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    Dr. Marcinko is originally from Loyola University MD, Temple University in Philadelphia and the Milton S. Hershey Medical Center in PA; as well as Oglethorpe University and Emory University in Georgia, the Atlanta Hospital & Medical Center; Kellogg-Keller Graduate School of Business and Management in Chicago, and the Aachen City University Hospital, Koln-Germany. He became one of the most innovative global thought leaders in medical business entrepreneurship today by leveraging and adding value with strategies to grow revenues and EBITDA while reducing non-essential expenditures and improving dated operational in-efficiencies.

    Professor David Marcinko was a board certified surgical fellow, hospital medical staff President, public and population health advocate, and Chief Executive & Education Officer with more than 425 published papers; 5,150 op-ed pieces and over 135+ domestic / international presentations to his credit; including the top ten [10] biggest drug, DME and pharmaceutical companies and financial services firms in the nation. He is also a best-selling Amazon author with 30 published academic text books in four languages [National Institute of Health, Library of Congress and Library of Medicine].

    Dr. David E. Marcinko is past Editor-in-Chief of the prestigious “Journal of Health Care Finance”, and a former Certified Financial Planner® who was named “Health Economist of the Year” in 2010. He is a Federal and State court approved expert witness featured in hundreds of peer reviewed medical, business, economics trade journals and publications [AMA, ADA, APMA, AAOS, Physicians Practice, Investment Advisor, Physician’s Money Digest and MD News] etc.

    Later, Dr. Marcinko was a vital recruited BOD member of several innovative companies like Physicians Nexus, First Global Financial Advisors and the Physician Services Group Inc; as well as mentor and coach for Deloitte-Touche and other start-up firms in Silicon Valley, CA.

    As a state licensed life, P&C and health insurance agent; and dual SEC registered investment advisor and representative, Marcinko was Founding Dean of the fiduciary and niche focused CERTIFIED MEDICAL PLANNER® chartered professional designation education program; as well as Chief Editor of the three print format HEALTH DICTIONARY SERIES® and online Wiki Project.

    Dr. David E. Marcinko’s professional memberships included: ASHE, AHIMA, ACHE, ACME, ACPE, MGMA, FMMA, FPA and HIMSS. He was a MSFT Beta tester, Google Scholar, “H” Index favorite and one of LinkedIn’s “Top Cited Voices”.

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How to Stop Winter Road Salt Vehicle Damage

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Act quickly to prevent rust and undercarriage damage

[By Dr. David Edward Marcinko MBA and Nalley Lexus, Roswell GA]

DEM blue tieEach year, physicians and all drivers face the same challenge in the aftermath of wintry weather: potential rusting and other vehicle damage due to the buildup of road salt, ice, and grime. And, this winter was particularly severe; even here in Georgia.

Salt Rage

Road salt serves an important function by actively melting snow and ice that may have formed on the surface of the highway in addition to preventing snow and ice from settling in the first place, improving traction for road users and helping to keep the traffic flowing more safely. The main disadvantage of road salt is that, if left unchecked, it can potentially cause damage to your car.

When road salt builds up on your vehicle, don’t wait to get your vehicle thoroughly cleaned as soon as possible, or use a professional cleaning and detailing service.

Prevention is key to avoid long-term damage

Many experts recommend applying a coat of protective wax, followed by a coat of wax sealant, before road salt buildup, since it is far more difficult to prevent damage to the car after the fact. These products help protect the paintwork from the corrosive effects of road salt.

But it’s not just the paintwork that requires protection. Your brake and fuel lines are very susceptible to damage from corrosion. Therefore, road salt cannot only have damaging aesthetic implications—it can have a significant impact on your vehicle’s safety as well.

Get salty deposits removed quickly

When you have been driving on salted roads, it is important to remove salt deposits as soon as possible. A simple car wash may not always be the most effective option. With professional detailing services though, you can count on getting a thorough cleaning which will help protect your vehicle against possible damage. Additional services like steam cleaning and undercarriage cleaning offer even more peace of mind.

