Podcasts about ASC

Can complex interventional endoscopy thrive in an Ambulatory Surgical Center (ASC)? In this episode of The Interventional Endoscopist, host Dr. Mankanwal Sachdev sits down with pioneer Dr. Isaac Raijman (Associate Professor at Baylor College of Medicine) to explore the evolving landscape of outpatient therapeutic GI. Dr. Raijman shares his journey from fiber-optic endoscopes to modern digital cholangioscopy, breaking down the financial, clinical, and operational realities of transitioning EUS, ERCP, and endobariatrics out of the hospital setting. In this episode, we discuss: The Business & Economics: Navigating Medicare facility fees, disposable costs, and margins for EUS and ERCP in the ASC. Patient Selection & Safety Guardrails: Strict ASA criteria, BMI limits, equipment requirements, and complications management outside the hospital. Cholangioscopy & Stone Management: Practical takeaways from Dr. Raijman's DDW study on single-operator cholangioscopy and EHL in outpatient settings. The Future of Outpatient Intervention: What the shift toward outpatient care means for current fellows, interventional job markets, and the next frontier of interventional EUS. Whether you are a fellow preparing for practice or an attending looking to expand your ASC's therapeutic offerings, this conversation offers an essential blueprint for modern interventional GI.

In this special episode of the ASC Podcast with John Goehle, recorded at the California Ambulatory Surgery Association's Annual Conference, held September 1st through 4th at the Monterey Conference Center in Monterey, California, John talks to some of the speakers, and the board president. Then he walks through four sessions from the meeting — electronic distraction in the OR, emergency management and life safety, accreditation readiness, and a panel of the accrediting organizations on what they want you to know. This episode is sponsored by Surgical Information Systems, RFX Solutions, Medserve and  Ambulatory Healthcare Strategies. Notes and Resources from this Episode: California Ambulatory Surgery Association (CASA) Website: casurgery.org Annual Conference 2026 — September 1–4, 2026, Monterey Conference Center, Monterey, California   Speakers Interviewed from the Conference: Michelle George — general session: “Fueling Excellence: Elevate. Execute. Excel” Carrie Millsap — President, California Ambulatory Surgery Association; Chief Executive Officer, Monterey Peninsula Surgery Centers Kara Newbury, JD — Chief Advocacy Officer, Ambulatory Surgery Center Association (session: “CA and National Legislative Update”) David Shapiro, MD — anesthesiologist, ASC surveyor and longtime industry leader (also presented “Position Your ASC for Accreditation Success”) 2026 Multi-State Conference — presented with the state ASC associations: asc-central.com/2026-multi-state-conference Sessions Recapped in This Episode: Peter Papadakos, MD — “Optimizing Team Performance: Managing Digital Distractions in the OR” Richard Parker — “Emergency Management, Physical Environment, and Life Safety in ASCs” David Shapiro, MD — “Position Your ASC for Accreditation Success” “Checkered Flag Finish: What the Experts Want You to Know” — panel of accrediting organization representatives (AAAHC, The Joint Commission, QUAD A, DNV and ACHC), moderated by Janet Miller ASC Quality Collaboration — nine free ASC Toolkits (endoscope reprocessing, environmental infection prevention, hand hygiene, point-of-care devices, patient falls, safe injection practices, single-use device reprocessing, sterilization and high-level disinfection, and wrong-site prevention): ascquality.org/toolkits CASA upcoming events: Infection Prevention Conference — November 2026, virtual [VALIDATE dates]; CASA Annual Conference 2027 — Huntington Beach, California [VALIDATE dates] ANNOUNCEMENT - Live Conference Week, September 22-25, 2026 - Premium Access and AHS Client Access members attend free: asc-central.com - Conferences & Programs Tuesday, September 22 - Infection Control Oversight 101 (IC101): asc-central.com/ic101-2026 Wednesday, September 23 - Infection Control Coordinator Training (IC 201): asc-central.com/ic201-2026 Thursday, September 24 - Quality Improvement & Peer Review (QAPI): asc-central.com/qapi-2026 Friday, September 25 - Article 28 Mastery, New York D&TC and ASC: asc-central.com/article-28-2026 INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE ASC Central is our one-stop site for ASC bootcamps, live and on-demand conferences, and membership programs — now at asc-central.com (the old conferences.asc-central.com address has been retired). Patron Membership — $25/month, individual: the full resource library (policies, forms, drill kits, templates), weekly drop-in Zoom sessions, all six recorded conferences, the member forum, the complete podcast library, and The Survey Guide for ASCs, 2026 Edition with Appendices A–N. Become a Patron Member Premium Access — $3,995/year, covering your entire surgery center (not per person): everything in Patron, plus the Administrator, Director of Nursing and Business Office Manager Bootcamps, the ASC Leadership Mastery Course, Infection Control 101 & 201 (CAIP preparation), Annual Mandatory Education, compliance tools and self-assessments, certificates with AEUs and IPCH credits, every new conference we release, and up to five hours of private consulting a year. Sign up for Premium Access Compare both programs: asc-central.com/memberships   Important Resources for ASCs: Conditions for Coverage: https://www.ecfr.gov/cgi-bin/text-idx?c=ecfr&rgn=div5&view=text&node=42:3.0.1.1.3&idno=42#se42.3.416_150 Infection Control Survey Tool (Used by Surveyors for Infection Control) https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107_exhibit_351.pdf Updated Guidance for Ambulatory Surgical Centers - Appendix L of the State Operations Manual (SOM) https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_l_ambulatory.pdf https://www.cms.gov/medicareprovider-enrollment-and-certificationsurveycertificationgeninfopolicy-and-memos-states-and/updated-guidance-ambulatory-surgical-centers-appendix-l-state-operations-manual-som Policy & Memos to States and Regions CMS Quality Safety & Oversight memoranda, guidance, clarifications and instructions to State Survey Agencies and CMS Regional Offices. https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions Other Resources from the ASC Podcast with John Goehle: Visit the ASC Podcast with John Goehle Website Books by John Goehle Get a copy of John's most popular book - The Survey Guide - A Guide to the CMS Conditions for Coverage & Interpretive Guidelines for Ambulatory Surgery Centers

In this episode, we welcome four-time Emmy Award winner David X. Cohen, co-creator, executive producer and head writer of Futurama. David takes us inside the making of the iconic animated series, from its origins and his longtime collaboration with Matt Groening on The Simpsons, to the creative process behind Futurama and its new season. He also shares insights and advice for today's writers and creators developing their own original work.“The Making Of” is presented by AJA:Tackle production problems head-on with AJA's latest productsFrom FS8 to OG-FiDO-4, AJA's newest products address modern production demands. A 12G-SDI/SMPTE ST 2110 Media Processor, FS8 delivers powerful tools for navigating mismatched frame rates, rasters, and color spaces, streamlining audio routing, and more. OG-FiDO-4 openGear four-channel SDI/Fiber conversion cards let teams extend SDI infrastructure over fiber. Explore hereVimeo Announces 2nd Annual Short Film GrantLaunched in 2025, this initiative supports the production of artistically driven short films by awarding five emerging filmmakers with money, mentorship, and access to gear for the production of their next short film projects.Following this open call for submissions, a dream team jury featuring Koganada, Josephine Decker, Pete Ohs, Sarah Winshall, and Jomo Fray, ASC will select five winners to each receive a $60,000 cash production grant, access to select Panavision camera packages and OWC storage, one-on-one mentorship with the jury, screenings, distribution and promotion on Vimeo, and more.With support from Panavision, OWC, AJA Video Systems, and ShotDeck.Explore herePost|Production World New YorkOct. 20-21 | New York, NYPost|Production World New York returns to NAB Show New York, Oct 20-21 at the Javits Center. Two days of high-impact training in editing, motion graphics, AI workflows, & visual storytelling, taught by the industry's leading trainers in Premiere, After Effects, DaVinci Resolve, and Cinema 4D. Discount Code: PPWTMOVisit hereBuild Your RAID. Save While You Do It.The OWC Express 4M2 gives video and post professionals a flexible four-slot NVMe RAID solution with speeds up to 3200MB/s, support for up to 32TB today, and near-silent adaptive cooling. Choose your own NVMe drives and configure the storage your workflow needs. Right now, the Express 4M2 enclosure is on sale starting at just $178.99Explore hereCineverseOct. 16-17 | Rome, ItalyCinematography, technology, and the next generation - at the iconic Cinecittà Studios, Rome. Join us for Cineverse from 16–17 October 2026. Two days of exhibition, technology, AIC IMAGO panels, Frame Bar sessions and networking. Discover the people, ideas and innovations shaping the future of cinematography, from established industry voices to the next generation of talent.Visit hereWhat's Better Than Royalty Free Music?Music That Enhances Your Creative Experience.Unlimited music. Unlimited productions. One straightforward license.CSS Music gives filmmakers and content creators access to music from human composers, backed by a broad standard license with unlimited uses, unlimited productions, and no time limits.Find the right track faster with 8 powerful search options, then customize it for your production with custom-length and stem extraction tools. Plus, easily create playlists and generate cue sheets—all designed to make music licensing and production simpler.No hassles. No surprises. Just great music and tools built for creators.Explore hereZEISS Introduces Horizon Anamorphic: Full-Frame 2x Anamorphics with a New Lens Technology PlatformZEISS unveils the Horizon Anamorphic series, a new lineup of full-frame 2x anamorphic cinema lenses designed to deliver a distinctive cinematic look along with a new lens technology platform that answers the need for speed and precision demanded by contemporary production workflows.Spanning 35mm to 200mm across seven focal lengths, Horizon lenses combine their anamorphic look—incorporating a pronounced oval bokeh and stretched sense of spatial depth—with a lightweight, fully integrated motorized system that eliminates the need for external focus or iris motors. Visit hereMeet G-RAID PROJECT 2G-RAID PROJECT 2 delivers high-performance storage for demanding video workflows. With dual 7200RPM Ultrastar enterprise-class drives, Thunderbolt 3, and capacities up to 52TB, it's built for 4K, 8K, VR, and content-intensive projects. Shop at Videoguys or call 800-323-2325 for expert advice. Visit herePodcast Rewind:Sept. 2026 - Ep. 151.Partner with The Making Of:Reach 275,000 film industry, broadcast pros, and content creators reading this newsletter. To explore advertising opportunities, please email mvalinsky@me.com Get full access to The Making Of at themakingof.substack.com/subscribe

Remembering cinematographer Rodney Charters, ASC, dp of 24, Sleepwalkers, and much more in this classic Cinepod conversation on craft, career, and lighting.

This week's episode is dedicated to remembering our dear colleague and friend Rodney Charters, ASC, who passed away in Amsterdam during the show – we will dedicate more time to him in an upcoming episode. We work through Johnnie's first hands-on demo of our SmallRig x CineD OrBrella prototype and the 200 pre-orders that sold out in just days, all the winners of our CineD Best-of-Show Awards at IBC 2026 – from the Adobe After Effects AI Assistant and the Deity PR-4 to the Aputure STORM CS32, NANLUX Matrix 2500C, Atomos Shinobi 7 II and Hollyland Pyro 7 Ultra – the Teradek Bolt 7, Sony's DWX Gen 4 and its US patent problem, the iPhone 18 Pro and iPhone Duo, SmallRig's iPhone 18 cinema kit, the latest Pixboom Spark update, the Canon EOS R8 Mark II, Tilta's Pyro 7 Ultra cage, the SNAPGRID Core, SmallRig's Nano power banks, the Saramonic WiTalk Base, Angelbird's new CFexpress Type A v4 cards and a new MZed Storytelling Session. This Episode is Sponsored by Hollyland. Check it out at (00:18:36) ►Learn more: http://cined.co/lwhjQk Topics and Chapters in this Episode: (00:00:00) Intro   (00:05:33) SmallRig x CineD OrBrella Light Introduced – 60W Umbrella-Style Light That Deploys in Five Seconds https://www.cined.com/smallrig-x-cined-orbrella-light-introduced-60w-umbrella-style-light-that-deploys-in-five-seconds/   (00:21:14) Winners Announced – CineD Best-of-Show Awards at IBC 2026 https://www.cined.com/winners-announced-cined-best-of-show-awards-at-ibc-2026/   (00:28:42) Deity PR-4 Detailed – Six Tracks, Wireless Timecode Master, and Dual-Media Recording https://www.cined.com/deity-pr-4-detailed-six-tracks-wireless-timecode-master-and-dual-media-recording/   (00:37:03) OWC Thunderbolt 5 Dock with Dual HDMI Introduced – Two HDMI 2.1 Ports, 140W Laptop Charging, Full-Speed Downstream Storage https://www.cined.com/owc-thunderbolt-5-dock-with-dual-hdmi-introduced-two-hdmi-2-1-ports-140w-laptop-charging-full-speed-downstream-storage/   (00:40:28) DZOFILM Arles Zooms Announced – 25-75mm and 65-180mm T2.6 With Prime-Matched Color https://www.cined.com/dzofilm-arles-zooms-announced-25-75mm-and-65-180mm-t2-6-with-prime-matched-color/   (00:42:03) Aputure STORM CS32 Explained – 3,200W of Full Color From a Household Outlet https://www.cined.com/aputure-storm-cs32-3200w-of-full-color-from-a-household-outlet/   (00:44:12) NANLUX Matrix 2500B and Matrix 2500C – First Look https://www.cined.com/nanlux-matrix-2500b-and-matrix-2500c-first-look/   (00:45:14) Atomos Shinobi II Wins One of Two Awards in the Category “Monitors” (Interview video will follow)   (00:46:59) Hollyland Pyro 7 Ultra Explained – 4K60 Transmission, 20ms Latency, Camera Control From the Receiver https://www.cined.com/hollyland-pyro-7-ultra-explained-4k60-transmission-20ms-latency-camera-control-from-the-receiver/   (00:48:52) Teradek Bolt 7 Introduced – 6GHz Zero-Delay Wireless Video, 900MHz Radio for Camera Control, and More https://www.cined.com/teradek-bolt-7-introduced-6ghz-zero-delay-wireless-video-900mhz-radio-for-camera-control-and-more/   (00:53:02) Sony DWX Gen 4 Wireless System Detailed – 32-Bit Float Recording, 1.1ms Latency, and a 30% Price Cut https://www.cined.com/sony-dwx-gen-4-wireless-system-detailed-32-bit-float-recording-1-1ms-latency-and-a-30-price-cut/   (00:56:49) Apple iPhone 18 Pro and 18 Pro Max Announced – Variable Aperture Main Camera, New Sensor, Pro Controls, Plus the Foldable iPhone Duo https://www.cined.com/apple-iphone-18-pro-and-18-pro-max-announced-variable-aperture-main-camera-new-sensor-pro-controls-plus-the-foldable-iphone-duo/   (01:07:23) SmallRig iPhone 18 Cinema Kit Introduced – HawkLock Cage, 67mm Screw-On Filters, $190 All-in-One Kit https://www.cined.com/smallrig-iphone-18-cinema-kit-introduced-hawklock-cage-67mm-screw-on-filters-190-all-in-one-kit/   (01:09:42) Pixboom Spark Updated – Pre-Record, Browser Remote Control, and 12-Bit RAW in Development https://www.cined.com/pixboom-spark-updated-pre-record-browser-remote-control-and-12-bit-raw-in-development/   (01:14:24) Canon EOS R8 Mark II Announced – 24.2MP Full-Frame, IBIS, and Oversampled 4K60p https://www.cined.com/canon-eos-r8-mark-ii-announced-24-2mp-full-frame-ibis-and-oversampled-4k60p/   (01:17:45) Tilta Monitor Cage for Hollyland Pyro 7 Ultra and Integration with Nucleus-M II Demonstrated https://www.cined.com/tilta-monitor-cage-for-hollyland-pyro-7-ultra-and-integration-with-nucleus-m-ii-demonstrated/   (01:19:53) DoPchoice/Ellar Works SNAPGRID Core Modifier for ARRI Omnibar and Astera Titan Tubes Explained https://www.cined.com/dopchoice-ellar-works-snapgrid-core-modifier-for-arri-omnibar-and-astera-titan-tubes-explained/   (01:21:53) SmallRig Nano36 and Nano72 Introduced – Rig-Mountable Power Banks With Retractable USB-C https://www.cined.com/smallrig-nano36-and-nano72-introduced-rig-mountable-power-banks-with-retractable-usb-c/   (01:23:47) Saramonic WiTalk Base Detailed – 64-User Scaling, IP66 Rugged Design, and 700m Range https://www.cined.com/saramonic-witalk-base-detailed-64-user-scaling-ip66-rugged-design-and-700m-range/   (01:26:42) Angelbird AV PRO CFexpress Type A v4 Explained – VPG800 Certification, Up to 1.6TB, and Roman Rabitsch on the Storage Crisis https://www.cined.com/angelbird-av-pro-cfexpress-type-a-v4-explained-vpg800-certification-up-to-1-6tb-and-roman-rabitsch-on-the-storage-crisis/   (01:28:47) Breaking the Framing Rules – New “Storytelling Sessions” Recording Now Available on MZed https://www.cined.com/breaking-the-framing-rules-new-storytelling-sessions-recording-now-available-on-mzed/   Which IBC winner would you have picked? Leave a comment below, write to us at podcast@cined.com, and subscribe to Focus Check wherever you listen to podcasts.

