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Friday, May 15, 2026

P3 Health swings to positive EBITDA, raises 2026 outlook on flat medical trend

 


  • Q1 adjusted EBITDA $26M vs -$22M YoY, exceeding internal expectations and marking inflection.
  • Revenue $386M (+3% YoY) despite at-risk membership falling to 106k from 118k.
  • Improved contract economics drove ~15% YoY MA per-member funding and 63% delegated membership.
  • Full-year 2026 adjusted EBITDA guidance raised to $20–60M (midpoint $40M).
  • Medical margin $74M; adjusted MLR 85.2% with flat MA medical cost trend.
  • Clinical programs: Tier 1 share 62% (from 56%), Stars ahead, member visits +5% vs plan.
  • Problem: growth constrained near term after pruning unprofitable contracts and still-limited delegation in one major market.
  • Balance sheet: $25M cash; ~$250M debt converted to preferred plus $30M new preferred issued.
  • Management tone confident, stressing structural, durable drivers and constructive Medicare Advantage macro backdrop.
  • Q&A centered on utilization mix, sustainability of favorable prior-year development, and pathway to broader delegation.
  • Main concern: sustainability of unusually low medical cost trend and growth with a smaller membership base.
  • Strong quarter, driven by structurally improved payer contracts and disciplined medical cost management.

Yield-Hungry Investors Bet on Credit as Government Debt Sours

 


Credit investors enticed by high yields are buying up corporate bonds, shrugging off the lingering Middle East conflict and focusing instead on robust results from blue-chip businesses.

Risk premiums on US investment-grade bonds on Thursday fell to their lowest level since early February. High-grade bond funds in late April and early May saw the most inflows since September 2020. And one borrower this week, Gilead Sciences Inc., sold longer-dated debt at a yield below that of its existing debt, signaling an unusually high level of demand.

https://www.bloomberg.com/news/articles/2026-05-15/inflation-risk-gives-corporate-bonds-the-edge-over-sovereigns

Re-Arranging The Global Game-Board 'Bigly'

 by James Howard Kunstler,

Resource Scramble

“Trump has done so much damage to libtardery that the Democrats will need a decade of uninterrupted power to undo it, which they're not going to get.”

- Matt Forney on X

If you learned anything from this week’s extravaganza in Beijing, it is that Donald Trump is aggressively re-aligning world relations so that the USA does not end up one of the losers in the global resource scramble that lurks darkly behind all current events.

China does not intend to be an eventual loser, either, though it has lost a lot of traction lately.

The Eurolands are certainly the main losers, embracing loserdom as the old and sick long for death.

India and some of the BRICs countries, are looking a little loser-ish just now.

The primary resource all nations scramble for is oil. Without lavish supplies of oil, you can’t have an advanced techno-industrial economy and, as the feckless Eurolanders learned the hard way, there really isn’t an adequate substitute for oil. The flow of oil depends on economically producible reserves of oil country-by-country, but also on geographic advantage, as we are learning just now in the Hormuz crisis.

“Europe’s crude oil production started its permanent decline in 2001. Asia-Pacific’s production hit a maximum in 2010, and it has been declining since. Africa’s peak oil production took place in 2008, and it has been mostly declining since.”

- Gail Tverberg, OurFiniteWorld.com

Also, turns out, the peak oil story is still real, despite fifteen years of shale oil miracles.

The Persian Gulf states, including Saudi Arabia are probably past peak. American shale oil is in the peaking zone, too — the Permian Basin in Texas is running short of sweet spots. The Arctic National Wildlife Reserve (AMWR) is open for leasing, but it is expensive to drill and produce in the harsh arctic region and the US Geological Survey estimates recoverable reserves there between 7.7 – 10 billion barrels — America consumes roughly 7.5 billion barrels-a-year, so. . . .

There’s Canada, of course, and its tar sands, but the Great White North these days leans rather hostilely towards its neighbor to the south (us). Otherwise, North America is pretty fully explored oil-wise. There can’t be a whole lot of hidden, un-tapped “elephant” fields out there. On the plus side, America enjoys its geographic advantage, comfortably cushioned between the Atlantic and Pacific Oceans, far from the madding crowd of Eurasia.

