The older adult population in the United States is rapidly increasing as baby boomers continue to age. In 2020, the population of people over 65 grew almost five times faster than the total population during the century from 1920 to 2020, according to the 2020 Census. As more people contemplate old age, nursing homes or in-home care with trusted family members quickly come to mind. However, an alternative approach that began in San Francisco’s Chinatown community is growing in popularity. They’re known as PACE centers, or Programs of All-Inclusive Care for the Elderly. As of August 2024, 177 programs across 33 states and the District of Columbia are in operation, allowing aging people to stay within their home communities while still receiving the elevated care they would need as older adults living with disabilities or chronic illnesses. A PACE facility is a kind of “one-stop shop” that offers services like dental care, social services, occupational therapy, prescription medication, and nutritional counseling. Since its introduction in the 1970s, this community-based care model has been associated with shorter hospitalization times and better quality of life for older adults. Caring.com examined data maintained by the National PACE Association to see which states have the most programs available to serve their aging populations and how they can impact the quality of care for adults who want to live independently outside a clinical setting for as long as possible. The data on PACE programs is as of August 2024. The modern PACE approach came into existence in 1973, when a doctor and social worker in the Chinatown district of San Francisco banded together to open On Lok, a community-based care and services center for seniors. Among other things, it provided hot meals and health care services to older people who lived at home rather than in a clinical setting. Through the rest of the decade, the daytime adult care center gained attention from lawmakers who helped secure grant funding for On Lok, which expanded into a second location. In the 1980s, On Lok’s board members went all in. They took out a loan against their own homes to secure enough money to demonstrate to the state their novel financial model for providing Medicare-funded out-of-home care to aging adults was effective. By 1997, Congress had passed legislation making PACE centers a permanent Medicare program and an optional program that state Medicaid programs could include. Today, a vast majority of older adults would prefer to age at home. In an AARP survey of 3,000 adults over 50, 3 in 4 respondents said they’d rather age at home than in a facility. For some, that is a crucial factor in their longevity and quality of life. Michael and Irene saw this firsthand when their grandmother became a PACE participant at WelbeHealth, which operates several centers in California and is headquartered in Menlo Park. “It seemed like her mental state had changed. She was talking. She was laughing. It was night and day,” Michael said in a testimonial , commenting on how his grandmother Wai, a Chinese immigrant who spoke limited English, had changed after transferring from a nursing home back into her home community in 2021. Wai passed away in 2023 at age 88. Though their family expected the benefit of returning their grandmother to the social and cultural community she was most comfortable with, they hadn’t anticipated how much the wraparound services—case managers, social workers, nutritionists—could make such a positive difference until after she began the program. Despite having high care needs, PACE participants can live in their communities for an additional four years typically , according to a study published in 2010. Additionally, a study from the Department of Health and Human Services noted that the PACE program “stands out from our analysis as a consistently ‘high performer,’ ” earning its reputation as the gold standard in community-based care for aging adults. This living arrangement helps patients avoid the high nursing care costs while still living independently and within their communities. These care centers for aging adults appear in more communities nationwide each year. Since 2019, the number of PACE centers has grown almost 30% and enrollment has grown 50%, according to an ATI Advisory study. Roughly 2 in 3 states now offer PACE center services to their populations, but there is more room for growth. No state has more than 30 PACE centers, and only 0.08% of adults over 55 are enrolled in the program. In 2024, Washington D.C., Kentucky, Delaware, North Dakota, and Pennsylvania had the most PACE facilities per one million residents 55 or older. Notably, there is still more opportunity to expand a program like this in the western states like Arizona, Utah, Idaho, Montana, and Wyoming. A 2021 HHS report found that Americans eligible for Medicare and Medicaid who utilized PACE centers had lower hospitalization rates and less need for emergency department care compared to Medicare Advantage enrollees. This is not the only study that shows PACE centers effectively provide services that can lower the overall cost of care for communities by reducing the need for expensive, acute-care intervention. Anyone 55 or older with Medicaid who can live safely at home independently can enroll at a PACE center nearby. According to AARP, most PACE users are 65 or older, and about half live with dementia . The typical PACE user is also dual-enrolled in Medicaid and Medicare. PACE’s payment process is part of what sets the program apart from other forms of care. Instead of a fee-for-service model where health plans are billed per service provided, PACE takes a fixed payment per month of services provided. Despite the centers’ proliferation over the decades, there are challenges facing the PACE center ecosystem. A Bipartisan Policy Center study published in late 2022 found barriers to the growth of new PACE centers that could serve the needs of an aging population. They include high premiums that can be unaffordable for Medicare recipients, a lack of public