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Eye Plastic & Reconstructive Surgeons founder foresees continued growth
SALINA — A few years ago, Dr. Thomas Bersani spotted a trend beginning that would sweep up his practice. And he’s not blinking on a prediction that the trend will continue in the future. “For the last four or five years, I’ve gotten extremely busy,” says Bersani, who is a member of the American Society […]
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SALINA — A few years ago, Dr. Thomas Bersani spotted a trend beginning that would sweep up his practice. And he’s not blinking on a prediction that the trend will continue in the future.
“For the last four or five years, I’ve gotten extremely busy,” says Bersani, who is a member of the American Society of Ophthalmic Plastic & Reconstructive Surgery. “As the population ages, we just get busier. I see the future of this area of the country as needing more people in our field.”
Bersani’s field, oculoplastic surgery, is surgery on the eyelids, tear ducts, orbits, and upper facial area. It focuses on problems caused by genetics or cosmetic issues.
It works to fix problems including droopy eyelids that block vision, sagging lower eyelids affecting the eye’s ability to close, and turned-in lids that rub the eye. Other issues addressed include skin cancers near the eye, facial nerve palsies, problems with artificial eyes, blocked tear ducts, orbital trauma fractures, lacerations, tumors, and bulging or wide-open eyes.
“A lot of the problems we deal with are too close to the eye and involve the function of the eye to involve a plastic or ENT surgeon,” Bersani says. “But they’re too far away from the eye for an ophthalmologist, who is working right on the eye.”
Working in that facial Goldilocks zone is attracting more and more patients. So Bersani moved his practice, Eye Plastic & Reconstructive Surgeons of CNY, P.C., into a building that he thinks is just right for growth.
That move took place in February 2012. Eye Plastic & Reconstructive Surgeons relocated into 5,500 square feet of clinical space at 3400 Vickery Road in Salina.
It’s a building that Bersani purchased for $950,000 in April 2011, according to records from Onondaga County’s Office of Real Property Tax Services. Pyramid Brokerage Co. was the broker in the sale.
The building had been an automobile-repair shop — a Sears Service Center — that Bersani had transformed into a facility capable of holding medical offices. R.F. Esposito, Inc. of DeWitt performed renovations.
But Bersani didn’t stop there. He converted another 5,500 square feet of space in the building into a surgery center. That center opened about six months ago.
In all, renovating the building cost about $2 million, Bersani estimates. Alliance Bank provided financing for the work and for purchasing the facility. Another 9,000 square feet of the building stands vacant and ready to be leased by another tenant.
Opening the surgery center took a while because Eye Plastic & Reconstructive Surgeons applied to have it become Medicaid approved. That means it meets safety requirements including having backup electrical systems and a backup life-support system to function in case of a power failure, Bersani says.
Bersani hired nine employees to work in the surgery center. The practice also has six workers in its clinical office. It’s a far cry from its original office, a 2,500-square-foot space at 1810 Erie Boulevard in Syracuse that had three employees, besides Bersani.
Patients appreciate the new office’s location, Bersani adds. It can be accessed from Interstate 81 and the New York State Thruway, which he says is important because 60 percent of the practice’s patients come from outside of Onondaga County. The practice draws patients from as far north as Canada down to northern Pennsylvania and from Waterloo to Herkimer County.
“They love the location, they love the space,” Bersani says.
When the surgery center opened six months ago, Bersani added a partner, Dr. Robert Hill, to his practice. And another partner is on the way — Dr. Bryant Carruth will be joining within six months.
The practice hosts about 4,000 patient visits a year. And it performs roughly 2,000 operations a year. Those numbers are set to grow when its new partner joins, Bersani says. He estimates patient volume could grow by 25 percent. The practice will also have to add more staff members, but Bersani doesn’t know how many yet.
Contact Seltzer at rseltzer@cnybj.com
Change. Get used to it at a much greater rate than you ever have had to before. The United States can no longer sit back and live off its past. If you are a U.S. citizen, you should make a strong mental note that there is a large bulls-eye on your back. And who is
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Change. Get used to it at a much greater rate than you ever have had to before. The United States can no longer sit back and live off its past. If you are a U.S. citizen, you should make a strong mental note that there is a large bulls-eye on your back. And who is it that’s aiming for that bulls-eye? The rest of the world has shown up for target practice, and they’d love to come home with a huge trophy.
How many times have you heard politicians say, “How can the wealthiest country in the world not” provide this fill-in-the-blank benefit or fund that fill-in-the-blank program? Every time I hear this, I would like to think that they’re smarter than that, but by now, I know better. Anyone that knows how to read a balance sheet knows that the United States is anything but wealthy. Think of the U.S. as the pro athlete that made $100 million and then declared bankruptcy. He’s hardly wealthy, but he did make an obscene amount of money. To quote Patrick Ewing during the 1998 NBA lockout, “Sure, we make a lot of money, but we spend a lot, too.” That pretty much sums up the U.S.
Gone are the days of security in government and employer-based programs. Social Security and Medicare are fiscally insolvent and are giant scams at this point. My generation is currently paying taxes into a system that will be non-existent upon our arrival, or severely compromised as to the level of benefit in comparison to what we paid in.
