PO Box 118, Sioux City, Iowa 51102
December 2012
HEALTH ISSUE
Reaching for the blues
Sioux City takes another shot at healthiest designation INSIDE THIS MONTH’S ISSUE: Health exchanges taking shape PAGE 11
Surgeons work with robotics PAGE 7
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BusinessJournal Ron Peterson, publisher Dave Dreeszen, editor Siouxland Business Journal is published monthly by Sioux City Newspapers Inc., in cooperation with the Siouxland Chamber of Commerce. Requests for a free subscription or address changes should be sent to: Kevin McGarry Siouxland Business Journal Box 118 Sioux City, Iowa 51102
Editorial copy should be sent to: Dave Dreeszen Siouxland Business Journal editor Box 118 Sioux City, Iowa 51102 dave.dreeszen@lee.net For more information: Editorial: (712) 293-4211 or 800-397-9820, ext. 4211 Advertising: (712) 224-6275 or 800-728-8588 Circulation: (712) 293-4257 or 800-397-2213, ext. 4257 On the web: www.SiouxlandBusinessJournal.com
Index Business Know How...........................................page 8
Home & Office...................................................page 13
Business People................................................page 16
On the move......................................................page 13
Chamber anniversaries....................................page 12
Ribbon cuttings............................................ page 17-19
Chamber investors.......................................... page 17
On the cover
Tim Hynds, Siouxland Business Journal
Workers at Palmer Candy Co. in Sioux City stretch following their lunch break on Nov. 16. Businesses are taking part in an effort to earn Sioux City a Blue Zone designation.
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SIOUXLAND HEALTH
National study gives Mercy top marks DAVE DREESZEN
Business Journal editor
SIOUX CITY | Mercy Medical Center ranks among America’s top 100 hospitals for cardiac care, coronary intervention and stroke programs, according to a recent study. For the second year, Mercy also is the No. 1 heart hospital in Iowa, as well as tops in the state in cardiology and neurosciences services, the national rating agency HealthGrades reports. HealthGrades annually evaluates nearly 5,000 U.S. hospitals based on Medicare data for 30 of the most common conditions and procedures. In 2013, Mercy earned HealthGrades’ top fivestar rating in 10 categories,
from neurosciences to treatment of bowel obstruction. “When you look at all the five Peebles star rating, I’m humbled by what our team is able to produce,” said Mercy President and CEO Bob Peebles. “HealthGrades basically confirms the quality of care that we deliver here.” Unlike some other national health care rating services, no hospital can opt in or out of being measured by HealthGrades. Because mortality and complication rates are risk adjusted, the HealthGrades study also takes into account each hospital’s unique population.
Tim Hynds, Sioux City Journal
Dr. Mick Hurley checks the heartbeat of Larry Arwood, of Clinton, Tenn., at Mercy Medical Center in Sioux City on Oct. 17. A new HealthGrades study rates Mercy as one of America’s 100 best hospitals for cardiac care, coronary intervention and stroke care.
“In Siouxland, because we have an aging population, we do have a lot more sicker, chronic condition
patients than other areas in the state and the country,” Peebles said. “We get credit for that higher quality.”
Smaller community hospitals send a large number of patients to Mercy, the only Level-11 Trauma Center in western Iowa, with many arriving via ambulance or Mercy Aircare. For the second straight year, Mercy was the recipient of HealthGrade’s Excellence Awards for cardiac care and coronary intervention. The Sioux City hospital ranked in the top 5 percent nationally for overall cardiac services, cardiology services and coronary interventional procedures. “It reflects the hard work that goes into patient care,” said Dr. Mick Hurley, medical director of cardiology. “We work hard to combine the most advanced technology with the individual needs of the patient.”
Peebles pointed out that Mercy offers patients a choice of two cardiology groups, the hospital’s own Mercy Cardiology and Cardiovascular Associates, or CVA. The latest HealthGrades report found that the risk of death at five-star rated hospitals is 58 percent lower than at other hospitals. For the second straight year, Mercy received a fivestar HealthGrade rating for the treatment of sepsis, a potentially deadly illness in which the body has a severe response to bacteria or other germs Peebles said Mercy and its parent company, Trinity Health, have put a high priority on identifying sepsis early on and treating it with antibiotics.
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St. Luke’s collects the ‘Consumer Choice’ award Dave Dreeszen
Business Journal staff writer
SIOUX CITY | For the second time, St. Luke’s Regional Medical Center has been named Siouxland’s preferred hospital by a national organization. The National Research Corp. recognized the Sioux City hospital with the Consumer Choice Award. St. Luke’s was the only Siouxland hospital selected this year for the award, given to the nation’s hospitals with the highest quality and image. The recipients are determined by consumer perceptions in four areas, including best overall physicians, nurses, quality and image and reputation. The information is collected in NRC’s Health Care Market Guide Ticker study, according to a news release. Of the 3,200 hospitals named by consumers in the study, the winning facilities rank highest in their core-based statistical areas as defined by the U.S. Census Bureau. The study surveys more than 250,000 households, representing more than 450,000 consumers. “As a community-based hospital, our commitment is to care for patients in the Siouxland area, so we are especially proud to be singled out by the community with this award,” St. Luke’s President and CEO Peter Thoreen said. “Most importantly, the award focuses on four areas we strive for excellence
DOUGLAS MARTIN, MD
We Care For the Employees You Care For Siouxland Business Journal photo by Jerry Mennenga
The National Research Corp. recently recognized St. Luke’s Regional Medical Center, above, with the Consumer Choice Award. The Sioux City hospital is the only Siouxland facility to receive the award.
St. Luke’s Center for Occupational Health Excellence Trust St. Luke’s for Quality Care in:
in achieving: staff, quality, image and reputation. This award recognizes facilities that are meeting or exceeding patients’ expectations, and St. Luke’s is privileged to be considered among the nation’s top hospitals.” No other study used to measure hospital performance and preferences contains more consumer responses than the NRC study, according to the news release. Thoreen said the award is particularly significant as consumers become more cautious about whom they choose for quality health care.
