THE ADVISOR

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In This Issue
The Balancing Act
How does one insure a priceless object?
Gifting to charities
A Strike using Marquess of Queensbery Rules
Around the net
Featured Medical Match Employers
MD Preferred National Award Recipients
MD Preferred National Award Recipients
MD Preferred National Award Recipients
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Issue: #10   September / 2010

The Balancing Act: The Importance of Re-Balancing Your Portfolio


By Jim Shagawat, Baron Financial Group
 
When the recession hit, the average American was unprepared for a financial crisis of such a large magnitude. The average investor was blind-sided as they watched years of their life-savings disappear before their eyes.  Although some losses were inevitable, others could be prevented through the re-balancing process.
 
Re-balancing offers tangible advantages in reducing the long-term volatility of a portfolio. Many investors, particularly those who chose brokerage firms, were unable to make the necessary changes to their portfolios that would have ultimately minimized losses.  These firms may have the competitive advantage given by economies of scale, but their size also slows them down.  Ultimately, these brokerage firms were unable to accommodate the personalized needs of each client's portfolio.

Weighed down by their size, they were unable to re-balance their client's portfolios with the efficiency of a smaller group.  Fiduciary groups, legally obligated to serve their clients first, can give more attention to an individual's portfolio. Investment committees at such groups often will review each client's portfolio at the minimum of once a quarter. The portfolios at such firms must not only meet stringent investing criteria, but also satisfy each client's personalized plan.
 
The process of re-balancing a portfolio forces you to sell high and buy low.  Simply put, it returns your portfolio to the proper mix of stocks, bonds and cash when they no longer conform to your plans. In many ways, re-balancing can be compared to America's obesity crisis. In the short run, buying fast food for lunch every other day may seem cheap, convenient, and satisfying. Fifteen years later, when you are being hospitalized for a heart attack, a sandwich consisting of fried chicken, bacon, and cheese may no longer seem so appealing. The key is to recognize risk factors and "diversify" your financial diet before it's too late.  
 
The results from different sets of market conditions demonstrate that re-balancing makes sense whether the economy is in the throes of a terrible recession or in the midst of a great manic bubble.


Read More at Rounds Online

How does one insure a priceless object?

It's easy to insure something when you know what its worth.  I can insure my personal auto and an insurance company can compute with relative accuracy what they need to charge in premiums to make it worth their while. 
 
I'll bet I could insure a race horse or a champion bull.  Someone out there could figure out the commercial value of the animal and compute a premium.  But the insurance wouldn't be for the health of the animal but rather for the value of the animal as a commodity.
 
If your family pet gets sick and you take it to the vet, you will probably not be asked for your insurance card.  And as painful as the decision may be, if the cost of saving the life of old Fido is beyond your means, the doctor has a painless shot that will take both you and the pooch out of your misery.  And that's why we aren't debating healthcare reform for house pets or live stock.  In one case you have to determine how much your love and devotion is worth.  And in the other you make a commercial decision on the value of the beast.  Not so with human healthcare.
 
The problem with providing care for Aunt Mildred is that you cannot place a finite value on her life.  It matters not if she is a saint or a pain in the neck. It matters not what contribution she will make if she is saved.  The problem with healthcare for people is you can't place a value on what you are trying to insure. 
 
There is a lot of talk about rationing healthcare.  Who decides who will get treated and who will be left at the side of the road with a blanket, a canteen of water and a pistol with a single bullet?  If  you can make it to the emergency room, the full resources of medical science will be thrown into the battle to save your sorry life.  And if science fails your estate can always sue. 
 
So a big part of the healthcare reform debate has always danced around a central issue that no politician in their right mind will address.  How much is Aunt Mildred worth?  Who decides when her medical bank account is empty? And who pulls the plug? 
These are questions that the recent health care legislation left unanswered. And until we are willing to face up to the questions, health care costs will continue to rise and health care rationing will continue to be decided in the back rooms of insurance companies, hospitals and government agencies.
 
"Facts do not cease to exist because they are ignored". - Aldous Huxley

Gifting to charities: What a wonderful reward in more ways than one.


By Stacy Francis, Francis Financial, Inc.
 
While donating money to worthy causes is something we think is great; gifting to charities can be greater still when you donate appreciated stock instead of cash. The tax advantages can be worth it. That's because as long as you have held the shares for twelve months, you can take a deduction worth their current market value. Let's explain how this works.
 
Writing a Check to Your Favorite Charity
 
Consider this, you bought 1,000 shares of stock ten years ago with a cost basis of just about nil. If you sell the stock for $200,000 and give the proceeds to charity after paying the capital-gains taxes (15%), the charity gets only about $170,000, and you get a $170,000 tax deduction. Not bad, but we can do even better.
 
