Podcasts about ASC

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

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

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 Brendon gets real about design philosophy after receiving an email from the Middle East flagging an Instagram reel that AI-generated a video of Chinese underwater data centers using ASC's own concepts. He reflects on the importance of holding back some designs—keeping alternate concepts, future habitat ideas, and unreleased work in reserve so you're never left empty-handed if something is copied—while also sharing how inspiration strikes from everyday architecture, video games, and classic shows like SeaQuest DSV's organic, squid-like, self-healing submarine. Though his own brain leans toward clean lines and minimalism rather than biomimetic forms, he stresses keeping an open mind to let creative juices flow and reminds viewers that design truly matters.http://atlantisseacolony.com/https://www.patreon.com/atlantisseacolony#MondayShorts #UnderwaterDataCenters #OceanEngineering #DesignPhilosophy #SeaQuestDSV #OrganicDesign #MinimalistDesign #CreativeInspiration #ArchitectureInspiration #VideoGameInspiration #IntellectualProperty #ASCDesigns #SubmarineDesign #HabitatDesign #KeepAnOpenMind #EngineeringDesign #AIVideo #DesignProcess

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?

In this episode, Brendon Traxler returns with an exciting update! After diving deep into underwater habitats, ocean engineering, and legal challenges, he shines a spotlight on Arkpad — a pioneering seasteading project he and ASC have personally invested in.Arkpad, headquartered in the Philippines, offers unique floating glamping experiences (think luxury floating tents!), fishing operations, and recurring revenue streams. They're now preparing to launch larger floating house platforms perfect for stays or investment.Good news for North Americans: Arkpad is expanding to Roatan, Honduras with their Reef Resort — bringing ocean living closer to home!Brendon explains the symbiotic relationship between Colonize the Ocean and the broader seasteading community, thanking them for years of support by giving Arkpad a well-deserved shoutout.Whether you're interested in investing, booking a stay, or just learning more about floating colonies, this episode is for you!

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.

Hey everyone, welcome back to Colonize the Ocean! Last week we geeked out over DEEP's new habitat — the first in 40 years. Now everyone's talking underwater living!But we at ASC have been grinding on this for years. We've got a location locked in and we're raising funds to make it happen.If you're passionate about this space and want to help build the future, reach out! X, LinkedIn, email — we're here.The ocean's calling. Come join the party!

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.

Cardiovascular ambulatory surgery centers (ASCs) are no longer a future concept — they are quickly becoming a critical part of care delivery. In this episode of MedAxiom HeartTalk, host Melanie Lawson talks with Jerry Blackwell, MD, MBA, FACC, president and CEO of MedAxiom, and Aric Burke, founder and CEO of Atlas Healthcare Partners, about the momentum behind cardiovascular ASCs and the role MedAtlas CV is playing in advancing this transformation. Together, they explore how the right clinical expertise, operational model and physician alignment can help health systems deliver high-quality, efficient and lower-cost cardiovascular care in the outpatient setting.

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.

What if one of the biggest expenses in tech isn't actually cash?In this episode of Corporate Finance Explained, we unpack the truth behind stock-based compensation and why it has become one of the most misunderstood topics in corporate finance, financial analysis, and equity valuation.At first glance, paying employees with stock instead of cash can make a company's financial performance look stronger. But while stock-based compensation may be considered a non-cash expense under GAAP accounting, it still comes at a very real cost to shareholders through equity dilution.We explore how companies account for stock-based compensation under ASC 718, why many firms emphasize adjusted (non-GAAP) earnings, and how stock grants impact operating cash flow, free cash flow, and earnings per share. We also examine why investors should pay close attention to diluted share count, stock buybacks, and long-term dilution rather than relying solely on headline earnings metrics.

