PRIVATE COMPANIES: Raising Capital is Hard ~ No Very Tough!

Posted on October 12, 2023 by Dr. David Edward Marcinko MBA

By Staff Reporters

SPONSOR: http://www.MARCINKOAssociates.com

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The markets are down again and stocks continued their September slump with tech companies getting hit especially hard as investors fretted about another possible Fed rate hike because of data showing prices for manufacturing and services trending upward. It was a mixed bag for the meme stock faithful, with AMC hitting an all-time low after releasing a plan to sell new shares and GameStop rising after-hours thanks to better-than-expected sales last quarter.

MEME: https://medicalexecutivepost.com/2021/10/23/what-are-meme-stocks/

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This all may demonstrate that private companies looking to fund growth in this high-interest rate environment are facing a tough time raising capital amidst falling valuations, according to a new Deloitte survey.

The problem is particularly acute for smaller companies. Many of the companies challenged by capital raising saw themselves putting out the “For Sale” sign within the next six months, which could lead to an M&A boom later this year.

CITE: https://www.r2library.com/Resource/Title/0826102549

“The No. 1 largest factor that people saw as a challenge or a barrier was a decrease in valuations of their business,” Wolfe Tone, vice chair and US and Global Deloitte Private leader, told CFO Brew. “Clearly, increasing interest rates and pricing was closely behind that. Liquidity challenges not far behind that.”

Private companies have been looking to raise capital to fund a range of growth initiatives; meeting talent needs and expanding tech capabilities are at the top of the list, Tone said. Not far behind was “increasing productivity and improving cost structures.”

VC FUNDING: https://marcinkoassociates.com/fmv-appraisals/

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DAILY UPDATE: IPOs Favorable as Markets Rise

Posted on October 12, 2023 by Dr. David Edward Marcinko MBA

By Staff Reporters

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Resilient economic and earnings data, an expected end to Fed rate hikes, lower market volatility, and a broader recovery in the equity markets are favorable signs for IPO activity. With 8 of the 10 largest tech IPOs ever, the NYSE is ready when you are. Learn more.

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Here is where the major benchmarks ended:

The S&P 500 Index was up 18.71 points (0.4%) at 4,376.95; the Dow Jones Industrial Average (DJI) was up 65.57 points (0.2%) at 33,804.87; the NASDAQ Composite was up 96.83 points (0.7%) at 13,659.68.
The 10-year Treasury note yield (TNX) was down nearly 10 basis points at 4.558%.
CBOE’s Volatility Index (VIX) was down 0.93 at 16.10.

Real estate and utilities were among the market’s strongest sectors Wednesday, with the Dow Jones Utility Index (DJU) jumping more than 1% to a two-week high. Communication services and technology shares were also higher.

Energy stocks led sector decliners as crude oil futures fell more than 2%, pressured by reports Saudi Arabia will support efforts to stabilize oil markets to account for uncertainty caused by the fighting in Israel.

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BANKRUPTCY: e-Dental Records

Posted on October 12, 2023 by Dr. David Edward Marcinko MBA

By Darrell Pruitt DDS

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Even though the American Dental Association officially disagrees, if you haven’t adopted electronic dental records, now is not the time.

“Ransomware attack threatens to expose McLaren Health patient data” – Michigan Attorney General Dana Nessel notes: “This attack shows, once again, how susceptible our information infrastructure may be”. Organizations that handle our most personal data have a responsibility to implement safety measures that can withstand cyber-attacks and ensure that a patient’s private health information remains private.”

LINK: https://www.mlive.com/crime/2023/10/ransomware-attack-threatens-to-expose-mclaren-health-patient-data.html

I’d give it a few more years. Otherwise, your digital records could be the cause of your bankruptcy.

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Ransomware hits small businesses too

Business Tips from SCORE: Hackers focusing on small businesses. Here’s how to protect yourself, by Marc L. Goldberg for Cape Cod Times, October 8, 2023.

“Ransomware is the type of malware that has been on the rise over the last couple of years. After the ransomware infects the device, you’ll know right away. It encrypts files (or parts of the infrastructure) and displays the ransom message on the screen of the victim. Some strains can steal data making the organization vulnerable. Those that are most vulnerable gather and store lots of data — health care, insurance, banking and credit card providers.”

If a dental office is hacked, and it becomes known in the community that patients’ identities are appearing on the dark web, it is likely to cause bankruptcy.

LINK: https://www.capecodtimes.com/story/business/columns/2023/10/08/small-businesses-are-hacker-targets-heres-how-to-avoid-an-attack/71056009007/

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Costly problem. Cybersecurity is the ultimate risk factor: In 2023, the average cost of a data breach worldwide was $4.45 million, marking a 15% increase in the last three years, according to a 2023 IBM report.

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DAILY UPDATE: Birkenstock IPO, Bond Yields and the Markets

Posted on October 11, 2023 by Dr. David Edward Marcinko MBA

By Staff Reporters

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After months of speculation, Birkenstock made its first move to go public in September, sending its prospectus document to the U.S. Securities and Exchange Commission. In the filing, Birkenstock stated it would sell close to 32.26 million shares priced between $44 and $49 per ordinary share to raise about $1.58 billion for the company and its private equity owner L Catterton, which is backed by the French luxury fashion house LVMH. At the low end, the valuation would hover around $8.3 billion, and at the high end about $9.2 billion, according to the numbers revealed in the filing. The prospectus also stated that LVMH CEO Bernard Arnault’s family holding company Financière Agache is interested in buying up to $325 million in shares. Alexandre Arnault, Bernard’ son, will join Birkenstock’s board of directors after the offering. While no date has been confirmed for when the company will officially go public, Birkenstock’s debut on the stock exchange could come as soon as Wednesday, Oct. 11th, 2023.

