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“The next revolution
   in chiropractic care”
            - John Leonesio, CEO The Joint




                                             1
Innovative Ideas from the Franchise Experts                                       EDITORIAL SERIES SPONSORED BY THE JOINT




                                                                                                                                                  care. Healthcare costs are escalating;           franchisees to create even bigger               the type of chiropractor they want to
                                                                                                                                                  most chiropractic offices charge on              savings. I actually saved more than half        be and how they want to deliver chiro-
                                                                                                                                                  average $60 per treatment.”                      of my franchise start-up fee because of         practic to the public,” said Gerretzen.
                                                                                                                                                      Gerretzen says that chiropractors            price negotiations made available to            “If that fits, then encourage them to
                                                                                                                                                  need to understand that while a fran-            me by the franchise.”                           visit a location and talk to some of the
                                                                                                                                                  chise helps relieve some of the pres-               In addition to low start-up costs,           doctors involved.”
                                                                                                                                                  sures of opening and running a                   Maddalena says marketing is made                    Maddalena says the most important
                                                                                                                                                  successful business, it doesn’t mean             easier through franchises.                      thing to remember when making a deci-
                                                                                                                                                  you can’t be the doctor you want to be.             “A franchise provides a significant          sion about joining a franchise is to stay
                                                                                                                                                      “You can still be an individual within       advantage when it comes to marketing,”          true to yourself as a doctor and to chiro-
                                                                                                                                                  your own business,” said Gerretzen.              said Maddalena. “The franchisor is able         practic as a profession.
                                                                                                                                                  “That really is up to the chiropractor.          to bring in a better marketing support              “I have been a chiropractor for 13
                                                                                                                                                  Any kind of tricks the chiropractor has          team/staff, with experts who negotiate          years,” said Maddalena. “During that
                                                                                                                                                  in his bag — more power to him.”                 superior ad price-points.                       time, I have seen colleagues struggle in
                                                                                                                                                      As with any new business, there is              “And branding is another significant         business. All too often, we are sold on
                                                                                                                                                  always a concern surrounding start-up            advantage because it conveys a consis-          gimmicks or devices to make more
                                                                                                                                                  costs for interested doctors. Maddalena          tent message to your customers.”                money. But if we simply focus on what
                                                                                                                                                  says, however, this isn’t the case with             Like anything else, both Maddalena           it is we do, be chiropractors and adjust
                                                                                                                                                  franchises.                                      and Gerretzen recommend educating               our patients, a lucrative career will
                                                                                                                                                      “The number one reason for busi-             yourself on the ins and outs of each            pursue.”
                                                                                                                                                  ness failure is a lack of working capi-          franchise and making sure it fits with
                                                                                                                                                  tal,” said Maddalena. “A franchise is            your chiropractic philosophy.                                 MELISSA HEYBOER is the
                                                                                                                                                                                                                                                                 associate editor of Chiropractic
                                                                                                                                                  actually less expensive to open and                 “They first need to investigate the
                                                                                                                                                                                                                                                                 Economics. She can be reached at
                                                                                                                                                  operate than going it alone. Advertis-           model thoroughly and make sure that                           904-567-1540 or
                                                                                                                                                  ing co-ops can be formed between                 resonates with their philosophy and                           mheyboer@chiroeco.com.




     Chiropractic made easy                                                                                                                          Secrets to a successful
     Whether you’re a seasoned chiropractor or a recent graduate,                                                                                    franchise partnership
     joining a franchise could be your ticket to success                                                                                             If you are frustrated spending more time trying to squeeze
                                                                                                                                                     payments out of insurance companies than you do sharing
     BY M E L I S S A H E Y B O E R                                                                                                                  the benefits of chiropractic, The Joint may be your solution.