Gifting the Stock Outright to Your Favorite Charity
 
If you give the stock to the charity, which is tax-exempt, it can sell the shares and keep the whole $200,000. And you get a $200,000 deduction. This is what we call a win-win situation.

Typically, selling an appreciated stock triggers a tax on the realized gain, the difference between what you paid to purchase the stock and its current value. When you make a gift of appreciated stock directly to your favorite charity and the charity sells the stock, the taxable event and the fees are avoided because the charity is tax-exempt. Plus, you can take a sizeable charitable deduction on your taxes.
 
 
Read more at Rounds Online


A Strike using Marquess of Queensbery Rules

It was oh so very civilized. 12,000 Minneapolis area nurses went on strike for one day on Thursday demanding a new contract. But as labor disputes go, this was more theater than confrontation. Nurses left their posts as scheduled by the union. The 14 hospitals affected have been planning for the one day "event" for weeks. Replacement nurses were in place having gone through a one day orientation. Compensation for the temps was generous...between $1,600 and $2,224 for the one day of work.
 
The union takes the noble position that it's all about patient safety. They want to control nurse staffing levels through their contract and take management out of the hands of...well, management. They are also demanding a 3 to 4% salary increases per year over the next three years. A full time union nurse currently makes $79,000 a year plus benefits (more than $10,000 over the national average). I'm sure there are a lot of primary care physicians who are giving serious thought to joining the nurse's union and changing jobs.
 
The hospitals claim that government cuts in funding, insurance write-offs and bad debts are putting most not-for-profit hospitals on a road to bankruptcy. They are offering no pay increase the first year and assert that there are no patient safety issues here. It is merely a tough negotiation between management and union...:"nothing personal."
 
Read More at Rounds Online

All the news that's fit to print


GREECE - Researchers at the Technological Educational Institute of lonian Islands in Greece (certainly at the top of my list of international hot beds of biomedical research) have cooked up some plant oils that seem to be highly effective in combating MIRSA, a particularly nasty multi-drug-resistant staph bug that plagues hospitals around the world. The group tested essential oils from thyme, basil, peppermint and cinnamon. Can't you achieve the same results by dining out at Olive Garden and eating a bowl of Cinnamon Toast Crunch in the morning?
 
BOSTON - Encouraging news for people with type 1 diabetes. A recent article in the journal Science Translational Medicine described research efforts to develop an artificial pancreas. The computerized device monitors and regulates glucose in the blood. This is not Buck Rogers stuff here. The researchers include biomedical engineers from Boston University and scientists from Mass General. Much of the technology already exists including glucose monitors and infusion pumps. The trick is developing a computer algorithm that can adjust to individual metabolism rates and a host of other challenges. The current rig is two big to haul around and regulatory hurdles put a working device five to seven years out.
 
NEW YORK- (Reuters Health) - Thousands of young children are accidentally poisoned by tobacco products each year in the U.S., and new dissolvable tobacco products that resemble candy might pose an additional risk, according to researchers. DO YA THINK?!
 
CONNECTICUT - The Connecticut State Medical Society released survey results that would seem to indicate that providing health insurance to hundreds of thousands of state residents who currently have none while the number of primary care physicians practicing medicine in the state continues to dwindle might be a problem! "Connecticut already has a scarcity of access," says an upcoming article in the journal Connecticut Medicine. The article continues that a flood of new patients "may be difficult to manage for primary-care physicians in urban areas, and could overwhelm physicians in rural communities." But society leaders and members suggest a promising course of action..."the state should consider incentives to lure primary care doctors" probably from neighboring states, "to practice here." Offer loan forgiveness for medical students who pursue primary care and consider changes to ease the liability and administrative burdens doctors face. Now there is a novel approach. Stay tuned for Massachusetts, Rhode Island and New York plans.
 
MASSACHUSETTS - Harvard researchers have uncovered a vast conspiracy at the nations leading health insurance companies. They have irrefutable proof that insurers are putting profits above public health by investing in...Gasp...FAST FOOD CHAINS. Oh My God! A study in the American Journal of Public Health reports the insurance industry has parked nearly $2 billion in companies that sell food often linked to obesity and cardiovascular disease. HAVE YOU NO SHAME? Harvard Medical School's Dr. Wesley Boyd, an author of the study, believes "the insurance industry, so far as it seeks to make a profit, it does so in an immoral way." Is he implying that there might be a moral way for insurance companies to make a profit? Now that would truly be news of the first magnitude.
 