The future of spine surgery is increasingly in the outpatient setting. In this episode of ASC Insights, Dr. Jeffrey Roh, orthopedic spine surgeon and Chief Medical Officer at Excel Health, shares how minimally invasive technology is accelerating the shift from inpatient to outpatient spine surgery and transforming the ASC landscape. He discusses the clinical, economic, and patient-experience advantages of ASCs, as well as the evolving role of reimbursement, robotics, and AI in surgical care. Looking ahead, he envisions increasingly autonomous robotic systems, smaller procedures, and a healthcare system where outpatient surgery becomes the default for an expanding range of cases. Tune in as Dr. Jeffrey Roh explores why the future of spine surgery is moving beyond the hospital, and how minimally invasive technology, AI, and robotics are reshaping what's possible in the ASC. Resources: Connect with and follow Dr. Jeffrey Roh on LinkedIn. Follow Excel Health on LinkedIn and explore their website!

In this episode of the ASC Podcast with John Goehle, Oregon moves toward a workplace violence rule that names ambulatory surgery centers, AAAHC follows its v45 Standards with a free AI governance guide, and two Insurance plans start steering elective cases out of the hospital and into ASCs — with a health system suing over it. Then John sits down with Amrit Kirpalani, CEO of NovaNav, recorded at the Texas ASC Society meeting, for a practical conversation about where a surgery center should actually start with artificial intelligence, and the questions to ask a vendor before you sign anything. This episode is sponsored by Surgical Information Systems, RFX Solutions, Medserve and  Ambulatory Healthcare Strategies. Notes and Resources from this Episode: Oregon OSHA proposes a workplace violence prevention rule covering ambulatory surgery centers - hearings August 11 and 13, comments closed August 31; adoption expected October 2026, effective January 2027 (July 21, 2026): osha.oregon.gov AAAHC releases the 1095 Advance AI Governance Guide - a complimentary implementation resource for ambulatory care organizations (August 17, 2026): aaahc.org AAAHC v45 Standards - AI governance framework built on leadership accountability, risk assessment, cybersecurity, human oversight and transparency; effective for surveys conducted on or after December 15, 2026 (August 18, 2026): aaahc.org v45 handbooks (free digital versions for 1095 Engage users): store.aaahc.org/handbooks Two Insurers Started Steering Patients to ASCs. Here's What Happened Next - Highmark and Independence Blue Cross site-of-care policies; Jefferson Health's $35.4M suit - Ambulatory Surgery Center News (August 28, 2026): ascnews.com ANNOUNCEMENT - 2026 Multi-State Virtual ASC Conference, December 3-4, 2026, online, presented with the state ASC associations - free to members of participating state associations; state-association participation closes September 30: asc-central.com/2026-multi-state-conference ANNOUNCEMENT - Live Conference Week, September 22-25, 2026 - Premium Access and AHS Client Access members attend free: asc-central.com - Conferences & Programs ANNOUNCEMENT - Live Conference Week, September 22-25, 2026 - Premium Access and AHS Client Access members attend free: asc-central.com - Conferences & Programs Tuesday, September 22 - Infection Control Oversight 101 (IC101): asc-central.com/ic101-2026 Wednesday, September 23 - Infection Control Coordinator Training (IC 201): asc-central.com/ic201-2026 Thursday, September 24 - Quality Improvement & Peer Review (QAPI): asc-central.com/qapi-2026 Friday, September 25 - Article 28 Mastery, New York D&TC and ASC: asc-central.com/article-28-2026 Leadership training - Administrator, Director of Nursing and Business Office Manager Bootcamps, plus the ASC Leadership Mastery Course: asc-central.com - Leadership Training Guest: Amrit Kirpalani, Chief Executive Officer of NovaNav - session “AI - Who, What, Is It Covered and What Comes Next,” recorded at the Texas Ambulatory Surgery Center Society Annual Conference, Lake Conroe, Texas. INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE ASC Central is our one-stop site for ASC bootcamps, live and on-demand conferences, and membership programs — now at asc-central.com (the old conferences.asc-central.com address has been retired). Patron Membership — $25/month, individual: the full resource library (policies, forms, drill kits, templates), weekly drop-in Zoom sessions, all six recorded conferences, the member forum, the complete podcast library, and The Survey Guide for ASCs, 2026 Edition with Appendices A–N. Become a Patron Member Premium Access — $3,995/year, covering your entire surgery center (not per person): everything in Patron, plus the Administrator, Director of Nursing and Business Office Manager Bootcamps, the ASC Leadership Mastery Course, Infection Control 101 & 201 (CAIP preparation), Annual Mandatory Education, compliance tools and self-assessments, certificates with AEUs and IPCH credits, every new conference we release, and up to five hours of private consulting a year. Sign up for Premium Access Compare both programs: asc-central.com/memberships   Important Resources for ASCs: Conditions for Coverage: https://www.ecfr.gov/cgi-bin/text-idx?c=ecfr&rgn=div5&view=text&node=42:3.0.1.1.3&idno=42#se42.3.416_150 Infection Control Survey Tool (Used by Surveyors for Infection Control) https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107_exhibit_351.pdf Updated Guidance for Ambulatory Surgical Centers - Appendix L of the State Operations Manual (SOM) https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_l_ambulatory.pdf https://www.cms.gov/medicareprovider-enrollment-and-certificationsurveycertificationgeninfopolicy-and-memos-states-and/updated-guidance-ambulatory-surgical-centers-appendix-l-state-operations-manual-som Policy & Memos to States and Regions CMS Quality Safety & Oversight memoranda, guidance, clarifications and instructions to State Survey Agencies and CMS Regional Offices. https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions Other Resources from the ASC Podcast with John Goehle: Visit the ASC Podcast with John Goehle Website Books by John Goehle Get a copy of John's most popular book - The Survey Guide - A Guide to the CMS Conditions for Coverage & Interpretive Guidelines for Ambulatory Surgery Centers

For years, the story of ambulatory surgery centers was all about moving care out of the hospital. But the most important ASC trend today isn't growth. It's variation. Organizations are using ambulatory surgery centers to pursue very different goals. Some view ASCs as a way to relieve inpatient capacity. Others are trying to lower costs, protect market share, recruit physicians, expand access, or create room for more complex hospital care. And those strategies can vary dramatically depending on the service line, ownership model, market dynamics, and state policy environment. In this episode, host Rae Woods talks with Advisory Board researchers Nick Hula, Gaby Marmolejos, and Rachael Peroutky about why no two ASC strategies look exactly alike, and how healthcare leaders can determine the right role for ASCs in their market. We're here to help: Webinar | How to design an ASC-specific commercial strategy Report | Site-of-care shifts 2026: Inside the latest trends and data Report | Which services are most at risk of leaving the hospital? Quick Guide | Guide to today's top orthopedic trends Report | Supplier playbook for developing an ASC commercial strategy Episode | 291: If you build it, will they buy it? The new rules for proving value in life sciences Sponsor link: Webinar | Value-based care demystified Sponsor link: Report | 4 ways health systems are pursuing lab growth A transcript of this episode as well as more information and resources can be found on RadioAdvisory.advisory.com.

In this special episode of the ASC Podcast with John Goehle, recorded live at the Texas Ambulatory Surgery Center Society's Annual Conference at Margaritaville Lake Resort on Lake Conroe, John brings back four conversations from the meeting — with the association's president and a board member, the CEO of an AI company working in surgery centers, a compliance attorney, and the society's executive director — for a look at what Texas surgery centers are up against and why the state association is worth joining. This episode is sponsored by Surgical Information Systems, RFX Solutions, Medserve and  Ambulatory Healthcare Strategies. Notes and Resources from this Episode: Texas Ambulatory Surgery Center Society (TASCS) Website: texasascsociety.org Annual Conference 2026 — August 26–28, 2026, Margaritaville Lake Resort, Lake Conroe, Montgomery, Texas   Speakers Interviewed from the Conference: Adam Hornback, BSN, RN — President, Texas Ambulatory Surgery Center Society; Administrator, North Texas Team Care Surgery Center Kayla Schneeweiss-Keene, MBA, BSN, RN, CASC — Board Member, Texas Ambulatory Surgery Center Society; ASC Administrator, Mann Cataract Surgery Center Amrit Kirpalani — Chief Executive Officer, NovaNav (session: “AI — Who, What, Is It Covered and What Comes Next”) Richard Bays, JD — Attorney and Registered Nurse (general session: “Effective Compliance Program for Your ASC”) Krista DuRapau — Executive Director, Texas Ambulatory Surgery Center Society ANNOUNCEMENT - Live Conference Week, September 22-25, 2026 - Premium Access and AHS Client Access members attend free: asc-central.com - Conferences & Programs Tuesday, September 22 - Infection Control Oversight 101 (IC101): asc-central.com/ic101-2026 Wednesday, September 23 - Infection Control Coordinator Training (IC 201): asc-central.com/ic201-2026 Thursday, September 24 - Quality Improvement & Peer Review (QAPI): asc-central.com/qapi-2026 Friday, September 25 - Article 28 Mastery, New York D&TC and ASC: asc-central.com/article-28-2026 INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE ASC Central is our one-stop site for ASC bootcamps, live and on-demand conferences, and membership programs — now at asc-central.com (the old conferences.asc-central.com address has been retired). Patron Membership — $25/month, individual: the full resource library (policies, forms, drill kits, templates), weekly drop-in Zoom sessions, all six recorded conferences, the member forum, the complete podcast library, and The Survey Guide for ASCs, 2026 Edition with Appendices A–N. Become a Patron Member Premium Access — $3,995/year, covering your entire surgery center (not per person): everything in Patron, plus the Administrator, Director of Nursing and Business Office Manager Bootcamps, the ASC Leadership Mastery Course, Infection Control 101 & 201 (CAIP preparation), Annual Mandatory Education, compliance tools and self-assessments, certificates with AEUs and IPCH credits, every new conference we release, and up to five hours of private consulting a year. Sign up for Premium Access Visit: asc-central.com/memberships to compare both programs

In this episode of the Advancing Surgical Care Podcast, ASCA CEO Bill Prentice is joined by ASCA President Todd Currier for a wide-ranging discussion about his aspirations for ASCA, his presidency and the ASC community. As the administrator of Bend Surgery Center in Bend, Oregon, Currier understands the challenges and opportunities of operating a surgery center today and is passionate about advocating with policymakers on behalf of the ASC community. Tune in to learn more about what led him through the ranks to ASCA president and hear his message to all ASCA members.

What makes an image unforgettable? How can light, movement, and a single frame make us feel the heart of a story long after the screen goes dark? Tune in for an inspiring discussion with two-time Academy Award® winning cinematographer Sir Roger Deakins and creative partner James Ellis Deakins on their visual memoir, Reflections: On Cinematography. Moments with Marianne Radio Show airs in the Southern California area on KMET1490AM & 98.1 FM, an ABC Talk News Radio Affiliate!  https://www.kmet1490am.com Roger A Deakins CBE, ASC, BSC, is one of today's most honored cinematographers, renowned for his vast and varied body of work. He has been nominated for an Oscar 16 times and won the award twice for the films Blade Runner 2049 and 1917. He has also received 17 nominations for the top honor awarded by the American Society of Cinematographers and has been nominated 11 times for the BAFTA award, winning five of them. Some of his other Oscar nominations are for: Denis Villeneuve's Prisoners and Sicaro; The Coen Brothers' Fargo; Martin Scorsese's Kundun; The Reader; Sam Mendes' Skyfall; and Angelina Jolie's Unbroken, just to name a few. https://www.rogerdeakins.com James Ellis Deakins is the creative work partner of Roger Deakins. Born on the east coast of the United States, she double majored in college in Latin and Greek, doing a graduate course in Latin as an undergraduate. Once out of school, she began her film work in New York City as a film lab technician at DuArt Film Laboratories and then as a script supervisor in production. After moving to Los Angeles, she met Roger Deakins on a film set and their creative collaboration began. https://teamdeakins.libsyn.com To learn more about the show and interview opportunities contact us at: https://www.mariannepestana.com #cinematography #film #movies #academyawards #filmmaker #creative #filmlover #gotothemovies #movie 

