Volume 14 Issue 22 May 31, 2008 www.columbiabusinesstimes.com PrimarisвЂ™ mission: improve healthcare, assist Medicare users By Jennifer Herseim It starts with a tingling in the back of your throat. Then a seemingly endless stream of liquid from the deep caverns of your nose comes forth, and pretty soon youвЂ™re dialing the doctorвЂ™s office for an appointment. When a person gets sick, the doctor prescribes a treatment. But when the health care system is sick, Primaris is on call. The not-for-profit health care consulting firm frequently runs check-ups on hospitals, physicians, nursing homes and home-health agencies to make sure the industry is providing high-quality, cost-effective care. вЂњWe have learned over the course of years to take complaints and other input we get from oversight, and gain quality improvement out of it,вЂќ said Dorothy Andrae, director of clinical review services and home health. вЂњThatвЂ™s a very important linkage because our mission is to improve quality. If you just process complaints and then stamp them closed, you donвЂ™t get much out of that.вЂќ (continued on Page 7) 5 12 16 Economic Index City plans for lower sales tax revenue. Industrial Recruitment Partnership develops land for potential employers. Centennial Investors Five fledgling companies earn investments. 1 $ 50 photo by jennifer kettler Keeping health care healthy оЃ® ColumbiaвЂ™s Car King Gary DrewingвЂ™s dealerships dominate local auto market CBTвЂ™s ranking of ColumbiaвЂ™s dealerships begins on Page 18 PRST STD U.S. Postage PAID Permit #353 Columbia, MO SPECIAL SECTION Health Care See Page 21 May 31, 2008 | CBT in this issue 11 14 26 Health Insurance Insure Missouri failure leaves reform in limbo. People You Should Know Ginny Chadwick keeps Columbia COLORful. Fit Friendly MU honored for stepping up workplace workouts. 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CenterпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅ21 University HospitalпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅ3 University of Missouri Health CareпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅ31 Uprise BakeryпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅ14 advertisers index Beckett & Taylor AgencyпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅ 30 Boone County National BankпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅ 36 C & S Business ServicesпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅ 34 Callaway BankпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅ 5 Center for Maternal-Fetal CareпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅ 23 City of Columbia Public WorksпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅ 22 City of Columbia Water & LightпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅ 15 Columbia Orthopaedic GroupпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅ 21 Columbia TurfпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅ 25 Delta Systems GroupпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅ 31 First National BankпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅ 2 Grill One 5пїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅ 9 Guaranty Land TitleпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅ 16 Greenway Massage TeamпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅ 24 Instant Imprints............................................... 4 Integrity Home CareпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅ 23 KT Diamond JewelersпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅ 4 Maxwell TrailersпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅ 6, 22 McDonaldsпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅ 32 Mid-America Specialty MarketsпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅ 6 Mid Missouri Land & LotsпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅ 29 Missouri Credit UnionпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅ 12 MU Concert SeriesпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅ 13 MU-Robert J. Trulaske, Sr. College of BusinessпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅ 27 Shelter Insurance Agent - Matt DonnellyпїЅпїЅпїЅпїЅпїЅпїЅпїЅ 7 Socket InternetпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅ 3 Stoney Creek InnпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅ 24 Terrace Retirement AptsпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅ 29 The TigerпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅ 7 Towner CommunicationпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅ 32 Triangle BlueprintingпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅ 29 UCIEпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅ 17 University of Missouri HealthcareпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅ 28 Visionworks Marketing & CommunicationsпїЅпїЅ 26 Williams and Hussey EyecareпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅ 8 Williams Keepers вЂ“ Raymond JamesпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅ 9 Willie SmithвЂ™s Magic Services, IncпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅ 16 Wheeler AuctionsпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅ 16 WomenвЂ™s Wellness CenterпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅпїЅ 20, 33 CBT | May 31, 2008 editorвЂ™s welcome A classic advertisement for Joe Machens Ford from back in the 1970s, features photos of Joe Machens and his son, Dave. The script above the cute little boyвЂ™s head reads, вЂњMy dad sells Fords.вЂќ The ad is on the companyвЂ™s Web site, along with this bit of history: вЂњIt all began on May 5, 1969. Joe Machens moved from St. Louis to Columbia and purchased the franchise from Tom Allton.вЂќ The original dealership was located downtown in the building on East Broadway where customers now go to buy beer, The Fieldhouse bar. The Web site contains another fascinating historical nugget from 1979 that describes how Machens decided to start selling mopeds and motor scooters. The energy crisis was causing gas prices to spike, and customers were looking for economical transportation. The experiment ended after a few months, but it demonstrated market savvy that the company maintained through the years. Machens Motors bought and sold several franchises, including Isuzu, Honda, Volkswagen, Audi and Porsche. They bought the BMW franchise in 1984, the year after Gary Drewing joined the dealership as a partner. Machens died a decade ago and Dave and Gary bought the Toyota franchise in 1989, from Legend Automotive Group on Vandiver. Rusty, GaryвЂ™s son, came on board in 2005, and Gary bought DaveвЂ™s half of the company two years ago. Now, more than half of the time that somebody in Columbia buys a car or truck, he or she is writing the check to one of MachensвЂ™ dealerships. But an upstart is gaining market share at a brisk pace, Perry Nissan and Chevrolet, on what used to be the northern side of town, where thereвЂ™s a similar story to tell. R. Edward Perry founded the dealership in 1961, and his son Justin, along with partner Dennis Harper, bought the company in 1983. Justin bought out Harper a few years later and obtained the Nissan franchise in 1987. Now, sales at the Toyota franchise and at Nissan, which moved last July to a larger space at Providence and Interstate 70, are outpacing Ford and Chevrolet by wide margins. To see the details of where the competition stands today, the CBT obtained vehicle sales records from the state Department of Revenue, crunched the data and analyzed the trends. We found some pretty wild swings in the popularity of different models, in part because Columbians, as they were in MachensвЂ™ scooter-selling days, are looking for more economical forms of transportation. вЂ”David Reed (573) 499-1830 | (573) 499-1831 fax [email protected] Chris Harrison | General Manager | Ext.1010 David Reed | Group Editor | Ext.1013 Karen Pojmann | Assistant Editor | Ext.1009 Cody Moore | Graphic Designer Alisha Moreland | Graphic Designer Betsy Bell | Creative Services Jennifer Kettler | Photo Editor Cindy Sheridan | Operations Manager Becky Beul | Marketing Representative Kelly Murray | Marketing Representative Joe Schmitter | Marketing Representative Writers in this issue: Brent Beshore, Jennifer Herseim, Randy McConnell, Jordan Milne, Jim Muench, Sean Spence, Dave Walle, Bondi Wood Columnists in this issue: Cathy Atkins, Al Germond, Mike Martin The Columbia Business Times is published every other Saturday by The Business Times Co. 2001 Corporate Place, Suite 100, Columbia, Mo 65202. (573) 499-1830. Copyright The Business Times Co., 2008. All rights reserved. Reproduction or use of any editorial or graphic content without the express written permission of the publisher is prohibited. Third-class postage paid at Columbia, Mo. The annual subscription rate is $39.95 for 26 issues. OUR MISSION STATEMENT: The Columbia Business Times strives to be ColumbiaвЂ™s leading source for timely and comprehensive news coverage of the local business community. This publication is dedicated to being the most relevant and useful vehicle for the exchange of information and ideas among ColumbiaвЂ™s business professionals. May 31, 2008 | CBT people on the move Hirings Kirkwood Emerson Lutheran Senior Services named Kent Kirkwood its new administrator at Lenoir Woods, a continuing care retirement community in Columbia. Kirkwood has a long history serving the senior living community. For 10 years, he was president and CEO of the Groves, a retirement community in Independence, Mo. In 2004, he took an interim administratorвЂ™s position with Lenoir Woods, and then worked for three years managing an LSS community in Jefferson City. Midwest Independent Bank has hired Robb. D. Emerson as its first vice president/information technology manager. He brings over 15 years of experience in technology to Midwest Independent Bank. Previously, Emerson was the regional sales manager with 3Com/TippingPoint Technologies, a network security company. MIB Banc Services, LLC, the two-bank holding company of Midwest Independent Bank and Nebraska BankerвЂ™s Bank, has hired Steven M. Launius as an IT auditor. Previously, Launius worked as an IT Professional at the University of Missouri where he was awarded the SANS GIAC Certified Firewall Analyst Accreditation, which validates the skills of computer security professionals. Ryan Lidolph has joined First National Bank and Trust Company as a business banking officer. He is responsible for assisting business customers with financing for their companies. Lidolph has a dual degree in marketing and business management from Northwest Missouri State University. He was valedictorian of his graduating class at the Missouri Bankers Association School of Lending. Susan Bell has been appointed general manager of the new Hampton Inn & Suites Columbia. The hotel located across Stadium Boulevard from the University of Missouri is scheduled to open this summer. Bell was general manager for several hotels during her 14 year career with Starwood Hotels & Resorts Worldwide. Bell, originally from Harrisburg, began her hotel career in Columbia first at the Holiday Inn West and then at the old Campus Inn, which is now the new site of the Hampton Inn & Suites-Columbia at the University of Missouri. Honors Lidolph The Columbia Historic Preservation Commission has honored John and Vicki Ott as Outstanding Local Historic Preservationists. The award, the first ever given by the commission, was presented May 29 at 907 Alley A, one of the OttвЂ™s most recent refurbishing projects. They have redeveloped and restored the Paramount Building at 9th and Cherry, which houses Bangkok Gardens and KaldiвЂ™s Coffee; and the Dorsey Building, 906-914 Broadway, occupied by Manhattan Closet, Merle Norman Cosmetics, Kayotea Tea Room and EllyвЂ™s Couture. They are in the process of restoring four buildings on Walnut near Orr Street which are part of the warehouse/art village district; and along with their Tiger partners, the OttвЂ™s have completed Phase I restoration of the historic Tiger Hotel. Kristi Ray, executive vice president of ColumbiaвЂ™s Chamber of Commerce, was selected as a fellow in the Ford Foundation Regional Sustainable Development program. The fellowship is a 12-month program for regional leaders who help build communities and economies. Ray will be responsible for crafting a вЂњregional action planвЂќ that includes strategies to overcome regional obstacles to sustainable economic growth and prosperity. The ACCE selected 50 business-civic leaders to participate in the fellowship funded by the Ford Foundation. Two University Hospital pharmacists received distinguished honors for their contributions to health-system pharmacy. The Missouri Society of Health-System Pharmacists named Joseph A Cameron III the organizationвЂ™s 2008 Pharmacist of the Year, and Edward Ege was selected as the MSHP Research and Education 2008 Garrison Award winner. Cameron is the pharmacy residency coordinator at the University Hospital. The Pharmacist of the Year Award is given annually to a MSHP member, out of more than 450 members. Ege serves as director of the pharmacy residency program, director of the pharmacy dosing service and director of the pharmacist anticoagulation service. The Garrison Award is presented annually to a MSHP member who shows outstanding accomplishment in practice. Arshad Muzaffar, M.D., was recently named editor-in-chief of The Cleft Palate-Craniofacial Journal. Muzaffar is the director of craniofacial and pediatric plastic surgery at University of Missouri Health Care. He oversees diagnosis and treatment of several complicated craniofacial anomalies. As a bi-monthly international publication of the American Cleft Palate-Craniofacial Association, the journal reports on the study and treatment of surgical procedures and the latest research related to this abnormality. One out of every 600 newborn babies is affected by a cleft lip or cleft palate, the fourth most common birth defect in the United States. CBT | May 31, 2008 economic index City expecting revenue shortfall, sheds declining market designation The city of Columbia is predicting significantly lower-than-expected revenue from sales and property taxes for the current fiscal year. In past years, the cityвЂ™s revenue estimates typically came in higher than expected. But this year, sales tax revenue came in low. The city Finance Department is estimating that sales tax revenue for the fiscal year 2007-2008 will increase 1.5 percent from FY06-07. ThatвЂ™s