‘SUCK IT UP, BUTTERCUP,’ DOCUMENTARY SETS MARCH 19 BALTIMORE SCREENING TO SPOTLIGHT SYSTEMIC PRESSURES IN U.S. MEDICINE

Film Examines Corporate Greed, Silenced Patients and the Systematic Destruction of American Medicine

BALTIMORE, MD, UNITED STATES, February 20, 2026 / EINPresswire.com / — At a time when healthcare systems nationwide are navigating workforce shortages, financial strain and evolving regulatory pressures, the documentary ” Suck It Up, Buttercup: Trust & Betrayal – Healthcare in America,” will screen in Baltimore on March 19, at 7 p.m at the historic The Senator Theatre.

Hosted by the Irreverent Health podcast team, the event is open to healthcare professionals, executives, policymakers, students, and anyone who is frustrated with the state of the healthcare.The film examines how unchecked corporate greed — driven by private equity takeovers, predatory consolidation, and profit-first reimbursement models — has gutted the U.S. healthcare system from within. Patients pay the highest price: their voices silenced, their care decisions overridden by administrators who have never set foot in an exam room, and their trust in medicine systematically eroded.

Through interviews with frontline physicians, healthcare leaders, patient advocates, and policy experts, “Suck It Up, Buttercup,” presents perspectives from inside exam rooms and executive offices, exploring how financial priorities and compliance demands intersect with clinical decision-making.

Crucially, the film amplifies patient voices — people whose care has been denied, delayed, or degraded — ensuring those most affected by corporate greed in healthcare are finally heard.

“This film pulls back the curtain on how the prioritization of profits over people has fractured trust in healthcare,” said Executive Producer Todd R. Otten, MD. “It reveals the human cost of a system where administrators and stakeholders often protect financial interests at the expense of patient care and clinician wellbeing.” “Greed is not a business strategy — it is a destruction strategy. And American patients are paying the ultimate price.”

“Suck It Up, Buttercup,” examines the increasing role of bureaucracy and financial incentives in modern medicine,” said Executive Producer MaryAnn Wilbur, MD, MPH, MHS. “It addresses the learned helplessness many clinicians describe and invites a broader discussion about leadership accountability and long-term sustainability in healthcare. What is too often missing from these conversations is the patient,“ she adds. “This film insists that the patient voice be heard — not as an afterthought, but as the entire point.”

Directed by the collaborative team of Amy Schrob, Scott Pressler, John Mottern, MaryAnn Wilbur and Todd Otten, the documentary features physicians, nurses, healthcare executives and policy voices discussing operational realities, including documentation burdens, productivity targets, consolidation and shifting governance structures.

Executive producers, Otten and Wilbur lead the producing team that includes The American Academy of Emergency Medicine along with John Hunter Mottern, Director of Photography, Producer, Scott Pressler, Creative Director, Producer, and Amy Schrob, Editor, Producer.

Featured participants include Mark Cuban; Dr. and Lady Glaucomflecken; Wendy Dean, MD; Leah Carpenter, RN; Ashley Chancellor, RN; Dike Drummond, MD; Don Berwick, MD; Mark Reiter, MD, Tammy Scott, RN; Terrence Mulligan, MD; Rebecca Wood; Camille Burnett, PhD; Linda Peeno, MD; Wendell Potter; Matthew Zachary; Taylor Paige Borque, RN; Tina Shah, MD; Steve Abelowitz, MD; and Kemia M. Sarraf, MD.

For Baltimore — home to globally recognized healthcare institutions, academic medical centers, and a robust life sciences ecosystem — the screening offers an opportunity to engage in dialogue around workforce stability, leadership responsibility, and the business decisions shaping care delivery.

The screening is open to the public and will include a post-film discussion.

Tickets and additional information are available at: https://irreverenthealth.com/suck-it-up-buttercup/

About “Suck It Up, Buttercup: Trust & Betrayal – Healthcare in America”:

The documentary explores systemic pressures within the U.S. healthcare system and their impact on patient care, clinician wellbeing, and organizational culture. The film is produced by Buttercup Productions and its executive producing team. The film makes the case that unchecked greed — through private equity, corporate medicine, consolidation, and profit-first mandates — has devastated U.S. healthcare, and that restoring it requires centering the patient voice above all else.

For more information about the film visit https://suckitupbuttercupfilm.com.