Warum du gestresst bist – und wie du da rauskommstStress ist für die meisten Menschen in Deutschland längst Alltag geworden. In dieser Folge zeigt dir Anna Schaub, warum Stress wissenschaftlich betrachtet keine Emotion, sondern eine Überzeugung ist – und wie du sie auflösen kannst.Das erwartet dich:Aktuelle Zahlen zum Stressempfinden in DeutschlandDie wissenschaftliche Definition von Stress nach Richard LazarusWarum Dauerstress messbare körperliche Folgen hatDer Faktencheck: die ASC-Übung für akuten StressDie Absichts-Analyse: die ASC-Übung für dauerhaft weniger StressEine Coachee-Story aus der Praxis: warum Stress auch nach der Rente bleiben kannKontakt & VerbindungenWebsite: ⁠⁠⁠www.annaschaub.com⁠⁠⁠Instagram: ⁠⁠⁠@anna_schaub_official⁠⁠⁠Facebook: ⁠⁠⁠@annaschaubofficial⁠⁠⁠TikTok: ⁠⁠⁠@annaschaub⁠⁠⁠YouTube: ⁠⁠⁠@annaschaub⁠⁠⁠Podcast: ⁠⁠⁠Spotify⁠⁠⁠ & ⁠⁠⁠Apple Podcasts⁠⁠⁠Newsletter: ⁠⁠⁠Jetzt abonnieren⁠⁠⁠Coaching-Masterclass: ⁠⁠⁠https://annaschaub.com/coaching-masterclass/⁠⁠⁠ASC® Coaches Map- ⁠⁠⁠Finde deinen ASC® Life Coach⁠⁠⁠Buchseite: ⁠⁠⁠Die Erfüllungsformel⁠⁠Quellen & Studien:Techniker Krankenkasse (2025): TK-Stressreport 2025 – Wie gestresst ist Deutschland?Bevölkerungsrepräsentative Forsa-Befragung von 1.407 Personen ab 18 Jahren, Mai 2025. → https://www.tk.de/presse/themen/praevention/gesundheitsstudien/stressreport-2025-2206714Lazarus, R. S. & Folkman, S.: Transaktionales Stressmodell (Grundlagenforschung zur Stressdefinition)

The Invite, Olivia Wilde's comedy for A24, plays out almost entirely inside one San Francisco apartment, where a couple played by Wilde and Seth Rogen host an evening that goes sideways with visitors played by Penélope Cruz and Edward Norton. Adam Newport-Berra, ASC photographed it on 35mm, in story order, on a Los Angeles soundstage with a single day of exteriors in San Francisco. The brief he set himself was that one enclosed space should feel, in his words, like a landscape, and never like a set.The first plan was to light it practically, in the spirit of Husbands and Wives, and let the actors move in and out of shadow. A test with the cast said otherwise. Nobody liked the dailies, and Newport-Berra got some phone calls afterward. What replaced it was hard ceilings, because an open set lit from above reads as a set, with the light built into the ceilings. Key grip Adam Kolegas fabricated low-profile softboxes, tube fixtures wrapped in muslin and skirted, light enough to hang from putty knives slid into the stretch-canvas ceiling and quick enough to pop off in ten minutes when the camera needed to tilt up. Gaffer Len Levine ran them by remote. Doorway moldings that dropped a foot below the ceiling hid the boxes behind them, and six to eight more lights sat on the floor for nearly every setup. With production designer Jade Healy and costume designer Arianne Phillips, the walls, the wood, and the hosts' clothes were kept dark so the faces would carry the light; the visitors' wardrobe was made to stand apart from the room. Every shot in the film, he says, is very lit.There was no shot list on set. Newport-Berra wrote one for the whole film, in a Google Doc, and says he never looked at it once. Prep was a wall of two hundred reference frames, and each morning he walked the set before anyone else arrived, photographing angles on his iPhone with his crew standing in for the cast. Wilde, who stepped into the role of Angela after an actor dropped out, ran each scene with the cast, then handed it to a stand-in and watched from outside while she and Newport-Berra picked frames. The camera stayed on the dolly and mostly locked off; there is no handheld in the film. The tools were lens, height, and eyeline. Norton is held slightly low on a 35mm, almost heroic. Cruz moves on Steadicam on a longer lens. Rogen and Wilde are pinned flat against a wall with too much headroom. For the couple's first argument the rule was cat and mouse: never on the same level, never in the same frame, together only in mirrors and window glass, until the scene lands on a head-on two-shot. The last shot of the film, a move through the building's shaftway that Healy had designed the set around, went at four in the morning on the final night on stage.CREDITSAdam Newport-Berra, ASCInstagram · Website · IMDbJared Levy, hostInstagram · Website · IMDbDavid Kruta, producerInstagram · Website · IMDbTopher Hammond, producerInstagramMUSICOriginal music by One Wave.THE SALONEpisode page and full gallery: https://cinematographysalon.com/podcast/adam-newport-berra-asc-the-inviteNewsletter and events: cinematographysalon.comInstagram: @cinematographysalonPRESENTING SPONSORThis episode is made possible by Fujifilm — home of GFX ETERNA 55, the large format, IMAX®-Certified digital camera, and FUJINON cinema lenses. https://fujifilm-x.comSUPPORT THE SALONThe podcast, the writing, and both Resources tools are free. No paywall, no membership, no login. That is on purpose: learning to light a scene should not depend on what you can afford. Sponsors cover part of it and readers cover the rest. If you want to chip in, it starts at the price of a coffee a month at https://cinematographysalon.com/support. If your company wants to reach working cinematographers, get in touch at https://cinematographysalon.com/sponsors.

The Truth About Truth (Session 3): Who is Jesus? Who do you say Jesus is? In a world filled with opinions, theories, and cultural missteps, Jesus' question to His disciples in Matthew 16 still rings true today: "Who do you say I am?" In this message, we tackle common modern misconceptions about Jesus—that He was merely a good moral teacher, a failed revolutionary, or just a historical prophet—and contrast them with what Scripture actually reveals. We explore the profound reality of Jesus as fully human yet fully divine: His eternal pre-existence, His sinless life, His ultimate sacrifice as Savior, His victorious resurrection, and His promised return as King. Discover why a true understanding of Jesus must be biblical, historical, personally transformative, and deeply challenging. As C.S. Lewis famously noted, "Christianity, if false, is of no importance, and if true, of infinite importance; the only thing it cannot be is moderately important." Tune in to discover the radical truth about who Jesus really is and what His identity means for your life today.

There are roughly 9,000 ambulatory surgery centers in the United States, and most of them aren't running at capacity. Ronen Elefant figured out that he didn't need to build another one; he just needed to reach the ones already sitting half empty.My guest this week is a trauma surgeon in Pennsylvania who has been flying his own plane to work for fourteen years. About a year ago he turned that into a business: rent time at an ASC, fly in, do the cases, fly home. One bundled price covering the facility, the anesthesiologist, and the surgeon. No insurance, no three separate bills arriving weeks apart.We get into how the economics work at three or four cases per trip, and why patients drive six hours from the Dakotas to get on a cash schedule. Ronen also explains what certificate of need laws actually protect, why he thinks insurance should only exist for catastrophic care, and how an employer could plug fly-in surgery into a self-funded plan without building anything.If you've been looking at surgical bundles and wondering how the supply side works, this is the episode. Tune in."Burnout doesn't come from surgeons standing up all day. It comes from doing all this stuff on behalf of the insurance company." - Dr. Ronen Elefant, ACESThank you to our 2026 sponsors!ParetoHealth: ParetoHealth empowers midsize employers with a long-term solution to reduce volatility and lower overall health benefits costs. Visit https://www.paretohealth.com/fully-insured-vs-self-funding-with-paretohealth-spencer-podcast/?utm_source=youtube&utm_medium=referral&utm_campaign=SelfFundedwSpencer to learn more.Samaritan Fund: A program that connects those who need help to the support they need. We are proud to offer the Samaritan Fund Program. Visit SamaritanFundProgram.com to learn more.Vālenz Health: We're Vālenz Health, your partner in improving health literacy, reducing plan spend, and delivering high-value healthcare. Visit ValenzHealth.com to learn more.Imagine360: Imagine360 helps self-funded employers save on healthcare with smarter health plans. Cut expenses by 20-30% with custom solutions. Contact us today at Imagine360.com.Chapters:(00:00:00) Intro(00:02:19) Growing Up in the Family Practice(00:07:33) Why Surgery, and Why Trauma(00:13:04) Fourteen Years of Flying to Work(00:18:47) Healthcare Economics(00:24:37) The $2,500 Colonoscopy Across the Street(00:30:11) How ACES Was Born(00:35:56) Renting Time in Half-Empty Surgery Centers(00:41:38) How the Bundle Prices Work(00:47:20) Certificate of Need and Who It Protects(00:52:47) What Insurance Should Actually Be For(00:58:33) Ayn Rand, Rights, and the Role of Government(01:04:29) Plugging ACES Into a Self-Funded Plan(01:10:12) “Burnout Is Not From Standing All Day”(01:14:08) Closing ThoughtsKey Links for Social:@SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFundedListen/watch on Spotify - https://open.spotify.com/show/1TjmrMrkIj0qSmlwAIevKA?si=068a389925474f02Listen on Apple Podcasts - https://podcasts.apple.com/us/podcast/self-funded-with-spencer/id1566182286Follow Spencer on LinkedIn - https://www.linkedin.com/in/spencer-smith-self-funded/Follow Spencer on Instagram - https://www.instagram.com/selffundedwithspencer/

Out of thousands of skilled nursing facilities nationwide, only two earned the prestigious Gold - Excellence in Quality Award from the American Health Care Association this year. One of those top honors belongs to Todd-Dickey Nursing and Rehabilitation, a 62-bed facility in southern Indiana that proves size is no barrier to achieving high-level operational excellence. In this episode, Executive Director Wendy Broughton and Janean Kinzie, vice president of parent company American Senior Communities, detail the behind-the-scenes work to maintain a stringent focus on quality for six years — and how some friendly competition helped deliver excellence. The discussion highlighted the key drivers behind the facility's success, starting with a deeply rooted culture of local commitment and retention. As the only nursing facility in its county, Todd-Dickey relies on a tight-knit staff — some with over 40 years of tenure — who view their work as "family taking care of family," Broughton tells McKnight's Long-Term Care News Editor Kimberly Marselas. "It's a multi-year marathon of putting things together and looking at those challenges and taking one thing at a time,” she says. “If you do good quality of care, the awards will come." Maintaining open lines of communication, setting clear expectations during initial job interviews, and keeping floor staff directly involved in quality metrics were crucial strategies for sustaining momentum on the path from Bronze to Gold. Rather than viewing quality initiatives as temporary fixes for isolated issues, ASC focuses on analytical evaluation and regional training seminars across its portfolio. That's given it more than 80 Quality Award winners in recent years. And good ol' "Hoosier competitiveness" continues to push facilities across the state to elevate their standard of care year after year, she adds Listen to the full episode to learn more about Todd-Dickey's journey to Gold, the role of corporate support in quality improvement and how competition can drive higher standards in long-term care. Hosted by Simplecast, an AdsWizz company. See https://pcm.adswizz.com for information about our collection and use of personal data for advertising.

There are roughly 9,000 ambulatory surgery centers in the United States, and most of them aren't running at capacity. Ronen Elefant figured out that he didn't need to build another one; he just needed to reach the ones already sitting half empty.My guest this week is a trauma surgeon in Pennsylvania who has been flying his own plane to work for fourteen years. About a year ago he turned that into a business: rent time at an ASC, fly in, do the cases, fly home. One bundled price covering the facility, the anesthesiologist, and the surgeon. No insurance, no three separate bills arriving weeks apart.We get into how the economics work at three or four cases per trip, and why patients drive six hours from the Dakotas to get on a cash schedule. Ronen also explains what certificate of need laws actually protect, why he thinks insurance should only exist for catastrophic care, and how an employer could plug fly-in surgery into a self-funded plan without building anything.If you've been looking at surgical bundles and wondering how the supply side works, this is the episode. Tune in."Burnout doesn't come from surgeons standing up all day. It comes from doing all this stuff on behalf of the insurance company." - Dr. Ronen Elefant, ACESThank you to our 2026 sponsors!ParetoHealth: ParetoHealth empowers midsize employers with a long-term solution to reduce volatility and lower overall health benefits costs. Visit https://www.paretohealth.com/fully-insured-vs-self-funding-with-paretohealth-spencer-podcast/?utm_source=youtube&utm_medium=referral&utm_campaign=SelfFundedwSpencer to learn more.Samaritan Fund: A program that connects those who need help to the support they need. We are proud to offer the Samaritan Fund Program. Visit SamaritanFundProgram.com to learn more.Vālenz Health: We're Vālenz Health, your partner in improving health literacy, reducing plan spend, and delivering high-value healthcare. Visit ValenzHealth.com to learn more.Imagine360: Imagine360 helps self-funded employers save on healthcare with smarter health plans. Cut expenses by 20-30% with custom solutions. Contact us today at Imagine360.com.Chapters:(00:00:00) Intro(00:02:19) Growing Up in the Family Practice(00:07:33) Why Surgery, and Why Trauma(00:13:04) Fourteen Years of Flying to Work(00:18:47) Healthcare Economics(00:24:37) The $2,500 Colonoscopy Across the Street(00:30:11) How ACES Was Born(00:35:56) Renting Time in Half-Empty Surgery Centers(00:41:38) How the Bundle Prices Work(00:47:20) Certificate of Need and Who It Protects(00:52:47) What Insurance Should Actually Be For(00:58:33) Ayn Rand, Rights, and the Role of Government(01:04:29) Plugging ACES Into a Self-Funded Plan(01:10:12) “Burnout Is Not From Standing All Day”(01:14:08) Closing ThoughtsKey Links for Social:@SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFundedListen/watch on Spotify - https://open.spotify.com/show/1TjmrMrkIj0qSmlwAIevKA?si=068a389925474f02Listen on Apple Podcasts - https://podcasts.apple.com/us/podcast/self-funded-with-spencer/id1566182286Follow Spencer on LinkedIn - https://www.linkedin.com/in/spencer-smith-self-funded/Follow Spencer on Instagram - https://www.instagram.com/selffundedwithspencer/

Easy Rider is not a good movie. It's a chaotic, half-improvised, drug-fueled mess that stumbles for its first half and only becomes a movie in retrospect, once the ending lands. And that's exactly why Chris and Daniel keep coming back to it. Joining them is Richard Crudo, ASC, who spent years in friendship with László Kovács, the film's cinematographer, and brings firsthand insight into how a low-budget biker-movie veteran ended up accidentally rewriting what cinematography was allowed to look like. Flares, handheld chaos, a single zoom lens pushed past its limits, film stock literally dropped in a bathtub. Every mistake became doctrine. The conversation keeps circling back to a bigger question: why does a movie built entirely out of accidents still work, and what does that tell filmmakers chasing polish today? Kovács shot on instinct and natural light because the budget demanded it, not because he planned a movement, and Crudo, Chris, and Daniel trace how that constraint produced a documentary rawness no amount of intentional design has matched since. It's a conversation about permission: what happens when the people trained to avoid every mistake in the book stop caring what the old guard thinks. Reference: Richard Crudo, ASC > Gear referenced: Arriflex IIC, Angenieux 25-250mm zoom, Bolex 16mm, Kodak 5254 film stock, 9-light fixtures Sponsors: Center Grid Virtual Studio: https://cgvirtualstudio.com/

