Endocrinology Physician – Physician Practice Ownership Opportunity (Newark)

Endocrinology Physician – Physician Practice Ownership Opportunity MedCBO, Inc – Newark, Texas, United States About this position About MedCBO Most physicians are trained to practice medicine, not build businesses. Launching and operating a successful medical practice requires decisions about financing, staffing, technology, reimbursement, operations, growth, and long‑term sustainability. These responsibilities are rarely taught in medical training, yet they often determine whether a practice succeeds. MedCBO helps physicians navigate these challenges by providing the guidance, systems, and support needed to build a strong business foundation while maintaining full control of clinical decision‑making. Our goal is simple: help physicians focus on patient care while building successful, sustainable practices. Opportunity Overview Many physicians are interested in practice ownership but are unsure where to start. Questions about financing, staffing, reimbursement, technology, operations, and growth can make the process feel overwhelming. For many physicians, the challenge is not clinical expertise—it is understanding how to build and operate a successful business. This opportunity is designed for physicians who are evaluating practice ownership and want structured support while building a long‑term medical practice. Physicians retain full control of patient care, clinical operations, and medical decision‑making. MedCBO provides guidance and support for the business side of the practice. Who Is Typically Successful In This Model? Physicians who thrive in this model often demonstrate the following characteristics: Interest in building and leading a business, not simply practicing medicine Long‑term commitment to practice ownership Desire to establish meaningful community and referral relationships Understanding that successful practices require both clinical and business leadership Financial discipline and realistic growth expectations Wants to build a practice that can grow and succeed long‑term Realistic financial planning and willingness to invest in long‑term practice success This opportunity is best suited for physicians interested in practice ownership, leadership, and long‑term practice development. Examples of Physician Goals Physicians commonly explore this model when they wish to: Launch a new independent practice Acquire an existing medical practice Transition from employment to ownership Establish a specialty practice in an underserved market Build a long‑term physician‑led organization How MedCBO Helps Physician Founders MedCBO helps physician founders solve many of the business challenges associated with launching and operating a successful medical practice, including: Improving collections and financial performance Becoming billable and establishing payer relationships Building a high‑performing team Understanding practice profitability and growth opportunities Reducing operational and compliance risk Implementing technology and workflow systems Navigating vendor selection and business operations Creating the infrastructure required for long‑term success Physician Responsibilities Successful physician founders are typically committed to both clinical excellence and practice leadership. They understand that building a successful practice requires participation in business planning, community engagement, referral development, and long‑term organizational growth. Provide high‑quality patient care within specialty scope Build professional relationships within the local medical community to grow the practice Participate in key business and growth decisions Help shape the long‑term vision of the practice Maintain clinical quality and patient experience standards Requirements MD or DO degree Board Certified or Board Eligible in their respective field of medicine Unrestricted medical license or ability to obtain licensure in intended practice state Eligibility for hospital and/or facility privileges where applicable Ability to obtain professional liability coverage and other required insurance at standard market rates Location Multiple U.S. markets available. Market selection is physician‑directed and subject to applicable licensure and regulatory requirements. Important Disclosure Physicians interested in this opportunity work directly with MedCBO to evaluate market opportunities, financing considerations, operational requirements, and practice readiness before establishing or acquiring a practice. This is not an employed physician position. Physicians establish, acquire, or operate their own medical practice entity. MedCBO provides non‑clinical administrative and business support services only. Practice performance, revenue, and financial outcomes vary based on specialty, market conditions, physician activity, payer mix, and business decisions. MedCBO does not guarantee practice performance, income, financing approval, or business results. J-18808-Ljbffr

Endocrinology Physician – Physician Practice Ownership Opportunity (Atlanta)