     A
              S A CHIROPRACTOR, IT’S ESSEN-       ful chiropractic businesses,” said Larry     [patients] are going to a different part              The Joint is led by John Leonesio, former CEO of the highly
               TIAL TO WEAR MANY HATS. You        Maddalena, DC. “The main benefit for         of town, or different state or country                successful Massage Envy franchise. A team of nationally
               have to be a doctor, an entre-     a doctor to open or work for a franchise     they can get the consistency of care in               recognized operations and marketing professionals will guide
     preneur, a marketer, and at times, a         is simple: they provide a successful busi-   the product and service. Each patient’s               and support you in building a thriving practice.
     creative guru. The weight of a chiroprac-    ness model that’s been tested and            documents, records, and original intake               Sustainable membership model: The Joint’s membership
     tor’s daily duties can be intimidating for   proven in the market place.”                 forms are available and networked.                    proposition makes it as appealing to patients as the removal
     graduating students and exhausting for          Fred Gerretzen, DC, agrees: “You          Even if someone moves they can just                   of insurance claims and paperwork to you.
     even the most seasoned professionals.        give them all the business systems, all      pick right up where they left off.”                                                                                      advertising, direct mail, Internet marketing e-mail, social
                                                                                                                                                     Efficient, low-overhead practice: With turnkey systems in          media, TV, radio, professional and member referrals, and
        While some doctors may thrive off         the marketing systems, the model and            Maddalena says patients are
                                                                                                                                                     place, The Joint delivers time- and cost-efficient ways to         local clinic marketing.
     the constant pressure, most desire a         concept, and all the stuff they didn’t       constantly thanking him for making                    build your bottom line and lower your overhead.
     schedule that allows them to focus the       learn in chiropractic school and help        chiropractic affordable — another                                                                                        Profit-building practice management technology: The Joint’s
     bulk of their time on adjusting patients     them be successful and develop a             benefit he says is the result of the fran-            High volume clinic locations: The Joint team does all the work     custom designed practice management software
     and improving lifestyles.                    brand for chiropractic.”                     chise model.                                          in finding the right location just for you. The hip, comforting    orchestrates all aspects of business and provides
        Fortunately, making the decision to          Another big advantage to franchises,         ‘“I love to get adjusted, but I can’t              interior design and soothing atmosphere attracts patients.         comprehensive financial management and reporting.
     become involved with a franchise can be      according to Gerretzen, is the consis-       afford too.’ This is what new patients                Proven marketing approach: Strategic marketing programs
                                                                                                                                                                                                                                To learn more about franchise opportunities, contact Chad Everts,
     the solution to many of these problems.      tency of care patients are afforded.         tell us,” said Maddalena. “The number                 that attract new patients and encourage patient referrals.                 president of franchising, at 480-245-5960, ceverts@thejoint.com,
        “Chiropractors have long since strug-        “You know what you’re going to get,”      one benefit for patients to visit a fran-             Marketing initiatives include public relations, print              or visit www.thejoint.com.
     gled with opening and running success-       said Gerretzen. “Whether they                chise is affordability of chiropractic


78   CHIROPRACTIC ECONOMICS           •   NOVEMBER 1, 2010                                                       W W W. C H I R O E C O . C O M   W W W. C H I R O E C O . C O M                                                  NOVEMBER 1, 2010           •    CHIROPRACTIC ECONOMICS




                                                                                                                                                                                                                                                                                                    2
Top 5 Reasons to Choose The Joint Franchise

   •
   Franchised businesses are four times more likely to succeed than non-franchised businesses.

   •
   One third of all Chiropractors fail in their own practice.

   •
   Sustainable Membership Model

   •
   Efficient, Low-Overhead Practice

   •
   Hip, Comforting Design

   •
   A Sensible Marketing Approach

   •
   Innovative Practice Management Technology

     "The Joint franchise is a great opportunity! The future of chiropractic care made simple and convenient. Simply put, the best
                                                  decision I have made in my career."
                                                    -Jeremy J. Casagrande, D.C.
                                                        The Joint Boulder, CO




                                                                                                                                     3
Our Mission
is to improve quality of life through
    affordable chiropractic care.


                                        4
“ Chiropractic adds life to your years
               and years to your life...”

