BeautyHealth Upgrades 2025 EBITDA Guidance to $37M–$39M Amid Strong Margin Management

BeautyHealth Upgrades 2025 EBITDA Guidance to $37M–$39M Amid Strong Margin Management

M Hasan    11:56 AM   

Strategic Shifts and Operational Improvements

Pedro Malha, CEO & President of The Beauty Health Company, opened the earnings call by expressing gratitude for the previous leadership and team efforts in stabilizing the business. He emphasized the company's potential to leverage its Hydrafacial device platform and expand it into a category-leading ecosystem of skin health technology solutions. Malha highlighted the unique recurring razor and blade business model and the company’s position to benefit from a market shift toward less invasive, personalized, and science-backed treatments.

Malha outlined four strategic priorities: protecting and growing the Hydrafacial installed base of over 35,000 devices, driving consumable utilization, innovating across device and consumable platforms, and strengthening operational discipline in areas such as cost control, margin expansion, supply chain, and quality.

For Q3, Malha reported total net sales of $70.7 million, noting a 10.3% year-over-year decline but stated this was "slightly ahead of the high end of our forecast for the quarter." Device segment revenue was $20.8 million, down 24.6% year-over-year, while consumables revenue was $49.8 million, down 2.6% year-over-year, mainly due to the China business model transition. He emphasized that excluding China, consumables sales would have increased modestly, with the consumable mix rising to 71% of net sales.

Malha noted operational achievements, including inventory levels below $60 million—"the lowest in 3 years"—and cited Q3 adjusted gross margins at 68%, down approximately 150 basis points year-over-year. Adjusted EBITDA reached $8.9 million, up 11% from Q3 last year, reflecting "tight control of cost and a solid operational execution." He announced a raise in adjusted EBITDA guidance and the midpoint of full-year revenue guidance.

CFO Michael Monahan stated, "I'm pleased to share another quarter of steady execution and disciplined financial performance in which we once again exceeded our initial expectations." He highlighted the impact of operational discipline, reporting net sales at $70.7 million, with device sales declining 24.6% and consumables down 2.6%. Monahan also pointed to regional revenue declines and outlined the company’s strategy for managing inventory and cost controls.

Outlook and Financial Results

The company raised the low end of its full year 2025 revenue guidance to between $293 million and $300 million and increased adjusted EBITDA guidance to between $37 million and $39 million. For Q4, expected net sales are between $74.5 million and $81.5 million, with adjusted EBITDA between $6.9 million and $8.9 million. Management stated the guidance reflects "reduced year-over-year revenue declines and continued cost management discipline."

Financial results showed Q3 net sales were $70.7 million compared to $78.8 million in the prior year, with device revenue at $20.8 million and consumables at $49.8 million. The Americas declined 7% to $48.3 million, APAC dropped 41.5% to $6.3 million, and EMEA remained flat at $16.1 million. GAAP gross profit was $45.6 million, with a GAAP gross margin of 64.6%. Adjusted gross margin was 68%, driven by a higher mix of consumables. Operating expenses fell 16.5% to $51.9 million, led by reduced sales and marketing spending (down 24.2%) and G&A expense (down 12.5%). Operating loss improved to $6.2 million from a loss of $21.5 million in the prior year.

Adjusted EBITDA was $8.9 million, up from $8.1 million, with margin improving to 12.6%. The company ended the quarter with $219.4 million in cash, reflecting refinancing activities and improved cash flow from operations.

Q&A Highlights

Oliver Chen, TD Cowen, asked about regional performance and cautious trends in the Americas. Malha responded that "Americas was down 7%...devices was down 16.3%," citing macro pressures but noted stabilization in device declines. For EMEA, "overall, we were flat...devices were down in EMEA about 21%." Consumables in EMEA grew double digits, driven by Germany and the medical channel.

Chen inquired about near-term vs. long-term strategic focus. Malha outlined that immediate priorities include driving utilization and device placement, with innovation and commercial execution as ongoing efforts, and highlighted targeted strategies for both devices and consumables.

John-Paul Wollam, ROTH Capital Partners, queried international strategy and channel mix. Malha stated there is continued reliance on distributor networks internationally, with plans for targeted commercial programs and investment in education and training.

Wollam also asked about the recent consumable price increase. Malha confirmed, "the team has been very pleased how the market...took that price increase," and noted average selling price is up.

Susan Anderson, Canaccord, asked about stabilizing device sales. Malha emphasized improving pipeline and commercial execution, predicting "the performance of our ability to sell devices into the market to get better and better as the quarters progress."

Anderson followed up on consumables focus. Malha disclosed a pause on the skin care initiative: "we have decided to actually pause the skin care initiative...our competitive advantage lies rather on the clinical differentiation, on recurring consumables, on stronger provider partnerships."

Lillian Moffett, Raymond James, asked about channel trends and consumer behavior. Malha described stability in medical and non-medical segments but noted pressure among plastic surgeons as consumers shift toward less invasive care. Monahan added, "booster attachment rates were very high...the end consumer...has been under a bit of pressure."

K. Gong, JPMorgan, asked about balancing growth vs. profitability for 2026. Malha stressed focus on top line growth and recurring revenue, indicating momentum heading into next year is contingent on improved macro conditions.

Joseph Federico, Stifel, queried guidance raise and margin dynamics. Monahan explained Q3 outperformance and Q4 margin expectations, noting, "gross margins tend to be a little bit lower quarter-over-quarter because we run the consumables promotion in the fourth quarter."

Federico asked about churn. Malha acknowledged churn is elevated at 1.8%, attributing it to "financial pressure being the primary factor" among low-volume providers, with proactive reengagement initiatives underway.

Sentiment Analysis and Risks

Analysts maintained a neutral tone, probing regional trends, strategic focus, pricing, and stabilization efforts, with particular attention on macro headwinds and device sales challenges. Management projected cautious confidence, with Malha stating, "we are encouraged by the momentum we are building as we enter 2026." Monahan’s tone reflected operational focus and discipline, noting "continued cost control even in the face of lower top line volume."

Compared to the previous quarter, management’s prepared remarks showcased increased optimism on stabilization and improvement in guidance, while analyst tone remained neutral but focused on risk factors and execution.

Quarter-over-Quarter Comparison

The current quarter featured a new CEO, Pedro Malha, succeeding Marla Beck, and a strategic pause on the skin care initiative. Guidance for full-year revenue and adjusted EBITDA was raised from the prior quarter’s range of $285 million–$300 million and $27 million–$35 million, respectively, to $293 million–$300 million and $37 million–$39 million.

Device revenue pressure persisted, but consumables mix improved. Operational discipline and cost controls remained central, while innovation shifted focus from skin care to clinically backed boosters and core consumables.

Analysts in both quarters concentrated on device sales, churn, and regional performance, but this quarter’s Q&A included increased scrutiny of churn and pricing power.

Management’s tone moved from cautious progress in Q2 to greater emphasis on momentum and margin resilience in Q3.

Risks and Concerns

Management cited ongoing macroeconomic headwinds, persistent inflation, challenging access to financing for capital equipment, and uneven consumer confidence as key external risks. Device sales remain under pressure, especially in the Americas and APAC, with churn elevated at 1.8%. The China market transition continues to impact results, though mitigation includes inventory planning and a shift to distributor models.

