Then go to the other extreme. The next center may be a large multispecialty center in a competitive market. Now you will be talking about an executive with healthcare management experience. Most of the people that fit this category will either come from or did come from a hospital setting. You are now competing with hospitals for this executive and will be paying salary and benefits commensurate with that level of individual.
We find that many centers we have gone into the owners tend to go the less cost route and in some cases short change themselves. This is understandable as the owners don’t always have a full appreciation for the level of complexity of running these centers. The complexity of the industry has really grown quickly and so we think more and more centers may be in that area of either not knowing what they don’t know or having that suspicion of maybe there is a better or different way we should be doing things.
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