Endocrinology Physician – Physician Practice Ownership Opportunity MedCBO, Inc – Atlanta, Georgia, United States About the Position MedCBO is a business‑consultancy that helps physicians build and operate long‑term medical practices. We provide guidance on financing, staffing, reimbursement, technology, operations, and growth so physicians can maintain full control of clinical decision‑making while establishing a sustainable, profitable practice. Opportunity Overview Support for physicians evaluating practice ownership and seeking structured assistance to launch or acquire a practice. Full clinical control with MedCBO handling the business side. Customized market selection, financing strategy, and operational planning. Success Profile Interest in leading and growing a business. Long‑term commitment to practice ownership. Desire to build community and referral relationships. Understanding of combined clinical and business leadership. Financial discipline and realistic growth expectations. Typical Goals Launch a new independent practice. Acquire an existing practice. Transition from employment to ownership. Establish a specialty practice in an underserved market. How MedCBO Helps Improving collections and financial performance. Establishing payer relationships on the billable side. Building a high‑performing team. Understanding profitability and growth opportunities. Reducing operational and compliance risk. Implementing technology and workflow systems. Vendor selection and business operations. Creating long‑term infrastructure. Physician Responsibilities Provide high‑quality patient care within the specialty scope. Build professional relationships within the local medical community. Participate in key business and growth decisions. Shape the long‑term vision of the practice. Maintain clinical quality and patient experience standards. Requirements MD or DO degree. Board Certified or Board Eligible in the respective field of medicine. Unrestricted medical license or ability to obtain licensure in the intended practice state. Eligibility for hospital and or facility privileges where applicable. Ability to obtain professional liability coverage and other required insurance at standard market rates. Location Multiple U.S. markets are available. Market selection is physician‑directed and subject to applicable licensure and regulatory requirements. Important Disclosure Physicians enrolled in this opportunity will work directly with MedCBO to evaluate market opportunities, financing considerations, operational requirements, and practice readiness before establishing or acquiring a practice. This is not an employed physician position; physicians must establish, acquire, or operate their own legal entity. MedCBO provides non‑clinical administrative and business support services only. Practice performance and financial outcomes depend on specialty, market conditions, payer mix, and the physician’s activity. MedCBO does not guarantee practice performance, income, financing approval, or business results. J-18808-Ljbffr

Licensed Psychiatrist (Virtual) (Evansville)

Licensed Psychiatrist Wage: Between $119-$239 an hour Licensed psychiatrist - Are you ready to launch or expand your private practice? Headway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner. It’s all on one free-to-use platform, no commitment required. About the role This position is for licensed psychiatrists looking to build or grow their private practice. Headway provides the tools, resources, and support to help you navigate insurance, streamline operations, and focus on delivering quality care - on your own terms. About you You’re a fully licensed psychiatrist with your DEA or CDS number, ANCC board certification, a valid NPI number and malpractice insurance. You’re looking to start or expand your private practice while maintaining control over your schedule, client load, and work environment. We accept the following licenses on a state-by-state basis: MD / DO Why partner with Headway? As an independent provider with Headway, you’ll gain access to: Hassle-free insurance credentialing: Get credentialed for free in multiple states within as little as 30 days. Increased earnings: Secure competitive rates with top insurance plans through our nationwide network. Predictable bi-weekly payments: Receive reliable payouts directly from Headway. Built-in EHR tools: Access real-time scheduling, secure client messaging, documentation templates, assessments, and more. Compliance & audit support: Stay up-to-date with insurance requirements and industry regulations. Free continuing education: Earn CEUs and expand your expertise through Headway Academy. How Headway supports your patients Increased access: Headway makes it easier for your clients to get the care they need at a price they can afford through insurance. Instant verification: Clients can easily check their insurance status and get the care they need without disruption. Important Notes This is a 1099 independent contractor role. You’ll have full autonomy over your practice, including setting your hours and managing your caseload. At this time, Headway can’t support mental health professionals that aren’t fully licensed. If your application was rejected for incomplete licensure, you’re welcome to reapply once you have a valid license. About Headway We make it easy for mental health providers to take insurance by credentialing you with the nation’s largest networks, handling billing and admin paperwork, and helping you earn more stable income with higher rates. With Headway, you can finally focus on what matters most: providing life-changing care. We’ll take care of the rest. J-18808-Ljbffr

Family Medicine Physician: Build Your Independent Practice (Portland)