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A sustained rise in long-term Treasury yields could be bringing the Federal Reserve’s historic rate hiking cycle to an anticlimactic end. Top central bank officials have signaled in recent days that they could be done raising short-term interest rates if long-term rates remain near their recent highs and inflation continues to cool.

CITE: https://www.r2library.com/Resource

Here is where the major benchmarks ended:

The S&P 500 Index was up 22.58 points (0.5%) at 4,358.24; the Dow Jones Industrial Average (DJI) was up 134.65 points (0.4%) at 33,739.30; the NASDAQ Composite was up 78.60 points (0.6%) at 13,562.84.
The 10-year Treasury note yield was down about 13 basis points at 4.653%.
CBOE’s Volatility Index (VIX) was down 0.66 at 17.04.

Shares of retailers, regional banks, and technology companies were among the market’s strongest performers Tuesday, with the Philadelphia Semiconductor Index (SOX) up more than 1% to a three-week high.

Small-caps also strengthened, with the Russell 2000 Index (RUT) up about 1.5%, outpacing their large-cap counterparts. WTI crude oil futures fell for the first day in three, while the U.S. dollar index (DXY) eroded for the fifth day in a row to touch its lowest level in more than a week.

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PODCAST: Build a Healthcare Sales Machine

Posted on October 11, 2023 by Dr. David Edward Marcinko MBA

By Eric Bricker MD

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WALGREENS: Pharmacists Walk-Off Job

Posted on October 10, 2023 by Dr. David Edward Marcinko MBA

By Staff Reporters

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Pharmacy employees at Walgreens across the country walked off the job yesterday, citing harsh working conditions created by undersized staff that leave them unable to safely fill prescriptions while meeting the demands of a busy vaccine season. The three-day walkout was organized entirely via social media, as the group lacks a centralized labor union like the WGA and UAW.

CITE: https://www.r2library.com/Resource

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DAILY UPDATE: Walgreen’s Downsizing, COVID-19 Threat and the Stock Markets

Posted on October 10, 2023 by Dr. David Edward Marcinko MBA

By Staff Reporters

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Walgreens’ corporate management have announced that they would be closing 150 of its nearly 9,000 stores in the United States by the end of August 2024 as profits have declined. In an earnings call the Chief Financial Officer James Kehoe said that earnings sunk from $289 million to $118 million from the year prior in the third quarter, CEO Rosalind Brewer said.

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Hospitalizations from COVID-19 pose a “continued public health threat”, particularly to those adults aged 65 and above. This is the warning of a study by researchers from the Centers for Disease Control and Prevention (CDC), which analyzed hospitalizations between January and August this year.

CITE: https://www.r2library.com/Resource

Markets: Investors will be focused on the outbreak of war in Israel and Gaza, which could lead to volatility in global stock markets and oil prices, depending on the escalation of the conflict. US oil futures jumped. Later in the week, the consumer price index report will give an update on the Fed’s fight against inflation.

Here is where the major benchmarks ended (the bond market was closed for Columbus Day):

The S&P 500 Index was up 27.16 points (0.6%) at 4,335.66; the Dow Jones Industrial Average (DJI) was up 197.07 points (0.6%) at 33,604.65; the NASDAQ Composite was up 52.90 points (0.4%) at 13,484.24.
CBOE’s Volatility Index (VIX) was up 0.25 at 17.70.

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CLINICAL DRUG TRIALS: Safer?

Posted on October 9, 2023 by Dr. David Edward Marcinko MBA

By Staff Reporters

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A new device could make drug trials safer

Northwestern University scientists have developed a smaller-than-a-shoebox contraption that can simulate how the human body reacts to various diseases or medications. This technology could be used as an additional fail-safe check in clinical trials between the animal and human testing stages. The device makes it easier for scientists to understand how diseases and drugs affect the body because it can simulate the effects of up to eight different organ tissue samples at once for as long as 28 days.

It’s a big step up from current drug-simulating lab systems, which can only accommodate two tissue cultures that don’t last for very long.

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STOCK AND BOND: Are the Financial Markets Open on Columbus Day?

Posted on October 9, 2023 by Dr. David Edward Marcinko MBA

By Staff Reporters

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Columbus Day, which is also celebrated as Indigenous Peoples’ Day in some communities, is today Monday, October 9th, 2023.

Here is everything you need to know about the New York Stock Exchange, NASDAQ and bond trading markets on Columbus Day 2023

Is the New York Stock Exchange open on Columbus Day 2023?

The New York Stock Exchange is open on Monday, Oct. 9, 2023.

Is NASDAQ open on Columbus Day 2023?

Nasdaq will also be open on Monday, Oct. 9, 2023.

Will bond markets be open on Columbus Day 2023?

Unlike stock markets, bond markets will remain closed on Monday, Oct. 9, 2023.

This is because the U.S. Treasury is an arm of the federal government, and the federal government is closed on Columbus Day.

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Our iMBA e-Book Sales and Service

Posted on October 9, 2023 by Dr. David Edward Marcinko MBA

The Institute of Medical Business Advisors is a leading national scope provider of healthcare economics, finance, investing, managerial accounting, policy, management and business administration education and medical practice management textbooks, reports, hand-books, dictionaries, journals, white-papers, fair-market valuations [FMV] and legal advisory opinions using multi-platform and traditional seminars and channels of knowledge distribution. iMBA helps the nation’s financial, healthcare and education professionals make decisive improvements in their direction and performance by empowering them through unbiased information, consultants and proprietary tools, books, templates and B-school styled case models.A virtuous “win-win” situation for all concerned.

