, the group nearly completed siding the entire home. For more information about the Self-Help Housing program or MHDC, visit www.milfordhousing.com, or call 302-422-8255.

STAFF PERSON OF THE QUARTER – Kent-Sussex Industries, Inc. (KSI) recently recognized Tynika Harris, of Milford, as Outstanding Staff Person of the Quarter.

Harris joined KSI staff in July 2014, supervising pre-vocational activities designed to develop employment skills. Her positive encouragement motivates program participants to do their best. Harris was recently promoted to work crew supervisor for the KSI crew working at Merck Animal Health in Millsboro. Harris is pictured with KSI CEO, B. Craig Crouch.

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Business Report | September 2015

FEATURE STORY

The future of the healthcare system

By Annette Silva

If Dr. Edwards Deming, the 20th century father of Quality (with a capital “Q”) were alive today, he would be delighted to learn that his visionary quest for a quality system of “continual improvement” not only was adopted by manufacturing entities the world over, it also became a worldwide movement to dramatically improve business systems, including the healthcare industry.

One of Dr. Deming’s famous quotes was: “If you can’t describe what you are doing as a process, you don’t know what you are doing.”

Quality control is now part of our lexicon but when Dr. Deming tried to sell his system to Detroit automakers in the 1970s, they weren’t interested. Deming’s quality control, then considered revolutionary, led to the rise of the Japanese auto industry after World War II. The Japanese, unlike Detroit, were very interested. You know the rest of the story.

The question before us now is how does a national quality strategy work in the

Affordable Care Act (ACA). According to the Agency for Healthcare Research and Quality (AHRQ) report, the National Quality Strategy (NQS), “was made up of 300 organizations, individuals and groups all representing sectors of the health care industry with the general public providing comments.”

It sounds good. In theory it appears efficient and desirable. Everyone wants medical care to be more efficient. “The main problem is that patients and doctors are human beings and so it isn’t perfect,” said Dr. Anthony Policastro, a pediatrician, retired Air Force Colonel and former Medical Group Commander.

As in all government programs, there are layers upon layers then more layers of procedures, certifications and accreditation. Then there is the actual integration of a new system nationally in a manner that can be understood and applied by doctors, insurers and patients.

“We should have integrated the process, changed the system and aligned it with the technology before diving into the whole

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Business Report | September 2015

thing [the ACA],” Dr. Policastro said.

“Now we’re playing catch-up and throwing money at it.”

Some were trying to get this process going back in 2009 (based on the reputation and published findings by Dr. Donald Berwick who wrote the book, “Curing Healthcare”). For a brief time, from July 2010 to December 2011, Berwick served as administrator of the Centers of Medicare and Medicaid. Prior to his work in the administration, Berwick was president and chief executive officer of the Institute for Healthcare Improvement, a non-profit organization.

Dr. Berwick, who graduated cum laude from Harvard Medical School and earned a Master of Public Policy from John F. Kennedy School of Government, completed his residency in pediatrics at Children’s Hospital in Boston. Because his appointment by the President was a recess appointment and considered political, he resigned his position at CMS in December 2011.

“I suggest that people read Dr. Berwick’s book,” Dr. Policastro said. “He was an advocate for Quality Control and improvement in healthcare.” Berwick received honors from Alfred I. DuPont for excellence in children’s healthcare and from the American Hospital Association.

He is a Fellow of the Royal College of Physicians in London and was awarded Honorary Fellowship of the Royal College of Physicians of Ireland in 2012.

Whether one agrees or not with a national health program, we now have one.

What we are “catching-up” on is quality control.

National Quality Strategy According to the federal National Quality Strategy (NQS), there are three principal goals to guide local, state and national efforts to improve the quality of health care: “Better Care “(patient centered, reliable, accessible and safe); “Healthy People/Healthy Communities” (self-explanatory); and “Affordable Care,” (reduce the costs) “for individuals, families, employers and governments.”

To advance these aims, the NQS focuses on priorities and strategies. The strategies are based on quality control from the patient’s first doctor visit throughout his/her lifetime with a health history record on a statewide network.

Priorities include patient safety, personcentered care, care coordination, effective

treatment, healthy living and affordable care. Each of these categories “represents a core business function, resource, or action that stakeholders can use to align to the strategy.” These include: measurement and feedback, public reporting, learning and technical assistance, certification, accreditation and regulations, consumer incentive and benefit designs, payment, health information technology, innovation and workforce development.

The above listing is a tall order by any standard. As Dr. Policastro explained, the system has to be learned and followed by everyone in it, including the effort to engage patients in following physician instructions by following through and abiding by and recording his/her process and progress.

“The National Council on Quality Assurance (NCQA) certifies and accredits health insurance companies,” Dr. Policastro said. They measure insurance company claims, follow-up procedures like mammograms and colonoscopies, vaccines, bone density exams, patient examinations and other medical requirements.

“This is one of the pieces of our health care system that could be improved,” Policastro said. “Insurance companies focus on the numbers and statistics in order to receive accreditation. The insurance companies expect the physicians to be responsible for these things as well.

The insurance company might even drop a physician from its company if their statistics (measurements) remain poor.”

Dr. Victor De Jesus has a private practice in Seaford as a primary care internist.

He said this system is a fast-moving train in terms of medical practices and how doctors are rewarded. “We will be compensated according to how we meet the measurements,” he said. As an owner of a private practice, he will be joining an organization of private family practice physicians who will assist each other in keeping up with the concept of basically being paid according to codes that signify healthier patients, fewer costs and the effort to keep patients out of hospitals.

“It is a cost-saving process and I see it as a challenge,” he said. “It won’t be easy and there will be more pressure to get patients to take responsibility for their own health.”

Dr. De Jesus likes his private practice and hopes it can survive as such but, “If I can’t make it financially, I’ll have to join a hospital group.” He said the trend nationally has been that older doctors have been selling their practices and retiring early rather than attempting to survive these changes.

“Connectivity is everything with the

new quality assurance. We will be provided with links that are very expensive but our billing company will not charge us extra for expensive infrastructure until we realize savings,” he said.

The new system will be based on codes and will keep tabs on a doctor’s scores. Commercial insurance companies use the same code system.

Specifically, the codes will be an upgrade from the ICD-9 (international coding diagnosis) to the ICD-10. These codes count specifics like bloodsugar levels, blood pressure, diabetes testing, and other procedures in which the doctor and patient work in tandem. “In the long run, I think it will be a win-win situation – good for patients and the doctors, but it will take time, team effort, care coordination and additional nurses to assist with keeping track of measures,” Dr. De Jesus said. “It is a big challenge for all of us.”

How costly will “cost savings” be?

Steve Moore, an economist who writes for Forbes Magazine and consults on economic matters, doesn’t think the ACA will save money or improve health care. It may be too early to tell. In an article he wrote in June, Moore said, “The costs to Americans for health insurance in the new ObamaCare era are soaring across the country. The latest premium increases show the following dismal news for families. In California,

Risk Control

Captives

approved rate increases going into effect this year are running up an average of about 10 percent, or five times the rate of inflation. In Florida 33 of 36 approved rate hikes were greater than 10 percent.”

From The Heritage Foundation, an article by Alleyne Senger addresses the flawed Medicare payment formula. “Members of the medical profession expected Congress and the Administration to remedy this problem through health care reform, but they failed to do so,” she said. Doctors will face the threat of deep payment cuts under Medicare’s sustainable growth rate (SGR) formula which governs the annual growth of Medicare physician payments. Senger says the provider payment cuts called for by the SGR will reduce seniors’ access to care. (This has not been proven.) Congress passed a last-minute and temporary “doc fix” each year, but that will end in December, so physicians are forced to form groups, take pay cuts, and/or both.

In addition to existing regulations over physician payments, the law has created new federal agencies (such as the NCOA and the NQS to name just two). Yet another Continued on page 21

Workers Compensation

lyonsinsurance.com Wilmington 302.658.5508

Rehoboth 302.227.7100

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Business Report | September 2015

COVER STORY

Del Tech offers sole surgical tech program in Delaware Surgical technologists play a significant role in the operating room. Working with a team of registered nurses and surgeons, surgical technologists handle the instruments, supplies, and equipment necessary during a surgical procedure. They also anticipate the needs of the surgical team and monitor the environment to maximize patient safety.

The profession is growing – the U.S. Department of Labor projects the employment of surgical technologists to increase 30 percent by 2022 – and opportunities exist locally in hospitals and outpatient surgical centers throughout the state and region.

To help meet the demand for highly-trained and skilled surgical technologists, the Delaware Technical Community College Terry Campus in Dover offers the state’s only surgical technology associate degree program.

The program is accredited by the Commission on Accreditation of Allied Health Education Programs (CAAHEP) upon the recommendation of the Accreditation Review Council on Education in Surgical Technology and Surgical Assisting (ARC/STSA). It also boasts a 100% participation and pass rate on the Certified Surgical Technologist (CST) examination and has been presented a merit award from the National Board of Surgical

Technology and Surgical Assisting (NBSTSA) for achieving that pass rate.

