What is a Financial CDO and CMO?

Posted on May 18, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

Collateralized Debt Obligations

versus

COLLATERALIZED MORTGAGE OBLIGATIONS

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BY DR. DAVID E. MARCINKO MBA CMP®

SPONSOR: http://www.CertifiedMedicalPlanner.org

A collateralized debt obligation (CDO) is a type of structured asset-backed security (ABS). Originally developed as instruments for the corporate debt markets, after 2002 CDOs became vehicles for refinancing mortgage-backed securities (MBS).

Like other private label securities backed by assets, a CDO can be thought of as a promise to pay investors in a prescribed sequence, based on the cash flow the CDO collects from the pool of bonds or other assets it owns. Distinctively, CDO credit risk is typically assessed based on a probability of default (PD) derived from ratings on those bonds or assets.

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Collateralized Debt Obligation (CDO) - Assignment Point

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Collateralized Mortgage Obligation

A CMO is a debt security backed by mortgages. These mortgage pools are usually separated into different maturity classes called tranches (from the French word for “slice”). The securities were issued by private issuers, as well as the Federal Home Loan Mortgage Corporation (Freddie Mac). As the mortgages were usually government-guaranteed, CMOs usually carried AAA ratings until their current financial meltdown. The early versions of CMOs were known as “plain vanilla,” but recent developments gave us PACs (planned amortization certificates) and TACs (targeted amortization certificates); among too many others. They were all variations on how principal repayments in advance of maturity date were treated.

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CMO vs CDO | What is the difference between them? - Fintelligents

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DAILY UPDATE: Holmes to Prison as Major Financial Benchmarks Rise!

Posted on May 18, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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Elizabeth Holmes has been ordered to report to prison on May 30th after an appeals court denied her bid to stay out of jail while she challenges her conviction for defrauding Theranos’s investors.

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Here is where the major benchmarks ended yesterday:

The S&P 500^® Index was up 48.87 points (1.2%) at 4158.77; the Dow Jones industrial average was up 408.63 (1.2%) at 33,420.77; the NASDAQ Composite was up 157.51 (1.3%) at 12,500.57.
The 10-year Treasury yield was up about 3 basis point at 3.577%.
CBOE’s Volatility Index was down 1.11 at 16.88.

Financials were among the strongest performers, with the KBW Regional Banking index soaring over 7%. Semiconductors also climbed and oilfield services companies gained as crude oil futures surged nearly 3%. Utility stocks were among the laggards.

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VICE MEDIA: Over and Out

Posted on May 16, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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Vice Media filed for bankruptcy

The company, which was valued at $5.7 billion in 2017, filed for Chapter 11 bankruptcy protection yesterday and plans to sell itself to a group of creditors for $225 million. It’s the latest in a string of digital media companies to stumble recently after advertising revenue became harder to come by.

Vice’s filing also made it one of seven large companies to head to bankruptcy court in a 48-hour period—the largest number of filings during a two-day period since 2008, according to Bloomberg.

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CORPORATE EARNINGS: Review

Posted on May 16, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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Earnings roundup

The following companies are in the earnings pipeline this week:

Home Depot is due to release its results for its last fiscal quarter before the market opens Tuesday. Analysts expect the home-improvement chain to report earnings of $3.81 per share, down from $4.09 during the same quarter a year earlier, according to Zacks Investment Research. Home improvement businesses benefited from increased spending on renovations during the pandemic but have struggled as inflation picked up. Home Depot’s shares were down about 0.9% Monday.
Target will follow Wednesday, with analysts predicting the big box retailer will report earnings of $1.75 per share, down from $2.19 the year before. Again, investors will be looking to see how Target has dealt with inflation and recession-wary shoppers. Its shares were up more than 1.3%.
Walmart wraps up big-retailer week Thursday. Analysts expect the retailer to report earnings of $1.31 per share, a slight improvement from $1.3 a year earlier. Its shares were down about 0.8%.
Cisco Systems (CSCO) will report results for the fiscal quarter ended in April on Wednesday. Analysts expect the software company to report earnings of $0.87 per share, up from $0.78 a year before.
Two major Chinese tech companies will also report results this week, with Baidu (BIDU) going first before market open Tuesday and Alibaba (BABA) following Thursday.

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DAILY UPDATE: Activision Blizzard and Stock Market Benchmarks

Posted on May 16, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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The executive branch of the European Union said Monday that Microsoft has offered enough remedies to address antitrust concerns, paving the way for the proposed $69 billion acquisition of gaming giant Activision Blizzard. The acquisition was opposed by rival game developer and PlayStation console maker Sony over fears it would see Microsoft’s Xbox platform push it out of the market. Market regulators globally, meanwhile, expressed concern over whether Microsoft would come to dominate the cloud-gaming market through the acquisition. On Monday, however, the European Commission, the executive arm of the EU, said Microsoft had done enough to allay concerns on cloud gaming specifically to warrant a positive decision on the merger.

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Here is where the major benchmarks ended [yesterday] Monday:

The S&P 500 Index was up 12.20 points (0.30%) at 4,136.28; the Dow Jones Industrial Average was up 47.98 (0.14%) at 33,348.60; the NASDAQ Composite was up 80.47 (0.66%) at 12,365.21.
The 10-year Treasury yield was up 3 basis points at 3.50%.
CBOE’s Volatility Index was up 17 basis points at 17.20.

Financial companies were among the leaders Monday, with regional lenders Citizens Bank (CFG), PacWest Bancorp (PACW), Western Alliance (WAL), and Zions Bancorporation (ZION) all bouncing higher after a punishing stretch for the banks last week. The materials and technology sectors were also up, while utilities and real estate lagged.

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CALM: US Equity NASDAQ Traders

Posted on May 15, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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Markets: Despite the risk of the US defaulting on its debts next month, equity traders have kept calm and carried on, sending the NASDAQ to a weekly gain last week. But over in the bond market, investors are sweating. The cost of credit-default swaps, which act as insurance against a default, is higher in the US than in emerging markets like Mexico and Brazil.
Stock spotlight: This stat about the stock market’s concentration is wild…Apple’s market cap is now greater than the value of every company in the Russell 2000 small-cap index combined.

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DAILY UPDATE: Workplace Productivity Down

Posted on May 15, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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The US is experiencing the biggest decline in worker productivity since 1948, according to research from EY-Parthenon, and many executives have been quick to single out remote work as the main culprit.

This is what they cite to prove their point.:

A study published in Nature Human Behaviour found that working remotely made Microsoft’s remote workers miss important learning opportunities by not rubbing elbows with coworkers who aren’t part of their immediate team.
More recent research showed that interacting through a screen can make workers less likely to generate ideas. That’s a problem for tech companies needing to out-innovate the competition.

For many industry leaders, accessing a wider talent pool outside of traditional tech hubs isn’t enough to make up for those drawbacks. And as widespread labor shortages subside and layoffs sweep through Silicon Valley, companies are no longer in a perk war to recruit and retain the brightest minds.

Finally, the Big Tech office pushed mirrors broader thru white-collar labor market dynamics; according to Morning Brew. In December, 13% of LinkedIn postings were for remote jobs, compared to 20% nine months prior.

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DAILY UPDATE: Consumer Discretionary Stocks as Philip Jefferson Opines

Posted on May 13, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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Here is where the major benchmarks ended this week:

The S&P 500 Index was down 6.54 points (0.2%) at 4124.08; the Dow Jones industrial average was down 8.89 at 33,300.62; the NASDAQ Composite was down 43.76 (0.4%) at 12,284.74.
The 10-year Treasury yield was up about 7 basis points at 3.464%.
CBOE’s Volatility Index was up 0.10 at 17.03.

Consumer Discretionary Socks led the declines Friday among S&P 500 sectors, with financials and energy shares also weaker. Worries over the potential for more trouble in the banking sector helped send the KBW Regional Bank Index to its lowest close since late 2020. Utilities and Consumer Staples were among the stronger performers.

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Jerome Powell May Get a New No. 2. President Biden said yesterday that he would nominate economist Philip Jefferson, who is already on the Fed’s board, to become second-in-command at the central bank, replacing Lael Brainard. He also plans to nominate the current US rep to the World Bank, Adriana Kugler, to an empty board seat. She would be the Fed’s first Latina governor. If confirmed by the Senate, the pair will jump into their new roles as the Fed continues to try to curb inflation without tipping the economy into a recession.

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DAILY UPDATE: Stock Market Earnings Season

Posted on May 12, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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Here is where the major benchmarks ended:

The S&P 500^® Index was down 7.02 points (0.2%) 4130.62; the Dow Jones industrial average was down 221.82 (0.7%) at 33,309.51; the NASDAQ Composite was up 22.06 (0.2%) at 12,328.51.
The 10-year Treasury yield was down about 5 basis points at 3.382%.
CBOE’s Volatility Index was down 0.03 at 16.91.