Link: https://medicalexecutivepost.com/me-pr-a-new-feature/

The firm serves universities, medical, business, graduate and nursing schools; physicians, dentists, attorneys and legal societies – accountants, financial service providers, stock brokers, RIAs, wealth and hedge fund managers – emerging entities, hospitals, clinics, outpatient centers, CXOs and their BODs – the press, media and related academic entities.

Link: http://www.MarcinkoAssociates.com

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EDUCATION: Books

AT YOUR SERVICE

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DAILY UPDATE: Columbus / Indigenous Peoples’ Day – Postage Stamps – BlackRock’s ESG Loss – Grantham Predicts

Posted on October 9, 2023 by Dr. David Edward Marcinko MBA

By Staff Reporters

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Be alert and ready for the S&P 500 to crash by 50%, house prices to slide, and a recession to strike, Jeremy Grantham says.

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It has been a difficult couple of years for BlackRock, the world’s biggest money manager. The firm is still enormously profitable, though it has recently taken some big hits because of its promotion of ESG investments.

BlackRock ESG: https://www.blackrock.com/us/financial-professionals/investment-strategies/sustainable

More: https://medicalexecutivepost.com/2023/07/18/esg-investing-reversal-of-fortune/

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Under a new proposal from the Post Office, the cost of a First Class stamp would rise to $.68 from $.66. The price was increased from $.63 to $.66 in July. Last January, the price rose from $.60 to $.63. If the new plan is accepted, First Class mail prices will rise 13% over the period.

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DAILY UPDATE: CDC No Longer Issues/Prints Vaccination Cards and EIA Oil Prices

Posted on October 8, 2023 by Dr. David Edward Marcinko MBA

By Staff Reporters

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The Centers for Disease Control and Prevention will no longer print or issue COVID-19 vaccination cards, the agency said in guidance updated this week. The agency also said it does not maintain vaccination records. According to the CDC, your state health department immunization information system can provide you a digital or paper copy of your full vaccination record, including your COVID-19 vaccinations, but cannot issue you a new vaccination card.

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The more than 6 million-barrel weekly rise in U.S. gasoline supplies reported by the Energy Information Administration wasn’t just a surprise, but the strongest sign yet that prices for oil and its products have reached the breaking point for consumers.

CITE: https://www.r2library.com/Resource

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CAREER: Physician Coaching and Development

Posted on October 8, 2023 by Dr. David Edward Marcinko MBA

MARCINKO ASSOCIATES, Inc.

SPONSOR: http://www.MarcinkoAssociates.com

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Did you Know?

Experts estimate that it can cost more than $1 million to recruit and train a replacement for a doctor who leaves the profession because of burnout. But, as no broad calculation of burnout costs exists, Dr. Tait Shanafelt [Mayo Clinic researcher and Stanford Medicine’s first Chief Physician Wellness Officer] said Stanford, Harvard Business School, Mayo Clinic and the American Medical Association (AMA) are further cost estimating the issue. Nevertheless, Shanafelt and other researchers have shown that burnout erodes job performance, increases medical errors, and leads doctors to leave a profession they once loved.

CITE: https://www.r2library.com/Resource

Fortunately, we can help. From formal coaching to second career opinions, mentoring and advising, we can help with our remediation executive career programs. Regardless of what is happening in your life, it is wonderful to have a non-partial, confidential and informed career coach and sounding board on your side.

CITE: JAMA Internal Medicine [Effect of a Professional Coaching Intervention on the Well-Being and Distress of Physicians].

NCBI: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6686971/

THANK YOU

CONTACT US: https://marcinkoassociates.com/process-what-we-do/

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Society of Physician Entrepreneurs – About Us

Posted on October 8, 2023 by Dr. David Edward Marcinko MBA

By Dr. David Edward Marcinko MBA MEd CMP

SPONSOR: www.CertifiedMedicalPlanner.org

The Society of Physician Entrepreneurs (SoPE) was established as a community of interest in 2008 by several members of the American Academy of Otolaryngology – Head and Neck Surgery (AAO-HNS), including Dr. Arlen Meyers, the founding past President & CEO. SoPE became a separate and independent legal entity; incorporating in Washington, D.C. in January 2011. It is a 501 (c) 6 member organization with the stated purpose of providing support; idea stage through funding, for physician entrepreneurs with ideas on how to improve healthcare.

SoPE’s vision is to accelerate physician originated biomedical innovation.

The mission of SoPE is to foster scholarship in biomedical entrepreneurship and provide education, training and support; idea stage through funding, to primarily community-based physician entrepreneurs in the interest of better healthcare.

SoPE membership is open to all physicians and also accepts individuals as associate members; representatives of medical device, legal, venture capital, and other firms with an interest in serving and/or supporting physician entrepreneurs.

Website: www.sopenet.org

MORE: https://sopenet.org/wp/wp-content/uploads/2019/09/aug-2014.pdf

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DAILY UPDATE: Strong Stock Index at Week’s End

Posted on October 7, 2023 by Dr. David Edward Marcinko MBA

By Staff Reporters

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Here is where the major benchmarks ended this week:

The S&P 500 Index rose 50 points (1.2%) to 4,308.52 and gained 0.5% for the week; the Dow Jones Industrial Average (DJI) was up 288 points (0.87%) at 33,407.58 but was down 0.3% for the week; the NASDAQ Composite was up 211 points (1.6%) at 13,431.34 and gained 1.6% for the week.
The 10-year Treasury note yield was up eight basis points at 4.788%.
CBOEs Volatility Index (VIX) fell one point to 17.47.

Energy shares were among the market’s strongest sectors behind a rebound in crude oil futures, though oil prices still ended down more than 8% for the week. Technology and industrial stocks were also strong.

Small-caps joined the upswing as the Russell 2000 Index (RUT) gained over 1% Friday but still ended the week with a loss of nearly 2%.

