Why Turn to OrthoNow Services Right Now?

One of the options that may be available to you is OrthoNow. This type of clinic can help you to handle many of the concerns related to bone fractures and sprains without having to go to the traditional emergency room to do so. If your child is playing sports on a Saturday afternoon and happens to be hurt on the field, the options are limited normally. You could go to the ER, but the costs will be high and the wait could be long. This facility provides another option for fast, affordable help no matter what your needs are.

What Is It?

OrthoNow provides an opportunity for individuals to get the help they need for injuries in a safe manner without having to go to the traditional hospital room to get the care needed. This is a type of immediate care center that provides for the needs for nearly all types of patients who are facing concerns with orthopedics, such as muscles, joints or bone pain. If that sounds like what is happening with you, visit one of these professional organizations for help even after hours. Even better, this is a walk-in program, which means you do not need an appointment to get help.

What Can They Do?

There are many ways these professionals can help you. They often help with sprains and strains, including those related to sports or work injuries. You can come in if you think you’ve fractured a bone or you are not sure if you did. It also handles most types of sports medicine injuries. If you have a minor dislocation of a bone, they can help to set it. They can also help with cast problems or dressing wounds. However, these facilities do have some limitations.

You do not want to go to this type of facility if you have a spinal injury, open wounds or fractures or you have head trauma. Since this is not a traditional emergency room, these types of treatment are not available onsite. However, if you have any type of non-emergency injury like those described here, you can walk in to get the care you need. It’s the type of specialized care you need when your child has fallen on the playground and could have broken a bone or when that sports injury kicks in while you are playing basketball with the guys.

Don’t put off getting help. You no longer have to worry about choosing a high copay at an emergency room or getting help for your condition that’s more affordable. With OrthoNow, you can get the help you need right away, so that you can get back to life.

Blu Cigs Cyberbanking Cigarettes

An cyberbanking cigarett (or ” Blu Cigs Cyberbanking Cigarettes “) is an another to smoked tobacco products, such as cigarettes, cigars, or pipes. But now smokers accept a safer another to tobacco smoker application the (vaping) ???Blu Cigs Cyberbanking Cigarettes??? or e- cigaret It can advice you abstain all the abandonment affection and auspiciously abdicate smoker for good.

It is a battery-powered accessory that provides inhaled doses of nicotine by carrying a vaporized propylene glycol/nicotine solution.. The cyberbanking cigarettes feels and looks like a absolute cigarette. It aswell tastes like a absolute cigaratte and you can drag and breathe a baptize breath that looks like absolute cigarete smoke.

The way the e-cigarette works is, you artlessly allegation up your cyberbanking cigarette battery, which looks actual agnate to a acceptable cigarette, and instead of inhaling the added baleful toxins that a accustomed cigarette has in them, the ??â„¢smoke??â„¢ that is emitted from the e-cigarette is in fact just baptize breath that contains aqueous nicotine, and is controllable to those about you.

Family associates of smokers who are anxious about additional duke smoke may acquisition this advantage a lot added tolerable. Some smokers see the smokeless cigarette as a abundant added able way to ???quit??â„¢ smoker always as it gives them the activity that they are still in fact smoking, even admitting they are not inhaling the aforementioned adverse chemicals as they were with approved cigarettes.

You will boring be abbreviation the bulk of nicotine your physique consumes and accordingly your physique will not accept to go through the acrid nicotine abandonment symptoms. You aswell wont ache from the cerebral furnishings that one goes through if you abdicate smoker because you will still be captivation the cyberbanking cigarette like a absolute cigarette and you will abide to inhale/exhale smoke. However, this smoke is baleful free, which agency it does not accommodate any blight causing ingredients.

The Blu Cigs e-cigarette uses technology agnate to added e-cigarette brands. Like a lot of added e-cigarettes, the Blue Cigs e-cigarette is not absolutely smoked but instead is “vaped”. That is because e-cigarettes do not bake anything. Instead, e-cigarettes vaporize aqueous nicotine into a accomplished brume that is inhaled, appropriately the appellation “vape”. The aqueous nicotine, which is independent in a appropriate cartridge, is angry into a brume by apparatus accepted as an atomizer. The atomizer in the Blu Cigs e-cigarette is powered by a baby rechargeable lithium ion battery.

Which Is the Most Difficult Drug to Detox From?

The hardest drugs to detox from depend on your perspective. If by “difficult” you’re referring to the severity of dangerous medical symptoms that occur during withdrawal, then the obvious answer is alcohol and benzodiazepine. Both of these drugs could kill you during detox. But if you’re referring to the severity of emotional, mental and spiritual symptoms that affect a person during drug detox, then most addicts will agree that opiates are the most difficult; especially opiates like Methadone that are designed to help wean an addict from other opiates like heroin.