Its excellence has also been noted and acknowledged by the national Association of Surgical Technologists (AST), as program coordinator Tina Gary was recently named the AST Didactic Instructor of the Year and the overall program was honored with an AST Galaxy Star Award.

Students in the program utilize a fullyequipped lab designed and outfitted to replicate a realistic operating room. The lab gives students the opportunity to experience situations and scenarios as they would actually occur in a surgery setting. It also allows student to become familiar with today’s modern technology and equipment, and acquire the specialized skills required to use it.

Upon completion of the program, graduates are prepared to start a career as a surgical team member or obtain a position in a sterile processing department. Job placement assistance is available through the on-campus Career Services Center.

For more information on the surgical technology associate degree program on the Delaware Tech Terry Campus, contact program coordinator Tina Gary at 302-857-1766 or tgary2@dtcc.edu.

Tina Gary, program coordinator for the Delaware Tech Terry Campus surgical technology associate degree program, was recently named the Association of Surgical Technologists (AST) Didactic Educator of the Year. Photo by Prudy Pierson.

Del. Injury Care adds 3rd doctor

By Carol Kinsley

Delaware Tech, Terry Campus, Dover, offers the state’s only surgical technology associate degree program. The surgical tech profession is expected to increase 30 percent by 2022.

Photo by Charles Uniatowski 18

Business Report | September 2015

Looking for a chiropractor in Dover, Milford or Seaford, who can help you with back or neck pain, headaches or chronic general aches and pains? The doctors at Delaware Injury Care can help.

Dr. Edwin Juste, Dr. Kevin Webb and Dr. Rachel Silver, latest addition to the practice, are trained in spinal manipulation— using gentle, non-invasive techniques — which causes restoration of normal nerve function. Treatment at Delaware Injury Care is hands-on and patient specific.

The three doctors have training in many different soft tissue techniques including post isometric relaxation, myofascial release therapy, trigger point therapy and others. In addition to traditional chiropractic treatment, Delaware Injury Care offers ultrasound, electrical muscle stimulation, cryotherapy, heat therapy and hydromassage. Whether your pain is due to surgery, illness, or auto or work injury, Continued on page 24

PARAMEDIC PROGRAM

As a paramedic, you will provide advanced pre-hospital emergency care under medical command authority to acutely ill or injured patients. You will also transport patients by ambulance or other emergency vehicles.

The Delaware Tech Terry Campus offers the state’s only associate degree paramedic program. The program will prepare you to assess and clinically manage a patient suffering a trauma or medical emergency, lead a team, and direct and coordinate the transport of a patient while communicating with a medical command authority.

Upon successful completion of this program, graduates will be eligible to sit for the National Registry of Emergency Medical Technicians Paramedic exam.

What You Can Do

In this program, you will gain the knowledge and skills to prepare you for positions such as:

• Emergency paramedic • Flight paramedic • Critical care paramedic

For more information, contact Chris Hainsworth at (302) 857-1734 chainswo@dtcc.edu or visit us at www.dtcc.edu/academics 19

Business Report | September 2015

Bayhealth is stronger in the fight against breast cancer.

The difference is 3D. 3D mammography gives us a better view of breast tissue than standard digital mammography. Because 3D mammography shows multiple layers of breast tissue, our radiologists get a clearer view of abnormalities.

This advanced technology has been proven to detect 41 percent more invasive cancers. All Bayhealth imaging facilities are now equipped to offer 3D mammography, so that you can feel confident in your results.

Schedule your 3D mammogram at one of our four convenient locations: Bayhealth Women’s Center, Kent General: 302-744-7400 Bayhealth Outpatient Center, Middletown: 302-378-1199 Bayhealth Outpatient Center, Smyrna: 302-744-7060 Bayhealth Milford Memorial: 302-430-5707 KENT GENERAL | MILFORD MEMORIAL | www.bayhealth.org/3Dmammo

20

Business Report | September 2015

Medical professionals look to the health system’s future Continued from page 17

is the Independent Payment Advisory Board (IPAB) which is made up of 15 unelected bureaucrats. “IPAB’s goal is to reduce the per capita growth rate in Medicare spending in accordance with specified targets.”

Senger says that IPAB is essentially a healthcare rationing body. “By setting doctor reimbursement rates for Medicare and determining which procedures and drugs will be covered and at what price, the IPAB will be able to stop certain treatments its members do not favor.”

Lastly, she says Obamacare creates a variety of pay-for-performance programs.

“Beginning in late 2015, pay will be adjusted to reflect performance using quality data from the Physician Quality Reporting System (PQRS) and cost data from Medicare fee-for-service claims.”

Big insurance merges In the July 29 issue of U.S. News & World Report there is a report called, “The Worst of Both Worlds” written by Mark Pauly. According to Pauly, “Health insurers are merging everywhere you turn in the newly reformed and more heavily regulated health insurance system. “Anthem will buy insurance giant Cigna for over $54 billion

and Aetna announced its agreement to buy Humana, the nation’s fifth-largest health insurer.

As consumers, he said, “Ordinarily we ought to worry about having fewer sellers, higher market power and higher prices.”

There is a difference, however, in the markets most affected by these mergers. “There is now a regulatory protection that might offset premium and price increases. For both the Medicare Advantage and Obamacare exchange markets, insure, by law, must pay out some fraction of premiums to cover customer medical claims and activities; the regulated minimum of that fraction — the medical loss ratio — is 80 percent for exchange plans and 85 percent for Medicare Advantage plans.”

But there’s a catch, Pauly said. If the 20 percent of the dollar as profits and administrative costs gets more market power through a merger, what could it do to increase profits?

“One answer is obvious,” Pauly says, “Cut administrative costs so more of the 20 percent share (to be paid out to medical benefits) falls to the bottom line. In this case, all the savings from avoiding the paper-pushing waste would go to the insurer, not to its customers.”

The jury is still out Dr. Policastro said: “There should be a way to charge higher premiums to patients who do not take proper care of their disease — for example, diabetes. We do that for bad drivers. It should be no different for patients.

“What we need is a system that rewards the first physician and the patient. What we have is a system that financially rewards the second physician and the patient. Any kind of healthcare reform that does not address this kind of underlying problem will be one that will be too expensive for us to bear as a nation.”

Dr. De Jesus says: “The ACA quality system reads like an efficient system. In the real world, with real people, it will be a long process and it will be difficult.”

Dr. Deming once said: “If you don’t understand how to run an efficient operation, new machinery will just give you new problems of operation and maintenance. The sure way to increase productivity is to better administrate man and machine.”

The big question: Can man be administered like a machine?

DYNAMIC PHYSICAL THERAPY Recover Your

Bayhealth offers 3D mammograms Bayhealth will launch a new system-wide 3D mammography program this fall. Offered through Bayhealth Diagnostic Imaging, the technology – also called tomosynthesis – will be an option for every mammography patient.

3D mammography is an enhanced procedure capable of detecting breast cancer 41 percent more effectively than the traditional mammogram alone. The procedure takes only a few seconds and uses low dose radiation, but produces better images. Most women won’t notice the difference when they receive a mammogram enhanced with tomosynthesis.

With the launch of this program, Bayhealth will be the only health care organization in Delaware to be fully equipped to provide 3D mammograms in all three counties.

“We are very pleased to make 3D mammography the standard at Bayhealth,” said John Desiderio, director Bayhealth Diagnostic Imaging Services. “This technology allows our doctors to detect breast cancer sooner, with less stress on the patient.”

With the addition of this advanced technology, Bayhealth hopes to detect breast cancer earlier for better outcomes for patients. Early detection is vital to better outcomes.

Bayhealth is a nonprofit hospital organization with a mission to improve the health status of all members of the surrounding community.

Each year, the Bayhealth Cancer Institute collaborates with Bayhealth Diagnostic Imaging to provide free mammograms to uninsured or underinsured women in the community.

Patients should be aware that not every insurance plan covers tomosynthesis, so check with your insurance company before requesting this service.

Patients may schedule 3D mammograms at one of four sites: Bayhealth Women’s Center, Kent General, Bayhealth Outpatient Center, Middletown, Bayhealth Outpatient Center, Smyrna and Bayhealth Milford Memorial.

For more information about 3D mammography/tomosynthesis, visit bayhealth. org/3Dmammo.

Strength

Physical Therapy Aquatic Therapy Certified Hand Therapy Balance/Vestibular Therapy Fall Risk Assessment Specializing in the Treatment of Work and Motor Vehicle Related Injuries Now Open in

SEAFORD

302-404-5120

Patient Transportation Available

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Laurel Georgetown Long Neck (302) 280-6953 (302) 856-7462 (302) 947-9662 Lewes Fenwick (302) 703-2355 (302) 988-1586 21

Business Report | September 2015

CHEER direct care workers act as lifelines

By Carolyn M. O’Neal

CHEER Staff Development and Home Services Marketing Manager

What a beautiful morning, I think as the warm sun peeps through the curtain to awaken me to another day. There was a time when I would leap out of bed, throw on some clothes, and bounce down the stairs so I could start my day of chores. Unfortunately, those days are in the past. These old bones don’t move like they used to.