Who Can Benefit from Chiropractic ?
Everyone. Just like you need to go to the dentist to have your teeth examined, you need to have your spine checked periodically if you want to live an active, pain-free life. A cavity is easier to
treat when caught at an early stage and the same goes for any spinal problem: Early detection allows your chiropractor to nip it in the bud. This saves you a lot of unnecessary pain while
ensuring a shorter treatment time.

The Three Functions of Chiropractic

 •
   Relief of back and joint problems: such as neck pain, shoulder pain, wrist pain, hip pain, sciatica, lumbago, scoliosis, arthritis, herniated disc, pinched disc, numbness and tingling,
       whiplash, carpal tunnel syndrome, headaches, migraines, dizziness, work injuries, stress, etc.

 •
   Prevention: Good health is much more than the absence of symptoms. A misaligned spine can remain pain-free for years. Taking care of it now will help prevent painful vertebral
       problems in the long run.

 •
   Wellness: Chiropractic is a long-term investment, whose many benefits you can enjoy right away. Traditional medicine has been able to prolong the average lifespan, but it has failed in
       regards to improving our quality of life. We live longer, but do we live better? Chiropractic check-ups increase vitality, quality of life and help slow down the aging process.




                                                                                                                                                                                                       5
6
U.S. Employment Growth
        2010-2016
Average Annual Growth Rate




      Governorʼs Office of Planning and Budget January 2011 www.governor.utah.gov/dea
      January 19, 2011




                                                                                       7
8
9
Utah ranked highest in
                                                       Health Stats in the
                                                          Western USA
                                                      Utah -7th
                                                      California - 26th
                                                      Arizona - 31st
                                                      Nevada - 47th
Which state has the highest level of air pollution?   Texas - 33rd
 Unemployment? Which is the most active? The          Colorado - 13th
healthiest? See how the states stack up on fifty-      New Mexico - 33rd
one health measures by state, specific categories      Idaho - 9th
                and time periods.                     Washington - 11th
                                                      Oregon - 15th
States are numbered from 1st (best state) to 50th     Montana - 25th
      (worst state) for any selected measure          Wyoming - 19th

                                                                               10
Population

“Utah’s 2010 total population count was 2,763,885. This represents a population increase of 530,716
people, or 23.8% from 2000, ranking Utah third among states in population growth. Utah grew more than
twice as fast as the nation from 2000 to 2010. The total 2010 population count for the United States was
308,745,538.This represents a population increase of 27,323,632 people, or 9.7%from 2000”.

2011 Outlook

“Utah will continue to experience population growth at a rate higher than most states in 2011 on account
of strong natural increase in addition to in-migration. Natural increase (births less deaths) is anticipated to
add 37,000 people to Utah’s population. While net in-migration has slowed since the peak of the economic
expansion, Utah’s net migration is projected to remain positive at 10,000 people”.


Governorʼs Office of Planning and Budget www.governor.utah.gov/dea
Updated January 26, 2011
January 2011




                                                                                                                  11
Utah Ranks #1 in the U.S.A                                        Utah Ranks #1 in the U.S.A
      in lowest cancer deaths per 100,000 population               in lowest cardiac heart disease percent of adult population

                                                               U




                Utah Ranks #2 in the U.S.A                                          Utah Ranks #2 in the U.S.A
in preventable hospitalizations per 1,000 medicare enrollees              in physical activity percent of adult population


                                                                                                                                 12
Lack of Health Insurance Since 2001
% Percent of Population

       20




       15

     19 percent increase in the rate of uninsured population from 13.4 percent in 1990 to 16.0 percent in 2010.
                                            Data contained within this document was obtained from and used with permission of:
                                            U.S. Department of Health and Human Services
       10                                   Centers for Disease Control and Prevention
                                            National Center for Health Statistics
                                            U.S. Department of Commerce
                                            Census Bureau
                                            Bureau of Economic Analysis
                                            U.S. Department of Education
                                            National Center for Education Statistics
        5                                   U.S. Department of Labor
                                            Bureau of Labor Statistics
                                            U.S. Environmental Protection Agency
                                            American Medical Association
                                            The Dartmouth Atlas Project
                                            Trust for Americaʼs Health
                                            World Health Organization
                                            Organization for Economic Co-operation and Development (OECD)
        0
         2001               2002               2003               2004               2005               2006               2007               2008               2009        2010
        Americaʼs Health Rankings® — 2010 Edition is available in its entirety at www.americashealthrankings.org. Visit the site to request or download additional copies.
        Americaʼs Health Rankings

