As a team of doctors at Marcinko & Associates, we know that all funds and investments involve risk. Principal loss is also possible. So, physician investors should consider their investment objectives, risks, time-line, charges and expenses carefully before investing. Some investment risks are defined below. For a second opinion of your portfolio please email us directly at: MarcinkoAdvisors@msn.com
Derivatives Risk. Derivatives are financial instruments that derive value from the underlying reference asset or assets, such as stocks, bonds, or mutual [open or closed] funds (including ETFs), interest rates or indexes. Investments in derivatives may pose risks in addition to, and greater than, those associated with directly investing in securities or other ordinary investments, including risk related to the market, imperfect correlation with underlying investments and other portfolio holdings, higher price volatility, lack of availability, counterparty risk, liquidity, valuation and legal restrictions.
Counterparty Risk. Some funds are subject to counter party risk by virtue of its investments in option contracts which exposes it to the risk that the counter party will not fulfill its obligations.
Equity Market Risk. By virtue of investments in option contracts equity ETFs and equity indices, an investment may be exposed to common stocks indirectly which subjects it to equity market risk.
High Portfolio Turnover Risk. A fund may actively and frequently trade all or a significant portion of holdings. A high portfolio turnover rate increases transaction costs which may increase expenses.
Non-Diversification Risk. Because a is “non-diversified,” it may invest a greater percentage of its assets in the securities of a single issuer or a smaller number of issuers than if it was a diversified fund.
Hedging Transactions Risk. Hedging transactions involve risks different than those of underlying investments. In particular, the variable degree of correlation between price movements of hedging transactions and price movements in the position being hedged means that losses on the hedge may be greater than gains in the value of a Fund’s positions, opportunities for gain may be limited or that there may be losses on both parts of a transaction.
Illiquid Investments Risk. A fund may, at times, hold illiquid investments, by virtue of the absence of a readily available market for certain of its investments, or because of legal or contractual restrictions on sales.
Interest Rate Risk. The value of a Fund’s investments in fixed income Treasury securities will fluctuate with changes in interest rates.
New Fund Risk. A fund may be a recently organized management investment company with no operating history. As a result, prospective investors do not have a track record or history on which to base their investment decisions.
Yield to Maturity: Yield to maturity (YTM) is the total return anticipated on a bond if the bond is held until it matures.
Dividend Yield: The dividend yield is a financial ratio that shows how much a company pays out in dividends each year relative to its stock price.
Average Duration: A measure of a fund’s interest-rate sensitivity—the longer a fund’s duration, the more sensitive the fund is to shifts in interest rates. Duration is determined by a formula that includes coupon rates and bond maturities. Small coupons tend to increase duration, while shorter maturities and higher coupons shorten duration.
Cite: https://www.r2library.com/Resource/Title/0826102549
***
As a team of doctors at Marcinko & Associates, we are Fiduciaries all times and for your protection. We therefore:
- Embrace a fiduciary obligation to place clients’ and colleagues’ interests first
- Deliver comprehensive financial planning and practice management services
- Provide fee-only advice
- Do not accept commissions
- Be transparent on client costs, fees, and terms
- Provide transparency on portfolios and investments
- Are independent from any bank, broker dealer, insurance firm or custodian
- Measure client-colleague performance using independent third parties
- Do not create products to sell or price any public securities
- Do not physically hold or possess any client assets, securities, or money
Legal Disclaimer: This website is believed to be accurate and to provide information that may be of interest to readers. It is not intended as investing, economic, taxation, financial, accounting, practice management, business or legal advice. We are fiercely independent and not affiliated with any brokerage firm, representative, broker, dealer, bank, state, SEC, NASD or registered investment advisory firm. This is not a solicitation for the purchase or sale of any security. If hired, we may act of counsel or be retained as a subject matter expert and/or advisor to work with attorneys and/or individual clients, but we do not render legal opinions. However, we may render informed second opinions and expert witness testimony [public and/or private]. We may also outsource selected work functions to our strategic alliance partners. The Institute of Medical Business Advisors, Inc and Marcinko & Associates are separate but affiliated companies and subsidiaries of iMBA, Inc. There is no assurance that stated objective will be met; etc. No guarantees are made. Your consent to use our services is informed and understood.