CITE: https://www.r2library.com/Resource

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Citigroup, Moderna and A.I. Referee

Posted on October 6, 2023 by Dr. David Edward Marcinko MBA

By Staff Reporters

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Citigroup announced a major reorganization aimed at eliminating unnecessary management layers. It will involve layoffs, but the bank didn’t say how many.

Bank Types: https://marcinkoassociates.com/bank-types/

One day after the CDC recommended that everyone above six months old get the new Covid booster, Moderna stock shot up. But it was mostly because the company showed it’s got a future beyond the virus with encouraging flu-shot trial results.

Elon Musk called for a regulator to ensure that AI development proceeds safely following a closed-door meeting with US lawmakers that also included Alphabet CEO Sundar Pichai and Meta’s Mark Zuckerberg—which was probably an awkward run-in for Musk.

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NOT SECURE: e-Dental Records?

Posted on October 5, 2023 by Dr. David Edward Marcinko MBA

By Darrell Pruitt DDS

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Less than a week after the American Dental Association pushed dentists to adopt electronic dental records, Infosecurity Magazine announced “Record Numbers of Ransomware Victims Named on Leak Sites.”

So whom does the ADA protect? It’s not dentists and their patients.

READ: https://www.infosecurity-magazine.com/news/ransomware-victims-leak-sites/

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DAILY UPDATE: Just the Down Markets

Posted on October 5, 2023 by Dr. David Edward Marcinko MBA

By Staff Reporters

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Here is where the major benchmarks ended Thursday:

The S&P 500^® Index (SPX) was down 5.56 points (0.1.%) at 4,258.19; the Dow Jones Industrial Average (DJI) was down 9.98 points at 33,119.57; the ASDAQ Composite (COMP)was down 16.18 points (0.1%) at 13,219.83.
The 10-year Treasury note yield (TNX) was down about 2 basis points at 4.716%.
CBOE’s Volatility Index (VIX) was down 0.14 at 18.44.

Consumer staples and retail shares were among the market’s weakest sectors Thursday. Energy shares were also under pressure as WTI crude oil futures extended a sharp selloff, sinking more than 2% to a five-week low. Since topping $95 a week ago, oil futures have tumbled 13% amid concerns that global demand may slow.

Financial stocks were among the strongest performers, with the KBW Regional Banking Index (KRX) gaining more than 2%.

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CITE: https://www.r2library.com/Resource

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STRIKE: Kaiser Permanente Strikes

Posted on October 4, 2023 by Dr. David Edward Marcinko MBA

By Staff Reporters

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More than 75,000 workers employed by Kaiser Permanente, one of the largest nonprofit healthcare providers in the US, plan to walk off the job for three days—starting today.

Healthcare workers across the industry are experiencing challenges, which Kaiser acknowledged in response to the looming strike. According to a statement by the company, up to two-thirds of healthcare staff everywhere are burnt out. That’s exacerbated by the issues Kaiser employee unions say they’re striking over, including:

Acute staffing shortages: Short-staffing is a common problem in healthcare, but union members say that it has worsened between the pandemic and the Great Resignation—and patient safety is in danger.
Wage increases: The union wants what it describes as competitive compensation that accounts for the increased cost of living: a $25/hour wage floor and increases between 6.25% and 7% over the next four years.

Kaiser insists it pays a decent and denied claims of being short-staffed, saying it hired 22,000 people already this year.

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PODCAST: Medical Unions in Healthcare

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Physicians, hospitals, and emergency rooms will not be impacted, but some facilities will have reduced staff for nursing and support roles.

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OCTOBER 4th: National “Emergency Alert” Day

Posted on October 4, 2023 by Dr. David Edward Marcinko MBA

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On Wednesday at 11:20 am and 2:20 pm 2023, Eastern, most Americans will simultaneously feel their cellphones vibrate, hear them make a loud sound and see a push alert pop up on their screens. Most radio and television stations will broadcast an alert at the same time for about one minute.

It’s a test of the national emergency alert systems, which are designed to let the government reach hundreds of millions of people in the United States immediately if there is a disaster affecting the entire country. The Federal Emergency Management Agency and the Federal Communications Commission are conducting the coordinated test to see if the technology is working as designed and if any improvements are needed.

The sound is a unique tone that probably will interrupt classes and meetings, reveal the locations of hidden phones, and jar anyone not expecting it. The test itself is already leading to baseless conspiracy theories about how the powerful communication tool could be abused.

There is no national emergency, no reason to panic and nothing you need to do about the alerts.

It is, as the text will say, just a test.

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Become a Board CERTIFIED MEDICAL PLANNER™ and Thrive

Posted on October 4, 2023 by Dr. David Edward Marcinko MBA

Think Different – Be Different – Thrive

[By Ann Miller RN MHA]

Letterhead CMP

http://www.CertifiedMedicalPlanner.org

Dear Physician Focused Financial Advisors

Did you know that desperate doctors of all ages are turning to knowledgeable financial advisors and medical management consultants for help? Symbiotically too, generalist advisors are finding that the mutual need for knowledge and extreme niche synergy is obvious.

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But, there was no established curriculum or educational program; no corpus of knowledge or codifying terms-of-art; no academic gravitas or fiduciary accountability; and certainly no identifying professional designation that demonstrated integrated subject matter expertise for the increasingly unique healthcare focused financial advisory niche … Until Now!

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http://www.CertifiedMedicalPlanner.org

Enter the CMPs

“The informed voice of a new generation of fiduciary advisors for healthcare”

**[Think Different – Be Different – Thrive]**

InfoGraphic

http://e.infogr.am/enter_the_certified_medical_planner?src=embed

http://www.CertifiedMedicalPlanner.org

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So, if you are looking to supplement your knowledge, income and designations; and find other qualified professionals you may want to consider the CMP® program.