About this position MedCBO helps physicians navigate the complex business side of running a medical practice. We provide guidance, systems, and support so that physicians can focus on patient care while building sustainable, profitable practices. Opportunity Overview Many physicians are interested in practice ownership but lack clear guidance on financing, staffing, reimbursement, technology, operations, and growth. This opportunity is designed for physicians who want structured support while establishing or acquiring a long‑term medical practice. Who Is Typically Successful In This Model? Interest in building and leading a business, not just practicing medicine Long‑term commitment to practice ownership Desire to establish meaningful community and referral relationships Understanding that successful practices require both clinical and business leadership Financial discipline and realistic growth expectations Willingness to invest in long‑term practice success Examples of Physician Goals Launch a new independent practice Acquire an existing medical practice Transition from employment to ownership Establish a specialty practice in an underserved market Build a long‑term physician‑led organization How MedCBO Helps Physician Founders Improve collections and financial performance Become billable and establish payer relationships Build a high‑performing team Understand practice profitability and growth opportunities Reduce operational and compliance risk Implement technology and workflow systems Navigating vendor selection and business operations Creating the infrastructure required for long‑term success Physician Responsibilities Provide high‑quality patient care within specialty scope Build professional relationships within the local medical community to grow the practice Participate in key business and growth decisions Help shape the long‑term vision of the practice Maintain clinical quality and patient experience standards Requirements MD or DO degree Board Certified or Board Eligible in their respective field of medicine Unrestricted medical license or ability to obtain licensure in the intended practice state Eligibility for hospital and/or facility privileges where applicable Ability to obtain professional liability coverage and other required insurance at standard market rates Location Multiple U.S. markets are available. Market selection is physician‑directed and subject to applicable licensure and regulatory requirements. Important Disclosure Physicians interested in this opportunity work directly with MedCBO to evaluate market opportunities, financing considerations, operational requirements, and practice readiness before establishing or acquiring a practice. This is not an employed physician position; physicians establish, acquire, or operate their own medical practice entity. MedCBO provides non‑clinical administrative and business support services only. Practice performance, revenue, and financial outcomes vary based on specialty, market conditions, physician activity, payer mix, and business decisions. MedCBO does not guarantee practice performance, income, financing approval, or business results. J-18808-Ljbffr

Locums Emergency Medicine Physician (Webster)

A busy Level II Trauma Center in Webster, Texas is seeking a Locums Emergency Medicine Physician to join its experienced Emergency Department team. This is an excellent opportunity to practice in a high-acuity setting with strong specialty support, modern technology, and a collaborative multidisciplinary team. Position Highlights Setting: Level II Trauma Center High-acuity Emergency Department Collaborative physician‑led team with comprehensive specialty backup Facility Highlights Approximately 50,000 annual Emergency Department visits 36-bed Emergency Department Dedicated Adult and Pediatric Emergency Departments Accredited Cycle III Chest Pain Center Level II Trauma Center EMR: Meditech Responsibilities Evaluate, diagnose, and treat patients presenting with a broad spectrum of emergency medical conditions Manage high‑acuity medical and traumatic emergencies Perform emergency procedures within the scope of Emergency Medicine practice Order and interpret laboratory tests, imaging studies, and other diagnostic evaluations Stabilize critically ill and injured patients Collaborate with specialists, nursing staff, and ancillary teams to deliver timely, evidence‑based patient care Accurately document patient encounters using Meditech Qualifications Board Certified or Board Eligible in Emergency Medicine (ABEM or AOBEM) Active Texas medical license or ability to obtain licensure Current DEA registration ACLS, ATLS, PALS, and BLS certifications, as required J-18808-Ljbffr

Endocrinology Physician: Launch Your Independent Practice (Baltimore)