In this episode of the ASC Podcast with John Goehle, we cover a money-focused news segment — the anesthesia stipend crisis by the numbers, a refresher on the NOPAIN Act and the separate Medicare payment it created for non-opioid pain management, and a $12 million ASC valuation lawsuit in Iowa. We also share a few things we've been seeing in the field. Then we go all-in on the big one: CMS's just-released proposed payment rule for 2027 — the proposed ASC update, the market-basket question, the Covered Procedures List, the device and NOPAIN provisions, quality-reporting changes, and the site-of-service savings — plus the summary and spreadsheet we built — and a video walkthrough coming to conferences.asc-central.com — to help you assess the impact on your center. This episode is sponsored by Surgical Information Systems, RFX Solutions, Medserve and  Ambulatory Healthcare Strategies. Notes and Resources from this Episode: Anesthesia stipends by the numbers — Becker's ASC (June 12, 2026): beckersasc.com The NOPAIN Act and separate Medicare payment for non-opioid pain management — ASC News: ascnews.com NOPAIN Act — CMS, Non-Opioid Treatments for Pain Relief (payment details, 42 CFR 416.174): cms.gov Iowa health system and physician group sue over a $12M ASC valuation gap — Becker's ASC: beckersasc.com 2027 Proposed Rule —  Resource Library: the CMS proposed rule (CMS-1850-P) and addenda, our comprehensive written summary of the rule, the impact spreadsheet, and the video walkthrough — all gathered in one place: https://www.dropbox.com/scl/fo/j37wvj8v9h15lmbyhjri3/ABzhpV77rpOrshAXqCBv0oY?rlkey=h83k0pf1fb90lzi44463go4w9&dl=0 Video Seminar - “What CMS's Proposed 2027 Payment Rule Means for Your ASC” available on demand for free https://conferences.asc-central.com/2027-payment-rule/   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

This episode recorded live at the Becker's 23rd Annual Spine, Orthopedic and Pain Management-Driven ASC + The Future of Spine Conference features Dr. John Peloza, Physician, PelozaSpine. He discusses the growth of concierge spine care, performing complex procedures in the ASC setting, the importance of experienced teams and innovative technologies, and why patient outcomes and experience remain the foundation of a successful practice.

TREMENDOUS news! This week we have the absolutely wonderful Pete Konczal, ASC on the program to talk about his work on Black Rabbit, House of Cards, and more!Enjoy!► ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠F&R Online ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠► ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Support F&R⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠► ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Watch on YouTube⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Produced by Kenny McMillan► ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ► ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Instagram⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Christian Sprenger, ASC on balancing horror and comedy in Widow's Bay with lighting, practical effects, and years of trust built with producer Hiro Murai. Podcast highlights include: -How Christian's 11-year creative partnership with executive producer and director Hiro Murai has built a shared shorthand, allowing him to pitch unconventional ideas with total trust. -Why the team resisted moody, shadow-heavy horror lighting in favor of bright, high-key images inspired by Jaws and The Shining. Contrast and realism do the dramatic work instead of obvious genre inspirations. -The team's commitment to practical effects over VFX shortcuts and how that craft translates to audiences. -How Episode 6 became a deliberate break in format, and what it took to convince guest director Ti West to shoot within those constraints. Find Christian Sprenger: https://www.sprengerdp.com/ Instagram: @casprenger Widow's Bay is streaming on Apple TV. SHOW RUNDOWN: 02:05 Close Focus 14:19-01:11:22 Christian Sprenger Interview 01:12:43 Short Ends 01:17:26 Wrap up/Credits The Cinematography Podcast website: www.camnoir.com YouTube: @TheCinematographyPodcast Facebook: @cinepod Instagram: @thecinepod Blue Sky: @thecinepod.bsky.social