The Most Difficult Drugs to Withdraw/Detox From: Medical Reasons

The following substances prove especially challenging for many addicts to withdraw from considering the serious medical risks of doing so: Barbiturates, Benzodiazepines and Alcohol. The withdrawal process has been known to cause life-threatening complications in some people. This includes pulmonary and cardiovascular distress, respiratory depression, grand mal seizures, delirium tremens, hallucinations, coma and death.

Fortunately, death is rare but nevertheless the fact that it is possible creates a deterrent to treatment for some addicts. In most cases the risks of withdrawing from these substances can be mitigated by attending detox in a professional medical setting where healthcare practitioners and addiction experts can observe the detox process and respond immediately in case of any complications.

The Most Difficult Drugs to Withdraw/Detox From: Emotional Reasons

Thousands of years before the birth of Christ, the first annals of history were recorded by the ancient Sumerians. Translations of stone etchings show that these early peoples farmed and used opium extensively. In fact, their word for the plant can be translated to “Joy;” an apt description considering the widespread abuse of opium for the next several thousand years. By nearly all accounts, the euphoric high obtained by using opium is the highest feeling of joy most addicts have ever felt. But herein lays the problem.

When a person uses an opiate like heroin or Oxycontin to get high, they rapidly build up a tolerance not only to the drug, but also to euphoria. This means that it becomes more and more difficult to obtain the same euphoric effect with the same amount of opiates, so in nearly all cases users continually increase their dosages – some to the point of overdose and death. But in general the central nervous system becomes more and more desensitized to stimulus that would normally cause feeling of joy or euphoria. In fact, the opposite often occurs, resulting in a state known as Dysphoria; the opposite of euphoria.

Dysphoria is a severe problem for people who are detoxing/withdrawing from opiates because after the stop using the drug they often find it difficult or impossible to find joy or happiness in anything. This causes severe bouts of depression, anxiety, feelings of worthlessness and unexplained misery, terrible sadness and overwhelming inadequacy and loneliness; even in the presence of others. These emotional and spiritual symptoms drive many people in the early stages of recovery to return to drug use in order to self-medicate their general state of dysphoria.

Opiates Used to Treat Addiction to Other Opiates

Many addicts report and anecdotal evidence suggests that withdrawing and detoxing from opiates that are used to treat addiction to other opiates is a severe and extremely challenging process. The reasons for this are not understood, but it’s possible that because most opiate treatment drugs like methadone block the release of dopamine, addicts do not obtain a euphoric effect, even though they are spared the normal symptoms of withdrawal (essentially because methadone maintenance merely prolongs the addictive process.)

Support forums on group sharing often results in addicts advising each other NOT to go on an opiate maintenance program and to tough out the initial stages of a more “pure” withdrawal instead. Therefore, it could be argued that detoxing from opiate maintenance drugs is the most difficult type of detox to undergo.

The Kindling Effect

Regardless of the substance, the Kindling Effect can make detox and withdrawal an absolute nightmare; especially if the addict in question has relapsed repeatedly in their lifetime. The concept of Kindling is that with each progressive relapse and subsequent withdrawal, the brain and central nervous system become more highly sensitized (or highly desensitized) to drug abuse and the feelings it creates. As a result withdrawal symptoms are much more severe and potentially dangerous for these individuals than for others.

Ultimately, the most challenging detox is the one you’re about to go through. Taking that first step is extraordinarily difficult regardless of what drug you use and how long and hard you’ve been using it. But the reality of the situation is that left unabated the consequences of continued active addiction are in every instance more severe and potentially life-changing that the actual process of withdrawal and detox, which usually takes 10 days or less for most people.

If you or someone you love is fighting addiction, the most valuable weapon you can give them is action. Do it now; get help, get a free consultation, and take the first step before it’s too late to move forward at all.

Heavy Equipment Operator Jobs For the Future

Back in the days before the industrial revolution, everything was done by hand. Although the invention of machines dated all the way back to the wheel, it was only during the industrial revolution that machines became automated. Today, our world revolves around machines and nowhere is our mechanical advances seen more clearly than with heavy equipment. Whether its in mining or construction, it seems like we can move the world with our modern machines.

Operating these machines has become a very specialized skill and something that evolved from flipping a few leavers to becoming a full operator. Modern machines like cranes, bulldozers and dumb trucks are sophisticated pieces of equipment that requires skilled people to operate them.

Heavy equipment operator jobs are currently in high demand and in short supply. With billions of dollars of construction work on the horizon in the USA, we are set for some major shortages of operators.

The fact that there are more and more machines required to speed up building work and improve productivity, now is the time to get into this occupation.