Environmental credits accounting is changing with the introduction of ASC 818. New FASB guidance establishes a consistent accounting model for environmental credits and related obligations, addressing recognition, measurement, presentation, and disclosure. This episode explores key aspects of the new standard, ASC 818, including the intent-based recognition model, accounting for voluntary versus compliance credits, environmental credit obligations, and considerations for adoption.For more, see our publication Environmental credits accounting: FASB issues new standard and chapter 7 of PwC's Property, plant, equipment and other assets guide.Follow this podcast on your favorite podcast app and subscribe to our weekly newsletter to stay in the loop.About our guestsMichael Pratt is a partner in PwC's National Office, working on sustainability methodology and thought leadership. His background is in the power and utility sector where he works with companies helping to shape the evolution of how we produce and consume energy. He continues to focus on emerging power and utility sector accounting questions and issues.Logan Redlin is a director in PwC's National Office where he focuses on thought leadership strategy and content development related to accounting and financial reporting, sustainability reporting, and standard setting. Prior to this role, Logan spent 15 years in the audit practice, serving both public and private companies with a primary focus on asset management and real estate.About our hostHeather Horn is the PwC National Office Sustainability and Thought Leader, responsible for developing our communications strategy and conveying firm positions on accounting, financial reporting, and sustainability matters. In addition, she is part of PwC's global sustainability leadership team, developing interpretive guidance and consulting with companies as they transition from voluntary to mandatory sustainability reporting. She is also the engaging host of PwC's accounting and reporting weekly podcast and quarterly webcast series. Transcripts available upon request for individuals who may need a disability-related accommodation. Please send requests to us_podcast@pwc.com.Did you enjoy this episode? Text us your thoughts and be sure to include the episode name.

https://youtu.be/B9j1nlRifHM Alex Fernandez, CEO of Synergy Orthopedic Specialists, is driven by a mission to help physicians Build a Multi-Site Medical Practice that creates wealth, equity, and independence beyond their personal labor. By bringing independent physicians together, building scalable organizations, and expanding access to integrated services, Alex helps doctors operate as entrepreneurs while delivering a more convenient and cost-effective patient experience. In this conversation, Alex introduces The Multi-Site Scaling Framework—Visualize Your Target EBITDA, Align With Your Partners, Remove Yourself From the Center, Build Systems, and Build Margin Around Your Core Business. He explains why starting with the desired enterprise value creates a clearer path for growth, why alignment must be a gate for every partnership or acquisition, and how strong systems allow a business to operate without depending on its founder. Alex also shares how vertical integration, company culture, geographic expansion, and AI-assisted processes can improve profitability while preserving independent medical care. — Build a Multi-Site Medical Practice with Alex Fernandez  Good day, dear listeners. Steve Preda here with the Management Blueprint Podcast, and welcome Alejandro “Alex” Fernandez, the CEO of Synergy Orthopedic Specialists, a team of surgeons and specialists that believes in providing patients with an integrated approach to musculoskeletal—I’m glad I could pronounce this—medical care through 15 locations throughout San Diego. Alex, welcome to the show.  Thank you. Thank you. Yeah, I appreciate that. I’ve enjoyed your show, and I’m happy to be here.  Well, I’m always interested when I meet with medical provider companies or CEOs who have been doctors, because I grew up in a family of two doctors, and so I was exposed to some of the challenges of being a doctor and running a hospital. So that’s going to be interesting. So my favorite question that I ask recently to all our founders is, what is your personal why, and how are you manifesting it in your practice and in your business?  Yeah, for sure. And so my why, as you put it, comes from where I started. I actually don’t come from a family of physicians. I started not where I ended up. I’m a son of Cuban immigrants. My parents fled Castro in the ’60s, and I was born in Puerto Rico. Later on, my family took a lot of our family in the Mariel boatlift in 1981 and took hundreds of people out of Cuba. But in reality, the concept or the reality is that my parents didn’t have a lot of money. They had some connections, but they believed that I should have a college education.  But I had to work my way through eight years of college to get my bachelor’s. So I landed in healthcare as an accident. It was a small medical practice. I was basically doing front desk and medical records, and then later on learned how to do the billing, all by hand at that time. There were no electronic medical records. And I started basically at the front desk, and I watched something that I never really forgot, which is, you have these brilliant physicians, people that can diagnose patients and help them and cure them, but when it came to business, they were never taught anything about business.  So this is where I believe I have generated value over the years: basically, built companies that actually create wealth, and the wealth for the physicians in particular.Share on X I think physicians are very entrepreneurial. At least that’s the idea to begin with, is, “I’m going to go into the practice of medicine and have my own business.” But somewhere along the line, the business becomes almost like an ATM machine. It’s no different than any other entrepreneur that starts a business. They are the business. Without them, if they go away for a couple of days, the business doesn’t make any money, and they don’t really know how to do that. So what I’ve done over the years is I have gotten smaller groups of physicians to come together, form larger organizations, larger groups, and eventually built larger private businesses that can have EBITDA, equity earnings that can basically provide some additional wealth.  Particularly, I try to help them think of themselves as capitalists, not as day laborers. Because in reality, in most businesses, and particularly physicians, they’re cranking the wheel, and the more they produce, the more they work, the more they earn. But in some cases, they don’t understand how to get away from that. How to earn from all the other things that they control. Because physicians do control 80% of the spend in healthcare but earn probably no more than 5% of it.  Wow. That is shocking. So they’re not using the leverage properly, probably.  Yeah. Sometimes they know it’s there, but physicians in general are risk-averse. Just starting their own business is hard enough. Then having to figure out how to capitalize from all the levers that they have, that’s completely different. And they’re no different than, I would say, lawyers or accountants that start a small business. At some point in time, you have to figure out, how do you make the business big enough that it operates and works without you?  Yeah, I love that. I love that. And what makes you feel strongly for physicians?  Well, particularly independent physicians, I think it’s a dying breed. Years ago, I would hear the stories of my parents where they’d say, “Hey, we took you to the pediatrician,” and my dad would be friends with the OB-GYN that took care of my mom and the pediatrician. And I remember them naming them by first name or even meeting them at the social club. But nowadays, it’s very transactional. It’s very fast. There’s no connection.  So I think that’s why there’s been this whole surgence of concierge physicians where you pay extra. Because in truth, in order to make a living, the business of healthcare is compressed by downward pressures from the government and from other institutions that say, “We’re going to pay you less, but you have to have a significant amount of compliance, and you have to spend more money on this, and you have to do that.” And then at the same time, the cost of living goes up.  The employees need to make more money. Your rent goes up. The supplies continue to increase. So you have the static or lower reimbursement from the different payers, whether it’s Medicare, the government, or private institutions, and then an increase of expenses happening. That’s very strange to any business. In any other business, you say, “Well, if my costs go up, I increase my prices, and then maybe my margins are a little bit less, but I still have a significant margin.” In healthcare, you almost have to just work more in order to generate more revenue, and the expenses hopefully will increment a little bit more, but your earnings will be the same or less. So it’s a very tough situation for an independent physician.  That’s why more and more, especially physicians coming out of training, look for jobs with health systems, with the Kaisers of the world or the different large institutions in the United States, so that way they can go ahead and just go to work and take care of patients and not worry about the business of healthcare.  Yeah. But then these big hospitals turn into bureaucracies, and then they still have to worry about that in a different way.  And that’s personally the second part to that question you asked me. That’s why I like working with physicians and not necessarily with health systems. I’ve never held a job with a hospital. Not that I haven’t wanted to. It’s just, I think the nature of the bureaucracy of a health system creates some things that I’m not personally interested in.  Yeah. Well, I can see that. So Alex, this is a podcast of frameworks, as you know. So what’s a framework that has helped you build your business, maybe generate an insight, understand situations, maybe influence these physicians to come together in your roll-ups? Whatever framework you developed, could you share something with our listeners?  Yeah. Yeah, for sure. Most owners in a business—and I’ll talk in generic terms. I’ll try to make sure I don’t use any slang for healthcare—but most businesses build their business for income. They want to make income for their families, for themselves. They want to be able to take care of the people that they’re with. But they don’t really think about it from a perspective of, “Let me build a business that can multiply.” Maybe they want to, but in a lot of areas, it’s just hard for them.  I actually grew up in the bridal business. My parents had bridal stores. They basically did wedding packages, and that’s the business that I grew up in. Every summer, I would go and do the cash register or help rent tuxedos and things like that, or do filing and bookkeeping. So that’s where my entrepreneurial spirit comes from. It’s my parents. But I always saw them where maybe they built one or a couple stores, two, three stores, and they would kind of stop there. But I think I learned a lot from my dad in particular around multi-site operations in a retail industry, and I took that back into the healthcare business.  So one of the first things I think that a business owner has to do is they have to underwrite their own exit first.Share on X They have to think of growth and particularly of the value of the business if they were ever going to sell it. Figure out what your EBITDA or enterprise value is going to be, and then go from there. Then make the alignments first, but don’t make it the goal. Most people chase the volume, the customers, more locations, more deals, spend years fixing what they bolted on in order to flip it, but they don’t really take the time to align it. So I think the client, the partnership, the acquisition—you have to figure all that out at the beginning and then fix it later.  If I run into an acquisition that we’re looking at, and I don’t see the alignment from whoever I’m going to partner up with, I know it’s going to be a deal that’s going to go bad eventually. We all have to be thinking the same way. Then the other thing, like I already mentioned this a couple of times, but you have to take yourself out of the center. If you’re the CEO, you’re the business owner, and the business depends on you—you can’t go on your two- or three-week vacation to Europe or wherever you want to go, and when you come back, the business is in disarray or didn’t survive—you don’t really have a business.  You just have a job that costs you a lot of money to maintain. I think that’s where operating systems earn their keep. I haven’t really run the EOS program, but I’ve read the book, and I really like the idea of the scorecards, and I used it particularly when I came to this opportunity in San Diego. Getting everybody to row in the same direction. A business that runs with a founder and a single thing, it’s one that won’t get very far.  But on the other hand, if the founder figures out a way to build systems around them and bring in the right people, that’s going to make the business way more successful. And the last one I would say is own the margin around your core. Don’t just sell the core service. Figure out what else you have. And I think in healthcare in particular, I was mentioning this: doctors control a significant amount of what happens to a patient, but they don’t figure out ways to vertically integrate the business to have access or have the opportunity to earn some revenue and some earnings from the actual business they refer to.  So what I’ve done over the years, particularly in gastroenterology, I grew a medical practice of gastroenterologists. A couple of them came together, and it was around 50 million in revenue when I came in. And one of the first things I started doing was figuring out, how do we add, let’s say, imaging services? So we added CT. How do we add infusion services? Because back then, there were some significant drugs that were coming into market around infusion. But later on, we said, “Hey, we have an investment in an ASC, but why don’t we do the investment so the investment’s part of the group? So all the doctors can benefit from that.  And when we actually equitize the business in the future, that could be part of our exit if there’s equity there.” And then the next question was, “Well, why don’t we sell the prep that we give people before they get the colonoscopy?” So we got licensing around pharmacy, and then we said, “Well, what about anesthesia? What about pathology?” And so on and so on. So when I went to New York City and I ran a dermatology group, we built a path lab for the derms. When I came here to the orthopedic group, we had PT locations, expanded to multiple PT locations, improved the contracts around durable medical equipment, the bracing, even added anesthesia and started our own ambulatory surgical center.  So always trying to figure out, how can you vertically integrate the business to try to capture as much as you can from the client that’s in front of you? Not only just from a money perspective, but also from an experience perspective, being able to provide it all under one roof and being able to give the patient, the customer, a great experience. You want to provide outstanding medical care. Quality medical care is kind of like a base. If you go to a doctor, you expect to get better. But what we see in healthcare a lot is that people don’t think about it.  Like, in our offices, we say, “Thank you for choosing Synergy Orthopedics.” We know patients have a choice, so we have to develop a model that allows the patient to say, “Hey, I want to go here because these guys have it all under one roof.” But more importantly, that’s typically what the hospitals have. But hospitals charge for the same thing I provide two and three times more because they have a different type of leverage with the contracts. So I always say, “Why did the duck cross the road? Oh, because they went from the hospital to the ambulatory surgical center to get a colonoscopy to save 700 bucks.” I mean, it’s literally that simple.  And I don’t think patients in general know that, but I think the doctors have a great opportunity to control the delivery system, provide a great experience for the patients, and at the same time, make some money from things that they don’t physically have to do. They can hire the physical therapist, et cetera.  Yeah. Okay, so that’s great. So what I’m hearing, the framework is: think of growth first—what’s the EBITDA you want? Then create alignment, take yourself out of the center, build systems, and build margin around your core business. So that’s wonderful. Now, step two, I’m not 100% clear on. So you said make alignment with partners, but don’t make it the goal. What do you mean by that?  Well, because particularly I’ve been involved in private equity medical groups. So with private equity, you have cash, you have leverage, so you can go and buy, buy, buy, buy. In private equity, to a degree, they want growth. But I’ve been in deals where the thesis was, for example, we’re all going to be rowing in the same direction with the same flag, same brand, and we’re going to transfer from having—there were four medical groups, so four different, distinct medical groups—and we’re putting them together under what’s called a management services organization, a management company, and basically form one larger group.  But that was never aligned because the doctors, in their head, said, “You’re acquiring me, so you’re buying this magnificent, outstanding business. Now why do you want to change my electronic medical records? Why do you want to change the way we do our, let’s say, revenue cycle management or billing? Why do you want to change our brand? Our brand’s fantastic.” Even though they were all called Dermatology blah, blah, blah, something and something. So you have to make sure that the people that you’re going to bring on board, whether it’s through acquisition, merger, or just employment, that they really believe in your story, that they believe in the core vision of the business.  Not just try to put people in there and make more deals, get more locations, spend more years, and then you put all these things together and you bolt them up, but you spend more time trying to fix it. In my Gastro Health and in the ortho business, we always started with, “Let’s make sure we have our house in order before we go out and start growing the organization and adding more to what we have.” The last thing you want to do is add more and then find out that you have to spend more time fixing it.  No, that makes sense. But then you qualified it. You said, “Don’t make it the goal. Don’t make alignment the goal.” So how does it become the goal? What’s the risk there?  So no, make it the gate, not the goal. Meaning, alignment is extremely important, but you want the alignment to be the one thing that puts you together. But at the end, everybody has to be buying into the idea. It’s not the only goal. Their goal is also money. The goal is growth. But it has to be one of the key things. In healthcare, I tend to think, and particularly with private equity, that’s not perceived. It’s more about getting deals done.  Yeah. They don’t care about the mission. They don’t care about the vision, the alignment.  I think they do. In their thesis, they do, and they want it. But it’s kind of like, at the end, you’re looking at this business. They want to sell, you want to buy, you have money, they want money, and sometimes it’s just easier to say, “Well, we can grow from $30 million to $60 million, from $10 million of EBITDA to $20 million of EBITDA. We’re going to get, instead of a 10 multiple, we’re going to get a 15 multiple.”  So sometimes that gets in the way. And I would say, by the way, I worked with great and fantastic private equity firms, so I’m not saying they all think that way. But for sure, the perception is that they’re going to go in and try to make deals happen because they do have an end goal. Their end goal is to their investors that gave them funds, that they told them they were going to get them a four-, five-, seven-times multiple on their investment.  So in your own business, Synergy Orthopedic Specialists, is this a private equity-funded business or is it bootstrapped?  No. No, it’s bootstrapped. The physicians, when I came on board—at that time, I started with them six years ago in 2020, and the market was really hot still, ’21, ’22, ’23, and then the interest rates went up, and then things have softened. I think also they got softened for what we’ve been discussing earlier. There’s been a lot of deals that have been done where acquisitions were done in multiple states. There’s not a lot of synergy or a lot of things that were worked out to try to make sure that the organization was working together, the multiple organizations that were acquired.  And the idea was, if we buy four million-dollar businesses, they will be, instead of an eight-times multiple, they’ll be a 10- or 12-times multiple. So I think there’s a lot of deals that are stuck in the marketplace right now, and the groups are trying to figure out how to evolve the organization after five, six, seven years from, “Hey, we let you alone. We let you be. But now we need to start integrating. Now we have to start building an enterprise. Now we have to start building a real platform.” And I think that the organizations that did that earlier have been able to exit and done a much better multiple and growth.  And also the key is, in these transactions where people get together, a lot of times it’s all about the fun. “Hey, we go out to dinner, and everybody’s well, and everybody’s happy, and how much money we’re going to make,” and blah, blah. But nobody really asks the tough questions, or some people do because they actually don’t want the deals to get done. But I think it comes from the buyer. The buyer needs to be very upfront with what they want to accomplish with a transaction, whether, again, a merger or an acquisition.  You want to make sure that you’re extremely transparent about what the end goal is going to be. And if the end goal is like, “Hey, I’m going to leave you alone for a year, but in a year and one day, your name’s going to change, your software’s going to change, your HR is going to change. And by that time, we’ll figure out about your staff, and we might probably cut 25% of your staff because you’re bloated, and we actually have to make you a little bit more fit and trim so you can actually be able to grow and provide better care to your patients.”  So what I’m seeing is, it’s quite impressive. You have 15 locations, you have a huge service mix. You have, compared to the number of locations and service mix, a limited number of people. So how do you maintain the Synergy standard? And how do you manage this complexity with such low—low per— It took— How many people?  Yeah, it’s—right. Yeah, I agree. It’s taken some time. Again, I wouldn’t say that it’s perfect. We’re always evolving, changing. I mean, I always say the only constant thing in healthcare is change. But it started with the company culture. When I first got here, there were four or five organizations that came together, and they were still using their old names. Synergy Orthopedics was like this little kind of byline under their business cards. It wasn’t really the brand.  And then over time, we got people in the organization rowing in the same direction, using the same flag, and over time we started to dominate the market. We started to be perceived, and we are today, the largest independent medical orthopedic group in San Diego. So when people think of MSK, we take care of the hockey team, we take care of the soccer team, we take care of professional players. The larger organizations reach out to us about developing contracts, direct contracts to provide services to them.  So that took a long time, but it started with building that company culture. And along the way, some people left. Some people just didn’t fit what we were trying to build. And it wasn’t just me. I didn’t do this by myself, of course. The reality was we built a team around what we were trying to create. Physicians, in this case, are the leaders. Physician leadership was there, and this is what they wanted as well. So I think, yes, when we’re now in other counties we’re in Riverside County, so we’re north of San Diego. We’re all the way to Palm Desert and looking to grow into Orange County and L.A. County eventually.  So the goal is also in growth, and size allows leverage and negotiation power with the different payers. And that’s very different than in other industries where you have a payer, let’s say Blue Shield or Anthem or United, that kind of controls how you’re going to provide service, how much they’re going to pay you, et cetera, et cetera. So the only way to really have any type of seat at the table is that your organization has to be large enough and a market leader and basically be something, or an organization, that they can’t say no to, that they want to have in their network. So that’s how we’ve been able to do this over the last five, six years now.  So what drives the growth? Is it the acquisitions? Is it geographic expansion? Is it payers refer business? What’s the driver?  All of it. You have to do everything. It’s like that movie, Everything Everywhere All at Once. It’s like you have to do everything. We started by first creating the brand and the company culture, expanding that brand and company culture by figuring out who having the right seats on the bus, making sure the right people that wanted to be with us were there. And then we said, “Okay, we don’t have a spine program. Let’s figure out how we recruit a spine doctor. Let’s figure out how we recruit a pain doctor.  Let’s get a foot and ankle specialist because we don’t have one. Let’s expand our sports medicine program.” So we took over a fellowship training program in San Diego that was probably going to expire, and then we took it over and continued the legacy of the physician that started it from the beginning. We’ve done some mergers. We’ve done some acquisitions. We’ve done some new locations. We’ve expanded our physical therapy footprint. We built out an ambulatory surgical center. That was a big endeavor. These things cost millions and millions of dollars. Just in construction alone, it was like $600… I think our overall investment’s somewhere around $12, $15 million, so highly leveraged. We brought in a partner, a national partner, to help us run and fund the enterprise.  We started an anesthesia division. So I would say you have to do everything, and all of it together, as time goes by, creates that vision. As long as you have the vision, like I said, the beginning thing is you have to start with the end goal. And the end goal is we want to build a business that’s independent. That’s our goal. We don’t want to be sold or be part of the hospital system. So you have to build the end goal, work through the process, grow it, and do all the things at the same time, which is extremely hard, I would say.  Yeah. This is fascinating. So you have a lot of complexity. You have a lot of locations, a lot of services, 50 providers. I mean, sometimes doctors can be cats, hard to manage them. Eagles, eagles. I always say, try to get eagles to fly in a straight line. Impossible. Yeah.  But if you had a magic wand and you could fix one thing in your business in the next 12 months, what would it be?  I will be honest, it’s expenses. Expenses can and I’ve talked about this before the pressures in the healthcare industry really are driven around expenses. We just got an increase in minimum wage in healthcare, specifically in California, where a physician practice now has to pay $23 an hour for a minimum-wage job, where minimum wage is almost half of that if you’re in any other industry. So I think everybody should make more than $23, particularly in San Diego. It’s a very expensive place to live.  But I think it’s more around the pressures that are put on the industry, but the levers are not there to increase revenue to be able to support or subsidize those expenses. So, for all intents and purposes, we’re looking at how we increase revenue by keeping expenses the same, or fixed, or a little bit higher than what they are, by augmenting with AI, like every other industry is doing. Figuring out whether it’s using AI in your MRI to be able to process the imaging faster, clearer, better, and be able to add three or four more patients a day. That profit goes straight to the bottom line.  It might be before we had people that are scribes that basically did the documentation of the history, the notes, and the medical records. Now doctors are using—well, they’ve been using voice recognition for a while—but now you’re doing ambient AI, where basically it’s listening to the conversation with the patient, of course with the patient’s approval, and being able to document all that information into the record much faster, quicker, better, and more precise. And so on. Answering the phones, being able to—when the patient gets statements, we typically send out statements every two weeks.  But when we send them, we send thousands of statements, so we get thousands of phone calls. You can’t get all those phone calls when somebody says, “I owe $50, and I don’t know why,” and being able to have an AI that tells you, “The $50 is because you had a copayment or you had a deductible, and it’s due to your insurance program with whatever the insurance is.” And they’re like, “Oh, okay.” “You want to pay that right now?” “Yes.” It sends you a text to your phone, qualifies who you are, you click on it, you put your payment information. The information goes in, the payment gets posted. Nobody got involved. AI took care of the whole process. So we’re trying to figure out how to assist the staff without having to let go. At least my intent is not to let go of people.  My intent is to try to make sure that we do the best job possible and use AI to augment the process, not to replace the staff. I get very worried, in general, about what’s going on with AI as an industry, where people are saying, “Well, I use it as my assistant. I use it as this.” Well, I started at the front desk. If there are no front desk jobs, how could I have been CEO of this multimillion-dollar organization if I didn’t get a foot in the door to begin with? So I feel very worried for my kids that are growing up. One’s studying to be a psychologist, the other one’s in marketing. How are they going to learn and grow in an industry or a business if they can’t get their foot in the door?  Yeah. That is a concern. I don’t know if we can fix it, but I’m worried about it too. So Alex, who would you like to listen to this podcast and to take action? And what kind of action should they take?  Well, I think it’s generic. I always say, I have an MBA in healthcare administration, but I could have gone and done any type of business. Like I said to you, I grew up in the retail industry. So I think it’s more around, if you’re an entrepreneur and you have talent and you’ve worked really hard at doing something, you have to figure out how to hire the right people so that they can do a job that maybe you don’t know how to do, how to scale up a business by investing in it, making sure you don’t look at your business as an ATM machine or a salary that pays you every week or every period of time, but look at it as you’re an entrepreneur, a capitalist.  You’re building an organization. You’re providing jobs for people. But at the end, the business has to give you more than your salary. There has to be equity in the enterprise, and that’s the money you’ll be able to use to maybe have leverage or to use in order to add that next location or look at what’s the next opportunity, whether you’re, again, a doctor or you’re running a retail organization that wants to have multiple locations. The key is, think of the end goal. And the end goal, not necessarily that you’re going to sell, but what is it going to be? What is the business that you want to have valued at, and how have they grown?  Look and listen to other people like yourself, Steve, and all the different things that you do in regard to building that journey of the business, and figure out how to take the next step and the next step and the next step. It doesn’t happen overnight. You don’t get from a $50 million company to a $150 million company. It took me seven years to get there. But it’s done by augmenting and adding features and adding services, but doing it very intelligently, thinking it through, not just adding it for the sake of adding it, then, like I said before, having to bolt it on and try to fix more of the problems, creating more problems.  No. Fix your house, figure out where you’re at, make sure it’s earning equity. Maybe you have to reprice. Maybe you have to figure out how the business needs to run a little bit nimbler. Maybe you have to use technology, whether it’s AI answering the phone because you’re the guy that—you have a pizza shop. Why do you have to have people answering? Have the AI take the order, have the AI tell people to go to the website, and so on, so you can have pizzas going out of your store every five minutes. So for sure, there are great opportunities. And if you’re a business owner, I want you to think that you can. It’s not impossible. It can be done. You don’t need an MBA. You just need to work hard and think it through and come up with a business plan and an idea on how you want to get there.  Yeah. Well, this is very inspiring. So if you are a founder, you’re running a business, or you’re about to start a business, look at what Alex has done. He was a son of Cuban immigrants, came to this country, built from nothing a 15-location, 50-provider medical group, and works with private equity, advises companies as well. Follow his example.  So Alex Fernandez, thank you for sharing your wisdom on the show. And if you’re listening and you enjoyed this conversation, stay tuned because I have a couple of exciting entrepreneurs every week who come on the show and share their secrets and frameworks with you. So thanks for coming, Alex, and thank you for listening. Important Links: Alex's LinkedIn Alex's website