Proactive measures include greater support and training for low-volume providers, a focus on innovation in consumables, and a pause on non-core initiatives to preserve capital.

Final Takeaway

The Beauty Health Company delivered resilient Q3 2025 results amid challenging macro conditions, highlighted by improved profitability, disciplined cost control, and strategic clarity under new leadership. The company raised guidance for both revenue and adjusted EBITDA for the year, underscoring confidence in its recurring consumables model, operational improvements, and targeted innovation. Management remains focused on stabilizing device sales, reactivating providers, and leveraging its core strengths to drive growth into 2026.

SNAP Benefits Continue Amid Ongoing Government Shutdown

SNAP Benefits Continue Amid Ongoing Government Shutdown

M Hasan    12:20 AM   

Resources Available During the Government Shutdown in Texas Panhandle and Eastern New Mexico

As the government shutdown continues, residents in the Texas Panhandle and Eastern New Mexico are finding ways to cope with the temporary halt in SNAP benefits. Local organizations and emergency management offices are stepping up to ensure that no one goes hungry during this challenging time.

Carson County Office of Emergency Management

The Carson County Office of Emergency Management is actively working to support individuals and families affected by the shutdown. The office has been reaching out to the community to inform them about available resources and assistance.

Stormy Heider, the Carson County OEM Coordinator, emphasized the importance of connecting people with necessary support. She said, “I’m here to assist our county and help connect individuals and families with available resources and support until SNAP benefits are restored.”

Heider encourages anyone in need of assistance or those who wish to donate to reach out directly. You can contact her via email at carsonemc@co.carson.tx.us or by calling 806-537-5395. This number can also be used for any inquiries or additional information.

If the situation continues to impact the community in the long term, the Carson County OEM is prepared to take further action. This shows a commitment to addressing the needs of the community and ensuring that no one is left without support.

Panhandle Community Services

Panhandle Community Services has compiled a list of food resources for the top 26 counties in the Panhandle. This list serves as a valuable tool for residents looking for immediate assistance. While the specific details of the list are not provided here, it is clear that the organization is playing a crucial role in helping those affected by the shutdown.

High Plains Food Bank

The High Plains Food Bank is experiencing an increased demand for its services due to the government shutdown. With the pause in SNAP benefits, the food bank has been working to stock up on essential food items to ensure that no one in the region goes hungry.

More than 51,400 Texans in the counties served by the High Plains Food Bank rely on SNAP benefits to put food on the table. Zack Wilson, the Executive Director of the High Plains Food Bank, highlighted the potential impact of delayed benefits. He stated, “The potential impact of delayed SNAP benefits will affect thousands in the Texas Panhandle. Over 13,000 households in the Texas Panhandle received food assistance last month, and we expect this number to increase in the coming weeks.”

This situation underscores the importance of community support and the critical role that local organizations play in times of crisis. The High Plains Food Bank is not only responding to the immediate needs but is also preparing for the possibility of increased demand in the future.

The High Plains Food Bank is located at 1910 SE 8th Avenue, Amarillo, TX 79102. The food bank’s phone number is (806) 374-8562.

Catholic Charities of the Texas Panhandle

Catholic Charities of the Texas Panhandle is also working to help those impacted by the shutdown.

The Catholic Charities of the Texas Panhandle is located at 2004 N Spring Street, Amarillo TX 79107. You can call Catholic Charities as (806) 376-4571.

Square Mile Community Development

Square Mile Community Development plans to continue providing food support until SNAP benefits resume. Square Mile will also be providing fresh produce from the Urban Farms as part of this effort.

Square Mile is a nonprofit that provides resources to underserved population like refugee families.

Square Mile Development Director Kara Stevener says they are currently serving around 200 people and expect to see that number rise to 300 impacted by these cuts.

Stevener says their mission is to fill that gap for the people and families they serve during the shutdown.

“We need to help our neighbors who need a little help, you know,” says Stevener. “And these refugees have come here for the American dream. They are escaping religious and political persecution, very dangerous situations in their countries.”

Food distribution will begin on Tuesday, Nov. 4.

Square Mile is asking for donations to help provide these meals. Donations are needed by Saturday, Nov. 1.

Square Mile is in need of donations such as:

• chicken
• vegetable oil
• rice
• flour

This is due to many having dietary restrictions.

You can bring donations to THE PLACE at 3107 Plains Blvd Monday through Thursday from 9 a.m. until 5 p.m.

Cash donations can also be made here.

Food Bank of Eastern New Mexico

The Food Bank of Eastern New Mexico says the suspension of SNAP impacts around 460,000 New Mexicans.

The food bank is working with other food banks in New Mexico to help those impacted.

You can call the food bank at (575) 763-6130 or stop by 2217 E Brady Ave, Clovis, NM for help with resources.

Clovis Municipal Schools

Clovis Municipal Schools will offer free supper meals for all children currently enrolled in pre-k through 12th grade.

Families can bring their children to the exterior cafeteria doors of Yucca Middle School, Clovis High School, or the Arts Academy at Bella Vista, where each student can pick up a balanced, nutritious meal and a fun, educational activity.

Pickups are available Monday through Thursday, Nov. 10-14 and Nov. 17-20 from 3 p.m. until 4:30 p.m.

CMS will offer advanced meals for Thanksgiving Break. They will be available for pickup on Wednesday, Nov. 19 from 8 a.m. until 10:30 p.m. at The Arts Academy at Bella Vista, iAcademy (1400 Cameo - Formerly CHSFA), Clovis High School, Lockwood Early Childhood Center, Yucca Middle School and Zia Elementary.

Snack Pak 4 Kids

Snack Pak 4 Kids has prepared for if SNAP benefits are delayed come November 1 by ordering and putting together thousands of extra Snack Paks.

Snack Pak 4 Kids Executive Director Dyron Howell says Snack Pak spent $13,000 extra and packed thousands of additional paks for if the need arises for supplemental food.

Howel says, it’s important for kids, during times like this to know they haven’t been forgotten.

“So, what we decided was, hey if they know we are ready, if they know we are prepared, what that communicates to them is that they’re not lost. They’re not forgotten,” says Howell. “There’s a lot of chaos right now, so maybe we’re one consistent thing that they each and every weekend.”

Howell says while it might not be needed, they would rather be over prepared than under prepared to serve our community.

First Baptist Church Amarillo

For those in need of food assistance, First Baptist Church Amarillo has a weekly food pantry open on Tuesdays and Thursdays.

You can stop by from 9 a.m. until 11 a.m. at 1515 S. Buchanan Street.

The church also accepts donations at that location as well.

Panhandle Meat Processing/ Rancher’s storefront

Panhandle Meat Processing & Rancher’s storefront is offering five pounds of ground beef for those who have seen a lapse in SNAP benefits during the government shutdown.

Donnie Trammell says there are limited supplies, but will run the offer through Thursday or Friday, is possible.

The offer is available only at its Dowell Rd. location at 15891 S. Dowell, Amarillo TX 79119.

Big Jim’s Pizza Co. in Amarillo

If SNAP benefits are still not funded by Nov. 1, Big Jim’s Pizza will offer a free slice of pizza to kids (15 and under).

The company says “every child deserves to be fed, and community means looking out for one another.”

The offer is for pick-up orders, and the parent or guardian must show a SNAP card and a photo ID.