Becoming an operator can not just give you a stable job, but it can potentially be a very lucrative career. With the demand being so high, salaries are set to rise and if you advance yourself and become more skilled in operating different heavy machines you can secure yourself a bright future – and always be certain of a job.

What is particularly good about being qualified as a heavy equipment operator is the fact that you can work across several different industries. Although the majority of job opportunities is in the construction industry, there is a lot of work in mining, shipyards and disaster relief.

Regardless of your preference and your skill level, you can find a job in this exciting industry.

Getting qualified usually involves a full year of training. Many trade schools and technical colleges offer 1 year programs and upon completion you will receive a certificate as well as a heavy vehicle drivers license. Not all qualifications are equal though and its important that you look into the school or college very closely. Prospective employers value certain qualifications more than others.

Its always a good idea to find someone who is already in the profession and ask around. Some construction companies eve have training programs where they will train you while you are in employment with them. This will allow you to earn while you learn and graduate with experience.

Visit my blogto read more on finding heavy equipment operator jobs.

Mobile Auto Detailing and Car Washing At or Around a Sports Stadium – Market Potential

Well, I started out in the aircraft cleaning and detailing business, and later I had franchised mobile auto detailing and car washing units around the country. Today in retirement, I am often contacted by people in the industry, or new start-ups in the sector, and they have some rather intriguing questions. I doubt there’s much I don’t know about in the industry, or have not encountered, and despite all the new technology that is now being used, the actual operations of the business haven’t changed all that much yet.

Indeed, I say that because I believe someday there will be autonomous mobile detailing units which will send out a robot to detail a car. But that’s not today, these robotic systems will be detailing the personal flying craft of the future in 30 years I suppose, maybe 20 or 25. In any case, I was talking to a fellow entrepreneur about all this the other day, and he indicated to me that he would like a mobile robotic unit to help him clean cars at sports stadiums. He lives not too far from a sports stadium, and he said that over 25,000 cars show up, and they’re only there for three or four hours, and there is no way no matter how large his crew is, or how many units they have that they could ever possibly even clean a small percentage of all those vehicles.

Whereas that might be true, he ought to get busy and clean as many as he can. The best way to get this type of business is to go make friends with those that run the Stadium, and the sports teams that practice and play there. If it is a baseball stadium, make friends with the coaches and players to detail their cars, once on the property you can make friends with the facility maintenance people, and try to get a contract giving you the exclusive for specific areas of the parking lot. When people come in you collect their money, give them a ticket, clean their car, and when they come out it is completed. It’s not as difficult as you might think.

Further, often car dealerships will have events where they sell their used cars in these giant parking lots, and there are always other events going on. Once you are in, and they have a copy of your insurance, you should be able to clean cars for anyone who shows up at any event in the future. You just need a crack team that can go balls to the wall for 3 to 4 hours and complete as many cars as possible in that time period. Indeed I wish you luck if this is a sector of the mobile detailing industry or mobile car washing industry you care to expand into. Please consider all this and think on it.

Cheap Car Insurance and Car Safety – Drink-Driving

The dangers of drink-driving, sometimes referred to as dui or dwi, have become much more obvious in recent times, as well as being socially unacceptable, have become a major concern for motorists and safety campaigners and taken much more seriously by lawmakers and law enforcers.

The seriousness with which courts regard any form of drink-driving is reflected in the severity of potential sentences and the consequences that any form of drink-driving may have on the motorist, passengers and anyone potentially involved in any accident.

The practical side of being caught and convicted to any type of drink driving can result in any or all of the following consequences. There is certainly a likelihood or possibility of being sent to jail. This may be a relatively short time and act, or be meant to act, as a real deterrent to doing it again in the future.

This is normally the case if there is no one else involved and has been no real damage done to any third party. The jail sentence will normally reflect an intent to send a message to the person involved. If the drink-driving has resulted in an accident or damages of a serious nature either to an individual or their property or loss of life, then the jail term may be significantly longer.

If the driver involved has already been convicted of a drink-driving offence in the past, then the courts will take an even harsher view and significantly increase, or the likelihood is they will significantly increase the jail term involved. The motorist involved will almost certainly lose the use of their licence for a significant period of time, quite often up to several years. This has a major impact on their lives, and the lives of their family and people who may be dependent on them having a car.

There is likely to be a significant fine as well, the amount will be dependent on the age of the driver as well as any damage that the driver may have caused. This fine will not be covered under the motorists car insurance policy and will need to be paid by them themselves out of their own pocket. In addition, when they do eventually get their licence back their insurance rates will rocket and they will have to pay a substantial loading on their car insurance policy for a long time afterwards.

In addition to the possibility of being sent to prison, there is also a significant chance that the driver will be sent on some type of alcohol safety awareness program. A court may decide to send the driver to Alcoholics Anonymous meetings, and can potentially order a number of psychiatric tests if they feel that the mental state the driver is sufficiently unstable to warrant it.