half of what was budgeted, which was a 3 percent increase. Through April, the cityвЂ™s sales tax revenue is about 1.5 percent above what it was through April the previous fiscal year. In the Compiled by Horizon Research latest official tally of receipts, from February, sales tax revenue rose 1.52 percent, and the trends are shown in the two charts on this page supplied by Horizon Research Services. In recent years the city typically had a property tax revenue increase of about 5 percent in new construction and a 1 percent increase from rising real estate value, or 6 percent overall. With the housing slump, вЂњweвЂ™re not going to see that for awhile,вЂќ Finance Director Lori Fleming said. The city is budgeting for a 2 percent growth in property taxes in the current fiscal year. (continues on Page 6) May 31, 2008 | CBT economic index Economic Index ... continued from Page 5 There are positive and negative developments for the local housing industry. The largest buyer of U.S. home loans, Fannie Mae, eliminated its policy of requiring higher down payments in markets where home prices are declining, including Columbia. The local RealtorsвЂ™ board complained that the policy was unfair and counterproductive. But the local slump continues вЂ“ sales were 17 percent lower in April compared with the same month last year, and the median price fell nearly 3 percent. ColumbiaвЂ™s Economic Indicators receipts 1% Sales Tax Receipts February 2008: $1,487,874 February 2007: $1,465,610 Change (#): $22,264 Change (%): 1.52% Value of Building Permits вЂ“ Residential April 2008: $9,498,778 April 2007: $9,903,650 Change (#): -$404,872 Change (%): -4.1% 1% Sales Tax Receipts Fiscal Year-to-Date 2008: $8,219,949 Fiscal Year-to-Date 2007: $8,080,278 Change (#): $139,671 Change (%): 1.73% Building Permits вЂ“ Detached Single Family Homes April 2008: 47 April 2007: 47 Change (#): 0 Change (%): 0.0% labor Columbia Labor Force March 2008: 93,060 March 2007: 93,321 Change (#): -261 Change (%): -0.3% Missouri Labor Force March 2008: 3,014,889 March 2007: 3,022,132 Change (#): -7,243 Change (%): -0.2% Columbia Unemployment March 2008: 3,981 March 2007: 3,205 Change (#): 776 Change (%): 24.2% Missouri Unemployment March 2008: 182,511 March 2007: 146,123 Change (#): 36,388 Change (%): 24.9% Value of Building Permits вЂ“ Detached Single Family Homes April 2008: $7,499,000 April 2007: $8,185,300 Change (#): -$686,300 Change (%): -8.4% Building Permits вЂ“ Residential Additions/Alterations April 2008: 51 April 2007: 73 Change (#): -22 Change (%): -30.1% Value of Building Permits вЂ“ Residential Additions/Alterations April 2008: $830,368 April 2007: $538,350 Change (#): $292,018 Change (%): 54.2% Value of Building Permits вЂ“ Commercial Additions/Alterations April 2008: $2,396,266 April 2007: $1,053,987 Change (#): $1,342,279 Change (%): 127.4% Units Sold in Boone County вЂ“ Detached Single Family Homes April 2008: 166 April 2007: 201 Change (#): -35 Change (%): -17.4% Volume of Sales in Boone County вЂ“ Detached Single Family Homes April 2008: $27,522,335 April 2007: $33,202,646 Change (#): -$5,680,311 Change (%): -17.1% Median Price of Home Sales in Boone County April 2008: $139,500 April 2007: $143,700 Change (#): -$4,200 Change (%): -2.9% utilities Water Customers April 2008: 43,812 April 2007: 42,608 Change (#):В 1,204 Change (%): 2.8% Building Permits вЂ“ Commercial April 2008: 35 April 2007: 25 Change (#): 10 Change (%): 40.0% Electric Customers April 2008:В 44,503 April 2007: 43,121 Change (#): 1,382 Change (%): 3.2% Missouri Unemployment Rate March 2008: 6.1% March 2007: 4.8% Change (#): 1.3% Value of Building Permits вЂ“ Commercial April 2008: $5,266,391 April 2007: $6,121,987 Change (#): -$855,596 Change (%): -14.0% Sewer Customers вЂ“ Residential April 2008: 39,478 April 2007: 37,896 Change (#): 1,582 Change (%): 4.2% construction & housing sales Building Permits вЂ“ Residential April 2008: 102 April 2007: 126 Change (#): -24 Change (%): -19.0% Building Permits вЂ“ Commercial Additions/Alterations April 2008: 29 April 2007: 18 Change (#): 11 Change (%): 61.1% Sewer Customers вЂ“ Commercial April 2008: 3,517 April 2007: 3,384 Change (#): 133 Change (%): 3.9% Columbia Unemployment Rate March 2008: 4.3% March 2007: 3.4% Change (#): 0.9% Contributors include: Lori Fleming, Linda Rootes, and Carol Van Gorp Compiled by David Walle CBT | May 31, 2008 photos by jennifer kettler business Profile | primaris Primaris CEO, Richard A. Royer. Business Profile ... continued from Page 1 Primaris has about 75 employees and is located Primaris has compiled a knowledge database of on Keene Street just south of Columbia Regional best practices that health care providers tap into. Hospital. It holds MissouriвЂ™s contract for the After re-entering home-health services five years Medicare Quality Improvement Organization and ago, the Audrain City-County Health Unit searched the contract for a program known as CLAIM that for a company that could inform them about current trains a network of volunteers to help Medicare best practices. enrollees navigate the system. Medicare is the U.S. вЂњWe needed to have some help and support, governmentвЂ™s health insurance program for people and we knew that quality was our main initiative,вЂќ 65 and older and/or disabled. administrator Kevin Lowrance said. вЂњWeвЂ™re in it for The nonprofit organizationвЂ™s annual revenue the patient, and I think with Primaris thatвЂ™s true too. has averaged about $7.2 million during the last five TheyвЂ™re also refreshing. With their quality initiative, years. In 2007, PrimarisвЂ™ revenue was $6.9 million. they donвЂ™t push our noses in it.вЂќ Asked for an example of the work Primaris does, When Primaris hosted a conference on acute hosAndrae cited the case of a male patient who had a pitalizations, Home Health and Hospice coordinator severe bacterial infection that went undetected Arlinda Wilson learned that by identifying high-risk because of a procedural flaw. The patientвЂ™s doctor patients and teaching them to notify nurses of probordered three urine tests for him at the hospital and lems, the health unit could reduce the number of expected the samples to be analyzed immediately. frequent hospital visits by the same patients. Instead, the task was not completed and the patient вЂњIf you implement these programs, they said our was discharged from the hospital. numbers would go down,вЂќ Wilson said. Three days later his urine analysis identified Audrain City-County Health Unit won an award dangerous levels of e coli in his urine. A computer from Primaris for health care improvements. program that was supposed to alert the staff about Royer said about 20 percent of PrimarisвЂ™ work is the patientвЂ™s incomplete tests failed to warn them. devoted to MedicareвЂ™s beneficiary complaint process Primaris looked at how the lesson learned could and Medicare education. improve hospitals throughout Missouri. When CLAIM director Carol Beahan worked the In cases such as this, Primaris acts as the вЂњquality Medicare helpline years ago, she heard a multitude control officer for a million Medicare patients across of consumer concerns. the state,вЂќ CEO Richard A. Royer said. But the conMedicare beneficiaries are often left bewildered sulting firmвЂ™s role doesnвЂ™t stop there. by insurance plans administered through Health (continues on Page 8) May 31, 2008 | CBT business Profile | primaris Business Profile ... continued from Page 7 Carol Beahan, director of CLAIM, reviews upcoming plans for educational events. Maintenance Organizations (HMOs) and and Kansas City areas. The not-for-profit was Preferred Provider Organizations (PPOs) and initially called the Professional Standards by Medicare savings accounts, she said. Review Organization, only practicing Before 1993, Medicare enrollees had to Medicare oversight. With passage of the navigate the complicated system on their 1986 Tax Equity Fiscal Responsibility Act own. Once the CLAIM program was created, and its implementation a few years later, the they had an organization to educate them. organization went through an overhaul and Primaris has held the contract since the pro- changed a portion of its identity. gramвЂ™s inception and says it has helped about вЂњAs that became implemented, Medicare 135,000 Missourians save an estimated $9 began shifting our role,вЂќ Royer said. million in out-of-pocket When industry stanexpenses. dards pitch and roll, вЂњWhen the opporPrimaris adjusts. Due вЂњBecause we keep our tunity came about for to changing Medicare us to apply for this policy, the nonprofit finger on the pulse and grant, it worked out organization cut its well because we were workforce by more we are close to our working for Medicare than half in the early customers, I think we will beneficiaries in other вЂ�90s and reworked its ways to improve care business model. always be changingвЂ”we already,вЂќ Beahan said. вЂњWhen you go from A network of more a company with 200 have to be.вЂќ than 250 volunteers employees and six keeps the CLAIM profield offices to one вЂ”Dorothy Andrae gram running, taking office and 75 people, what they call a benefieven over a course of ciaryвЂ™s вЂњshoeboxвЂќ full of bills and sorting out several years, there is a lot of trauma,вЂќ Royer what Medicare covers. said. вЂњA lot of people are going to be leaving. Primaris employees also work on state- The systems are going to be changing. Your wide initiatives to educate both providers entire business model is going to be thrown and patients on a variety of health issues from on its head.вЂќ infections in hospitals to ways of reducing With these challenges, PrimarisвЂ™ strategy the number of patients frequently readmitted for over 26 years is maintaining a close interto hospitals. action with health care providers. In its early Understanding what multi-faceted years, Primaris had two employees living Primaris does can be as confusing as under- near clients; now they have 10 more field standing the Medicare plan itself. employees. The only way to survive, Royer Originally located in Jefferson City, said, is to be really in touch with your client Primaris was formed in 1982 from two state base. medical societies. Primaris relocated about вЂњBecause we keep our finger on the pulse three years ago to Columbia, a better loca- and we are close to our customers, I think tion for people traveling from the St. Louis we will always be changingвЂ”we have to be,вЂќ business Profile | primaris Primaris Claim Volunteer Jayne Wikoff, goes over the generic $4 prescription costs with, Ann Mericle, a new Medicare patient. Andrae said. вЂњBy the nature of our work as a QIO, we have to respond to what the government wants. But we have to understand our providers enough to see what they need.вЂќ Up until a few years ago, the Medicare system kept its programs separate from the private sector, Royer said. Since then, business interests with private groups have emerged as a burgeoning opportunity. вЂњMedicare didnвЂ™t want anything to do with them. They started changing that a few years ago, calling on QIOs to get more active with employer groups,вЂќ Royer said. вЂњThat is a new and opening area for us, so weвЂ™re very excited about that.вЂќ Working to improve health care standards, Beahan said Primaris is the type of company that can be personally satisfying, even when benefits donвЂ™t come until years later. In 2003, Primaris joined a national smoking cessation program called Healthy Aging. At the time, Beahan was unsure how the program would impact lives. вЂњI didnвЂ™t know exactly what the outcome of that project was, but we participated in it with some of our health care providers in this area and it worked,вЂќ she said. v Primaris www.primaris.org (573) 817-8300 or toll free (800) 735-6776 200 N. Keene Street CBT | May 31, 2008 10 May 31, 2008 | CBT From the Roundtable Will Columbia be winner or loser as energy costs escalate? Al Germond Al Germond is the host of the вЂњColumbia Business Times Sunday Morning RoundtableвЂќ every Sunday at 8:15 a.m. on kfru. He can be reached at al@ columbiabusinesstimes. com. In any situation there will be those who win and those who are not so fortunate and end up losing. As the cost of energy in this country escalates, some of the winners and losers are already well known. TodayвЂ™s losers, though, could end up becoming tomorrowвЂ™s winners, and I like ColumbiaвЂ™s chances in this evolving environment. The biggest loser right now is the United States. This countryвЂ™s precarious position visГ -vis petroleum and the governmentвЂ™s sluggish and all but inept position in dealing with the situation leaves me piqued. The popular anger that accelerates daily in pace with the steadily rising cost of petroleum products will sooner or later lead to a bold program that will hopefully make the U.S. a winner when it comes to energy. To solve the problem, we need to wage the equivalent of a war effort. Selfishly thinking about our own area of the country, I believe Columbia will end up a winner. Unfortunately, this will probably be at the expense of areas that lie within the existing zone of commuting that extends dozens and dozens of miles outward in all directions. Certainly this is not without precedent. Major population shifts have occurred in waves over time as the United States shifted from an agrarian to an industrial and servicebased economy. Rural areas have been depopulated as cities and their suburbs saw their populations increase and territories expand as measured by succeeding federal decennial censuses. A substantial number of the people who work in Columbia and its immediate outlying area donвЂ™t actually live here. Stories abound of daily commutes up to 90 miles each way because Columbia is the location of good jobs that pay pretty well, while back home there may not be any place to work. Gasoline used to be an expense of trifles. At $4 a gallon, more and more of us are now asking what it costs to go somewhere before we set out. While a round-trip to St. Louis (250 miles) may be a little far for a commute on a daily basis, this excursion now costs $40.00 in a vehicle stingy enough to get 25 miles per gallon. A year ago, that same trip would have cost about half as much. Many who work in Columbia have typical commutes that range from 60 to 100 miles round trip. This leaves those individuals with an increased chunk out of their family budget just to get to where they work. For example, take the thousands who commute from Columbia to Jefferson City or vice versa who spend at least 300 miles on the road a week and based on 25 miles per gallon are spending at least $48.00 to get to their jobs and back. Surely things will have to change. How much time will pass before some entrepreneur decides to open up a bus line between Columbia and Jefferson City? There used to be a bus line linking the two cities that was operated by Missouri Transit Lines, but thatвЂ™s now just a memory. In addition to restoring links to the state capital, I anticipate new bus connections will tie Columbia to other communities in the region. With ridership on ColumbiaвЂ™s municipal transit system surging, the Wabash Depot could be really stressed as the nexus of a regional mass transportation network. Then some commuters may get tired of driving while family economics may force others to something really drastic: move closer to their jobs. HereвЂ™s a huge economic opportunity for the Greater Columbia area. It will begin as some look for a place to вЂњcrashвЂќ during the week to curtail the number of fuel-consuming round trips. I envision a market for thousands of sleeping rooms occupied four nights a week that would rescue what is now conceded to be an over-built rental market. Some may consider buying a house. Thousands of new residences would be built. With careful planning and assurances of affordability, the boom would be inevitable. From the selfish view of someone who lives within Fortress Columbia, I like the cityвЂ™s chances as the energy situation tightens up. Growth and expansion will continue so we better plan for it. The current energy crisis is going to put Columbia in the winnerвЂ™s circle. Citizen Journalist In Columbia, slapping critics with The Scarlet Label Mike Martin Columbia resident and science journalist Mike Martin earned a masterвЂ™s degree in business administration from the University of Washington, with a concentration in entrepreneurship and innovation. He can be reached at mike. [email protected] вЂњRUARACIST?