                                                                                                                                                                                    13
Overview of the Economy
Utah fared better than the nation during the recession, and is leading the U.S. as the recovery strengthens. Employment,
which decreased during 2009 by 5.1%, only declined 0.7% in 2010, but began growing mid-year. The unemployment rate
increased from 6.6% in 2009 to 7.6% in 2010. The continuing housing slump combined with business caution about
building, resulted in a decline in construction employment of 8.5%, after a decline of 22.1% in 2009.

Outlook 2011
Economic growth in Utah is expected to accelerate during 2011. Employment is forecast to increase 1.4% for the year as a
whole, with larger increases as the year progresses. Construction employment is forecast to increase 2.8%, the first year of
growth following three years of contraction. Housing permits are forecast to move up slightly from historic lows. As the
overall unemployment rate declines to 7.1%, the improving labor market will support increased consumer spending and a
broad based recovery.

                                                     Significant Utah Rankings
        Demographic                                State Rank                                   Value              Period

        Population Growth                          2nd                                          2.1%               2009

        Total Fertility Rate                       1st                                          2.63               2006

        Life Expectancy                            3rd                                          78.6 years         2000

        Median Age                                 1st                                          28.8 years         2009

        Household Size                             1st                                          3.17 persons       2009

        Notes:
        1. Rankings are based on the most recent data available for all states and may differ from other data.
        2. Rank is most favorable to least favorable

                          Source: Governorʼs Office of Planning and Budget January 2011 www.governor.utah.gov/dea
                          January 19, 2011



                                                                                                                              14
15
16
Streetcars, a part of Sugar House's history, will return to the Salt Lake neighborhood.




                                            Sugar House Park




                                                                                          17
21,705 cars/day   2100 South    21,705 cars/day




                  Sugar House
                   Commons
                                              52,125 cars/day




                                           1300 East



                     Sugar                  52,125 cars/day
                     House
                     Commons




                                                         18
Streetcars, a part of Sugar House's history, will return to the Salt Lake neighborhood.

Sugar House streetcar to become reality with $26M grant
BY DEREK P. JENSEN

The Salt Lake Tribune Updated Dec 22, 2010 09:24AM




Mayor Ralph Becker: Streetcar success reflects
state of Salt Lake City
"The Sugar House streetcar won't be just a transit line," Becker said. "It will be a wonderful asset
in one of our most treasured neighborhoods. ... The Sugar House area will be enhanced as a
'destination neighborhood,' with bikeways and trails, locally owned eclectic small businesses,
restaurants, shops and a wide array of housing options."

“Once the line opens, east-siders can enjoy a car-free commute. Food lovers can grab burnt ends at
Pat’s Barbecue, ribs at Sugar House Barbeque and sushi rolls at Tsunami without having to park.
And people from across the Wasatch Front can access one of Utah’s oldest and most eclectic
neighborhoods — exclusively by rails.”


                                                                                                                 19
Project Benefits

When the project opens, ridership is projected at 3,000 riders per weekday, rising to
more than 4,000 by 2030. This will relieve congestion along 2100 South and I-80
and provide improved access to attractions and increased mobility for area residents.
The line will provide a connection to more than 130 miles of existing and planned rail
service across the Wasatch Front. It is expected that the streetcar will encourage
developments along its length that are characterized by a mix of uses, walkable
access to transit, and a revitalization of underutilized properties.




                                                                                         20
21
22
Our Mission is to improve quality of life through affordable chiropractic care.




                                                                                  23
24
25
26
27
28
29
30
31
“ Chiropractic adds life to your years
               and years to your life...”