Drink-driving levels are something that are a bit of an anachronism in that they are set by lawmakers as being a top threshold at which it is deemed safe to drive having drunk a small amount of alcohol. In truth the only safe amount of alcohol is no alcohol. Many people accidentally drink slightly more than they should do and often are not aware that they are over what is a relatively low limit when they decide to drive a car. It is a much safer approach to this issue either not drink at all if you’re driving, or if you do decide to drink either get someone else to drive you or to use a taxi or a minicab.

Also bear in mind that if you are involved in an accident of any sort, whether it is your fault or not if you have an excess level of alcohol in your bloodstream, then the police and authorities will prosecute and can convict you irrespective of who was at fault or to blame for any accident.

Which Is More Cost-Effective, Cabs or Car Rentals?

Rent it or cab it?

People like the freedom of having their own vehicle to drive about in, at home or when they travel, and the tendency is to book a rental car when you are away. But freedom comes with a price and it depends where your travel destination is as to whether you’re best to rent a car or take a taxi.

Cheap ground transportation depends upon location, accessibility and extraneous expense factors, like gasoline costs and parking fees. Add to that the potential complexity of finding your way around a strange city, especially a large one, and you might change your mind about what freedom means.

A trip to, for example, New York City or Montreal, two North American cities with decent public transit systems, plenty of cabs, walkable areas in their cores, and very high parking fees, and you’ll realize that a taxi will almost inevitably surface as the cheapest mode of getting around.

But what if you want a day trip to the Laurentian Mountains or the antiques stores of Hudson? That’s the day to rent a car, or to find out if there is a luxury coach service to those destinations that returns the same day.

Car rentals are convenient, to be sure, but the costs add up quickly (don’t forget insurance and occasional peak-season added fees), unless your airline points cover all or most of the cost; even then, in large cities gasoline and parking is very costly, and that is not usually included in credit card or airline rewards perquisites.

When does a rental car make sense? If you live in North America (and can’t drive across the Atlantic Ocean!) and are vacationing in Italy, for example, landing in Rome and taking a motorcar tour of Tuscany and other regions from there, your only other viable option is the train. Like anywhere else, gasoline in Europe is expensive, but you can’t take a full driving holiday in a taxi. But don’t forget, there are guided tours and some taxi drivers will gladly spend a day with you, exploring San Gimignano; they are often the best tour guides, full of information about their homeland. And driving in other countries can be a harrowing experience, especially if it involves driving on the opposite side of the road than you are accustomed to!

Plan your itinerary, do an accurate cost comparison and decide whether a taxi or car rental, or combination of the two, is the cheapest way to get around when you reach your destination. And don’t forget to ensure that your driver’s license is current, and if you need to, get an international license before you set off for your trip. Happy motoring!

Get Hassle Free Money With No Teletrack Payday Loans

Teletrack is a system that is used by many banks, financial institutions and lending agencies so that they can check a potential borrower’s financial records. It is essentially a system that is designed to protect lenders and exposes certain aspects of a person’s financial history, including any past or current bankruptcy proceedings, current loans held by the borrower and any instances of outstanding payments or loan defaults. No teletrack payday loans, then, are small loans that a person can apply for where the lenders do not carry out credit checks on applicants using the teletrack system. These loans are designed to meet the financial needs of people who require fast cash in order to meet an unexpected expense. The application process is easy and, because there are no credit history checks, approval is almost certain.

No teletrack payday loans are specifically for those who require small cash advances at times where they have an urgent need for funds and they cannot wait until their next pay check. Since there are fees and charges associated with no teletrack payday loans it is recommended that people only seek out these loans in an emergency and borrow only the amount that they require.

Most lenders charge a certain amount per every $100 borrowed through no teletrack payday loans. The fees for no teletrack payday loans vary between lenders and in order for you to ensure you are getting the best deal it is advisable that you take the time to shop around. There are many lending agencies available on the Internet, which makes comparing these loan products quick and easy. Applications can also be completed online, and since there is no faxing of documentation required for no teletrack payday loans, approval time is relatively short. Upon approval, funds are electronically deposited into your bank account for you to access, as soon as they are processed by your financial institution.

No teletrack payday loans can be accessed by almost anyone. Anyone who is over the age of eighteen and has a steady full-time income can apply. No teletrack payday loans are even accessible to people who have a history of bad credit as there are no credit checks carried out during the approval process. Before applying for no teletrack payday loans, however, individuals should carefully consider their present financial situation as it is usually expected that these loans be settled very quickly. The repayment period for most of these loans is generally only a few weeks and so each applicant should assess whether it would be possible for them to repay these loans from their next pay check.