вЂќ Imagine opening an e-mail вЂ“ from a Columbia school board member, no less вЂ“ with that in the subject line. I opened this doozy not long ago.В Responding to my critique of school superintendent Phyllis Chase, the board member told me I was вЂњperpetuating the [Columbia Daily] TribuneвЂ™s bias against Dr. Chase.вЂќВ Racial implications continued in another e-mail, in which thisВ individual noted that if вЂњmembers of the Waters family were among the biggest beneficiaries of вЂ�urban renewalвЂ™ in the 1960вЂ™sвЂќ and if the вЂњTribune building was indeed built where Sharp End вЂ“ a well-known African-American business district вЂ“ was, it was all an вЂњinteresting coincidence.вЂќ вЂњHow dareвЂ¦!вЂќ my wife said. I agreed.В Criticism is not racism just because its object is the districtвЂ™s African-American leader.В To suggest otherwise is to inject an element of ethnicity where it doesnвЂ™t belong.В It was just another instance of someone in a position of power applying anВ inappropriate label вЂ“В вЂњracistвЂќ вЂ“ to shut down a critic or challenger.В Watershed moment Former Tribune columnist Tony Messenger wrote about this sort of name-calling in a July 20, 2005, column, вЂњOpposition group fights those who too quickly label them.вЂќ Messenger followed a group of citizens called TARRIF, who joined forces to fight tax increases they thought were unfair. вЂњTraci Wilson-Kleekamp is a nut. A kook even,вЂќ he began the column.В вЂњDitto Ben Londeree, Renee Richmond and DeAnna Walkenbach.В And donвЂ™t forget Karl Skala.В The whole bunch is nuttier than a fruitcake.вЂќ Harsh words for citizens many would have just as eagerly labeled вЂњcaring and engaged.вЂќ But вЂњthatвЂ™s what youвЂ™ll hear from a few selfappointed city leaders in the next few months as Columbia debates an expected vote in November,вЂќ Messenger admitted.В вЂњFor their efforts, theyвЂ™ll be labeled loud-mouthed, antigrowth, not-in-my-backyard troublemakers.вЂќ Why the labels? In TARRIFвЂ™s case, City Hall and other establishment players wanted вЂњto do all the talking, and they want us to shut up,вЂќ Wilson-Kleekamp opined.В But the group pressed on, with WilsonKleekamp telling Messenger that she was fully aware вЂњthe more she spoke out, the more some folks would try to marginalize her views,вЂќВ which included wanting вЂњthe city to develop a comprehensive growth plan before it decided to start seeking tax increases,вЂќ Messenger wrote.В В Likewise, Skala wanted the Columbia вЂњPlanning and Zoning Commission вЂ“ from which he was recently removed вЂ“ to have more say in the development process,вЂќ while Richmond and Walkenbach wanted вЂњdevelopers to treat residentsвЂ™ property rights as equal to their own.вЂќ In defeating two of six proposed taxes, the group created a watershed moment in our little burgвЂ™s political history. Gone were the days of dismissing establishment critics as crackpots.В Columbia would never be the same.В В В TheВ Scarlet LabelВ Despite a grassroots revolution that, three years later, has seen once marginalized players, such as Skala, ascend to the city council and several stern status-quo rebukes at the ballot box, establishment players вЂ“ and former players вЂ“ still play the labeling game.В В Public hearings вЂњbring out the cranks, the professional complainers and those with an ideological ax to grind,вЂќ former Columbia school board member Kerry CristВ commented in the Tribune last week, while noting that not enough people attend public meetings.В Largely considered an вЂњaugust bodyвЂќ of educated and successful elites, the school board has sported many of the labeling gameвЂ™s most practiced players. At a recent meeting, members slapped several labels вЂ“ from вЂњalarmistвЂќ to вЂњmicromanagerвЂќ вЂ“ on Inez Segert, a colleague who challenged proposed budget cuts.В Those labels didnвЂ™t make sense, and they rarely do.В Tribune publisher Hank Waters did not вЂњkillвЂќ the districtвЂ™sВ tax levy, as several levy supporters suggested at Flat Branch Restaurant last election eve. Voters killed it, and by a large margin. (continues on Page 17) CBT | May 31, 2008 11 Legislature lets businesses avoid immigration checks By Randy McConnell Missouri business dodged a bullet as the 2008 legislative session ended. Amid the political fervor of anti-immigrant rhetoric, the General Assembly passed two pieces of legislation that prohibit businesses from hiring undocumented workers, but did not require Missouri companies to use a federal system to check whether potential workers are properly documented. cbt analysis Since early in the session, business organizations had united against any provision that would require companies in the state to use the U.S. Department of Homeland SecurityвЂ™s computerized вЂњe-verifyвЂќ system to determine whether a worker could be hired. Business groups such as the Missouri Chamber of Commerce and Industry, Associated Industries of Missouri and National Federation of Independent Business had argued that the e-verify system had too high an error rate to be a good tool for businesses. Under the bill that passed, only companies with state government contracts are required to use the federal system. Gary Marble, president of Associated Industries, said the legislation is unlikely to cause problems for Missouri companies because almost all the violations involve businesses that knowingly hire workers who are in this country illegally. Even without e-verify, prosecutors would have difficulty proving businesses hired illegal immigrants, he said. Dan Mehan, who heads the Missouri Chamber, said in a prepared statement that Missouri businesses should not be expected to act as anti-immigration extensions of federal agencies involved with customs. вЂњWe do not need to poison that environment by scaring business from the state with legislation that burdens вЂњWe do not need to poison that environment by scaring business from the state with legislation that burdens Missouri businesses with immigration enforcement.вЂќ вЂ”Dan Mehan, Missouri Chamber of Commerce Missouri businesses with immigration enforcement,вЂќ Mehan said. The statement was notably and unusually cool toward the Republican legislature, which generally has had close ties to the business community. Early on, House Speaker Rod Jetton co-sponsored legislation that would have required businesses to check prospective workers through e-verify. But Jetton, who is considered pro-business, soured on the idea after business lobbyists put him under pressure. The legislation instead allows companies to use everify as an affirmative defense if they later are found to have hired an illegal immigrant. For the first offense of hiring an illegal immigrant, companies would lose their local and state licenses and permits for 14 days. On the second offense, the penalty rises to one year. They permanently lose their licenses and permits on the third conviction. The legislature passed the bill and avoided a late threat by Gov. Matt Blunt to call a special session if it failed. The Republican governor had gained considerable national media attention about his proposed crackdown on illegal immigrants before he decided not to run for another term as governor. Marble, a former GOP lawmaker, said some Missouri businesses could face difficulties because of a successful amendment that imposes penalties if they hire an illegal immigrant as an independent contractor. Businesses that вЂњmisclassifyвЂќ an employee as a contractor would face fines of $50 a day per worker, up to $50,000. Sen. Tim Green, a north St. Louis County Democrat and union official who has headed the state building trades council, had sought the change to make sure contractors hired legally, withheld and reported taxes and paid fringe benefits вЂ“ which construction trades contractors often avoid in some areas by hiring undocumented workers. At one point, Senate sponsor Scott Rupp, a St. Charles County Republican, said he understood GreenвЂ™s intent, but viewed the amendment as вЂњradioactiveвЂќ for several House members. However, the language remained in the version passed by the full House and Senate. v Insure Missouri failure leaves reform in limbo By Randy McConnell JEFFERSON CITYвЂ”The dust has begun to settle on the corpse of Insure Missouri, Gov. Matt BluntвЂ™s rather sudden and unexpected conversion to using the state governmentвЂ™s power to expand access to basic health care. cbt analysis But its failure has left health insurance reform on the state level in limbo, and one current effort, undertaken by the Missouri Foundation for Health, was quickly mired in a partisan skirmish. Blunt on Tuesday accused the foundation of being controlled by Attorney General Jay Nixon, the presumptive Democratic nominee for governor. Blunt said the foundation has been unwilling to collaborate with the state to improve health care. James Kimmey, the foundation CEO and president, told CBT that while Nixon appointed the original board, вЂњno one is left from that original board and the members have all gone through an election process. The attorney general in my years of working here has never once asked us to fund any particular program and the governor is doing that now. ItвЂ™s exactly what he accuses the attorney general of doing.вЂќ Two years ago, Blunt led the Missouri legislature to eliminate coverage or reduce services to about 400,000 Missourians in the Medicaid program. But last September, Blunt announced a new program that would eventually add almost 200,000 to the rolls of government-funded health care. For Missouri employers of low-wage workers, Insure Missouri promised a government-subsidized path to health insuranceвЂ”an increasingly scarce com- modity for that workforce, although its scope was unclear. Paradoxically, Insure Missouri excluded many of the poor and disabled who previously were cut and added able-bodied workers and parents who would cost less to insure. Heading into 2008, before Blunt announced he wouldnвЂ™t seek re-election, the program lacked many firm details. By mid-January, early legislative hearings indicated that it lacked the most basic detail вЂ“ the For Missouri employers of low-wage workers, Insure Missouri promised a government-subsidized path to health insuranceвЂ”an increasingly scarce commodity for that workforce. legal grounds for existing. The Blunt administration was relying on appropriations language, good for only one year, to launch the effort. Rules to launch the plan were stymied, Blunt shelved enrollment in the first phase and legislators began trying to write language to launch a whole new program for low-income workers. By then, Blunt was a one-term governor, and his key staff was departing. The Senate revived Insure Missouri, but the House rejected it as the speaker and key committee chairmen became bogged down in a dispute over medical facility construction. A joint conference committee removed Insure Missouri from the budget in May, sealing its fate. Where does Missouri head now, as the number of uninsured has risen from 668,000 residents a year ago to 772,000, according to a U.S. Census Bureau estimate? The mourners over Insure Missouri have no natural leader. Blunt is preparing to leave, and any bold policy initiatives are unlikely this year. Nixon has adopted the standard party line about restoring the eligibility of those cut from Medicaid in 2005 вЂ“ a line more useful to political rhetoric than policy formulation. The Republicans vying for BluntвЂ™s seat, U.S. Rep. Kenny Hulshof and State Treasurer Sarah Steelman, have hesitated to criticize the governorвЂ™s performance or propose alternatives for reducing the number of uninsured Missourians. Business groups historically have avoided leadership roles on overarching health policy issues and showed little to no interest in Insure Missouri. Affiliated organizations are taking on segments of the overall issues such as transparency in cost and quality measures. The public, however, shows an inclination to act. Missouri voter interest was kindled after BluntвЂ™s Medicaid cuts, and health care policy consistently ranks in the top three issues in national voter surveys. Small wonder: health insurance premiums for workers rose 87 percent from 2000 to 2006, compared to 16 percent for worker wages. In 2006, premiums actually slowed to a 7.7 percent rise вЂ“ compared with a 3.8 increase in wages. (continues on Page 24) 12 May 31, 2008 | CBT Public-private partnership formed to develop вЂ�shovelreadyвЂ™ industrial sites By Bondi Wood Bill Watkins Ken Pearson Jeff MacLellan Steve Erdel Bernie Andrews Paul Land Amid downbeat news on local efforts to attract industrial employers, a public-private partnership group has formed to attract potential employers to Columbia and Boone County. Literally starting from the ground up, the non-profit organization is actively trying to dig the local economy out of its slump by locating and purchasing large tracts of vacant land, then completing the often difficult pre-permitting activities. The goal is to make the sites вЂњshovel readyвЂќ for potential employers. The Columbia Area Jobs Foundation (CAJF) is a nine-member board made up of community leaders from both the public and private sector. Presiding Commissioner Ken Pearson represents Boone County and City Manager Bill Watkins represents the city. Also serving on the board are representatives from the Columbia Chamber of Commerce and REDI, Regional Economic Development Inc. Although the board has been meeting for more than a year, it just became official in March when it was awarded its non-profit status. The primary goal of the CAJF is to fill a void in the current shovel-ready land available in Columbia and Boone County. The lack of such sites was identified in a 10-year report compiled by REDI President Bernie Andrews in April. Andrews and his staff compiled a list of companies that considered Columbia and Boone County as project sites between 1997 and 2007. Chief among the reasons that Columbia was passed over in the site selection process was a lack of affordable land ready for construction, according to REDIвЂ™s findings. Cases in which the area failed to make the вЂњshort listвЂќ of potential employers is documented in the 10-year report. The report states, вЂњThe number one reason for the lack of success in the attraction of new manufacturing projects and other desired primary employers to Columbia/Boone County has been the absence of a community-based, nonprofit development group continuously working to secure industrial land and create industrial sites with infrastructure that are available at a low-cost or competitive price.