In this special episode of the ASC Podcast with John Goehle, recorded at the Arizona Ambulatory Surgery Center Association's Annual Conference at the Sheraton Grand at Wild Horse Pass in Phoenix, Arizona, and in our studios in Spencerport, New York, we share interviews with two of the conference's featured speakers — Terry Bohlke and Daren Smith — and discuss the benefits of membership in the Arizona ASC Association. This episode is sponsored by Surgical Information Systems, RFX Solutions, Medserve and  Ambulatory Healthcare Strategies. Notes and Resources from this Episode: Arizona Ambulatory Surgery Center Association Website: arizonaasc.org    Join or Renew: arizonaasc.org/join Speakers Interviewed from the Conference Terry Bohlke — Leadership in the Trenches Daren Smith — Quality Studies: What to Fix & How to Get It Right 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 episode of the ASC Podcast with John Goehle, we cover the latest ASC industry news — Surgery Partners rejecting a $3.2 billion buyout from Bain Capital to stay independent, new VMG Health data on surgeon recruitment and the shift in anesthesia staffing, and a leadership piece on why “chasing volume” can be a surge to the bottom. We also share recent experiences from the field on board certification versus medical-staff bylaws, what surveyors are focusing on right now, and how preparation paid off during a real emergency. Then, in our focus segment, John sits down with Terry Bohlke for an interview on “Leadership in the Trenches.” This episode is sponsored by Surgical Information Systems, RFX Solutions, Medserve and  Ambulatory Healthcare Strategies. Notes and Resources from this Episode: Surgery Partners rejects Bain Capital buyout — Becker's ASC (June 2026) North Star Health Alliance to close its Watertown ASC & orthopedic group — Becker's ASC: beckersasc.com beckersasc.com Biggest physician risks facing ASCs in 2026 (VMG Health survey) — Becker's ASC  |  Anesthesia staffing models — Becker's ASC   |   Chasing volume is a “surge to the bottom” — Becker's ASC beckersasc.com/asc-news Guest: Terry Bohlke — “Leadership in the Trenches” 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

This episode recorded live at the Becker's 23rd Annual Spine, Orthopedic and Pain Management-Driven ASC + The Future of Spine Conference features Dr. John Peloza, Physician, PelozaSpine. He discusses the growth of concierge spine care, performing complex procedures in the ASC setting, the importance of experienced teams and innovative technologies, and why patient outcomes and experience remain the foundation of a successful practice.

This episode recorded live at the Becker's 23rd Annual Spine, Orthopedic and Pain Management-Driven ASC + The Future of Spine Conference features Dr. John Peloza, Physician, PelozaSpine. He discusses the growth of concierge spine care, performing complex procedures in the ASC setting, the importance of experienced teams and innovative technologies, and why patient outcomes and experience remain the foundation of a successful practice.

This episode recorded live at the Becker's 23rd Annual Spine, Orthopedic and Pain Management-Driven ASC + The Future of Spine Conference features Dr. Dominic Maggio, Owner, Chief Executive Officer and Neurosurgeon, Legacy Spine & Neurological Specialists. He shares insights on building a strong organizational culture, balancing operational efficiency with high-quality patient care, and evaluating emerging technologies while strategically growing an independent spine practice and ASC.

You do not become a confident coach by consuming more podcasts, reading more books, or collecting more certifications. You become confident by knowing how to create real client transformation. In this episode, Jess sits down with an ASC graduate who had been in the coaching industry for 15 years, had invested in multiple trainings and certifications, and knew her niche deeply but still didn't feel fully confident in her coaching or able to consistently get clients the results she wanted. Together, they unpack: Why so many coaches know a lot but still don't know how to coach The difference between information and coaching competency Why podcasts, books, and surface-level certifications are not enough to build real coaching skill The importance of having a proven coaching framework, process, and interventions Why most coaches actually have a competency problem, not a confidence problem How improving client results increases coach confidence, referrals, retention, pricing, and business growth Why getting clients results is one of the best marketing strategies in the coaching industry They also discuss how after joining The Art & Skill of Coaching (ASC), she was able to: Increase her prices Reduce her level of client support Improve client results Feel significantly more confident in sessions Book more clients than ever, even during maternity leave If you want to become a more skilled, effective, trauma-informed coach who can confidently create results, this conversation will completely change the way you think about coaching certifications.  And enrollment for The Art & Skill of Coaching (ASC) is officially open. This is not just another certification. It's advanced, trauma-informed coaching training that teaches you how to actually coach and get your clients results.    Apply to The Art & Skill of Coaching:  www.chatwithjess.com   Jess's IG @sagestrengthnutrition    Stay in Touch: www.jessicademarchis.com IG @jess_demarchis_coaching  