Official teaserhttps://www.youtube.com/watch?v=p2g6yxyUydY

Read full press release HERE.

Updates on Virginia Department of Health Vaccine Recommendations

To date, VDH has now reported 10 cases of measles in 2026 — twice the number of measles cases reported in all of 2025. Although the Virginia Department of Health (VDH) has not yet identified a measles outbreak or evidence of community transmission in Virginia, the recent increase in cases both in Virginia and nationally is a good reminder of the importance of vaccines in protecting our communities. As we continue our shared mission to safeguard our communities, we would like to provide the following updates and reminders regarding childhood and adolescent immunizations.

On January 5, 2026, the U.S. Department of Health and Human Services (HHS) announced significant changes to the Centers for Disease Control and Prevention’s (CDC) childhood immunization schedule. This change was made in the absence of new data or safety signals to prompt such an update. On January 26, 2026, the AAP published its Recommended Childhood and Adolescent Immunization Schedule, US, 2026. The updates below reflect that VDH vaccine recommendations are clear and grounded in science, enabling informed conversations and decisions between families and their healthcare providers.


American Academy of Pediatrics 2026 Immunization Schedule

Vaccinations play a critical role in protecting the health of children, families, and communities.
VDH strongly recommends that all children in the Commonwealth be vaccinated in accordance with the American Academy of Pediatrics (AAP) Recommended Child and Adolescent Immunization Schedule. After thorough review of the various schedules, our agency believes that AAP’s recommended schedule best reflects the existing science on how to optimally protect Virginia’s children and adolescents against 18 vaccine-preventable diseases.


VDH expects healthcare providers to continue relying on their clinical training and professional judgement, and to consult information published by the American Academy of Pediatrics and the American Academy of Family Physicians when engaging in shared clinical decision-making with parents, caregivers, and patients. Vaccines remain widely accessible in Virginia and VDH expects Virginia healthcare providers to continue to offer these vaccines to children and adolescents. As you know, a healthcare provider’s recommendation remains one of the most powerful factors in a person’s decision to receive a vaccine.

Virginia’s Vaccine Requirements for School Attendance Remain Unchanged

Please note that the minimum immunization requirements for school entrance in Virginia are outlined in the Code of Virginia and remain unchanged as compared to last school year. Additional information on school immunization requirements can also be found on our webpage: School Requirements – Immunization.

VDH will continue to rely on systematic and transparent review of scientific evidence to inform any future updates to immunization requirements, guidance, or practice. Thank you for your collaboration in keeping Virginia’s families healthy and safe.

Sincerely,
B. Cameron Webb, MD, JD
State Health Commissioner

The AMA secured eight major wins for medicine

The American Medical Association (AMA) has delivered eight major wins for physicians and patients—wins that did not happen by chance. They happened because the AMA fought relentlessly on your behalf.

The federal government funding package passed Tuesday includes several AMA-backed provisions that will directly impact your practice and strengthen patient care:

  1. Medicare telehealth coverage extended for two more years, preserving essential access for patients nationwide.
     
  2. A 3.1 percent bonus reinstated for physicians in Medicare alternative payment models, helping stabilize practices participating in value-based care.
     
  3. Expansion of the Medicare Diabetes Prevention Program to include virtual services through 2029, improving access for at-risk patients.
     
  4. New requirements for Medicare Advantage plans to maintain accurate, regularly updated provider directories, reducing administrative burdens and patient confusion.
     
  5. Extension of the Acute Hospital Care at Home waiver through 2030, supporting innovative, physician-led care models.
     
  6. A five-year extension of the Dr. Lorna Breen Health Care Provider Protection Act, continuing vital efforts to reduce stigma around physician mental health.
     
  7. Targeted PBM reforms that increase transparency and move us closer to lowering prescription drug costs for patients.
     
  8. Reauthorized PREEMIE Reauthorization Act, expanding research on preterm birth, and the Preventing Maternal Deaths Act, increasing funding to $100 million annually through 2030 to prevent maternal mortality.

When combined, these hard-fought victories demonstrate something more powerful than legislative wins alone. They represent what is possible when physicians stand together and when lawmakers find common ground to support better care. Learn more here.