No teletrack loans are certainly a good idea for anyone who needs pay day to arrive a bit sooner. Sometimes there are situations where expenses arise that cannot wait and being able to access cash quickly and easily can help to relieve financial stress that people experience when they are short of money. Financial pressures can cause considerable stress to individuals and on their relationships with others, but knowing that there is a way to get fast cash, can certainly make people in this situation feel a lot better.

Relaxing Your Way to a New Smile

In the old days, the idea of being able to relax in a dentist’s office is preposterous and laughable. Who would be able to stay calm amidst the noise of the drills and children crying their heads off and coming out with swollen cheeks? It’s all enough to make you swear off dentists as long as you live.

That was how people felt about it until the advent of dental spas. Dental spas are defined as establishments or facilities whose dental programs are run by a licensed oral health care provider, who might also be referred to as a dentist or independent dental hygienist. The services one can expect from these facilities are an integration of traditional dental and spa treatments, such as massage therapy, skin care and body treatments.

In line with this, a new field of dentistry referred to as “Spa Dentistry” is defined as the practice of methods and services not normally associated with dental care like facials, paraffin wax hand treatments, aromatherapy, reflexology, micro-dermabrasion, Botox and other treatments meant to rejuvenate and pamper. The term “dental spa” was coined by the media as a means of reference to this new dental practice of having patients relax before going in for any dental treatment.

Dental spas came about to address most people’s anxiety about going to the dentist’s office for their bi-annual check-ups or for any treatment needed. Approximately 8 out of 10 people have been found to prefer avoiding essential dental care just because they are afraid of going to the dentist’s office, something that mustn’t be the case. While this may seem like something new, the concept of dental spas actually goes back to the time of the ancient Greeks and Chinese who used certain methods to keep a person suffering from a toothache relaxed. The first recorded dental spa was during the 18th century in Bath, England when a woman known only as Miss Curris made her dental patients relax by offering them massages, as well as skin and body care before treating them.

Dental spas are perhaps the best thing to happen to people who have an irrational fear of dentists. They finally have a reason to muster up the courage to go for their important check-ups without quaking in their boots. In addition to having a spa-like atmosphere, which makes patients think and feel that they are anywhere but at a dentist’s office, it is the prospect of being able to avail of other salon services that encourage patients to forego their fear. Who can resist a relaxing manicure while undergoing root canals?

Dental spas are also recommended for patients with heart conditions and anxiety disorders. Not only are they able to relax, but the conditions also ensure their safety, making the dentists’ job easier. It is never easy to deal with unhappy and nervous patients who squirm in their chairs and complain loudly even before the instruments touch their teeth. For difficult to relax patients, dental spas offer sedation dentistry, which involves the use of anti-anxiety medications or laughing gas (nitrous oxide).

So if you’re one of those who equate a visit to the dentist’s office to a date with Godzilla, you now have a great reason to forget about your fears – just relax and leave everything in the hands of the experts and you’ll soon wonder what you were afraid of to begin with.

The Life Cycle of Acquisition-Based Companies

A few years ago, I was discussing this phenomenon with the CEO of one of our clients. His company had grown almost entirely through acquisition, and for several years the company had experienced revenue growth rates exceeding 20%. However, the company had plateaued with respect to earnings, and looking at their overall performance it became clear to him (and to the Wall Street analysts that watched his company) that a great deal of money had been left on the table. Working with that CEO, I developed a model called the ACL Life Cycle. Understanding and using the ACL Life Cycle has proven enormously beneficial to clients depending on an M&A strategy for continued growth.

The ACL Life Cycle

The ACL Life Cycle describes the maturation process of companies who grow substantially through acquisitions and mergers. Using the ACL model, we can clearly identify the company’s current position. Knowing that position, and then looking forward at the company’s financial objectives through the lens of their business strategies, the specific actions that are needed become clear. Those actions can then be formed into an executable plan with associated performance measures, and managed through completion to bring the overall enterprise to heightened levels of financial performance. It is important for acquisition-oriented executives to understand the major phases and characteristics of the ACL Life Cycle.

Businesses who have survived one or more acquisitions and/or mergers are usually left with some degree of disintegration among their processes and systems. A company’s success in reaching the financial objectives of the merger or acquisition is directly correlated with the degree to which that disintegration has been replaced by a set of business processes and information systems that are common enough to generate enterprise-wide leverage. Implicit in that commonality is enterprise-level direction and guidance, manifested in company-wide business strategies and performance measures that align all of the combined business units. These businesses move, in this post-acquisition or post-merger environment, from an acquisition-based operating model to one characterized by shared services and a general commonization, to a stage where the enterprise “whole” really is able to become something greater than the sum of its business unit “parts”. It is more than the typical cost-reduction synergy anticipated in most of these transactions; it is a new platform for innovation, and an even higher level of innovation-based leverage.