State group fetes St. Luke’s CEO St. Luke’s Health System President and CEO Peter Thoreen has been recognized for excellence in l ea d e rs h i p by the Iowa Hospital Association. Presented annually to an Iowa Thoreen hospital or health system executive who demonstrates notable achievement in their health system and dynamic involvement in current health affairs, Thoreen received the award at IHA’s recent annual conference in
TRACEY PICK, CNP, ARNP
Des Moines. Thoreen has headed St. Luke’s Health System since 2002, leading efforts to build a new surgical services area and a birth center during his tenure. Under his helm, St. Luke’s same day surgery center was also converted into a successful, hospitalphysician joint venture. Next summer, St. Luke’s will open the doors on its new Sunnybrook Medical Plaza to provide care for patients in Morningside and surrounding communities. Thoreen is currently a board member for the Norm Waitt Sr. YMCA, Sioux City Symphony, The Siouxland
Initiative and Big Brothers Big Sisters of Siouxland, in which he is also a long-time volunteer mentor. He is also District A Chair for IHA and has been honored with the American College of Health Care Executives’ Senior-Level Health Care Executive Regent’s Award for significantly contributing toward the advancement of health care management excellence. Prior to joining St. Luke’s, Thoreen served as executive director for Banner Health Black Hills in Spearfish, S.D., and as president and CEO for Heartland Health System in Fargo, N.D.
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For more information call Mike Schmidt 712-490-3352. St. Luke’s Occupational Health Providers offer nearly 30 years of combined service in serving Siouxland businesses!
Center for Occupational Health Excellence www.stlukes.org/occupationalhealth 4230 War Eagle Drive • Sioux City, Iowa Open Monday-Friday 8 am - 5 pm (712) 224-4300
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Submitted photo
Dr. Joe Morris, a general surgeon, is shown by a da Vinci surgical system at Mercy Medical Center. Morris is now using robotic technology to perform chest and abdominal surgeries.
Siouxland Business Journal, December 2012 7
Dolly Butz, Siouxland Business Journal
Dr. Rebecca Rose is shown practicing with the da Vinci Si, the newest robotic surgical system, at St. Luke’s Regional Medical Center. The hospital recently acquired the $1 million machine.
Video games prove great exercise for surgeons working with robotics Dolly A. Butz
Business Journal staff writer
SIOUX CITY | Dr. Joe Morris, a general surgeon, recently manipulated joysticklike controllers for the first time while performing minimally invasive abdominal and chest surgeries at Mercy Medical Center. Harnessing state-of-the-art robotic technology, the da Vinci Surgical System allows surgeons to perform complex surgeries with greater precision and fewer incisions. When the da Vinci Surgical System came to Mercy three years ago, it was primarily used by urologists. Then OB/GYNs began preforming hysterectomies with the robotic assistant. The sky is the limit for future uses of the da Vinci Surgical System, according to Morris, who said his patients are recovering faster from gallbladder, hernia, lung and anti-reflux operations and reporting little to no post-operative pain. Their blood loss during surgery, he said, is also less. “I think as we continue to go forward and technology gets better, we’re going to have more and more things that we’ll do with the robot and not necessarily do with the old-fashioned laparoscopic surgery,” said
“You’re looking through a stereo viewer and you’re working with your hands, so good handeye coordination obviously is something that you need to have.” Dr. Joe Morris, general surgeon Morris, who has performed about 20 chest and abdominal procedures with it so far.
A greater reach
the operating room at St. Luke’s peering through a stereo viewer as she grasped the controllers of the da Vinci Si in front of her. A few feet away, robotic arms and handlike instruments mimicked her hand motions, pulling, pinching and clipped rubbery nodules representing a patient’s organs on a cart in the center of the room. In addition to surgical instruments, the robotic arms also hold a video telescope, which allows the surgeon to see the operative field in 3D. To the right of the patient cart, a monitor projected Rose’s manipulation of the organs in real time for the entire operating room to see. “It’s 10 times magnified, but it’s in 3D, so it gives the surgeon their perception back,” Steve Church, director of surgery for St. Luke’s said of the da Vinci Si, the newest model of the robotic surgical system. “Every movement that they make here transfers over to the patient, and it’s in real time.”
Not only is the scope of procedures being offered via the da Vinci Surgical System expanding in Siouxland, so is its presence. St. Luke’s Regional Medical Center announced its purchase of the $1 million machine a news conference in October. Dr. Rebecca Rose, a general surgeon who is learning how to operate with the da Vinci Surgical System, said performing robotic surgery is actually easier than performing traditional laparoscopic surgery. “You can literally turn corners,” she said of robotic surgery. “You can dissect in ways Video games help you can’t (with laparoscopic surgery).” The first laparoscopic gallbladder surgery Rose sat at a console on the left side of that Morris performed took about an hour.
The same procedure, he said, takes some other surgeons more than four hours. He credits his speed and efficiency in part to video gaming. Morris played video games as a child, and most recently the popular warfare action game “Call of Duty” with his sons. “I’ve always felt really comfortable being able to work something on a screen, yet it’s happening someplace else,” he said. Morris attended robotic surgery training in Atlanta. There he operated on a real, full-sized pig. “The time it took for me to do all their little training exercises were always 20 to 30 percent shorter than the average,” he said. How long it takes to master operating with the da Vinci Surgical System, Church said, depends on the surgeon. He said surgeons already know how to perform the actual procedures before they are instructed on the da Vinci. “You’re looking through a stereo viewer and you’re working with your hands, so good hand-eye coordination obviously is something that you need to have,” he said.