VDH and DBHDS Encourage Virginians to Care for Their Mental Health During Winter Weather

RICHMOND, VA – As temperatures remain low and travel is impacted across Virginia, many Virginians might be experiencing feelings of stress, loneliness, isolation, or tension at home. The Virginia Department of Behavioral Health and Developmental Services (DBHDS) and Virginia Department of Health (VDH) want to remind people to check in with themselves and those they love and reach out for help. 

“Seasonal affective disorder – sometimes described as the ‘winter blues’ – is a real mental health condition that can affect anyone no matter their age, race, gender, or background,” said Virginia Health Commissioner, Dr. Cameron Webb. “Just as we prepare for winter storms to protect our physical health, it’s important to take steps to protect and support our mental health.”

Shorter daylight hours, colder temperatures, and reduced opportunities for outdoor activities can lead to feelings of isolation and seasonal depression. If you or someone you know are experiencing thoughts of suicide, mental distress, substance use disorder, or need emotional support, call or text 988. 988 is a three-digit calling code for mental health crisis in Virginia. By contacting 988, you can get free, immediate help from a trained crisis worker 24/7, whether you would like emotional support, are worried about a loved one, or are considering harming yourself. To learn more about 988, visit 988va.org. In December 2025, Virginia 988 received over 36,200 calls, 3,900 chats, and 3,700 texts from individuals seeking help for themselves or a loved one. 

“The winter months can bring moments of isolation, seasonal depression, and increased substance use,” said Daryl Washington, LCSW, Commissioner, DBHDS. “No matter who you are or where you live, 988 is here for you as an easy way to quickly connect with the support you need. It’s more than just an easy to remember number: it is a direct connection to compassionate and accessible care, when you need it the most.”

Mental Health Virginia offers a peer-run Warm Line for people not experiencing crisis, but who would like someone to talk to, or who request community mental health resources, or who have specific questions about their recovery journey. The peers who answer the Warm Line listen with compassion and provide non-judgmental support. You can call or text the Warm Line at 866-400-6428 Monday-Friday from 9am-9pm and 5pm-9pm on weekends and holidays. 

You can also follow these practical tips from DBHDS to support mental wellness when spending more time indoors:

  • Stay physically active with indoor workouts, stretching, or yoga.
  • Schedule regular virtual or phone check‑ins with friends or family.
  • Take short breaks from screens to rest your mind and reduce fatigue.
  • Keep your living space tidy to reduce stress and promote a sense of control.
  • Practice relaxation techniques like deep breathing or mindfulness.
  • Maximize time in rooms with natural light and sit in direct sunlight when practical.
  • Balance indulgence in comfort foods with healthy fruits and vegetables that provide energy and digestive health.
  • For those with children in the home, create visual schedules for the day that include times for activities, meals and snacks, and quiet/free time.

If you or someone you know is experiencing domestic or intimate partner violence, there is help available. Contact the Virginia Family Violence & Sexual Assault Hotline at 1-800-838-8238 or the LGBTQ Partner Abuse and Sexual Assault Helpline at 1-800-356-6998. If you are not able to call, text 804-793-9999. If you are in immediate danger, please call 911.

Abuse is a pattern of behavior used to gain power and control and can include physical abuse or emotional abuse. In addition to seeking help, VDH offers some strategies to keep you and your family safe:

  • Identify a safe room: Find a room or area that you feel safe to go to in an argument. Be sure this space has no accessible weapons. Consider rooms with available exits to the outside.
  • Keep Your Cell Phone Accessible: Keep your cell phone charged and with you at all times. Keep a charger nearby.
  • Keep a Go Bag Ready: Keep a go bag with essential that you can grab and go quickly. If you are concerned that your partner will find the bag, keep it at a friend or family member’s house. Item to include in your go bag:
    • Essential documents and photos,
    • Medication and food,
    • Extra money
    • Change of clothes,
    • Extra keys, and
    • Extra charger for your phone.
  • Take A Break: As safely as you can, find moments to spend outside. It is very difficult to remain inside all the time, especially if you feel building pressure in your relationship. When weather conditions make it safe to do so, take advantage of opportunities to run errands, take a walk, or just get out of your home.
  • Consider Children: If you have children in the home, you must consider them as well.
    • Set up Code Words: Set code words or signals with your kids so you can communicate with them discretely to go into another room or call for help.
    • Practice Staying Calm: Talk to your kids about things that make them feel safe when they’re stressed out. Create a set of activities or practices they can do if they’re feeling stressed, scared, or overwhelmed.