Companies who experience substantive growth as a result of business acquisitions typically follow the ACL life cycle. ACL in this context stands for: Acquisition, Commonization, and Leverage. Many companies never leave the first stage of this maturity scale, and still more remain at the second stage. The most successful companies are usually those who recognize the importance of moving through all three stages, and consistently implement a structured process for doing so.
All companies experience pressures that push them toward decentralized operations, including idiosyncrasies of specific market niches served, the uniquenesses of isolated business processes, unusual needs of specific customer populations, and Uncategorized organizational entropy. At the same time, most of the companies that are successful in achieving the financial performance objectives established for the newly merged enterprise manage to overcome those challenges, electing to pursue the advantages of leverage, including:

  • broad synergistic brand recognition, enabling cross-selling, bundling of products and services, and improving revenue
  • interchangeability of business process resources, enabling the company to reduce its asset base
  • commonality and scalability in equipment / skills / facilities, facilitating innovation and growth into additional markets
  • higher utilization of business assets, reducing unit cost
  • lower levels of redundancy, resulting in reduced operating costs

These companies also typically find that maintaining compliance with financial reporting standards such as Sarbanes-Oxley requirements are enhanced as a result of strengthened internal controls.
Some companies make a deliberate decision to remain “holding companies”, which simply buy and sell diverse businesses that have only marginal relationships with one another. These conglomerates prefer to manage the portfolio through buying and selling components, and allowing the leadership teams at the individual companies to manage ongoing operations from strategy through execution. A few of them have been quite successful, and this article is sometimes not as directly applicable to those at a corporate level. It works very well, however, for their major divisions. Companies that benefit most from understanding the three stages of the ACL Life Cycle are those companies who have decided to focus on a single core industry – Aerospace & Defense, Automotive, Chemicals and Polymers, Textiles, Electronics, Telecommunications, Consumer Products, Medical Equipment producers, Healthcare providers, and Financial Services providers are all good candidates. 

The Acquisition Stage of the ACL Life Cycle

Companies in the Acquisition Stageof their life cycles are usually focused on revenue growth, and capturing market share. They are characterized by high levels of autonomy in management, in the reporting of site-level data to the corporate parent, and in the design of their business processes and systems. Companies who remain in this stage for long periods of time following acquisitions usually act as holding companies, with the corporation allowing individual divisions or sites to operate almost as independent companies with their own P&L, strategic plans, and market-facing branding. Often, companies in the Acquisition stage lack a common vision of the future of the overall business, and tend to operate at cross-purposes among the operating units. They sometimes even compete against one another for the same customers. They share little operating information, making it nearly impossible to coordinate and deploy “best practices”, effectively distribute work load, utilize general market intelligence, and grasp other elements that could provide corporate-wide leverage of the businesses’ assets and resources. A few industry-specific examples here should help to illustrate the situation:

Manufacturing companies in the acquisition stage are usually characterized by redundancies in raw materials, equipment, staffing, and other business resources. Because manufacturing companies are relatively material-intense, a great deal of cost can be tied up in raw materials, work-in-process, and finished goods. Since acquisition stage companies have so little visibility between business units, there is little opportunity for them to reallocate these assets in order to use them effectively. As a result, the most costly resources remain the most underutilized. In addition, acquisition-stage companies have not centralized the management of even commodity-level business processes, such as finance, human resources, and information technology. This lack of centralization leaves additional inefficiencies in place around accounting staff, employee benefits provider subscriptions, business software applications, data centers, and computing equipment. 

Telecommunications companies in the acquisition stage also have unrealized opportunities for greater leverage from their business assets, but these more often take the form of redundancies in network equipment, network coverage, retail outlets, partner agreements related to the sale of their products, and interconnection agreements with other carriers. In addition, acquisition stage telecom companies often have a substantial amount of unrealized leverage in the lack of integration among the data bases and information of their various divisions that could enable shared service operations for commodity-type processes such as billing and cross-selling of products and services. Like manufacturing companies, telecom companies in the acquisition stage also typically have unexploited opportunities around the consolidation of data centers and related equipment and staffing.

Healthcare providers in the acquisition stage usually find opportunities in different areas of their businesses, because of the differing cost structure of their operations. The bulk of their costs and their opportunities while in the acquisition stage of maturity in the ACL Life Cycle are related to employee salaries & benefits, and to medical supplies and drugs. It is less common for these businesses to be able to effectively share inventories and equipment, since the nature of their business is rooted in community health care that requires local service provision. The opportunities that do exist, which are typically not exploited well in acquisition stage health care companies, are related to centralizing commodity type business processes such as finance, human resources, and information systems, and leveraging required service and supply procurement across the enterprise. 