Who Can Benefit from Chiropractic ?
Everyone. Just like you need to go to the dentist to have your teeth examined, you need to have your spine checked periodically if you want to live an active, pain-free life. A cavity is easier to treat
when caught at an early stage and the same goes for any spinal problem: Early detection allows your chiropractor to nip it in the bud. This saves you a lot of unnecessary pain while ensuring a
shorter treatment time.

The Three Functions of Chiropractic

 •
   Relief of back and joint problems: such as neck pain, shoulder pain, wrist pain, hip pain, sciatica, lumbago, scoliosis, arthritis, herniated disc, pinched disc, numbness and tingling,
       whiplash, carpal tunnel syndrome, headaches, migraines, dizziness, work injuries, stress, etc.

 •
   Prevention: Good health is much more than the absence of symptoms. A misaligned spine can remain pain-free for years. Taking care of it now will help prevent painful vertebral problems
       in the long run.

 •
   Wellness: Chiropractic is a long-term investment, whose many benefits you can enjoy right away. Traditional medicine has been able to prolong the average lifespan, but it has failed in
       regards to improving our quality of life. We live longer, but do we live better? Chiropractic check-ups increase vitality, quality of life and help slow down the aging process.




                                                                                                                                                                                                             32

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The Joint at Sugar House Commons