The Virginia Department of Behavioral Health and Developmental Services (DBHDS) seeks to promote dignity, choice, recovery, and the highest possible level of participation in work, relationships, and all aspects of community life for individuals with mental illness, developmental disabilities or substance-use disorders. DBHDS operates 12 state hospitals and centers and partners with 40 locally-run community services boards and thousands of private providers statewide. For more information, please visit www.dbhds.virginia.gov, and find DBHDS on FacebookInstagramLinkedIn, and YouTube.

The mission of the Virginia Department of Health is to protect the health and promote the well-being of all people in Virginia. Learn more at https://www.vdh.virginia.gov/.

Virginia bill offers forgivable med school loans for service in state health care deserts

The bipartisan bill would forgive medical school loans of up to $50,000 a year.

In many parts of Virginia, patients have to travel long distances for basic health care due to a lack of doctors and hospitals likely to worsen with the implementation of President Donald Trump’s 2025 budget law, which slashed $1 trillion from Medicaid and other federal health programs over a decade.

A bipartisan bill currently being considered in the Virginia General Assembly, sponsored by Democratic Sen. Creigh Deeds and Democratic Del. Rodney Willett, is designed to increase the number of medical providers serving those health care deserts, areas that are without sufficient medical providers and facilities.

Senate Bill 625 and House Bill 663 would create a Medical Education Loan-for-Service Fund and Program, providing forgivable medical school loans of up to $50,000 per year for up to four years for those who agree to practice medicine at a rural Virginia emergency hospital or health clinic or provide needed services in other underserved Virginia locations following graduation. In order for the loans to be forgiven, the recipients would have to commit to two to five years of service, depending on how many years they received loans, or pay back the funds with interest.

“Looking at the experience of other states, we did a heck of a lot of research and talked to a heck of a lot of people, and ultimately came up with this medical education loan-for-service program,” Clark Barrineau, vice president of government affairs and public policy of the Medical Society of Virginia, told the Virginia Independent. “This would, as it says, drive people to go live and work in underserved parts of Virginia, increasing health care access and strengthening our workforce.” Similar laws have been adopted in KansasNorth Carolina, and New Mexico.

If approved, the legislation would cost Virginia $3 million annually and cover 60 loans per year.

Barrineau, whose organization strongly supports the bill, noted that Virginia has a statewide health care workforce crisis: “People have to drive for miles to see specialists in certain parts of southwest Virginia. So we need those people, primary care, pediatricians, OB-GYNs. We need them to go live where people are and where we know the needs are.” He noted that Trump’s budget law included a $200,000 cap on the amount a medical student can borrow in federal loans, below the total cost of all six Virginia medical schools. “This is an attempt to fix some of what the federal government decided to break, and this way we can address the problems that we have all across Virginia.”

“It would drive more and more of these individuals to these parts of the commonwealth, and the reason for that is because we lose more than we keep, in Virginia,” Barrineau said. “We train more people at our medical schools than we retain to live and work in Virginia once they graduate from medical school. If we are investing in them, we want them to stay and treat Virginia patients.”

Last year, Pulaski County community volunteer and stay-at-home mom Hazel Wines told the Virginia Independent that a lack of providers means her family often has to drive an hour to Roanoke for health care. “We often have to go outside, certainly outside of our county and sometimes outside of the New River Valley altogether, to get appropriate care, especially for our children,” she said.

Rural medical providers are cheering the legislation.

Dr. Stephen Combs is chief medical officer for Ballad Health Medical Associates, responsible for medical facilities operating in southwest Virginia and northeast Tennessee, and a practicing pediatrician in both states. He said in a phone interview that the mountainous terrain of southwest Virginia can present challenges both for patients to get to medical care and to have adequate Internet to use telehealth. 


“This is really unique in that it addresses the workforce shortages early in the pipeline,” said Combs, who also . “So this is when students come out and go, Wow, I’d really like to do family medicine or pediatrics, but I already owe $200,000. I don’t know if I can afford it. We would be able to work with those students then and say, If you will commit to practicing in Virginia, commit to practicing one of these specialties — and it’s not just family medicine and pediatrics. Surprisingly, there’s a need for emergency medicine, OB-GYN, psychiatry, so there are multiple needs that would fill any medical student’s wish list — we would be able to help you.” 