вЂќ Foundation President Paul Land describes the CAJF as one more means to attract employers to Columbia. вЂњItвЂ™s another tool,вЂќ Land said. вЂњIf you donвЂ™t have the right tools in the toolbox, how are you going to build the appropriate house?вЂќ There is a national movement among cities to offer prepared sites, which expedites the site location decision-making process and can give communities a competitive edge in attracting major employers. The CAJF would negotiate the required hurdles of utility installation, environmental reports, zoning, and traffic counts; thereby eliminating the time and effort a potential buyer would need to get land ready for construction. According to Land, potential employers want вЂњknown utilities, known land prices and known zoningвЂќ prior to committing to a site. вЂњWe canвЂ™t just ask them to sit tight while we try to get land re-zoned for their purposes,вЂќ Land says. Land believes that the Boone County Commission and Columbia City Council may have more faith in an entity like the CAJF than in private property owners. вЂњThey may be reluctant to grant certain types of zoning to private property owners, but may be more willing to grant it to an entity like us,вЂќ he said. Although the focus appears to be on moderately priced, shovel-ready land, the ultimate goal of the CAJF is creating employment opportunities in midMissouri. вЂњThis is about creating jobs,вЂќ Andrew said. вЂњProfitвЂ™s not the motive; itвЂ™s jobs and investment in our community. вЂ¦ We want to complement rather than compete with existing landowners.вЂќ Citing specifically Trade Wind Park, which is to date the largest shovelready commercial site in Boone County, Andrews said, вЂњTrade Wind is going to be a great asset. We donвЂ™t want to be in competition with private developers. WeвЂ™re glad theyвЂ™re putting in parks that are shovel-ready. Our price points will just be different.вЂќ Though there is vacant commercial land in Columbia and Boone County, itвЂ™s not the size and topography required by most companies looking to locate here. Although Andrews could not disclose specifics, he did say that members of the CAJF Board had already identified and visited some potential sites for purchase by the group. Also, according to Andrews, the potential sites are on the outskirts of the city. вЂњTo keep the price down, weвЂ™re going to have to go out a little bit. The group is looking at several options right now,вЂќ he said. Because the CAJF is a not-for-profit foundation, it can accept donations of land and raise money to purchase land. вЂњWe havenвЂ™t made specific fundraising plans,вЂќ Andrews says, вЂњItвЂ™s critical that we get started identifying properties.вЂќ (continues on Page 15) 14 May 31, 2008 | CBT Ginny Chadwick Operations Manager, Columbia Locally Owned Retail & Services, COLORS AGE: 30 JOB DESCRIPTION: Helping locally owned businesses expand their network and draw attention to the advantages of buying local. I coordinate behind-the-scenes activities for COLORS and public outreach. I also help plan promotions and community events for COLORS and keep businesses involved in the not-for-profit organization. Current projects include the COLORS Community Party on June 12 at MojoвЂ™s and public service announcements scheduled to run on KBIA and KOPN. YEARS LIVED IN COLUMBIA: 11 years ORIGINAL HOMETOWN: Harrisonville, Mo., a rural town south of Kansas City, where everyone knows each other by name. While in high school, I worked in a shoe store that my father had built. EDUCATION: I earned an undergraduate degree from the University of Missouri in consumer and family economics, with an emphasis in personal financial planning COMMUNITY INVOLVEMENT: There is virtually nothing in the local community that I havenвЂ™t tried to get involved in. COLORS allows me to connect with all local businesses and the events that they have going on. I am also secretary for Big Canoe (a sustainable, urban agriculture organization), a La Leche League leader (a mother-tomother breastfeeding support group), involved in Roots (a self-directed learning community), a T/F volunteer and an active participant in Bike Walk and Wheel Week. PROFESSIONAL BACKGROUND: While in college, I worked at First National Bank, the only locally owned bank in Columbia. After several years there, I became a full-time mother for my two daughters. I had the opportunity to help at several locally owned businesses during that time, which is what brought me to COLORS. COLORS gives me the opportunity to support all local businesses in one job. A COLUMBIA BUSINESSPERSON I ADMIRE AND WHY: Local food and farmers are very important to me. What they do for our community is something that I feel I can never be thankful enough for! One farm specifically is Ken and Jen Muno at Goatsbeard Farm. Ken and Jen have followed their dreams, creating a beautiful farm and making an amazing local cheese. By bringing their family and business together, they constantly work to create a local business that can succeed in the current economy. WHY IвЂ™M PASSIONATE ABOUT MY JOB: Buying locally is important, and I am very passionate about helping the community understand why. As COLORS operations manager, I strive to fulfill COLORS objectives to raise public awareness, help create branding for local businesses, coordinate group promotions and keep Columbia the colorful community it is. IF I WERENвЂ™T DOING THIS FOR ALIVING, I WOULD...work for a local business, maybe even own one. (But after seeing the amount of commitment that goes into local business ownership, I realize that it would be very difficult to do while raising children). BIGGEST CAREER OBSTACLE IвЂ™VE OVERCOME AND HOW: Local business owners are the busiest people! Sometimes it is challenging to get them to commit to or find time to promote their business with COLORS. I find going to them works best, since they rarely leave their businesses. A FAVORITE RECENT PROJECT: Planning community events is one of my favorite things to do. Currently we are planning a community party to help educate citizens on the importance of buying locally and to meet local business owners. I get to interact with local business owners and some of the best local musicians to put together a great event, which takes place at MojoвЂ™s at 6 p.m. Thursday, June 12. WHAT PEOPLE SHOULD KNOW ABOUT THIS PROFESSION: ItвЂ™s fulfilling to be an advocate for an organization that spreads the word about how important it is to shop at local businesses. Locally owned businesses are better for our economy and keep more money circulating within our community. They live in our community and make decisions that affect them directly, helping create a unique character for Columbia. WHAT I DO FOR FUN: I enjoy bringing people in the community together, especially outdoors. I love riding my bike downtown and eating at a local restaurant with my children, especially when restaurants serve food from our local farmers. FAMILY: I have two amazing daughters that I homeschool вЂ“ Aubrielle, 8, and Savannah, 5. FAVORITE PLACE IN COLUMBIA: Columbia is full of amazing spaces. The new Uprise/Ragtag space is currently our familyвЂ™s favorite. We also really enjoy StephenвЂ™s Lake Park, but there is nothing like going out to Goatsbeard Farm and playing with the goats! ACCOMPLISHMENT IвЂ™M MOST PROUD OF: Being a mom! There is nothing in life that will center you and make you realize the importance of life until you are with your children. Teaching them to value their community and being patient with them at their level are the most challenging jobs I have ever had. MOST PEOPLE DONвЂ™T KNOW THAT I...get tired. I have an amazing amount of energy that I love to give to many things, but, yes, even I get tired sometimes.v photo by jennifer kettler CBT | May 31, 2008 15 Industrial Recruitment ... continued from Page 12 Columbia Area Jobs Foundation (CAJF) Members Executive CommitteeвЂ”2008 President Paul Land, Plaza Real Estate Company Vice President B. Jeffrey MacLellan, The Landrum Company Secretary Steve Erdel, Boone County National Bank & Trust Company Board of Directors Representing Boone County Presiding Commissioner Ken Pearson Representing the City of Columbia City Manager H. William Watkins, III Representing the Columbia Chamber of Commerce Steve Erdel, President, Boone County National Bank & Trust Company (listed above). Paul Land, Plaza Real Estate Company (listed above). Larry Moore, Harold E. Johnson Companies, Inc. Don Stamper, Central Missouri Development Council Representing Regional Economic Development, Inc. Dave Griggs, Dave GriggsвЂ™ Flooring America B. Jeffrey MacLellan, The Landrum Group (listed above). Mike Vangel, Vangel Marketing Communications Industrial Projects lost as summarized in the REDI Prospect Reports from Fiscal Years 1997вЂ“2007 * This is not an exhaustive list, but includes larger prospects and their reasons for not locating in Columbia/Boone County. YEAR COMPANY TYPE LOCATION CRITERIA REASON(S) FOR ELIMINATION NOTES 2007 Food Manufacturer $165 million investment, 170 jobs 65+ Acre Site 1,000,000 gallons per day (GPD) water. 800,000 gallons per day waste water. Large natural gas user. Unable to find a site for sale that had capacity to handle infrastructure requirements. Site of interest in Columbia was not for sale and had infrastructure costs estimated at $3.9 million for sewer upgrades. Ashland site at airport required infrastructure upgrades costing over $20 million. Company purchased existing building elsewhere. 2007 Food Manufacturer Site size: 35-40 acres 236,000 (GPD) water 200,000 (GPD) wastewater Industrial Zoning Rail access preferred Eliminated based on land prices and lack of shovel-ready site. Consultant specifically indicated that the land price at $2 per square foot was out of the question. Only site in Columbia was unable to accommodate building size, and site required significant sewer upgrades. 2007 Information Technology Local workforce of 100 Information technology graduates/ professionals. Required local incentive of at least $250,000. Existing office of 10,000вЂ“15,000 square feet. This company was interested in Columbia area due to the potential of hiring IT graduates. This was a competitive project that would have required a local incentive of at least $250,000. REDI was able to put together an incentive package that garnered a site visit. While the company was in further review of local real estate, the companyвЂ™s customer base flattened due to economic conditions. Columbia could be a viable location in future years after new business is obtained. 2002 Automotive Parts Manufacturer 200 employees Existing facility of 75,000вЂ“100,000 square feet A Columbia building was one of two finalists for a Canadian auto parts manufacturing project. The company made several rounds of community visits and interviewed local plant managers and human resources staff. REDI staff also visited company headquarters. Company eliminated Columbia due to a lack of local incentives, labor rates and better air service in the competing community. 2001 Printing 60,000 sq. ft. existing building A family-owned West Coast printing company was considering relocation to Columbia, or one of two other Midwest cities. The owner and family visited Columbia and looked at an industrial facility, visited schools, and looked at homes. The building in Columbia was suitable, but we were eliminated due to lack of air service options for the 300+ customers that would be visiting the plant. 2001 Major Distribution Center вЂ“ Fortune 500 Retailer Site of 125 acres for warehousing and distribution center This was a warehouse/distribution center project with Phase 1 construction costs of $15-20 million. Finding a site of 125 acres was problematic, but a farm site in Boone County was on the short list, although it lacked infrastructure. Boone County was eliminated due to a low unemployment rate, transportation challenges with the site and the lack of incentives. The project eventually located in another Missouri community. 1999 Fortune 500 Distribution Center Site search was for a 250-acre rail-served site National real estate consulting firm was moving forward on a 250-acre rail site in Centralia for a 150-employee major distribution center requiring rail service. The consultant made several trips to the area, and negotiated an option to purchase 250 acres from the owner. The project would have required an extensive infrastructure investment. This project was eventually terminated due to an industry downturn. 