Employers are fighting market forces that they never contemplated would become an issue even as little as 10 years ago. As a result, executives are becoming very skilled at running their businesses with fewer and fewer people and more and more automation.
When I think about solving problems, I tend to think pragmatically about the solution. To me, data is the end-all-be-all. I recently had a conversation with a local economist in Park City, Utah. We were talking about the education system and how it affects someone’s future prospects. One fact that he brought up that was astonishing to me: 50 percent of the U.S. population pays into social services for the other 50 percent. Thus, we have a net 50 percent user system. As time progresses over the next 20-25 years, that stat will become about 25 percent of the population paying for nearly 75 percent of the population’s social safety net. That’s 75 out of every 100 people as net takers from the system. Twenty years may seem like a long time from now, but keep in mind that a 20-year old today would have to live in those conditions for about 60 years. That’s an awfully long period of struggle.
So what does this all mean? The private sector is going to get better and better at running companies without the need for many employees. Market forces and government shortfalls will continue to apply pressure on the private sector. Increased output will persist and hours worked will fall. The traditional path of college leading to a job will increasingly be challenged. You will continue to hear stories of those that leave college with lots of debt and very little prospects for a traditional career path. There will be fewer and fewer people living highly compensated lives through traditional careers. It also means that average personal income rates will remain stagnant or fall. Keep in mind that I said “average.” Those in the top 20 percent will continue to see incomes rise at exponential rates because of the scalable nature of the economic sectors that they work in and their position within the capital structure of the entities that employ them.
So how can one avoid the struggle that will continue to plague most of American society? Start a company, damn it. Yes, it’s a risky proposition, but what have you ever known that had substantial upside and little to no risk? It will certainly be a trying experience and have the possibility of failure, but so what? Your true opportunity cost is minimal at best, especially if you’re younger than 40 years old. Do you want to be chained to a desk wondering if it’s your division that’s next on the chopping block? Do you want to continue to pay ever-increasing tax rates on earned income?
Do you want to eventually be “downsized” and have to jump on the resume hamster wheel within market forces that I describe above? It’s an ugly situation and it’s just the facts.
Take control of your own destiny. Don’t wait. Learn how to start a company and never look back. I hate to think about what your prospects look like if you don’t.
Kyle Blumin is an entrepreneur in residence at Syracuse’s StartFast Venture Accelerator. He is a Syracuse native and serial entrepreneur with three successful exits in diverse industries.
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Breakthrough Design expects more growth in 2013
SYRACUSE — Breakthrough Design Group, an anchor tenant at the South Side Innovation Center, expects to double its business this year and add new staff members. Breakthrough provides Web-design services and got its start in 2008. Tison Kelley, the firm’s founder and executive director of business development, says the company has been doubling its revenue
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SYRACUSE — Breakthrough Design Group, an anchor tenant at the South Side Innovation Center, expects to double its business this year and add new staff members.
Breakthrough provides Web-design services and got its start in 2008. Tison Kelley, the firm’s founder and executive director of business development, says the company has been doubling its revenue about every six months since 2009.
The staff is up to five people, including four at the South Side Innovation Center, where the firm now occupies about half the facility’s second floor. Kelley says Breakthrough will probably add another three people in 2013.
The firm’s average project size has grown from $1,000 to $8,000 to $10,000, says Miles Dudgeon, executive producer at Breakthrough. The work also includes a handful of much larger projects in the $18,000 to $20,000 range.
The company originally came to the South Side Innovation Center three years ago for assistance, Kelley says. The firm is now represented on the facility’s board of directors and serves as a consultant and mentor to the small businesses and entrepreneurs who come to the center for help.
“It gives us the opportunity to help out other organizations that need it,” Kelley says. “We’re more of a partner with the center now.”
The center is a project of Syracuse University’s Martin J. Whitman School of Management. It provides services including office space and equipment, intensive hands-on training and counseling, roundtables, networking, classroom courses, business plan development, and more.
Breakthrough’s roster of clients includes nonprofit entities and for-profit businesses of varying sizes. The firm says it has worked with 150 clients and has 60 live websites online now.
Kelley says the company focuses on organizations looking for high-end design but that want to be able to edit the content of their sites themselves. And although there is no shortage of Web-design firms, there are few that can deliver first-rate work at the same time they give their customers the ability to manage the sites on their own, he adds.
Breakthrough also focuses on outlining and delivering specific client goals through their sites.
“So if you just want a website, we’re probably not a good fit,” Kelley says.
But if a client has specific aims it wants to achieve through its site, Breakthrough can help, he adds. Those goals could include increasing a nonprofit group’s donor base or boosting a corporation’s reach in social media.
It’s important, Kelley says, to design with those goals in mind and then give clients the ability to track results as well.
Kelley says Breakthrough’s growth will probably begin to level off in the next few years. But the company is preparing to launch a new business in 2013 that has strong potential.
The business, built around a software project, involves a group of McDonald’s franchisees, Kelley says. The effort will involve some new hiring, he adds.
He declined to discuss details of the work since the business is not yet launched.
Contact Tampone at ktampone@cnybj.com
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Stay up-to-date on the companies, people and issues that impact businesses in Syracuse, Central New York and beyond.