Children must be present to receive their slice, and each child can receive one free slice per day.

Big Jim’s owner Jim Dewitz says as a restaurant owner sometimes are more connections to offer help and has received support from the community as a whole.

“I mean for one, don’t be ashamed. Please come to us, message us, any which way,” says Dewitz. “We have our Facebook page of course, Instagram things like that, so just reach out to us. We’re happy to help. There’s no judgement here. We’re just here to feed people.”

Dewitz says he is extending this offer to one of his other restaurants K-N Root Beer Drive-in for a free grilled cheese.

Big Jim’s will begin taking donations from residents beginning November 1.

You can sponsor a pizza to help feed local kids. You can message the store’s Facebook page, stop by or call them at (806) 352-5050.

Do Drop In in Portales

Children eat free at Do Drop In until SNAP benefits are restored.

Any child visiting the shop will receive a free kid’s meal limited to one per child. The child must be present for dine-in meals.

Malcolm’s Ice Cream in Amarillo

Malcolm’s Ice Cream & Food Temptations will have a government shutdown special starting Oct. 29 and running until the shutdown ends.

The restaurant will reduce all kids meals to $4 and all adult burger meals will be reduced by $1.

Malcolm’s owner Oliver Taylor says that as a restaurant owner, food is love and believes it is important to give back to the community that supports them.

“You know, I think we’ll help the community, community wide I don’t need to have proof of a furlough or proof over anything like that,” says Taylor. “Just come in we’ll get you fed. We’ll get your kids fed, and we’ll have a good time doing it.”

Taylor says there are no requirements to receive the reduced menu prices.

Kind House Ukraine Bakery in Amarillo

The Kind House Ukraine Bakery is offering a bowl of soup and slice of bread for those who need it.

They say, “If you are hungry, we want to feed you, no questions asked. If you’d like to help feed someone, we’d love to have your help too.”

Bakers’ Baked Goods

Bakers’ Baked Goods is a family ran bakery who is offering free holiday and birthday cakes and treats all month long for those who need help celebrating during the government shutdown.

Bakers’ Baked Goods says if you are in need of any other it will also help provide meals, food, drinks, or feminine hygiene products to those in need of help.

80/20 in Amarillo

80/20 announced on Wednesday that it invites families impacted by the loss of SNAP to reach out by texting 806-282-5434.

They say they will do everything in their power to help provide during this time.

Freedom Center in Dumas

The Freedom Center Food Pantry in Dumas will be accepting donations and sponsorships for meal boxes for families in need.

Organizers say the following items are needed most:

• canned vegetables, beans and soup
• rice, pasta and cereal
• shelf-stable milk
• baby formula
• peanut butter
• canned protein
• cooking oil and spices
• hygiene items
• household supplies

Donations can be dropped off at 306 W. 7th St.

For questions about larger donation drop-offs, call 806-935-2828.

Sunray Collegiate ISD

Sunray Collegiate ISD announced Oct. 29 it will hold a community food drive to help families in the weeks ahead.

Officials say all donations will benefit children and families in the district’s schools.

The following items are being collected:

• canned vegetables, fruit, beans, and soup
• rice, instant mashed potatoes
• boxed foods
• pasta and pasta sauce
• breakfast items and snacks (cereal, nuts, granola bars, peanut butter crackers, etc.)
• baby supplies and toiletries

A donation box will be set up at the Sunray football game on Oct. 31.

Donations can also be brought to Sunray Elementary School, 509 Avenue Q, through Nov. 15.

Pinnacle Community Church in Amarillo

Pinnacle Community Church says its Helping Hands Food Pantry is open to the community.

Those in need of groceries can contact Lincoln at 806-359-8687 extension 2.

An appointment is required.

Shi Lee’s BBQ & Soul Food

Shi Lee’s owner Tremaine Brown says he feels for those who may be going through a crisis.

He says he will be handing out basic food needs and sweets on November 5th at Shi Lee’s.

Tremaine will have these options available:

• potatoes
• peppers
• fruit
• bread
• sweets

This will be available in the vacant lot West of Shi Lee’s.

He says you must show your SNAP benefits card.

Cyd’s Cafe in Pampa

With many concerns in the lapse in SNAP benefits, Cyd’s Cafe in Pampa will be keeping a binder with meal tickets for kids’ meals.

The owner of Cyd’s says they are personally donating 25 tickets.

Cyd’s Cafe says if your kid may miss a meal to come to the cafe and ask for a ticket.

A server will take it to the kitchen and place the order with the meal already paid in full.

Each meal ticket is five dollars to cover food and labor and will include the following options:

• cheeseburger or hamburger
• chicken strips
• grilled cheese
• mini corndogs

The meal will also include a side.

Cyd’s Cafe is currently taking donations to help serve its community.

If your business is providing resources to those impacted by the government shutdown, email us at newsroom@newschannel10.com .

Sotera Health Q3 2025 Earnings Call Highlights

Sotera Health Q3 2025 Earnings Call Highlights

M Hasan    8:25 PM   

Sotera Health's Q3 2025 Earnings Call Transcript

Sotera Health Company (NASDAQ:SHC) reported earnings for the third quarter of 2025, but fell short of expectations. The company reported an EPS of $0.1688, below the expected $0.22. During the call, the operator welcomed participants and provided instructions for the event, which was recorded. Jason Peterson, Vice President of Investor Relations, introduced the speakers, including Chairman and CEO Michael Petras and CFO Jon Lyons. He emphasized that forward-looking statements made during the call are subject to risks and uncertainties, and referred listeners to SEC filings for more details.

The company presented both GAAP and non-GAAP financial measures, including adjusted EBITDA, adjusted EBITDA margin, tax rate applicable to net income, adjusted net income, adjusted EPS, net debt, and net leverage ratio. A reconciliation of these measures is available in the press release and supplemental slides. The operator assisted with the Q&A session, asking participants to limit their questions to one per person to allow everyone an opportunity to ask questions.

Michael Petras provided an overview of the company’s performance in the third quarter. He highlighted strong top-line growth, double-digit adjusted EBITDA growth, and a 150 basis point margin expansion. Total company revenues increased by 9.1%, while adjusted EBITDA rose by 12.2%. Sterigenics delivered 9.8% top-line growth, driven by consistent performance across core medical device customers. Nordion achieved 22.4% revenue growth, primarily due to the timing of reactor harvest schedules. Nelson Labs saw modest revenue declines but experienced segment income growth and margin expansion.

Petras also noted the company’s efforts to strengthen its balance sheet by paying down $75 million in debt, reducing interest expense by approximately $13 million annually. He reiterated the company’s reaffirmed 2025 revenue outlook and raised its adjusted EBITDA outlook. Additionally, he highlighted Nordion’s recent 25-year renewal of its Class 1B operating license, a significant milestone reflecting the company’s commitment to safety and operational excellence.

Jon Lyons provided a detailed review of the consolidated third-quarter results. Revenues increased by 9.1% to $311 million, with adjusted EBITDA rising by 12.2% to $164 million. Adjusted EBITDA margins reached 52.7%, up 147 basis points from the previous year. Interest expense for the quarter was $39 million, a decrease of $2.4 million compared to the same period last year. Net income for Q3 2025 was $48 million or $0.17 per diluted share, compared to $17 million or $0.06 per diluted share in Q3 2024. Adjusted EPS was $0.26, an increase of $0.09 from the third quarter of 2024.