Enter the Certified Medical Planner™ charter professional designation. And, CMPs™ are FIDUCIARIES, 24/7.

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Speaker: If you need a moderator or speaker for an upcoming event, Dr. David E. Marcinko; MBA – Publisher-in-Chief of the Medical Executive-Post – is available for seminar or speaking engagements. Contact: MarcinkoAdvisors@msn.com

OUR OTHER PRINT BOOKS AND RELATED INFORMATION SOURCES:

PRACTICES: www.BusinessofMedicalPractice.com
HOSPITALS: http://www.crcpress.com/product/isbn/9781466558731
CLINICS: http://www.crcpress.com/product/isbn/9781439879900
ADVISORS: www.CertifiedMedicalPlanner.org
FINANCE: Financial Planning for Physicians and Advisors
INSURANCE: Risk Management and Insurance Strategies for Physicians and Advisors
Dictionary of Health Economics and Finance
Dictionary of Health Information Technology and Security
Dictionary of Health Insurance and Managed Care

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DAILY UPDATE: Medicare Drug Price Negotiations as the Markets DROP

Posted on October 4, 2023 by Dr. David Edward Marcinko MBA

By Staff Reporters

President Joe Biden announced yesterday that the manufacturers of all of the first 10 prescription drugs selected for Medicare’s first price negotiations have agreed to participate, clearing the way for talks that could lower their costs in coming years and give him a potential political win heading into next year’s election.

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Wall Street SANK Tuesday as it focuses on the downside of a surprisingly strong job market. The S&P 500 was 1.5% lower in late trading and nearly back to where it was in May. The Dow Jones Industrial Average was down 475 points, or 1.4%, at 32,957 and wiped out the last of its gains made for the year so far. The NASDAQ composite was leading the market lower with a 2% drop as Big Tech stocks were among the market’s biggest losers.

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The 16-year high on 10-year yields is probably the biggest factor weighing on equities. So, here is where the major benchmarks ended:

The S&P 500 Index was down 58.94 points (1.4%) at 4,229.45; the Dow Jones Industrial Average was down 430.97 points (1.3%) at 33,002.38; the NASDAQ Composite was down 248.31 points (1.9%) at 13,059.47.
The 10-year Treasury note yield was up about 11 basis points at 4.791%.
CBOE’s Volatility Index was up 2.17 at 19.78.

Energy shares were among the few gainers, as WTI crude oil futures rose for the first time in four sessions after dropping sharply from a 13-month high above $95 a barrel. The U.S. dollar index (DXY) strengthened for a third-straight day, touching its highest level since November, reflecting expectations that rates will remain high.

***

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2023 NOBEL PRIZE: MEDICINE Katalin Karikó and Drew Weissman PHYSICS Pierre Agostini, Ferenc Krausz and Anne L’Huillier

Posted on October 3, 2023 by Dr. David Edward Marcinko MBA

MEDICINE: By Staff Reporters

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Dr. Katalin Karikó and Drew Weissman MD PhD just received the Nobel Prize in medicine. Their study of mRNA led to the development of the Covid-19 vaccine.

Oiginally from Hungary, Kariko joined the University of Pennsylvania as a research assistant professor in 1989 to study mRNA. Her grant proposals were constantly rejected, while the rest of the scientific community was slow to catch on to her groundbreaking research. She was never paid more than $60,000 a year. And it was only through a chance encounter at the photocopier that she began to work with Weissman, currently the director of the Penn Institute for RNA Innovation.

The two made the discovery of a lifetime in 2005—that mRNA can be manipulated and injected into the body to activate an immune response. The major academic journals Science and Nature rejected their paper, which received little fanfare even after being published in a less prestigious journal.

So, in 2013, Karikó left Penn for a job at BioNTech where she still works today. And, of course, their breakthrough came in handy during the global pandemic.

Thanks largely to Karikó and Weissman, mRNA vaccine technology, Moderna and BioNTech are working on mRNA vaccines for RSV, HIV, Zika, malaria, shingles, flu, and cancer.

RSV Tests: https://medicalexecutivepost.com/2023/09/25/rsv-vaccine-cdc-oks-pfizer-maternal-shots/

DNA: Testing: https://wordpress.com/post/medicalexecutivepost.com/395273

DANGER: DNA Self-Testing: https://medicalexecutivepost.com/2021/04/25/the-potential-dangers-of-testing-your-own-dna/

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PHYSICS: By Staff Reporters

And, three scientists won the Nobel Prize in physics yesterday for their work on how electrons move around the atom during the tiniest fractions of seconds, a field that could one day lead to better electronics or disease diagnoses.

The award went to Pierre Agostini, Ferenc Krausz and Anne L’Huillier for their study of the tiny part of each atom that races around the center and that is fundamental to virtually everything: chemistry, physics, our bodies and our gadgets.

The movements of electrons inside atoms and molecules are so rapid that they are measured in attoseconds – an almost incomprehensibly short unit of time. “An attosecond is to one second as one second is to the age of the universe,” the committee explained.

“They were able to, in a sense, provide an illumination tool that allows us to watch the assembly of molecules: how things come together to make a molecule,” Bob Rosner, president of the American Physical Society and a professor at the University of Chicago, told CNN.

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DAILY UPDATE: Gasoline Prices, Nadella and the Markets

Posted on October 3, 2023 by Dr. David Edward Marcinko MBA

By Staff Reporters

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Thecost of oil continues on an upward trend, and Americans are seeing yet another increase in the average cost to fill up at the gasoline pump. The average cost across the nation is up twenty cents per gallon year-over-year, at around $3.88 as of yesterday’s data release.