awareness about PACE centers and what they offer, administrative hurdles to opening new centers, federal rules about how the services can be marketed, and enrollment limits that bar high-need populations that could benefit from the services they offer. Legislators are taking note. A bill proposed by a bipartisan group of senators this summer called the PACE Anytime Act would aim to improve the speed at which aging Americans can access care through PACE centers. Currently, they differ from nursing homes, hospice, and other forms of care for older populations in that applicants seeking care at PACE centers have to wait until the first of the month to enroll, but the bill would remove that limitation. Several states are also undergoing trials, expansion, or establishing new PACE programs for their aging residents. Minnesota and South Dakota are considering starting PACE programs. Nevada is in the process of establishing its own program after using COVID-19 funding to experiment with the system to address the health needs of people ages 55 and older who need nursing facility-level care but can still live safely in their communities. Georgia’s governor also signed a bill into law earlier this year creating the state’s first PACE program. Story editing by Carren Jao. Additional editing by Kelly Glass. Copy editing by Janina Lawrence. Photo selection by Clarese Moller. This story originally appeared on Caring.com and was produced and distributed in partnership with Stacker Studio. Founded in 2017, Stacker combines data analysis with rich editorial context, drawing on authoritative sources and subject matter experts to drive storytelling.
ISTANBUL – In the aftermath of Bashar al-Assad's ouster, Syria remains territorially fractured as the rebels who defeated Assad work to consolidate power. The country's uncertain future has raised questions about the fate of the U.S.-backed Kurdish coalition known as the Syrian Democratic Forces (SDF). This week, Syria's new leadership took steps to dissolve the different rebel factions and unite them under the new Syrian army. But the SDF did not join in. In a statement, SDF spokesperson Farhad Shami said the group wasn't opposed to joining the Syrian military in principle, but that the matter required negotiations with Damascus. The realities of the new Syria, however, have left the SDF with few options to maintain its status quo. The SDF controls a third of Syria's territory In 2014, the Islamic State extremist group began taking large pieces of territory in northeast Syria as the country was embroiled in a civil war. With the help of the United States, a coalition was formed of Kurdish militia groups to help fight ISIS and take back the territory. That's how the coalition came to control about a third of Syria, from the Euphrates River and eastward along the borders with Iraq and Turkey, according to Yerevan Saeed, director of the Global Kurdish Initiative for Peace at American University. "The Kurdish control of these areas really came in a time when there was a vacuum of power. All of these areas were taken over by ISIS, and the local population was very happy to have the SDF clear ISIS elements from all of these areas," Saeed says. After the territorial defeat of ISIS in Syria in the spring of 2019, the SDF continued to guard the prisons and camps holding thousands of ISIS fighters and their families, something it still does now. A majority of the population living under SDF control are Arabs The Kurds are one of the world's largest ethnic groups without their own state. They are a minority spread mainly across several Middle Eastern countries, including Iraq, Iran, Turkey and Syria. For a long time, some Kurds and their allies had hoped that the area the SDF carved out in northeastern Syria would eventually turn into an autonomous Kurdish zone, similar to the Kurdistan Regional Government in northern Iraq. But that goal was unrealistic, according to Denise Natali, the director of the Institute for National Strategic Studies at the National Defense University and expert on U.S.–Kurdish relations. "This was not in any part of the trajectory of Syrian history," Natali said. "And not sustainable from a perspective of local power dynamics, not from an economic perspective, not from a security perspective." Unlike in northern Iraq, a majority of the population in northeast Syria isn't Kurdish. They are Arabs. And while Kurds are living in the area, not all support the SDF, which follows a secular, libertarian socialist ideology that local Sunni Syrian Kurds do not share. The Kurdish towns and villages are also scattered and not contiguous, making it even more challenging to form a cohesive, autonomous region. Since the fall of Assad on Dec. 8, some Arab residents under SDF control in cities like Deir ez-Zor and Raqqa have been demonstrating and demanding to be governed by the rebels in Damascus instead. "With Assad out of the scene, local Arab communities in eastern Syria are uncomfortable with a sort of Kurdish militia group having ultimate authority in their areas," said Nicholas Heras, a senior director with New Lines Institute. "They have an alternative, another choice." NATO ally Turkey sees the Kurdish militia groups as a threat An even bigger challenge to the Kurdish coalition comes from Turkey – Syria's neighbor to the north. The rebels led by Hayat Tahrir al-Sham (HTS) who toppled Assad were supported by Turkey, giving the country significant influence over Syria and its new leaders. Turkey says the main militia force in the U.S.-backed Kurdish coalition is the Syrian arm of the Kurdistan Workers Party – an insurgent group better known as the PKK which it has been fighting in Turkey for decades. Both Turkey and the U.S. designate the PKK as a terrorist organization. The U.S. decision to arm the Syrian branch of the PKK – which is known as the YPG – in the fight against ISIS has been a sticking point in U.S.