This episode recorded live at the Becker's 23rd Annual Spine, Orthopedic and Pain Management-Driven ASC + The Future of Spine Conference features Dr. Dominic Maggio, Owner, Chief Executive Officer and Neurosurgeon, Legacy Spine & Neurological Specialists. He shares insights on building a strong organizational culture, balancing operational efficiency with high-quality patient care, and evaluating emerging technologies while strategically growing an independent spine practice and ASC.

This episode recorded live at the Becker's 23rd Annual Spine, Orthopedic and Pain Management-Driven ASC + The Future of Spine Conference features Dr. Dominic Maggio, Owner, Chief Executive Officer and Neurosurgeon, Legacy Spine & Neurological Specialists. He shares insights on building a strong organizational culture, balancing operational efficiency with high-quality patient care, and evaluating emerging technologies while strategically growing an independent spine practice and ASC.

This episode recorded live at the Becker's 23rd Annual Spine, Orthopedic and Pain Management-Driven ASC + The Future of Spine Conference features Dr. Akshay Yadhati, Orthopedic Spine Surgeon, Austin Regional Clinic. He discusses launching and scaling a spine surgery program, expanding access to advanced technologies such as robotic and endoscopic spine procedures, and creating comprehensive care pathways that improve patient outcomes while supporting ASC growth.

Trauma informed coaching is not a speciality, it's a responsibility.  In this episode, Jess sits down with an ASC graduate who now integrates trauma-informed coaching into all of her coaching to discuss what actually changes when you understand trauma, nervous systems, emotional safety, and human behavior at a deeper level. They unpack: Why trauma-informed coaching is not the same as therapy How trauma shows up in high-functioning, successful clients What most coaches completely miss about client resistance, inconsistency, procrastination, perfectionism, people pleasing, and self-sabotage Why strategy alone often doesn't create sustainable transformation for trauma survivors How becoming trauma informed improves client results, coach confidence, and ethical coaching practices Why the coaching industry needs higher standards and better training Trauma-informed coaching isn't about becoming a therapist. It's about becoming a more skilled, effective, ethical, and transformational coach. If you want to create deeper client breakthroughs, increase client results, and confidently coach what's underneath the behavior instead of just managing symptoms, this conversation is for you. Also, enrollment for The Art & Skill of Coaching (ASC), Jess's trauma-informed coach certification and training program, is officially open. Apply now to become the coach your clients actually need.   Apply to The Art & Skill of Coaching- Enrollment open NOW:  www.chatwithjess.com   (Episode 164) Ethical Dilemmas- How to manage conflicting values with your client: https://podcasts.apple.com/us/podcast/the-art-skill-of-coaching-get-any-client-any/id1612960277?i=1000701684540   1-1 Trauma-Informed Coaching with Jess: www.chatwithjess.com   Find Amy on Facebook @Amy Colombo  Little Me Journal: ​​https://amycolombo.com/little-me-journal?utm_source=ig&utm_medium=social&utm_content=link_in_bio&fbclid=PAdGRleASVmeNleHRuA2FlbQIxMQBzcnRjBmFwcF9pZA8xMjQwMjQ1NzQyODc0MTQAAadzs4MrnfpKMZ99EM-kjiLWQVWxO2YWb06UatnLWdtMHWehYXCFscEb61rzyQ_aem_Hm81X2ZBI_Fw2B0zEzgiig  Stay in Touch: www.jessicademarchis.com IG @jess_demarchis_coaching  