We have lately trumpeted our supposed acquisition of Venezuela, but projected production of US companies there looking ahead several years would be under a million barrels-a-day while the US uses 20.5-million barrels a day. As for Venezuela’s jungle-bound oil sands, well, for now, fuggeddabowdit.

Russia’s Ministry of Natural Resources puts its commercially recoverable oil resources (with current technology and prices) at around 80-billion barrels, which is a lot, and leaves Russia in a theoretically favorable place for the short term, anyway. China uses about 17-million barrels-a-day and imports about 70-percent of that. Its imports of Iranian oil are substantial but obscured in official statistics due to the evasion of US sanctions. The Hormuz blockade has put a hurt on China.

Here’s how the global resource scramble translates into geopolitical behavior: As has been evident for some time, US interests are increasingly alienated from Euroland’s interests, and better aligned with Russia’s interests. Europe is demonstrably insane these days, roiling with loose talk as it whirls around the drain. Russia, under V. Putin, looks more like the adult in the room. Even Russia’s military operation in Ukraine looks rational if you consider how the EU and the CIA started the damn thing in the first place circa 2014 for the very purpose of provoking Russia.

Mr. Trump has yearned to normalize relations with Russia since he stepped on-stage in 2016, to the great consternation of America’s neocons, CIA shadow-meisters, and the born-again communists running the Democratic Party (who seem to resent Russia ditching Marxism-Leninism thirty-five years ago). This week, the US and China have mutually proposed becoming “partners” rather than rivals on the world scene. We will surely remain mutually wary, but apparently things have changed.

Most urgently, China would like its oil imports from the Persian Gulf restored, and the obvious way to make that happen would be for them to lean on Iran to stop screwing around and come to terms with the US — give up the enriched uranium and stop laying jihad on everybody near and far. We’ll know soon enough if China will do that for us, and we have some goodies promised for them, Nvidia chips, soybeans, and more.

Mr. Trump is rearranging the global game-board bigly, and the net result will be the sorting-out of winners and losers.

Iran is the poster boy for that. It could go either way for them, soon, and rather sharply.

If Iran’s jihad-happy leaders just quit FAFOing, they have the chance to re-enter the global community as an advanced modern economy with a comfortable standard of living.

Or, the US could just blow up what’s left there.

China will probably deliver that message forcefully in the days ahead.

There remains, however, the dirty business of America’s domestic enemies, of whom we learn more and more each week.

This week, it was the testimony of “whistleblower” CIA agent James Erdman that the CIA worked sedulously to conceal the true origins of Covid-19. It looks pretty much like what half of America has suspected all along: that Covid was a trip laid on the nation by its own Deep State (mainly the CIA), in concert with the rogue Democratic Party, for the express purpose of queering the 2020 election.

Related seditious operations apparently continue to this very hour. Former CIA Director John Brennan told MSNBC’s Nicolle Wallace this week: “There’s still a legion of professionals in the law enforcement environment, the Department of Justice, as well as the CIA and other places — the ones who are refusing to follow politically motivated prosecutions, those who are refusing to support any type of political activities on the part of the Trump administration. . . .” Did he just admit that the conspiracy he kicked off in 2016 is still ongoing? And that he is an active party to it? I think so. Do you think Joe DiGenova noticed that down in the DOJ’s Southern District of Florida?

Just as astoundingly, this week former FBI Director James Comey told CNN’s Kasie Hunt that he “still speaks regularly” to current FBI employees. Say, what. . . ? He palavers with the very agency that is investigating him for serious felonies, such as threatening the life of the US president? Sounds a little out-of-order, ya think? Does he long to spend the rest of his life as captain of the ping-pong team at the Lewisburg Federal Penitentiary?

https://www.zerohedge.com/geopolitical/re-arranging-global-game-board-bigly

A Mexican Standoff With Iran

 by Adam Sharp

Both President Trump and Iranian leaders are standing firm on their red lines.