SURGEONS, page 14
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Promote a supportive and healthy work environment Business Know How
or mentoring/ coaching opportunities.
employees on the benefits and risks of what they are choosing each day. • Write policies or encourage healthy food options such as fresh fruits and vegetables are served at all company meetings and functions. • Make bottled water available to all employees.
professional physical or occupational therapist. You will receive written recommendations given Environmental Issue ERik Nieuwenhuis in a detailed ergonomic No. 3: Nutrition/ Weight work risk analysis report Management that has digital photos The obesity epidemic and videos to see the erreimbursement at local continues to take its toll gonomic musculoskeletal health clubs, promote the on workplaces each year risk factors and correcuse of the stairs instead with over 86% of our curtive recommendations in of elevators or hold onsite rent workforce in America real-time, a very powerful wellness classes. being overweight or obese education tool for manaccording to the Gallup Environmental Issue No. agers, supervisors and Environmental Issue No. 2: Poll Well Being Index from 4: WorkSmart Ergonomic employees. This report is October 2011. Employers Tobacco Use Evaluations essential to provide emmust implement several Tobacco use is still the Life in the 21st century ployers with specific recsignificant modifications is extremely fast faced, Environmental issue No. 1: leading cause of death in to their work environment and most employees today ommendations and next the United States. EmPhysical activity steps on how they can to encourage making the ployers should work to sit for six or more hours Perhaps the most sigimprove the ergonomics, create environments that healthy choice easy for throughout the workday. nificant commitment safety, and well-being of their employees such as: encourage tobacco-free While computers and employers can make is their workforce and their • Offering healthy food technology such as tablifestyles. This has alto promote increased work environment. The ready been accomplished options in the onsite caf- lets, laptops, and smart physical activity during benefits include improved through the legislation for eteria or in the vending phones may have imthe workday. A Harvard energy level, reduced proved productivity and Alumni study showed that Smoke Free Workplaces in machines. You may want stiffness and pain and reJuly 2008, however I know to call the Siouxland disinstant communication, for every hour you exerduced stress and muscle trict health department they can also increase cise, you increase your life as a community we must tension. your risk of musculoexpectancy by two hours. improve our respect of our to have them perform a nutrition environment skeletal and cumulative Another Harvard study of workplaces and environmeasures survey (NEMS- trauma disorders because Environmental Issue No. 5: 80,000 nurses found that ment as a whole across V) which many employers of awkward postures. those who walked at least Siouxland. You can proAlcohol/ Drugs mote community resourc- have already done over the It is extremely impor30 or more minutes, five Employers must set es that will help tobacco- past several years, helptant to have your workor more days each week, clear expectations for ing to improve the healthy place’s computer/office reduced their risk of heart dependent employees to employees through the quit or take more aggres- choice options for their ergonomics and the mate- establishment of proattack by 50%. Improve workforce. sive measures by reimrial handling jobs evaluphysical activity in your active and aggressive • Include nutritional bursing employees for toated, along with the body alcohol and other drug workplace by building bacco-cessation courses, information with each mechanics and posture an onsite physical fitpolicies and programs. It offer peer-support groups item offered to educate habits of workers by a ness facility or consider is extremely important in This month, we will discuss some important environmental issues and practices that will create supportive and healthy workplaces for your employees. There are a number of benefits for your workplace including improved employee health and vitality, improved customer service, improved employee energy level, reduced stress and more overall productivity.
today’s work environment to utilize pre-employment and random drug testing to reinforce that these behaviors are not acceptable at the workplace. Have an internal EAP program or contract with an external company to provide proactive prevention services.
Environmental Issue No. 6: Stress-Management
We must create an environment that empowers our employees to manage their psycho-social health, improving their strength in the midst of change and stressful life events at work, home and in their daily lives. Perhaps one of the best ways is to make sure that clear expectations have been set for each and every employee, avoiding confusion and misunderstanding about who is responsible for what tasks and how people will be judged and evaluated for their efforts. This will provide employees with the right tools and equipment to insure that they can get their job done efficiently
Healthy, page 14
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Siouxland Business Journal, December 2012 9
Bob Roe’s adds third gathering place:
the North End Zone in Leeds Bob Roe’s Pizza & Lounge now has another location Where Good Times Gather – at 4100 Floyd Blvd. in Sioux City. The latest North End Zone location in the Leeds neighborhood has been open since Nov. 27. Bob Roe, owner of Bob Roe’s Pizza & Lounge, said the new location in Leeds is a natural fit for them. “This building we’re in has had a rich tradition. Taylor’s Tap was out here. They sold out to Dorsey’s. And other businesses have been in and out of here, including Jammin J’s and Uncle Woodsies Smokehouse & Grill. In the Leeds area there is a lot of pride. It was just a natural fit. We saw an opportunity for delivery to cover all areas of Sioux City,” Roe said. Roe said he and his family looked at other locations, but they had a lot of connections with Leeds in the past and wanted to be in the neighborhood again, he said. It also worked out that all of the kitchen equipment needed to run the restaurant and lounge was already on site with the exception of the pizza oven. “Everything was in good condition and relatively new,” he said. When the Roe family purchased the building, they remodeled it. They took out the old bar and put in a new bar front, top and rails, installed tile behind the bar and on the floor, laid carpeting, painted, installed new booths and all new lighting, added high top tables, and added historical pictures of Leeds throughout. Historical Leeds is the theme of the North End Zone, and many customers have brought in old photos of Leeds to include. They even have a historical photo of the original building in the 1930s, when there was a hardware store on the main level and the Masonic Lodge was upstairs. The new Leeds North End Zone location joins the first location, Westside Pizza at 1200 W. Fourth St., which opened in 1977, and Bob Roe’s Point After at 2320 Transit Ave. in Transit Plaza, which opened 22 years ago. Counting all three locations, Bob Roe’s employs 75 people.
(l-r): Terri Rexius, Bob Roe, Jeremy Houser and Jason Houser.
Bob Roe’s daughter, Terri Rexius, manages the day to day operations of the three locations and Roe still performs administrative functions. Rexius’ two sons, Jeremy Houser, 27, and Jason Houser, 25, are also part of the business. Jeremy runs the bar and Jason is in charge of the kitchen. Like their mother, they go back and forth among the three locations and fill in where they are needed. All three locations feature the same format – a leisurely, friendly and relaxed neighborhood restaurant and bar – featuring the famous Bob Roe’s pizza and buffalo wings, recipes that haven’t changed for 35 years. In addition to pizza and buffalo wings, Bob Roe’s North End Zone serves appetizers, sandwiches, chicken and BBQ rib dinners and salads. In the bar, they serve bottled and canned beer, tap beer, malt beverages, wine and mixed
drinks. “When someone comes in and requests something, we get it,” Terri said. The new location has opened to rave reviews, she said. “It has been received very well,” she said. “It’s comfortable and nice, but not too nice. Our motto is: Where Good Times Gather. Between all the businesses, that carries over here. It’s like a reunion every night. People walk around and look at the pictures. It’s just smaller. It’s like neighbors mingling with neighbors. People like hanging out.” Roe added: “We’re happy to be in Leeds and we appreciate the support we have had thus far. This location has a rich tradition. It’s nice to be in the neighborhood again. It has been really fun.” For deliveries, call 522-2834.