–Turkish relations for years, according to James Jeffrey, a former U.S. ambassador to Turkey and special envoy for the mission to defeat ISIS. "Because of the huge role the PKK has played since I was first in Turkey in 1984, the Turks can never formally accept what the U.S. is doing with the SDF," Jeffrey says, referring to Washington's support of the Syrian Kurdish coalition. Turkish officials made it clear soon after the fall of Assad that one of their strategic priorities in Syria is to see the YPG dismantled, either by the new Syrian leaders in Damascus taking control of all of Syria and uniting it, or by a major Turkish military offensive targeted on areas controlled by the YPG in Syria's northeast. In a speech to the Turkish parliament this week, Turkish President Recep Tayyip Erdogan warned that the Kurdish militia groups "will either lay down their arms or will be buried with their arms in the lands of Syria." U.S. Sen. Lindsey Graham, a Republican from South Carolina, and Sen. Chris Van Hollen, a Democrat from Maryland, have threatened sanctions against Turkey in case of a military offensive against the Kurdish fighters in Syria. Syria's new administration seeks to unite the country Last Sunday, during a press conference in Damascus with the Turkish foreign minister, Syria's de facto leader Ahmed al-Sharaa said he would not allow any existing weapons in Syria to be outside state control, "whether from the revolutionary factions or from the factions present in the SDF region." As the U.S.-led anti-ISIS coalition is already due to be disbanded in Iraq , Turkish officials have been encouraging Syria's new leadership also to eventually take control of ISIS prisons and camps in Syria from the SDF. "The Syrian administration told us it is ready to take the necessary initiative to take over these prisoners," Turkish foreign minister Hakan Fidan said in the press conference with Sharaa. Analysts expect a diplomatic agreement will eventually be reached between Damascus and the SDF, without a Turkish military offensive into SDF areas. "I think a more realistic prospect is some form of decentralized administration in which the Kurdish cities have local self-administration," Natali said. U.S. officials are concerned about ISIS resurgence, but Syria is not a strategic priority Natali, who served as assistant secretary of state for conflict and stabilization operations during President-elect Donald Trump's first term, says the United States' yearslong arrangement in Syria with the Kurdish coalition is no longer strategically viable, due to changes both in Syria and in Washington. "We are in a different situation," she says. "We have a new administration that has clearly identified what their priorities are, and Syria is not a priority." Instead, she says Trump's priorities are ending the wars in Ukraine and Gaza . "And these types of priorities are going to need strategic partners, such as Turkey," Natali says. In his first term, Trump pushed but failed to bring back home the 900 U.S. troops on the ground in Syria. During his campaign this year, he made ending wars and not getting involved in other conflicts a big part of his message, and he is expected to want to withdraw troops from Syria again. But given the scale of destruction during Assad's violent reign on Syria's physical infrastructure and the fraying of social dynamics, many experts remain skeptical that Syria won't end up a fractured state. And U.S. officials are concerned about ISIS taking advantage of a vacuum and reemerging, making it all the more challenging for a full U.S. withdrawal from Syria. In an interview on Sunday with conservative commentator Ben Shapiro, Trump's pick for National Security Advisor Mike Waltz said that while the U.S. did not need to have troops on the ground in Syria, it won't be able to turn away from what's going on there. "Tens of thousands of fighters and families that are sitting in prison camps guarded by our friends the Kurds, supported by us, and we can't have that unleash again," Waltz said. Copyright 2024 NPRA Tennessee man is convicted of killing 2 at a high school basketball game in 2021Israel detains the director of one of northern Gaza's last functioning hospitals, Palestinians say DEIR AL BALAH, Gaza Strip (AP) — Gaza's Health Ministry says Israel’s army has detained the director of one of northern Gaza's last functioning hospitals. The announcement on Saturday came after health officials said Israeli troops stormed the hospital on Friday and forced many staff and patients outside and told them to strip in winter weather. Israel’s army didn’t respond to questions about the hospital director. It denied it had entered or set fire to the complex but acknowledged it had ordered people outside. It said it was conducting operations against Hamas in the area. The military repeated claims that Hamas militants operate inside Kamal Adwan Hospital, which officials there have denied. Israeli airstrikes hit a Yemen airport as a jet with hundreds onboard was landing, UN official says UNITED NATIONS (AP) — The top U.N. humanitarian official in Yemen says Israeli airstrikes hit Yemen’s main airport as a civilian Airbus 320 with hundreds of passengers on board was landing this week. He says a U.N. delegation led by the head of the World Health Organization was waiting to leave on Thursday as two Israeli airstrikes hit the airport in the capital of Sanaa. Julien Harneis told U.N. reporters on Friday that the most frightening thing about the airstrikes wasn’t the effect on him and about 15 others in the VIP lounge at the international airport. Rather, it was the destruction of the airport control tower as a Yemenia Airways plane was taxiing in after touching down. Trump asks Supreme Court to delay TikTok ban so he can weigh in after he takes office President-elect Donald Trump has asked the Supreme Court to pause the potential TikTok ban from going into effect until his administration can pursue a “political resolution” to the issue. Trump's request Friday came as TikTok and the Biden administration filed opposing briefs to the court. Oral arguments are scheduled for Jan. 10 on whether the law, which requires TikTok to divest from its China-based parent company or face a