WASHINGTON - USA Today is running an article that probes a true legal conundrum (I've always wanted to use that word in a sentence). It seems that medical marijuana is casting a cloud (no pun intended) of confusion over Corporate America. Pot is now legal in 14 states as a prescription painkiller and additional states are considering legalizing the killer weed. Problem is that zero-tolerance drug policies mandated by many government contracts are in direct conflict with a patient's right to get stoned. So, here's the plan. Your company hits you with a random drug test. You test positive for Tetrahydrocannabinol (the best part of the toke) and they terminate your butt. With luck you are in a state where medical marijuana is legal. Go get a prescription for some imagined pain in the neck or other part of your anatomy and take your boss to court. Heck, get an ACLU attorney and drag them to the Supreme Court!

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EVEREST MEDICAL SERVICES
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Everest Medical is currently recruiting in the following specialties:
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MEDICAL ASSOCIATES CONSULTING
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Medical Associates Consulting has permanent anesthesia positions and CRNA positions available nationwide. We serve healthcare organizations and help provide the highest quality Anesthesiologists and CRNAs.

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CHOATE CONSULTING
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Choate Consulting is the leading source of market research and business development for plastic surgery and dermatology practices. From evaluation and recommendations to implementation, we provide clients like you a competitive advantage in your market place. Our focus is simple - plastic surgery and dermatology.

We have been able to develop an intimate understanding of plastic surgery and dermatology, the players, the influencers, and the current dynamics that affect your practice. We maintain a research department that continually adds to our insight, maximizes results, and documents progress. Establishing key metrics and ongoing measurement is the foundation of our unique value proposition, with results being the deliverable.

Experience complements our insights and data.  Our work is focused exclusively on plastic surgery and dermatology practices. We've been working in the trenches on behalf of clients since 1998 to make the right results happen. We've confirmed the value of strategies firmly rooted in relationship building, targeted communications, and the patient experience. We understand that some of the most cost-effective marketing ideas happen before a patient makes an appointment. And like you, we leverage specialization and experience to optimize outcomes.

Choate Consulting is currently recruiting in the
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Dermatology & Plastic Surgery

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COMMUNITY HEALTH SERVICE AGENCY
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The Community Health Service Agency began its legacy in 1976 with a small group of individuals who bought into the idea of a direct link between poverty and disease. These individuals pooled their resources, wrote a grant and thus began the Community Health Service Agency with the opening of the Greenville Community Health Center . Since then, Fannin, Collin, Delta and Kaufman as well as Hunt counties have benefited from these clinics that still exist to serve those who are uninsured or underinsured. CHSA now operates five medical clinics and one dental clinic. We provide primary health care services including OB/GYN, pediatrics, geriatrics and nursing home care. We accept payment from Medicaid, Medicare, CHIP and private insurance. Individuals who are uninsured or underinsured obtain payment based on their family size and income.

Community Health Service Agency is currently recruiting in the
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Family Practice & Pediatrics

To see their postings, please visit www.medicalmatch.org.

PROSEARCH ASSOCIATES
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ProSearch Associates provides executive search services for a wide range of clients across the United States needing to recruit best-of-breed talent. From CEO to Vice President, Director, Manager, and even key individual-contributor level. Our search closure rate far exceeds industry averages, and we are proud of the quality of our work. As a result of listening and interacting with our clients on a regular basis, we have a higher rate of satisfaction in fulfilling our clients' definition of quality and a high degree of repeat business.

With over 20 years experience, we have proven our search process and the unique concept of personalized retained executive search in virtually every industry segment and functional discipline.

ProSearch Associates is currently recruiting in the
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Hematology / Oncology, Internal Medicine & Ortho Surgery

To see their postings, please visit www.medicalmatch.org.

HARLEQUIN ASSOCIATES
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Harlequin Recruiting provides personalized, comprehensive recruitment services for physicians and facilities nationwide.  Harlequin Recruiting is a focused team of experienced search consultants; we pride ourselves on fully satisfying the needs of our clients and candidates and exceeding their expectations at each and every step of the recruiting process.
 
We work with our physician candidates on an entirely confidential basis and strive to identify their optimal opportunity.  We work on the behalf of our candidates throughout the entire recruiting process; we begin by identifying the candidate's ideal opportunity and follow the process through arranging the site visit and negotiating the final offer.  

We work with our clients on identifying precisely what type of candidate they require for their open position.  We present only qualified candidates to our clients, candidates that have personally expressed interest in the facility through our firm.

Our team of recruitment experts provides comprehensive services and proven experience to surpass the needs and expectations of our candidates and clients every step of the recruiting process.  Harlequin Recruiting uses extensive insight into the wide spectrum of opportunities that exist throughout the medical marketplace across a full range of specializations.