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Siouxland health
Sioux City sees enthusiasm for second Blue Zone bid Momentum builds for special designation Nick Hytrek
Business Journal staff writer
The scene brings to mind pregame warmups at a football game. As team leaders count out to 10, everyone stretches an arm, then a leg. The routine covers neck rolls, wrist stretches and concludes with a round of applause and cheers. These aren’t players getting ready for a game, these are Palmer Candy employees stretching after a break, then scattering to operate machines and box up sweets inside the company’s repackaging department. That enthusiasm toward physical well-being is one example of the ongoing efforts by Sioux City Tim Hynds photos, Sioux City Journal to land a Blue Zone designation. Loida Benavidez stretches after her lunch break Nov. 16 at Palmer Candy Co. in Sioux City. Company employees “We’ve always been pretty indo the stretches as part of an effort to encourage healthy lifestyles. volved in the health of our people, but Blue Zone helped focus that,” Palmer Candy President Marty Palmer Candy Co. Palmer said. worker Shelley Combs, The goal of the Blue Zones left, stretches her Project, sponsored by Healtharms and hands before her afternoon shift on ways-Wellmark Blue CrossNov. 16. Blue Shield, is to make Iowa the healthiest state in the nation by 2016, as measured by the Gallup-Healthways Well-Being Index. Winning cities receive assistance to create plans to make environmental, social and policy changes to help residents lead healthier lives. The title comes from a phrase National Geographic author Dan Buettner used to identify communities where people live longer, don’t have serious sickness and lead more fulfilling lives.
Blue Zones: How it works What it is: A Healthways-Wellmark Blue Cross-Blue Shield program to make Iowa the healthiest state in the nation by 2016. Selected communities receive assistance in making environmental, social and policy changes to help residents lead healthier lives. Where Blue Zone term comes from: A phrase that National Geographic author Dan Buettner used to identify communities where people live longer, don’t have serious sickness and lead more fulfilling lives. Previous designated communities: Spencer, Waterloo, Cedar Falls, Mason City. More information: bluezones project.com.
Sioux City was a finalist to be named a Blue Zone in May, but lost out to Waterloo, Cedar Falls, Mason City and Spencer. In January, six more cities will be named Blue Zones. Sioux City is again a finalist. Derek Carmona, city environmental systems analyst, said he sees as much or more enthusiasm about the Blue Zone this time around. The first effort raised community awareness about making healthful lifestyle changes. With that message already out there, it’s been easier to spread the word. “Just having people aware that change needs to be made is a big thing,” Carmona said. Carmona said efforts this time have targeted companies more than individuals, the thought being that more people can be impacted if their employers are on
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Siouxland Business Journal, December 2012 11
Seven questions about new health care exchanges President Obama’s reelection in November virtually ensures one of his signature policy changes of his first term, the Affordable Care Act, will be fully implemented over the next year. Beginning in 2014, if they do not have access to employer-based health insurance, consumers can buy it directly in an Affordable Insurance Exchange. The online markets will be finalized next year, with an open enrollment period starting in the fall. Here are some frequently asked questions about the exchanges, and other aspects of the Affordable Care Act. Q: What is the purpose of the exchanges? A: A cornerstone of the the new law, which guarantees access to health care for all Americans, the exchanges are designed to make it easier and more affordable for individuals and families to buy coverage. The exchange also will level the playing field, giving small employers a “better choice of plans and insurers at a lower cost, the way larger employers do now,” according to healthcare.gov. Q: How will the exchanges work? A: They will operate
Iowa Gov. Terry Branstad and Lt. Gov. Kim Reynolds speak in Sibley, Iowa, in May. Branstad recently announced Iowa will seek a state-federal partnership to create new health insurance exchanges. More than 30 states have opted out of forming its own exchanges as the Affordable Care Act is phased in over the next year.
similarly to online travel sites like Priceline and Expedia, helping consumers compare prices and benefits of plans. The exchanges will also have broad powers to set the types of plans and benefits offered. In addition, they will determine which individuals are eligible for federal subsidies to buy coverage, or qualify for Medicaid, the state-federal health insurance program for the poor, according to healthcare.gov. Q: Who will set up the exchanges?
A: States that don’t run their own exchange have two options: a federal exchange that needs little state participation or a federal partnership exchange, in which states help by performing certain duties such as providing customer service. When Obama signed the Affordable Care Act in 2010, administration officials hoped most states would run the markets themselves. More than 30 states, though, opted out of the state-run exchanges in
advance of a key deadline earlier this month. A: Which route did Iowa, Nebraska and Heineman South Dakota take? A: Nebraska and South Dakota joined other states in deferring to the federal Daugaard government to operate and pay for the online markets. Gov. Dave Heineman said a state exchange would cost Nebraska taxpayers an additional $470 million over eight years than a federal exchange. The Republican governor also expressed concern the Obama administration would not give the state enough flexibility to run its own exchange. Republican Gov. Dennis Daugaard also feared a state-run exchanges would be too expensive, increasing South Dakota’s annual costs $6.3 million to $7.7 million. Gov. Terry Branstad recently announced Iowa would seek a state-federal partnership to retain autonomy and minimize costs of the online markets. “We will continue to regulate insurance plans in
board. Last month, more than 20 Sioux City businesses and groups took part in a health walk. Palmer said the Blue Zone program got company leaders thinking about how to help workers improve their health. Since the first Blue Zone campaign, Palmer Candy has offered free health screenings, made changes to vending
machine offerings and conducted weight-loss contests. Employees have formed workout groups. The company had “Fruit Month” in May in which it provided free fruit in all company break rooms. Palmer said he hears more talk among workers about fitness and staying healthy. He credits many of those developments to the Blue
Zone campaign. “We really didn’t understand what Blue Zone could mean,” Palmer said of the first attempt to gain Blue Zone status. “Over the past eight months we’ve had some time to think about health in our organization.” Carmona also sees and hears more people talking about Blue Zones.