ban, unlawfully restricts speech in violation of the First Amendment. The brief said Trump opposes banning TikTok at this junction and “seeks the ability to resolve the issues at hand through political means once he takes office.” Bloodied Ukrainian troops risk losing more hard-won land in Kursk to Russia KYIV, Ukraine (AP) — Five months after their shock offensive into Russia, Ukrainian troops are bloodied by daily combat losses and demoralized by the rising risk of defeat in Kursk. Some want to stay in the region at all costs. Others question the value of having gone in at all. Battles are so intense that commanders are unable to evacuate their dead. Lags in communication and poorly timed operations have cost lives and commanders say they have little way to counterattack. The overstretched Ukrainians have lost more then 40% of the territory they won in the lightning incursion that seized much of Kursk in August. US to send $1.25 billion in weapons to Ukraine, pushing to get aid out before Biden leaves office WASHINGTON (AP) — U.S. officials say the United States is expected to announce it will send another $1.25 billion in military assistance to Ukraine. It's part of a push by the Biden administration to get as much aid to Kyiv as possible before leaving office on Jan. 20. Officials say the large package of aid includes a significant amount of munitions, including for the National Advanced Surface-to-Air Missile Systems and the HAWK air defense system. It also will provide Stinger missiles and 155 mm- and 105 mm artillery rounds. The officials say they expect the announcement will be made on Monday. They spoke on condition of anonymity to provide details not yet made public. An online debate over foreign workers in tech shows tensions in Trump's political coalition WEST PALM BEACH, Fla. (AP) — An online spat between factions of Donald Trump’s supporters over immigration and the tech industry has thrown internal divisions in the president-elect’s political movement into public display. The argument previews fissures and contradictory views his coalition could bring to the White House. The rift laid bare tensions between the newest flank of Trump’s movement — that is, wealthy members of the tech world who want more highly skilled workers in their industry — and people in Trump’s Make America Great Again base who championed his hardline immigration policies. Canadian Cabinet ministers meet with Trump's nominee for commerce secretary in bid to avoid tariffs TORONTO (AP) — Two top Canadian Cabinet ministers have met with President-elect Donald Trump’s nominee for commerce secretary at Mar-a-Lago as Canada tries to avoid sweeping tariffs when Trump takes office. New Finance Minister Dominic LeBlanc and Foreign Minister Mélanie Joly met with Howard Lutnick, Trump’s nominee for commerce secretary, as well as North Dakota Gov. Doug Burgum, Trump’s pick to lead the Interior Department. The meeting was a follow up to Canadian Prime Minister Justin Trudeau’s meeting with Trump at Mar-a-Lago last month. Trump has threatened to impose sweeping tariffs if Canada does not stem what he calls a flow of migrants and fentanyl into the United States. Former Indian Prime Minister Manmohan Singh, who instituted economic reforms, cremated in New Delhi NEW DELHI (AP) — Manmohan Singh, the former Indian prime minister widely regarded as the architect of the country’s economic reform program, has been cremated after a state funeral. The veteran leader, who was also credited for a landmark nuclear deal with the United States, died late Thursday at age 92. Singh’s body was taken Saturday to the headquarters of his Congress party in New Delhi, where party leaders and activists paid tributes to him and chanted “Manmohan Singh lives forever.” Later, his body was transported to a crematorium ground for his last rites as soldiers beat drums. A mild-mannered technocrat, Singh was prime minister for 10 years until 2014. Winning ticket for $1.22 billion lottery jackpot sold in California, Mega Millions says At least one Mega Millions player has plenty of dough to ring in the New Year after drawing the winning number. After three months without anyone winning the top prize in the lottery, a ticket worth an estimated $1.22 billion was sold in California for the drawing Friday night. The California Lottery said the winning ticket was sold at Circle K (Sunshine Food and Gas) on Rhonda Rd. in Cottonwood. The winning ticket matched the white balls 3, 7, 37, 49, 55 and the gold Mega Ball 6. The identity of the winner or winners was not immediately known. The estimated jackpot was the fifth-highest ever for Mega Millions. A 9th telecoms firm has been hit by a massive Chinese espionage campaign, the White House says WASHINGTON (AP) — A top White House official says a ninth U.S. telecoms firm has been confirmed to have been hacked as part of a sprawling Chinese espionage campaign that gave officials in Beijing access to private texts and phone conversations of an unknown number of Americans. Administration officials said this month that at least eight telecommunications companies, as well as dozens of nations, had been affected by the Chinese hacking blitz known as Salt Typhoon. But Anne Neuberger, a deputy national security adviser, said Friday that a ninth victim had been identified after the administration released guidance to companies about how to hunt for Chinese culprits in their networks.