I groan as I struggle to lift myself up in bed. My shaking hands reach for my robe as I slide my feet into a pair of slippers. I grab the walker that is always within my reach and slowly pull myself up onto my feet. My bed is now in the room my late husband used as an office.

As I scuffle past the stairs, my mind sees all the times I went up and down. I don’t remember when I was last in my “real” bedroom. Such a beautiful room that my husband and I shared for 54 years. I can see my three children sliding down the banister. The thought of their innocent laughter

warms my heart. I pray they are enjoying their children’s laughter as much as I did theirs.

I am brought back to reality by the sight of thick dust on my antique lamp. I feel ashamed that my house is no longer the picture of perfection, but the vacuum is too heavy for me to push and if I try to bend over and pick up the clothes on the floor, I might fall.

I shuffle on into the kitchen and open the refrigerator door. I would love to have a cup of coffee to begin my day, but the burn scar on my wrist reminds me that my hands are too unsteady to carry hot drinks. Instead I pick up the glass of orange juice that Dottie poured for me before she left for the evening.

Dottie is my direct care worker. I call her my housekeeper, my companion, my chef, my chauffeur, my friend – my lifeline. I sip the orange juice as I sit by the window and look down the road watching for Dottie’s car. “Dottie’s days” are special for me.

These are the days I can get rid of that dust on my precious antiques. These are the days I have someone to help bathe me and dress

me with a fresh set of clothes. These are the days I get a delicious cup of hot coffee in the morning.

As Dottie sets about picking up the dirty clothing on the floor and putting them in the washing machine, we chat about how beautiful the daffodils are that are coming up in the yard. Sometimes I can hear her humming an old-fashioned hymn as she is doing the dusting. The sound of someone else in this big house with me is music to my ears.

On warm days after I’ve had my bath and dressed in my good clothes, Dottie will pull my old Buick out of the garage. She will help me go down the sidewalk and get me and my walker into the car. She has the patience of a saint. Dottie is never in a hurry with me. She will drive us to town and we will eat lunch at the local café. I love the apple pie there. It feels so refreshing to be out of the house and catch up on what’s happening in the world. It also feels good to talk to friends I see along the way. On the way home if I still have some energy, Dottie Continued from page 24

CHEER SENIOR CARE Personal Care Housekeeping Companionship Respite Care Meals On Wheels Transportation Grocery Mini-Mart 7 Senior Activity Centers Fitness Centers Adult Day Program Available

Call Today ~ 302-515-3040 Get All The Mature Adult Services You Need With One Agency

www.cheerde.com 22

Business Report | September 2015

Urology Associates opened downstate practice in Delaware over 50 years ago Founded over 50 years ago by now retired Dr. Raphael Zaragoza, Urology Associates of Dover consists of six physicians who provide urological care for the residents of Kent County and the surrounding region.

The practice of urology includes treating diseases that affect the female and male urinary tract and male reproductive organs.

These include urinary tract infections and incontinence, cancer of the prostate, bladder and kidney, prostate enlargement, erectile dysfunction and kidney stones.

Urology Associates of Dover provides state-of-the-art care, including robotic surgery and cryotherapy (freezing) for urologic cancers, laser treatment for stones and prostate enlargement and various testosterone replacements including pellets. Botox injection, neuro-stimulation, and bladder instillations are among the options available for

voiding dysfunction.

The practice includes Jason M. Walther, MD, Michael R. Zaragoza, MD, FACS, J. Henry Kim, MD, FACS, Christopher J. Vallorosi, MD, FACS, Donald D. Suh, MD, Gregory Spana, MD. Each physician has admitting and operating privileges at Bayhealth-Kent General Hospital for the more complicated inpatient surgeries. Robotic surgery is offered in this setting for both cancerous and noncancerous conditions. Outpatient procedures such as vasectomies, cystoscopies, and shock-wave treatments are performed at either the Delaware Surgery Center or in the office. Managing partner, Dr. Michael Zaragoza, currently serves as president of the Delaware Urological Society.

As the first downstate urology practice in Delaware, their physicians reflect fondly over the relationships they have forged with

their patients and the medical community. Their reputation is based on over 50 years of “trusted knowledge” and “proven experience” that has made a difference in the lives of the countless patients they have treated.

They look forward to continuing to shape the future direction of urological care in Kent County and beyond by offering the latest advances in the treatment of urological diseases.

Urology Associates of Dover is located in the heart of Dover in the Eden Hill Medical Center.

The seventh annual Pedal Away Prostate Cancer event, a 25 mile bike race, will be held on Saturday Sept. 19. This event, which attracts a large gathering of participants and community residents raised $12,000 in 2014.

Visit urologyassociatesofdover.com for more information. Appointments are available by calling the office at 302-736-1320.

UROLOGY ASSOCIATES OF DOVER

TRUSTED KNOWLEDGE PROVEN EXPERIENCE Eden Hill Medical Center 200 Banning St., Suite 250 Dover, DE 19904

302-736-1320 urologyassociatesofdover.com

Urology Associates of Dover, PA, offers treatment of all urologic conditions and has maintained their practice by offering the most up-to-date treatments in all areas of urology.

In addition, the practice offers certain areas of specialization, in which additional training and research have been performed.

Urologic oncology, including cancer of the prostate, bladder, kidney and other cancers involving the urinary system.

Prostate disorders and treatments, including brachytherapy (radioactive seeds) and microwave thermotherapy.

Kidney stones Male infertility Voiding dysfunction Impotence/erectile dysfunction Urinary incontinence Female urology

Gregory Spana, MD | Christopher J. Vallorosi, MD, FACS | Donald D. Suh, MD J. Henry Kim MD, FACS | Michael R. Zaragoza, MD, FACS | Jason M. Walther, MD

23

Business Report | September 2015

Aquacare Physical Therapy expands

By Carol Kinsley Since Aquacare Physical Therapy first opened in Salisbury, 17 years ago, the practice has expanded to nine locations on the Delmarva Peninsula, in both Maryland and Delaware.

The therapists pride themselves on their manual skills and provide a lot of one-on-one time, so more time is scheduled per patient than in many other practices, said Dr. Tanya Dickson, PT, DPT, clinical director of Seaford Physical Therapy of Aquacare. Consequently, the number of therapists has grown to more than 30, in addition to a growing support staff in each location.

Aquacare offers a wide range of services which are listed on the company’s website, www.aquacarerehab.com. One of the many specialities offered is aquatic therapy, which is ideal for doctor-prescribed limited weight bearing.

The buoyancy of the water takes the stress and strain off joints so you can exercise with ease, guided by your therapist. Most locations have a pool, or use of a pool nearby.

Another specialty is work hardening and conditioning. “We are now offering functional capacity evaluations, said Dickson. “When a worker is injured on the job, we evaluate what he or she is capable of doing.” The evaluation helps patients discover when or if they can return to their job.

Work hardening trains the body to meet the demands of a job. “The end goal is to return to work,” Dickson said.

Aquacare is unique in its use of biofeedback training for pelvic rehabilitation, including male or female incontinence issues. A system of electrodes enables patients to watch muscles contract on a computer screen so they can be sure they are doing exercises properly.

Aquacare is excited to announce that it is now offering free patient transportation in Delaware.

Call the office nearest you: Lewes, 302945-0200; Millsboro, 302- 945-4250; Millville, 302-539-3110; Seaford, 302-536-1774, or Georgetown 302-858-4311. For Maryland offices, call 410-548-7600.

Call today to schedule your free screening.

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• Urinary Incontinence • Hand Therapy • Fibromyalgia/Arthritis

Your Comprehensive Physical Therapy Resource!

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Business Report | September 2015

Continued from page 22

will stop at the variety store where I can pick up a few things.

When we arrive home, Dottie helps me back into the house and settles me in the recliner. She begins cleaning the kitchen while I watch a little television.

When I awaken, Dottie has all the clean clothes folded and put back in their place.

She has prepared a light supper for me to eat later. Our last activity of the day together is to put my bed clothes on so that I am ready for a good night’s rest.

I wonder how much longer the good Lord will allow me to stay in my home. I know the day is coming when my children will insist I either go to an assisted living facility or move in with one of them.

However, with Dottie’s help I can delay that move as long as possible.

CHEER’s Personal Assistance Services Program has direct care workers just like Dottie who can help keep a senior citizen in their home. They are prescreened and have had background checks. CHEER direct care workers offer dependable and compassionate service – for a few hours, a whole day, a night, or a weekend. For more information, call 854-9500.

CHEER is a non-profit agency funded in part by the Division of Services for Aging and Adults with Physical Disabilities and United Way, along with community support.