Before peace negotiations restart, Iran has made 5 demands:

  1. Ending the war on all fronts, including Lebanon
  2. Lifting all sanctions
  3. Releasing frozen Iranian assets
  4. Compensation for war damages and losses
  5. Recognition of Iran’s sovereign rights over the Strait of Hormuz

Trump called the proposal “TOTALLY UNACCEPTABLE!”.

The President has criticized Obama fiercely for releasing frozen Iranian funds, and hasn’t backed down on that subject.

As far as paying compensation, that’s not going to happen either. Sanctions relief could come in time, but asking for a total end before negotiations restart is a pipe dream.

And ending the war in Lebanon would mean Israel would have to stop bombing Hezbollah and likely give up the 10% of the country it currently occupies.

Nearly every one of these 5 points is a non-starter. And Iran knows it.

To understand the thinking here, we have to apply game theory.

A Mexican Standoff

In the classic Spaghetti Western The Good, The Bad, and The Ugly, there is a classic Mexican standoff near the end.

image 1

All three men in the standoff want the gold buried nearby. All are armed and deadly with their weapons. The scene’s tension is legendary. You don’t see filmmaking like this anymore.

I won’t spoil the ending for those of you who (somehow) haven’t seen this excellent movie. But these standoff scenes have become a cinematic staple for a reason.

Here is how Wikipedia defines a Mexican standoff:

“A Mexican standoff is a confrontation where no strategy exists that allows any party to achieve victory. Anyone initiating aggression might trigger their own demise. At the same time, the parties are unable to extract themselves from the situation without either negotiating a truce or suffering a loss, maintaining strategic tension until one of those three potential organic outcomes occurs or some outside force intervenes.”

This is essentially where we are with Iran. Everybody is armed to the teeth, staring each other down, wondering if there’s a resolution that doesn’t involve missiles, bombs, and drones.

With our current situation, however, the world economy hangs in the balance.

Last Man Standing

Early on during the conflict, the U.S. Navy allowed Iranian oil tankers to continue passing through the Strait of Hormuz and deliver their cargoes, mostly to China.

However, on April 13th, Trump ramped up the pressure with a blockade. A few Iranian ships have snuck through, but most are stuck.

Iranian oil is piling up in storage. They are likely close to reaching capacity. And when that storage is full, things get tricky for Iran.

The country’s oil wells are particularly vulnerable to shut-ins (shutting down production). Stopping the flow can seriously damage the wells. We saw this during COVID, which combined with U.S. sanctions, crippled Iran’s oil exports for years:

image 2

This was an absolutely devastating blow for Iran. Oil is their biggest industry, by far. Their currency was annihilated, and it’s getting destroyed even worse today. But somehow they buckled down and weathered the storm from late 2019 to 2022.

The blockade is currently costing Iran about $500 million per day. That’s a massive hit. President Trump has also sanctioned Chinese oil refineries for processing Iranian crude, which was a big trade war escalation.

However, it sounds like he may back down on this matter after his recent visit to Beijing. China has essentially told the refineries to ignore the sanctions, which is the first time that’s happened. Another Mexican standoff.

President Trump is betting that Iran will break first. I’m not sure that’s a great bet. This is a country that’s been under harsh sanctions for 47 years, cut off from the world.

And like it or not, the current leadership remains firmly in charge.

Iran vs. The World Economy

I ran some numbers this morning, and it looks like so far, the world has spent about an extra $600 billion on oil, fertilizers, and liquefied natural gas (LNG).

The energy crisis is beginning to work its way through the global economy. Inflation is picking up, as we covered yesterday.

When the price of fuels, plastics, and fertilizers spike, it affects almost everything. And it’s really only just beginning.

Yields on government bonds around the world are spiking. Investors are demanding higher yields to account for higher inflation. This is a bad sign for a debt-bloated world.

So while Iran is under serious pressure, so are the rest of us. Americans are struggling with high energy and food prices, and don’t want another prolonged war in the Middle East.

Last Man Standing

Despite Iran’s economy being put in a vise, I don’t expect them to give in.

For them, this conflict is existential. So they’re willing to accept prolonged economic pain. Or even a return to war.

Are they bluffing? Perhaps. But it doesn’t seem like it. They are united with a certain religious and nationalist zealotry.