INDIANAPOLIS — It was just a 10-yard completion, easy to overlook in the wake of a record-setting rushing day and easy to dismiss as one of just 11 pass attempts throughout the Indianapolis Colts’ 38-30 victory Sunday against the Tennessee Titans. But Anthony Richardson’s third-and-8 pass to wide receiver Michael Pittman Jr. just after the two-minute warning in the fourth quarter was pivotal to holding off the visitors’ late rally. If the Colts were forced to punt in that situation, a defense that had allowed touchdowns on three consecutive drives — of 70, 55 and 71 yards — would be back on the field with tremendous pressure to prevent the game going to overtime. Richardson was cold and out of rhythm. He’d been sacked on his most recent pass attempt — on third-and-9 with 6:51 remaining — and he hadn’t gotten a pass off since throwing an incompletion intended for wide receiver Josh Downs at the 11:20 mark. With the dual-threat quarterback and running back Jonathan Taylor combining for 270 of Indianapolis’ single-game franchise-record 335 rushing yards, Richardson had not completed a pass since the 8:33 mark of the third quarter, and he was just 1-for-2 in the second half. Still, he was calm and composed on the crucial third down — hitting Pittman on a simple out pattern to move the chains and keep the clock moving. When the Colts finally did punt the ball back to Tennessee, there were only three seconds remaining for the Titans to work with, It was a forgettable play in the grand scheme of the game, but it was also the most recent evidence of the 22-year-old quarterback’s ability to raise his level of play in the clutch. He’s 3-2 as a starter since taking the role back from veteran Joe Flacco, and the other two victories featured game-winning touchdown drives in the fourth quarter. “I think that’s a special trait — obviously as a young player — that he doesn’t flinch in those times, to lead those comebacks,” Colts head coach Shane Steichen said. “Obviously, the (New York) Jets, the New England (Patriots) game, I mean, those are big-time drives to go win games. “You want that out of young players, especially (when) you see the veteran guys do it around the league all the time, but to do it as a young player speaks volumes of the person that he is.” Despite Richardson’s up-and-down season, Indianapolis has maintained steadfast belief in his potential. Even when he was benched for Flacco, the organization repeatedly stated it was not giving up on the quarterback as its future leader. There’s still plenty of work to be done. Richardon has completed just 47.7% of his passes, and he’s thrown 12 interceptions in 11 starts. His rushing ability again was evident Sunday, and he’s set franchise single-season records for a quarterback with 499 rushing yards and six rushing touchdowns. And he has proven his big-play ability with a league-leading 14.4 yards per completion. The Colts still believe improved consistency will come with increased reps, and they hold out hope the fourth overall pick in the 2023 NFL Draft can still become the long-term answer at the game’s most important position. For now, Richardson’s late-game heroics offer the most compelling argument in his favor. “I think it’s just me just playing all the way until the clock hits zero,” Richardson said of his mindset. “I never think about fourth quarter moments or anything like that. I just try to play until the game’s over. And it just happens sometimes that most of it happens in the fourth quarter. So I just try to play through the whistle and just play through the whole game.” After rushing for 218 yards and three touchdowns against the Titans – both the second-highest single-game totals of his career – Taylor has been named the AFC Offensive Player of the Week. It was a major bounce-back performance after Taylor’s unforced fumble just short of the goal line cost the Colts dearly in a pivotal loss against the Denver Broncos a week prior. “It’s always exciting to see that dude just do what he does,” Richardson said. “It’s fascinating, honestly, just to see him hit a gap and just take it to the house. It’s just amazing, especially thinking about what happened in the Denver game. It honestly like wiped my mind. I wasn’t even thinking about it until people were talking about him coming back and having the game he did. “It’s like ‘OK, that’s the type of player he is, the type of person he is.’ He always wants to do better for the team and for himself. And just to see him do that and get what he did on Sunday is just a blessing.” The Colts officially signed right guard Mark Glowinski to the 53-man roster Tuesday after he’d been called up for game day in each of the past three weeks. Guard Antonio Mafi was re-signed to the practice squad after being released from the 53-man roster Monday.ANDOVER, Mass. , Dec. 2, 2024 /PRNewswire/ -- TransMedics Group, Inc. ("TransMedics") (Nasdaq: TMDX), a medical technology company that is transforming organ transplant therapy for patients with end-stage lung, heart, and liver failure, today announced the appointment of Mr. Gerardo Hernandez as the Company's Chief Financial Officer, effective December 2, 2024 . In this role, Mr. Hernandez joins the TransMedics executive leadership team, succeeding Mr. Stephen Gordon . To enable a smooth transition, Mr. Gordon will remain a non-executive employee of the Company until March 31, 2025 , before serving as a non-employee senior advisor to the Company focusing on national transplant stakeholder engagement until March 31, 2026 . TransMedics also updated its 2024 financial outlook. Dr. Waleed Hassanein , Mr. Gerardo Hernandez and Mr. Stephen Gordon will attend the upcoming Piper Sandler Conference on December 3, 2024 , the TransMedics Investor & Analyst Day on December 10, 2024 , as well as the J.P. Morgan Healthcare Conference in January 2025 . Mr. Hernandez is an accomplished finance leader with over 25 years of experience across the healthcare and consumer packaged goods (CPG) sectors. He most recently served as Vice President Finance, Head of Corporate Financial Planning and Analysis at Alnylam Pharmaceuticals, a biopharmaceutical company focused on RNAi therapeutics. In this role, Mr. Hernandez led a global team as the company scaled rapidly. Prior to his role at Alnylam, Mr. Hernandez spent nearly a decade at Shire, where he rose through the organization, eventually leading corporate FP&A. During his tenure, Shire was acquired by Takeda in a $62 billion transaction, after which he was instrumental in the integration effort. Mr. Hernandez began his career at Unilever where he held several finance roles of increasing responsibility before joining Shire in 2010. Mr. Hernandez holds a Bachelor of Science degree in