The upsurge in Q1 gross margin reflects the manufacturing efficiencies connected with higher case volumes primarily. Historically, with the exception of initial teaching classes , continuing education fees and charges for educational applications were charged to product sales and marketing expense. As a result of the Proficiency System annual CE requirement, all education and training fees and costs, where CE credit is provided, will now be charged to income and costs of product sales, respectively. Net revenue for Q1 10 was $14.9 million, or $0.19 per diluted share.The Chamber of Commerce used 47. Businesses and businesses that lobbied on wellness reform spent more than $1.2 billion on their overall lobby initiatives, the report finds, out of a complete of $3.47 billion for all reported lobbying last year. However, the amount spent on health overhaul issues isn’t reported independent of additional issues the same companies lobbied on. The total amount of lobbyists working on health treatment doubled this past year. From a business perspective, it was money well spent. A close consider the health reform bills that passed the home and Senate present lobbyists were apparently able to blocking provisions such as a robust government-run insurance plan, and blunting the result of cost-cutting steps on healthcare companies.