Wendy Welch, executive director of the nonprofit Southwest Virginia Graduate Medical Education Consortium, said her organization loves the bill: “I talked to a couple of the coordinators of residency programs here in southwest Virginia — there are four residency programs — and they said the same thing: This is going to be really helpful to rural kids who want to go to medical school. It’s going to be a quick infusion of cash available. In Scotland, where my husband’s from, they would call it ‘ ‘money for old rope,’” meaning a big return for little investment, though she noted that the time it takes to complete medical school, including residencies, means it will take a while for the bill’s impact to be fully felt.

“There is nothing about this that loses for rural people, especially rural medical students,” Welch said. “They’re going to get assistance to do something they want to do. The communities themselves are going to get good doctors from those rural students who are dedicated to rural education and rural health care provision. There’s nothing about that that’s wrong.”

From Virginia Independent News

Marketing Your Practice: Top Digital Marketing Strategies for 2026

Looking to level up your practice’s digital marketing? We’ve created a list of top digital marketing strategies for 2026 you can put into action today — to put you on the path to more success in the year ahead.

Top Digital Marketing Strategies for 2026

Be real.

Consumers want authentic site and social content. Use photos of you and your staff. Take your audience behind the scenes. Showcase your culture, your personality, and your team’s personalities. It doesn’t have to be perfect. Imperfect is not only OK, it’s embraced.

Be human.

AI is the next thing, but exercise caution in marketing. Use AI to boost your creativity, not replace it. Consumers are looking for interaction that’s conversational and real. And while you’re creating a lot of content for the bots’ benefit, humans still read your site and your posts — readability and a bona fide human voice are key.

Keep it short.

Short-form video is currently the king of content. Whether you’re on TikTok, Instagram, or YouTube — or all three! — create videos of no more than 60 seconds to really engage your audience. Some content suggestions: Offer tips, do a Q&A, share relevant information, or highlight customer testimonials.

Think entertainment.

Today’s social platforms are less about social and more about entertainment, and it’s all about that short-form video. If you’re creating content, entertainment is your sweet spot. Entertainment isn’t limited to bells and whistles — engaging and interesting work, too. For ads, placements within short-form video feeds are your best bet for attention.

Do an update.

When was your last website update? Some questions to ask: Is your site mobile-friendly? These days it’s mission critical. What do patients and prospects experience on your site? How is your navigation? Can visitors easily book appointments online? Are forms simple to access and use, and are they secure and HIPAA compliant? Does your site answer questions patients ask? Is your call to action is clear and visible at every opportunity? (Hint: It needs to be.)

Get faster.

Your site’s load time will risk more than interest from patients who jump if it takes too long. Google and AI also penalize slow sites in their rankings. You’re aiming for load time under 2 seconds. Fast!

Keep it interesting.

Focus your website content on what your patients are most interested in. Sounds simple, but many sites don’t do it. Educational content, FAQ sections, and procedure explainers are all winners.

Polish up your SEO.

Though search strategies are shifting, smart search engine optimization is still of value (though we recommend adding GEO and AEO as well — see our next two tips). Create content that adds value — be consistent, clear, and share your expertise.

Jump into GEO.

Generative engine optimization is next-gen SEO. Search is now the complete digital universe — beyond Google, it’s in apps, social media, AI chats, everywhere. Wherever your audiences are looking for info and recommendations, that where you want to be.

Add AEO.

It’s not just more marketing alphabet soup, answer engine optimization is critical to the evolving search landscape. If you want to get into the AI-generated summary, you need to optimize for AEO. Focus on FAQs, procedures, and patient concerns.

Clean up your business profile.

Optimize your Google Business Profile by making sure it’s accurate: hours, services, contact information, everything. Google Maps dominates in mobile search, meaning some users will click directly on Maps results and never even visit your website.

Bonus Tips: What NOT To Do

We’ve given you a list of things you can (and should!) do to amplify your digital marketing strategies in 2026. Now here’s a short list of what not to do — just in case.

Don’t stuff keywords.

Jamming keywords into your content for the sake of keywords (or to “trick” the bots) is a big no-no. This isn’t new news, but it’s worth mentioning that this tactic hurts much more than it helps.

Don’t stay silent.