Professional detailing services may be more affordable than you think, especially when you consider the long-term damage that can result if road salt is left unchecked. After the cleaning, we recommend getting your vehicle re-waxed and sealed to protect your vehicle against any future wintry conditions during the season.

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Assessment

Take a look at my 2000 Jaguar XJ-V8-L touring sedan above; pristine!

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The “Die-Brokers”

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Results of an HBSC Survey

By Rick Kahler CFP® http://www.KahlerFinancial.com

Rick Kahler CFP

In recent ME-P columns I reported on a survey done by the financial services company HBSC that found only 59% of US parents intend to leave their children an inheritance, the lowest of the 15 nations in the survey. The fact the US is last came as no surprise to me. What did surprise me was that 59% seemed high.

My Average Clients

My average client is someone who has saved over one million dollars. I am guessing that less than 2% of them have any intention or goal of constraining their current lifestyle in order to maximize their kids’ inheritance. Consuming their last penny of savings about the time they take that last breath is their spending plan of choice. There is even a name for these folks: “Die Brokers.”

If they did a good job of planning for retirement, however, most Die Brokers will leave something behind. Almost all of these I work with intend to divide what remains equally among their children. The point is that leaving an inheritance just isn’t a priority or a goal that constrains their current spending. As a side note, I rarely see any intention to leave any significant portion of their estate to charity.

The Survey

Why did the survey find such a high number of parents who intend on leaving their kids an inheritance, as compared to my observations that almost none intend to? My experience is that most people have a money script of, “Good parents should leave something to their children.” It is similar to another money script of, “Good parents should pay for their children’s college education.” These are seen as things “good” parents do. My hunch is that when most respondents answered the survey question, they let their money script do the talking, rather than their true intention.

The Explanation

Still, this does not explain why US parents intend to leave their children less than parents in any other country. One reason could be that more parents in other countries have money scripts that it’s necessary to leave their kids an inheritance.

One of the most common themes among my affluent clients is a desire to see their children “make it on their own.” Over 90 percent of these clients are first-generation wealth builders, meaning they didn’t inherit their money but accumulated it from saving, investing, or building a business. They value hard work and frugality and feel leaving a large inheritance to a child is more hurtful than helpful.

First Generation Millionaires

Many of these first-generation millionaires also feel accumulating wealth in the US is very attainable with hard work, discipline, and frugality. This is not the case worldwide. In many countries, it doesn’t matter how hard you work or how frugal you are, confiscatory taxes and oppressive regulations insure that those people not fortunate enough to be born into money will never have a chance to become affluent. The only way to have a comfortable net worth in many countries is to either inherit it or work for the government.

Sadly, the US is closer to adopting a model that makes accumulating wealth increasingly difficult. I can’t name a politician currently campaigning who advocates lowering income taxes on wealth builders. Yet I can name scores who are running on increasing taxes on “the rich.”

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Assessment

Affluent parents in the US may soon begin to feel that, without an inheritance, their children may never have the means to get ahead. If more US parents begin believing this, we will probably see increasing numbers intending to leave money to their kids. The money script of “Good parents should leave something to their children” might become the truth.

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Determining Intrinsic Stock Value Using the Dividend Discount Model

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What it is – How it works?

By Dr. David Edward Marcinko MBA CMP™

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DEMM high-def White

The Dividend Discount Model (DDM) is one of the most widely used valuation methods for estimating a stock’s intrinsic value.  A stock can be thought of as the right to receive future dividends. A stock’s intrinsic value is defined as the present value of its dividends under the DDM.

In its simplest form (i.e., zero-growth), the DDM determines a stock’s value by dividing the stock’s dividend by the investor’s required rate of return.  The investor’s required rate of return should reflect current interest rates plus the risk associated with investing in the stock.

Rate of Return

The rate of return determined under the CAP-M [Capital Asset Pricing Model] is frequently used in the DDM.

For example, assuming that ABC Corporation pays a $2.00 dividend per share and that an investor requires a 10 percent return for holding ABC stock, the stock’s intrinsic value is $20 ($2/0.10).