In this episode of the ASC Podcast with John Goehle, AAAHC has released v45 of the Standards — with brand-new Artificial Intelligence requirements and a December 15th effective date — and it's a big week around here too: a new ASC Central website, the 2026 Survey Guide, and our September conference week. Then John talks with Amanda Penrod about leading across the generations — how to mentor, retain, and get the best from a team that can span four decades of experience. Grab a coffee and join John and Sue. This episode is sponsored by Surgical Information Systems, RFX Solutions, Medserve and  Ambulatory Healthcare Strategies. Notes and Resources from this Episode: AAAHC Standards and Policy announcements (v45 FAQs and Policies & Procedures): aaahc.org - Standards and Policies AAAHC Achieving Accreditation - walk-through of the v45 Standards; September 14-16, 2026 (virtual) and December 10-11, 2026 (Las Vegas): aaahc.org - Achieving Accreditation FREE digital v45 handbooks for 1095 Engage users - Help Curtain (right-hand side of the screen), under “Released Handbook (Not Yet Effective)” for each program. Print editions available for preorder, delivery expected late September 2026: store.aaahc.org - v45 handbooks AAAHC has released v45 of the Standards - new Artificial Intelligence Standards in the Administration, Governance, and Credentialing & Privileging chapters (transparency, validation, data privacy and security, human oversight, bias mitigation). Effective for surveys conducted on or after December 15, 2026. Log in to 1095 Engage and select the Standards tab in your organization's Profile: 1095.aaahc.org Is Stark law reform finally on the table? - Becker's ASC (August 11, 2026): beckersasc.com 62% of ASCs cancel, delay cases over anesthesia gaps - Becker's ASC (August 14, 2026): beckersasc.com Half of NPs have been burned out for more than 2 years - Becker's ASC (August 12, 2026): beckersasc.com ANNOUNCEMENT - The new ASC Central website is live: asc-central.com What is changing for current members (the old Mighty Networks site stays open through March 31, 2027): asc-central.com - What's Changing Guide ANNOUNCEMENT - The Survey Guide for ASCs, 2026 Edition - fully revised and expanded: jgoehle.com The 2026 Survey Guide on Amazon: amazon.com - The Survey Guide for ASCs (2026 Edition) ANNOUNCEMENT - Live Conference Week, September 22-25, 2026 - Premium Access and AHS Client Access members attend free: asc-central.com - Conferences & Programs Tuesday, September 22 - Infection Control Oversight 101 (IC101): asc-central.com/ic101-2026 Wednesday, September 23 - Infection Control Coordinator Training (IC 201): asc-central.com/ic201-2026 Thursday, September 24 - Quality Improvement & Peer Review (QAPI): asc-central.com/qapi-2026 Friday, September 25 - Article 28 Mastery, New York D&TC and ASC: asc-central.com/article-28-2026 Leadership training - Administrator, Director of Nursing and Business Office Manager Bootcamps, plus the ASC Leadership Mastery Course: asc-central.com - Leadership Training ASC Leadership Mastery Course - 28-part video course (regulatory, clinical, staffing, financial); structured preparation for the concepts tested on the CASC exam; included with Premium Access or available separately: asc-central.com - Leadership Mastery Course Guest: Amanda Penrod, CEO and founder of RFX Solutions - “Leading Across the Generations.” INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE ASC Central is our one-stop site for ASC bootcamps, live and on-demand conferences, and membership programs — now at asc-central.com (the old conferences.asc-central.com address has been retired). Patron Membership — $25/month, individual: the full resource library (policies, forms, drill kits, templates), weekly drop-in Zoom sessions, all six recorded conferences, the member forum, the complete podcast library, and The Survey Guide for ASCs, 2026 Edition with Appendices A–N. Premium Access — $3,995/year, covering your entire surgery center (not per person): everything in Patron, plus the Administrator, Director of Nursing and Business Office Manager Bootcamps, the ASC Leadership Mastery Course, Infection Control 101 & 201 (CAIP preparation), Annual Mandatory Education, compliance tools and self-assessments, certificates with AEUs and IPCH credits, every new conference we release, and up to five hours of private consulting a year. Compare both programs: asc-central.com/memberships   Important Resources for ASCs: Conditions for Coverage: https://www.ecfr.gov/cgi-bin/text-idx?c=ecfr&rgn=div5&view=text&node=42:3.0.1.1.3&idno=42#se42.3.416_150 Infection Control Survey Tool (Used by Surveyors for Infection Control) https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107_exhibit_351.pdf Updated Guidance for Ambulatory Surgical Centers - Appendix L of the State Operations Manual (SOM) https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_l_ambulatory.pdf https://www.cms.gov/medicareprovider-enrollment-and-certificationsurveycertificationgeninfopolicy-and-memos-states-and/updated-guidance-ambulatory-surgical-centers-appendix-l-state-operations-manual-som Policy & Memos to States and Regions CMS Quality Safety & Oversight memoranda, guidance, clarifications and instructions to State Survey Agencies and CMS Regional Offices. https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions Other Resources from the ASC Podcast with John Goehle: Visit the ASC Podcast with John Goehle Website

Tonight I'm joined by James Whitaker, ASC to talk about his work on the highly acclaimed "DTF St. Louis" and "Good Luck, Have Fun, Don't Die". Enjoy!Enjoy!► ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠F&R Online ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠► ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Support F&R⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠► ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Watch on YouTube⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Produced by Kenny McMillan► ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ► ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Instagram⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Welcome to the ASC Participant Podcast!...Today, Abbie is joined by the participants of the 2026 American Society for Cybernetics Conference in Ouro Preto, Brazil, to reflect on their experiences of this gathering. In this episode, you will hear from 8 conference participants who stopped to speak with Abbie during the in-person conference. These conversations were recorded onsite in Ouro Preto, Minas Gerais, Brazil, at the 2026 ASC Conference in August 2026. ...Stories Lived. Stories Told. is created, produced & hosted by Abbie VanMeter.Stories Lived. Stories Told. is an initiative of the CMM Institute for Personal and Social Evolution....Music for Stories Lived. Stories Told. is created by Rik Spann....⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Explore all things Stories Lived. Stories Told. here⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠.Explore all things CMM Institute here.