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Microsoft CEO Satya Nadella said Monday that unfair tactics used by Google led to its dominance as a search engine, tactics that in turn have thwarted his company’s rival program, Bing.

Nadella testified in packed Washington, D.C., courtroom as part of the government’s landmark antitrust trial against Google’s parent company, Alphabet. The Justice Department alleges Google has abused the dominance of its ubiquitous search engine to throttle competition and innovation at the expense of consumers, allegations that echo a similar case brought against Microsoft in the late 1990s.

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Here is where the major benchmarks ended:

The S&P 500 Index^®(SPX) was up 0.34 point at 4,288.39; the Dow Jones Industrial Average was down 74.15 points (0.2%) at 33,433.35; the NASDAQ Composite (COMP) was up 88.45 points (0.7%) at 13,307.77.
The 10-year Treasury note yield was up about 12 basis points at 4.691%.
CBOE’s Volatility Index (VIX) was up 0.07 at 17.59.

Energy stocks were among the market’s weakest performers as crude oil futures dropped for a third-consecutive session to $90 a barrel. Financial shares were also lower, with the KBW Regional Bank Index (KRX) dropping more than 2% to a three-month low. Technology shares were among the few areas of strength.

The U.S. Dollar Index (DXY) strengthened to a 10-month high thanks to expectations that interest rates are likely to remain high for some time.

***

CITE: https://www.r2library.com/Resource

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What is GAAP?

Posted on October 3, 2023 by Dr. David Edward Marcinko MBA

HOW IT WORKS

By Dr. David E. Marcinko MBA CMP®

http://www.MarcinkoAssociates.com

SPONSOR: http://www.CertifiedMedicalPlanner.org

Generally Accepted Accounting Principles

As a new physician investor, it’s important to know the distinctions between like measurements because the market allows firms to advertise their numbers in ways not otherwise regulated. Often companies will publicize their numbers using either GAAP or non-GAAP measures. GAAP, or generally accepted accounting principles, outlines rules and conventions for reporting financial information. It is a means to standardize financial statements and ensure consistency in reporting.

When a company publicizes its earnings and includes non-GAAP figures, it means it wants to provide investors with an arguably more accurate depiction of the company’s health (for instance, by removing one-time items to smooth out earnings). However, the further a company deviates from GAAP standards, the more room is allocated for some creative accounting and manipulation.

When looking at a company that is publishing non-GAAP numbers, new physician investors should be wary of these pro forma statements, because they may differ greatly from what GAAP deems acceptable.

CITE: https://www.r2library.com/Resource/Title/0826102549

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The Core GAAP Principles

GAAP is set forth in 10 primary principles, as follows:

Principle of consistency: This principle ensures that consistent standards are followed in financial reporting from period to period.
Principle of permanent methods: Closely related to the previous principle is that of consistent procedures and practices being applied in accounting and financial reporting to allow comparison.
Principle of non-compensation: This principle states that all aspects of an organization’s performance, whether positive or negative, are to be reported. In other words, it should not compensate (offset) a debt with an asset.
Principle of prudence: All reporting of financial data is to be factual, reasonable, and not speculative.
Principle of regularity: This principle means that all accountants are to consistently abide by the GAAP.
Principle of sincerity: Accountants should perform and report with basic honesty and accuracy.
Principle of good faith: Similar to the previous principle, this principle asserts that anyone involved in financial reporting is expected to be acting honestly and in good faith.
Principle of materiality: All financial reporting should clearly disclose the organization’s genuine financial position.
Principle of continuity: This principle states that all asset valuations in financial reporting are based on the assumption that the business or other entity will continue to operate going forward.
Principle of periodicity: This principle refers to entities abiding by commonly accepted financial reporting periods, such as quarterly or annually.

Thank You

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FINANCE: https://www.amazon.com/Comprehensive-Financial-Planning-Strategies-Advisors/dp/1482240289/ref=sr_1_1?ie=UTF8&qid=1418580820&sr=8-1&keywords=david+marcinko

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HOSPITALS: https://www.amazon.com/Financial-Management-Strategies-Healthcare-Organizations/dp/1466558733/ref=sr_1_3?ie=UTF8&qid=1380743521&sr=8-3&keywords=david+marcinko

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MEDICARE ADVANTAGE PLANS: Part C Plans Down AS Cigna Pays Up?

Posted on October 3, 2023 by Dr. David Edward Marcinko MBA

Hospitals are Dropping Medicare Advantage [Part C] Plans – Left and Right

By Dr. David Edward Marcinko MBA

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Hospitals Say Bye-Bye?

Medicare Advantage provides health coverage to more than half of the nation’s seniors, but a growing number of hospitals and health systems nationwide are pushing back and dropping the private plans altogether. Among the most commonly cited reasons are excessive prior authorization denial rates and slow payments from insurers. Some systems have noted that most MA carriers have faced allegations of billing fraud from the federal government and are being probed by lawmakers over their high denial rates.

“It’s become a game of delay, deny and not pay,” Chris Van Gorder, president and CEO of San Diego-based Scripps Health, told Becker’s. “Providers are going to have to get out of full-risk capitation because it just doesn’t work — we’re the bottom of the food chain, and the food chain is not being fed.” Van Gorder said the health system is facing a loss of $75 million this year on the MA contracts, which will end December 31st for patients covered by UnitedHealthcare, Anthem Blue Cross, Blue Shield of California, Centene’s Health Net and a few more smaller carriers.

Source: Becker’s Hospital Review [9/27/23]

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Cigna to Pay $172M Over Alleged Medicare Advantage Fraud

The Cigna Group will pay $172.3 million to resolve allegations that it violated the False Claims Act by submitting incorrect Medicare Advantage patient data to CMS to receive higher payments from the agency. The U.S. Attorney’s Office for the Eastern District of Pennsylvania alleged Sept. 30 that Cigna also falsely certified that the submitted data was accurate, failed to withdraw the “untruthful” data, and did not repay CMS.