Del. Injury Care Continued from page 18

Local Area Locations: SEAFORD • 302-536-1774 MILLVILLE MILLSBORO

302-539-3110

302-945-4250

LEWES

GEORGETOWN

302-945-0200

302-858-4311

• Pediatrics • Skilled Aquatic Therapy

CHEER direct care workers

Now Offering Free Patient Transportation to Our Delaware Locations

these modalities help decrease pain, return strength and increase range of motion, making possible a return to an active and unrestricted life full of purpose and freedom from pain.

Delaware Injury Care also now offers therapeutic laser treatment, the latest innovation of spinal therapy. When laser light is absorbed by living tissue, it triggers biological reactions in the cells. Chemical substances are produced, released and carried by blood and lymphatic flow to other parts of the system. In this way, researchers have found, the effects of cold laser light create broad systemic effects, not only decreasing pain but reducing inflammation.

The initial consultation is free. Visit www.delawareinjurycare.org for office locations and to learn more about Delaware Injury Care. To schedule an appointment, call 800-61-PAIN-1 (800-617-2461).

Beebe offers quality accessible care in Sussex County

Located in historic Lewes, Beebe Healthcare was founded in 1916 by two physician brothers, Drs. James Beebe and Richard C. Beebe.

The medical center in Lewes is a 210-licensed-bed not-for-profit community hospital with specialized service lines including cardiovascular, oncology, orthopaedics, gastroenterology/bariatrics and women’s health.

Beebe’s medical staff has grown since the early 1990s and now consists of more than 200 physicians and practitioners representing 40 specialties. Family practice physicians, specialty physicians, internists, and specialized surgeons are available so residents do not have to travel long distances for quality medical treatment. Beebe’s medical staff directory may be downloaded from Beebehealthcare.org.

Look for “Find A Doctor” in the left menu.

Beebe has been recognized for the quality of the healthcare it provides and over the years has received several quality awards and designations.

Healthgrades, the leading provider of information for healthcare consumers, named Beebe Healthcare 5-Star Rated for treatment of heart attack two years in a row (20142015), total knee replacement for 12 years in a row (2004-2015) and spinal fusion for six years in a row (2010-2015).

Beebe was also named one of Healthgrades America’s 100 Best Hospitals for Orthopaedic Surgery™ for four years in a row (20122015) and received the Orthopaedic Surgery Excellence™ Award for nine years in a row (2007-2015).

Since 2011, Beebe Healthcare has been a NICHE Designated Site, providing specialized geriatric care for our patients. The vision of NICHE is for all patients 65 and over to be given sensitive and exemplary care.

Beebe Healthcare operates Lab Express, Diagnostic Imaging and Physical Rehabilitation services throughout Sussex County. Outpatient services are offered in Lewes, Milton, Millville, Millsboro, Georgetown, Long Neck and Rehoboth Beach; services vary by location. Beebe Healthcare services also include: diabetes management, the Gull House adult activities center, home care services, an integrative health department, high school-based wellness centers, and the only hospital-based nursing school in the state, the Margaret H. Rollins School of Nursing.

In the spring of 2014, Beebe opened Beebe HealthyBack, at the Georgetown Health Campus, which offers a non-surgical solution

to chronic back and neck pain. In the fall of 2015, Beebe will open The Ornish Reversal Program, at the Rehoboth Health Campus, a nationally recognized program for preventing, stopping and even reversing the progression of heart disease.

Beebe’s Population Health Department supports Beebe’s mission to encourage healthy living and prevent illness among residents and visitors to our community.

Beebe provides a range of free health screenings throughout our community, including blood pressure, cholesterol, osteoporosis, and skin cancer screenings. To schedule screenings for your group or event, call 302645-3337.

In Beebe’s efforts to make healthcare more accessible throughout southern Sussex County, it has extended the days and hours that Beebe Healthcare Walk-In Care locations are open.

Millsboro, Georgetown and Millville comprise Beebe’s current permanent locations.

This summer Beebe opened a temporary weekend location from Friday to Sunday on Savannah Road in Lewes while construction is completed for a new Walk-In Care at the

Bookhammer Outpatient Center at the Route 24 Rehoboth Health Campus. When complete this fall, the new Walk-In Care will be open daily.

For more information about Walk-In Care, visit www.BeebeHealthcare.org.

Beebe Healthcare knows it is never a good time for a health crisis, but it is always reassuring to know that a competent, caring team is ready to help you, day or night. Beebe’s Emergency Department in Lewes is a Level III Trauma Center.

Beebe Healthcare is certified by the Joint Commission as an Advanced Primary Stroke Center, and designated by The American Society of Metabolic and Bariatric Surgery as a Bariatric Surgery Center of Excellence.

It also has been designated a Breast Imaging Center of Excellence by the American College of Radiology (ACR), and named a Center of Excellence in Women’s Health by the American Institute of Minimally Invasive Surgery (AIMIS).

For more information, call 302-645-3300 or visit www.BeebeHealthcare.org.

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Business Report | September 2015

Be Confident

The more you know, the better off you are.

By learning more about your risk of heart disease, you can do something about it. It’s that simple.

Beebe Heart Health Profiler For more information about the FREE Heart Health Profiler visit www.beebehealthcare.org/ hearthealthprofiler

Start by taking Beebe Healthcare’s online Heart Health Profiler. It’s free, fast and painless. Armed with the results, you can contact your primary care physician or make an appointment to see one of our cardiologists.

Visit beebehealthcare.org to fill out the Heart Health Profiler.

Beebe Healthcare’s cardiologists, cardiac surgeons, vascular surgeons, physician assistants and nurses provide best practice care and procedures right here in Sussex County, Delaware.

Five-Star Recipient for Treatment of Heart Attack for 2 Years in a Row (2014–2015) 26

Business Report | September 2015

Cardiac & Vascular Services Lewes, Delaware • (302) 645-3300 beebehealthcare.org

TOURISM

Packaging Southern Delaware

By Tina Coleman

Southern Delaware Tourism

“Southern Delaware Tourism is seeking to create more hotel occupancy outside of high season and to encourage mid-week stays year round,” says Lana O’Hollaren, Marketing Manager. “We also want to emphasize to visitors and potential visitors that the beaches really are just the beginning.”

To that end, the office is working to bring together tourism partners county-wide including hotels, transportation providers, restaurants, attractions, outfitters, and others, and facilitating collaborations between them resulting in getaway packages which SDT will then help to promote to the traveling public. Packages that are currently in development include: • Culinary packages that tie eastern and western Sussex together and focus on Southern Delaware’s Culinary Coast™ brand. They will include accommodations and local transportation as well as one or more of the following

Delaware Artisan Faire

The Delaware Artisan Faire will be held in conjunction with the Delaware Wine and Beer Festival in Dover on Saturday, Oct. 17.

Hand-crafted and specialty products that will be available include cutting boards, vintage candles, clocks and magnets made from recycled CDs, paintings, prints, cards, soaps, hand-painted etched wine bottles and glasses, handmade beaded wine jewelry, wine stoppers and glassware, as well as rhinestone decorated tumblers, tiles and t-shirts. Bottles and cases of Delaware wines will be sold to take-home at lower-than-retail prices.

Vendor spaces are available starting at $75 for a 10-foot by 10-foot space at this year’s event, set for the Delaware Agricultural Museum & Village in Dover.

For more information about the event, visit www.DelawareWineandBeerFestival. com. For an artisan vendor application, email kctc@visitdover.com or call 800-2335368.

SPCA plans ‘Bark on the Boards’

The Delaware Society for the Prevention of Cruelty to Animals (SPCA) will host an afternoon of fun at the 5th Annual “Bark on the Boards” fundraising walk on Saturday, Oct. 17. Registration begins at 10:30 a.m. in Lake Gerar Park. The walk starts at 11:30 a.m. Advance registration is $40 for adults (before Oct. 13) and $50 the day of the event.

Pre-register online at www.delspca.org.

Southern Delaware including religious groups, reunions, and corporate retreats.

One goal of providing a diverse set of getaway packages is to attract a diverse demographic. “Yes, we want the baby boomers,” says O’Hollaren, “but we also want to capture the millennials.”

Advantages of creating specific interest-based packages include allowing SDT to target specific audiences to maximize marketing efforts, and to build on Southern Delaware’s brand image; for instance, culinary packages will serve to further reinforce our Culinary Coast™ brand in the minds of consumers, and Outdoor Adventure packages will accent Southern Delaware’s many natural resources and attractions as the place for your next outdoor adventure.

Local businesses and tourism partners who provide activities, events, experiences, or services to visitors and who wish to share their ideas or to participate in these or future getaway package opportunities are encouraged to contact Lana O’Hollaren at lanao@visitsoutherndelaware.com.

elements: food tours, cooking classes, winery/ brewery/distillery tours, etc.

• Heritage packages that will include accommodations, local transportation, some meals, and one or more of the following elements: visits to museums and historical sites, narrated tours of historic downtowns and properties, county-wide.