Peter Konczal, ASC on Black Rabbit's deliberately low-tech-analog toolkit, customized blue bounce light, and the gradual unraveling of its visual style episode by episode. Podcast highlights include: -The deliberately low-tech-analog toolkit Pete assembled with co-cinematographer Igor Martinović became the show's defining look. It included one of a kind soot filters and scratched-up glass rulers wedged into matte boxes. These complimented detuned lenses and a low-contrast LUT. -How a custom greenish-blue fill light added contrast, separating the actors from the environment. -The inspiration for the asymmetrical framing from Michael Mann's The Insider. Pete and Martinović intentionally mismatched shots instead of using standard reverses. -Choosing to light large areas, allowing performances to unfold without interruption. -How Pete and director Laura Linney used tableaus to great effect in key scenes. Find Pete Konczal: https://www.iconictalentagency.com/pete-konczal Instagram: @petekonczal_asc Black Rabbit is streaming on Netflix. Hear our previous episode with Igor Martinović on the documentary The Pigeon Tunnel: https://www.camnoir.com/ep238/ SHOW RUNDOWN:  02:08 Close focus 13:15-01:03:31 Peter Konczal interview 01:03:47 Short ends 01:10:21 Wrap up/Credits The Cinematography Podcast website: www.camnoir.com YouTube: @TheCinematographyPodcast Facebook: @cinepod Instagram: @thecinepod Blue Sky: @thecinepod.bsky.social

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.

In the film Where the Wild Things Are, a boy in a wolf suit discovers what most of us already know but rarely say out loud: loving others is hard. The wild things wanted a king who could keep them together and shield them from sadness — but no king, no matter how great, can do that. And neither can we. In this beautifully crafted episode, Sophia Bricker weaves together film, literature, Scripture, and raw honesty to name something we all experience but often feel guilty admitting — that love, in all its forms, is messy, costly, and sometimes feels beyond us. C.S. Lewis wrote that to love at all is to be vulnerable — that a heart given to anyone will certainly be wrung and possibly broken. Yet Jesus, who knew this better than anyone, chose to love anyway. He gave up divine privilege, took on human flesh, and died a criminal's death — not because it was easy, but because love requires sacrifice. Paul's instruction to the Philippians was simple and staggering all at once: have the same mindset as Christ in your relationships. That kind of love — wildly generous, sacrificial, seeking the good of others above our own — is not natural to us. But it is possible. Not through sheer willpower, but through the transforming work of the Holy Spirit in us, mirroring back the love we have already received from the nail-scarred hands of God. Today's Bible Verse "Though he was God, he did not think of equality with God as something to cling to. Instead, he gave up his divine privileges; he took the humble position of a slave and was born as a human being. When he appeared in human form, he humbled himself in obedience to God and died a criminal's death on a cross." — Philippians 2:6-8, NLT Ponder Today Loving others is hard — and admitting that is not a failure of faith. Every family, friendship, and community experiences conflict, hurt, and misunderstanding. Acknowledging the difficulty of love is the first honest step toward growing in it. To love is to be vulnerable. As C.S. Lewis reminds us, a heart kept safely away from others is a heart that never truly loves. The risk of being hurt is not a reason to withhold love — it is the very nature of it. Jesus is the ultimate model of sacrificial love. He did not cling to comfort or divine privilege. He entered our mess, bore our sin, and loved us at great personal cost. That is the standard — and the Spirit in us makes it possible. We are not more deserving of love than those we struggle to love. As Sophia asks so pointedly — are we not equally guilty of breaking a heart or speaking a careless word? Remembering our own need for grace softens us toward others who need it too. A Prayer for You Today Savior, I am amazed by Your choice to enter this broken world, taking the curse of sin upon Yourself to save all people. Who am I that I should receive such love? Yet I confess that I struggle to love those around me — people with pasts and flaws not so different from my own. Work in me to produce the fruit of sacrificial, wildly generous love that seeks nothing other than to reflect what You have given me. Produce in me by Your Spirit a new way of life marked by grace and mercy — and the courage to love, even when it's hard. In Your name, Jesus, Amen. Don't Miss an Episode If today's prayer stirred your heart toward someone you've been finding hard to love, we'd love to stay connected. Subscribe to the LifeAudio newsletter at LifeAudio.com for daily prayers, devotionals, and more content to grow your faith and deepen your love for God and others 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.