“We’re talking about health. We’re talking about well-being,” he said. “We’re getting people interested in moving in that direction.” That development can create change, regardless of whether Sioux City is named a Blue Zone city, Carmona said. If Sioux City were to miss out again, it’s no reason for people to stop
Dave Dreeszen
Business Journal editor
Bret Hayworth, Sioux City Journal file
Iowa and retain control over our Medicaid and Children’s Health Insurance Plan eligibility,” the Republican Branstad wrote in a letter to Health and Human Services Secretary Secretary Kathleen Sebelius. Q: What types of plans will be available through the exchanges? A: Private insurers must meet new minimum standards and offer a range of health plans. Some will have low deductibles and cost-sharing, while others will have lower premiums but higher deductibles and more out-of-pocket costs. Q: Who qualifies for federal tax credits or subsidies to offset the premiums? A: Americans making less than four times the federal poverty line, or about $44,000 for a single adult or $92,000 for a family of four. Households below 138 percent of the poverty line will be eligible to sign up for Medicaid coverage in states that elect to expand their Medicaid programs. So far, Iowa, Nebraska and South Dakota, though, are among the states that have not committed to the expansion. Q: Does the law require employers to provide insurance coverage? A: Starting in 2014,
making changes to their diet or activity levels. The city and companies can continue to encourage citizens and employees to become healthier, and Carmona said that’s exciting to watch. “It’s a big thing that Sioux City can really benefit from,” he said. “I’m proud of Sioux City and the amount of effort everybody has made.”
Affordable Care Act timeline On March 23, 2010, President Obama signed the Affordable Care Act, which put in place comprehensive health insurance reforms that will roll out over four years and beyond. Coming in 2013: Affordable Insurance, a marketplace that allows individuals and small businesses can buy affordable and qualified health benefit plans. Open enrollment begins in October 2013. Coming in 2014: Tax credits to help offset the premiums. The subsidies will be available to households with income between 100 percent and 400 percent of the poverty line who are not eligible for other affordable coverage.
businesses with 50 or more full-time employees who do not provide adequate coverage will be required to pay a penalty if their employees receive federal tax credits to buy their own insurance, according to healthcare.gov. The penalty will be $2,000 per employee, beyond the first 30 workers. Small businesses with less than 50 workers are eligible for tax credits to help buy coverage for their employees.
“It’s a big thing that Sioux City can really benefit from. I’m proud of Sioux City and the amount of effort everybody has made.” Derek Carmona,
city environmental systems analyst
v
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ChamberAnniversaries The following businesses and organizations are celebrating anniversaries of one year or more as Siouxland Chamber of Commerce investors.
1 YEAR
COMPLETE TRANSCRIBE Sarah Hadden 505 5th St. Suite 206 Sioux City, IA 51101
ENTERPRISE RENT-A-CAR MIDWEST Kendal Zoeller 2429 Gordon Drive Sioux City, IA 51106 IRON HILL BAR AND GRILL
TRADE YOUR BLADE! we will remove any used plow in any condition and give $1500 toward a new Boss plow in stock.
Scott Orick 4400 Sergeant Road Suite 300 Sioux City, IA 51106 NEW VICTORIAN INN & SUITES Jeff Hoffart 3101 Singing Hills Blvd. Sioux City, IA 51102 PERMARA Craig Arnold PO Box 97 Dakota Dunes, SD 57049 SUPER 8 MORNINGSIDE Sameer Thakkar 4307 Stone Ave. Sioux City, IA 51106 TEN SECOND TENT Katy Blake 1728 162nd Street Lawton, IA 51030 TRINITY ELECTRICAL SERVICES LLC Gregg Lamoreux 4801 Malloy Road Sioux City, IA 51109
5708 Sunnybrook Drive Sioux City, IA 51106-4249 HOLE N’ THE WALL LODGE Joe E Cain 14396 Diamond Ave. Akron, IA 51101 I WIRELESS Daniel Todd 4500 Singing Hills Blvd. Sioux City, IA 51106 SIOUXLAND SAFETY SERVICES Aaron Lacino 1951 Leech Ave. Suite 101 Sioux City, IA 51106 SOS STAFFING Scott Carlson 403 Benningron Drive Sergeant Cluff, IA 51054
Steve Martin 3301 Daniels Lane South Sioux City, NE 68776
10 YEARS
30 YEARS
5 YEARS
15 YEARS
EARL MILLER CONSTRUCTION INC Earl Miller 182 Saddlebrook Court Dakota Dunes, SD 57049 SUNNYBROOK DENTAL Dr. Mindy J Stevens
RML ARCHITECTS LLC Robert M Lee NCARB 922 Douglas Street Sioux City, IA 51101 LIBERTY NATIONAL BANK – SINGING HILLS Brandon Krotz 4425 Singing Hills Blvd. Sioux City, IA 51106 PACIFIC CITY GRAPHICS
20 YEARS
BEEF PRODUCTS INC. Eldon and Regina Roth 891 Two Rivers Drive Dakota Dunes, SD 57049 LONG LINES LLC Jon Winkel 501 4th St. Sergeant Bluff, IA 51054
25 YEARS
BABER’S VIS-VITA SALES LC Fred Karpuk 607 Floyd Blvd. Sioux City, IA 51102 COFFEE KING INC. Chadd Goosmann 316 Floyd Blvd. Sioux City, IA 51101 NEW PERSPECTIVES INC Jolie Marie Corder 300 S. Martha St. Sioux City, IA 51102 ROCKET AUTO WASH INC. Mark and John Hanson 2519 Correctionville Road Sioux City, IA 51106
Exclusively at 623 W. Seventh St. (712) 279-8080
Helping your business achieve financial success YOUR BUSINESS BANKING PROFESSIONALS
(712) 255-5713 | 1-800-344-7048
Scott Sehnert | Market President | ssehnert@heritagebankna.com Adam Lloyd | Credit Manager | alloyd@heritagebankna.com Jen Whipple | Business Associate | jwhipple@heritagebankna.com
Visit us at 505 5th Street, Suite 100 in the Frances Building downtown Sioux City or at www.heritagebankna.com
Member FDIC NMLS ID #446440
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Siouxland Business Journal, December 2012 13
Take precautions when shoveling snow In the Midwest we are accustomed to frigid temperatures and the inevitable snowstorms that arrive every winter, but are you aware of the dangers these pose to your heart? While it is true there are many risk factors for heart attack, such as high cholesterol, being male, and smoking cigarettes, but did you know that heart attacks are more common in the winter? “When the temperature outside drops, our blood vessels narrow to prevent our bodies from losing heat. This is a natural response that can also put people with heart conditions and those involved in strenuous exercise at greater risk of having a heart attack,” says Dr. Holly Andersen of the Perelman Heart Institute at New York Presbyterian Hospital/Weill Cornell Medical Center.