  • 1. “The next revolution in chiropractic care” - John Leonesio, CEO The Joint 1
  • 2. Innovative Ideas from the Franchise Experts EDITORIAL SERIES SPONSORED BY THE JOINT care. Healthcare costs are escalating; franchisees to create even bigger the type of chiropractor they want to most chiropractic offices charge on savings. I actually saved more than half be and how they want to deliver chiro- average $60 per treatment.” of my franchise start-up fee because of practic to the public,” said Gerretzen. Gerretzen says that chiropractors price negotiations made available to “If that fits, then encourage them to need to understand that while a fran- me by the franchise.” visit a location and talk to some of the chise helps relieve some of the pres- In addition to low start-up costs, doctors involved.” sures of opening and running a Maddalena says marketing is made Maddalena says the most important successful business, it doesn’t mean easier through franchises. thing to remember when making a deci- you can’t be the doctor you want to be. “A franchise provides a significant sion about joining a franchise is to stay “You can still be an individual within advantage when it comes to marketing,” true to yourself as a doctor and to chiro- your own business,” said Gerretzen. said Maddalena. “The franchisor is able practic as a profession. “That really is up to the chiropractor. to bring in a better marketing support “I have been a chiropractor for 13 Any kind of tricks the chiropractor has team/staff, with experts who negotiate years,” said Maddalena. “During that in his bag — more power to him.” superior ad price-points. time, I have seen colleagues struggle in As with any new business, there is “And branding is another significant business. All too often, we are sold on always a concern surrounding start-up advantage because it conveys a consis- gimmicks or devices to make more costs for interested doctors. Maddalena tent message to your customers.” money. But if we simply focus on what says, however, this isn’t the case with Like anything else, both Maddalena it is we do, be chiropractors and adjust franchises. and Gerretzen recommend educating our patients, a lucrative career will “The number one reason for busi- yourself on the ins and outs of each pursue.” ness failure is a lack of working capi- franchise and making sure it fits with tal,” said Maddalena. “A franchise is your chiropractic philosophy. MELISSA HEYBOER is the associate editor of Chiropractic actually less expensive to open and “They first need to investigate the Economics. She can be reached at operate than going it alone. Advertis- model thoroughly and make sure that 904-567-1540 or ing co-ops can be formed between resonates with their philosophy and mheyboer@chiroeco.com. Chiropractic made easy Secrets to a successful Whether you’re a seasoned chiropractor or a recent graduate, franchise partnership joining a franchise could be your ticket to success If you are frustrated spending more time trying to squeeze payments out of insurance companies than you do sharing BY M E L I S S A H E Y B O E R the benefits of chiropractic, The Joint may be your solution. A S A CHIROPRACTOR, IT’S ESSEN- ful chiropractic businesses,” said Larry [patients] are going to a different part The Joint is led by John Leonesio, former CEO of the highly TIAL TO WEAR MANY HATS. You Maddalena, DC. “The main benefit for of town, or different state or country successful Massage Envy franchise. A team of nationally have to be a doctor, an entre- a doctor to open or work for a franchise they can get the consistency of care in recognized operations and marketing professionals will guide preneur, a marketer, and at times, a is simple: they provide a successful busi- the product and service. Each patient’s and support you in building a thriving practice. creative guru. The weight of a chiroprac- ness model that’s been tested and documents, records, and original intake Sustainable membership model: The Joint’s membership tor’s daily duties can be intimidating for proven in the market place.” forms are available and networked. proposition makes it as appealing to patients as the removal graduating students and exhausting for Fred Gerretzen, DC, agrees: “You Even if someone moves they can just of insurance claims and paperwork to you. even the most seasoned professionals. give them all the business systems, all pick right up where they left off.” advertising, direct mail, Internet marketing e-mail, social Efficient, low-overhead practice: With turnkey systems in media, TV, radio, professional and member referrals, and While some doctors may thrive off the marketing systems, the model and Maddalena says patients are place, The Joint delivers time- and cost-efficient ways to local clinic marketing. the constant pressure, most desire a concept, and all the stuff they didn’t constantly thanking him for making build your bottom line and lower your overhead. schedule that allows them to focus the learn in chiropractic school and help chiropractic affordable — another Profit-building practice management technology: The Joint’s bulk of their time on adjusting patients them be successful and develop a benefit he says is the result of the fran- High volume clinic locations: The Joint team does all the work custom designed practice management software and improving lifestyles. brand for chiropractic.” chise model. in finding the right location just for you. The hip, comforting orchestrates all aspects of business and provides Fortunately, making the decision to Another big advantage to franchises, ‘“I love to get adjusted, but I can’t interior design and soothing atmosphere attracts patients. comprehensive financial management and reporting. become involved with a franchise can be according to Gerretzen, is the consis- afford too.’ This is what new patients Proven marketing approach: Strategic marketing programs To learn more about franchise opportunities, contact Chad Everts, the solution to many of these problems. tency of care patients are afforded. tell us,” said Maddalena. “The number that attract new patients and encourage patient referrals. president of franchising, at 480-245-5960, ceverts@thejoint.com, “Chiropractors have long since strug- “You know what you’re going to get,” one benefit for patients to visit a fran- Marketing initiatives include public relations, print or visit www.thejoint.com. gled with opening and running success- said Gerretzen. “Whether they chise is affordability of chiropractic 78 CHIROPRACTIC ECONOMICS • NOVEMBER 1, 2010 W W W. C H I R O E C O . C O M W W W. C H I R O E C O . C O M NOVEMBER 1, 2010 • CHIROPRACTIC ECONOMICS 2
  • 3. Top 5 Reasons to Choose The Joint Franchise • Franchised businesses are four times more likely to succeed than non-franchised businesses. • One third of all Chiropractors fail in their own practice. • Sustainable Membership Model • Efficient, Low-Overhead Practice • Hip, Comforting Design • A Sensible Marketing Approach • Innovative Practice Management Technology "The Joint franchise is a great opportunity! The future of chiropractic care made simple and convenient. Simply put, the best decision I have made in my career." -Jeremy J. Casagrande, D.C. The Joint Boulder, CO 3
  • 4. Our Mission is to improve quality of life through affordable chiropractic care. 4
  • 5. “ Chiropractic adds life to your years and years to your life...” Who Can Benefit from Chiropractic ? Everyone. Just like you need to go to the dentist to have your teeth examined, you need to have your spine checked periodically if you want to live an active, pain-free life. A cavity is easier to treat when caught at an early stage and the same goes for any spinal problem: Early detection allows your chiropractor to nip it in the bud. This saves you a lot of unnecessary pain while ensuring a shorter treatment time. The Three Functions of Chiropractic • Relief of back and joint problems: such as neck pain, shoulder pain, wrist pain, hip pain, sciatica, lumbago, scoliosis, arthritis, herniated disc, pinched disc, numbness and tingling, whiplash, carpal tunnel syndrome, headaches, migraines, dizziness, work injuries, stress, etc. • Prevention: Good health is much more than the absence of symptoms. A misaligned spine can remain pain-free for years. Taking care of it now will help prevent painful vertebral problems in the long run. • Wellness: Chiropractic is a long-term investment, whose many benefits you can enjoy right away. Traditional medicine has been able to prolong the average lifespan, but it has failed in regards to improving our quality of life. We live longer, but do we live better? Chiropractic check-ups increase vitality, quality of life and help slow down the aging process. 5
  • 6. 6
  • 7. U.S. Employment Growth 2010-2016 Average Annual Growth Rate Governorʼs Office of Planning and Budget January 2011 www.governor.utah.gov/dea January 19, 2011 7
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  • 10. Utah ranked highest in Health Stats in the Western USA Utah -7th California - 26th Arizona - 31st Nevada - 47th Which state has the highest level of air pollution? Texas - 33rd Unemployment? Which is the most active? The Colorado - 13th healthiest? See how the states stack up on fifty- New Mexico - 33rd one health measures by state, specific categories Idaho - 9th and time periods. Washington - 11th Oregon - 15th States are numbered from 1st (best state) to 50th Montana - 25th (worst state) for any selected measure Wyoming - 19th 10
  • 11. Population “Utah’s 2010 total population count was 2,763,885. This represents a population increase of 530,716 people, or 23.8% from 2000, ranking Utah third among states in population growth. Utah grew more than twice as fast as the nation from 2000 to 2010. The total 2010 population count for the United States was 308,745,538.This represents a population increase of 27,323,632 people, or 9.7%from 2000”. 2011 Outlook “Utah will continue to experience population growth at a rate higher than most states in 2011 on account of strong natural increase in addition to in-migration. Natural increase (births less deaths) is anticipated to add 37,000 people to Utah’s population. While net in-migration has slowed since the peak of the economic expansion, Utah’s net migration is projected to remain positive at 10,000 people”. Governorʼs Office of Planning and Budget www.governor.utah.gov/dea Updated January 26, 2011 January 2011 11
  • 12. Utah Ranks #1 in the U.S.A Utah Ranks #1 in the U.S.A in lowest cancer deaths per 100,000 population in lowest cardiac heart disease percent of adult population U Utah Ranks #2 in the U.S.A Utah Ranks #2 in the U.S.A in preventable hospitalizations per 1,000 medicare enrollees in physical activity percent of adult population 12