Consumers want to interact with you and your practice. One-way social posts are no longer acceptable. Reply to comments and respond in a timely fashion. It’s a conversation.

Don’t make it complicated.

Use words and concepts that are easy to understand. If you have to get technical, offer an explanation. Avoid jargon and unfamiliar medical terms, which alienate your audience. Keep it simple!

CDC Overhauls Childhood Vaccination Schedule, Reduces Number Of Recommended Shots

The Washington Post reports the Administration is “overhauling the list of routine shots recommended for all babies and children in the United States.” Effective immediately, the CDC will “no longer recommend every child receive vaccines for rotavirus, influenza, meningococcal disease, respiratory syncytial virus (RSV), hepatitis A and hepatitis B, according to materials released Monday by the Department of Health and Human Services. Instead, smaller groups of children and babies should get those vaccines only if they are at high risk or if a doctor recommends it.”

The New York Times reports the CDC’s new schedule “continues to recommend vaccines against some diseases, including measles, polio and whooping cough, for all children,” but immunization for six other illnesses “will be recommended for only some high-risk groups or after consultation with a health care provider.” The new schedule also “circumvents the detailed and methodical evidence-based process that has underpinned vaccine recommendations in the nation for decades.” Public health experts “expressed outrage at the sweeping revisions, saying federal officials did not present evidence to support the changes or incorporate input from vaccine experts.”

The AP reports that Administration officials “said the overhaul…won’t result in families who want the vaccines losing access to them, and said insurance will continue to pay. But medical experts said the decision creates confusion for parents and could increase preventable diseases.” The change also comes as US vaccination rates are declining and “the share of children with exemptions has reached an all-time high, according to federal data.”

NBC News also reports.

Read full article from American Health Law here.

Virginia’s Top Doctors 2026: Anesthesiology

The VCU Department of Anesthesiology continues to be well-represented for providing excellent anesthesia care! 14 of VCU’s faculty members have been recognized by The Virginia Business Magazine as TOP DOCS honors for 2026! Congratulations to all. 

  • Dr. Ilia Brusilovsky
  • Dr. Alice Coombs
  • Dr. Ronsard Daniel
  • Dr. Matthew Isenhower
  • Dr. Arunthevaraja Karuppiah
  • Dr. Christin Kim
  • Dr. Fatoumata Kromah
  • Dr. Aaron Lim
  • Dr. Sergio Navarrete
  • Dr. Nirvik Pal
  • Dr. Pranav Shah
  • Dr. Laura Webb
  • Dr. Andrew Chapman (Pain Management)
  • Dr. Nicolas Maxymiv (Pain Management)

2026 Medical Fee Schedules and Ground Rules Go Into Effect January 1, 2026

On January 1, 2026, the Virginia Workers’ Compensation Commission will implement the 2026 Medical Fee Schedules and Ground Rules that will establish the maximum fees for fee scheduled medical services rendered to injured workers pursuant to (a) the Virginia Workers’ Compensation Act (Title 65.2 of the Code of Virginia) during the period from January 1, 2026 through December 31, 2027; and (b) amendments to regulation 16 VAC 30-110-10 et seq. Click below to view the following information:

Additional Schedule resources available include the MFS Calculator and MFS Administrative Determination Notice. Both include:

  • Line-Level Adjustments – each claim line now clearly shows impact of Ground Rule adjustment(s) to the maximum fee.
  • Fee Calculations – are also displayed as the calculated maximum fee per code.

Tutorials for each are linked here.

Questions? Email the Medical Fee Services team here

Virginia Medical News 2025

The latest issue of Virginia Medical News now available!

2025 has been an outstanding year for the Medical Society of Virginia. Thanks to you, our members, we were able to:

  • Advocate for the House of Medicine at the Virginia General Assembly, including meeting with over 120 GA members during our Lobby Days
  • Expand access to mental health support for children, new mothers, and adults navigating behavioral health issues through our VMAP and APAL programs
  • Provide over 60 hours of CME to over 150 learners, along with offering CEU classes for Practice Managers across the state
  • And so much more!
Click here to read the latest issue of Virginia Medical News now!

If you’d like to read more about what the MSV has been up to, check out these issues of Virginia Medical News from previous years:


Have you renewed your membership for 2026 yet? If not, it’s easy to renew online with just a few clicks. We appreciate your continued support and look forward to another successful year!