Can we say the same? Are we willing to restart the war, or let the Strait of Hormuz remain closed for another few months, or even the rest of 2026?

If Hormuz remains shut, the pain will quickly become extreme. And despite his threats to end Iran as a civilization, I don’t think Trump wants to restart the war. We were the party which asked for a ceasefire via Pakistan. And we know that Iran will strike back at Gulf oil infrastructure and further damage U.S. and Israeli targets in the region.

I hate to say it, but President Trump has painted himself into a corner. It’s a classic Mexican standoff. There are no good exit options.

At the beginning of this conflict, back on March 7th, Jim Rickards made a bold statement.

In a war of attrition, really a war for survival, victory goes to the last man standing. That may be Iran.

At the time, almost nobody else was saying this. The U.S. appeared triumphant and unstoppable. He also predicted that U.S. munitions would become a problem, and they have. The March 7th piece, Jim Rickards’ Most Surprising Iran Takes, is worth a re-read today. He nailed it.

Exit Possibilities

President Trump wants to find an exit that can be spun as a win. Frankly, this is a longshot. So for now, the Mexican standoff will continue.

Eventually we may simply have to withdraw. It’s happened before. Vietnam, Afghanistan.

What that would look like isn’t exactly clear. Would all the U.S. bases in the Gulf be repaired and rebuilt? Even though they’re under threat from Iranian missiles and drones? If not, that’s a sea change in U.S. power projection in the region. If they are rebuilt, that’s going to be a rather expensive proposition, especially considering the new defensive measures which would be required.

Would the Strait of Hormuz remain under Iranian control? That’s another key consideration.

Ultimately, a deal remains the most likely outcome. But it could take years to reach a lasting agreement.

In the meantime the world economy will suffer. Somehow, stocks are just below fresh all-time highs. But I don’t see that lasting as this situation drags out.

This is why every past administration avoided a hot war with Iran. Now President Trump must find a way to salvage the situation. Even if that means making compromises.

If he can put aside his pride and make a deal, my respect for Trump will only rise. But it remains unlikely until the pain becomes unbearable. So buckle up.

https://dailyreckoning.com/a-mexican-standoff-with-iran/

Berkshire Amasses $2.6 Billion Stake in Delta Airlines

 


Berkshire Hathaway Inc. amassed a $2.6 billion stake in Delta Airlines Inc., reigniting the conglomerate’s complicated relationship with the airline industry.

The Omaha, Nebraska-based company said it had purchased 39.8 million shares in the airline as of the end of March, according to a regulatory filing Friday. The move — which amounted to a 6.1% stake — sent shares of the carrier up more than 3% in late trading.

https://www.bloomberg.com/news/articles/2026-05-15/berkshire-boosts-alphabet-exits-amazon-in-ceo-s-first-quarter


The Global Bond Rout Catches Up With Wall Street’s Risk Rally

 


Wall Street’s hard-charging risk rally just ran into the bond market.

The S&P 500 fell more than 1% Friday, led by technology shares, as a global bond selloff drove Treasury 10-year yields above 4.5%, pushed Japan’s 30-year borrowing costs to 4% for the first time and sent yields on UK long bonds to a 28-year high. Oil climbed above $105 a barrel after a Trump-Xi summit in Beijing produced no breakthrough over the Strait of Hormuz standoff.

https://www.bloomberg.com/news/articles/2026-05-15/the-global-bond-rout-catches-up-with-wall-street-s-risk-rally

Global Bond Selloff Worsens as Rising Oil Prices Spook Investors

 


Government bond markets tumbled around the world, sending yields surging from Japan to the US on intensifying fears that the war-driven price shock will force central banks to raise interest rates to contain the impact.

The rout was led by longer-dated bonds that are the most vulnerable to accelerating inflation, sending 30-year US Treasury yields to the cusp of their 2023 peak. US 10-year yields rose 12 basis points to 4.6%, capping the biggest weekly jump since President Donald Trump’s tariffs threw markets into a tailspin in April 2025.

https://www.bloomberg.com/news/articles/2026-05-15/treasuries-lead-global-bond-yields-higher-on-inflation-angst