Take these precautions:
• Warm up. Warm up Home with stretching and light before shoveling, & Office activity exercising or beginning more strenuous physical Deb Twyford activities. • Bundle up. When going out to shovel, always wear Shoveling snow is one a scarf over your mouth of the most strenuous and nose to warm the air and dangerous winter before you breathe in, and exercise activities. It can dress in layers. Layerraise blood pressure, and ing clothes underneath a coupled with the effects of windproof and waterproof colder temperatures, shov- outer shell helps maintain eling can increase heart at- body heat. tack risk drastically. Heart • Push the shovel. It is attack warning signs inless strenuous to push the clude: chest pain (though snow rather than lifting it, not always), shortness of and this reduces the risk breath, sudden fatigue or of overexerting yourself. dizziness, sweating, nauIf you must lift, take small sea, vomiting, irregular amounts and lift with your heartbeat, blue tinge to legs: squat, bend knees, your skin. If you feel you back straight. Lift by are having any of the heart straightening your legs. attack symptoms do not • Take breaks. You ignore them, call 911 imshould take frequent mediately breaks while shoveling to give your muscles,
Eventually you will become confused and sleepy, and speech may become slurred. In the most severe stage the heart can slow down dangerously. Stay safe, bundle up and wear warm, multi-layered clothing with good hand and feet protection and wear a hat. The Centers for Disease Control and Prevention recommends seeking medical attention immediately if you notice symptoms. If you notice symptoms and medical attention is not available, remove wet clothing and wrap up in a blanket to prevent further heat loss. Warm beverages will help but avoid alcoholic beverages. Do not take a hot shower or bath as it can cause shock. • Frostbite can cause a loss of feeling and color in the affected areas, such as ears, nose, cheeks, chin, fingers or toes. Signs of
frostbite include reduced blood flow to hands and feet, numbness, stinging or aching and bluish or pale waxy skin. To prevent frostbite wear warm clothing and dress in layers. If you notice signs of frostbite avoid rubbing or massaging affected area but get in a warm room as soon as possible and immerse affected area in warm water or use body heat but be careful as affected areas are numb and can be easily burned. If numbness of sustained pain remains during warming or if blisters develop, seek medical attention. Stay safe this winter and plan ahead when you are going to be out in the cold.
University of California San Francisco. She grew up and has lived Elizabeth Berkemier in the Sioux City area for 30 has joined Siouxland Com- years. m u n i t y Health CenLe Mars clinic ter as a PA-C hires physician Physician Assistant in LE MARS, Iowa | Dr. Anthe center’s drew Geha will be joining Department the medical staff at Floyd o f Urge n t Valley Hospital’s Family Care. Berkemier Medicine Clinics beginning Berkemier in July 2013. received her masters in As a family physician, physician assistant stud- he will provide all facies from the University ets of family healthcare of South Dakota and post services, from pre-congraduate certification in ception to end-of-life Pain Management from services.
Geha is currently in the Family Practice Residency Program with the S i o u x l a n d Geha Medical Education Foundation. He earned his undergraduate at Creighton University in Omaha, and his masters and doctor of osteopathy degrees from Des Moines University. Geha and his wife, DeeAne, have a 16-month-old daughter and a newborn due soon.
especially your heart muscle, a chance to relax. You may also consider sharing the work with a friend to make the workload lighter and ensure that you are not alone in the event of an emergency. • Consult a doctor. If you are over the age of 50, overweight, out of shape or have suffered a heart attack, you should consult a doctor before shoveling snow or starting any exercise routine.
Additional considerations to be aware of:
• Hypothermia: In the U.S. 700 people die each year of hypothermia. Hypothermia happens when the body’s temperature drops to 95 degrees F or less and can be fatal if not detected promptly and treated properly. If you have hypothermia you’ll first feel cold, shiver and socially withdrawn.
Contact Deb Twyford, RN at Mercy Business Health Services Worksite Wellness, at 712-274-4334 or twyfordd@mercyhealth. com
OnTheMove Boys Club taps Meyer as its new leader
Scouts of America. Meyer is a 1993 graduate from Westmar University, SIOUX CITY | Vernon where he received his bachMeyer has been named elor of science degree. chief proHe is active in the comfessional munity with the Rotary officer for Club, Chamber of Comthe Jesse E merce, STEMM, Youth for Marshall Christ and Sunnybrook Boys Club of Community Church. Sioux City. Vernon and his wife of 19 Meyer has years, Aileen, have three daughters, Corinne, 18, more than 10 Meyer years of exPaige, 14, and Jenna, 8. perience in the non-profit sector, serving as director of development at the CMBA hires Sioux City Gospel Mission interior designer and field director with the Mid-America Council, Boy Alison Berg has joined
Cannon Moss Brygger Architects as an interior designer. Berg has professional Berg experience from Michael Richman Interiors in Chicago, Illinois. Berg, a native of Carroll, Iowa, received her bachelor of fine arts degree in interior design from Iowa State University. Berg is a member of the International Interior Design Association (IIDA) and the U.S. Green Building Council.