• Wellness packages and Girlfriend Getaway packages offering accommodations, local transportation, spa services, light adventure with culinary and winery elements • Holiday packages offering accommodations, local transportation, shopping deals, local events, and special deals on holiday meals for those who travel over the fall/winter holidays.

• Outdoor adventure packages offering accommodations, local transportation, outfitters, and one or more of the following elements: cycling, birding, watersports, brew tours, paddle boarding, kayaking, etc, some meals.

Other packages will be developed, including a likely arts and entertainment package.

Additionally, future packages will include those designed specifically to attract groups to

October

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Business Report | September 2015

Beach Boardwalk Arts Festival

The 37th Annual Bethany Beach Boardwalk Arts Festival will be held on Saturday, Sept. 12 from 10 a.m. to 5 p.m. in downtown Bethany Beach.

This annual event brings in over 100 artists to showcase and sell their work which represents a variety of different mediums including paintings, photography, woodwork, metalwork, clay, baskets, jewelry and porcelain. The festival will have something for everyone from a large interactive mural to a farmer’s market, wine tasting, silent auction and scholarship giveaway.

In addition to exploring the works of over 100 artists, visitors can exercise their own artistic side by adding to the 2015 interactive mural.

Visitors can also pick up fresh local produce at the farmer’s market.

For the wine connoisseur, a special Wine Tasting will be hosted by Sedona. Food will be prepared by Sedona’s chefs and paired with three red and three white wines. Wine pairing tickets are available in advance at www.theQuietResorts.com.

The 37th Annual Bethany Beach Boardwalk Arts Festival is Saturday, Sept. 12 from 10 a.m. to 5 p.m. in downtown Bethany Beach.

Two charitable events will round off the day: a Silent Auction and scholarship giveaway.

The Silent Auction will offer works of art donated by the festival’s artists.

All proceeds from this auction will help support local art programs at four elementary schools in the Indian River School District.

SEPTEMBER 2015 CALENDAR Sept. 2- 1st Wednesday- Chamber Economic Development Council Meeting-12 Noon-1 PM; Georgetown Wesleyan Church-Georgetown. Special Presentation: David Mathe - Delaware’s Export Trade Opportunities! Lunch is served.

Sept. 3- Ribbon Cutting- 12:30PM; Sussex Academy, 21150 Airport Rd., G’town. Join Sen. Tom Carper, USDA representatives, state, county & town officials, the Georgetown Chamber & Sussex Academy family & friends to celebrate the completion of Sussex Academy’s Phase 1 expansion of its facility.

Sept. 3- Georgetown Concerts in the Park - 7-9PM. So Bedford St. Park. Enjoy the final concert in the summer series with great music from “The Jones Boys,” food & community fellowship!

Sept. 5- Georgetown Museum Tours-10AM-2PM; Six (6) Museums will be open for tours on the 1st Saturday in September. There is NO Admission charge. Call 856-7391 for more information.

Sept. 9- 2nd Wednesday- Chamber Breakfast Meeting-7:45-8:45 AM; DEL TECH-Student Services Center, Executive Dining Room; $9 per person. Special Guest Presenter. RSVP by Tues. Sept. 8th by calling 302-856-1544 or email karen@georgetowncoc.com. Stay afterwards for Del Tech’s 1 Million Cups presentation from 9-10 am.

Sept. 13- Historic Georgetown Art Crawl/Farmer & Foodie Festival- 10AM-4PM;The Circle in Georgetown; Local artists & artisans will be on display, and farmers’ & their fresh produce. Family friendly event, too. The Misadventures of Peter Rabbit puppet shows.

Sept. 16- Final Wednesday! GEORGETOWN FARMERS’ MARKET & CHAMBER MIXER– 3-6:30 PM at 16 Mile Brewery-413 So. Bedford Street in Georgetown. Celebrate the final Georgetown Farmers’ Market of the Season with a B2B networking Chamber Mixer!

Sept. 23- 4th Wednesday- Chamber Luncheon- 12-1PM; CHEER Center on Sand Hill Rd. in Georgetown. Special Guest Presenters. Cost is $10 per person. RSVP by Tues. Sept. 22.

Sept. 30- 5th Wednesday Workshop - 11:30AM-1PM; Chamber Office: Sponsored by COMCAST Spotlight-Who is Your Target Market? Why You Need to Know! Limited seating; Call 856-1544 to reserve yours today!

Call Us If You Want to Grow Your Business

302-856-1544

302-856-1577 Fax

827 East Market St., P.O. Box 1, Georgetown, DE 19947

info@georgetowncoc.com www.georgetowncoc.com

28

Business Report | September 2015

Additionally, the Bethany Beach Chamber of Commerce and the Quiet Resorts Charitable Foundation (QRCF) have collaborated to offer a $1,000 art scholarship for one local high school junior or senior artist. With five works of art in the running, public judging for the final prize will take place on the bandstand.

For more information on the Bethany Beach Boardwalk Arts Festival, visit www.

BethanyBeachArtsFestival.com or call 302-5392100, ext. 118.

Festivals include food and lots of fine art

The 2015 Historic Georgetown Art Crawl will be held in conjunction with the 6th Annual Farmer and Foodie Festival on Sunday, Sept. 13, from 10 a.m. to 4 p.m. in downtown Georgetown. This is a rain or shine juried art event, and will feature artists & artisans, and area art leagues and art guilds from throughout the region.

Started by Bruce and Chuck Mead-e, owners of the Upper Crust Coffee Shop and Donna and Charlie Koskey of Chardon Jewelers in Georgetown, the inaugural Art Crawl was held in 2013, with over 40 participating artists. Specialties that will be on display include photography, watercolor, jewelry design, wood carving, and other mixed media creations.

The Farmer and Foodie Festival celebrates local farmers and creates awareness of their farm fresh foods, food products, as well as, their culinary and artistic talents. Vendor participation is limited to farmers, producers and artisans selling their homemade products; Continued on page 29

Vol. 18 No. 12 PRESIDENT

Bryant Richardson TREASURER

Carol Wright Richardson PUBLISHER

Mike McClure

COMPOSITION

Elaine Schneider Tina Reaser Karen Cherrix

Farm Fresh Foods, Fine Art, and Photography are just some of the features at the Georgetown combo event in September.

Continued from page 28

resale of manufactured products is not permitted. In addition to farm vendors, there will be hayrides, pumpkin painting, horse and carriage rides and other kid-friendly activities planned.

Featured for the first time at the Farmer & Foodie Fest will be Peter Rabbit’s

Misadventures in Farmer McGregor’s Garden, an educational puppet show presented by volunteers of Sussex County Master Gardeners.

Three 30 minute performances will be scheduled throughout the day.

For more information, contact the Georgetown Chamber of Commerce at 8561544 or info@georgetowncoc.com.

VP OF MARKETING

Chris Redman SALES

Rick Cullen Greg English Mark Waterhouse C O N TA C T

Morning Star Publications 302-629-9788 951 Norman Eskridge Hwy. Seaford, DE 19973

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businessreport@mspublications.com sales@mspublications.com

Focusing on the ambition and innovation that make Delaware businesses unique

DPCC DONATION - The Chamber of Commerce for Greater Milford along with corporate and event sponsors for the Red, White and Brew 5K presented the Delaware Prostate Cancer Coalition (DPCC) with a $900 check from a portion of the proceeds from the annual run/walk. Pictured from left: Laurie Cale, WSFS; David Sauls, DPCC; Bobby Spath, Milford School District Cross Country Team; Angela Dorey, CCGM president; Lisa DiVincenzo, i.g. Burton; Dr. Wilma Mishoe, DPCC; Lance Skinner, Milford School District Cross Country Team; Carlton Carey, DPCC; Wayne Schultz, DPCC.

PLEASE RECYCLE THIS MAGAZINE 29

Business Report | September 2015

BUSINESS LICENSES BETHANY BEACH AZ Consulting & Travel LLC; 99 Garfield Pkwy., Bethany Beach; travel agency Heintz, Mark J., Mark J. Heintz, MS/MA; 942 Turtle Dr., Unit B., Bethany Beach; professional services-counselor Mess Properties Inc., DBS Seafood Company; 100 Garfield Pkwy., Bethany Beach; retailer-restaurant Patchbank LLC, Dana’s Pantry; 98 Garfield Pkwy., Unit 108, Bethany Beach; retailer-dry goods & apparel Simple Oncology Solutions Inc.; 407 Canal Way W, Bethany Beach; professional and/or personal services Zen Saigon Restaurant LLC; 776 Garfield Pkwy., Bethany Beach; retailer-restaurant BRIDGEVILLE Black Dog Towing Recovery; 22202 Greenlea Ct., Bridgeville; drayperson/mover Frozen Farmer LLC; Heritage Circle, Bridgeville; retailer-restaurant LJ’s Fresh Lamb; 18956 Sussex Hwy., Bridgeville; retailer-food/wholesaler food (except restaurant) Murphy, Jeffery S., Jeffery Murphy Photography; 11241 Jordan Ave., Bridgeville; photographer Northern Safety Co., Inc.; 618 Market St., Bridgeville; wholesaler-machinery equipment & sales Pacheco, Martin Leon; 216 Elizabeth Cornish Lndg., Bridgeville; contractorresidential CAMDEN Bower, Joella M., JMB Marketplace; 139 Vining Run, Camden; retailer-various products DELMAR Toomey, John W. Sr., JT Mobile RV Services; 37939 Marsha St., Delmar; per-