DP Michael Bauman, ASC on shooting Monster: The Ed Gein Story, building a visual language with period lenses, and lighting with just reflectors and flashlights. Podcast highlights include: -How Michael built a distinct visual language for each era with lensing shifting from period to period. Color and texture gave the digital image a weathered, film-period feel. -Lighting the Emmy-nominated Episode 6 sequence almost entirely with reflected and practical light. Rather than lighting the set conventionally, the crew bounced light and had actors sweep real flashlights themselves, revealing the horror gradually. -Why the "less is more" philosophy shaped how the show handles its most gruesome material. Instead of extreme gore, props and details were shot so that it was hard for the audience to see clearly, with sound design and suggestion doing the work. -How a single unbroken shot in the hardware-store reveal scene grew out of a scheduling crunch. Short winter daylight forced a one-take solution that ended up becoming one of the episode's most cinematic moments. Find Michael Bauman: Instagram @baumanlights Monster: The Ed Gein Story is currently streaming on Netflix. Hear our previous interview with Michael Bauman on One Battle After Another. https://www.camnoir.com/ep343/ SHOW RUNDOWN: 02:14 Close Focus 11:37-53:40 Michael Bauman Interview 53:57 Short Ends 01:03:50 Credits The Cinematography Podcast website: www.camnoir.com YouTube: @TheCinematographyPodcast Facebook: @cinepod Instagram: @thecinepod Blue Sky: @thecinepod.bsky.social

https://directtoconsumer.typeform.com/DTC-Brand?utm_source=podcast-637&utm_medium=podcastSubscribe to DTC Newsletter - https://dtcnews.link/signuppilothouse.coEvery year around this time, Eric and Jacob record some version of this episode. This is their seventh Black Friday together, and the through-line hasn't changed: brands sprint through summer, look up at the end of October, and realize the Halloween sale and Black Friday are on top of them with none of the groundwork done.If you run meaningful spend on Meta, this is the checklist to work through before the CPM doubling kicks in.What you get:Stocking the pond. Low-cost lead gen and engagement campaigns at 5% of budget (or less), optimized to engagement instead of purchase, so Meta buys you cheap eyeballs now that become warm retargeting audiences in November.The giveaway playbook, start to finish: partner bundle (the beer brand and the beef jerky brand), a $750 prize, a squeeze page, leads firing on signup, and an October 15 end date. The FOMO purchases from non-winners are typically what push the giveaway spend into the green before the dripping even starts.The audience-window answer: engagement audiences hold up to 180 days, purchaser lists now build to roughly 720. Engage someone in August and you can still recall them for Black Friday.Warming the algorithm: start ramping spend two months out, 10 to 15% a week, instead of a 500% budget jump on November 1.Value-based lookalikes in the Andromeda era. Export your top 500 purchasers by lifetime spend, upload, build the 1% lookalike. Less central than it used to be, still working.The CAPI audit: if your events manager shows a 5 or 6 out of 10, you're not sending enough parameters back. Click IDs, event IDs, name, email, phone. Target an 8 or 9.The invoicing trap. Meta has moved brands to monthly invoicing, and an unpaid invoice can pause your account until it's resolved. Check your payment settings and your spend limit now, and set the limit way above what you plan to spend.Offer architecture: why tariff-squeezed brands can finally offer again, sitewide vs. tiered thresholds, which catalog shapes suit which structure, and why you test at 5 or 10% off in an end-of-summer sale instead of guessing at 40 in November.Creative as the gift guide: "perfect gift for your wife" hooks, unboxing reels, catalog frames with Christmas theming, and countdown urgency tied to real shipping cutoffs. No smoke and mirrors.ASC structure: one broad Advantage Plus campaign with the full catalog, plus manual bottom-funnel catalog campaigns per collection so you have levers to pull during peak windows.And Lennying a campaign. Eric's Of Mice and Men metaphor for over-managing an account to death, plus Jacob on why human interventions during volatile weeks add to the volatility.Who this is for: media buyers, retention leads, and founders who want their November spend converting instead of prospecting.What to steal: the 5% engagement budget, the giveaway structure with a pre-BFCM end date, the CAPI parameter audit, and the payment-settings check you should do today.Timestamps:00:00 Pre-Warming Your Q4 Audience05:00 Building Leads Before Black Friday11:00 How to Warm Up Meta's Algorithm18:00 Testing Your Q4 Offers Early28:00 Managing Meta Performance VolatilitySubscribe to DTC Newsletter - https://dtcnews.link/signupAdvertise on DTC - https://dtcnews.link/advertiseWork with Pilothouse - https://www.pilothouse.co/?utm_source=AKNF637Follow us on Instagram & Twitter - @dtcnewsletterWatch this interview on YouTube - https://dtcnews.link/video

James Laxton, ASC came to Beef for its second season as the one new voice in a room that had already made something people loved. His job, as he saw it, was to carry forward what Beef is at the level of shot structure, whose shoulder the camera sits over, whose scene it is, how far back the wide holds, while telling a different story than Season 1.He and host Jared Levy get into the season's organizing idea: four couples as four seasons, spring to winter, an ensemble led by Oscar Isaac, Carey Mulligan, Charles Melton, and Cailee Spaeny, and a color language built with the production designer, Grace, to track love across a lifetime. Laxton talks through shooting large format, 65mm, for the weight it gives a face, the episode-eight silhouettes he is proudest of, and the night he calls "impending doom," a car fight shot at the end of an already full day, where the thing he feared most was not the lighting but letting the actors down.CREDITSJames Laxton, ASCInstagram · Website · IMDbJared Levy, hostInstagram · Website · IMDbDavid Kruta, producerInstagram · Website · IMDbTopher Hammond, producerInstagramMUSICOriginal music by One Wave.THE SALONEpisode page and full gallery: https://cinematographysalon.com/podcast/james-laxton-asc-beef-season-2Newsletter and events: cinematographysalon.comInstagram: @cinematographysalonPRESENTING SPONSORThis episode is made possible by Fujifilm — home of the GFX Eterna 55, the large format, IMAX-certified cinema camera, and FUJINON cinema lenses. https://fujifilm-x.comSUPPORT THE SALONThe podcast, the writing, and both Resources tools are free. No paywall, no membership, no login. That is on purpose: learning to light a scene should not depend on what you can afford. Sponsors cover part of it and readers cover the rest. If you want to chip in, it starts at the price of a coffee a month at https://cinematographysalon.com/support. If your company wants to reach working cinematographers, get in touch at https://cinematographysalon.com/sponsors.

The deal announcement is just the beginning. In Episode 2 of their two-part series, Embark's Nicole Harger and Adam Olsen get into the accounting and reporting mechanics that determine whether a de-SPAC actually succeeds on the other side of closing. The complexity surprises even experienced finance teams. This episode is the preparation they wish they'd had.In this episode:What public company readiness actually means for a private target, and why the de-SPAC process tests it rather than creates itPCAOB audit requirements, Reg S-X compliance, and the finance function capacity demands that can't be built during the transactionThe accounting acquirer determination under ASC 805: why the legal acquirer and the accounting acquirer are often different entities, and why it mattersHow redemption scenarios can flip the accounting acquirer conclusion, and what that means for pro forma financial statementsReverse recapitalization mechanics: no goodwill, no fair value step-up, and why the operating company's history becomes the combined entity's historyWarrant classification under ASC 480 and ASC 815-40: the 2021 restatement wave, what triggers liability classification, and the quarterly income statement consequences that followEarnout accounting: when it's compensation under ASC 718, when it's contingent consideration, and how liquidity event triggers can create mark-to-market exposureThe Form S-4/merger proxy, the Super 8-K's four-business-day clock, and why that deadline has no exceptionsICFR obligations post-closing: why de-SPAC companies don't get the newly public company grace period, and what that means for the first annual reportIf you haven't listened to Episode 1 yet, start there. The deal structure decisions covered in Episode 1 and the accounting consequences covered here are more connected than they might seem.

We are back after a month and a half hiatus! In this solo Q&A episode, Jay tackles some of the most controversial and highly requested topics from the Mindful Hunter audience. First up, Jay breaks down the new arrow ballistics study and explains why 90% of hunters are wasting their time agonizing over FOC and vane configuration instead of just practicing under pressure. Then, he dives into a highly debated topic: why bear hunters need to stop avoiding sows if they actually care about predator control. We also cover the reality of E-Scouting (and why it might be a massive waste of your time if you aren't doing boots-on-the-ground validation), the exact paperwork you need to bring wild game meat across the US/Canada border, and why the Outdoor Vitals box-baffle down jacket failed the wash test. Finally, Jay drops a huge announcement about the official launch of Mindful Munitions and the final open spot for the 2027 Mexico Coues deer hunt.

How does Canada regulate crypto? This podcast answers that in less than 60 minutes. You'll hear from Grant Vingoe, CEO of the OSC, Eric Richmond, CEO of Coinbase Canada, the Bank of Canada's Anne Butler, McCarthy's Lori Stein, Osler's Matt Burgoyne, Evan Thomas, Dr. Ryan Clements of the ASC and Blair Wiley of Wealthsimple.Law of Code is presented by Altitude, visit ⁠https://altitude.xyz/law⁠ to learn why.Timestamps:0:00 Intro2:42 Tax4:53 AML Rules8:06 Securities12:00 Investment contracts16:13 Quadriga's collapse23:00 The Crypto Contract34:29 World's first Bitcoin ETF38:23 Stablecoins46:47 Where Canada could play offense: DeFi, perps and tokenization52:53 The speed problemNothing in this podcast is legal or investment advice.Thank you to our other sponsors:McCarthy Tétrault LLP, with which I am co-hosting a Crypto in Canada event on August 12, 2026 in Toronto: https://luma.com/89qnrnahOsler, Hoskin & Harcourt LLP: https://www.osler.com/en/expertise/services/digital-assets-and-blockchain/ Cahill Gordon & Reindel LLP: ⁠https://www.cahill.com/practices/litigation-digital-assets-and-emerging-technology⁠Solana Policy Institute: ⁠https://www.solanapolicyinstitute.org/⁠Hyperliquid Policy Center: ⁠https://hyperliquidpolicy.org/⁠Sign up for the free Law of Code newsletter at lawofcode.fm.

This month on the Immigration Lawyers Toolbox Podcast, host John Q. Khosravi, Esq. skips the interview format for a rapid-fire rundown of the news, memos, and courtroom curveballs immigration attorneys need on their radar right now from USCIS quietly closing affirmative asylum cases without an interview and a judge denying a marriage-based green card under a new discretion memo, to the $100,000 H-1B fee proposal resurfacing for F-1 students, a biometrics-rescheduling trick that can save your client weeks, and a fresh court order pausing parts of USCIS's TPS and asylum-fee enforcement. It's the practice-management update that keeps you ahead of USCIS before your clients call you first. Timestamps: 00:00 Opening 00:33 Intro 02:57 my.USCIS.gov website glitch (false approvals/denials) 04:10 OPT denials tied to arrests & good moral character 05:24 FT report: 80% of US embassies lack an ambassador 06:07 Join the free private attorney community (Circle) 07:14 SB-1 returning resident visa risks 08:46 USCIS closing affirmative asylum cases without interview 10:49 Ciudad Juárez getting strict on affidavit of support 13:27 Sponsor: Constellation (websites/marketing for law firms) 15:07 TPS-to-marriage adjustment withdrawal trap 16:34 Immigration judge denies adjustment citing discretion memo 17:07 WebEx possibly leaving immigration court 17:39 $100K H-1B fee may extend to F-1 students 18:01 Biometrics rescheduling trick (switch ASC location) 19:14 DC court pushes back on 75-country travel pause (EB-5 case) 19:52 New civil penalties for contempt in immigration court 20:11 Court stays USCIS TPS EAD & asylum fee policies (Venez v. USCIS) 22:37 NVC shuffling Iranian cases between Embassies. 23:20 Lawsuit blocks travel ban on Afghan I-730 cases 23:50 Wrap-up & how to join the community/courses 24:11 Outro Spotify | iTunes | YouTube Music | YouTube Follow eimmigration by Cerenade: Facebook | Instagram | LinkedIn Start your Business Immigration Practice! (US LAWYERS ONLY - SCREENING REQUIRED): E-2 Course EB-1A Course Get the Toolbox Magazine!  Join our community (Lawyers Only) Get Started in Immigration Law! The Marriage/Family-Based Green Card course is for you Our Website: ImmigrationLawyersToolbox.com Not legal advice. Consult with an Attorney. Attorney Advertisement. #podcaster #Lawyer #ImmigrationLawyer #Interview #Immigration #ImmigrationAttorney #USImmigration #ImmigrationLaw #ImmigrationLawyersToolbox  

Welcome back to the Following Films Podcast. I'm your host, and today we are talking about a show that probably sounds like a strange candidate for a modern streaming reboot, until you actually look at how they made it.When Netflix announced a new take on "Little House on the Prairie," a lot of people reasonably expected a soft, nostalgic retread of the 1970s TV series. Instead, the 2026 reboot starring Alice Halsey, Luke Bracey, and Warren Christie dropped last month, and it is a completely different beast. It pulls much closer to the raw, gritty reality of the original books than the old show ever did. It already got picked up for a second season, and a huge reason the series hits the way it does comes down to how it looks.My guest today is cinematographer C. Kim Miles, ASC, CSC, MYSC. He shot four of the eight episodes this season, and he had to deal with absolute chaos to pull it off. We're talking severe prairie weather, tornadoes, ticks, rough terrain, and keeping heavy camera gear moving around actors wearing full period costumes. It was a brutal shoot, but the visuals speak for themselves.If you follow Kim's work, that adapt-and-survive approach shouldn't surprise you. He lensed "The Brothers Sun" for Netflix, shot the Apple TV+ documentary "Still: A Michael J. Fox Movie" which earned him an Emmy nomination, and worked on projects like "Yellowjackets," "Lost Ollie," and Robert Zemeckis's "Project Blue Book." He knows how to ground large-scale, difficult productions in real human texture.We talk about building the look of the new series, fighting the elements, and what it actually takes to make a pioneer story feel dangerous again.Before we jump in, do me a quick favor: if you enjoy the show, take ten seconds to leave us a review on whatever app you're listening on, hit that subscribe button, and send this episode to a friend who loves film craft. It genuinely helps get the show in front of more people. Now, here is my conversation with C. Kim Miles.