Sterigenics continued its strong performance, delivering 9.8% revenue growth to $193 million, with segment income increasing by 11.6% to $107 million. Nordion’s third-quarter revenue increased by 22.4% to $63 million, with segment income rising by 19.9% to $38 million. Nelson Labs reported a 5% decline in revenue to $56 million, but segment income increased by 1.9% to $19 million, with a 229 basis point improvement in margins.

Lyons also discussed the company’s balance sheet, cash generation, and capital deployment activities. Year-to-date operating cash flow was $184 million, with capital expenditures totaling $87 million. The company maintained a strong liquidity position, with over $890 million in available liquidity, including $300 million in unrestricted cash and $600 million in available credit. The net leverage ratio improved to 3.3x at the end of the quarter, down from 3.7x at the end of 2024.

Looking ahead, the company maintained its full-year constant currency revenue growth outlook range of 4.5% to 6%, with adjusted EBITDA growth now expected to be between 6.75% and 7.75%. Foreign currency is expected to contribute approximately 25 basis points to revenue and adjusted EBITDA growth. Interest expense is expected to range from $154 million to $158 million, with an effective tax rate on adjusted net income expected to be between 29% and 31%.

Petras concluded the call with an update on the ethylene oxide (EO) personal injury claims in Cobb County, Georgia. He outlined recent court rulings that aligned with the company’s position that the evidence refutes the plaintiffs’ claims. The Georgia Court of Appeals vacated previous rulings and directed the trial court to apply the correct standard for general causation. In Phase II, all three plaintiffs' causation experts were excluded, leading to the dismissal of the cases.

The call concluded with an invitation for questions and answers, with the operator guiding participants through the process.

Agilon Health Upgrades 2025 Revenue Outlook to $5.82B Amid Cost Cuts

Agilon Health Upgrades 2025 Revenue Outlook to $5.82B Amid Cost Cuts

M Hasan    10:37 AM   

Earnings Call Insights: agilon health, inc. (AGL) Q3 2025

Management View

Executive Chairman Ronald Williams stated, "For the third quarter, we reported revenue of $1.44 billion, medical margin of negative $57 million and adjusted EBITDA of negative $91 million." He emphasized the reinitiation of 2025 guidance, noting actions taken for cost discipline and clinical program execution but cited headwinds from lower-than-expected RAF contribution and high costs from exited markets.

Williams discussed ongoing transformation, highlighting, "We expect to have improved forecasting and lower volatility as well as significant internal and market-driven tailwinds." He outlined tailwinds including clinical initiatives, enhanced data analytics, and payer bid improvements, supported by "more favorable payer bids, including increased premiums, maximum out-of-pocket and deductibles, benefiting agilon's financial performance."

Williams also revealed operating cost reductions: "We have reduced our operating costs by $30 million."

Williams stated, "With increased visibility, we have reinstated our 2025 guidance. At the midpoint, we expect revenue of $5.82 billion, medical margin of $5 million and adjusted EBITDA of negative $258 million."

Williams highlighted technology investments: "Through our enhanced data pipeline, which went live in the first quarter, we now have more timely direct payer data feeds... on approximately 80% of our members."

Williams reported progress in clinical programs, "We have reduced new inpatient heart failure diagnosis rates from 18% in 2024 to 5% in 2025 across our MA population."

Williams addressed leadership, "While we are making progress in our search for a CEO... we remain committed to moving decisively now to enhance performance and agilon's position for sustainable value creation."

CFO Jeffrey Schwaneke said, "For today's discussion, I will cover 4 key areas: First, I will walk through our third quarter results. Second, I will provide details on our reinstated 2025 guidance and a bridge to our jumping off point for 2026."

Schwaneke detailed, "Medicare Advantage membership at the end of Q3 2025 was 503,000 members compared to 525,000 members in Q3 2024... ACO REACH membership for Q3 was 115,000 members compared to 132,000 members in the same period of 2024."

Schwaneke highlighted a $73 million impact from lower 2025 risk adjustment scores, with a $20 million negative impact from exited markets.

Schwaneke stated, "Adjusted EBITDA for the quarter was negative $91 million compared to negative $96 million in the third quarter of 2024."

Schwaneke reported cash and securities of $311 million on the balance sheet and $172 million off-balance sheet in ACO entities.

Outlook

Williams announced reinstated 2025 guidance with a midpoint revenue of $5.82 billion, medical margin of $5 million, and adjusted EBITDA of negative $258 million.

Schwaneke projected Medicare Advantage membership for 2025 in the range of 503,000 to 506,000 and ACO model membership between 113,000 to 115,000.

Revenue for 2025 is expected to be between $5.81 billion to $5.83 billion, with medical margins between negative $5 million to $15 million and adjusted EBITDA guidance of negative $270 million to negative $245 million.

Schwaneke said, "We expect to end the year with approximately $310 million of cash on our balance sheet, including approximately $65 million held off balance sheet by our ACO entities."

He described 2026 as having several tailwinds: "macro factors like the 9% benchmark rate increase, better aligned payer contracts and the disciplined cost actions Ron outlined."

He added, "We anticipate pursuing a reverse stock split and expect to seek stockholder approval at our Annual General Meeting in 2026."

Financial Results

Williams reported third quarter revenue of $1.44 billion.

Medical margin for Q3 was negative $57 million and adjusted EBITDA was negative $91 million.

Schwaneke cited a $50 million true-up for the remaining 28% of members impacting revenue.

Exited markets negatively impacted the quarter by $20 million.

Schwaneke said, "Adjusted EBITDA related to this [ACO REACH] program this quarter was ahead of expectations at $18 million."

agilon ended the quarter with $311 million in cash and marketable securities and $172 million in off-balance sheet cash.

Q&A

Hua Ha, Robert W. Baird: Asked about the EBITDA impact from ACO REACH program changes and narrowing of savings rates. Schwaneke responded that lower economics are expected from the program and that some ACOs may move to the MSSP program for better economics.

Jack Slevin, Jefferies: Asked about the scope of payer contract exits. Schwaneke: "We are taking a very disciplined approach and where the economics don't make sense... we don't have to do business with that payer." Williams added, "This is about being profitable and achieving the kind of margin that we want."

Jailendra Singh, Truist: Asked for an update on the CEO search. Williams said, "We have some very good candidates coming forward... we feel good about where we are in pace and timing."

Ryan Langston, TD Cowen: Asked about cash at ACO entity level and risk revenue impacts. Schwaneke explained, "At the end of the quarter, we had $172 million in the REACH entities... we'll roughly be at the $65 million" post settlements, and highlighted improved data pipeline for risk scores.

Justin Lake, Wolfe Research: Asked about fee-for-service trends and payer bid designs for 2026. Schwaneke stated fee-for-service cost trends are 8.5% and noted payers are "pricing for margin" with increased out-of-pocket maximums and deductibles as tailwinds.

Craig Jones, BofA: Inquired about clinical program savings. Schwaneke: Benefits will accrue in 2026 and will be permanent, not one-time boosts.

Daniel Grosslight, Citi: Asked about provider contract changes. Schwaneke said no substantial changes are being made; cost savings were mostly from corporate and market operating costs.

Andrew Mok, Barclays: Asked about membership contracted for 2026. Schwaneke indicated about 50% of contracts were up for renewal with substantial agreement reached but final details pending.