Financial Services providers, such as banks, brokerages, credit unions, financial planning companies and tax & audit services exhibit yet another cost profile, with the largest elements typically including personnel and occupancy costs. In these businesses, like health care provision, being where the customers are is critical. The companies’ ability to understand the changing demographics and match up their branches as well as their skills to the targeted customer base is often a differentiator between the companies that succeed and those that fail. Financial services providers who are still in the acquisition stage of maturity in the ACL Life Cycle often do not have the commonality in fundamental business processes and systems to readily reconfigure their operations to meet the changing needs of their marketplace. Their acquisitions or mergers have enabled them to grow horizontally, typically into adjacent markets. However, lacking an adequate foundation of commonality in processes and systems, there is substantial money left on the proverbial table as a result of ineffective resource deployment, and delays in the reporting of operational performance data that would enable the company to be more responsive. These companies also fail, in their acquisition stage, to take advantage of their larger purchasing power to gain leverage around purchased services spanning items as diverse as employee health care and branch-level office supplies.   

The Commonization Stage of the ACL Life Cycle

Companies in the Commonization Stage of their life cycles have usually awakened to the value of focusing on Return on Net Assets (RONA) and Return on Invested Capital (ROIC). In order to begin to capture improvements in these areas, companies in the Commonization Stage often turn to shared service models of operations for selected business processes and systems. Strategies and performance measures begin to crystallize around common themes that span multiple operating units or divisions. Among the areas of focus for a shared service model in this stage are Finance (A/R, A/P, General Ledger, and Financial Reporting), Human Resources (Payroll, Benefits, and Employment Records), and Information Technology (Computer Hardware, Network Administration, and selected Software Applications Management). Some companies in the Commonization Stage also move Procurement and other aspects of Materials Management to a shared service model, enabling the corporation to more effectively leverage its broadest possible purchasing power.

Manufacturing companies in the commonization stage of maturity typically have shared services in place for commodity types of business processes such as finance, human resources, and information systems management. As they advance through the commonization phase, some of them also begin to pull together a common platform for procurement, encompassing at least their most costly and common raw materials. A few in this stage reach a point where their data center
operations are completely centralized, and may even be outsourced to a third party like CSC. Toward the end of the commonization phase, centralization of work deployment and capacity utilization as well as process quality emerge as companies begin to deploy common processes and systems in customer requirements management, enterprise requirements planning, manufacturing execution systems, and distribution management systems. 

Telecommunications companies in the commonization stage of maturity also typically have shared services in place for commodity types of business processes such as finance, human resources, and information systems management. As they advance in maturity through this stage, telecoms also become aware of the available leverage in centralizing the management of some of their most valuable assets. However, unlike the manufacturer’s raw material focus, for telecommunications operations those elements are things like spectrum licenses, network equipment, connection agreements, partner agreements, distribution centers, and retail outlets. Centralizing the management of those assets to identify overlaps and redundancies enables telecoms to emerge from the commonization stage with much more effectively leveraged business assets, providing broader market coverage with a lower total asset base and generating much higher earnings on that consolidated foundation.

Healthcare companies in the commonization phase of maturity find substantial benefit in the commonization and centralization of their commodity type processes and systems.  This is primarily because of the impact on cash flow and earnings when the employee base is reduced through shared services, and employee benefits and supplies are both leveraged in terms of the broader purchasing power of the company following a business acquisition of significant size. However, there is also an especially rich opportunity available to healthcare companies in the commonization stage that stems form the leverage available related to insurance coverage – not for the employees directly, but covering the potential liability of the company itself. This category of cost is typically about the third largest slice of the pie, and significant reductions there can translate quickly to a meaningful earnings impact. 

 Financial services providers in the commonization stage of the ACL Life Cycle, like healthcare providers, often find substantial benefit in the commonization and centralization of their commodity type processes and systems. With roughly half of their cost of operations wrapped up in employee salaries and benefits, there is an opportunity for meaningful impact on cash flow and earnings when the employee base is reduced through shared services, and employee benefits and supplies are both leveraged in terms of the broader purchasing power of the company following a business acquisition or merger. The next significant area for financial service providers in the commonization stage is the capability for rapid reconfiguration of the business based on enterprise-wide visibility of operational data and market intelligence.