Financial companies were among the weakest performers Thursday, with the KBW Regional Bank Index dropping for a fourth straight day and ending near a 2½-year low. Energy shares were also under pressure with crude oil futures down more than 1%. Consumer Staples and Consumer Discretionary were among the few sectors posting gains. The U.S. dollar index jumped to its highest level in over a week.

Earnings roundup

The following companies reported results over the past day or had large, news-driven stock price moves:

Disney reported earnings of 93 cents per share, which met expectations, and better-than-expected revenue of $21.82 billion, but the drop in streaming subscribers alarmed investors. Subscriptions for the Disney+ streaming service totaled 157.8 million, down 2% from the end of 2022 and below expectations of closer to 163.2 million. This decline overshadowed a 17% jump in revenue from Disney parks. The company’s shares fell more than 8% to near a two-month low.
Alphabet (GOOGL) shares rose over 4% after the Google parent introduced several new artificial intelligence-driven tools at a developers’ conference, according to reports.
Beyond Meat (BYND) reported an expected net quarterly loss of 92 cents per share, an improvement from the $1.58 per share loss a year earlier. But shares of the plant-based meat producer were down about 18% after the company also said it would sell up to $200 million of common stock.
Peloton (PTON) shares fell more than 8% following reports the U.S. Consumer Product Safety Commission said it was recalling more than 2 million bikes over concerns about seat breakages and related injuries. Peloton will offer free, updated seat posts to anyone using the recalled model.
Robinhood (HOOD) reported a net loss of 45 cents per share, better than Wall Street expectations for a loss of about 61 cents per share, as well as stronger than expected revenue. Monthly active users rose 3.5% compared to the previous quarter, to 11.8 million. Shares of the broker rose more than 6%.
Trade Desk (TTD)reported net earnings 2 cents per share, compared with a loss of 3 cents per share a year earlier and above Wall Street expectations. Shares ofthe advertising technology company were down more than 1%.

Earnings reports taper off Friday, with a little over 100 companies expected to report, according to Nasdaq. Next week will also be relatively earnings-light, though several major retailers, including Target Corp. (TGT) on May 17 and Wal-Mart Inc. (WMT) on May 18, are on tap to announce results. Kohl’s Corp. (KSS) is scheduled to report results May 24.

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The CPI Report and Inflation

Posted on May 11, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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Stocks were a mixed bag yesterday after the consumer price index showed prices rose 4.9% last month, marking the 10th month in a row of cooling inflation and the first time inflation has dipped below 5% in two years. That’s still higher than the Fed’s 2% target, but it leaves space for Jerome Powell to chill out a bit. Tech stocks got a boost from that news, especially Google’s parent, Alphabet, which also benefited from rolling out its new AI.

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What drove the markets?

Economists polled by the Wall Street Journal had forecast the CPI increasing 0.4% and advancing 5.0% over the past year. The core inflation rate rose 0.4% in April for the second straight month, in line with economists forecasts. For the year, the core inflation rate, excluding food and energy prices, increased 5.5% down from a 5.6% rise in March.

“The below 5% headline CPI number is a sigh of relief to a market on edge,” said Alexandra Wilson-Elizondo, co-head of portfolio management for multi asset solutions at Goldman Sachs Asset Management.

Traders hoped that the lower-than-expected inflation data may leave room for the U.S. central bank to refrain from raising interest rates further at its June meeting.

“The data today will be interpreted as not hot enough to force the Fed’s hand in June … We do not think this one data point will determine the outcome of the June FOMC meeting because we still have a string of economic data to process between now and then,” wrote Wilson-Elizondo.

“The details of the print suggest that we are still a meaningful distance from the Fed’s 2% target, giving little reason for the Fed to cut this year.”

Investors priced in the Federal Reserve beginning to trim borrowing costs in coming months, a hope that is seen underpinning stocks of late and helping the S&P 500 index move towards the top of the 3,800 to 4,200 range its has held all year.

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DAILY UPDATE: Inflation, Public Health and the Markets

Posted on May 11, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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Because the inflation data came in roughly as expected, Wall Street sees the door still open for the Federal Reserve to leave interest rates alone at its next meeting in June. That would be the first time it hasn’t raised rates at a meeting in more than a year, and a pause would offer some breathing room for the economy and financial markets.

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Today is the last day of the US Covid-19 public health emergency, which has been in place since Jan. 31st, 2020. With it comes the end of certain Covid-era rules, though some telehealth protections have been extended through the end of 2024. Here’s to all the medical professionals who got us through, and a remembrance for the millions who lost their lives to Covid.

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Brightline, a California-based mental health startup, laid off 20% of its staff this week following a data breach.
North Carolina is the latest state to consider changes to the prior authorization process that advocates say delays care.
A board member at Geisinger claims that consolidation prompted the healthcare provider to sell to Kaiser Permanente.
Texas Gov. Greg Abbott said the state should address mental health issues in the wake of a shopping mall mass shooting, but did not call for gun control reform.

Pharma companies lean on AI for better innovation, efficiency AstraZeneca has big R&D goals to mitigate future declines in Covid-related sales Say goodbye to trypanophobia—this biotech is trying to turn injectable drugs into pills

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Finally, here is where the major benchmarks ended yesterday:

The S&P 500 Index was up 18.47 points (0.5%) at 4137.64; the Dow Jones industrial average was down 30.48 (0.1%) at 33,531.33; the NASDAQ Composite was up 126.89 (1.0%) at 12,306.44.
The 10-year Treasury yield was down about 8 basis points at 3.441%.
CBOE’s Volatility Index was down 0.80 at 16.91.

Oilfield services providers and other energy companies were among the laggards Wednesday, pressured by a more-than 1% drop in WTI crude oil futures.

Financial sector stocks struggling to escape the effects of the bank volatility earlier this spring helped push the KWB Regional Bank Index back near a 2½-year low reached last week.

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DAILY UPDATE: Intel and the Markets

Posted on May 10, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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Intel last month reported its largest quarterly loss in company history amid a slump in personal computer sales. First-quarter net loss was $2.8 billion and revenue was down 36% year-over-year. Despite the loss, the company paid out $1.5 billion in dividends.

Here is where the major indexes ended up:

The S&P 500^® Index was down 18.95 points (0.5%) 4119.17; the Dow Jones industrial average was down 56.88 (0.2%) at 33,561.81; the NASDAQ Composite was down 77.36 (0.6%) at 12,179.55.
The 10-year Treasury yield was up about 1 basis point at 3.53%.
CBOE’s Volatility Index was up 0.66 at 17.64.

Semiconductor stocks and other technology shares were among the weakest performers Tuesday, with materials and health care also slightly lower.

Energy companies including oil field services providers were among the strongest, as WTI crude oil futures rose for a fourth consecutive day to their highest level since May 1st.

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Stocks, Musk, Goldman Sachs and Intel

Posted on May 9, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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Stocks mostly held steady yesterday as everyone waits for April’s inflation data to drop tomorrow. Regional banks saw some movement as PacWest cut its dividend, then teetered up and down throughout the day. But Six Flags theme park operator shot straight up after reporting record revenue for the last quarter thanks to higher ticket prices.
Elon Musk warned that Twitter follower counts may drop as the platform removes inactive accounts.
Goldman Sachs has agreed to pay $215 million to settle a long-running class-action lawsuit accusing the investment bank of underpaying women. Elon Musk warned that Twitter follower counts may drop as the platform removes inactive accounts.
Intel continues to rattle the tech industry by confirming that it plans to cut its workforce to reduce costs. The company declined to share how many workers would be affected but said the layoffs would take place across the company.

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Musings on a Famous Portfolio Asset Allocation Study

Posted on May 9, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

Some Critics Claim Brinson, Hood, and Beebower Conclusions Wrong

[By Dr. David Edward Marcinko MBA CMP™]

http://www.CertifiedMedicalPlanner.org

[Publisher-in-Chief]

Frequently, we hear the axiom that asset allocation is the most important investment decision, explaining 93.6% of portfolio returns. The presumption has been that once the risk tolerance and time horizon have been established, investing is simply a matter of implementing a fixed mix of stocks, bonds, and cash using mutual funds selected for this purpose. This axiom is based on a famous study by Brinson, Hood, and Beebower (BHB) published in the Financial Analysts Journal in July/August 1986. It is the stuff of most modern business school and graduate students in economics and finance.

Enter the Critics

One critic claims that BHB’s conclusions and the interpretation of their conclusions are wrong, stating that because of several methodological problems, BHB needed to make certain assumptions for their analysis to go forward. They assumed that the average asset-class weights for the 10-year period studied are the same as the actual normal policy weights; that investments in foreign stocks, real estate, private placements, and venture capital can be proxied by a mix of stocks, bonds, and cash; and that the benchmarks for stocks, bonds, and cash against which fund performance was measured are appropriate. The author believes that each of these assumptions can lead to a faulty measurement of success or failure at market timing and stock selection.