When Tari Segal, ASC, took over the Las Vegas block of Margo's Got Money Troubles, the A24 series for Apple TV adapted by David E. Kelley from Rufi Thorpe's novel, she had three days and a working casino floor on which to extend a look someone else had established. It is the episode that earned her an ASC Award nomination, and in this conversation with host Jared Levy she is candid that the shoot ran closer to triage than choreography.She walks through the problems in order. Faking a dead chandelier with PAR cans on the floor of a heavily tinted steakhouse when the circuit blew near sunrise. Building a full WrestleCon arena in a day and a half for Nicole Kidman's first day on the show. Putting Margo full frame through the then new ARRI Hero lenses so the world melts around her during the OnlyFans sequences. Negotiating a single 30 minute rotation of the High Roller observation wheel, its camera synced to a second unit shooting Nick Offerman a block below.It is an hour on solving the unsolvable to a television schedule, and on the crew that made it fun, espresso martinis after wrap included.CREDITSTari Segal, ASCInstagram · Website · IMDbJared Levy, hostInstagram · Website · IMDbDavid Kruta, producerInstagram · Website · IMDbTopher Hammond, producerInstagramMUSICOriginal music by One Wave.THE SALONEpisode page and full gallery: https://cinematographysalon.com/podcast/tari-segal-asc-margos-got-money-troublesNewsletter and events: cinematographysalon.comInstagram: @cinematographysalonSUPPORT THE SALONThe podcast, the writing, and both Resources tools are free. No paywall, no membership, no login. That is on purpose: learning to light a scene should not depend on what you can afford. Sponsors cover part of it and readers cover the rest. If you want to chip in, it starts at the price of a coffee a month at https://cinematographysalon.com/support. If your company wants to reach working cinematographers, get in touch at https://cinematographysalon.com/sponsors.

Have you ever wondered what it really takes to produce a national cheer competition—and why so many industry veterans believe the future of cheer depends on independent event producers? Most athletes, parents, and even coaches only see what happens on the competition floor. But behind every successful event are countless decisions about scoring, scheduling, athlete experience, production, judging, and customer service. In this episode, the team behind ASC shares over 30 years of lessons from building one of the industry's longest-running independent event companies—and explains why they believe collaboration, fairness, and putting athletes first will shape the future of competitive cheer. Discover what really happens behind the scenes of producing major cheer competitions and why every detail matters. Learn how ASC grew from hosting local gym events to producing national competitions while remaining independently owned for over three decades. Hear candid insights on scoring systems, stay-to-play, World Bids, the Prime Alliance, and where the cheer industry is headed next. If you want an inside look at the business of cheer competitions and hear honest conversations about the industry's biggest opportunities and challenges, press play on this episode today. Join our Patreon for ad free listening Buy the Jason's Book, Upside Down and Back Again ⁠ Jason's On-Demand Coaches Training Videos⁠⁠⁠⁠⁠⁠ ⁠⁠ ⁠⁠⁠⁠ Code of Points Cheatsheet FREE⁠ Join the Cheer Mom's Anonymous Facebook Group- https://www.facebook.com/share/g/1Zt7hJYgHL/?mibextid=wwXIfr Brittany's Comp Cheer Checklist- instagram.com/stories/highlights/18356656174188077 Jason's Book Recommendations- ⁠⁠⁠⁠Amazon Affiliate Link⁠⁠⁠⁠ ⁠⁠⁠⁠Follow Let's Talk Cheer on Instagram⁠⁠⁠⁠ Submit a Question of the Week Other great cheerleading podcast to check out- The Cheer Biz Podcast, The Cheer Mom Podcast, Spill the Cheer, Mat Talk Table Talk, Cheer Chats Podcast, MotUS Edge Podcast, The Cheer Dad Podcast and the Here 4 Cheer Podcast Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Advanced patient monitoring becomes more practical for ASCs when innovation is integrated, scalable, and built around real outpatient workflows. In this episode, Blake Tatum, Vice President of US Commercial for Medtronic Acute Care and Monitoring, and Mike Lessick, Vice President of Sales and Marketing, Patient Monitoring, and Life Support for Mindray North America, discuss how their expanded partnership is helping ambulatory surgery centers access hospital-level monitoring technology in a simpler, more affordable way. They explain how Medtronic technologies, including Nellcor™ SpO2 monitoring, Microstream™ capnography, BIS™ brain monitoring, and INVOS™ tissue oximetry, can be integrated into Mindray's ASC-focused monitoring platform. Blake highlights how the partnership reduces complexity, enables faster access to innovation, and provides ASCs with flexible options to scale technology over time. Mike shares how a single integrated platform can reduce cognitive load for clinicians, streamline purchasing and training, and support stronger connectivity with electronic medical records. Tune in to learn how integrated monitoring partnerships can help ASCs improve efficiency, support clinical quality, and prepare for the next wave of outpatient care. Resources: Connect with and follow Blake Tatum on LinkedIn. Follow Medtronic on LinkedIn and discover their website! Follow and connect with Michael Lessick on LinkedIn. Follow Mindray on LinkedIn and discover their website!

Brendon is back with another episode of Colonize the Ocean, still refining the setup and audio while juggling longer-format ideas. This time he zeros in on one of the biggest questions in the underwater habitat world right now:Deep is in the water. They've secured funding, built a habitat, and are actually operating. That was the spotlight Fabian Cousteau and Proteus had owned for years. So… what now?Brendon's take:You can never have too many underwater habitats.Deep's progress should (hopefully) be a net positive for everyone in the space.There's still a clear need and place for Proteus.He'd love to hear what the community thinks.He also shares a personal note: meeting Fabian a couple years ago at a SeaLab event remains a bucket-list highlight, and he's hoping to catch up with him again soon to hear where things stand.Coming up:A more detailed, thought-out long-form piece on Deep (now that they're operational) and the broader habitat landscape.Updates from ASC meetings.Brendon and Babe heading to DEMA this year.Support / ConnectFree Patreon polls & content: patreon.com/atlantisseacolonyEverything ASC: atlanticsseacolony.comDrop your thoughts in the comments — is there still room (and demand) for Proteus now that Deep is live? Brendan wants to hear it. See you next week.http://atlantisseacolony.com/https://www.patreon.com/atlantisseacolony#ColonizeTheOcean #UnderwaterHabitats #OceanColonization #Deep #Proteus #FabienCousteau #AtlantisSeaColony #ASC #SubseaHabitats #UnderwaterLiving #OceanExploration #MarineTechnology #DEMA #OceanPodcast #HabitatLiving

We often think sibling rivalry is about personality clashes or family tension—but beneath it lies something deeper. As C.S. Lewis once wrote, “Pride gets no pleasure out of having something, only out of having more than the next person.” In Genesis 27, Jacob and Esau are set against each other in a battle not just for a blessing, but for superiority. Shaped by the favoritism of Isaac and Rebekah, their relationship becomes defined by comparison—who is greater, who is chosen, who comes out on top. But this struggle isn't limited to ancient families. We measure ourselves against siblings, friends, and peers—quietly competing for status, recognition, or worth. Yet comparison can quickly turn into resentment, and resentment into hatred. What would it look like to confront the pride that drives comparison, and instead learn to love others not as rivals, but as neighbors?

We often think sibling rivalry is about personality clashes or family tension—but beneath it lies something deeper. As C.S. Lewis once wrote, “Pride gets no pleasure out of having something, only out of having more than the next person.” In Genesis 27, Jacob and Esau are set against each other in a battle not just for a blessing, but for superiority. Shaped by the favoritism of Isaac and Rebekah, their relationship becomes defined by comparison—who is greater, who is chosen, who comes out on top. But this struggle isn't limited to ancient families. We measure ourselves against siblings, friends, and peers—quietly competing for status, recognition, or worth. Yet comparison can quickly turn into resentment, and resentment into hatred. What would it look like to confront the pride that drives comparison, and instead learn to love others not as rivals, but as neighbors?

The pace may be different, but the goal is exactly the same: delivering safe surgical care. In this week's special season co-release episode, we talk with Carlene Smith about what surgical site infection prevention looks like in ambulatory surgery centers. As someone who's worked in Sterile Processing, Infection Prevention, and the OR, Carlene shares her unique perspective on the challenges ASC teams face every day. From balancing limited resources and shared responsibilities to identifying small gaps before they become bigger problems, she discusses how ASC teams can stay proactive while keeping patient safety at the center of every workflow. No matter where surgical care happens, this conversation is a reminder that infection prevention starts with strong teamwork. Make sure to follow First Case and Transmission Control on your favorite podcast app, LinkedIn, and Facebook so you never miss an episode! #FirstCase #TransmissionControl #OperatingRoom #InfectionPrevention #SiloFreeSurgery #SterileProcessing #Collaboration #AmbulatorySurgeryCenter #ASC

In this episode of the ASC Podcast with John Goehle, we run through the ASC news that matters — a sweeping CMS enrollment proposal, the anesthesia squeeze, and more — plus a few things we've been seeing out in the field. Then John sits down with two veteran pharmacy consultants for a practical look at medication safety in the surgery center, from patient screening to drug diversion to malignant-hyperthermia readiness. This episode is sponsored by Surgical Information Systems, RFX Solutions, Medserve and  Ambulatory Healthcare Strategies. Notes and Resources from this Episode: CMS seeks new powers to deny or revoke enrollment for “problematic” Medicare providers — Becker's Hospital Review: beckershospitalreview.com CY2027 Home Health PPS proposed rule (CMS-1844-P) — Medicare enrollment provisions (retroactive revocation, location & affiliation rules, 855B private-equity/REIT disclosure); comments due Aug 31, 2026 — CMS fact sheet: cms.gov Elevance's 10% out-of-network penalty — 3 payer moves disrupting ASCs, physicians — Becker's ASC: beckersasc.com Why anesthesia stipends could be inevitable amid outdated ASC models — Becker's ASC: beckersasc.com Feds: Iowa plastic surgeon defrauded Medicare through false billings — Iowa Capital Dispatch: iowacapitaldispatch.com CMS request for information on episode-based payment for ASCs (ASCA opposed) — ASC News: ascnews.com Companion episode: Episode 283 — Pharmacy Management and Recalls . INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE ASC Central is our one-stop site for ASC bootcamps, on-demand conferences, and membership programs: conferences.asc-central.com Patron Membership — our base membership for podcast listeners: regular group Zoom sessions, a full resource database to help run your ASC, and several free conferences (Conditions for Coverage, Medical Director, Credentialing, and Finance & Accounting). Become a Patron Member Premium Access Program — includes Patron membership PLUS unlimited Bootcamps (Administrator and Director of Nursing, normally $1,899.99 each), our Credentialing, Conditions for Coverage, Medical Director and Infection Control programs, weekly drop-in Zoom sessions, and up to five hours of private consulting. Sign up for Premium Access Compare both programs: conferences.asc-central.com/membership-programs-2   Important Resources for ASCs: Conditions for Coverage: https://www.ecfr.gov/cgi-bin/text-idx?c=ecfr&rgn=div5&view=text&node=42:3.0.1.1.3&idno=42#se42.3.416_150 Infection Control Survey Tool (Used by Surveyors for Infection Control) https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107_exhibit_351.pdf Updated Guidance for Ambulatory Surgical Centers - Appendix L of the State Operations Manual (SOM) https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_l_ambulatory.pdf https://www.cms.gov/medicareprovider-enrollment-and-certificationsurveycertificationgeninfopolicy-and-memos-states-and/updated-guidance-ambulatory-surgical-centers-appendix-l-state-operations-manual-som Policy & Memos to States and Regions CMS Quality Safety & Oversight memoranda, guidance, clarifications and instructions to State Survey Agencies and CMS Regional Offices. https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions Other Resources from the ASC Podcast with John Goehle: Visit the ASC Podcast with John Goehle Website Books by John Goehle Get a copy of John's most popular book - The Survey Guide - A Guide to the CMS Conditions for Coverage & Interpretive Guidelines for Ambulatory Surgery Centers

In this special episode of the ASC Podcast with John Goehle, recorded live at the Colorado ASC Association's annual conference in Golden, John shares five conversations from the meeting — with association and board leaders, a cardiology-focused ASC, and a center administrator — for a look at what's driving Colorado's surgery centers and why the state conference is worth the trip. This episode is sponsored by Surgical Information Systems, RFX Solutions, Medserve and  Ambulatory Healthcare Strategies. Notes and Resources from this Episode: Colorado Ambulatory Surgery Center Association (CASCA) Website: coloradoasc.org INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE ASC Central is our one-stop site for ASC bootcamps, on-demand conferences, and membership programs: conferences.asc-central.com Patron Membership — our base membership for podcast listeners: regular group Zoom sessions, a full resource database to help run your ASC, and several free conferences (Conditions for Coverage, Medical Director, Credentialing, and Finance & Accounting). Become a Patron Member Premium Access Program — includes Patron membership PLUS unlimited Bootcamps (Administrator and Director of Nursing, normally $1,899.99 each), our Credentialing, Conditions for Coverage, Medical Director and Infection Control programs, weekly drop-in Zoom sessions, and up to five hours of private consulting. Sign up for Premium Access Compare both programs: conferences.asc-central.com/membership-programs-2   Important Resources for ASCs: Conditions for Coverage: https://www.ecfr.gov/cgi-bin/text-idx?c=ecfr&rgn=div5&view=text&node=42:3.0.1.1.3&idno=42#se42.3.416_150 Infection Control Survey Tool (Used by Surveyors for Infection Control) https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107_exhibit_351.pdf Updated Guidance for Ambulatory Surgical Centers - Appendix L of the State Operations Manual (SOM) https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_l_ambulatory.pdf https://www.cms.gov/medicareprovider-enrollment-and-certificationsurveycertificationgeninfopolicy-and-memos-states-and/updated-guidance-ambulatory-surgical-centers-appendix-l-state-operations-manual-som Policy & Memos to States and Regions CMS Quality Safety & Oversight memoranda, guidance, clarifications and instructions to State Survey Agencies and CMS Regional Offices. https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions Other Resources from the ASC Podcast with John Goehle: Visit the ASC Podcast with John Goehle Website Books by John Goehle Get a copy of John's most popular book - The Survey Guide - A Guide to the CMS Conditions for Coverage & Interpretive Guidelines for Ambulatory Surgery Centers

Hyperscalers are pouring hundreds of billions into AI this year. Mid-market companies are right behind them, spending hundreds of thousands to millions on their own AI initiatives. Different scale, same accounting headache.Adam Olsen and Nicole Harger break down how to actually account for AI development costs, and why the playbook finance teams have used for traditional software doesn't map cleanly onto this technology.In this episode:Why framework selection comes first: internal-use software (ASC 350-40), externally marketed products (ASC 985-20), and pure research (ASC 730) all carry different capitalization rulesThe three-stage model under ASC 350-40 and why AI's iterative development cycle makes stage-tracking harder than it looksData costs: the most overlooked, most material line item, and the "alternative future use" judgment that determines its treatmentASU 2025-06: FASB's principles-based overhaul of internal-use software accounting, and the new "significant development uncertainty" concept that changes when AI projects can start capitalizingWhat this all means for budgeting, useful life assumptions, build-vs-buy decisions, and the auditor conversation

The instantly-doomed American Song Contest really did seem like a good idea at the time: 56 states and territories competing for the hearts and minds of the public on NBC. The execution was not great, but we were pot-committed back in 2022 when we covered this pale imitation of Eurovision. What lessons can be learned before Asia tries its hand at the ESC formula?