Finance from the University of Wisconsin , La Crosse and an MBA in Strategy and Economics from Fundação Getulio Vargas , Sao Paulo, Brazil . "Stephen has been an exceptional partner to me as a member of the TransMedics leadership team for nearly a decade. During his tenure we transitioned the Company from a clinical stage organization to a high growth, publicly traded commercial business," said Waleed Hassanein , M.D., President and Chief Executive Officer. "On behalf of the entire management team and the Board, I want to thank Stephen for his countless contributions to our business that will have lasting benefits for the Company. I am grateful for Stephen's dedication and efforts to advance our corporate strategy while delivering considerable shareholder value, and I look forward to his continued partnership to affect a smooth transition as we start our next chapter at TransMedics." "I am delighted to welcome Gerardo to the TransMedics leadership team as our new Chief Financial Officer," added Dr. Hassanein. "His proven record over two decades of leadership across FP&A functions within high-growth, complex global organizations makes him an ideal addition to our team. I am looking forward to partnering with Gerardo as we continue to deliver significant long-term corporate growth and shareholder value." "I am thrilled to join TransMedics as Chief Financial Officer," said Mr. Hernandez. "I look forward to working with the entire leadership team to expand access to the Company's unparalleled products and services in the organ transplant field while enhancing operational efficiency and delivering lasting value to both our shareholders and the patients we serve." Dr. Hassanein concluded, "As we enter the final weeks of the fourth quarter, we are also updating our financial outlook for the full year 2024. Our updated guidance reflects our continued expectation for considerable year-over-year revenue growth. We look forward to providing additional context at our upcoming Investor & Analyst Day." 2024 Financial Outlook TransMedics now expects revenue for the full year 2024 to be in the range of $428 million to $432 million, which represents 77% to 79% growth compared to the Company's prior year revenue. Piper Sandler 36th Annual Healthcare Conference Members of the TransMedics management team will participate in a fireside chat at the upcoming Piper Sandler 36th Annual Healthcare Conference at the Lotte New York Palace. The fireside chat will take place on Tuesday, December 3, 2024 , at 4:00 p.m. Eastern Time . A live and archived webcast of the fireside chat will be available on the "Investors" section of the TransMedics website at https://investors.transmedics.com . The Company's standard investor presentation is also available through this link. TransMedics Investor & Analyst Day Details TransMedics will discuss the transition and updated financial outlook, as well as the Company's growth strategy, clinical pipeline, and operations, in greater detail at its Investor & Analyst Day in New York City on Tuesday, December 10, 2024 , at 10:00 a.m. Eastern Time . A live and archived webcast of presentations and Q&A sessions will be available on the "Investors" section of the TransMedics website at https://investors.transmedics.com . Please note management will only take questions from the live audience during the question-and-answer session following formal presentations. About TransMedics Group, Inc. TransMedics is the world's leader in portable extracorporeal warm perfusion and assessment of donor organs for transplantation. Headquartered in Andover, Massachusetts , the company was founded to address the unmet need for more and better organs for transplantation and has developed technologies to preserve organ quality, assess organ viability prior to transplant, and potentially increase the utilization of donor organs for the treatment of end-stage heart, lung, and liver failure. Forward-Looking Statements This press release contains forward-looking statements with respect to, among other things, a leadership transition and our full-year guidance. For this purpose, all statements other than statements of historical facts are forward-looking statements. The words "believe," "may," "will," "estimate," "continue," "anticipate," "intend," "expect," "should," "could," "target," "predict," "seek" and similar expressions are intended to identify forward-looking statements. These forward-looking statements are subject to a number of risks and uncertainties. Our management cannot predict all risks, nor can we assess the impact of all factors or the extent to which any factor, or combination of factors, may cause actual results to differ materially from those contained in or implied by any forward-looking statements we may make. In light of these risks and uncertainties, the forward-looking events and circumstances discussed in this press release may not occur and actual results could differ materially and adversely from those anticipated in or implied by the forward-looking statements. Some of the key factors that could cause actual results to differ include: our ability to maintain profitability on a sustained basis; our ability to attract, train and retain key personnel; our existing and any future indebtedness, including our ability to comply with affirmative and negative covenants under our credit agreement to which we will remain subject until maturity; the fluctuation of our financial results from quarter to quarter; our need to raise additional funding and our ability to obtain it on favorable terms, or at all; our ability to use net operating losses and research and development credit carryforwards; our dependence on the success of the Organ Care System or OCS; our ability to expand access to the OCS through our National OCS Program or NOP; our ability to scale our manufacturing and sterilization capabilities to meet increasing demand for our products; the rate and degree of market acceptance of the OCS; our ability to educate patients, surgeons, transplant centers and private and public payors on the benefits