The Jahnke Study

William Jahnke claims that BHB erred in their focus on explaining the variation of quarterly portfolio returns rather than portfolio returns over the 10-year period studied. According to the study, asset allocation policy explains only a small fraction of the range of 10-year portfolio returns earned by the pension funds reported in the study. The author concluded that this discrepancy is caused by the effect of compounding returns. He adds that BHB were wrong to use variance of quarterly returns rather than the standard deviation. Use of standard deviation would reduce the often cited 93.6% to about 79%. Moreover, BHB did not consider the cost of investing, such as operating expenses, management fees, brokerage commissions, and other trading costs, which are more significant for individual investors than for the pension plans studied. Jahnke claims that excessive costs can reduce wealth accumulation by 50%.

Note: (“The Asset Allocation Hoax,” William W. Jahnke, Journal of Financial Planning, February 1997, Institute of Certified Financial Planners [303] 759-4900).

Assessment

Finally, the author takes issue with establishing long-term fixed asset class weights. Asset allocation should be a dynamic process. Higher equity return expectations should in turn produce larger equity allocations, other things being equal.

Conclusion

Are doctors different than the average investor noted in this essay?

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DAILY UPDATE: National Nurses Week and the Markets Today

Posted on May 9, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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It’s National Nurses Week and National Student Nurses Day. We at the ME-P salute all the nurses (and future nurses) who read and inform our stories, and all of those who’ve been on the front-lines of the pandemic. We hope you take some time to kick back or at least slip into some comfortable shoes.

MORE: https://www.amnhealthcare.com/amn-insights/nursing/surveys/2023/

-Dr. David Edward Marcinko MBA

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Here’s where the major indexes ended:

The S&P 500^® Index was up 1.87 points at 4138.12; the Dow Jones industrial average was down 55.69 (0.2%) at 33,618.69; the NASDAQ Composite was up 21.50 (0.2%) at 12,256.92.
The 10-year Treasury yield was up about 7 basis points at 3.515%.
CBOEs Volatility Index was down 0.2 at 16.99.

Among S&P 500 sectors, financial and energy companies were top gainers, with the latter getting some help from a more than 2% rally in WTI crude oil futures.

Transportation, utility and industrial stocks were among the weakest performers, and the Russell 2000 was down about 0.3%, reflecting continued weakness in small-caps.

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ORDER: https://www.routledge.com/Risk-Management-Liability-Insurance-and-Asset-Protection-Strategies-for/Marcinko-Hetico/p/book/9781498725989

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DAILY UPDATE: The Markets, Buffett and COVID

Posted on May 8, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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The S&P 500 and the Dow are coming off their worst weeks since March. And even with the Fed signaling the end of interest rate hikes, analysts don’t expect the market to perk up all of a sudden. Goldman Sachs, Bank of America, and Morgan Stanley predict the S&P will end the year lower than its current level. US oil prices, meanwhile, have fallen for three consecutive weeks over economic concerns.

***

We mentioned the annual “Woodstock for Capitalists” meeting last week on this ME-P. Here are the highlights.

On the regional banking crisis: W. Buffett bashed leaders at the banks that failed this spring (First Republic, SVB, etc.), saying they “should suffer” and face “punishment.” But he also blamed the “totally crazy” bank regulations that incentivize bad behavior and “very poor” messaging around the debacle from politicians and the media. Buffett thinks the government was right to intervene to protect SVB depositors, claiming, “It would have been catastrophic” otherwise.

On the status of the dollar: “We are the reserve currency. I see no option for any other currency to be the reserve currency,” Buffett said. He called the notion of bitcoin or other tokens dethroning the dollar a “joke.”

On Berkshire’s investment in Apple: The value of Berkshire’s stake in Apple has ballooned to $151 billion, amounting to nearly half the value of its entire stock portfolio. “It just happens to be a better business than any we own,” Buffett said.

***

US ends Covid-19 public health emergency: Like Title 42, the US public health emergency for Covid-19 will end on this Thursday. That may limit access to testing for millions of Americans, but it won’t affect the availability of treatments and vaccines.

***

ORDER: https://www.routledge.com/Comprehensive-Financial-Planning-Strategies-for-Doctors-and-Advisors-Best/Marcinko-Hetico/p/book/9781482240283

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DAILY UPDATE: US Debt Ceiling

Posted on May 7, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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Treasury Secretary Janet Yellen warned this week that the government could run out of cash to cover its expenses as early as June 1st. Congress can avert the looming economic catastrophe by authorizing more government borrowing so the US can keep paying its bills and avoid an unprecedented default on its financial obligations.

CITE: https://www.r2library.com/Resource/Title/082610254

But with the deadline just weeks away, lawmakers are locked in a game of chicken.

Republicans in Congress say they won’t increase the debt limit without budget cuts. Last month, the GOP-controlled House passed a bill that would lift the borrowing cap and slash government spending by around $3.2 trillion over 10 years.
But that bill is DOA in the Democrat-led Senate. Democrats insist the debt limit should be raised with no strings attached.

If the US does run out of money…look out. The Treasury would have a range of extremely bad to absolutely terrible belt-tightening options, including delaying payments to federal contractors and Social Security recipients, all to avoid falling behind on interest payments for Treasury bonds.

***

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Whatever Happened to the Invisible Hand of Capitalism?

Posted on May 6, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

The Invisible Hand of Capitalism?

By Vitaliy Katsenelson CFA

Just as the well-meaning economist of the Soviet Union didn’t know the correct price of sugar, nor do the good-intentioned economists of our global central banks know where interest rates should be.

***

Assessment

Even more important, they can’t predict the consequences of their actions.

Here’s why?

http://contrarianedge.com/2016/03/16/whatever-happened-to-the-invisible-hand-of-capitalism/

Conclusion

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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WOODSTOCK for Capitalists

Posted on May 6, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

ANNUAL MEETING TODAY

By Staff Reporters

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“Woodstock for Capitalists” is happening today

Warren Buffett will preside over Berkshire Hathaway’s 59th annual shareholders meeting today—an event expected to draw a large crowd to Omaha, Nebraska. Everyone will be watching to see what Buffett has to say about the economy, the state of the banking sector, his big bet on Apple, and his struggling “favorite child,”

Geico. Shareholders will also vote on six proposals on climate change, political advocacy, and the firm’s leadership, all of which Buffett opposes.

Agenda: https://www.good-investing.net/event/berkshire-hathaway-annual-shareholders-meeting-2023/#:~:text=The%20Berkshire%20Hathaway%20Annual%20Shareholders%20Meeting%202023%20takes,Shareholder%20Meeting%202023%2C%20including%20the%20Exhibition%20Hall%2C%20open.

***

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e-BOOKS: For Doctors, Financial Advisors, CPAs, Insurance Agents, Medical Consultants and Health Law Attorneys

Posted on May 6, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Ann Miller RN MHA CMP™

INTRODUCING OUR NEXT GENERATION e-BOOK LIBRARY FROM iMBA, Inc.

An e-book is an electronic or digital book that can be read on a computer or a handheld device.

Our new e-books consists of text, images, and are fixed to a specific spot on the page.

And, our e-books are a data files similar in content and structure to a word-processing document that comes in a PDF format. To use our e-books, you need to purchase and download it to a device that has a .pdf file reader app, such as ADOBE® or similar on a smartphone, tablet or computer. A PDF, also known as a portable document format, is the format most people are familiar with and used in our e-books. PDFs are known for their ease of use and ability to hold custom layouts. They are the most commonly used e-Book formats, especially by professionals and adult-learners.

You can then access the e-book and read it, or highlight pages and even take side notes.

e-Books Save Money

With no manufacturing, printing, binding or shipping costs, e-Books are cheaper than traditional hard or paper back books.The price of each specialized and highly niche focused e-Book [50-100 pages] is only $25, whereas similar paperback printed books of this type generally cost $145, or more!

Payable thru PayPal [3% courtesy surcharge applies].

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DAILY UPDATE: Walensky Out, the WHO Reports and Markets are Up!

Posted on May 6, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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Dr. Rochelle Walensky, the head of the Centers for Disease Control and Prevention, submitted her resignation yesterday, saying the waning of the COVID-19 pandemic was a good time to make a transition.

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The World Health Organization just reported that COVID-19 no longer qualifies as a global emergency, marking a symbolic end to the devastating coronavirus pandemic that triggered once-unthinkable lock-downs, upended economies and killed millions of people worldwide.