16 May 31, 2008 | CBT Fledgling companies earn Centennial investments By Sean Spence Nearly three years after its inception, Centennial Investors has gained momentum. The high-net-worth investors now have provided funds for five early stage companies, all of which will be based in Columbia. Two companies have formally received investments from Centennial Investors. Three others have received investments from individual members, separate from the groupвЂ™s involvement. The two companies that have made it through the entire process and are now officially receiving money through Centennial Investors are Equinosis and Nasopure. Equinosis has invented a technology that diagnoses and analyzes lameness in horses. Nasopure developed an all-natural nasal wash system designed to cleanse the nasal passages, reducing illness and allergies. The three remaining companies вЂ“ Innovia Medical, PrimeGen and Media Convergency GroupвЂ”benefit indirectly from Centennial InvestorsвЂ™ activities. Innovia Medical produces a device that checks for signs of inner ear infections, and PrimoGen says it has developed a cleaner and more efficient way to convert fuel into electricity. Media Convergence Group, an online media company, recently relocated from Silicon Valley to Columbia. Centennial Investors was founded three years ago through the Columbia Chamber of Commerce as a way to commemorate the chamberвЂ™s 100-year anniversary. Today, it is a collection of close to 50 individuals with the financial capacity and interest to invest in risky, early stage ventures. Commonly called an вЂњAngel NetworkвЂќ because beneficiaries often view the investments as miraculous, this sort of group is considered an essential component for a community that wants a technology-centered economic development strategy. The investments are significant signs of success, following a three-year process that started with building the network from nothing. вЂњWe spent a year and a half putting this thing together,вЂќ noted Gene Gerke, a Centennial Investors founding member and president of business consulting firm Gerke & Associates. вЂњThe fact that weвЂ™ve already had this many investments in little old Columbia, Missouri, really says something.вЂќ Andrew Beverley, Centennial Investors president and chairman and CEO of First National Bank, praised both ColumbiaвЂ™s business community and the University of Missouri for their roles in helping the investment group reach this point. вЂњI could not be happier with the involvement of the community and the university,вЂќ he said. вЂњI have been particularly impressed with the quality of research at MU and its potential to lead to jobs right here in Mid-Missouri.вЂќ Equinosis provides an example of this involvement, originating at MUвЂ™s College of Veterinary Medicine. At least once each month, group members view presentations by companies seeking investment. This is part of a lengthy process designed to evaluate each companyвЂ™s viability, growth potential and interest to assembled investors. The group looks for companies that need six-figure investments. вЂњTwo-hundred- to five-hundred- thousand-dollar investments tend to fall into our sweet spot,вЂќ Beverley said. The next step for Centennial Investors is to look for more investments, Gerke said. вЂњWeвЂ™ve got another membersвЂ™ meeting next month where a new company will make a presentation,вЂќ he said. вЂњWeвЂ™ll just keep on rolling.вЂќ v Andrew Beverly (left), John Thompson and Gene Gehrke. +8*(7:2'$<75867$8&7,21 Вґ$%62/87(Вµ Located near Bunceton, in Cooper County, Missouri Vince Millard Revocable Trust, Emprise Bank, Successor Trustee Friday, June 6, 2008, beginning at 10:00 A.M. вЂ”Personal Property Saturday, June 7, 2008 beginning at 10:00 A.M. вЂ”Real Estate & Machinery Real Estate consists of 692 acres m/l located in Cooper County, Missouri and will be sold in one tract. Improvements include Morton buildings and pipe fencing. Highway 5 road frontage. Sale price will be figured on the total amount of sale and not by the acre. CBT | May 31, 2008 17 Smart Thinking В» Cathy Atkins Price is rarely the real issueвЂ¦ unless you make it one In sales, thereвЂ™s one objection that stands out above all the rest. ItвЂ™s the single-most common and by far the most feared of all objections. Just the thought of it can make a salesperson stammer, offer discounts and hide. Every salesperson has heard it before: вЂњYour prices are high. I can get it from your competition cheaper. What can you do for me?вЂќ Price objections should never get in the way of completing a sale. A better presentation or stronger closing tactics will not help you navigate the price conversation. In fact, the only way you can inoculate against price as an issue is to do a better job earlier in your selling process. I travel across the country, teaching high-level negotiation tacticsвЂ¦and the biggest problem people have with negotiation is the fact that itвЂ™s typically triggered by poor salesmanship upfront. ItвЂ™s like squeezing water from a rag. You squeeze and get a few drops, so what do you do? Squeeze harder. Squeeze until it stops dripping. The trick is to learn not to drip from the start. Be alert for the problems you bring to the selling process (or the lack thereof) that trigger a commodity-based sale rather than a value-based sale. Some problem areas include: вЂў You present a solution with a price tag that is out of line with the prospectвЂ™s expectations. In that situation, price isnвЂ™t the problem, you are! Either you didnвЂ™t uncover the relevant issues surrounding the investment for your product or service, such as available budget, funding, previous investments and current limitations, or if you did, you ignored what you discovered. вЂў Your prospectвЂ™s perception of what you offer is inconsistent with the investment necessary. If the prospect views you as just another vendor or provider of the product or service, price will be the only differentiating factor. Someone will always offer the product or service more cheaply. Price is not the problem. The problem is lack of differentiation вЂ” your inability to develop a relationship where the prospect recognizes the value you bring to the table, value that he would lose by dealing with your competitor. вЂў You are trying to do business in the wrong market. The marketplace is ever changing. Various market segments that once encompassed desirable prospects may not present the same opportunity today. In that case, your problem is not price. Any price is too high to someone who doesnвЂ™t need your product or service. The problem is tunnel vision (or perhaps lack of flexibility or creativity). Take off the blinders. Test the waters with new markets. Call on markets you previously avoided and stretch outside your comfort zone. вЂў You are trying to sell what you want to sell or what you think the prospect needs, not what the prospect wants to buy. People buy what they want, not necessarily what they need. If you enter a selling situation predisposed to what you are going to sell, you will miss the opportunity to sell what the prospect is ready to buy. The prospect may object to the price, but the real obstacle may well be your own rigidity. вЂў Your prospect perceives that you are only trying to вЂњmake a sale.вЂќ You must have a genuine, sincere concern for your prospects вЂ“ and it must show. If you act and sound like a stereotypical salesperson, a bit too eager and enthusiastic, and appear to be out to make a sale at any cost, your prospect will feel like the proverbial lamb led to the slaughter. Any price will be too high. вЂў You donвЂ™t focus on the big picture. If a prospect views your product or service as a temporary or quick fix, rather than an integral part of a long-term solution, the perceived value of the return on his investment will be far less than reality. What will the prospect be willing to pay? Far less than you are asking. If your strategy is to вЂњget your foot in the doorвЂќ with an initial sale in the hope of securing future business, make sure that initial sale is specifically tied to a predefined future relationship. Not only will the prospect be more willing to pay your price, he wonвЂ™t be out looking for another supplier while you provide a temporary fix. DonвЂ™t blame prospects for price objections. Instead, examine your attitudes, actions and strategies. Make sure youвЂ™re not creating your own roadblocks. Remember, negotiation is no substitute for poor selling. v В© 2008 Sandler Systems, Inc. Sandler Training provides sales & management training and consulting. For information or to comment on the column, call Catherine Atkins @ 573-445-7694 or email her at [email protected] VoicesвЂ”Martin ... continued from Page 10 When at the districtвЂ™s first вЂњlistening forum,вЂќ amidst groping for the message voters intended with that defeat, I suggested they might have fired the superintendent, board member Steve Calloway scolded me for вЂњgetting personal.вЂќ But theВ superintendent is a high-ranking public official, and the discussion had nothing to do with her personal life.В Speak no evil I often ask myself why the things my mother taught me вЂ“ and insisted I teach my own children вЂ“ are so often junked in adult life. Johnny, think for yourself. Johnny, stand up for what you believe in. Johnny, get involved.В Vote.В Run for public office. But name-calling вЂ“ especiallyВ in a smallish town вЂ“ can make getting involved intimidating enough to shut down debate, which often appears to be the establishmentвЂ™s end game.В Will they think IвЂ™m a crank if I criticize the tax levy, or a professional complainer if I report the mold problem at Benton Elementary? Will they think I have an ideological ax to grind if I advocate for a different math curriculum? See no evil; hear no evil; speak no evil.В Is that why violent crime is pounding our town?В See no gangs; hear no gangs.В Everything, dear citizen, is absolutely fine. 18 May 31, 2008 | CBT Ranking ColumbiaвЂ™s dealersh Ford still No. 1, Nissan, Toyota, Kia growing fa Joe Machens Ford-Lincoln Mercury 1911 West Worley www.joemachensford.com Gary Drewing, owner Joe Machens Toyota-Scion 900 Bernadette Dr. www.joemachenstoyota.com Gary Drewing, owner #1 in sales New vehicle sales 2007: 4,054 Change from 2006: -8%, -374 Total vehicle sales 2007: 9,102 Change from 2006: -4%. -391 1st quarter 2008 total sales: 2,284 1st quarter change: 2% #2 in sales #2 in % sales growth New vehicle sales 2007: 3,023 Change from 2006: +78% 1,327 Total vehicle sales 2007: 5,061 Change from 2006: +45% +1,568 1st quarter 2008 total sales: 1,297 1st quarter change: 12% Joe Machens BMW 1510 I-70 Drive SW www.joemachensbmw.com Gary Drewing, owner Perry Nissan 201 Nebraska Ave, I-70 a Providence Road www.perrynissan.com Justin Perry, owner #10 in sales New vehicle sales 2007: 224 Change from 2006: +N/A% 224 Total vehicle sales 2007: 666 Change from 2006: +N/A% +666 1st quarter 2008 total sales: 194 1st quarter change: 35% Justin Perry, owner Gary Drewing, owner Columbia Hyundai/Dodge City Motors 1300 Vandiver Dr. www.columbiahyundaimo.com Larry Estes, owners Lou Fusz Saturn of Columbia 210 Nebraska Ave. saturnc.fusz.com Lou Fusz, owner #5 in sales New vehicle sales 2007: 223 Change from 2006: +19% 35 Total vehicle sales 2007: 481 Change from 2006: -3% -16 1st quarter 2008 total sales: 104 1st quarter change: -20% New vehicle sales 2007: 822 Change from 2006: +8% 63 Total vehicle sales 2007: 1,556 Change from 2006: +6% +87 1st quarter 2008 total sales: 324 1st quarter change: -12% Perry Chevrolet 1 Business Loop 70 www.perrychevrolet.com Justin Perry and Bob McCosh, owners #11 in sales Legend Automotive Group Mercedes-Benz Pontiac Cadillac 500 Vandiver Dr. www.legendgm.com Richard Vairo, owner Legend Mazda 500 Vandiver Dr. www.legendgm.com Richard Vairo, owner hips: astest #3 in sales D By David Walle and David Reed iversification is good strategy for investing, and itвЂ™s a pretty good idea for auto dealerships in Columbia, too, according to an analysis of car and truck sales data. New vehicle sales 2007: 1,393 Change from 2006: +4% 52 Total vehicle sales 2007: 2,684 Change from 2006: -1% -18 1st quarter 2008 total sales: 660 1st quarter change: -7% at CBT | May 31, 2008 19 continued page 22 Head Motor Company Kia Motor Dealer 710 Business Loop 70 W. www.headmotorcompany.com Steven and Stuart Head, owners #4 in sales #2 in % sales growth New vehicle sales 2007: 639 Change from 2006: +69% 261 Total vehicle sales 2007: 1,747 Change from 2006: +23% +329 1st quarter 2008 total sales: 430 1st quarter change: 14% #8 in sales #1 in % sales growth New vehicle sales 2007: 606 Change from 2006: +113% 322 Total vehicle sales 2007: 1,191 Change from 2006: +84% +542 1st quarter 2008 total sales: 297 1st quarter change: 10% #6 in sales New vehicle sales 2007: 325 Change from 2006: -17% -65 Total vehicle sales 2007: 1,316 Change from 2006: +8% +95 1st quarter 2008 total sales: 280 1st quarter change: -23% #12 in sales New vehicle sales 2007: 140 Change from 2006: -31% -64 Total vehicle sales 2007: 140 Change from 2006: -35 % -76 1st quarter 2008 total sales: 36 1st quarter change: 20% Albert Buick Honda GMC 1717 N. Providence www.albertmotors.com Don Albert, owner #7 in sales New vehicle sales 2007: 774 Change from 2006: -15 % -139 Total vehicle sales 2007: 1,197 Change from 2006: -19 % -279 1st quarter 2008 total sales: 244 1st quarter change: -25% Steve and Stuart Head University Chrysler Center Chrysler Jeep Subaru 1200 I-70 Dr. www.universitychrysler.com Dan Burks and Dave Drane, owners #9 in sales New vehicle sales 2007: 433 Change from 2006: +9% 37 Total vehicle sales 2007: 1,149 Change from 2006: +14% +144 1st quarter 2008 total sales: 314 1st quarter change: 9% 20 May 31, 2008 | CBT ColumbiaвЂ™s top used car dealersвЂ™ sales Dealer 2007 Used Sales SALES CHANGE USED % Change Used Sales From 2006 2007 Sales Rank Rank Change From 2006 COLUMBIA CAR CLASSICS 934 66 8% 1 0 UNIVERSAL AUTO SALES 620 421 212% 2 5 JD BYRIDER/JB AUTO. INC 485 (115) -19% 3 -1 I-70 USED CARS 412 (9) -2% 4 -1 PREMIER AUTOMOTIVE LLC 391 90 30% 5 -1 ASHLAND AUTO SALES 267 34 15% 6 0 MID MO AUTO PLAZA 177 (97) -35% 7 -2 MARCY MOTORS 92 92 NA 8 NA Totals 3,378 482 16.6% TOP USED car dealersвЂ™ first quarter sales 2006-2008 Dealer 2008 Used Sales 2007 Used Sales 2006 Used Sales 1 Year Change Used 1 Year % Change Used 2 Year Change Used 2 Year % Change