offered by the OCS; our ability to improve the OCS platform and develop the next generation of the OCS products; our dependence on a limited number of customers for a significant portion of our revenue; our ability to maintain regulatory approvals or clearances for our OCS products in the United States , the European Union, and other select jurisdictions worldwide; our ability to adequately respond to the Food and Drug Administration or FDA, or other competent authorities, follow-up inquiries in a timely manner; the performance of our third-party suppliers and manufacturers; our use of third parties to transport donor organs and medical personnel for our NOP and our ability to maintain and grow our logistics capabilities to support our NOP and reduce dependence on third party transportation, including by means of attracting, training and retaining pilots, and the acquisition, maintenance or replacement of fixed-wing aircraft for our aviation transportation services or other acquisitions, joint ventures or strategic investments; our ability to maintain Federal Aviation Administration or FAA or other regulatory licenses or approvals for our aircraft transportation services; price increases of the components of our products and maintenance, parts and fuel for our aircraft; the timing or results of post-approval studies and any clinical trials for the OCS; our manufacturing, sales, marketing and clinical support capabilities and strategy; attacks against our information technology infrastructure; the economic, political and other risks associated with our foreign operations; our ability to protect, defend, maintain and enforce our intellectual property rights relating to the OCS and avoid allegations that our products infringe, misappropriate or otherwise violate the intellectual property rights of third parties; the pricing of the OCS, as well as the reimbursement coverage for the OCS in the United States and internationally; regulatory developments in the United States, European Union and other jurisdictions; the extent and success of competing products or procedures that are or may become available; our ability to service our 1.50% convertible senior notes, due 2028; the impact of any product recalls or improper use of our products; our estimates regarding revenues, expenses and needs for additional financing; and other factors that may be described in our filings with the Securities and Exchange Commission (the "SEC"). Additional information will be made available in our annual and quarterly reports and other filings that we make with the SEC. The forward-looking statements in this press release speak only as of the date of this press release. Factors or events that could cause our actual results to differ may emerge from time to time, and we are not able to predict all of them. We undertake no obligation to update any forward-looking statement, whether as a result of new information, future developments or otherwise, except as may be required by applicable law. Investor Contact: Brian Johnston Laine Morgan 332-895-3222 Investors@transmedics.com View original content to download multimedia: https://www.prnewswire.com/news-releases/transmedics-appoints-gerardo-hernandez-as-chief-financial-officer-and-provides-updated-2024-financial-outlook-302320060.html SOURCE TransMedics Group, Inc.For all of you who continue to moan and object to the casualties in Gaza, here is some historical perspective as well as some common-sense perspective. All wars produce civilian casualties, some inadvertent and some intentional. In World War II just prior to D-Day, the allies bombed numerous French cities in the area hoping to get at the German army. Many towns were destroyed, and thousands of Frenchmen were killed and wounded. Germany was repeatedly carpet-bombed, destroying cities and thousands of civilians. And then we have Hiroshima and Nagasaki, a deliberate attack on civilians in an attempt to convince the Empire of Japan that continuing the war was futile. These were not acts of genocide, but the gas chambers and ovens were. Hamas attacked Israel and Israel went to war with Hamas, the political terrorist government of Gaza whose people overwhelmingly support Hamas. It is Hamas who advocates genocide with their stated intention to wipe Israel from the face of the earth. Wake up! Dennis Abrams Northwest side Disclaimer: As submitted to the Arizona Daily Star. Follow these steps to easily submit a letter to the editor or guest opinion to the Arizona Daily Star. Respond: Write a letter to the editor | Write a guest opinion Subscribe to stay connected to Tucson. A subscription helps you access more of the local stories that keep you connected to the community. Catch the latest in Opinion Get opinion pieces, letters and editorials sent directly to your inbox weekly!Biden will decide on US Steel acquisition after influential panel fails to reach consensus WASHINGTON (AP) — A powerful government panel has failed to reach consensus on the possible national security risks of a nearly $15 billion proposed deal for Nippon Steel of Japan to purchase U.S. Steel. The Committee on Foreign Investment in the United States on Monday sent its long-awaited report to President Joe Biden, a longtime opponent of the deal. Some federal agencies represented on the panel were skeptical that allowing a Japanese company to buy an American-owned steelmaker would create national security risks. That's according to a U.S. official familiar with the matter. Both Biden and President-elect Donald Trump opposed the merger and vowed to block it. Nippon Steel says it is confident the deal will go ahead. Nissan and Honda to attempt a merger that would create the world's No. 3 automaker TOKYO (AP) — Japanese automakers Nissan and Honda have announced plans to work toward a merger that would catapult them to a top position in an industry in the midst of tectonic shifts as it transitions away from its reliance on fossil fuels. The two companies said they signed an agreement on integrating their businesses on Monday. Smaller Nissan alliance member Mitsubishi