***

Here’s where the major indexes ended:

The S&P 500^® Index was up 75.03 points (1.9%) at 4136.25; the Dow Jones industrial average was up 546.64 (1.7%) at 33,674.38; the NASDAQ Composite was up 269.01 (2.3%) at 12,235.41.
The 10-year Treasury yield was up about 8 basis points at 3.431%.
CBOE’s Volatility Index was down 2.89 at 17.20.

Financial shares were a bright spot Friday, with the KBW Regional Banking Index up over 4% after sinking near a 2½-year low Thursday. Energy stocks were also strong as crude oil futures rallied over 4% and pushed back above $70 a barrel. Small-cap stocks also gained, with the Russell 2000 up more than 2%.

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* UNC Health might be able to expand its footprint faster, pending state approval. * A new chatbot called Pi is helping people with their emotional well-being. * The FDA approved the first RSV vaccine, which comes from GSK.

* Say goodbye to trypanophobia—this biotech is trying to turn injectable drugs into pills * Jefferson Health uses AI to help diagnose patients *NYC Health + Hospitals attracts behavioral health pros with student debt relief

***

ORDER: https://www.routledge.com/Risk-Management-Liability-Insurance-and-Asset-Protection-Strategies-for/Marcinko-Hetico/p/book/9781498725989

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DAILY UPDATE: Facebook Not Trusted while Markets Go Down

Posted on May 5, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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Happy Cinco de Mayo. The holiday commemorates the defeat of French forces by the Mexican army at the Battle of Puebla in 1862, but its popularity jumped in the 1980s when beer companies began to leverage Cinco de Mayo in marketing campaigns.

***

The antitrust watchdogs at the Federal Trade Commission (FTC) just tore into Facebook saying the agency has caught the social media giant violating kids’ data privacy for profit — for the third time. Now the FTC has had enough. In a new proposal to protect kids, the agency wants to ban the platform from ever monetizing youth data again. In a ferocious rebuke, the FTC said Facebook defied its direct order to protect kids’ online privacy and broke the promise the company made in a 2019 consent order when it was forced to pay a $5 billion penalty for violating a 2012 order.

***

Here’s where the major indexes ended:

The S&P 500 Index was down 29.53 points (0.7%) at 4061.22; the Dow Jones industrial average was down 286.50 (0.9%) at 33,127.74; the NASDAQ Composite was down 58.93 (0.5%) at 11,966.40.
The 10-year Treasury yield was down about 4 basis points at 3.364%.
CBOE’s Volatility Index was up 1.74 at 20.08.

Financial stocks led the market’s declines, with the KBW Regional Banking index sinking nearly 3% to its lowest level since November 2020. Transportation stocks were also under pressure as banking sector troubles exacerbated recession concerns. Crude oil futures initially extended this week’s slump, dropping under $64 a barrel to a 17-month low before rebounding.

***

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ORDER: https://www.routledge.com/Comprehensive-Financial-Planning-Strategies-for-Doctors-and-Advisors-Best/Marcinko-Hetico/p/book/9781482240283

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Social Determinants of Health from Inside the Hospital System

Posted on May 5, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

SDOH

By Staff Reporters

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READ: Social determinants of health aren’t just for patients. Health systems looking to promote health equity within their communities can start internally, by looking at their own workforce; according to HealthcareBrew.

***

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FORM ADV is a Must Read for Selecting a Financial “Advisor”

Posted on May 4, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

Form ADV – The Essential Document

Dr. David Edward Marcinko MBA - WEGO Health Awards Nominee

By Dr. David Edward Marcinko MBA CMP©

SPONSOR: http://www.CertifiedMedicalPlanner.org

Under law, financial advisors and planners must provide you with a form ADV Part II or a brochure that covers the same information. Even if a brochure is provided, ask for the ADV. While it is acceptable, even desirable, for the brochure to be easier to read than the ADV, the ADV is what is filed with the appropriate state or SEC. If the brochure reads more like a slick sales brochure or the information in the brochure glosses over the items on the ADV to a high degree, one should consider eliminating the advisor from consideration.

FIDUCIARY: https://medicalexecutivepost.com/2023/03/11/recast-an-interview-with-fiduciary-bennett-aikin-aif-2/

Registering with a state or SEC gives an advisor a fiduciary duty to the client. This is a high standard under the law.

There are several types of advisors who are exempt from registering and filing an ADV.

First, there are registered representatives (brokers). Brokers have a fiduciary responsibility to their firms regardless of whether they are statutory employees or independent contractors. Not the client.

Second are attorneys and accountants whose advice is “incidental” to their legal or accounting practices. But, why would one hire someone whose advice is “incidental” to his primary profession? A top-notch advisor is a full-time professional and should be registered. One should insist that their advisor be registered.

CFP: https://medicalexecutivepost.com/2016/11/18/why-we-cannot-assume-cfp-equals-fiduciary/

The ADV will describe the advisor’s background and employment history, including any prior disciplinary issues. It will describe the ownership of the firm and outline how the firm and advisor are compensated. Any referral arrangements will be described. If an advisor has an interest in any of the investments to be recommended, it must be listed as well as the fee schedule. There is also a description of the types of investments recommended and the types of research information that is used.

ASSESSMENT: A review of the ADV should result in an alignment of what the advisor said during the interview and what is filed with the regulators. If there is a clear discrepancy, choose another advisor. If it is unclear, discuss the issue with the advisor.

Your thoughts and comments are appreciated.

Form ADV | Moneygrow.com | Registered Investment Advisor ...

SEC Headquarters
100 F Street, NE
Washington, DC 20549
(202) 942-8088

TEXTBOOK ORDER: ORDER Textbook: 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

Comprehensive Financial Planning Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™

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DAILY UPDATE: Big Pharma Earnings, Covid, RSV Vaccine, FOMC and the Markets

Posted on May 4, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

MAY THE FOURTH BE WITH YOU

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Many pharma companies reported earnings in the last week, and the common thread is crashing Covid-related sales.

For example, AstraZeneca’s Covid medication sales dropped $1.5b in Q1, Merck’s Covid antiviral sales fell 88% from the same quarter in 2022, and Roche’s diagnostics division sales fell 28% from Q1 2022, thanks to low Covid-test demand. Clearly, pharma companies have to figure out how to pivot their strategies in a post-Covid world.

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

***

The CDC will not continue to track Covid-19 community spread as the country enters the endemic stage of the pandemic.

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The Food and Drug Administration approved Wednesday the first-ever vaccine to combat severe respiratory syncytial virus, or RSV. Arexvy, the new vaccine developed by GlaxoSmithKline, was approved for adults 60 and older and was 82% effective at preventing lower respiratory tract illness caused by RSV, according to trial data. It was also 94% effective in those who had at least one underlying medical condition.

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The Federal Reserve voted unanimously to raise interest rates by a quarter point yesterday, the tenth rate hike since the central bank started its battle against inflation last March. The move comes amid ongoing fragility in the banking sector triggered partly by higher interest rates, and following the collapse of three regional banks. Markets had anticipated the rate hike, and remained fairly muted after the Fed’s announcement.

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Finally, here’s where the major indexes ended up:

The S&P 500^® Index was down 28.83 points at 4090.75; the Dow Jones industrial average was down 270.29 (0.8%) at 33,414.24; the NASDAQ Composite was down 55.18 (0.5%) at 12,025.33.
The 10-year Treasury yield was down about 7 basis points at 3.367%.
CBOE’s Volatility Index was up 0.52 at 18.30.

Energy companies were among the market’s weakest performers as crude oil continued a recent decline, with WTI crude futures falling more than 4% under $70 a barrel—a nearly six-week low.

Semiconductor and financial shares were also weak. The U.S. dollar index dropped sharply in the wake of the Fed announcement before rebounding.

***

ORDER: https://www.routledge.com/Risk-Management-Liability-Insurance-and-Asset-Protection-Strategies-for/Marcinko-Hetico/p/book/9781498725989

***

ORDER: https://www.routledge.com/Comprehensive-Financial-Planning-Strategies-for-Doctors-and-Advisors-Best/Marcinko-Hetico/p/book/9781482240283

***

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Happy FOMC Decision Day Following the Regional Bank[s] Fiasco

Posted on May 3, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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Markets: The relative calm after JPMorgan scooped up First Republic Bank lasted all of…one day. Two other West Coast lenders, PacificWest and Western Alliance, both tumbled in a sign investors still smell blood among regional banks.
Economy: Happy Fed Decision Day to all who celebrate. With inflation sizzling at still-uncomfortably high levels, Chair Jerome Powell is expected to announce the central bank’s 10th straight interest rate hike this afternoon. But many economists expect this rate increase could be the grand finale.
Layoffs jump to the highest level since late 2020. The number of job openings in the US dropped to a nearly two-year low in March, and layoffs increased to their highest point since December 2020, the Labor Department revealed yesterday. In this “bad news is good news” economic environment, the Fed will be pleased that the boiling-hot labor market is cooling off. It means less pressure on inflation and more justification to pause hiking rates.
CITE: https://www.r2library.com/Resource

***

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DAILY UPDATE: Markets Down – KAPOW!