Virtual Confidentiality Notice: Any phone calls, video-conferences, email transmissions and/or attachments, if any, are confidential and intended only for the use of particular persons, clients, colleagues and/or entities. They all may be work product and/or protected by the consultant, advisor, coach, colleague, attorney-client privilege or other privileges. Delivery to someone other than the intended recipient(s) shall not be deemed to waive any privilege. Review, distribution, storage, transmittal or other use of calls or video-conferences, emails and any attachment by an unintended recipient is expressly prohibited. If you are not the named addressee (agent) or an e-conference or e-mail has been addressed to you in error, please immediately notify the sender or us by reply email and permanently delete the email conferences and any attachments.
Trademarks, Register Marks, Copyrights and Patents: All Trademarks, Register Marks, Copyrights and Patents belong to their respective owners. Dr. David Edward Marcinko MBA and the Institute of Medical Business Advisors, Inc., has applied for and/or received two US patents; several trade and register marks, and numerous copyrights. His pioneering work includes inventing bone surgery fixation devices and a closed-suction irrigation-drain system for bone and wound infections; an on-line education program for financial advisors; dozens of medical and business textbooks; and several software educational CD-ROM / SAAS testing and examination programs for doctors and advisors. No parts of this website may be reproduced without written permission.
Privacy Notice: We do not share personal information collected through our working client relationships. We may share limited information with those experts who act for us or on behalf of our clients. If you are not a currently intended e-mail recipient, please notify us and delete all information and/or copies including attachments. If you are the intended recipient, secure the contents in a manner that conforms to applicable state/federal, ARA and HIPAA requirements related to privacy.
Non-Legal and Non-Medical Practice Notice: None of our activities are to be considered legal advice or to diagnosis or treat any medical, surgical, psychiatric, psychological or mental health condition. We do not offer psychotherapy. Please see a competent medical or legal practitioner in your state for same.
Comment Policy: Informed website comments are encouraged. This is a moderated forum, meaning comments are reviewed before they are posted. Respectful comments that contribute to the topic at hand will generally be accepted. The site will not publish comments that, in our sole opinion, fall under the following categories:
- snarky, trolling, off-topic, make the same point repeatedly, ranting at doctors, advisors, CPAs, FAs, Investmejhnt Advisors, ranting at others, excessively long, libelous, defamatory, abusive, harassing, threatening, profane, pornographic, offensive, false, misleading, or which otherwise violates or encourages others to violate our sense of decorum and civility or any law, including intellectual property laws.
- “spam,” i.e., an attempt to advertise, solicit, or otherwise promote goods and services.
- contain off-topic hyperlinks.
We reserve the right to delete any comment, for any reason, at any time. The First Amendment gives you the right to express your opinions on your own website, not our site. This is not a blog. Comments that receive a certain number of flags from the readership are automatically deleted.
Social Media Policy: The content and resources on this website are for your information and edification only. Our books, texts, white papers and case models are listed because many colleagues find them helpful, bu there is no guarantee that you will benefit from them. We are not responsible for the content and opinions of the material and we do not receive outside compensation by posting them on this website. We do not knowingly follow former, current and/or potential colleagues on social media.
Cookies: We use cookies that are essential for our site to work. To improve our site, we may use additional cookies to help us understand how visitors use it, measure traffic to our site from social media platforms and to personalize your experience. Some of the cookies that we use are provided by third parties.
Data Security: The security of your personal information is important to us. We take various reasonable organizational, administrative, and technical measures to protect your personal information from unauthorized access, disclosure, alteration, or destruction. If required by law to do so, we will notify you and/or the relevant supervisory authority in the event of a data breach. However, we cannot and do not guarantee complete security, as it does not exist on the Internet.