sonal service-motor vehicle service Zhu, Renshu, Sunshine Spa; 34896 Sussex Hwy., Unit 5, Delmar; professional and/or personal services DOVER 1st State Accessibility LLC; 755 Walker Rd., Ste. B., Dover; contractor-residential Benson, Carlos, Ushanda Goods; 11 Barons Ct., Dover; retailer-various products Bridgett McCove; 108 E. Sheldraker Cir., Dover; professional and/or personal services Campbell, Shelly Ann; 430 Country Dr., Apt. E., Dover; professional and/or personal services-unclassified DeGood, Jay, LED’s Unlimited; 11 Sapp Dr., Dover; retailer-various products Dover Downs Inc., Lobby Shoppe/ Marketplace/Swarovski; 1131 N. Dupont Hwy., dover; retailer-various products Dover Downs Inc., Godiva; 1131 N. Dupont Hwy., Dover; retailer-food (except restaurant) Dover Downs Inc., Fashions; 1131 N. Dupont Hwy., Dover; retailer-dry goods & apparel Drew’s Cutting Crew; 109 Stoney Dr., Dover; professional and/or personal services Eat Pray London, The Brunch N Lunch; 25 W. Loockerman St., Dover; retailerrestaurant Edelman, Michael J. Jr., Edelman’s Wood Designs; 70 Quail Hollow Dr., Dover; manufacturer-furniture & fixtures Hughes, Kevin B., Brisyn Professional Cleaning; 55 Saint Bernadino Cir., Dover; professional and/or personal services MomMom’s Ice Cream; 900 E. Divison St., Dover; retailer-restaurant Peace, Richard, Lawn Barber’s; 3974 Peachtree Run Rd., Dover; professional and/ or personal services Perry, Matthew D. Jr., Perry’s Cut & Trim Lawn Service; 436 Northdown Dr., Dover; professional and/or personal services

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Poppycock Gifts, Good Games Greg; 5 Tam O Shanter Ct., Dover; retailer-electrical goods R&C Quantum Group; 1300 S. Farmview Dr., Apt. J27, Dover; finance or small loan agency Sampogna, Matthew, M&G’s Farm and Country Store; 3886 Pearsons Corner Rd., Dover; retailer-various products Silvagnoli, Naida I.; 2030 Generals Way, Apt. B309, Dover; professional and/or personal services Strategic Life Alliance; 1550 S. Governors Ave., Dover; reconciliation purpose code Talavera, Pedro R., Innovative Healthcare Solutions; 32 E. Darby Cir., Dover; professional and/or personal services Techfarm LLC; 167 Carrington Dr., Dover; professional and/or personal services Thatcher, Drew, Little B Goods; 1029 Sourwood St., Dover; retailer-various products USV Optical Inc., Optical Exchange #7313; 442 13th St., Bldg. 266, Dover; retailer-various products Vaporized Dover LLC, SS Vape; 1030 Forrest Ave., Ste. 118, Dover; retailer-various products Vita Nova LLC; 1211 N. Dupont Hwy., Dover; retailer-restaurant White, Latoya S., TLC Services; 54 Pine Cabin Rd., Dover; direct care worker GEORGETOWN Diggs, Whitney, Awesome Cleaning SErvice; 24832 Bethesda Rd., Georgetown; professional and/or personal services Jacqueline Cleaning Service LLC; 3 Merganser Rd., Georgetown; professional and/or personal services-unclassified Premier Painters LLC; 338 N. Race St., Georgetown; contractor-residential Shinn, Linda M., The Green Clean; 20319 Gravel HIll Rd., Georgetown; professional and/or personal services Stone It Masonry LLC; 5 Snow Rd., Georgetown; contractor-residential Super Tienda Ramirez LLC; 204 N. Race St., Ste. C, Georgetown; retailer-grocery supermarket Vo, Jennifer H., Jen’s Nail Care; 432 E. Market St., Georgetown; personal servicesmanicurist Wright, Shannon L., Power Hour Power Washing; 28 Clover Dr., Georgetown; professional and/or personal services-unclassified

GREENWOOD D&M Endeavors, Aroma Coffee House; 106 Sussex Ave., Greenwood; retailer-food (except restaurant) HARRINGTON First State Appliance; 3465 Brownsville Rd., Harrington; personal services-general repairperson Just Mist It inc.; 15608 S. Dupont Hwy., Harrington; retailer-various products Taylor, Matthew C., Taylor Services; 100 E. Liberty St., Harrington; contractorresidential LAUREL Beauchamp, Sherr D.; 34830 Gordy Rd., Laurel; retailer-dry goods & apparel Discovery Cove Learning Center; 12034 County Seat Hwy., Laurel; professional and/or personal services Durham Commercial Property Vnt LLC; 1128 S. Central Ave., Laurel; commercial lessor Michael Phillips Jr.; 32977 Gordy Rd., Laurel; contractor-residential Pappy’s Attic; 11290 Trussum Pond Rd., Laurel; reconciliation purpose code LEWES Beach Eyes LLC, Brewholders; 32757 Harburg Dr., Lewes; retailer-various products Bevacqua Domenic, Vinyl Tap Toys; 302 Lakeside Dr., Lewes; retailer-various products Caputo, Joseph V., JVC Enterprise; 23354 Boat Dock Dr. E, Lewes; retailervarious products Crooked Hammock Brewpub LLC, Crooked Hammock; 16989 Kings Hwy., Lewes; retailer-restaurant Delaware Shore Equity LLC; 34795 Bookhammer Landing Rd., Lewes; commercial lessor Douglas, Thomas E., Delaware Shore Watch Tower Art; 31881 Carneros Ave., Lewes; retailer-various products Erectarack; 30439 Park Pavillion Way, Lewes; reconciliation purpose code Fitt Consulting LLC; 14428 Allee Ln., Lewes; professional and/or personal services Gray, Kristin M., KG Mathminds; 28 Bridle Ridge Cir., Lewes; professional and/ or personal services Have Fun Travel Company LLC, Cruise Planners; 22424 S. Acorn Way, Lewes; travel agency Manfra, Phillip, Hot Dogs at the Beach;

13 Lancaster Ln., Lewes; retailer-restaurant Rumco LLC; 11 Breakwater St., Lewes; residential contractor/developer Sand Dollar Dewey LLC; 30972 Sycamore Dr., Lewes; professional and/or personal services Seagreen Bicycle LlC; 209 Monroe Ave., Lewes; retailer-various products TCK Enterprise, Inc., Puzzels; 108-110 Front St., Lewes; retailer-various products MILFORD Mispillion Property Holdings LLC; 662 Log Cabin Rd., Milford; commercial lessor Moore, Nancy Sara, Sweet Nightmare Productions; 115 Starland Way, Milford; retailer-various products Psycho Consultations; 545 Bay Ave., Milford; professional services-psychology office Ricks, Kristopher R., Quality Tools Buy Sell or Trade; 409 Parson Thorne Apts., Milford; retailer-various products Smith, Russell A., Blue Diamond Pools; 453 Bay Ave., Milford; professional and/or personal services-unclassified SR & MP Installation Inc.; 400 SE Front St., Milford; contractor-residential Stevenson Ventures LLC, SCJ Commercial Financial Service; 26 N. Walnut St., Milford; professional and/or personal services SEAFORD Better Health Chiropractic Inc.; 22996 Sussex Hwy., Seaford; professional serviceschiropractor C. Durham Trucking LLC; 206 S. Market St., Seaford; drayperson/mover Dynamic Therapy Services LLC; 632 W. Stein Hwy., Seaford; professional and/or personal services E and C Logistics LLC; 24758 Rosalyn Dr., Seaford; professional and/or personal

services-unclassfified Ensminger, Kenneth L. Jr., Lower Sussex Construction; 22313 Conrail Rd., Seaford; contractor-residential Everton, Philip W., Bucket O Poo; 8818 Weeping Willow Trl., Seaford; retailervarious products Katy Werner Paints LLC; 313 Washington St., Seaford; contractor-residential Linda Vista Group LLC, Linda Vista Real Estate; 215 High St., Seaford; professional services-real estate broker Perez, Edgar, Y and T Construction; 5138 Boyce Rd., Seaford; professional and/ or personal services-unclassified Smarte, Ricky A., Angry Irishmen Repurpose; 112 W. Popular St., Seaford; retailer-various products Val’s Delmarva Concessions, Texas Twister; 606 Bridgeville Hwy., Seaford; retailer-food (except restaurant) SMYRNA Anderson Landscaping; 95 Jump Dr., Smyrna; contractor-residential Bre Mitchell; 578 Barley Ct., Smyrna; personal services-beautician E-Z View Consulting; 18 Harrowgate Dr., Smyrna; professional and/or personal services Griffiths, Richard H. Jr., Charlie’s; 63 Big Woods Rd., Smyrna; retailer-restaurant JFS Electric; 424 W. Pembrooke Dr. Smyrna; contractor-residential Solid Rock Christian Cafe LLC; 106 Lawn Dr., Apt. 2G, Smyrna; professional and/or personal services-unclassified Stewart, John T., J and M HVAC; 722 West Commerce St., Smyrna; contractorresidential Tactical Encounter Enterprises; 599 Jimmy Dr., Ste. 15, Smyrna; retailer-dry goods & apparel

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The effects of the ACA excise tax

By Gregory J. Barbish, CPA

In 2014, large employers had to take steps to ensure the health insurance plans offered to their employees complied with the Affordable Care Act requirements regarding employers that pay or reimburse certain health insurance premiums or other medical expenses for employees or owners.