Posted on May 3, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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Here’s where the key indexes settled yesterday.

The S&P 500^® Index was down 48.29 points (1.2%) at 4119.58; the Dow Jones industrial average was down 367.17 (1.1%) at 33,684.53; the NASDAQ Composite was down 132.09 (1.1%) at 12,080.51.
The 10-year Treasury yield was down about 15 basis points at 3.428%.
CBOE’s Volatility Index was up 1.67 at 17.77.

Regional banks led the declines, with the KBW Regional Banking index sinking more than 5% to its lowest level since late 2020.

Energy stocks were also weaker as crude oil futures extended a slide, dropping under $72 a barrel to their lowest level in more than five weeks. Small-caps also slumped, with the Russell 2000 index down 2%.

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More specifically, ahead of the Federal Reserve’s latest policy decision and fresh earnings results:

By 6:45pm ET (10:45pm GMT) Dow Jones Futures were flat while S&P 500 Futures and NASDAQ 100 Futures eased 0.1% apiece.

In extended deals, Advanced Micro Devices Inc (NASDAQ:AMD) fell 6.5% after reporting Q1 EPS of $0.60 versus $0.56 expected on revenues of $5.4 billion versus $5.3 billion expected. Looking ahead, the company forcasted Q2 2023 revenue in the range of $5-5.6 billion versus $5.49 billion expected.

Ford Motor (NYSE:F) slipped 1.6% after the company reported Q1 EPS of $0.63, beating expectations of $0.42,ewhile revenue was reported at $39.1 billion versus $37.4 billion expected.

Sprout Social (NASDAQ:SPT) dipped 17.4%, reporting Q1 EPS of $0.06, beating expected losses of $0.01 per share, while revenue came in at $75.2 million versus $75.07 million expected.

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BUSINESS PLAN CONSTRUCTION: For Health Industry Modernity

Posted on May 3, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

FOR MEDICAL AND HEALTHCARE ENTREPRENEURS AND INNOVATORS

By Dr. David Edward Marcinko MBA MEd CMP®

I was asked by business schools and medical colleagues – and their bankers, CPAs and advisors – to speak about this topic several times last year before the pandemic.

Now, with the specter of M-4-A etc; it certainly is a vital concern to all young entrepreneurs, doctors & medical professionals whether live, audio recorded or in podcast form. And so, here is a written transcript of a recent presentation for your review.

Now, with the specter of tele-health, tele-medicine, M-4-A etc; it certainly is a vital concern to all young doctors & medical professionals whether live, audio recorded or in podcast form. And so, here is a written transcript of a recent presentation for your review.

***

New Product Business Plan Sample [2021 Updated] | OGScapital

***

READ: https://medicalexecutivepost.com/wp-content/uploads/2017/08/mba-business-plan-capstone-outline.pdf

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USA nears DEFAULT while Europe INFLATES!

Posted on May 2, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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Treasury Secretary Janet Yellen warned yesterday that the US could run out of money to pay all its bills as early as June 1st if Congress does not raise or suspend the debt limit before then. The US’ first-ever default would be disastrous for financial markets, economists say.

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Meanwhile, Europe’s painful inflation has inched higher, extending the squeeze on households and keeping pressure on the European Central Bank to unleash what could be another large interest rate increase. Consumer prices in the 20 countries using the euro currency jumped 7% in April from a year earlier, just up from the annual rate of 6.9% in March, the European Union statistics agency Eurostat said today. Food price inflation eased a little, falling to an annual rate of 13.6% from March’s 15.5%, while energy prices rose a more modest 2.5%. Core inflation, which excludes volatile food and fuel, slowed slightly but was still high at 5.6%, underlining the expectation that the ECB will press ahead with its campaign to beat inflation into submission with rate hikes.

***

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DAILY UPDATE: More Layoffs Amid Mental Health Awareness Month

Posted on May 2, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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Companies, mostly in tech and media, have laid off thousands of employees, so far this year. For example:

Amazon announced in early January that it’s eliminating 18,000 roles in total, including layoffs that were announced in November 2022. The company announced last month that it was laying off an additional 9,000 people.

Payments company PayPal is cutting 7% of its staff, which amounts to about 2,000 employees, President and CEO Dan Schulman said on Jan. 31st.

E-commerce company eBay announced in an SEC filing on Feb. 7 that it’s laying off 500 people, or 4% of its workforce.

And, Jenny Craig is saddled with $250 million in debt and has been looking for a buyer, Bloomberg Law reported in March. The weight loss industry is going through changes, as the obesity drug business has exploded in popularity. The medications, which mimic hormones found in the body to support weight loss, have recently grown in popularity thanks to reported use by celebrities and posts from everyday people on social media about successful weight loss.

Finally, General Motors terminated “several hundred” contract employees who worked at its Global Technical Center in Warren, Michigan, and other locations this weekend in its bid to shave $2 billion from its budget by the end of next year. The cuts come nearly a month after 5,000 salaried employees agreed to a voluntary separation package that GM said would help it achieve close to 50% of its cost-cutting target this year alone and prevent further involuntary cuts.

***

Happy Tuesday! Today marks the first day of Mental Health Awareness Month. One in five US adults experiences mental illness each year, but fewer than half of them get care, according to the National Alliance on Mental Illness.

The MARKETS

The S&P 500^® Index was down 1.61 points at 4167.87; the Dow Jones industrial average was down 46.46 (0.1%) at 34,051.70; the NASDAQ Composite was down 13.99 (0.1%) at 12,212.60.
The 10-year Treasury yield was up about 13 basis points at 3.585%.
CBOE’s Volatility Index was up 0.3 at 16.09.

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BANKS: New Federal Reserve Rules?

Posted on May 1, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

Detailing Oversight Lapses

By Staff Reporters

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The Fed says it’s time for new bank rules

Just in time for a new looming bank failure, the Federal Reserve issued a 102-page report dissecting the corpse of Silicon Valley Bank. Meanwhile, FRB [First Republic Bank] FRB was just sold to JPMorgan Chase.

LINK: https://medicalexecutivepost.com/2023/05/01/daily-update-frb-bidding-sold-to-jpmorgan-chase/

The Fed pointed the finger at both its own inadequate supervision and the bank’s management.

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

And in an accompanying letter, Michael Barr, the Fed’s vice chair for supervision, called for stricter rules to be applied to more financial institutions and for more tools to be given to regulators to bring firms with poor capital planning and risk management into line.

MORE: https://www.wsj.com/articles/jpmorgan-pnc-bid-to-buy-first-republic-as-part-of-fdic-takeover-aeb936a0?mod=RSSMSN

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PODCAST: Confessions of a Hospital CFO

Posted on May 1, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

CHIEF FINANCIAL OFFICER

By Eric Bricker MD

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

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DAILY UPDATE: Eli Lilly and MIT’s Vaccine Printer

Posted on April 30, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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Eli Lilly (NYSE: LLY) investors continued to be in a good mood about their stock on Friday. Following the estimates-beating first quarter reported by the big pharmaceutical company the previous morning, they traded the shares up by 1.4% on the final trading day of the week. That eclipsed the 0.8% gain of the S&P 500 index.

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

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Researchers at MIT have created a new type of tabletop printer that spits out vaccine doses on demand in the form of thumbnail-size microneedle patches. Once scaled, this mobile technology could produce hundreds of doses per day, revolutionizing pandemic response. And in a boon for warmer or more remote parts of the world, the vaccine patches can be stored at room temperature for months before they’re slapped on—no refrigeration or professional administering required.

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DAILY UPDATE: Worker Pay Compensation Trends and the Markets

Posted on April 29, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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Compensation pay for US workers picked up in the first three months of the year, showing that a major source of inflationary pressure persists and cementing the path for an interest rate hike at the Federal Reserve’s meeting next week. The Employment Cost Index, released Friday by the Bureau of Labor Statistics, showed that workers were paid 1.2% more in wages and benefits in the first quarter from the prior three-month period. That’s up from analysts’ expectations of 1.1%.

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

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Markets: Stocks rose yesterday, finishing strong to give the Dow its best month since January. But First Republic Bank tanked again as rumors flew about its fate, again.
Economy: For all the Fed watchers, new data released makes it look like another rate hike could be in store next week. The data shows wages are still trending upward, and one of the Fed’s favorite inflation measures rose slightly last month.

Here’s where markets ended.

The S&P 500 Index was up 34.13 (0.8%) at 4169.48, a nearly three-month high; the Dow Jones industrial average was up 272.00 (0.8%) at 34,098.16; the NASDAQ Composite was up 84.35 (0.7%) at (12,226.58.
The 10-year Treasury yield was down about 9 basis points at 3.437%.
CBOE’s Volatility Index was down 1.27 at 15.76.