Business, Consulting and Management Fee Structures and Transparency: When trying to align pricing with value for our colleagues and clients, we always examine effectiveness in the way we communicate about fees. In today’s environment, fee transparency enables flexible models that are key to articulating value and, ultimately, earning trust. With research showing that far too many clients do not trust their consultants and advisors to charge them fairly, it’s no surprise that pricing transparency and competitive fees are two major factors for clients when evaluating and selecting similar consulting firms. Other firms have work to do to better convey their fees. Our answer is not simply lowering fees, but rather a combination of increasing transparency and predictability, as well as improving how the value of our offerings and services are communicated to clients. And so, we offer a flexible fee schedule and compensation structure as listed below:
Retainers: A financial retainer is a set-certain amount of money requested from a potential client to initiate and pay for services rendered over time. Our retainer range depends on the business project and the nature of the work. Sometimes we base our retainer fee on the number of hours we anticipate working on your case. And so, information may be requested from you; a priori. Nevertheless, while our retainers may be modest, there is always a retainer required.
Fee Only: We may charge for simple engagements or reviews, speaking sessions, crafting a business plan, expert witness work or second opinions, uncomplicated projects, or major document and/or white paper creation etc., on a one-time fee only cost basis.
Compensation: We receive compensation from the sale of our textbooks, dictionaries, case model library and speaker’s fees, etc. Otherwise, we receive no compensation for financial products. We sell no investment products or insurance policies so you can rest assured that when it comes to our financial planning and asset management opinions, we receive no commissions and have no hidden agenda. We simply strive to educate and deliver honest and effective advice and opinions designed to help you live a life of financial freedom.
Expenses: Travel, food, hotel lodging, auto gas and car rentals, postage, emails, faxes, phone calls and photo-copying activities are examples of reasonable expenses for expert witness work, speaking engagements, seminars, etc.
Hourly: Most frequently used with billings per [long] hour worked. No short hour, concurrent or overlapping incremental hourly billing is ever done. Rest assured, we generally do not charge for brief phone calls, text messages, “get-acquainted” sessions or e-mail quick transmissions; unless they are excessive, redundant or abusive.
Flat: Flat or project fees are a newer form of compensation designed to make our professional consulting, education and advice more accessible to younger clients with few assets; and older clients who may anticipate retirement. Flat fees are gaining acceptance for clients who have a simple uncomplicated issue to resolve. Flat fees are comparable to the rates that others charge for their services. While our services are premium; our fees are not.
Project: These fees are similar to flat fees that align well with unique situations such as crafting a personal financial plan. Project fees may also cover strategic documents such as a business exit or strategic management strategy plans.
Hybrid: Major and/or long term clients are generally billed with several fee structure types; including any or all of the above.
Itemization: Clients are automatically billed thru PayPal and all fees and expenses are itemized.
Acceptance: We may accept fees payable by personal, cashier or business check to the Institute of Medical Business Advisors Inc for advanced retainers, only.
Financial Planning Fees: We offer holistic and targeted fiduciary focused financial planning that covers everything you may need to know. No product sales, no commissions, no conflicts—just a flat fee tailored to your needs, not tied to your investments or returns.
Modifications: We may modify the terms and conditions of this agreement in whole or in party at any time for any reason without any notice to you, based on our discretion. Such modified terms and conditions shall supersede these terms and conditions and shall become binding when published online on the site.
Entire Agreement: You accept that this agreement represents the entire understanding between you and us concerning use of this site.
HOW MAY WE HELP YOU?
email: MarcinkoAdvisors@outlook.com
© Copyright: Institute of Medical Business Advisors, Inc® All rights reserved, USA. 2025-2026 and beyond. No part of this publication may be reproduced, distributed, or transmitted in any form and/or by any means, including photocopying, recording, or other electronic or mechanical methods without our prior written permission.
***
D.E. MARCINKO & Associates, Inc 