Cigna will use $135.3 million from the settlement to resolve the allegations from the Justice Department. The remaining $37 million will resolve allegations related to unsupported diagnoses for Medicare Advantage enrollees that received in-home services from Cigna. As part of the settlement, Cigna has entered into a five-year accountability and auditing agreement with HHS’ Office of Inspector General, which will require company executives and board members to certify Cigna’s compliance moving forward. The payer must also conduct annual risk assessments and submit to independent risk adjustment audits.

Source: Jakob Emerson, Becker’s Payer Issues [10/2/23]

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***

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What is EBITDA? It is Not GAAP

Posted on October 3, 2023 by Dr. David Edward Marcinko MBA

SPONSOR: http://www.MARCINKOASSOCIATES.com

Earnings before interest, taxes, depreciation, and amortization

A company’s earnings before interest, taxes, depreciation, and amortization is an accounting measure calculated using a company’s earnings, before interest expenses, taxes, depreciation, and amortization are subtracted, as a proxy for a company’s current operating profitability. Though often shown on an income statement, it is not considered part of the Generally Accepted Accounting Principles by the SEC.

Citation: https://www.r2library.com/Resource/Title/0826102549

EBITDA Formula | Calculator (Examples with Excel Template)

READ: https://www.investopedia.com/terms/e/ebitda.asp

Your thoughts and comments are appreciated.

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HOSPITALS: Price Discrepancies Exposed!

Posted on October 3, 2023 by Dr. David Edward Marcinko MBA

By Health Capital Consultants, LLC

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On September 18, 2023, the Journal of the American Medical Association (JAMA) published a study comparing online hospital pricing and pricing given over the telephone for shoppable hospital services. Hospitals in the U.S. are required to post pricing online for specified services, but it was unknown whether or not hospitals quoted the same prices to telephone callers as they posted online.

This Health Capital Topics article will discuss the topic of price discrepancy and the difficulties with cost comparison. (Read more…)

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What’s in a Medical Practice Professional Name?

Posted on October 2, 2023 by Dr. David Edward Marcinko MBA

NAMING YOUR MEDICAL PRACTICE

By Dr. David Edward Marcinko MBA CMP™

SPONSOR: http://www.MARCINKOASSOCIATES.com

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A medical practice name should be easy to say, hear, spell, and remember-unlike prescription drugs. It should be appealing and resonate with your target patient base. Here are some common naming methods for small to medical medical practices use.

We, and most experts, recommend against naming a new medical practice with your own name because it limits future growth and you may lose the benefits that a more descriptive name would bring. Your business name will likely be incorporated using your practice’s name, although larger (multi-specialty group) practices may use a more general name for the entire enterprise; and then having multiple “dba’s” (”Doing Business As”) for the individual practices under the umbrella.

It is important to discuss these options with an attorney if you believe this arrangement has advantage; others find it confusing. Usually, your medical specialty can be used as a base-name, and then some
descriptor to differentiate it from local competing practices. Selecting a name like “The Medical Allegiance Partners” does not indicate that medicine is your service. On the other hand, naming your practice “Dental Associates of Your Town” won’t be helpful to patients looking for you in the yellow pages, or internet search engines, and finding your practice listed just before “Your Town Dental Partners”. It is therefore good to be cognizant of your competitors’ names when choosing your own.

MORE: https://medicalexecutivepost.com/2022/12/07/how-to-name-your-new-medical-practice/

And, you should select a name that will hopefully grow with you into a larger enterprise.

For example: You are a solo doctor, but are pretty sure you’ll take on one or more partners in the future? Then besides not naming your practice after yourself, you may choose to add “Group” or “Partners” to your name initially even if you’re the only doctor.

Moreover, is there any possibility you’ll open a second office in another town? Naming your medical practice something like the ”Apple Street Internal Medicine Group” may not make sense when your second office is opened on Main Street in a nearby city, in a few years.

***

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DAILY UPDATE: The Markets, US Budget and Carmot Therapeutics Mulling IPO?

Posted on October 2, 2023 by Dr. David Edward Marcinko MBA

By Staff Reporters

The stock markets ended Q3 last week with a whimper despite new data showing that the Fed’s favorite CPI inflation measure cooled in August. September was the worst month of the year for the S&P 500 and the NASDAQ. But Blue Apron soared on the news that it’s being bought by Wonder Group, a food delivery startup helmed by a former Walmart exec.

CITE: https://www.r2library.com/Resource

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America’s debt today stands at $33 trillion, a figure some politicians, finance mavens and everyday citizens find astonishingly high.

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Carmot Therapeutics, which is developing drugs for diabetes and weight-loss, is reportedly mulling an IPO or possible sale to a large pharmaceutical company at a valuation of at least $1B. The biotech company has two injectable GLP-1 drug candidates in Phase 2 development for type 1 and type 2 diabetes, according to the company’s website.

Carmot enlisted JP Morgan and Bank of America as underwriters on an IPO, which could come as early as this year if market conditions are favorable. The company has also received “takeover interest” from large drug makers at a valuation of over $1B, according to a Bloomberg report. Carmot had a post-money valuation of $1.25B following a $150M funding round in May, Bloomberg added.