Energy companies were among the strongest sectors today with help from a rally in crude oil futures. Transportation and financial stocks were also strong. Utilities and consumer discretionary sectors were among the weakest sectors.

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ORDER: https://www.routledge.com/Risk-Management-Liability-Insurance-and-Asset-Protection-Strategies-for/Marcinko-Hetico/p/book/9781498725989

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DAILY UPDATE: Just the ECONOMY and MARKETS

Posted on April 28, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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Economy: The US economy entered a 12 mph zone last quarter, slowing to an annual growth rate of 1.1% (short of estimates). While the growth figures were discouraging and a consequence of the Fed’s interest rate hikes, economists found some bright spots! It seems that consumers won’t stop shopping, resulting in a 3.7% increase in consumer spending. Still, some are waiting on that recession?

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So – Here’s where the key indexes settled yesterday.

The S&P 500 Index was up 79.36 (2%) at 4135.35; the Dow Jones industrial average was up 524.29 (1.6%) at 33,826.16; the NASDAQ Composite was up 287.89 (2.4%) at 12,142.24.
The 10-year Treasury yield was up about 9 basis points at 3.524%.
CBOE’s Volatility Index was down 1.90 at 16.94.

Small-cap companies, which tend to struggle more when economic growth stalls, remained at the back of the pack, with the Russell 2000 up slightly over 1%.

The energy sector continued to rank among the weakest-performing sectors, as crude oil futures continued trading near lows for the month.

Treasury yields jumped to one-week highs after the first-quarter gross domestic product (GDP) report showed inflation remained elevated.

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

CITE: https://www.amazon.com/Dictionary-Health-Information-Technology-Security/dp/0826149952/ref=sr_1_5?ie=UTF8&s=books&qid=1254413315&sr=1-5

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Meta, Chipotle, Microsoft, Eggs and Rent

Posted on April 28, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

ECONOMIC OUTPUT

By Staff Reporters

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A government report on U.S. economic output in the first quarter will shed light on how consumers and businesses are faring under high inflation, rising interest rates and the onset of banking problems. Consumer spending, the primary driver of growth, and hiring were surprisingly strong at the start of the year, but more recently slowed as the Federal Reserve continued raising interest rates to cool the economy and curb rapid price increases. TO WIT:

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Meta’s “Year of Efficiency” is off to a strong start: After three straight quarters of falling revenue last year, the company saw an uptick in ad sales for a 3% revenue jump from Q1 2022. Profits were down, but the company still beat expectations, and Facebook gained users again after losses last year. But not all of Mark Zuckerberg’s dreams are coming true—the company’s Metaverse unit lost almost $4 billion last quarter.

Chipotle—which hit near all-time highs after saying customers kept coming back for burrito bowls despite price increases.

The UK’s competition regulator blocked Microsoft’s bid to acquire the Call of Duty-maker saying it would hurt competition in the cloud gaming sector. The move came as a shock because the regulator had previously said Microsoft had assuaged its concerns about the console gaming market. The decision, which Microsoft plans to appeal, puts a strain on the deal while the companies wait for competition decisions from the EU and the US, where the FTC has already sued to scuttle it.

Finally, while egg prices have fallen dramatically, one sector of the economy remains stubbornly expensive: rents.

In the latest consumer price index report, the shelter category (aka rents) was the largest contributor by far to overall inflation. And despite moderating in recent months, rent growth remains 17% higher than 2021 levels.

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VENTURE CAPITAL FUNDING: Slowing Down in Health Care!

Posted on April 27, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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Venture capital funding in the digital health space cooled significantly in 2022 following a red-hot 2021; according to Healthcare Brew. Overall, digital health companies raised $15.3 billion last year, down substantially from the $29.1 billion raised in 2021—but still above the $14.1 billion raised in 2020, according to research from Rock Health, a seed fund that supports digital health startups.

Analysts predict investors will still put a good amount of money into digital health in 2023, particularly in alternative care, drug development technology, and software that reduces physician workload. But investors will likely pull dollars away from a few specific sectors this year.

“There is definitely more diligence, a little bit more skepticism in the investments that are made. So you tend to see investments go slower because diligence is taking longer or investors are being a little bit more conservative,” Adriana Krasniansky, head of research at Rock Health, told Healthcare Brew.

Direct-to-consumer products. The first sector in which Krasniansky expects to see funding slow this year is direct-to-consumer (DTC) products. One reason is that with recession fears, “Consumer spend is not as readily available,” Krasniansky said.

But Apple’s new data privacy rules are also partially to blame. As of April 2021, apps sold through Apple’s App Store must ask users for permission to track activity, and users can opt out. That tracking data is crucial for advertisers to create personalized ads.

“Apple’s privacy measures have impacted customer acquisition costs, making the DTC channel more challenging for a lot of startups—and not just digital health startups,” said Krasniansky.

READ: https://www.healthcare-brew.com/stories/2023/02/21/digital-health-hesitancy?cid=30649741.22835&mid=349b552221c994e2540a304649746d7c&utm_campaign=hcb&utm_medium=newsletter&utm_source=morning_brew

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DAILY UPDATE: Alphabet, Microsoft, Big Pharma and the Markets

Posted on April 27, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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The two tech giants posted earnings that showed they’re both on solid footing, despite investors’ concerns that growth would slow to a trickle. For Alphabet, Google search advertising revenue grew again after a quarter in the red. And Microsoft’s all-important cloud division posted better-than-expected sales. Both companies stated AI could impact their businesses, but they differed in their predictions: Microsoft characterized AI as a much more disruptive force than Google did.

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

Get ready for earnings calls from pharmaceutical companies: Eli Lilly, AstraZeneca, AbbVie, and more quarterly calls this week. Investors will watch AbbVie’s sales numbers, as Amgen introduced the first biosimilar version of AbbVie’s blockbuster arthritis drug, Humira, in January. In its last call, AbbVie executives said they expected to lose $7.9 billion in Humira sales in 2023

CITE: https://www.amazon.com/Dictionary-Health-Information-Technology-Security/dp/0826149952/ref=sr_1_5?ie=UTF8&s=books&qid=1254413315&sr=1-5

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Here’s where the indexes ended yesterday.

The S&P 500 Index was down 15.64 points (0.4%) at 4055.99; the Dow Jones industrial average was down 228.96 (0.7%) at 33,301.87; the NASDAQ Composite was up 55.19 (0.5%) at 11,854.35.
The 10-year Treasury yield was up about 4 basis points at 3.439%.
CBOE’s Volatility Index was up 0.17 at 18.84.

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PODCAST: Physicians Need to Be Trained as Entrepreneurs and Encouraged to Innovate!

Posted on April 27, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

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By Kevin Pho MD

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“Teaching medical students entrepreneurial and business skills is invaluable as the need for leadership in medicine grows in every single sector. Many physicians already engage in managerial and entrepreneurial-like practices without labeling these skills. By formalizing these skills into medical education, physicians will be able to take their ambitions and ideas about how to best run existing health care institutions and translate them into innovations for the future of the field.”

Sofia Yunez is a medical student.

She shares her story and discusses her KevinMD article, “To be effective leaders, physicians need to be trained as entrepreneurs and encouraged to innovate.”

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PODCAST: https://kevinmd.libsyn.com/physicians-need-to-be-trained-as-entrepreneurs-and-encouraged-to-innovate

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BUSINESS MEDICINE: https://www.amazon.com/Business-Medical-Practice-Transformational-Doctors/dp/0826105750/ref=sr_1_9?s=books&ie=UTF8&qid=1287563112&sr=1-9

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SVB: Grew from the Business Start-Up Ecosystem

Posted on April 26, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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DEFINITION: Startups are young companies or ventures that are founded to develop a unique or innovative product, service, or platform, and bring it to market. They are typically in the early stages of their development and face high uncertainty and failure rates. They are usually self-funded by the founders or seek external funding from investors or loans. They aim to grow large beyond the solo founder and disrupt existing industries or create new one.

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

SVB rooted in the startup ecosystem

SVB was relatively small—it had 40,000 customers compared to JPMorgan Chase’s 66 million—but it claimed to bank nearly half of all US tech and life sciences startups last year, including household names like Etsy, Roblox, and Roku. The cultural cachet of having a relationship with SVB as a venture-backed startup was like sporting a New Yorker tote at Whole Foods.

But the reason its loss will leave such a gaping hole in the startup community isn’t that it was cool to name-drop at a networking event. Because the bank was created in 1983 specifically to cater to venture-backed startups, it helped them in ways that most banks can’t—or won’t.