Health center adds physician assistant
Siouxland Business Journal, December 2012
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Surgeons: Video games helpful from page 7
More flexibility
The da Vinci Surgical System puts a variety of instruments with a range of motion greater than that of the human wrist at a surgeon’s disposal. The Endo-Wrist can rotate 360 degrees, giving surgeons the capability to insert instruments at a variety of angles. Specialized instruments allow surgeons to perform tasks such as vessel clipping and cryoablation, using extreme cold to destroy or damage tissue. Although the incision
sizes for traditional laparoscopic surgery and robotic surgery are about the same, Morris said incision locations are different. He explained that in a robotic gallbladder surgery, small incisions are made at the belly button or below, where as in a traditional laparoscopic surgery, the incisions are made on the right side of abdomen. “The robot puts a lot less torque on the abdominal wall,” Morris said. “When the robot does surgery, the computer is designed to pivot the instrument so that that point where the trocar or hollow tube is through
the abdominal wall isn’t moving at all. There’s no pushing of tissue back and forth.” Both Sioux City hospitals have expressed interest in obtaining single-site technology upgrades for their robots, which will make it possible to perform a gallbladder surgery through a single incision in the belly button. “(Surgeons) are able to perform a single incision, or what some people are calling a ‘scarless’ procedure,” Church said. “The incision is still there, but it’s hidden in the belly button. Cosmetically it looks great.”
Healthy: Work environment the end of the workday. their flexibility, reducing stress and risks for injury, Contact Erik Nieuwenhuis, and improving their energy level. You may want to St. Luke’s Health System’s WorkSmart Ergonomics do these one to three times per day including the start Injury Prevention Specialist at 712-279-1842 or of the workday, after midnieuween@stlukes.org shift or lunch break or at
from page 8 and effectively. St. Luke’s WorkSmart dynamic (3 to 5 second hold) stretching program is another excellent way to engage employees in working smart, improving
Commercial, Industrial Refrigeration
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AC&R SPECIALISTS Siouxland’s Refrigeration Experts REFRIGERATION EQUIPMENT, PARTS, INSTALLATION, SERVICE 24 Hour Emergency Service
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425 Perry Street, Sioux City, IA www.sudak.net
Email: acr@sudak.net
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Siouxland Business Journal, December 2012
LocaL Job Feature oF the Month
Spalding park ElEmEntary
“Building For Your Future”
General contractors constructIon ManaGers
2205 e. 4th street P.o. Box 1497 sIoux cIty, Iowa 51102 Phone (712) 255-0657 Fax (712) 255-8205 www.llbuilders.com
712-255-0657 www.llbuilders.com
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Siouxland Business Journal, December 2012
Office Space fOr rent
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RibbonCutting
BusinessPeople Art center head takes Ho-Chunk VP chairs office with state group contractor group
Class A Office Space Available Immediately The Siouxland Chamber Ambassadors joined Heritage Bank President Randy Wilkinson, Chairman and CEO Tom Geiger and Market President Scott Sehnert, Business Associate Jen Whipple and Universal Banker Nadine Meis for a ribboncutting ceremony on Nov. 13 to celebrate the move and opening of their office in the Frances building at 505 5th St., Suite 100. The bank also held an open House that day.
600 Stevens Port Drive, Suite 150 Dakota Dunes, SD 57049 605-217-6000
Confused about which health insurance benefits are best for your employees?
SIOUX CITY | Al HarrisFernandez, director of the Sioux City Art Center, is the new vice president of the Iowa M u seum Association. A n g e l a HarrisStanford of Fernandez the Danish Immigrant Museum in Elkhorn will serve as president of the organization in 2013-14. The Iowa Museum Association represents art centers and museums, botanical gardens, children’s museums, historic sites, historical societies, living history sites, nature centers, natural history museums, planetariums, science and technology centers and zoos.
Annette Hamilton, vice president and chief operating officer of Ho-Chunk, I n c . , wa s recently elected chair of the Native American Contractors Association, Hamilton a n a dvo cacy organization based in Washington, D.C. Hamilton was elected for a one-year term as chairperson and a two-year term on the board of directors. At Ho-Chunk, an economic development corporation owned by the Winnebago Tribe of Nebraska, Hamilton oversees the daily operations of all 34 Ho-Chunk, Inc. subsidiaries.
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RibbonCuttings
Siouxland Business Journal, December 2012 17
photos courtesy of the Siouxland Chamber of Commerce ECKERD DAYLIGHT Eckerd, a national nonDONUTS profit organization that Daylight locally provides safety and Donuts permanency services to hosted a families in Northwest Iowa, ribbon-cutting hosted a ribbon-cutting ceremony ceremony Nov. 27 to on Nov 19 to celebrate the opening of its celebrate the new downtown Sioux City opening of the office at 701 Pierce St., new store at Suite 405. Staff members 3517 Singing pictured are: Moises Hills Blvd. Vasquez, Lorelei Thomas, Pictured are Jennifer Fredericksen, store owners care coordinators; Jaime Bernie, David Holmes, director; Brenda and Rose Noll-Norvell, quality Attema Pioneer Bank Community AD – Sgt. Bluff Advocate – 4.889” x 6.5” – FULL COLOR assurance; Will Jones, vice president of operations; and Angela Young, supervisor.
NewChamberInvestors Sioux City, IA 51101 Men’s Wearhouse Inc. Michelle Carlson
5016 Sergeant Road Sioux City, IA 51106 www.themenswearhouse.com
Pioneer Bank A good decision for your business. Running a business can be so much simpler, when you have the right partner.
Do you have an existing business or plan to start a new one in Union County, SD?
W
Floyd House Katie Brannen 403 C St. Sergeant Bluff, IA 51054 www.alcco.com Pier Center for Autism Josh Cobbs 709 Iowa St. Sioux City, IA 51102 www.piercenter.org Compass Financial Partners Steven Ballard 383 W. Steamboat Drive Suite 103 Dakota Dunes, SD 57049 www.ameripriseadvisors.com/ steven.r.ballard Civil Engineers & Constructors LLC Ryan Callaghan 310 N. Derby Lane No. 195 North Sioux City, SD 57049 www.ceconstructors.com Bank Shot Billiards Ken Geary 2330 Transit Ave. Sioux City, IA 51106 www.bankshotbilliards.com Red Bones Café Sarah Dean 401 W. 7th St. Sioux City, IA 51103 Indigo Palette Barbara Sulzbach, John Glaza, Kristine Elkjer 1012 Historic 4th St.
e
Pioneer Bank has been there, helping
We
O f fe r
Small Business Administration (SBA) Loans
O f fe r
Farm Service Agency (FSA) Loans
Give us a call today at 605.232.9310
1st Financial Bank USA 331 Dakota Dunes Blvd., Dakota Dunes 605.232.9310
businesses and business owners grow and succeed for over 100 years. We have the team, and we have the tools. We’re Siouxland’s 1st Choice for Business Banking. Find out why! Stop by today.