Shortcomings

Shortcomings of the zero growth DDM include the following:

  • The model assumes that the stock’s dividends will remain constant over time.
  • The model assumes that dividends are the only source of return available to stock investors, ignoring the effect of reinvested earnings.
  • The model can only be used to value stocks that pay dividends.
  • The model assumes that the company and the dividends last forever.

Despite its shortcomings, the DDM highlights the point that the stock market is discounting mechanism and that financial investments should be assessed in light of the future cash flows that they are expected to provide investors.

A Variation

One variation on the DDM that may be appealing to healthcare professionals involves determining the present value of a stock’s earnings rather than simply its dividends.

Theoretically, owning a stock entitles investors to a claim on the earnings that are left after accounting for the company’s costs (including interest costs).  A model accounting for a stock’s earnings rather than just dividends may help account for the capital appreciation element of owning stocks because a corporation can either invest its earnings back into the company to pursue growth opportunities or distribute the earnings to shareholders in the form of dividends.

Stock_Market

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Healthcare Business Trends of Greatest Impact for 2014

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Do Doctors RV?

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On Recreation Vehicles?

By Rick Kahler CFP® http://www.KahlerFinancial.com

Rick Kahler CFP“See new places!”

In my experience, the number-one activity most people look forward to when they retire from earning an income is travel. Seeing and experiencing the world has never been easier. True, air travel is rarely easy or pleasurable, and it can be expensive. Yet, with a little planning and work, travel can fit easily into many retirees’ budgets.

Affordable

The most affordable option is becoming a part-time or full-time RVer. While to me driving around the country in a motorhome or hauling a camper sounds like a lot of work, it’s very pleasurable for a lot of folks. There are no security lines, tour schedules to keep, or nights spent stranded in airports. You may not go fast, but you get to go where you want, when you want.

Options

RVing doesn’t mean you need to buy a motorhome as long or as pricy as a semi-trailer truck. It can be as simple as pulling a small camper/trailer or a fifth wheel. While you will need a heavier gas-guzzling vehicle than a Toyota Avalon to pull your rig, the costs can be significantly lower than staying in motels. This is the case even when you consider costs like auto insurance, depreciation, tires, maintenance, and camping fees. You can even minimize the camping fees as long as you’re okay with a view of the local Walmart’s parking lot.

A Lifestyle?

Judging from retirees I know, RVing can become a lifestyle very quickly. RVers develop networks and associations with other RVers to share experiences, costs, and information. Some of my clients enjoy the lifestyle so much they have actually sold their homes, preferring the RV as their primary residence.

This is when RVing can take financial efficiency to new levels. By not owning a home, you can take the money previously tied up in a personal asset and make it produce income.

Example:

Let’s illustrate with some numbers. It isn’t uncommon for couples in the Black Hills who are in their 50’s or 60’s to own a paid-for home worth $250,000. That amount, invested in passively-managed mutual funds diversified in five or more asset classes, reasonably produced an annualized return of 6% over the past 10, 20,or even 30 years. If you leave half this return to help keep up with inflation and withdraw the other half, you’ll have  about $625 a month in new income.

The good news is you don’t need a lot of money to retire to an RV lifestyle. The extra $625 a month from selling a home, combined with Social Security and a modest IRA, can go a long way. I know several RVers who do nicely on such income.

Economic Organization

Here’s how it might work for a typical couple. A total amount saved to IRA’s of $450,000, plus the proceeds from selling their home for $250,000, would produce income of $21,000 a year. Adding this to their combined Social Security income of around $30,000 a year would give them $51,000. That’s more than enough to enjoy modest but comfortable RV living.

An added benefit for residents of a state like South Dakota, which has no income tax but relatively high property tax, is a lower tax bill.

Road to Retirement

Assessment

Just one word of caution. Before you sell your house, make sure full-time RVing is right for you. Take a trial period of at least a year, renting out your home while you travel. Then, once you decide the roving lifestyle is what you want, you can cut your ties to terra firma and set out to enjoy the freedom of the open road.

Conclusion

So, do doctors and other medical professionals, RV? Really?

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Mastering the Business of Healthcare

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