Now it’s time for smaller businesses – those with less than 50 full-time equivalent employees – to sweat the details.

It’s important for business owners to make sure their plans are in compliance because the law allows the federal government to impose a hefty excise tax—$100 per day per employee—on businesses that are not following the law.

Officially, small employers were granted relief from the tax until July 1, according to notices issued by the three federal agencies responsible for ensuring compliance—the Department of Health and Human Services, the Department of Labor and the Department of the Treasury (through the Internal Revenue Service).

Since the law took effect for large employers, there have been no reports of high-profile companies being cited for violations, and a recent IRS notice stated that certain businesses (S corporations) would not be assessed the excise tax for certain violations until at least the end of this year.

These developments suggest that the three agencies aren’t going to start swinging their enforcement hammers right away, as long as companies are making good faith efforts to comply with the law.

However, that doesn’t mean you can take your time getting your company’s health insurance offerings in order.

Making a good faith effort may likely enable you to avoid penalties but willful neglect can be very costly. You don’t have to

be an accountant to realize that, if you have 14 employees and you’re out of compliance for a year, your company could be subject to an excise tax of $500,000, the maximum allowed by the law, a penalty many small businesses cannot absorb.

In general, four situations could expose employers to the excise tax: • Paying or reimbursing premiums for an employee’s own health insurance policy or Medicare on a pre-tax or after—tax basis;

Making a good faith effort may likely enable you to avoid penalties but willful neglect can be very costly.

• Allowing employees to use pre-tax salary reductions to pay for their own health insurance policies • Offering a health flexible spending account (FSA) but no group health plan, or having an employer contribution to the health FSA that exceeds a certain dollar amount; and • Paying or reimbursing employees’ out-ofpocket medical expenses, such as deductibles and copays, but not offering a group health plan.

Most likely, if your business had been offering group health insurance to your employees prior to the passage of the Affordable Care Act, you will be in compliance with the new law and will not have to worry about exposure to the excise tax.

You should, however, check with your insurance broker promptly to ensure that the plan you offer is in compliance. If it is not, you may have to restructure your arrangements or terminate them altogether in order to avoid the excise tax.

142 East Market Street, PO Box 751 Georgetown, DE 19947-0751

Attorneys at Law John A. Sergovic, Jr. Shannon Carmean Burton David J. Weidman

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Business Report | September 2015

When speaking with your broker, a key factor is determining whether options like those listed above are “integrated” with an employersponsored plan that complies with the law. If your plan is not “integrated,” you are likely risking exposure to the excise tax.

Here are some other considerations to keep in mind.

In certain situations, employers can still pay for or reimburse individual health policies for just one active employee and/or for retirees on a pre-tax or after-tax basis without triggering the excise tax.

Individual policies for dental, vision, disability, accident-only (accidental death and disability), long-term care, hospital indemnity or specific diseases may still be paid or reimbursed by an employer on a pre-tax or after-tax basis without triggering the excise tax, or be paid by employees with pre-tax salary reductions.

If your employees include older workers and military retirees who are enrolled in Medicare or TRICARE, respectively, you will be able to reimburse them for their insurance premiums under those plans if certain conditions are met.

If, after checking with your insurance broker, you determine that your business would be better off terminating its insurance arrangements and advising employees to secure coverage through the exchanges established under the Affordable Care Act, you should check with your accountant before finalizing any changes in plans.

In such a situation, employees would not be pleased with having to shoulder the full cost of their insurance coverage. An option to offset this negative impact on employees is to increase their salaries by an amount approximately equal to their additional cost of purchasing insurance coverage.

Such a change would result in increased taxable compensation for your employees and would have an impact on withholding procedures for your business. Be sure to work through any changes with your accountant now in order to avoid any surprises when you file your next tax return. The excise tax is reported in Part II of Form 8928, Return of Certain Excise Taxes Under Chapter 43 of the Internal Revenue Code and has the same due date as the federal tax return.

About the author Gregory J. Barbish is a Certified Public Accountant at Horty and Horty, P.A., a Delaware accounting firm with offices in Dover and Wilmington.

Five ways to increase your email marketing open rate You’ve written your email, you’re ready to send it to your customers. You’ve checked the content, found good artwork and made sure that it is tailored to the needs of your customers.

Now, you must invest time in the email subject line. It’s impossible to put too much emphasis on doing this well. Quite simply, a compelling subject line determines whether your email gets opened or not.

Rivera Don’t just write whatever at the last minute. Take time and think of a few potential subject lines before choosing one. Ask friends or colleagues for their feedback. It makes little sense to spend time carefully crafting an email, only to sabotage it with a lackluster subject line. Craft something that will get the attention of your readers. Don’t just settle for the mundane “Newsletter” or “Weekly Update.” Try something like “Register today for an event that will change your life!”

Testing different subject lines is a good

tactic to see what will inspire your audience to open your email.

A good way to test subject lines is to send the same email to the people on your mailing list, but use a different subject line for half of the emails. You could make one subject line more general and a second subject line more engaging. Compare the two responses and see which of the subject lines produced more open emails. Then, you can tailor future subject lines to what you have learned works best.

Here are a few tips to ensure that your message is read.

1. Avoid the spam basket. Spam is usually easy to spot it because of a few telltale signs: all capital letters, excessive punctuation, dollar signs and words like or “free.”

Spam is often misspelled, so double-check the spelling in your subject lines.

2. Use fewer words. Studies show that subject lines with 50 characters or less are 12.5 percent more likely to be opened. Clickthrough rates for emails with shorter subject lines are 75 percent higher than for those with longer subject lines. Example: “10 ways to attract more donors” is a better choice than “The top ten proven ways to attract more potential donors.”

3. Use numbers. Include numbers in your subject line if possible. Numbers give readers a sense of what to expect and makes an email more likely to get noticed. They work in headlines, so why not use numbers in a subject line? Example: “5 steps to better sales,” 4. Harness the power of two. Most people spend about two seconds looking at a subject line, which makes writing a compelling subject line crucial. Keep in mind a concept known as the “power of two.” People take two seconds to read the subject line, the first two words of the subject line matter most and readers need to know why your email matters today (2-2-2).

5. Make it personal. Personalize the subject line with words like “you.” Examples: “Find your ideal weight” or “Grow your savings for the holidays.”

Patricia V Rivera is owner of Hook PR Group (www.hookpr.com) and a master certified email marketer with Constant Contact.

America’s Leading Reverse Mortgage Lender now offers Face-to Face Reverse Mortgage Consultations in Delaware.

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CHECK PRESENTATION - The Chamber of Commerce for Greater Milford along with corporate and event sponsors for the Red, White and Brew 5K presented Milford High School Cross Country representatives and committee members, Bobby Spath and Lance Skinner with a $900 check from a portion of the proceeds from the annual run/walk. Proceeds will be used to help fund the cross country team programs at MHS. Pictured from left: Laurie Cale, WSFS; David Sauls, Delaware Prostate Cancer Coalition; Angela Dorey, CCGM president; Bobby Spath, MHS Cross Country coach; Lance Skinner, MHS Cross Country assistant coach; Lisa DiVincenzo, i.g. Burton.

A trusted team: AAG & Walt Lydic

Call or email today!