Salix Sioux City (712) 244-2511 (712) 946-5412 (712) 271-6511 pioneerbanks.com • Member FDIC
Sergeant Bluff (712) 943-5511
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Siouxland Business Journal, December 2012
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RibbonCuttings
photos courtesy of the Siouxland Chamber of Commerce
staff at from the
ACS.
State Certified Drinking Water & Wastewater Lab Laboratory Testing Services Environmental Compliance Providing Compliance Services to Siouxland Businesses Since 1995
Sharlyn Franco, Chemist 205 Sergeant Square Dr. Sergeant Bluff, IA ph: 712-943-4888 • cell: 712-253-1254 sfranco@acslab.net • www.acslab.net
EMERITUS AT NORTHPARK PLACE Emeritus at Northpark Place, formerly Northpark, held a ribbon-cutting ceremony on Nov. 8 to celebrate the re-naming of their Sioux City facility, as well as the completion of remodeling. Pictured is new director Rebecca Mattas, along with Emeritus staff and residents.
Merry Christmas!
Wheelock, Bursick & Giese Dentistry Where comfort, quality & value meet. 4100 Morningside Ave. • 712-274-2038 or 800-728-2038
CHICK-FIL-A Chick-fil-A hosted a ribbon-cutting ceremony on Nov. 1 to celebrate the opening of its new standalone store at Southern Hills Mall. Pictured are store owner, Chad and Stacia Eisenga with their son, Teagan, 6, and daughter Taya, 5. On the left is the store’s corporate event planner Sue James.
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Siouxland Business Journal, December 2012
RibbonCuttings
photos courtesy of the Siouxland Chamber of Commerce
HOFFMAN AGENCY The Hoffman Agency in Sergeant Bluff celebrated a grand re-opening with a ribbon-cutting and open house Nov. 14 at its new Sergeant Bluff location, 120 Gaul Drive. Hoffman Agency staff are pictured from left: Jeff Wooldridge, Josh Nichols, Christy Porter, Monique Hiserote, back row, and Nicky Christophersen.
J.D. GORDON J.D. Gordon Creative Labs hosted a ribbon cutting and open house Nov. 14 to celebrate its 10th anniversary, new location and new name. While J.D. Gordon will continue their commitment to traditional advertising, the new name, J.D. Gordon Creative Labs, will focus on both traditional and digital marketing. Pictured from left are: Kim Gordon, co-owner and project manager, Jeff Gordon, co-owner and creative director and Pete Laskie, web director. Not pictured: Jan Swanson, media director.
Do These Estate Planning Questions Sound Familiar? ■ ■
■
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How do I know which trust is right for me? Is my Estate Plan structured to take advantage of the current tax laws? How can I maximize the transfer of wealth to my children?
We’ll sit down with you to help develop a plan specific to your needs. You will receive results you can understand and a clear path you can realistically follow. To schedule a FREE review call 712-277-6586.
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601 Pierce St. Sioux City, IA 51101 712-277-6586
Financial Planning • Investment Management • Trust/Estate Planning www.snbwealth.com
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Siouxland Business Journal, December 2012
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11
NEW
MBA, CCIM
President
Congratulations to A-Ox Welding Supply on its new Siouxland location. This transaction was brokered by Chris Bogenrief. 920 S. Lewis
Vice President
NEW
NEW
NEW
613 Whittier, Whiting
311 W 26th Street
This street front retail building was most used as a sundry outlet and prior to that a café. The building is located just to the East of the town USPS, had a new rubber roof put on in 2011 and new water line put in during 2012. Would also make a great satellite office for an attorney, doctor, massage therapist, accountant, etc.
10,000 sf flat lot just off busy Hamilton Blvd. on W. 26th & Geneva. Ideal for up to 2,500 sf office or retail bldg. For sale or owner would build to suit.
NEW
REDUCED
CCIM
2918 Hamilton Blvd, Ste 102 Colonel Krage
712-251-1451
Very nice 3,014 sf Medical/ Professional office for lease at Plaza Prof. Center across from Marketplace S.C. Ample parking at door. Lease includes utilities, RE taxes, bldg ins & CAM.
501 E 9th Street, SSC 2,500 sf warehouse on NE corner of E 9th & D Streets for lease. 3 drive-in doors and dock. Small office, restroom and off-street parking.
2450 9th Ave, SSC 3,248 sf office space (formerly Hirschback Trucking Training Center) with 4 private offices & 4 large rooms. Large parking area for cars & semi-trucks. Corner of W 25th Street (1,810 VPD), 2 blocks E of Hwy Bypass (14,500 VPD).
3300 Terminal Dr. Lots 2 & 3 3.39 - 7.27 acres for sale at intersection of new Outer Dr. & Terminal Dr. East of new Floyd River bridge & W of Hwy 75. Terminal Dr. newly paved w/sewer & water & curb cuts into property. Both lots available for $225,000.
REDUCED
Tune into KSCJ 1360 Talk Radio Saturday mornings from 8:10 to 8:30 a.m. to hear interviews with the “movers & shakers” of Siouxland or go to www.kscj.com for streaming live broadcast.
2928 Hamilton Blvd
504 Nebraska
1530 Steuben Street
614 14th Street
2,615 sf prime office space in Plaza Professional Condos across from Market Place Shopping Area. Ready for medical office: 8 offices plus recep. area & waiting room w/parking in front.
1,124 sf storefront office/retail in heart of downtown Sioux City. High visibility & good signage. Attractive lease rate of $656/month including R.E. taxes & building insurance. Available now.
Truck distribution center. 28 dock doors available for lease w/optional office space; 10door minimum. Each door is 10’ clear & property located minutes from Hwy 75 & I-29. Perfect for trucking companies to use as distribution center to sort product, change trailers, etc.
This turnkey operation offers any health spa/hair stylist entrepreneur tools for success. Inc. tanning bed, 12 hair stations, 5 wash sinks, 3 hair dryers, 2 storage rooms & break room offered at $10/sf gross
302 Jones, suIte 100, sIoux CIty