ASHLAND AUTO SALES 90 76 62 14 18% 28 45% COLUMBIA CAR CLASSICS 232 214 192 18 8% 40 21% I-70 USED CARS 118 131 110 13 -10% 8 7% JD BYRIDER/JB AUTO. INC 110 136 154 26 -19% 44 -29% MARCY MOTORS 39 - - 39 NA 39 NA MID MO AUTO PLAZA 54 77 92 23 -30% 38 -41% PREMIER AUTOMOTIVE LLC 80 104 74 24 -23% 6 8% UNIVERSAL AUTO SALES 238 69 37 169 245% 201 543% Totals 961 807 721 154 19% 240 33% CBT | May 31, 2008 21 columbia new car dealership sales 2007 Dealer 2007 New Sales 2007 Used Sales 2007 Total Sales New Sales Change From 2006 Used Sales Change From 2006 Total Sales Change From 2006 % Change New Sales From 2006 % Change Used Sales From 2006 % Change Total Sales From 2006 2007 Sales Rank Rank Change From 2006 JOE MACHENS FORD INC 4,054 5,048 9,102 (374) (17) (391) -8% 0% -4% 1 0 JOE MACHENS TOYOTA-SCION 3,023 2,038 5,061 1,327 241 1,568 78% 13% 45% 2 0 PERRY CHEVROLET INC 1,393 1,291 2,684 52 (70) (18) 4% -5% -1% 3 0 HEAD MOTOR COMPANY 639 1,108 1,747 261 68 329 69% 7% 23% 4 2 COLUMBIA HYUNDAI/ DODGE CITY 822 734 1,556 63 24 87 8% 3% 6% 5 0 LEGEND AUTOMOTIVE GROUP 325 991 1,316 (65) 160 95 -17% 19% 8% 6 1 LEGEND MAZDA 140 - 140 (64) (12) (76) -31% -100% -35% 12 -1 ALBERT BUICK HONDA GMC 774 423 1,197 (139) (140) (279) -15% -25% -19% 7 -3 PERRY NISSAN 606 585 1,191 322 220 542 113% 60% 84% 8 1 UNIVERSITY CHRYSLER 433 CENTER INC 716 1,149 37 107 144 9% 18% 14% 9 -1 JOE MACHENS BMW 224 442 666 224 442 666 NA NA NA 10 NA SATURN OF COLUMBIA 223 258 481 35 (51) (16) 19% -17% -3% 11 -1 TOTALS 12,656 13,634 26,290 1,679 972 2,651 15% 7.7% 11.2% 22 May 31, 2008 | CBT Cars ... continued from Page 19 At the national level, Toyota had robust sales and a historic breakthrough in 2007, overtaking Ford, which had declining sales, for the No. 2 spot behind GMC. No worries for Gary Drewing вЂ“ he owns the Ford and Toyota dealerships in Columbia. ChevroletвЂ™s sales fell 6.2 percent across the United States, while Perry Chevrolet in Columbia had a 1 percent drop in total sales from 2006 to 2007. But Justin Perry also owns Perry Nissan, вЂњAfter the move, we have had more growth,вЂќ he said. Manufacturers will reward dealers that move to a new, larger location with more inventory, Perry said. It doesnвЂ™t hurt, he added, that Nissan sales all around the country вЂњhave been hot.вЂќ In the first quarter of this year, Perry NissanвЂ™s overall sales rose 10 percent compared with the same quarter in 2007, but Perry ChevroletвЂ™s sales dropped 7 percent. The largest percentage gains In the first quarter of 2008, overall the number of new car sales for the 12 dealerships was 6,464, down 6 percent from the first quarter 2007. which had the largest increase in total sales of all during the quarter were Joe Machens BMW (35), the local dealerships in 2007, 84 percent. Legend Mazda (20), Head Motor (14), Machens While the Missouri Department of Revenue Toyota-Scion (12) and University Chrysler (9). sales data obtained by CBT do not break down to The biggest declines were Albert Buick Honda specific models, the national trends appear to be (-25), Legend Automotive (23), Saturn (-20) and holding true in ColumbiaвЂ™s auto market. Columbia Hyundai-Dodge (-12). Escalating gas prices have compelled buyers Nationally during the first four months, small to move away from big S.U.Vs and pickups вЂ“ the cars offered one of the few bright spots in an othprofit mainstays of Ford, Chrysler and General erwise grim national auto market. Led by Chevy Motors вЂ” and toward smaller, more fuel ef- Malibu, Ford Focus and Toyota Prius, national ficient cars, the specialty of Toyota, Nissan and sales for small cars were up 7 percent from last Kia. They were the three biggest movers in the year, while large cars and SUVs are down 31 local market in 2007. percent and 22 percent, according to motorintelColumbiaвЂ™s authorized dealers in new and ligence.com. used vehicles bucked one national trend. Sales вЂњOn the new side, youвЂ™re seeing more of a fell 2.5 percent in the U.S., but new vehicles sales mix,вЂќ said Drewing, who also owns the BMW for ColumbiaвЂ™s top dealerships were up 15 per- dealership. Although sales for large SUVs and cent in 2007 from the previous year. trucks have stalled, crossovers continue to perOverall, the 12 major dealerships sold 12,656 form well. вЂњEscape, Mariner, small SUVs are hot new vehicles in 2007, up 15 percent from 2006, and right now because of the price of gas,вЂќ Drewing 13,634 used cars, up 7.7 percent from the previ- said. Meanwhile, April sales of the Focus set a ous year. Overall, record at Joe the 26,290 in total Machens Ford. Like Perry, Drewing also is expected to vehicle sales repвЂњWeвЂ™re buying resents an 11 perall we can get,вЂќ get a bump up when he moves the Toyota he said. cent increase. In the first Overall, the dealership to a larger location. quarter of 2008, pace of used car overall the numsales is ahead ber of new car of new car sales sales for the 12 dealerships was 6,464, down 6 in Columbia, according to first quarter statispercent from the first quarter 2007. However, tics. вЂњObviously you have a very hot pre-owned used car sales jumped 7 percent from the pre- market,вЂќ Drewing said. But he added, вЂњAt our vious quarter, and total sales ended 1 percent Toyota store new vehicle sales are up 25 percent higher. over 2007 and 2007 was a record year.вЂќ In 2007, MachensвЂ™ three dealerships, includLike Perry, Drewing also is expected to get a ing BMW, sold 14,829 vehicles, or more than half bump up when he moves the Toyota dealership of the total sales in Columbia. to a larger location. Joe Machens Toyota-Scion and Head Motor Drewing wanted to move the burgeoning Company both posted big gains in 2007, up 78 Toyota dealership to Crosscreek, a commercial percent and 69 percent respectively. development project where Stadium Boulevard But no dealership grew faster during the year reaches U.S. 63, but the City Council rejected the than Perry Nissan, with sales of new vehicles plan earlier this year after intense neighborhood more than doubling from 2006. Part of the credit, opposition. Drewing said he had looked at вЂњquite Perry said, goes to Perry NissanвЂ™s move last July a fewвЂќ sites in the last couple of weeks and still to a new location on Providence Road just south plans to move the dealership. v of Interstate 70. health care CBT | May 31, 2008 23 Industry trends include online research, self-care, workforce shortage By Jim Gann In years past, when we were plagued by some mysterious physical problem, weвЂ™d call grandmother and ask her for the best home remedy for whatever ailed us. Today, grandmother is the Internet. The majority of adults (78 percent) go online to find health information, searching most often for details on symptoms and treatments. Nearly one-third of us use the Internet to find information on diet and weight loss programs. And, about 30 percent of us go online for information on prescription drugs. Not surprisingly, the popularity of online resources does not extend to physicians. More than twothirds prefer to provide their patients information through printed materials rather than sending them to the Internet. Women are twice as likely to use online resources as men. Changes in the source of health information are just one of the trends in healthcare toward the end of this centuryвЂ™s first decade. Another trend is the increase in self-care, driven in no small part by the growing number of previously prescription-only medications appearing in over-the-counter formats in todayвЂ™s drugstores. Add to that the growing number of self-administered diagnostic tests, and you have more people making their own judgments regarding what is wrong and how to treat it. In a new trend from a policy standpoint, the U.S. Department of Health and Human Services has announced that effective Oct. 1, 2008, it will no longer reimburse hospitals for preventable mistakes through Medicare and Medicaid. Historically, hospitals were reimbursed for the mistake and for the cost of rectifying the mistake. In addition, there is movement on a national level to establish a center to review clinical practice data to identify best practices to improve outcomes and variations in treatment. At least one presidential candidate has discussed the need for a national comparative effectiveness center to enhance governmentвЂ™s role in highlighting best medical practices and tying those results to financial incentives. The competition for high-quality, experienced workers is becoming more intense. As a result, employer-provided health insurance is changing to include coverage for more procedures, including outpatient doctor visits, lab work, X-rays and medication. The workforce shortage is particularly acute in the healthcare industry itself. The large numbers of aging baby boomers are affecting the healthcare system at the same time that the industry is experiencing a dramatic shortage of qualified workers. Price pressures may feed the tendency to hire lower-paid workers, which directly impacts the quality of care. Another trend continuing to gain traction is that of medical tourism, or outsourcing your care to another country, which enables patients to not only receive medical care at greatly reduced costs when compared to a U.S. procedure, at the same time they enjoy international travel and often exotic destinations. Finally, like nearly every other industry, the medical community is focused on becoming вЂњgreener.вЂќ This trend is driven by environmental and financial factors, but also by the growing evidence that many chronic diseases such as asthma, certain cancers and auto-immune disorders are linked to toxic pollutants. The healthcare industry faces some unique challenges when it comes to becoming more environmentally conscious. For instance, medical waste incinerators used by healthcare facilities to burn everything from waiting room trash to operating room waste, are a major producer of dioxin, which is harmful in its own right but is also responsible for 10 percent of mercury emissions in the United States. Since medical incinerators are often the final resting place for PVC plastic, which is the most common kind of plastic in medical supplies, emissions can be doubly harmful to the environment and humans. PVC plastics are also the source of phthalates, which can potentially cause harm to many internal organs. Using alternatives to PVC is one way in which many healthcare facilities are becoming вЂњgreener.вЂќ Another is by serving fresh, local and organically produced food to patients, staff members and visitors. More and more hospitals are striving to buy meat raised without non-therapeutic antibiotics, use milk produced without recombinant hormones and replace unhealthy snacks in vending machines with more acceptable choices. Another industry trend is to encourage physicians to institute energy-saving practices into their office settings, including using eco-friendly lamps and bulbs and implementing recycling. One final change is the introduction of courses highlighting the correlation between environmental issues and human health into the curriculum at many major medical schools. v Jim Gann is a business management counselor with the Missouri Small Business and Technical Assistance Center housed at the University Center for Innovation and Entrepreneurship at the University of Missouri. 24 May 31, 2008 | CBT SPECIAL SECTION Missouri health insurance reform ... continued from Page 11 Taking the early lead in testing the waters here has been the Missouri Foundation for Health, which launched a campaign called Cover Missouri. The group is going to cities around the state and asking for ideas about how to increase health insurance access statewide, Thomas McAuliffe, a health policy analyst for the foundation, said. The foundation organized a forum in Columbia on Tuesday and plans to hold them soon in Poplar Bluff and Kirksville. The state informational campaign coincides with a presidential campaign that observers expect to delve closely into the possible establishment of a national health care program, at least on the Democratic side. The Republican nominee-apparent, Sen. John McCain, also has shown substantial interest in Matt Blunt federal activity on health insurance. McCain has proposed relieving companies of the burden for providing the majority of financial support for employee coverage. He proposes ending the federal corporate tax deduction for such premiums and offering tax credits of $2,500 for individuals and $5,000 for families to buy coverage on the individual market. Republican majorities in the Missouri legislature also have backed changes that would allow companies to leave the obtaining of health insurance to employees and their families вЂ“ without getting the price breaks found in group purchases. McCain also has supported broader use of health savings accounts, tax-exempt funds for out-of-pocket costs. The problem: the tax credits are far smaller than the average cost of such policies, and most states do not require insurance companies to sell policies to families or individuals without regard to adverse health status. He McAuliffe said some health-care leaders, even hospital administrators, favor вЂњMedicare for all,вЂќ or extending the basics of AmericaвЂ™s system of health care for the elderly and disabled to all. The system is widely accepted and has relatively low overhead costs compared with commercial insurers has proposed that states set up pools вЂ“ which Missouri has done to provide high-cost coverage to 3,000 persons вЂ“ for persons generally regarded as uninsurable. Sens. Barack Obama and Hillary Clinton have backed plans that generally provide universal coverage of all Americans, although Obama would not require them to obtain it. Businesses have been particularly sensitive to the fact that their health-insurance bills for employees have swollen as hospitals, doctors and other providers pass along the uncompensated care provided to the uninsured. All three candidates leave room for states to design systems that differ, at least slightly, from the federal models. The federal models вЂ“ particularly those favored by Obama and Clinton вЂ“ would overshadow any efforts Missouri could make to improve its market. But among questions the Missouri Foundation for Health is likely to encounter as it explores health coverage in communities: вЂў Universality and community rating. Do Missourians firmly believe that they deserve care if they develop serious illnesses? Do they believe that all persons should pay comparable costs for coverage, depending on whether they have family or personal histories of disease? Individuals or families trying to obtain coverage in Missouri still face difficulties on those counts, often facing denial of coverage or far higher rates if they have a history of serious illness. For that reason, persons with illness histories often try to obtain group coverage and get better rates because their costs are averaged with healthier persons. Group coverage is not always the answer as many small businesses know. They often face substantially higher rates if one employee or dependent has a serious injury or illness. McAuliffe said some health-care leaders, even hospital administrators, favor вЂњMedicare for all,вЂќ or extending the basics of AmericaвЂ™s system of health care for the elderly and disabled to all. The system is widely accepted and has relatively low overhead costs compared with commercial insurers вЂў Standard benefits. While Missouri has adopted a fairly lengthy list of illnesses that health insurance poli- health care cies must cover, it has never adopted standard benefit plans that allow individuals to shop easily for coverage. If businesses recede from their position as the principal buyer of health insurance in the state, individuals would have much more difficult decisions to make on coverage. On Tuesday, shortly after the foundationвЂ™s presentation in Columbia, Blunt outlined what he called several opportunities for cooperation and suggested the foundation вЂњmake a 10 year commitment to several worthwhile projects.