About this position MedCBO helps physicians navigate the complex business side of running a medical practice. We provide guidance, systems, and support so that physicians can focus on patient care while building sustainable, profitable practices. Opportunity Overview Many physicians are interested in practice ownership but lack clear guidance on financing, staffing, reimbursement, technology, operations, and growth. This opportunity is designed for physicians who want structured support while establishing or acquiring a long‑term medical practice. Who Is Typically Successful In This Model? Interest in building and leading a business, not just practicing medicine Long‑term commitment to practice ownership Desire to establish meaningful community and referral relationships Understanding that successful practices require both clinical and business leadership Financial discipline and realistic growth expectations Willingness to invest in long‑term practice success Examples of Physician Goals Launch a new independent practice Acquire an existing medical practice Transition from employment to ownership Establish a specialty practice in an underserved market Build a long‑term physician‑led organization How MedCBO Helps Physician Founders Improve collections and financial performance Become billable and establish payer relationships Build a high‑performing team Understand practice profitability and growth opportunities Reduce operational and compliance risk Implement technology and workflow systems Navigating vendor selection and business operations Creating the infrastructure required for long‑term success Physician Responsibilities Provide high‑quality patient care within specialty scope Build professional relationships within the local medical community to grow the practice Participate in key business and growth decisions Help shape the long‑term vision of the practice Maintain clinical quality and patient experience standards Requirements MD or DO degree Board Certified or Board Eligible in their respective field of medicine Unrestricted medical license or ability to obtain licensure in the intended practice state Eligibility for hospital and/or facility privileges where applicable Ability to obtain professional liability coverage and other required insurance at standard market rates Location Multiple U.S. markets are available. Market selection is physician‑directed and subject to applicable licensure and regulatory requirements. Important Disclosure Physicians interested in this opportunity work directly with MedCBO to evaluate market opportunities, financing considerations, operational requirements, and practice readiness before establishing or acquiring a practice. This is not an employed physician position; physicians establish, acquire, or operate their own medical practice entity. MedCBO provides non‑clinical administrative and business support services only. Practice performance, revenue, and financial outcomes vary based on specialty, market conditions, physician activity, payer mix, and business decisions. MedCBO does not guarantee practice performance, income, financing approval, or business results. J-18808-Ljbffr

Director, Debt Capital Markets (Royal Oak)

First Merchants Bank is seeking a Director, Debt Capital Markets to join our team! This position will partner with the Managing Director, Debt Capital Markets to support and implement the growth strategies to facilitate the distribution of syndicated credit facilities, establish and grow key relationships with partner banks, and acquire/manage a portfolio of syndicated loans. Essential Duties and Responsibilities: Active in-person calling program with existing Bank Partners and on Bank Prospects. Ability to Interface with Senior Executives at Partner Banks to articulate First Merchants expertise and capabilities in leading transactions. Understand our Bank Partners underwriting and return criteria by asset class. Understand our Bank Partners approval process and response time to FMB opportunities. Maintain tracking database on Bank Partners. Assist with management of individual sell side transactions through the Syndication process. Identify potential universe of Banks who might partner on a given opportunity. Manage Early Assessment process with identified banks. Manage communication with banks as deal moves through Syndication process. Communicate with Structure team and Relationship Managers on feedback from Banks on in market opportunities. Contributor to Credit Information Memorandum and Confidential Flash Memorandum. Assist in the Loan Structuring of New Opportunities based on knowledge gained from working with Bank Partners and Bank Prospects. Schedule and participate in calls with Managing Director, Debt Capital Markets. Manage Approved Bank Partner list including criteria to add or remove Partners. Contribute to the development of marketing/collateral material for Debt Capital Markets. Utilize bank reporting tools to ensure syndication exposure are properly documented and tracked, and prepare various scheduled management reports. Assist with projects and in developing new or refining existing efficiencies and processes as required. Remain current with all applicable regulations. Position Requirements: Bachelor's degree in accounting, business administration, economics, finance, marketing, mathematics or a related field. A minimum of seven (7) years of relationship management, capital markets, or related experiences in the financial services industry. Preferred Requirements: Master's degree in business administration Previous experience with Syndicated Credit Facilities including loan documentation for commercial and real estate companies is a plus. First Merchants offers the following: Base Pay PLUS Bonuses Medical, Dental and Vision Insurance 401k Health Savings and Flexible Spending Accounts Vacation/Sick Time Paid Holidays Paid Parental Leave Tuition Reimbursement Additional Benefits A little about us: First Merchants is guided by a genuine philosophy of being a meaningful place to work and having a prosperous impact across all walks of life throughout the communities we serve, including consumers, businesses and other organizations. Our Vision, Mission and Team statement reflect and reinforce that authentic service philosophy. Our Vision is: To enhance the financial wellness of the diverse communities we serve. Our Mission is: To be the most responsive, knowledgeable, and high-performing financial organization for our clients, teammates, and shareholders. Our Team: We are a collection of dynamic colleagues with diverse experiences and perspectives who share a passion for positively impacting lives. We are genuinely committed to attracting and engaging teammates of diverse backgrounds. We believe in the power of inclusion and belonging. Apply today to begin your career with us! Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor. J-18808-Ljbffr