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Business Report | September 2015

BUSINESS DIRECTORY ACCOUNTING Horty & Horty, P.A. Doug Phillips, CPA, Cr.FA 302-730-4560 cpainfo@horty.com 3702 N. DuPont Hwy. Dover, DE 19901 ADVERTISING Morning Star Business Report Mike McClure 302-629-9788 302-629-9243 fax www.msbusinessreport.com sales@mspublications.com 951 Norman Eskridge Hwy. P.O. Box 1000 Seaford, DE 19973

ARCHITECTS & ENGINEERS Davis Bowen & Friedel, Inc. Michael Wheedleton AIA Randy Duplechain P.E. 302-424-1441 302-424-0430 Fax www. dbfinc.com milford@dbfinc.com 23 N. Walnut St. Milford, DE 19963 BUSINESS BROKERAGE Landmark Commercial LTD Licensed in DE, MD and VA Don Blouch 410-827-7200 410-827-7790 fax www.landmark-commercial. com broker@landmark-commercial. com P.O. Box 158 Wye Mills. MD 21679 CHAMBER OF COMMERCE Bethany-Fenwick Area Chamber of Commerce Kristie Maravalli 302-539-2100 302-539-9434 fax www.bethany-fenwick.org info@bethany-fenwick.org 36913 Coastal Highway Fenwick Island, DE 19944

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Central Delaware Chamber of Commerce Judy Diogo 302-734-7513 302-678-0189 fax www.cdcc.net jdiogo@cdcc.net 435 N. DuPont Hwy. Dover, DE 19901 Chamber of Commerce for Greater Milford Jo Schmeiser 302-422-3344 302-422-7503 fax www.milfordchamber.com 411 N. Rehoboth Blvd.

Milford, DE 19963 Georgetown Chamber of Commerce Karen Duffield 302-856-1544 302-856-1577 fax www.georgetowncoc.com info@georgetowncoc.com 827 E. Market St., PO Box 1 Georgetown, DE 19947 Lewes Chamber of Commerce Betsy Reamer 302-645-8073 Toll Free 877-465-3937 302-645-8412 fax www.leweschamber.com inquiry@leweschamber.com 120 Kings Hwy., P.O. Box 1 Lewes, DE 19958 Greater Millsboro Chamber of Commerce Amy Simmons 302-934-6777 302-934-6065 fax www.millsborochamber.com info@millsborochamber.com P.O. Box 187 Millsboro, DE 19966 Milton Chamber of Commerce Lisa Sumstine 302-684-1101 www.historicmilton.com chamber@historicmilton.com P.O. Box 61 Milton, DE 19968

Business Report | September 2015

Rehoboth Beach - Dewey Beach Chamber of Commerce & Visitor Center Carol Everhart 302-227-6446 302-227-2233 ext. 13 302-227-8351 fax www.beach-fun.com carol@beach-fun.com 501 Rehoboth Ave. Rehoboth Beach, DE 19971 Greater Seaford Chamber of Commerce Lynn Brocato 302-629-9690 302-629-0281 fax www.seafordchamber.com admin@seafordchamber.com 304 A High St. Seaford, DE 19973

CREDIT CARD PROCESSING First Merchant Services Ronald W. Burke 302-875-5645 302-875-0935 fax www.firstmerchantservices.biz rburke@firstmerchant.us 14034 Johnson Road Laurel, DE 19956

EDUCATION Delaware Technical Community College Corporate and Community Programs Christopher M. Moody, Director (302) 259-6330 302-259-6759 fax www.dtcc.edu/continuingeducation cmoody@dtcc.edu Carter Partnership Center 21179 College Drive Georgetown, DE 19947 University of Delaware Professional & Continuing Studies Tara Kee 866-820-0238 302-831-3292 fax www.pcs.udel.edu continuing-ed@udel.edu

FINANCIAL Bank of Delmarva Scott Rukowicz 302-875-5901 302-875-1766 fax www.bankofdelmarva.com srukowicz@bankofdelmarva. com 200 East Market St. Laurel, DE 19956 County Bank 7 Sussex County Locations 302-226-9800 302-226-3182 fax www.CountyBankDel.com 19927 Shuttle Rd. (Main Office) Rehoboth Beach, DE 19971 Del One Federal Credit Union 9 Statewide Locations Amy Resh 302-672-1492 302-739-1790 fax www.Del-One.org amy.resh@del-one.org 270 Beiser Blvd.

Dover, DE 19904 Delaware State Police Federal Credit Union Stephen Cimo 302-856-3501 ext. 120 302-856-2539 fax www.dspfcu.com scimo@dspfcu.com P.O. Box 800 Georgetown, DE 19947 Dover Federal Credit Union 302-678-8000 www.doverfcu.com mbrsvc@doverfcu.com 1075 Silver Lake Blvd.

Dover, DE 19904 Sussex County Federal Credit Union Sharee Coleman 302-629-0100 302-629-0966 fax www.sussexcfcu.com scoleman@sussexcfcu.com 1941 Bridgeville Hwy. Seaford, DE 19973

FUNERAL SERVICES Watson Yates Funeral Home Gary Yates 302-629-8561 302-629-7961 fax Front & King St. Seaford, DE 19973 GRAPHIC/WEBSITE DESIGN Dean Design Marketing Group Stephanie Whitcomb 302-542-9550 www.deandesign.com thestudio@deandesign.com 13 Water St. Lincoln, DE 19960 HEALTH Bayhealth Kent General Milford Memorial Pam Marecki 302-744-7013 302-735-3227 fax www.bayhealth.org pam_marecki@bayhealth.org 640 S. State St. Dover, DE 19901 Beebe Medical Center Kelly Griffin 302-645-3220 302-644-9032 fax www.beebehealthcare.org kgriffin@beebehealthcare.org 424 Savannah Rd. Lewes, DE 19958 Nanticoke Health Services Sharon Harrington 302-629-6611 302-629-3211 fax www.nanticoke.org harringtons@nanticoke.org 801 Middleford Rd. Seaford, DE 19973 INSURANCE Farnell & Gast Insurance Joe Gast, CPCU 302-629-4514 302-536-6257 fax www.averyhall.com jgast@averyhall.com cwilliams-wroten@averyhall. com

500 W. Stein Highway Seaford, DE 19973 IFS Benefits Patrick Fitzgerald Ryan Dunn Bob Sonchen 302-645-2356 302-645-5723 fax www.ifs-benefits.com 17527 Nassau Commons Blvd Suite 208 Lewes DE 19958 Lyons Companies David F. Lyons, Sr. David F. Lyons, Jr. Lew Harrington 302-227-7100 www.lyonsinsurance.com info@lyonsinsurance.com 19643 Blue Bird Lane, Unit 8 Rehoboth Beach, DE 19971 INTERNET SERVICE & WEB PAGE DESIGN Delmarva Digital Tim Smith 302-875-7700 302-875-8288 fax www.ddmg.net ddmg.netsales@ddmg.net 220 Laureltowne Laurel, DE 19956 INVESTIGATIVE & COLLECTION SERVICES Mohr Investigative Services, Inc. James W. Mohrmann 866-370-1004 www.mohrinvestigations.com jmohrmann@mohrinvestigations.com 9 East Loockerman Street, Suite 201 Dover, DE 19901 JEWELERS Holland Jewelers 302-947-1200 Celebrating 25 years in business!

20750 John J. Williams Hwy. Peddlers Village Lewes, DE 19958 www.hollandjewelersinc@ yahoo.com

LEGAL Sergovic, Carmean & Weidman, P.A Attorneys At Law John A. Sergovic, Jr. Shannon D. Carmean Leslie Case DiPietro 302-855-1260 302-855-1270 fax www.scdelaw.com 142 E. Market St. PO Box 751 Georgetown, DE 19947

PRINTING & PROMOTIONS Delmarva Printing & Design Darrell Fearin 410-749-6700 dmvprinting.com dfearin@dmvprinting.com Print Shack Inc. 302-629-4430 302-629-4056 fax www.printshackde.com 9203 Brickyard Road Seafod, DE 19973

Law Offices of Karen Y. Vicks, LLC 302-674-1100 888-598-8890 kvicks@vickslaw.com 500 W. Loockerman St. Suite 102 Dover, DE 19904 Smith Firm Michael R. Smith, Esq. Chad Lingefelder. Esq. Blake W. Carey. Esq. 302-875-5595 302-280-6592 fax 8866 Riverside Drive Seaford, DE 19973 302-703-6043 302-827-2046 fax 1917 Sea Air Avenue, Suite 2 Rehoboth Beach, DE 19971

REAL ESTATE Callaway, Farnell and Moore, Inc. 302-629-4514 800-966-4514 www.cfmrealestate.com admin@cfmnet.com 500 W. Stein Hwy. Seaford, DE 19973 Coldwell Banker Resort Realty Skip Faust 302-227-5000 office 302-745-8764 cell 302-227-5008 fax www.skipfaust.com skip@skipfaust.com 20184 Coastal Hwy. Rehoboth Beach, DE 19971

MARKETING & PUBLIC RELATIONS Hook PR Group Patricia V. Rivera 302-858-5055 www.hookpr.com patricia@hookpr.com 135 2nd Street, 2nd Floor Lewes, DE 19968

Long & Foster Real Estate, Inc. Bill Cullin 302-841-7147 800-462-3224, Ext. 117 www.DelawareBeachRE.com Bill.Cullin@LNF.com 37156 Rehoboth Ave. Rehoboth Beach, DE 19971

PORTRAITS Portraits In The Sand Dave Koster 302-226-9226 302-226-8424 fax www.portraitsinthesand.com businessreport@portraitsinthesand.com 110 White Oak Rd. Rehoboth Beach, DE 19971

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Business Report | September 2015