SVB chill loans: According to the MorningBrew, SVB would offer loans to startups more readily than large banks, basing the loans on a company’s ability to raise venture capital funds, not to turn a profit. SVB was also known for being flexible—even if startups breached their loan terms. “They were the easiest money for an unprofitable, early stage to mid-stage tech company,” Irving Investors founder Jeremy Abelson told The Information. And, even small startups received hand-holding services, such as guidance on how to set up their financial infrastructure. Its bankers personally called startups when they secured their first rounds of funding, according to The Information.

Startups now have to deal with big banks

Several founders who previously banked with SVB told Bloomberg that they’re moving their money to Chase and Bank of America, banks considered “too big to fail.”

Startups’ experience at big banks won’t be like their time at SVB. Not only is Jamie Dimon unlikely to call a startup to congratulate them on their Series A, but big banks are also expected to be more tight-fisted with their loans. The Office of the Comptroller of the Currency, a regulator that oversees large US banks, disapproves of loans to companies that are further out than one year from profitability, according to Crunchbase.

The loss of SVB is therefore expected to have a chilling effect on loans to venture-backed startups, aka “venture debt,” which SVB handed out more of than any other bank.

***

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Financial-Tech [Entrepreneurial Start-Ups] Falling

Posted on April 26, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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DEFINITION: Financial technology (abbreviated fintech or FinTech) is the technology and innovation that aims to compete with traditional financial methods in the delivery of financial services. Artificial intelligence, Blockchain, Cloud computing, and big Data are regarded as the “ABCD” (four key areas) of FinTech. The Fintech industry is an emerging industry that uses technology to improve activities in finance. The use of smartphones for mobile banking, investing, borrowing services,and cryptocurrency are examples of technologies aiming to make financial services more accessible to the general public.

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Financial technology companies consist of both startups and established financial institutions and technology companies trying to replace or enhance the usage of financial services provided by existing financial companies.

CITE: https://www.r2library.com/Resource/Title/082610254

A subset of fintech companies that focus on the insurance industry are collectively known as insurtech or insuretech

READ: https://tinyurl.com/yrx2kxy4

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INVESTING: 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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DAILY UPDATE: Business News Briefs Plus TESLA and the Markets

Posted on April 25, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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1. Regional banks’ plight was Morgan Stanley’s perk. The bank saw nearly $20 billion in new client assets in the wake of the banking crisis that rocked smaller banks like First Republic. Why the bank became a “destination of choice” amid the crisis.

2. Taylor Swift was the only one asking the right question on FTX. The mega star didn’t sign a $100 million sponsorship deal with the crypto exchange because, unlike seemingly everyone in Silicon Valley, she did some form of due diligence.

3. The new-age pension plan. Fidelity and State Street are rolling out annuity options within their 401(k) products, The Wall Street Journal reports. But it comes with a hefty price tag, and not everyone is sold on it.

4. It’s starting to get scary in the housing market. Foreclosure filings were up 22% in Q1 compared to last year, and repossessions are headed in the wrong direction as well.

Finally, Fintel reports that on April 21, 2023, Goldman Sachs maintained coverage of Tesla (NASDAQ:TSLA) with a Buy recommendation. As of April 6th, 2023, the average one-year price target for Tesla is $203.14. The forecasts range from a low of $24.58 to a high of $315.00. The average price target represents an increase of 24.63% from its latest reported closing price of $162.99. The projected annual revenue for Tesla is $118,517MM, an increase of 37.75%. The projected annual non-GAAP EPS is $5.70.

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

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The S&P 500^® Index was up 3.52 points (0.1%) at 4137.04; the Dow Jones industrial average was up 66.44 (0.2%) at 33,875.40; the NASDAQ Composite was down 35.25 (0.3%) at 12,037.20.
The 10-year Treasury yield was down about 7 basis points at 3.50%.
CBOEs Volatility Index was up 0.12 at 16.89.

Real estate and financials were among Monday’s weakest-performing sectors, while energy companies led gainers thanks to a jump of about 1% in crude oil futures. The U.S. dollar index fell to about 101.37, its weakest level since mid-April, while Treasury yields eased slightly.

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CITE: https://www.amazon.com/Dictionary-Health-Information-Technology-Security/dp/0826149952/ref=sr_1_5?ie=UTF8&s=books&qid=1254413315&sr=1-5

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DAILY UPDATE: Some Banks Dive but Apple Savings Account Launches

Posted on April 24, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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Moody’s research released on Friday suggests that the industry is experiencing greater instability from several bank failures and high inflation, calling “into question whether some banks’ assumed high stability of deposits and their operational nature, should be reevaluated,”

The Wall Street Journal reported. Six U.S. banks were placed on Moody’s review list in March, per Reuters. All six banks put for review failed and were downgraded with the new study, including Comerica Inc., First Republic Bank, Intrust Financial Corporation, UMB Financial Corp, Western Alliance Bancorp and Zions Bancorporation.

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Apple’s latest product launch, in partnership with Goldman Sachs, is a savings account that will yield a meaty 4.15% in annual interest just for parking your money in it. The details:

You can open the savings account via the Wallet app on your iPhone, but you’ll need an Apple Card (Apple’s credit card) to be eligible.
No minimum deposit is required, the max balance is $250,000, and all of your funds are FDIC-insured.

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DAILY UPDATE: Earth Day, Lyft, Flat Markets with an Earnings Round-Up

Posted on April 22, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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Earth Day is celebrated on April 22nd annually. The day was born out of a massive oil spill in Santa Barbara, California and carried forward today by the Earth Day Network. Earth day was created to help bring awareness and support for environmental protection around the world. Arbor Day is another popular observance to help the environment by encouraging individuals to plant trees and other plants in an effort to take care of our environment.

More: https://en.wikipedia.org/wiki/Earth_Day

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LYFT plans to cut 1,200 jobs as the latest cuts could impact 30% or more of its’ 4,000 employees.The company planned to announce the move after a board meeting next week but did so sooner. The cuts could help Lyft slash 50% of its costs as it doesn’t count drivers as employees.

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

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Market Round-Up

The S&P 500^® Index was up 3.73 points at 4133.52; the Dow Jones industrial average was up 22.34 at 33,808.96; the NASDAQ Composite was up 12.90 (0.1%) at 12,072.46.
The 10-year Treasury yield was up about 2 basis points at 3.566%.
CBOE Volatility Index was down 0.44 at 16.73.

Consumer Discretionary and Consumer Staples led gainers among S&P 500 sectors, while energy companies continued to slump in the wake of this week’s sell-off in crude oil prices. The PHLX Oil Service index sank 4% this week and ended at a three-week low. WTI crude futures rose slightly Friday but still dropped almost 6% for the week.

Earnings Round-Up

Major companies reporting quarterly results over the past day included:

Procter & Gamble (PG) reported Earnings Per Share (EPS) of $1.37 per share for the first quarter, about 5 cents above analysts’ forecasts, as well as stronger-than-expected revenue of $20.7 billion. The company also raised its outlook for 2023 organic sales growth to 6% from its earlier forecast of 4% to 5%. Its shares rose more than 3%.
Regions Financial (RF), the latest smaller U.S. bank to report, fell short of EPS forecasts, though revenue met expectations and deposits remained stable. The company’s shares fell about 3%.
CSX Corp. (CSX) reported first-quarter EPS of 48 cents, surpassing analysts’ expectations by about 5 cents, and revenue of $3.71 billion also topped forecasts. The railroad company’s shares rose more than 3%.
Schlumberger (SLB) reported net income of 63 cents per share, beating analysts’ forecasts of 61 cents, as well as higher-than-expected revenue. However, the oilfield service company’s shares more than 4% after suggesting the North American onshore market may plateau this year.
Freeport-McMoRan (FCX) reported a profit of 46 cents per share, which was better than analysts’ were expecting but still down by about half from a year earlier. The company’s mining volumes and supply chains were hampered by extreme weather and protests in Peru. The company’s shares fell more than 4%.
HCA Healthcare (HCA) reported EPS of $4.85, beating expectations by about 70 cents, and raised its earnings and revenue forecasts for the full year. Its shares jumped nearly 4%.

***

CITE: https://www.amazon.com/Dictionary-Health-Information-Technology-Security/dp/0826149952/ref=sr_1_5?ie=UTF8&s=books&qid=1254413315&sr=1-5

***

ORDER: https://www.routledge.com/Comprehensive-Financial-Planning-Strategies-for-Doctors-and-Advisors-Best/Marcinko-Hetico/p/book/9781482240283

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Filed under: "Ask-an-Advisor", Alerts Sign-Up, Alternative Investments, Investing, LifeStyle | Tagged: Arbor Day, CSX, DJIA, DOW, earnings, Earth Day, EPS, gold, HCA, Lyft, NASDAQ, oil, PG, RF, S&P 500, SLB, stock markets, treasury yieds | Leave a comment »

PODCAST: US Hospital Bond Debt Explained

Posted on April 21, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

Do Patients Come First or Creditors?