Harlequin Associates is currently recruiting in the
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Neurosurgery

To see their postings, please visit www.medicalmatch.org.

LAM ASSOCIATES
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Harlequin Recruiting provides personalized, comprehensive recruitment services for physicians and facilities nationwide.  Harlequin Recruiting is a focused team of experienced search consultants; we pride ourselves on fully satisfying the needs of our clients and candidates and exceeding their expectations at each and every step of the recruiting process.
 
We work with our physician candidates on an entirely confidential basis and strive to identify their optimal opportunity.  We work on the behalf of our candidates throughout the entire recruiting process; we begin by identifying the candidate's ideal opportunity and follow the process through arranging the site visit and negotiating the final offer.  

We work with our clients on identifying precisely what type of candidate they require for their open position.  We present only qualified candidates to our clients, candidates that have personally expressed interest in the facility through our firm.

Our team of recruitment experts provides comprehensive services and proven experience to surpass the needs and expectations of our candidates and clients every step of the recruiting process.  Harlequin Recruiting uses extensive insight into the wide spectrum of opportunities that exist throughout the medical marketplace across a full range of specializations.

Lam Associates is currently recruiting in the
following specialties:

Internal Medicine, Nursing & Psychiatry

To see their postings, please visit www.medicalmatch.org.

LANIER MEDICAL PLACEMENT
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Lanier Medical Placement is a full service Physician & Allied Healthcare Recruitment company recruiting for hospitals, private practices, and multispecialty groups nationwide. With over 25 years combined experience, our goal is to exceed the expectation of our candidates and clients to become your Partner in Physician Recruitment. The core focus of our firm is to provide our clients with unparalleled candidates through exceptional and dedicated service. Our expertise and specialization enables us to respond specifically to the needs of our candidates and clients; from small rural hospitals to large metropolitan facilities.

Over the years we have helped many Physicians take the next step in their careers and have worked closely with them to meet their career aspirations. Lanier Medical Placement is your direct source to an impressive roster of hospitals, private practices, and multi-specialty groups that are searching for Physicians of your caliber. We are focused to transform your career goals into actual job opportunities.

To contact us, you may use the form on the contact us page; it is a general way to get in touch with us that is guaranteed safe and secure. We take your privacy very seriously and we will not give out any information unless you give us permission. Feel free to call us at 877-612-9991, if you have any questions or if our services can be of benefit to you.

Whether you are a Healthcare Facility in need of a Physician, or a Physician ready for the next step in your career, we hope you will find us as your Partner in Physician Recruitment.

Lanier Medical Placement is currently recruiting in the
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Anesthesiology, Endocrinology, Family Medicine, Gastroenterology, Surgery, Internal Medicine, Neurology, Neurosurgery, OBGYN, Otolaryngology, Psychiatry & Pulm / CC

To see their postings, please visit www.medicalmatch.org.

MD Preferred
 National Award Recipient




THE HONEY BAKED HAM COMPANY
Since 1957 The HoneyBaked Ham Company has been offering gifts of great taste that serve as excellent ways to express appreciation and tasteful incentives to motivate as well as rewards for recognition. Our wide variety of gourmet selections offers gifts for every taste and every budget. Featuring The HoneyBaked Ham, and also offering turkeys, Certified Angus Beef®, Seafood, fresh fruit, nuts, fine chocolates and delectable desserts. Gifts from HoneyBaked are easy, tasteful, always appropriate and will be delivered directly to your recipient's doorstep.


MD Preferred
National Award Recipient




The Ghirardelli Chocolate Company is a manufacturer and marketer of premium chocolate products. Incorporated in 1852 and in continuous operation since then, Ghirardelli has the richest heritage of any American chocolate company. Ghirardelli continues to honor its heritage to this day. Ghirardelli is one of the few companies in America that controls the entire chocolate manufacturing process, from cocoa bean to finished product. This control over the manufacturing process, combined with Ghirardelli's proprietary bean blend and unique methods of roasting and processing, ensures that you are rewarded with the highest quality and richest products.


MD Preferred
National Award Recipient



PHYSICIAN'S PREFERRED WELLNESS GROUP. 
Doctors throughout the country are offering this high quality, PDR LISTED, health and wellness program to their patients, providing options and guidance in this currently unregulated industry.
 
The Physicians Preferred Wellness Program is a perfect complement to your existing practice.

This program has been adopted by over 2,000 doctors nationwide and is helping doctors each day capture a new source of income that is not tied to insurance reimbursements or co-pays!