Matthew Shea, Needham: Inquired about clinical program rollouts. Schwaneke said new pilots like COPD and dementia will expand in 2026 with consultation from partners.

David Larsen, BTIG: Asked about impact of the Big Beautiful Bill Act. Schwaneke said no meaningful impact is expected.

Amir Bani, Evercore: Asked about Humana benefit stability and working capital. Schwaneke explained contract economics are reviewed for all payers and did not specify minimum working capital needs.

Sentiment Analysis

Analyst tone during Q&A was neutral to slightly cautious, with several probing questions about contract economics, risk adjustment, and cost trends. Analysts sought clarity on the impact of program changes and membership trends.

Management tone in prepared remarks was confident and emphasized decisive action and transformation, with Williams stating, "We believe we are establishing a solid 2026 baseline..."

In Q&A, management remained measured but emphasized discipline and readiness to make difficult decisions, with direct statements about prioritizing profitability and margin.

Compared to previous quarter, management displayed increased confidence, reinstating guidance and citing enhanced data and cost controls, while analysts' skepticism remained steady.

Quarter-over-Quarter Comparison

Guidance was reinstated this quarter after being withdrawn in Q2, with management now providing explicit revenue, margin, and cash targets for 2025.

Strategic focus shifted further toward operating cost reduction ($30 million reduction announced), enhanced data analytics (now covering 80% of members), and more disciplined membership growth.

Management confidence improved, with specific actions highlighted and a more optimistic tone about 2026, compared to the uncertainty and disappointment expressed in Q2.

Analysts maintained their focus on risk adjustment, contract economics, clinical program impact, and CEO search, similar to previous quarter.

Key metrics such as revenue, membership, and EBITDA were clarified; cost control and data visibility were more prominent in management's discussion.

Risks and Concerns

Lower-than-expected risk adjustment revenue and continued high costs from exited markets remain key challenges.

Membership declined year-over-year as a result of partner exits and a smaller 2025 class.

Management acknowledged potential further reductions in membership if payer contracts are not economically viable, prioritizing margin over scale.

Schwaneke noted, "We may not contract with specific payers in these markets" if terms are not favorable.

Management cited ongoing medical cost pressures in inpatient and oncology drugs but noted stabilization.

Final Takeaway

agilon health’s third quarter highlighted a return to explicit guidance for 2025, underpinned by sharper cost controls, enhanced data-driven insights, and a renewed strategic discipline around payer contracts and clinical programs. While management remains focused on improving near-term profitability and establishing a solid baseline for 2026, ongoing execution on these initiatives and successful contract renegotiations will be pivotal to achieving sustainable financial improvement and restoring investor confidence.

Warnings of Drugged Business Cards Lack Credibility

Warnings of Drugged Business Cards Lack Credibility

M Hasan    5:21 AM   

Understanding the Claim About Burundanga

A recent warning circulating on social media, particularly Facebook, has raised concerns about a new method used by criminals in the United States. The claim suggests that individuals are using business cards coated with a drug called burundanga to incapacitate victims and take advantage of them. However, after careful examination, this claim has been rated as false.

The warning, which was shared widely in late September and early October 2025, was framed as a "police warning" directed at women. It described an incident where a woman at a gas station received a business card from a man who claimed to be a painter. She accepted the card out of courtesy but later felt dizzy due to a strong odor. According to the story, she managed to escape by opening her car window and honking her horn to get help.

The Reality Behind the Warning

Despite the alarming nature of the message, there is no evidence that the events described actually took place. In fact, the scenario presented would be impossible if the drug in question were indeed burundanga. This drug is real, though it is uncommon in the United States. It is made with the chemical scopolamine and is typically administered in liquid, spray, or powder form through foods and beverages.

The U.S. Department of State issued a travel warning in June 2023 regarding burundanga, noting that it is an odorless, tasteless, memory-blocking substance used to incapacitate and rob unwary victims. The warning was prompted by an increase in crimes involving sedatives in Colombia, where the drug is more commonly used. Victims in these cases were often targeted through online dating applications.

What Is Burundanga?

Burundanga is also known as "devil's breath," a term used to describe scopolamine in powdered form. As a medicine, it is sometimes used to treat postoperative nausea and motion sickness. If someone unknowingly ingests it, they may experience symptoms such as dry mouth, difficulty speaking, lethargy, hallucinations, rapid heartbeat, and disorientation. In larger doses, it can cause respiratory failure and even death.

However, it is important to note that medical scopolamine is typically administered through a patch on the skin, while burundanga is inhaled or ingested. Its effects do not dissipate simply by opening a window, making the story in the Facebook posts implausible.

Investigating the Claims

My Healthy of Life conducted a thorough investigation into the claims surrounding burundanga and found no credible reports of its use in the United States. Most of the reports about its criminal use come from Colombia, including a story from the Bogotá Post in September 2025.

The story shared on social media lacks specific details that would make it verifiable. For example, it does not mention when the incident occurred, the city or country, the name of the woman involved, or which police department issued the warning. A genuine incident would likely include some identifying information.

Additionally, My Healthy of Life could not find any credible news reports from the past few years about victims being drugged in secret by business cards. This lack of supporting evidence further casts doubt on the authenticity of the warning.

Conclusion

While the warning about burundanga is concerning, it appears to be based on misinformation. The scenario described is not only unlikely but also contradicts what is known about the drug’s properties. It is essential for individuals to remain vigilant and skeptical of such claims, especially when they lack verifiable details. As always, staying informed and relying on credible sources is the best way to protect oneself from potential threats.

Surgeon Sues Iowa Hospital Over Patient Safety Claims

Surgeon Sues Iowa Hospital Over Patient Safety Claims

M Hasan    9:32 AM   

Background of the Lawsuit

BREMER COUNTY, Iowa — A Bremer County hospital is facing legal action from a former surgeon who claims that the hospital has endangered patient safety. Dr. John Matthew Glascock, a bariatric surgeon, has filed a lawsuit against the Waverly Health Center and its CEO, Jodi Geerts, in Bremer County District Court. According to court records, Glascock was employed by the hospital from July 2018 until December 22, 2024, when he was terminated.

Glascock specializes in advanced laparoscopic surgery and bariatric procedures. Prior to joining Waverly Health Center, he worked at Waterloo’s Covenant Medical Center from October 2002 through June 2018. The lawsuit states that Covenant hired Glascock to develop a surgical weight loss program, which eventually became known as the Midwest Institute of Advanced Laparoscopic Surgery. The program reportedly generated millions of dollars in revenue for Covenant.

In 2017, the Waverly Health Center began recruiting Glascock to leave Covenant. He joined Waverly in July 2018, where he conducted advanced laparoscopic and bariatric surgeries under the brand name "Healthy You." The lawsuit claims that the program grew each year and became a profitable service line for the hospital, with Glascock performing approximately 1,000 surgical cases that generated significant revenue.

Patient Safety Concerns Lead to Termination

In January 2023, Geerts was named CEO of the hospital. In August 2024, Glascock's first assistant, Jason Jampoler, accepted a traveling-nurse position and gave the hospital two weeks' notice of his departure. The lawsuit alleges that Glascock met with Geerts to stress the importance of retaining Jampoler. However, Geerts allegedly responded that the hospital would not prevent Jampoler’s departure and that Glascock would have to work with whoever the hospital assigned him.