  • 13. Lack of Health Insurance Since 2001 % Percent of Population 20 15 19 percent increase in the rate of uninsured population from 13.4 percent in 1990 to 16.0 percent in 2010. Data contained within this document was obtained from and used with permission of: U.S. Department of Health and Human Services 10 Centers for Disease Control and Prevention National Center for Health Statistics U.S. Department of Commerce Census Bureau Bureau of Economic Analysis U.S. Department of Education National Center for Education Statistics 5 U.S. Department of Labor Bureau of Labor Statistics U.S. Environmental Protection Agency American Medical Association The Dartmouth Atlas Project Trust for Americaʼs Health World Health Organization Organization for Economic Co-operation and Development (OECD) 0 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 Americaʼs Health Rankings® — 2010 Edition is available in its entirety at www.americashealthrankings.org. Visit the site to request or download additional copies. Americaʼs Health Rankings 13
  • 14. Overview of the Economy Utah fared better than the nation during the recession, and is leading the U.S. as the recovery strengthens. Employment, which decreased during 2009 by 5.1%, only declined 0.7% in 2010, but began growing mid-year. The unemployment rate increased from 6.6% in 2009 to 7.6% in 2010. The continuing housing slump combined with business caution about building, resulted in a decline in construction employment of 8.5%, after a decline of 22.1% in 2009. Outlook 2011 Economic growth in Utah is expected to accelerate during 2011. Employment is forecast to increase 1.4% for the year as a whole, with larger increases as the year progresses. Construction employment is forecast to increase 2.8%, the first year of growth following three years of contraction. Housing permits are forecast to move up slightly from historic lows. As the overall unemployment rate declines to 7.1%, the improving labor market will support increased consumer spending and a broad based recovery. Significant Utah Rankings Demographic State Rank Value Period Population Growth 2nd 2.1% 2009 Total Fertility Rate 1st 2.63 2006 Life Expectancy 3rd 78.6 years 2000 Median Age 1st 28.8 years 2009 Household Size 1st 3.17 persons 2009 Notes: 1. Rankings are based on the most recent data available for all states and may differ from other data. 2. Rank is most favorable to least favorable Source: Governorʼs Office of Planning and Budget January 2011 www.governor.utah.gov/dea January 19, 2011 14
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  • 17. Streetcars, a part of Sugar House's history, will return to the Salt Lake neighborhood. Sugar House Park 17
  • 18. 21,705 cars/day 2100 South 21,705 cars/day Sugar House Commons 52,125 cars/day 1300 East Sugar 52,125 cars/day House Commons 18
  • 19. Streetcars, a part of Sugar House's history, will return to the Salt Lake neighborhood. Sugar House streetcar to become reality with $26M grant BY DEREK P. JENSEN The Salt Lake Tribune Updated Dec 22, 2010 09:24AM Mayor Ralph Becker: Streetcar success reflects state of Salt Lake City "The Sugar House streetcar won't be just a transit line," Becker said. "It will be a wonderful asset in one of our most treasured neighborhoods. ... The Sugar House area will be enhanced as a 'destination neighborhood,' with bikeways and trails, locally owned eclectic small businesses, restaurants, shops and a wide array of housing options." “Once the line opens, east-siders can enjoy a car-free commute. Food lovers can grab burnt ends at Pat’s Barbecue, ribs at Sugar House Barbeque and sushi rolls at Tsunami without having to park. And people from across the Wasatch Front can access one of Utah’s oldest and most eclectic neighborhoods — exclusively by rails.” 19
  • 20. Project Benefits When the project opens, ridership is projected at 3,000 riders per weekday, rising to more than 4,000 by 2030. This will relieve congestion along 2100 South and I-80 and provide improved access to attractions and increased mobility for area residents. The line will provide a connection to more than 130 miles of existing and planned rail service across the Wasatch Front. It is expected that the streetcar will encourage developments along its length that are characterized by a mix of uses, walkable access to transit, and a revitalization of underutilized properties. 20
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  • 23. Our Mission is to improve quality of life through affordable chiropractic care. 23
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  • 31. 31
  • 32. “ Chiropractic adds life to your years and years to your life...” Who Can Benefit from Chiropractic ? Everyone. Just like you need to go to the dentist to have your teeth examined, you need to have your spine checked periodically if you want to live an active, pain-free life. A cavity is easier to treat when caught at an early stage and the same goes for any spinal problem: Early detection allows your chiropractor to nip it in the bud. This saves you a lot of unnecessary pain while ensuring a shorter treatment time. The Three Functions of Chiropractic • Relief of back and joint problems: such as neck pain, shoulder pain, wrist pain, hip pain, sciatica, lumbago, scoliosis, arthritis, herniated disc, pinched disc, numbness and tingling, whiplash, carpal tunnel syndrome, headaches, migraines, dizziness, work injuries, stress, etc. • Prevention: Good health is much more than the absence of symptoms. A misaligned spine can remain pain-free for years. Taking care of it now will help prevent painful vertebral problems in the long run. • Wellness: Chiropractic is a long-term investment, whose many benefits you can enjoy right away. Traditional medicine has been able to prolong the average lifespan, but it has failed in regards to improving our quality of life. We live longer, but do we live better? Chiropractic check-ups increase vitality, quality of life and help slow down the aging process. 32