By Eric Bricker MD

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

YOUR THOUGHTS ARE APPRECIATED.

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***

Filed under: Experts Invited, Health Economics, Healthcare Finance, Investing, Videos | Tagged: AHA, bond ratings, Eric Bricker MD, Hospital Bonds, hospital capital finance, hospital debt, MOODY | Leave a comment »

DAILY UPDATE: BlackRock Speaks as Markets Go Down

Posted on April 21, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

Image result for BlackRock

(Bloomberg) — A US debt default would threaten “a basic anchor” of the global financial system and “must not happen,” BlackRock Inc. Vice Chairman Philipp Hildebrand warned Thursday at the Bloomberg New Economy Gateway Europe forum.

“All we can do is to pray that everyone in the United States understands how important the sanctity of the sovereign signature of the leading currency, of the leading bond market, of the leading economy in the world is,” Hildebrand, a former president of the Swiss central bank, said during an on-stage interview. “This is not something you want to mess with.”

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

***

The 10-year Treasury yield hit a four-week high above 3.60% earlier this week, up from a seven-month low of 3.278% on April 4th.

The S&P 500 Index was down 24.73 (0.6%) at 4129.79; the Dow Jones industrial average was down 110.39 (0.3%) at 33,786.62; the NASDAQ Composite was down 97.67 (0.8%) at 12,059.56.
The 10-year Treasury yield was down about 7 basis points at 3.534%.
CBOEs Volatility Index was up 0.73 at 17.19.

Energy companies were among the weakest performers Thursday, as crude oil prices extended this week’s sell-off, with benchmark WTI futures down more than 2% to under $78 per barrel—a low for the month.

The real estate and technology sectors also lagged, while consumer staples and transportation sectors held up better.

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CITE: https://www.amazon.com/Dictionary-Health-Information-Technology-Security/dp/0826149952/ref=sr_1_5?ie=UTF8&s=books&qid=1254413315&sr=1-5

***

PURCHASE: https://www.routledge.com/Risk-Management-Liability-Insurance-and-Asset-Protection-Strategies-for/Marcinko-Hetico/p/book/9781498725989

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ORDER: https://www.routledge.com/Comprehensive-Financial-Planning-Strategies-for-Doctors-and-Advisors-Best/Marcinko-Hetico/p/book/9781482240283

***

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Filed under: "Ask-an-Advisor", Alerts Sign-Up, Alternative Investments, Experts Invited, Glossary Terms, Investing | Tagged: BlackRock, Bloomberg, DJIA, DOW, energy, gold, NASDAQ, oil, Philipp Hilderbrand, S&P 500, Treasury yields, WTI | Leave a comment »

WOMEN: Gaining Economic Earnings Influence

Posted on April 21, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

Physician Salary Pay Gap Comparisons

By Staff Reporters

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Physician Salary Pay Gap Follow-Up: https://medicalexecutivepost.com/2023/04/14/physician-salary-pay-gap/

***

Women earn as much as or more than their husbands in just under half of US opposite-sex marriages, a significant advancement for economic equality from past decades, according to a new Pew Research study.

Sixteen percent of wives in opposite-sex marriages are the sole or primary breadwinners in their home (“primary” meaning they make more than 60% of the household’s income). This share is triple the 5% of women breadwinners from 50 years ago.
In 29% of marriages, both spouses bring home about the same income.

But, according to MorningBrew, in marriages where both partners have the same income, women spend about four-and-a-half more hours per week on chores and care giving than men.

And when women become the house’s primary income earner, little really changes about how much time either partner spends on chores, Pew found. But in this scenario, men report almost five more hours of leisure time per week than men in egalitarian households

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

***

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Filed under: Accounting, Career Development, Ethics, Experts Invited, Health Economics, Investing, LifeStyle, Taxation | Tagged: MorningBrew, pay gap, Pew Research, physician salary, wives economic influence, women, women earnings | Leave a comment »

DAILY UPDATE: Meta & Disney Cut More Jobs While the Stock Markets Bobble

Posted on April 20, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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Meta Platforms, the billionaire’s social media empire, will reportedly cut thousands more jobs. And the bloodbath is not over, according to the latest reports. Meta plans to eliminate thousands more jobs. According to Bloomberg News, an internal memo has been sent to managers, asking them to prepare for tough new announcements. The job cuts, which total 4,000, are expected to affect Facebook, WhatsApp and Instagram. They would also affect Reality Labs, the division that houses the group’s Metaverse projects — Quest virtual-reality headsets. In 2021 and 2022, Reality Labs, which is supposed to build the company’s next big thing, recorded a cumulative loss of nearly $24 billion, including $13.7 billion just last year.

And, Walt Disney Company plans to cut thousands of jobs next week, in another lay-off round that includes about 15% of the staff in its entertainment division, according to people familiar with the plans. Disney Entertainment will bear a significant chunk of the job cuts – with approximately 15% of the division’s staffers set to exit next week, according to a report. Disney has more than 200,000 employees across its various businesses.

***

And now, the Markets:

The S&P 500 Index fell 0.35 point to 4154.52; the Dow Jones industrial average was down 79.62 (0.2%) at 33,897.01; the NASDAQ Composite was up 3.81 at 12,157.23.
The 10-year Treasury yield was up about 2 basis points at 3.60%.
CBOE’s Volatility Index was down 0.37 at 16.46.

Transportation was one of the top gainers among S&P 500 sectors yesterday, thanks in part to strength in United Airlines (UAL) and other top carriers. Real estate and financials were also higher, while oilfield services stocks were among the weakest performers due to a sharp drop in crude oil prices. WTI futures fell below $80, their lowest level in nearly three weeks.

Oil prices rallied at the start of this month after members of OPEC+ announced a production cut.

***

ORDER: https://www.routledge.com/Comprehensive-Financial-Planning-Strategies-for-Doctors-and-Advisors-Best/Marcinko-Hetico/p/book/9781482240283

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Filed under: "Ask-an-Advisor", Alerts Sign-Up, Alternative Investments, Career Development, Experts Invited, Health Economics, Information Technology, Investing, LifeStyle | Tagged: Bloomberg, Disney, DJIA, DOW, Facebook, FB, gas, Instagram, Meta, metaverse, NASDQA, oil, Quest, Quest VR, real estate, S&P 500, stock markets, Treasury yields, UAL, VR, walt, WTI | Leave a comment »

PODCAST: Investing in Digital Health Sales and Marketing

Posted on April 19, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Eric Bricker MD

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DHITS: https://www.amazon.com/Dictionary-Health-Information-Technology-Security/dp/0826149952/ref=sr_1_5?ie=UTF8&s=books&qid=1254413315&sr=1-5

***

Filed under: "Doctors Only", Drugs and Pharma, Experts Invited, Glossary Terms, Health Economics, Health Insurance, Investing, Videos | Tagged: Digital Health, digital health marketing, digital health sales, Eric Bricker MD, investing in digital health, PODCAST: Investing in Digital Health Sales and Marketing | 1 Comment »

DAILY UPDATE: Mixed Bag for Big Lenders with Market Round-Up

Posted on April 19, 2023 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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First quarter earnings from big lending institutions painted something of a mixed picture, with Bank of America posting healthy returns as Goldman Sachs on Tuesday saw headwinds from its loan portfolio.

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

***

The following is a round-up of yesterday’s market activity:

The S&P 500 Index was up 3.55 points (0.1%) at 4154.87; the Dow Jones industrial average was down 10.55 at 33,976.63; the NASDAQ Composite was down 4.31 at 12,153.41.
The 10-year Treasury yield was down about 2 basis points at 3.574%.
CBOEs Volatility Index was down 0.12 at 16.83.

Small-cap stocks, which tend to suffer more from recession concerns than their large-cap peers, were among the weakest performers with the Russell 2000 falling about 0.4%. Communications services and utilities were laggards among S&P 500 sectors, while industrials and consumer staples were stronger.

Volatility as measured by the VIX continued to drop to the lowest levels since late 2021.

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CITE: https://www.amazon.com/Dictionary-Health-Information-Technology-Security/dp/0826149952/ref=sr_1_5?ie=UTF8&s=books&qid=1254413315&sr=1-5

***

ORDER: https://www.routledge.com/Comprehensive-Financial-Planning-Strategies-for-Doctors-and-Advisors-Best/Marcinko-Hetico/p/book/9781482240283

***

COMMENTS APPRECIATED

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***

Filed under: "Advisors Only", Alerts Sign-Up, Alternative Investments, Experts Invited, Financial Planning, Funding Basics, Investing | Tagged: Bank America, big lenders, BoA, DJIA, DOW, gold, Goldman Sachs, NASDAQ, oil, S&P 500, Treasury yields, utilities, VIX | Leave a comment »

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