DP Eben Bolter, ASC, BSC breaks down the watery, noir lighting, anamorphic lenses, and practical tricks behind Apple TV's Cape Fear. Podcast highlights include: -How Eben built Cape Fear's look around the theatrical expressionism of the 1991 Scorsese film. He used the same 2.35 aspect ratio as the Scorsese film, rather than a more conventional widescreen frame. -Working with the production design team to capture the southern humidity and watery themes. Eben chose Atlas Mercury anamorphic lenses with an oval bokeh that give it a watercolor quality. The team also used helium and flame bars to create in-camera heat haze rather than relying on visual effects. -Rigging LED pixel tape and crystals inside the matte box to create practical lens flares on command. Find Eben Bolter: https://www.ebenbolter.com/Cinematography/Cinematography.html Instagram: @ebenbolter Cape Fear is streaming on AppleTV. SHOW RUNDOWN: 01:59 Close Focus 14:14-58:02 Eben Bolter Interview 59:16 Short Ends 01:08:21 Wrap up/Credits The Cinematography Podcast website: www.camnoir.com YouTube: @TheCinematographyPodcast Facebook: @cinepod Instagram: @thecinepod Blue Sky: @thecinepod.bsky.social

Dr. Gary Parker is one of the defining figures in modern river mechanics and sediment transport. He's a professor emeritus at the University of Illinois or Urbana Champlain where he's been since 2005.  Before that he was a distinguished professor at the University of Minnesota. He's a member of the National Academy of Sciences and a fellow of the American Geophysical Union and has won more scientific awards than I can count - in multiple disciplines - that could each be thought of as a career-defining honor. You do not have to dig very deep into many of the topics we talk about in this podcast before you encounter his work. His early research on channel form, meander mechanics, and dynamic armoring may each represent Kuhnian paradigm shifts in those sub-disciplines. But part of the evidence of his influence is that I don't think there's another name that has come up more often in these conversations as I've talked to subject matter experts about how they understand rivers. When I first got interested in sediment transport I found Dr. Parker's Morphodynamics website:Before Universitas started making their materials publicly available (shoot, before there was much on the internet) Dr. Parker put the notes and code from his Morphodynamics class up on a website.  I spent hours pouring over them. Then years before the ASC 110 manual of practice was published, he posted his chapter on gravel bed rivers on that same website, which may be the single most influential document in my career. Christopher Lee, who played Saruman in the Lord of the Rings films, used to talk about how much he wanted to be in those films because he read the books through every year. That was me with Dr. Parker's chapter for at least a decade. I sat down and read that chapter every year to try to contextualize the new mysteries I'd encountered in these systems since the last time I picked it up. Later, as I started my graduate work, it became clear that you simply could not get up to speed on modern Morphodynamics and sediment transport without doing business with Gary's literature.Dr Parker also has an unusual facility to translate complex river mechanics principles into fun, vivid, metaphor…and if you have followed my teaching at all, you might suspect that this is one of my favorite flavors of science communication.So, I am obviously delighted to wrap up this season of the RSM River Mechanics podcast talking gravel bed rivers with Dr. Gary Parker.This series was funded by the Regional Sediment Management (RSM) program.Mike Loretto edited the first three seasons and created the theme music.Tessa Hall is editing most of Season 4.Stanford Gibson (HEC Sediment Specialist) hosts.Video shorts and other bonus content are available at the podcast website:https://www.hec.usace.army.mil/confluence/rasdocs/rastraining/latest/the-rsm-river-mechanics-podcast...but most of the supplementary videos are available on the HEC Sediment YouTube channel:https://www.youtube.com/user/stanfordgibsonIf you have guest recommendations or feedback you can reach out to me on LinkedIn or ResearchGate or fill out this recommendation and feedback form: https://forms.gle/wWJLVSEYe7S8Cd248

On this episode of the ASC Podcast with John Goehle, we discuss the latest news and information, including extreme heat shutting down elective surgery at an Illinois surgery center, a federal court ruling against the Leapfrog Group and Leapfrog's plan to publicly rate nearly 4,000 ASCs later this month, recent drug recalls, and the new Section 504 accessibility requirements. In our focus segment, we discuss pharmacy management and recalls in the ASC. This episode is sponsored by Surgical Information Systems, RFX Solutions, MedServe and Ambulatory Healthcare Strategies. Notes and Resources from this Episode: Extreme heat forces an Illinois ASC to halt elective surgeries — Becker's ASC: beckersasc.com Federal court orders the Leapfrog Group to pull hospital safety grades — Fierce Healthcare: fiercehealthcare.com Pharmacy recall & shortage resources: FDA Drug Recalls: fda.gov/drugs/drug-recalls Drug Shortages (FDA/ASHP via ASCA): ascassociation.org/drug-shortages   |   Conditions for Coverage §416.48 (eCFR): ecfr.gov §416.48 John's panel — “Winning the ASC Talent War,” ASC News Investments & Operations Conference (Grand Hyatt Denver, July 8–9, 2026); full agenda: ascninvestmentsandoperations.com/2026-agenda Leapfrog ASC Public Reporting Program — nearly 4,000 ASCs publicly rated beginning July 25, 2026 (CMS ASCQR measures, accreditation standards, and the voluntary ASC Survey 2.0): leapfroggroup.org — ASC Program Look up your own center on Leapfrog's Hospital and Surgery Center Ratings site: ratings.leapfroggroup.org INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE ASC Central is our one-stop site for ASC bootcamps, on-demand conferences, and membership programs: conferences.asc-central.com Patron Membership — our base membership for podcast listeners: regular group Zoom sessions, a full resource database to help run your ASC, and several free conferences (Conditions for Coverage, Medical Director, Credentialing, and Finance & Accounting). Become a Patron Member Premium Access Program — includes Patron membership PLUS unlimited Bootcamps (Administrator and Director of Nursing, normally $1,899.99 each), our Credentialing, Conditions for Coverage, Medical Director and Infection Control programs, weekly drop-in Zoom sessions, and up to five hours of private consulting. Sign up for Premium Access Compare both programs: conferences.asc-central.com/membership-programs-2   Important Resources for ASCs: Conditions for Coverage: https://www.ecfr.gov/cgi-bin/text-idx?c=ecfr&rgn=div5&view=text&node=42:3.0.1.1.3&idno=42#se42.3.416_150 Infection Control Survey Tool (Used by Surveyors for Infection Control) https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107_exhibit_351.pdf Updated Guidance for Ambulatory Surgical Centers - Appendix L of the State Operations Manual (SOM) https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_l_ambulatory.pdf https://www.cms.gov/medicareprovider-enrollment-and-certificationsurveycertificationgeninfopolicy-and-memos-states-and/updated-guidance-ambulatory-surgical-centers-appendix-l-state-operations-manual-som Policy & Memos to States and Regions CMS Quality Safety & Oversight memoranda, guidance, clarifications and instructions to State Survey Agencies and CMS Regional Offices. https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions Other Resources from the ASC Podcast with John Goehle: Visit the ASC Podcast with John Goehle Website Books by John Goehle Get a copy of John's most popular book - The Survey Guide - A Guide to the CMS Conditions for Coverage & Interpretive Guidelines for Ambulatory Surgery Centers

Convertible debt can offer an issuer a lower-cost financing alternative, but the accounting can be complex depending on the instrument's terms, settlement features, and related transactions. This episode discusses the key accounting models for convertible debt, including bifurcation under ASC 815, the own stock scope exception, substantial premium model, single instrument model, related features such as capped calls and contingent interest, and diluted EPS considerations.  For further guidance on the accounting for this topic, see chapter 6 of PwC's Financing transactions guide.   This is the final episode in our debt-related miniseries. In case you missed any, listen to our previous episodes: Debt restructuring: Accounting for borrowers Beyond debt: Accounting for other liability-classified arrangements Current or noncurrent? Getting debt classification right  Follow this podcast on your favorite podcast app and subscribe to our weekly newsletter to stay in the loop.  About our guests  Bret Dooley is a PwC National Office Deputy Chief Accountant who leads teams focused on the financial services sectors and accounting for financial instruments. He has over 25 years of experience in the financial services, banking, and capital markets industries. Bret focuses on emerging financial reporting issues related to financial instruments, developing interpretive guidance, and assisting clients in resolving complex accounting matters.  Chip Currie is a partner in PwC's National office with 30 years of experience assisting companies in resolving complex business and accounting issues. He concentrates on the accounting for financial instruments under both current and emerging standards and works with many of the firm's largest financial services clients and a number of non-financial services clients on treasury-related matters.  About our guest host  Diana Stoltzfus is a partner in PwC's National Office who helps to shape PwC's perspectives on regulatory matters, responses to rulemakings and policy development, and implementation related to significant new rules and regulations. Prior to rejoining PwC, Diana was the Deputy Chief Accountant in the Office of the Chief Accountant (OCA) at the SEC where she led the activities of the OCA's Professional Practices Group.   Transcripts available upon request for individuals who may need a disability-related accommodation. Please send requests to us_podcast@pwc.com.Did you enjoy this episode? Text us your thoughts and be sure to include the episode name.

In this episode, Laura Dyrda, Vice President, Editor-in-Chief, Becker's Healthcare, discusses proposed CMS changes to the 340B program, site-neutral payment policies, and what they could mean for hospital and ASC finances. She also shares insights on shifting hospital expense trends, including rising drug and supply costs, and how health system leaders are adapting their strategies.

Debt restructuring accounting remains top of mind for borrowers as companies refinance debt that may have been issued in a very different interest rate environment. This episode discusses the accounting models for debt restructurings, including lender-by-lender assessments, modification versus extinguishment outcomes, troubled debt restructurings, fee allocations, and syndicated debt transactions. We break down the key considerations and share insights on navigating common challenges in applying ASC 470 guidance.For further guidance on the accounting for this topic, see chapter 3 of PwC's Financing transactions guide. For cash flow presentation, see section 6.8 and for debt presentation and disclosure, see chapter 12 of PwC's Financial statement presentation guide. This episode is part of our debt-related miniseries. Stay tuned for our final episode next week, and in case you missed them, listen to our previous episodes:Beyond debt: Accounting for other liability-classified arrangementsCurrent or noncurrent? Getting debt classification rightFollow this podcast on your favorite podcast app and subscribe to our weekly newsletter to stay in the loop.  About our guests Suzanne Stephani is a director in PwC's National Office specializing in the statement of cash flows as well as the application and interpretation of the accounting guidance related to financing, leasing, and foreign currency transactions. Christopher Gerdau is a partner in PwC's National Office specializing in accounting for financial instruments and banking-related topics. Chris also conducts technical reviews of SEC filings and provides technical support to PwC's practice offices. Chris's client service expertise includes the banking, capital markets, and insurance industries. About our guest host Diana Stoltzfus is a partner in PwC's National Office who helps to shape PwC's perspectives on regulatory matters, responses to rulemakings and policy development, and implementation related to significant new rules and regulations. Prior to rejoining PwC, Diana was the Deputy Chief Accountant in the Office of the Chief Accountant (OCA) at the SEC where she led the activities of the OCA's Professional Practices Group. Transcripts available upon request for individuals who may need a disability-related accommodation. Please send requests to us_podcast@pwc.comDid you enjoy this episode? Text us your thoughts and be sure to include the episode name.

In this episode, Amber Walsh, Partner at McGuireWoods LLP, discusses the evolving healthcare private equity landscape, investor interest across physician specialties, the continued growth of ASC strategies, and more.

A brave little dog who faced down strangers and cornering praying mantises without flinching — brought to trembling terror by the sound of thunder. Sophia Bricker uses that tender image as a doorway into one of Scripture's most overwhelming encounters: the prophet Ezekiel falling facedown before the radiant, jewel-bright, fire-filled glory of God. It is a response that makes complete sense. God's power and holiness are not safe, manageable, or containable — and a heart that truly grasps even a glimpse of His majesty should be undone. But the story doesn't end with Ezekiel on the ground. The same God whose glory flattened the prophet reached down, sent His Spirit, and set Ezekiel on his own two feet — then gave him a mission. That pattern repeats throughout Scripture: the same Lord who causes us to fall in reverence is the same Lord who lifts us back up. As C.S. Lewis' Mr. Beaver so memorably put it about Aslan — "Who said anything about safe? Course he isn't safe. But he's good." God is a consuming fire and a tender Father. He is the Sovereign of the universe whose scarred hands reach out to comfort those who tremble before Him. Both things are gloriously, beautifully true. Today's Bible Verse "This was the appearance of the likeness of the glory of the Lord. When I saw it, I fell facedown, and I heard the voice of one speaking." — Ezekiel 1:28, NIV Ponder Today Reverence and awe are the right responses to God's glory. Ezekiel fell facedown. John was overwhelmed. A proper understanding of God's holiness and majesty should produce genuine humility and wonder in us — not casual familiarity. God does not leave us cowering on the ground. After Ezekiel fell, God sent His Spirit to lift him up and give him a purpose. Our Lord's glory does not crush those who belong to Him — it commissions them. God is not safe — but He is good. Treating Him like a distant force of nature to be feared misses the fullness of who He is. The same consuming fire is the same God who entered human flesh and died to save you (Romans 5:8). The scars on His hands are the proof of His love. We stand before an infinitely holy God — but we stand covered by the blood of Christ. That is not a small thing. It is the miracle that makes our access to God possible at all. Awe and intimacy are not opposites in God's presence. We can bow in reverence before the Sovereign of the universe and simultaneously receive the gentle hand He extends to us. Both belong together in a full and healthy faith. A Prayer for You Today Great God who stands in radiant glory as Sovereign of the universe, I am in awe of You. No jewel or created beauty can compare to Your magnificence. There are times I feel like Ezekiel — overwhelmed by the knowledge of Your holiness, wondering who I am to stand before You. In my worship and awe of You, help me also remember that You are good. The scars on Your hands, feet, and side testify to Your love. I am a sinner in the presence of a holy Lord, but I am covered by the blood of Christ. May I bow in reverence at the feet of the One who died for me — and receive the hand He lovingly extends. In Jesus' name, Amen. Don't Miss an Episode If today's prayer left you both humbled and deeply comforted, we'd love to stay connected. Subscribe to the LifeAudio newsletter at LifeAudio.com for daily prayers, devotionals, and more content to deepen your awe and your intimacy with God every day. If you like this podcast, be sure to check out our sister podcast, Your Nightly Prayer - an evening Christian prayer podcast to help you end your day in conversation with God. https://www.lifeaudio.com/your-nightly-prayer/ Discover more Christian podcasts at lifeaudio.com and inquire about advertising opportunities at lifeaudio.com/contact-us.