Chief Nursing Officer (Walford)

Chief Nursing Officer – Career Opportunity Honored and esteemed for your Chief Nursing Officer expertise, are you seeking a transformative nursing leadership opportunity that feels close to home and heart? Encompass Health invites you to step into the role of Chief Nursing Officer at one of our 150 inpatient rehabilitation hospitals, where we redefine the meaning of a fulfilling career. In our dynamic healthcare environment, experience the warmth of a welcoming community from the start. This role allows you to contribute to patients' well-being by providing compassionate care and support while playing a pivotal role in achieving inspiring healthcare outcomes. As a Chief Nursing Officer, you'll understand that even small victories can yield substantial impacts, taking responsibility for the quality of nursing care provided by the staff. Join us on a journey where your leadership transforms lives, offering a career that combines professional excellence with a deep connection to your roots. A Glimpse into Our World At Encompass Health, you'll experience the difference the moment you become a part of our team. Being at Encompass Health means aligning with a rapidly growing national inpatient rehabilitation leader. We take pride in the growth opportunities we offer and how our team unites for the greater good of our patients. Our achievements include being named one of the World's Most Admired Companies and receiving the Fortune 100 Best Companies to Work For® Award, among other accolades, which is nothing short of amazing. Starting Perks and Benefits Affordable medical, dental, and vision plans for both full‑time and part‑time employees and their families. Generous paid time off that accrues overtime. Opportunities for tuition reimbursement and continuing education. Company‑matching 401(k) and employee stock purchase plans. Flexible spending and health savings accounts. A vibrant community of individuals passionate about the work they do! Join a vibrant community of individuals who are passionate about what they do. Yes, we consider this a valuable benefit. Be the Chief Nursing Officer you've always aspired to Collaborate with all medical, clinical, and therapeutic disciplines to foster patient‑focused, team‑oriented culture that delivers superior service and outstanding outcomes. Develop patient care programs, policies, and procedures that outline how patients' needs for nursing care, treatment, and services are assessed, evaluated, and met. Act as a representative for nursing on various committees, including the Governing Body, Quality Council, MedExec, Infection Control, Education, and Ethics Committees, as needed. Support cultural diversity and maintain an inclusive, respectful work environment. Cultivate an environment and culture that empowers the hospital to fulfill its mission by exceeding its goals, communicating the hospital's mission to all staff, holding staff accountable, motivating the team, and taking charge of measurement and assessment. Implement Joint Commission, CMS, State, rehabilitation nursing, and hospital standards. Utilize a staffing matrix that factors in patient acuity and adjusts staffing to meet budgeted NHPPD. Integrate complex data to make informed decisions, develop programs and plans that optimize health, promote wellness, manage illness, and prevent patient complications. Celebrate the achievements of your staff and patients along the way. Qualifications Possess a current RN licensure as required by state regulations. Hold BSL certification (ACLS preferred). Commit to obtaining CRRN certification within one year of meeting the eligibility requirements. Possess a Bachelor's Degree in Nursing or a related field, unless a higher degree is mandated by state regulations. Advanced Degree, plan to receive an advanced degree, or knowledge and skills associated with an advanced degree required unless otherwise specified by state regulation. Five years of experience in an inpatient hospital setting. Two years of recent (within the last 5 years) Nursing Management experience, with responsibilities including 24‑hour accountability, FTE management, policy, procedure, and budgetary oversight, as well as conducting disciplinary action. May be required to work weekdays and/or weekends, evenings and/or night shifts. May be required to work on religious and/or legal holidays on scheduled days/shifts. At Encompass Health, we celebrate and welcome diversity in our inclusive culture. We provide equal employment opportunities regardless of race, ethnicity, gender, sexual orientation, gender identity or expression, religion, national origin, color, creed, age, mental or physical disability, or any other protected classification. J-18808-Ljbffr

Own & Lead Your Endocrinology Practice (Traverse City)

About this position MedCBO helps physicians navigate the complex business side of running a medical practice. We provide guidance, systems, and support so that physicians can focus on patient care while building sustainable, profitable practices. Opportunity Overview Many physicians are interested in practice ownership but lack clear guidance on financing, staffing, reimbursement, technology, operations, and growth. This opportunity is designed for physicians who want structured support while establishing or acquiring a long‑term medical practice. Who Is Typically Successful In This Model? Interest in building and leading a business, not just practicing medicine Long‑term commitment to practice ownership Desire to establish meaningful community and referral relationships Understanding that successful practices require both clinical and business leadership Financial discipline and realistic growth expectations Willingness to invest in long‑term practice success Examples of Physician Goals Launch a new independent practice Acquire an existing medical practice Transition from employment to ownership Establish a specialty practice in an underserved market Build a long‑term physician‑led organization How MedCBO Helps Physician Founders Improve collections and financial performance Become billable and establish payer relationships Build a high‑performing team Understand practice profitability and growth opportunities Reduce operational and compliance risk Implement technology and workflow systems Navigating vendor selection and business operations Creating the infrastructure required for long‑term success Physician Responsibilities Provide high‑quality patient care within specialty scope Build professional relationships within the local medical community to grow the practice Participate in key business and growth decisions Help shape the long‑term vision of the practice Maintain clinical quality and patient experience standards Requirements MD or DO degree Board Certified or Board Eligible in their respective field of medicine Unrestricted medical license or ability to obtain licensure in the intended practice state Eligibility for hospital and/or facility privileges where applicable Ability to obtain professional liability coverage and other required insurance at standard market rates Location Multiple U.S. markets are available. Market selection is physician‑directed and subject to applicable licensure and regulatory requirements. Important Disclosure Physicians interested in this opportunity work directly with MedCBO to evaluate market opportunities, financing considerations, operational requirements, and practice readiness before establishing or acquiring a practice. This is not an employed physician position; physicians establish, acquire, or operate their own medical practice entity. MedCBO provides non‑clinical administrative and business support services only. Practice performance, revenue, and financial outcomes vary based on specialty, market conditions, physician activity, payer mix, and business decisions. MedCBO does not guarantee practice performance, income, financing approval, or business results. J-18808-Ljbffr

Family Medicine Physician: Build Your Own Practice (Wilmington)

About this position MedCBO helps physicians navigate the complex business side of running a medical practice. We provide guidance, systems, and support so that physicians can focus on patient care while building sustainable, profitable practices. Opportunity Overview Many physicians are interested in practice ownership but lack clear guidance on financing, staffing, reimbursement, technology, operations, and growth. This opportunity is designed for physicians who want structured support while establishing or acquiring a long‑term medical practice. Who Is Typically Successful In This Model? Interest in building and leading a business, not just practicing medicine Long‑term commitment to practice ownership Desire to establish meaningful community and referral relationships Understanding that successful practices require both clinical and business leadership Financial discipline and realistic growth expectations Willingness to invest in long‑term practice success Examples of Physician Goals Launch a new independent practice Acquire an existing medical practice Transition from employment to ownership Establish a specialty practice in an underserved market Build a long‑term physician‑led organization How MedCBO Helps Physician Founders Improve collections and financial performance Become billable and establish payer relationships Build a high‑performing team Understand practice profitability and growth opportunities Reduce operational and compliance risk Implement technology and workflow systems Navigating vendor selection and business operations Creating the infrastructure required for long‑term success Physician Responsibilities Provide high‑quality patient care within specialty scope Build professional relationships within the local medical community to grow the practice Participate in key business and growth decisions Help shape the long‑term vision of the practice Maintain clinical quality and patient experience standards Requirements MD or DO degree Board Certified or Board Eligible in their respective field of medicine Unrestricted medical license or ability to obtain licensure in the intended practice state Eligibility for hospital and/or facility privileges where applicable Ability to obtain professional liability coverage and other required insurance at standard market rates Location Multiple U.S. markets are available. Market selection is physician‑directed and subject to applicable licensure and regulatory requirements. Important Disclosure Physicians interested in this opportunity work directly with MedCBO to evaluate market opportunities, financing considerations, operational requirements, and practice readiness before establishing or acquiring a practice. This is not an employed physician position; physicians establish, acquire, or operate their own medical practice entity. MedCBO provides non‑clinical administrative and business support services only. Practice performance, revenue, and financial outcomes vary based on specialty, market conditions, physician activity, payer mix, and business decisions. MedCBO does not guarantee practice performance, income, financing approval, or business results. J-18808-Ljbffr