The Leverage Stage of the ACL Life Cycle

Companies in the Leverage Stage of their life cycles are usually embarked on a fierce drive toward adding real value. They are relentless in their efforts to fully utilize the assets of the entire corporation, driving out redundancy and its associated costs. They are then able to pivot on the fulcrum of those more agile processes and systems to implement innovations that foster organic growth resulting in greater market share, greater revenue, and improved earnings for their shareholders. Leverage Stage companies also establish a structured and repetitive process of assimilating new businesses, gathering and incorporating market intelligence into company-wide strategies, and innovating on the basis of these new combinations to capture additional market segments. These companies are characterized by coordination and centralization of major business functions such as the planning and allocation of R&D, production work, inventories, raw material purchases, personnel, and factories & equipment. They centrally manage a broad spectrum of common business processes and systems, including customer requirements management, product data management, enterprise requirements planning, manufacturing execution systems, and logistics management. They are constantly changing, evaluating and configuring business assets to meet future market needs, acquiring and developing new businesses, and shedding assets that no longer fit their evolving model.

Manufacturing companies in the leverage stage of maturity typically have shared services in place for most of the critical business processes of their company, having reached beyond the commodity level processes and into those which deliver the most value to their customers. Examples include sales & marketing, order entry & customer service, capacity planning and management, production scheduling and shop floor control, and distribution requirements planning. As they move through the leverage stage of the ACL Life Cycle, some of these companies leverage the commonality of their processes and systems to produce innovative new products and services, identify additional market opportunities, and develop industry-changing relationships that reach through their supply chains. 

Telecommunications companies in the leverage stage of maturity also have shared services in place for most of the critical business processes of their company, including the seamless provisioning (often called “flow-through provisioning” by industry insiders) of all telephonic services to customers stemming from a single telephone conversation responding to an individual inquiry about a service. This type of capability is only enabled when all of the information from what have historically been disparate data bases is available in an intelligent form through excellent systems integration, based on exceptional levels of commonality and strength in enterprise-wide business processes.

Healthcare companies in the leverage stage of maturity have typically discovered and implemented leverage-based improvements in their major cost structure elements as a result of enterprise-wide information visibility flowing from systems integration and centralized management of critical business processes. Health care companies generally also have uniquely challenging business conditions related to three other areas where leverage level operations can be a powerful tool. 

The first of these areas is employee safety. Most health care organizations are spending a substantial amount of money in this regard, with training and documentation of company polices and safety-related practices requiring an increasing amount of company attention. The integration of systems and commonization of processes in a leverage stage health care company offers opportunities to more quickly incorporate internal best practices, externally imposed business requirements, and feedback about lessons learned across the entire health care organization regardless of geographic dispersion. Commonization and centralized management here can result in substantially lower cost, and more importantly, substantially higher and more uniform levels of employee safety. 

The second area is bad debt. The integration of customer data, and effectively interfacing a common set of enterprise-wide processes and systems with outside service providers such health maintenance organizations and insurance carriers, substantially reduces the amount of bad debt in leverage level health care companies. 

The third area, and perhaps the area of richest opportunity, is the area of patient medical information. This area is tricky because of legislation related to patient privacy and guidelines recently established for the maintenance and communication of patient medic
al information. However, one of the fundamental challenges faced by health care providers is the absence of available medical history, particularly when a patient is admitted to an emergency room or urgent care facility. Particularly when a patient is unable to respond to questions directly due to an incapacitation illness or injury, time can literally mean life or death. Making all necessary information available to the physicians and other health care professionals involved as quickly as possible is extremely important. When critical business processes and information systems for the management of this information are brought to an effective level of commonality, the rapid dissemination of the needed information can be greatly improved, while patients’ expectations around the privacy of their information are still met. 

Financial services companies in the leverage stage of maturity, like health care companies in some ways, must balance the needs of differing local customer geographies against the advantages of centralized management in critical business processes and systems. There is real value in allowing some latitude to local branch officers and customer-facing staff such as loan officers to accommodate the unique circumstances involved in specific cases. However, these companies often find that a significant advantage of the leverage provided by enterprise-wide commonization of processes and systems is the ability to see the nuances of differing markets at a corporate level, and recognize broader trends among those different markets more quickly and clearly than they could before. This improved visibility, in turn, enables management to reconfigure their service offerings, redeploy resources such as sales dollars, and organize sales campaigns for those specific markets more quickly than they could previously.  

The best of these companies, regardless of what industry they occupy, utilize their common platform of processes, systems, and information to understand the needs of their customers in unique ways, and fluidly translate those needs into the features of their products and services. A few, at the very top of the game, come to understand the customers’ needs even before the customer recognizes them, and when necessary they reconfigure their entire business to meet those needs, gaining unassailable competitive advantage. The enterprise-wide leverage they achieved as a result of carefully and skillfully handling the post-merger or post-acquisition integration of processes, systems, and data provided the platform from which innovation launched them to new levels of performance. Examples could as easily be provided for companies in pharmaceuticals, retail operations, or the food & beverage industry. The lessons learned and the techniques vary a little, but the principles are the same.