Shortly after Jampoler left, Glascock attempted to perform a sleeve gastrectomy. The nurse assigned to assist had no prior experience working with Glascock or participating in bariatric surgery. The lawsuit claims that it was evident from the start that the nurse lacked the necessary skills and experience. Glascock stopped the procedure, citing concerns about patient safety.

Glascock then met again with Geerts to emphasize the importance of having a qualified first assistant. Geerts allegedly reiterated that he would have to work with the hospital’s chosen personnel. Before a scheduled meeting with the hospital’s board of trustees, Geerts handed Glascock a termination notice, stating that he was being fired without cause.

The lawsuit argues that this termination jeopardized the health and safety of patients enrolled in the "Healthy You" program. It further claims that the firing violated public policy and constitutes wrongful termination and breach of contract. The lawsuit also seeks damages due to alleged interference with Glascock’s contract.

Previous Legal Disputes

This is not the first time Glascock has been involved in legal action against a former employer. Court records show that his employment agreement with Covenant included a noncompete clause that restricted him from practicing in his specialty for 18 months. The agreement allowed for a buyout in exchange for one year’s compensation. When Glascock left in 2018, he requested release from the noncompete but refused to pay the buyout fee. Covenant denied the request, and Glascock moved to Waverly, less than 25 miles away.

Covenant eventually hired another bariatric surgeon, who worked for less than two months before being fired for misconduct. The bariatric clinic later closed and lost its accreditation. Glascock filed two lawsuits against Covenant, one over unpaid incentive payments and another seeking to void the noncompete clause. Covenant countered with a claim for damages, and a judge ruled in favor of Covenant, awarding nearly $1.2 million.

Glascock appealed, but the ruling was upheld. Covenant then sued again, alleging that Glascock had fraudulently transferred assets to avoid paying the judgment. The case was dismissed after a settlement was reached.

Malpractice Claims

In 2020, Glascock and Waverly Health Center were sued by the family of Byron Hesse, who died hours after bariatric surgery. The lawsuit claimed that during the operation, Glascock nicked Hesse’s spleen and failed to repair it properly. The case was dismissed without any public disclosure of a settlement.

In 2023, another patient, Erin Barker, sued Glascock and Waverly Health Center, claiming that her botched surgery left her in critical condition. She alleged that she was close to death and required emergency surgery. The lawsuit was dismissed after a judge ruled that the certificate of merit had not been properly filed.

Waverly Health Center has yet to respond to the current lawsuit. A spokesperson declined to comment on the case.

Veterans Credit Klein Hall for a New Life as Closure Looms

Veterans Credit Klein Hall for a New Life as Closure Looms

M Hasan    6:00 PM   

The Closure of Klein Hall: A Crisis for Veterans

Klein Hall, a sanctuary for over 1,000 veterans since its opening in 2007, is set to close on September 12. This closure will displace more than two dozen residents, leaving them without a critical support system. The facility has been instrumental in helping veterans rebuild their lives through housing, job training, and recovery services. However, the decision to shut down the program has sparked a political battle and raised concerns about the future of veteran care.

Governor Tony Evers proposed $1.9 million in new funding to support Klein Hall and another veterans home in Green Bay. Unfortunately, this proposal was rejected by the Republican-controlled budget writing committee. As a result, the facilities face financial challenges that threaten their survival. Evers criticized the Legislature for failing to approve the necessary investments, while some Republicans have blamed the governor for not prioritizing these funds earlier in the budget process.

Amid the blame game, several lawmakers have called for a bipartisan approach to prevent the closures. Two bills have been introduced to address the issue, but opinions differ on the best path forward. Meanwhile, most veterans have already moved out of the Chippewa Falls and Green Bay homes, and the closure date is fast approaching.

A Second Chance for Veterans

For many veterans, Klein Hall has been a lifeline. Air Force veteran Blake Haynes faced an impossible choice during the height of the COVID-19 pandemic: pay rent or buy insulin. He chose rent, which led to a cardiac arrest and a coma. After waking up, he was left with no job, no home, and no support. It was only through the help of a nurse that he found his way to Veterans Outreach and Recovery, and eventually to Klein Hall.

During his year and a half at the facility, Haynes received the medical care and support he needed to regain control of his life. Two years later, he is renting a home, leasing a car, and pursuing a nursing degree. Most importantly, he is back with his children. “I have a life,” he said, highlighting the transformative impact of the program.

Similarly, Army veteran Randy Nelson found stability at Klein Hall after battling methamphetamine addiction. The facility provided him with the resources to manage his bipolar disorder and substance use. Through various programs, including anger management and housing retention, Nelson was able to rebuild his life and move into a new home in Eau Claire.

The Programs That Support Veterans

Klein Hall offers a comprehensive range of services tailored to the needs of each resident. Upon arrival, veterans are evaluated for mental health and substance abuse issues, which affect approximately 60% to 70% of residents. The facility provides individualized service plans, with case managers assisting veterans in securing housing, managing finances, and accessing healthcare.

In addition to these core services, the program includes activities such as puzzles, games, and coloring, which can help veterans with anxiety. One veteran, James Heber, used painting to create a mural that symbolizes the journey from military service to homelessness to stability. The artwork serves as a reminder of the progress made by those who have benefited from the program.

Challenges in Finding New Homes

As the closure date approaches, staff at Klein Hall and the Green Bay facility are working tirelessly to find alternative housing and support for veterans. Katrina Currier, site director at the Green Bay facility, emphasized the importance of ensuring that no veterans are left without a place to live. Many have already relocated to other facilities, such as Union Grove, which remains open.

However, the transition has not been easy for all. Marine veteran Derek Aune described the sudden closure as a disruption to his plans, forcing him to move to a facility far from his hometown. Navy veteran Rob Lewandowski also struggled with the change, losing a job opportunity in Chippewa Falls that he had just secured.

The Fight to Save Klein Hall

Despite the impending closure, some advocates remain determined to save the program. Jerry Green, a veteran with real estate experience, argued that repairing the aging facility would be costly, and leasing a new space would be more practical. He pointed to the need to save the program, noting that veterans face significant challenges, including higher rates of suicide.

Sen. Eric Wimberger, R-Oconto, blamed Governor Evers for the planned closures, while WDVA Assistant Deputy Secretary Joey Hoey countered that the department cannot freely spend its funds due to rising costs. The VHRP facilities operate under federal grants, and without additional state funding, they may not be able to continue.

In response to the lack of funding, Sen. Jeff Smith, D-Brunswick, introduced an amendment to fund the programs, but it was voted down by most Republicans. Another bill, introduced by Sen. André Jacque, R-New Franken, includes over $1.9 million to keep the VHRP sites open, along with other veteran-focused initiatives.

A Lasting Impact

Withrow, the site director at Klein Hall, reflected on the impact the program has had on numerous veterans. He shared stories of individuals who arrived with nothing and left with a sense of purpose and stability. One veteran, who lost his leg and struggled with addiction, now has a prosthetic leg and is jogging. Another, who had a poor rental history and anger issues, now owns a home.

Randy Nelson, one of the last remaining residents, expressed gratitude for the support he received at the facility. “It’s a shame that this is shutting down,” he said. “I don’t know where I’d be right now had it not been for here.”