вЂќ They included Mo HealthNet Outreach, several programs addressing childrenвЂ™s needs, including obesity prevention and treatment, and a tobacco cessation that uses vouchers for medicine. CBT | May 31, 2008 25 Kimmey countered, вЂњThe impact of doing what the governor asked us to would be to take money away from non-profit agencies and give it to the state government and that doesnвЂ™t seem right to our foundation.вЂќ Kimmey said its relationship with the state is to provide about $9 million in funding to community organizations and voluntary agencies for senior services and a variety of activities consistent with the foundationвЂ™s mission and goals. вЂњWe actually put more money into many of the programs Governor Blunt mentioned, like the smoking cessation program, (which) the government hasnвЂ™t put any money towards,вЂќ he said. вЂњ We feel we keep a pretty good balance.вЂќ v College of Business Dean Bruce Walker Trulaske deans outline win-win partnerships with local businesses Three deans from the University of MissouriвЂ™s Trulaske College of Business outlined TCoBвЂ™s partnerships with local and regional business during a presentation May 20 at Cornell Hall called Breakfast with the Deans, which was sponsored by the Columbia Business Times. The win-win partnerships include collaborative research projects, student internships and student referrals. Professors serve on advisory boards, and business people are recruited to serve as professors-for-a day. In the consulting projects, teams of students, supervised by faculty, analyze challenges and opportunities for local businesses. And Dean Bruce Walker mentioned the best part: itвЂ™s free of charge. Walker also showed some of the business school links with the highly popular football program, which drew national attention to MU and helped fuel whatвЂ™s expected to be more than a 20 percent enrollment increase in the coming school year. Quarterback Chase Daniel is seeking a finance degree in the business school, and 12 of MUвЂ™s football recruits mentioned an interest in the Trulaske College of Business. Daniel also was among 145 TCoB students who met with Berkshire-Hathaway CEO Warren Buffet in Omaha on March 14. How can the TCoB help you? вЂў Managerially relevant research? вЂў MBA consulting projects? вЂў Continuing education? вЂў SIRE participation? вЂў Start-up support? вЂў Interns? вЂў New employees? вЂў Opportunities for networking & involve- ment (speaking, mentoring, advising)? Slide from College of Business presentation 26 May 31, 2008 | CBT SPECIAL SECTION Photos by Jennifer Kettler MU excels in workplace wellness By Jordan Milne The University of MissouriвЂ™s flagship campus and the University of Missouri Hospital have just received the American Heart Association Start! Fit-Friendly Award. The award is given to employers who encourage workplace wellness and create a work environment conducive to physical activity through various efforts. To work toward these goals, the campus and hospital established walking routes around the office, encouraged walking teams, offered healthy food options in cafeterias and/or vending machines, generated online wellness newsletters and implemented tracking tools, and allowed staff to wear athletic shoes in the workplace. вЂњWe are the only employers in Columbia to receive the award,вЂќ said Armine Alioto, nurse coordinator for MUвЂ™s Healthy for Life program. вЂњThe University of MissouriвЂ™s flagship campus in Columbia is also the first large-scale university to receive the award.вЂќ The Fit-Friendly Workplace Award also recognized AT Still University in Kirksville, Audrain Medical Center in Mexico, Heartland Health in St. Joseph, Jefferson City Medical Group in Jefferson Armine Alioto, nurse manager for Healthy for Life, helps coordinate City and Truman State University in the new program that gives University of Missouri employees more Kirksville. healthy fitness choices. Healthy for Life, the T.E. Atkins University of Missouri Wellness Program that kicked off in June 2004, is a major factor in the university and University HospitalвЂ™s receiving the recent awards. вЂњOur leadership understands that our people are our greatest asset,вЂќ said Dr. Laura Schopp, Healthy for Life director. The program started with an online health risk assessment of more than 1,000 employees, and now has a team of eight employees working for the cause. вЂњHealthy for Life is based upon areas of lifestyle modification that employees have expressed interest in via surveys,вЂќ Alioto said. The four areas that employees wanted to improve most were physical activity, healthy eating choices, weight management and being smoke-free. Long-range goals include outreach to all University of Missouri campuses and affiliate hospitals and implementation of a research committee to disseminate knowledge to the public. вЂњItвЂ™s long overdue. We want to lower healthcare costs, have fewer sick days, and see better attitudes,вЂќ said Healthy for Life program manager Jenny Workman, who completed the Fit-Friendly application for the campus. вЂњThe employees are really, really excited for these opportunities. We even have the community fitness facilities giving them discounts.вЂќ Healthy for Life programs include a monthly newsletter, Weight Watchers at Work, Eat for Life, вЂњMillion StepвЂќ (employees buy a pedometer for $15, walk 1 million steps and receive their money back and a T-shirt upon completion), stress reduction programs, tobacco cessation, 173 Wellness Ambassadors, health/nutrition/exercise presentations, health fairs, screenings and noon meditation. вЂњEmployees particularly like our Million Step program because nobodyвЂ™s cracking the whip,вЂќ Alioto said. вЂњNot everybody has time to go to the gym, but you can walk at work. People have started taking the stairs and walking during lunch.вЂќ The Fit-Friendly Award was to have been presented on May 29 to MU deputy chancellor Mike Middleton at the ChancellorвЂ™s Wellness Walk, an open event sponsored by the MU Staff Advisory Council that started on the south steps of Jesse Hall and continued to Lowry Mall. The event was designed so that participants could learn about plants throughout the MU campus as well as the importance of proper exercise. A Healthy for Life station offered blood pressure checks and stretching demonstrations at Jesse Hall. Pedometers were sold at Tiger Plaza, and extended tours of the Mizzou Botanic Garden were offered. The Fit-Friendly Award also was presented at the University Hospital Human Resources Benefit Fair on May 28. The fair featured information on programs offered through the UM Faculty and Staff Benefits Office, as well as a number of Healthy for Life activities. вЂњHealthy for Life is a whole new way to raise consciousness about wellbeing,вЂќ Alioto said. вЂњTo me it means that employees can choose this as a place to work because leadership cares about our health.вЂќ v health care CBT | May 31, 2008 29 Home care business вЂ�meaningfulвЂ™ venture for couple By Jim Muench After Gary Powell sold his 7-Up and Dr. Pepper distribution business in Columbia in 2002, he took his time searching for another franchise opportunity. Gary and Mary Powell Having taken care of aging parents in the past, he knew the importance of helping senior citizens. вЂњI wanted to do something that I thought was meaningful, and my wife was the same way,вЂќ Powell said. вЂњItвЂ™s not so much about making money. ItвЂ™s a business, but IвЂ™m kind of past that.вЂќ In March, he and his wife, Mary Powell, opened Comfort Keepers, an international provider of inhome care based in Dayton, Ohio. They purchased the franchise for $32,500. The company provides assistance in the home or at the hospital for clients with any kind of need. The goal is to help people live in their own homes for as long as possible, Powell said, assisting them with tasks ranging from chores to personal hygiene. вЂњAs people get older, theyвЂ™re not able to do some of the housework, or maybe their eyesight is gone, and they are not able to drive,вЂќ he said. вЂ�We can go in and do meal preparation, light housework, take them to the doctor or the grocery store, help them organize their bedroom to where itвЂ™s easier to get around, or take them to bridge club or to the park.вЂќ The company does not offer skilled medical care, which tends to be much more expensive, Powell said. Nursing home care is the most expensive, he said, at between $50,000 and $70,000 a year, while the median annual price for Comfort Keepers care is about $15,000, depending on the hours of care necessary. With the first 65-year-old baby boomer retiring and beginning to receive Social Security benefits earlier this year, and a steady stream of retirees from that generation, Comfort Keepers is part of a growing industry. According to federal Bureau of Labor Statistics, the fastest-growing segment of the population is 85 and older. Likewise, the Social Security Administration predicts that the number of older Americans will double in about 30 years. Now in its tenth year after being launched by a Springfield, Ohio, nurse, Comfort Keepers is the second-largest company in the industry, with nearly 550 locations, behind HomeInstead, the industry leader with about 700 locations. There are seven open ter- ritories in Missouri, said Jim Brown, director of franchise development, including Springfield, Jefferson City and Sedalia. With the first 65-year-old baby boomer retiring and beginning to receive Social Security benefits earlier this year, and a steady stream of retirees from that generation, Comfort Keepers is part of a growing industry. Brown said he was pleased that the Powells chose Columbia to set up shop because college towns are popular with retirees for their many amenities at reasonable prices. вЂњHe had a great business background, he had been a local businessperson in the community for a long time, and he had a passion for the senior business,вЂќ Brown said of Gary Powell. вЂњHe was a really sincere person, the type of person we look for. We find that, with all of our owners, the common denominator is a passion for seniors.вЂќ v 30 May 31, 2008 | CBT SPECIAL SECTION University of Missouri Clinical Support and Education Building Mannequin at the Russell D and Mary B Shelden Clinical Simulation Center MU opens clinic building A new $26.5 million medical building opened in May will house nearly 650 faculty members in the University of Missouri Clinical Support and Education Building. Inside the six-floor building, students and physicians from the MU School of Medicine can practice medicine on high-tech mannequins designed to offer real-time feedback similar to responses from a live patient. The mannequins breathe, have a pulse, have eyes that dilate and can react to drugs given to them by medical students. A $2.3 million gift from Russell and Mary Shelden to create the Russell D and Mary B Shelden Clinical Simulation Center helped bring the lifelike mannequins to the new medical building. The Department of Health Management and Informatics, a department which had been located away from the medical campus for nearly 20 years, will be housed within the new medical building just west of the UniversityвЂ™s medical school and hospital complex. The department is nationally ranked and home to the worldвЂ™s first computerized laboratory system. вЂњThis new building will provide much needed room for the medical schoolвЂ™s growing faculty and our expanding medical education programs,вЂќ said William Crist, dean of MUвЂ™s medical school. health care CBT | May 31, 2008 31 Interior nurse station at BHCвЂ™s new Spine Center New BHC Spine Center provides treatment and research opportunities Inside the fifth floor of the Boone Hospital Center is a new specialized care facility devoted to spine-related problems. The Spine Center includes 20 private rooms, a satellite gym, a family activity/relaxation room, redesigned nurses station and a classroom for pre-surgery classes. With advanced medical technology, the new 14,784 square foot facility will focus on getting patients with spine problems back to their lives as soon as possible. The center works with several types of doctors and specialists to provide spine and back care for patients with surgical and non-surgical care dependent on the patientвЂ™s needs. Located within the hospital, The Spine Center will increase communication between surgeons and physical rehabilitation physicians to ensure that a patientвЂ™s progress is monitored. In addition to treating spinal disorders, the center devotes time for research into the causes and treatments of spinal injuries. Boone Hospital CenterвЂ™s new WomenвЂ™s Wellness Center focuses on prevention A WomenвЂ™s Wellness Center, offering outpatient gynecologic and preventative care for women, has opened in the new DoctorвЂ™s Building of the Boone Hospital Center at 1705 E. Broadway. The center uses a вЂњpackage approachвЂќ to womenвЂ™s health, with the services of a gynecologist, a primary care physician, a womenвЂ™s health nurse practitioner, a registered dietician and a psychologist. With an emphasis on preventative medicine and treatment, the WomenвЂ™s Wellness Center offers health care, counseling and education in all areas of female health. The program is headed by Dr. Laura Grant and consists of a team of health specialists. Sinclair Nursing School programs receive awards The American Academy of Nursing, which annually selects research projects that improve the health care profession or demonstrate innovations in the field of nursing, selected two MU Sinclair School of Nursing projects this year. TigerPlace and Aging-In-Place received the AANвЂ™s Edge Runner awards for their models of care. Americare Systems Inc. and the school of nursing built a state approved facility four years ago that allows older adults to remain in their apartments, as their health needs change. Research proved that as older adults transition from senior housing to nursing homes their health decreases at an accelerated rate. MU Health Care switches to color-coded patient wristbands University of Missouri Health Care says the change to color-coded wristbands for patients adds an extra level of caution for patients with specific health risks. The hospital recently joined 90 percent of hospitals in Missouri who now use colored wristbands to identify important patient information in a quick, visual way. Over 20 different colors can designate clinical conditions including a red wristband to represent an allergy warning, a yellow wristband with the words вЂњfall riskвЂќ, a purple band to indicate do-not-attempt-resuscitation orders, a pink band with the words вЂњlimb alert,вЂќ to alert staff not to use a specific arm or leg for procedures and a blue band to recognize certain medical treatments patients may not want to undergo. Physicians and nurses from different hospitals can recognize and understand the alerts based on standardized colors. MU medical school receives donation for cancer research A $1.1 million donation to the University of Missouri supports research efforts into the prevention, detection and treatment of cancer patients. With the funds they donated, Michael and Sharon Bukstein created a chair in cancer research, which will be awarded to an MU medical faculty member who will expand cancer research. continued page 33 32 May 31, 2008 | CBT EPIC happy hour Photos by Jennifer Kettler Members of Emerging Professionals in Columbia, EPIC, chat with the Mid- Joe Newberry, middle, of Mid-America Wireless. America Wireless representatives at their gathering at the Forge and Vine. Jennifer Thoma of Boone County National Bank Erik Morse jokes with EPIC members. EPIC members enjoy drinks. health care CBT | May 31, 2008 33 MU clinical support ... continued from Page 31 вЂњOur hope is that this endowed chair will increase MU researchersвЂ™ ability to garner research grants and, ultimately, make even more contributions to the ongoing efforts to prevent and detect cancer, and to improve treatment for patients with cancer,вЂќ Michael Bukstein said. The Buksteins have been advocates in the fight against cancer since they entered the medical profession nearly 30 years ago. Michael Bukstein completed medical school from MU in 1970 and Sharon Bukstein has worked as a University Hospital nurse. Michael chairs MissouriвЂ™s Comprehensive Cancer Action Plan, which combines more than 40 agencies and health care professionals to cover issues related to the disease. MU research shows impact of telehealth intervention One telephone call a day, keeps the doctors away, according to research from the University of Missouri that found that patients who received a telehealth intervention or a phone call from care providers delayed their hospital readmission rates compared to those who did not. Bonnie Wakefield, professor in the MU Sinclair School of Nursing, evaluated the effects of a telehealth home-based intervention in patients with heart failure. She randomly selected patients who then received follow-up telephone or videophone calls from their providers. The care may not change, but telehealth can change the communication between providers and patients, Wakefield said. вЂњWith video and telephone technology, nurses have the ability to interact regularly with patients and provide a sense of security,вЂќ Wakefield said. вЂњPatients discuss concerns on a frequent basis, and nurses give advice and detect problems that the patient might not notice.вЂќ v 34 May 31, 2008 | CBT Deeds of trust more than $160,000 May 13-23 $400,000 MILLER, JOE AND TAMMY HAWTHORN BANK LOT 330 BLUEGRASS SOUTH ESTATES PLAT 4 $2,286,000 MAGNUS ENTERPRISES LLC SECURITY BANK OF PULASKI COUNTY (1) STR 25-48-12/W/SW $386,620.00 FAIRWAY MEADOWS CORP BOONE COUNTY NATIONAL BANK LT 24A VINTAGE FALLS PLAT 1-A $2,443,610.36 GLENNON PROPERTIES LLC PREMIER BANK LT 101 SOUTHFIELD PLAT 2 $360,000.00 FISHER, HENRY K AND CARLA G BOONE COUNTY NATIONAL BANK STR 35-50-14 //SW SUR BK/PG: 1715/315 FF TRACT 2 W $1,500,000.00 KEITHAHN, STEPHEN AND MARI ANN COMMERCE BANK LT 20 ARROWHEAD LAKE ESTATES $360,000.00 FISHER, HENRY K AND CARLA G BOONE COUNTY NATIONAL BANK STR 20-50-13 /NE/NE SUR BK/PG: 465/653 $935,000.00 STEPHENS, DAVID AND DEBRA COMMERCE BANK LT 17 PARADISE HILLS ESTATES BLK 4 $355,028.84 ROBINSON, CHRISTOPHER R AND MARCIA R CITIZENS COMMUNITY BANK STR 27-47-12/NW/SE $700,000 UMC COLLEGE OF AGRICULTURE FOUNDATION FIRST NATIONAL BANK & TRUST LOT 2 PT BOUCHELLE ADD $321,500.00 WESTBAY, CHAD L SUNTRUST MORTGAGE INC LT 315 THORNBROOK PLAT NO 10 $650,000.00 MILLER, KEITH AND KATHY BOONE COUNTY NATIONAL BANK LT 1 ARROWHEAD LAKE ESTATES $300,000 WILSON, JAY D AND TAMMY R CALLAWAY BANK THE LOT 131 FOREST PARK SOUTH PLAT 1 $625,439.19 PERRY, JUSTIN M REVOCABLE TRUST LITTLE DIXIE CONSTRUCTION COMPANY LLC LOT 1 PT FF CONLEY AND PERKINS SUB $280,000.00 CAMPBELL, RYAN A AND BETH A FIRST NATIONAL BANK & TRUST CO LT 121 CASCADES PLAT 1 THE $630,000 PEBBLEBROOK CONSTRUCTION & DEVELOPMENT CO LLC CALLAWAY BANK LOT 103 FOREST PARK SOUTH PLAT 1 $265,750 HAYES, MATTHEW R AND KRISTINE A WELLS FARGO BANK LOT 235 SPRING CREEK PLAT 2 PUBLIC RECORD $604,000.00 ACRON INC EXCHANGE BANK OF MISSOURI LT 1 BL 12 CENTRALIA OLD TOWN $562,750.00 WILSON, JOANNA M TRUST FIRST NATIONAL BANK & TRUST CO LT G SURVEY FF BONNE FEMME ESTATES $520,000 RODRIGUEZ, ELIZABETH A AND MANUEL D WACHOVIA MORTGAGE LOT 27 HARPERS POINTE BLK 2 $520,000 FENCO RENTAL LLC COMMERCE BANK LOT 22 PT FF QUINN & CONLEYвЂ™S SUB $475,886.00 M & E OFFICES INC BANK OF AMERICA LT 244 PT COLUMBIA $417,000 SAPP, SHAWN N AND JANIS K COMMERCE BANK STR 20-49-13 SE/NE/SE AC 10.000 $471,000 PAYNE, AARON M AND JESSICA L PREMIER BANK LOT 3 MILL CREEK TERRACE $450,000 SENIOR SERVICES OF BOONE COUNTY INC BANK OF MISSOURI LOT 13 PT E C MORE SUB $417,000.00 KRAVCHICK, MICHAEL AND LINDA BANK OF AMERICA LT 1415 HIGHLANDS PLAT 14-B THE $404,146.94 JEWEL FAMILY L P MERAMEC VALLEY BANK LT 1 LOVEALL SUB $263,700.00 SCRIVNER, KURT , LYN, LYNETTE K AND KURT R BOONE COUNTY NATIONAL BANK LT 48 BOONEвЂ™S POINTE $263,700.00 SCRIVNER, LYNETTE K AND KURT R BOONE COUNTY NATIONAL BANK LT 26 BL 1 ROTHWELL HEIGHTS $260,347 LEWIS, LEO E AND BETTY SANDERS GOLD STAR HOME MORTGAGE LLC LOT 1 PT COUNTRYSHIRE ESTATES $260,000.00 FAIRWAY MEADOWS CORP BOONE COUNTY NATIONAL BANK LT 12 BOONEвЂ™S POINTE $260,000.00 MEYER, THOMAS W BOONE COUNTY NATIONAL BANK LT 113 HERITAGE MEADOWS PLAT 6 $260,000.00 MEYER, LISA A BOONE COUNTY NATIONAL BANK LT 113 HERITAGE MEADOWS PLAT 6 $252,700.00 MCMILLAN, TAMATHA F AND GREGORY E USAA FEDERAL SAVINGS BANK LT 7 BLACKBERRY BEND SUB PLAT 1 $240,000 BLEYTHING, TRAVIS C AND KARLA L CALLAWAY BANK THE LOT 115 FOREST PARK SOUTH PLAT 1 $240,000 ROCK QUARRY LAND INVESTMENTS LLC CALLAWAY BANK THE LOT 166 FOREST PARK SOUTH PLAT 1 $248,000 HORN, KENNETH R REVOCABLE LIVING TRUST, JANELL L REVOCABLE LIVING TRUST, KENNETH R, JANNELL L COMMERCE BANK STR 18-47-12//NW SUR BK/PG: 437/553 CBT | May 31, 2008 35 Time Well Spent Previews and reviews of mid-Missouri events By Brent Beshore, owner and CEO of Event Solutions cbt calendar of events EVENT TRENDSPOTTING RSVP: RГ©pondez s`il vuвЂ¦ what? We see it everywhereвЂ”RSVP, but what does it really mean? The French, rГ©pondez sвЂ™il vu plait, is translated as respond if you please or simply please respond. The acronym is placed at the end of many invitations but is commonly misunderstood or ignored. It does not mean call only if you are not going to attend. It does not mean confirm you are attending and then not show up. And it certainly does not mean bring extra guests without warning. The purpose of an RSVP is to help the host prepare. Knowing the number of individuals planning to attend an event can affect every aspect from the amount of food to available parking. How does a host get invitees to respond? The sad fact is most individuals either forget, do not know what it means, or worse, are waiting for a better offer. There are, however, ways to increase the efficacy of an RSVP. The simplest way is to write Please respond in English, leaving nothing lost in translation. Another rising trend is to say Regrets Only and simply assume all invitees who do not respond will attend. According to the strictest etiquette rules, it is proper to respond to a written invitation with a written reply. But in the digital age, this is no longer practical. Providing an e-mail address or a phone number on the invitation makes responding easier and more convenient. In this day and age communication is easier than ever, so rГ©pondez s`il vu plait. Hit List: 1. Art in the Park: Stephens Lake Park вЂ” June 7-8 2. Cheers for Children Wine Tasting: Les Bourgeois Winery вЂ” June 12 at 5:30 p.m. 3.Shelter Gardens Summer Concert Series вЂ” Sundays from June 15 to July 27 4.I Love America Festival at the Fairgrounds: Midway Expo Center вЂ” July 4 Is your favorite charity holding a fund-raiser? Is your company hosting an event? Are you and your friends throwing a party? Tell me about it at [email protected] REVIEW Paintbrush Ball Where: Pickard Hall, MU Alumni Center When: Saturday, May 3 Why: Benefit for the MU Museum of Art and Archaeology Cost: $70/person or $130/pair of tickets Details: This event was really like three events in succession. The first occurred in the fascinating Cast Gallery, with wine and light appetizers. The art was great, the wine was good, and the food was just fine. My only knock is that wine glasses ran out early, which resulted in people in formal dress, looking at art and drinking wine from what amounted to a ballpark beer-cup. The second event was a silent auction in the Reynolds Alumni Center great room. A fun mix of art, wine and experiences were for sale. Then the party moved into the dining room, with the вЂњKapital KicksвЂќ providing a great musical atmosphere. The biggest kudos go to John LaRocca and the University Club for providing by far the best banquet catering IвЂ™ve ever had. Somehow Chef Pliska was able to produce about 350 medium rare-tenderloins that tasted better than those some fine-dining restaurants can produce. The evening wrapped up with a live auction and lots of dancing. Rating: 8/10вЂ”ItвЂ™s easy to see why this event sells out year after year. PREVIEWS The Tiger Quarterback ClubвЂ™s Trivia Night Where: Peachtree Banquet Center When: Friday, June 13, 2008, 7 p.m. Why: To benefit the Missouri football program Cost: $200 per table of 8 or $300 to sponsor a round of trivia (which includes a table of 8 and a 30-second infomercial) Details: Join the Tiger Quarterback Club for an evening full of fun trivia. The nightвЂ™s activities will include a silent auction, raffle items, 50/50, individual and group trivia and much more. The winning trivia table will receive a cash prize. Anticipation Rating: 7/10 JUNE 2008 3 Chamber of Commerce Annual Meeting 5:45 p.m. Stotler Lounge, Memorial Union on the University of Missouri campus The Chamber Chair and retiring board members will be honored for their service this past year. The 2008 Outstanding Citizen of the Year and the Ambassador of the Year awards will be presented. $35 per person. Register online for discount at www. columbiamochamber.com. 4 Columbia Image Awards 9 a.m. Community Room of the Walton Building, 300 S. Providence Road. To recognize business and institutional leaders whose vision, imagination and dedication have resulted in places and spaces that create a positive and lasting perception of the city. Contact Jessica at the Convention and Visitors Bureau, 875-1231 5 Building an Investor-Ready Tech Company (session 1 of 4) 6 p.m. вЂ“ 9 p.m. Osher Lifelong Learning Center, 3215B LeMone Blvd. From the Missouri Business Development Program comes four evenings in June that covers a variety of topics on business creation and development of a high-technology company. The June 5 session is The Basics of Business. June 12 is Determining the Market. June 19 is Managing the IP. The June 26 topic is The Equity Investment Process. $149 for four sessions. 6 Beginning Quickbooks for Small Business 9 a.m. вЂ“ 3:30 p.m. Osher Lifelong Learning Center, 3215B LeMone Blvd. An introductory, computer, hands on learning for small businesses. The session will cover cash flow, set up customers and vendors, track accounts payable and receivable, reconcile accounts, create reports and set up a budget. Pre-register by calling the University Center for Innovation and Entrepreneurship at 573-882-7096. Cost is $119 and includes lunch. 9 EPICвЂ™s вЂњHavana NightsвЂќ 6 p.m. Columbia Country Club, 2210 N. Country Club Dr. Join the Emerging Professionals in Columbia group вЂњpoolsideвЂќ for dinner, live music and drinks to kick off summer. $25 per person if you register online at www.columbiamochamber.com or $30 at the event. Golfers can play a quick nine before the event starting at 4 p.m. for $25, which covers a golf cart and prizes. Register online. 11 Exploring Entrepreneurship Start-Up Class 5:30 p.m. W1004 Lafferre Hall, College of Engineering, University of Missouri, Stewart Road and Sixth Street. A start-up session involving general business issues and information about starting a business. Cost is $20. Preregister by calling the University Center for Innovation and Entrepreneurship at 573-882-7096. REDI Board Meeting 11:30 a.m. Board Room of the Walton Building, 300 South Providence Road. Board meeting of the Columbia Regional Economic Development Inc. Call Michele Holmes at 573-442-8303 if you plan to attend.