Motors agreed to join the talks. News of a possible merger surfaced earlier this month. Japanese automakers face a strong challenge from their Chinese rivals and Tesla as they make inroads into markets at home and abroad. What a merger between Nissan and Honda means for the automakers and the industry BANGKOK (AP) — Japanese automakers Honda and Nissan will attempt to merge and create the world’s third-largest automaker by sales as the industry undergoes dramatic changes in its transition away from fossil fuels. The two companies said they had signed a memorandum of understanding on Monday and that smaller Nissan alliance member Mitsubishi Motors also had agreed to join the talks on integrating their businesses. Honda will initially lead the new management, retaining the principles and brands of each company. Following is a quick look at what a combined Honda and Nissan would mean for the companies, and for the auto industry. Survey: Small businesses are feeling more optimistic about the economy after the election A survey shows small business owners are feeling more optimistic about the economy following the election. The National Federation of Independent Businesses’ Small Business Optimism Index rose by eight points in November to 101.7, its highest reading since June 2021. The Uncertainty Index declined 12 points in November to 98, following October’s pre-election record high of 110. NFIB Chief Economist Bill Dunkelberg said small business owners became more certain about future business conditions following the presidential election, breaking a nearly three-year streak of record high uncertainty. The survey also showed that more owners are also hoping 2025 will be a good time to grow. Heavy travel day off to a rough start after American Airlines briefly grounds all flights WASHINGTON (AP) — American Airlines briefly grounded flights nationwide due to a technical problem just as the Christmas travel season kicked into overdrive and winter weather threatened more potential problems for those planning to fly or drive. Government regulators cleared American flights to get airborne Tuesday about one hour after the Federal Aviation Administration ordered a national ground stop, which prevented planes from taking off. American said in an email that the problem was caused by an issue with a vendor technology that maintains its flight operating system. The flight-tracking site FlightAware reported that more than 3,200 flights entering or leaving the U.S., or serving domestic destinations, were delayed. Twenty-eight flights were canceled. Nordstrom to be acquired by Nordstrom family and a Mexican retail group in $6.25 billion deal Century-old department store Nordstrom has agreed to be acquired and taken private by Nordstrom family members and a Mexican retail group in a $6.25 billion deal. Nordstrom shareholders will receive $24.25 in cash for each share of Nordstrom common stock, representing a 42% premium on the company’s stock as of March 18. Nordstrom’s board of directors unanimously approved the the proposed transaction, while Erik and Pete Nordstrom — part of the Nordstrom family taking over the company — recused themselves from voting. Following the close of the transaction, the Nordstrom Family will have a majority ownership stake in the company. Stock market today: Wall Street rallies ahead of Christmas Stocks closed higher on Wall Street ahead of the Christmas holiday, led by gains in Big Tech stocks. The S&P 500 added 1.1% Tuesday. Trading closed early ahead of the holiday. Tech companies including Apple, Amazon and chip company Broadcom helped pull the market higher. The Dow Jones Industrial Average rose 0.9%, and the Nasdaq composite climbed 1.3%. American Airlines shook off an early loss and ended mostly higher after the airline briefly grounded flights nationwide due to a technical issue. Treasury yields held steady in the bond market. The yield on the 10-year Treasury was little changed at 4.59% An analyst looks ahead to how the US economy might fare under Trump WASHINGTON (AP) — President-elect Donald Trump won a return to the White House in part by promising big changes in economic policy — more tax cuts, huge tariffs on imports, mass deportations of immigrants working in the United States illegally. In some ways, his victory marked a repudiation of President Joe Biden’s economic stewardship and a protest against inflation. It came despite low unemployment and steady growth under the Biden administration. What lies ahead for the economy under Trump? Paul Ashworth of Capital Economics spoke recently to The Associated Press. The interview has been edited for length and clarity. American consumers feeling less confident in December, Conference Board says American consumers are feeling less confident in December, a business research group says. The Conference Board said Monday that its consumer confidence index fell back in December to 104.7 from 112.8 in November. Consumers had been feeling increasingly confident in recent months. The consumer confidence index measures both Americans’ assessment of current economic conditions and their outlook for the next six months. The measure of Americans’ short-term expectations for income, business and the job market tumbled more than a dozen points to 81.1. The Conference Board says a reading under 80 can signal a potential recession in the near future. Stock market today: Wall Street rises at the start of a holiday-shortened week Stocks closed higher on Wall Street at the start of a holiday-shortened week. The S&P 500 rose 0.7% Monday. Several big technology companies helped support the gains, including chip companies Nvidia and Broadcom. The Dow Jones Industrial Average added 0.2%, and the Nasdaq composite rose 1%. Honda's U.S.-listed shares rose sharply after the company said it was in talks about a combination with Nissan in a deal that could also include Mitsubishi Motors. Eli Lilly rose after announcing that regulators approved Zepbound as the first prescription medicine for adults with sleep apnea. Treasury yields rose in the bond market.