Veterans like Haynes and Nelson credit Klein Hall with giving them a second chance. Now, as the facility prepares to close, the question remains: will there be another opportunity for veterans to rebuild their lives?

Time Blindness in Relationships: Beyond the Late Arrivals

Time Blindness in Relationships: Beyond the Late Arrivals

M Hasan    8:32 PM   

Understanding Time Blindness

Time blindness is more than just being late—it's a complex challenge that affects how individuals perceive and manage time. It involves difficulty in recognizing the passage of time, which can lead to challenges in planning and following through on tasks. This condition isn't about laziness or lack of care; rather, it's a struggle that some people face naturally due to differences in brain function.

For many, managing time doesn’t come easily, and this can have significant impacts on personal and professional relationships. Misunderstandings may arise, trust can be shaken, and feelings of hurt can accumulate over time. Recognizing time blindness as a genuine challenge can pave the way for open conversations, the development of new routines, and mutual support instead of blame.

The Science Behind Time Blindness

The ability to perceive and track time is influenced by a combination of brain chemistry and structure. The prefrontal cortex, located behind the forehead, plays a crucial role in scheduling, prioritizing, and monitoring task durations. For individuals with time blindness, this area may not function as effectively, leading to difficulties in gauging time accurately.

Changes in brain chemicals, particularly dopamine, can further disrupt the internal clock, making it challenging to estimate how much time has passed. Conditions like ADHD are often associated with reduced activation in the prefrontal cortex and altered dopamine levels, contributing to struggles with time management.

Additionally, other regions of the brain contribute to time perception, forming a collaborative network. If any part of this system is off, it can lead to misjudgments about time spent or remaining. Research indicates that time perception can vary based on brain chemistry and external stress, suggesting that anyone might experience time-related challenges at times.

This isn’t about being careless or lazy; it’s about how the brain processes time, tasks, and awareness.

Recognizing Time Blindness in Yourself or Your Partner

Time blindness often reveals itself in everyday situations. People with this condition may exhibit patterns that others overlook or misinterpret. Common signs include:

• Losing Hours: Starting a quick task and realizing hours have passed without progress.
• Missing Milestones: Anniversaries, birthdays, or deadlines slipping by unexpectedly.
• Difficulty Estimating Duration: Saying something will take ten minutes but ending up spending forty.
• Always Playing Catch-Up: Constantly rescheduling or apologizing due to time feeling unpredictable.
• Ignoring Clocks: Setting alarms or timers but forgetting to notice them.

These patterns can significantly impact daily life, especially if they date back years. Individuals with ADHD, autism, or mood changes may be more prone to experiencing time blindness. Recognizing these signs can be a relief and a turning point in understanding and managing the condition.

How Time Blindness Affects Relationships Beyond Lateness

While lateness is often the focus when discussing time blindness, its impact extends far beyond that. It can affect communication, shared responsibilities, and trust within relationships. Small oversights, such as forgetting to start dinner or losing track of a phone call, can accumulate and lead to frustration and emotional distance.

In relationships, time blindness can cause misunderstandings and emotional fallout. Partners may feel unseen or undervalued, leading to resentment and tension. Even minor slip-ups can spark arguments or cause someone to pull back emotionally. Over time, these issues can erode the connection between partners, making it harder to rebuild trust and maintain a strong relationship.

Impact on Shared Responsibilities and Routines

Time blindness can complicate daily routines and shared responsibilities. Managing chores, appointments, and family obligations becomes a juggling act, with routines that refuse to stick. This can create a sense of isolation and frustration for everyone involved.

Some common challenges include:

• One person taking on more chores because the other "lost track of time."
• Missed or double-booked appointments due to unupdated calendars.
• Shifting bedtime routines that make it difficult for everyone to wind down together.

The disconnect between intention and follow-through can lead to guilt or self-criticism, making it essential to find ways to support each other and adjust routines.

Trust and Reliability Concerns

Repeated time-related struggles can raise concerns about reliability and trust. From an outside perspective, these issues may seem like broken promises, even if there's no bad intent behind them. It's important to understand that time blindness is not the same as being careless or unreliable.

Open communication is key to addressing these concerns. Discussing time blindness honestly can help both partners find tools and strategies to manage it together. Using reminders, alarms, and shared calendars can provide structure and support.

Strategies for Navigating Time Blindness in Relationships

Managing time blindness in relationships requires open communication, empathy, and practical tools. Honest conversations focused on solutions rather than blame can strengthen the bond between partners. Using "I" statements, staying curious, and avoiding assumptions can foster understanding and support.

Tools such as timers, alarms, reminders, and shared digital calendars can help manage daily routines more effectively. Incorporating analog clocks and planners can also make time more tangible. Breaking tasks into smaller chunks and setting timers for each can make it easier to stay on track.

Building empathy and patience is essential. Putting oneself in the other person's shoes, practicing active listening, and celebrating small wins can create a supportive environment. Reassigning or rotating tasks can also help alleviate the burden and promote teamwork.

By working together and showing compassion, couples can navigate the challenges of time blindness and build stronger, more resilient relationships.

Eight Tompkins County restaurants pass health inspections; five face critical violations in July

Eight Tompkins County restaurants pass health inspections; five face critical violations in July

M Hasan    4:07 PM   

Overview of Health Inspections in Tompkins County

In the month of August 2025, the Tompkins County Health Department conducted a total of 18 health inspections across various food service establishments. According to the latest reports, five of these inspections found critical violations, eight had no violations at all, and another eight had unresolved issues from previous inspections that remained unfixed.

New York State is home to over 90,000 food service establishments, including schools, nursing homes, and other facilities with on-site kitchens. These inspections are crucial for ensuring public health and safety, as they help identify and address potential risks associated with food handling and preparation.

Due to the high volume of inspections, only a selection of the highest and lowest rated restaurants is highlighted here. For more detailed information, you can access current and past health inspection reports through online platforms like data.ithacajournal.com.

Restaurants with the Most Health Violations

Several eateries in Tompkins County were flagged for having multiple violations during their most recent inspections. Here are some examples:

• Dream Poke & Tea – Located at 130 East Seneca Street in Ithaca, this establishment had one non-critical violation during its inspection on August 12, 2025.
• Fusia Bento Bar – Situated at 405 College Avenue, Ithaca, it received two violations, including one critical and one non-critical, on the same date.
• Village Taqueria And Grill – Found at 151 North Street in Dryden, this restaurant had one non-critical violation on August 12, 2025.
• Pho Time & Spicy Canton Spot – Located at 208 A Dryden Road, Ithaca, this spot had one critical violation on August 13, 2025.
• Crossroads Bar & Grille – At 3120 North Triphammer Road in Lansing, it had two violations, one critical and one non-critical, also on August 13, 2025.
• Lev Kitchen – Found at 222 East State Street in Ithaca, this restaurant had four violations, including one critical and three non-critical, on August 14, 2025.
• 4-H Acres - CCE – Located at 418 Lower Creek Road in Ithaca, it had one critical violation on August 15, 2025.
• Ha Ka Cha – Situated at 311 Third Street in Ithaca, this place had three non-critical violations on August 15, 2025.

Each of these establishments must address their violations within the specified timeframes set by health inspectors.