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NYSE: Game-On for IPOs

Posted on October 2, 2023 by Dr. David Edward Marcinko MBA

By Staff Reporters

SPONSOR: http://www.CERTIFIEDMEDICALPLANNER.org

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DEFINITION: An initial public offering (IPO) or stock launch is a public offering in which shares of a company are sold to institutional investors and usually also to retail (individual) investors An IPO is typically underwritten by one or more investment banks who also arrange for the shares to be listed on one or more stock exchanges. Through this process, colloquially known as floating, or going public, a privately held company is transformed into a public company. Initial public offerings can be used to raise new equity capital for companies, to monetize the investments of private shareholders such as company founders or private equity investors, and to enable easy trading of existing holdings or future capital raising by becoming publicly traded.

CITE: https://www.r2library.com/Resource

After the IPO, shares are traded freely in the open market at what is known as the free float. Stock exchanges stipulate a minimum free float both in absolute terms (the total value as determined by the share price multiplied by the number of shares sold to the public) and as a proportion of the total share capital (i.e., the number of shares sold to the public divided by the total shares outstanding). Although IPO offers many benefits, there are also significant costs involved, chiefly those associated with the process such as banking and legal fees, and the ongoing requirement to disclose important and sometimes sensitive information.

Cite: Wikipedia

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Now, the NYSE is the world’s largest stock exchange, and for good reason. From thrilling new entries into the public market to a relentless commitment to transformative tech, the NYSE is constantly upping their game.

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SEC: New Cyber-Security Regulations

Posted on October 1, 2023 by Dr. David Edward Marcinko MBA

By Staff Reporters

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The SEC’s new cybersecurity regulations went into effect last week. Most companies are “largely ready” to comply, Matt Gorham, senior managing director and leader of PwC’s Cyber & Privacy Innovation Institute, told CFO Brew, “but that doesn’t mean there isn’t work to do.”

As their companies’ finance leaders, CFOs are instrumental in determining whether a cybersecurity incident is material, but they have other roles to play as well. Gorham shared his advice for how CFOs can help their organizations comply with the new regs. Now, aAs a reminder, the regulations consist of what Gorham refers to as three “buckets.” Companies that file with the SEC are required to:

Declare any material cybersecurity incidents to the SEC on Item 1.05 of Form 8-K within four business days of determining materiality
Disclose information about their cyber risk management and strategy on a new section of the 10-K called Item 1C
Disclose information about their boards’ and management’s role in overseeing cybersecurity risk

The first two “buckets,” Gorham said, will likely require the most work to comply with.

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RETAIN A PHYSICIAN COACH: “From Chaos to Calm” in 2023?

Posted on October 1, 2023 by Dr. David Edward Marcinko MBA

By Ann Miller RN MHA

SPONSOR: http://www.MARCINKOASSOCIATES.com

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“FROM CHAOS-TO-CALM”

If you’re looking at this tab, chances are you are fed up, burned out, seeking better work-life balance, looking for a new non-clinical career, thinking of retirement, or all of the above. Perhaps you are just looking to regain the joy and meaning in your medical career.

No worries! You may have come to the right place.

LEARN MORE: https://medicalexecutivepost.com/2022/10/24/personal-coaching-dr-marcinko-at-your-service/

COACHING: Careers

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PODCAST: Hospital CEO Compensation

Posted on October 1, 2023 by Dr. David Edward Marcinko MBA

By Eric Bricker MD

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Filed under: "Doctors Only", Accounting, Career Development, Experts Invited, Health Economics, Health Insurance, Healthcare Finance, Industry Indignation Index | Tagged: CEO, CEO compensation, Eric Bricker MD, hospital CEO, hospital CEO compensation | Leave a comment »

DAILY UPDATE: Inflation CPI, Rain, the Shutdown and Torn “Threads”

Posted on October 1, 2023 by Dr. David Edward Marcinko MBA

By Staff Reporters

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CPI: Here’s a breakdown of how different aisles and departments rose over the past 12 months:

Cereals and bakery: increase 6%
Meats, poultry, fish, and eggs: unchanged
Remaining products (ranging from dairy to beverages): increase 0.3% to 4.8%
Food in general is up 4.3%
Food away from home: increase 6.8%
Used cars and trucks fell 1.2% year-over-year, but new cars and trucks rose 0.3%. Those may not seem like much, but a new car still costs an average of more than $48,000 — as of May 2023 only three models were available in the U.S. market for $20,000 or less.
Transportation similarly rose 10.3% over the same period but shelter, which rose 7.3%, “was the largest factor in the monthly increase in the index for all items less food and energy,” according to the August CPI.

CITE: https://www.r2library.com/Resource

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Not to put a damper on your Sunday morning (the relentless rain is already doing that to the North East USA), but the government still appears headed for a shutdown. Among the immediate impacts: Many federal employees will be furloughed, the IRS will stop picking up your calls, you won’t be able to get married in DC courts, and most national parks—and their social media handles—will go dark.

And even more rain as New York City was hit with its heaviest rain in decades, which flooded roads and subway stations and delayed air travel. Both the mayor and New York’s governor declared states of emergency as images of the waterlogged city filled social media.

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It appears that Mark Zuckerberg’s new “Threads” social media platform is struggling with a massive decline. The social media platform called “Threads” was launched by Facebook (now called Meta). The platform is essentially a clone of Elon Musk’s Twitter, which is now called X. Threads struggling to maintain momentum and gain new users.

Among major social platforms, Threads is reportedly only ahead of Tumblr in the race for user acquisition. Forecasts by Insider Intelligence predict a U.S. user base of 23.7 million for Threads in 2023. The company reportedly anticipated 56.1 million U.S. users. In comparison, X has roughly 528.3 million monthly users.

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Be alert and ready for the S&P 500 to crash by 50%, house prices to slide, and a recession to strike, Jeremy Grantham says.

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Think Different – Be Different – Thrive

[Think Different – Be Different – Thrive]

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Generally Accepted Accounting Principles

The Core GAAP Principles

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