Establishments with Flawless Health Inspections

On the flip side, several businesses in Tompkins County passed their inspections without any violations. These include:

• Tacos Cdmx – Located at 118 West Green Street in Ithaca, this restaurant had no violations on August 12, 2025.
• Dryden Elementary - Summer Feed – Found at 118 Freeville Road in Dryden, it also had no violations on the same date.
• Sopoong – Situated at 147 Dryden Road in Ithaca, this business had no violations on August 12, 2025.
• Dryden Recreation Camp Summer Feed At Cassavant – Located at 118 Freeville Road in Dryden, it passed its inspection without any issues.
• Dryden Middle School - Summer Feed – Also at 118 Freeville Road, this school had no violations on August 12, 2025.
• Cu - Becker House – Found at Stewart Avenue in Ithaca, it had no violations on August 14, 2025.
• Scoops – Located at 104 Auburn Road in Lansing, this establishment had no violations on August 14, 2025.
• Hawi Ethiopian Cuisine – Situated at 113 South Cayuga Street in Ithaca, it passed its inspection with no violations on August 15, 2025.

These businesses demonstrated excellent adherence to health codes and provided safe dining environments for customers.

Understanding Critical and Non-Critical Violations

Health inspectors classify violations into two categories: critical and non-critical. Critical violations involve factors that could lead to foodborne illness, such as improper food storage, incorrect cooking temperatures, or unsanitary practices by food workers. These must be addressed immediately during the inspection.

Non-critical violations, while not directly linked to food safety, can affect the overall operation of an establishment. They may relate to cleanliness, maintenance, or design issues. Although less urgent, these violations still require correction within a specified timeframe.

Frequency of Health Inspections

The frequency of inspections depends on the risk level of the establishment and its history of compliance. High-risk businesses, such as full-service restaurants and school kitchens, are inspected twice a year. Medium-risk places, like pizza shops or sandwich bars, are inspected once annually. Low-risk establishments, such as coffee shops, are inspected every other year.

All health inspectors in New York are trained by the state’s Department of Health to ensure consistency in evaluations across the state.

Reporting Violations

If you suspect a food establishment is violating health standards, you can report it to the Tompkins County Health Department. An inspector will then investigate the complaint. To file a report, visit the official website for health complaints in New York.

This article was written by Ozge Terzioglu and originally published on the Ithaca Journal.

Founder of Applied Nutrition shares partnership with Coleen Rooney

Founder of Applied Nutrition shares partnership with Coleen Rooney

M Hasan    3:51 AM   

The Rise of a Health and Wellness Entrepreneur

Tom Ryder is taken aback when I mention that I recently completed a 10km run in my fastest time in years without drinking any water or taking any special products beforehand. He asks what kept me going. "Jelly Babies," I admit. He hands me a tube of endurance tablets, packed with performance-enhancing electrolytes that help maintain hydration. "Here, you'll go even faster if you have these," he says in his distinct Scouse accent.

Ryder believes he has caught the wave of a health and wellbeing revolution. A report by retail research group Kantar revealed that sales of sports nutrition products surged by 45% in the first five months of this year compared to the same period in 2024. These were the 'biggest winners' as customers shaped their diets around lifestyle choices, with health, wellbeing, and exercise at the top of many people's minds.

Ryder, 41, has also benefited from this boom. He netted £67 million when shares in Applied Nutrition were listed on the London stock market last year. Although the share price has since fallen, the company is still worth £330 million, valuing Ryder's remaining 34% stake at £110 million. A trading update is expected this week.

His story is one of rags-to-riches. Raised by his grandparents on a Kirkby council estate after his father's death, Ryder opened his first store, Body Fuel, at 18, selling muscle-bulking protein powder, creatine, and other supplements while working as a scaffolder for the local council. After six years juggling two jobs, he created Applied Nutrition in 2014 and began working from a small factory in nearby Knowsley.

The business has grown rapidly, becoming one of Europe's fastest-growing brands. Ryder hasn't let success go to his head. The first time he felt financial freedom was when retailer JD Sports bought a significant stake in the business in 2021. He celebrated by buying a lawnmower.

Personal Discipline and Family Life

Ryder is a firm believer in personal discipline. "I learned from an early age that if you want something, you have to make some sacrifices," he says. One of those sacrifices was not spending enough time with his eldest daughters when they were young and he was busy growing the business. He's now making up for lost time and admits to becoming "a dance dad," taking them to numerous festivals and competitions in the North-West.

He is happy to have bucked the trend of home-grown companies that have shunned the London stock market. Becoming a public company has been "absolutely amazing, a dream come true," he says, adding: "It's given us a lot of credibility." He also seems relaxed about having a higher public profile, saying: "I don't mind being in the limelight. This company is my life. It doesn't feel like work."

But he admits he "completely underestimated" the extra red tape and reporting rules that came with being a quoted company. A "great" team and board, chaired by AJ Bell investment platform founder Andy Bell, helped "take that burden away from me."

Expanding the Brand and Targeting New Audiences

Applied Nutrition started out selling protein shakes to muscle-bound bodybuilders in sweaty gyms, but it has evolved into "a brand for everybody" that appeals to a wider range of consumers. So how does Applied Nutrition fit into the weight-loss craze fueled by drugs such as Ozempic?

Ryder thinks it will amplify demand for supplements. Anyone on a weight-loss drug "is more likely to make health-conscious choices" around protein, vitamins, and hydration as "they are not only losing fat, they are losing muscle, which is not great," he explains, adding: "They can't eat, they've got no appetite so the alternative is supplements."

One of the "mega-trends" he's tapping into is the move from women simply wanting to be skinny to women who want to be healthy, fit, and strong. It's an audience Ryder is eager to reach. "Wagatha Christie" celebrity Colleen Rooney has been hired as a brand ambassador to fuel demand for protein supplements among these health-conscious women.

Since then, the number of female customers has shot up from 20 to more than 40 per cent, he reveals. To keep costs down, Applied Nutrition mainly sells through distributors in local markets, exporting boxes of supplements from the Liverpool warehouse overseas to places such as the Gulf. Its products can also be found in major supermarkets and online.

Financial Strength and Market Challenges

Targeting new audiences via social media channels comes with extra marketing costs. But having raised almost £160 million in the flotation, Ryder now has the financial firepower to continue expanding at home and abroad, especially in the US, where the company has an office in Dallas, Texas.

The record price of whey – a vital ingredient in protein shakes – is "a headwind," Ryder admits, but he has been able to pass on these cost increases to customers in the form of higher prices. That helps protect profit margins, which at 29% are among the highest in the health and beauty sector – bigger even than those of French giant L'Oreal and only surpassed by Estee Lauder, according to stockbroker Panmure Liberum.

This is remarkable given that Applied Nutrition is a traditional bricks-and-mortar wholesale business, operating from a single warehouse site on the outskirts of Liverpool. Ryder won't be drawn on the Government's raid on employers' National Insurance Contributions, which has hit many companies, especially growing ones like his, which now employs 200 staff.

"What can you do?" he asks. "We don't get caught up in what goes on from a political standpoint. We just get on with what we've got to do."

The Power of the Product

So do the supplements he sells really work? Can they actually improve performance? Well, correlation does not equal causation, but after swallowing some of Ryder's endurance tablets a few days after the interview, I ran an even faster 10k time. Ryder will feel vindicated.

As he puts it: "Marketing is important, but the product has got to be right as well."