Randy Robbins, MD

anything but physician half the time.

And I think that we really are going to have to cultivate some leaders that can stand in the gap and really help communicate what the needs of a physician group are or a physician specialty.

and communicate to those physicians what the needs of a facility are or what industry are or just kind of what payers need or just really stand in the gap from a communication standpoint.

Then when you look at the number of physicians that are becoming employed by either hospital systems or especially private equity or different pieces that have oftentimes a very

dichotomous desire in their goals versus what a physician does.

It may not always be patient care that they're most concerned about unless that patient care can generate a better bottom line for them.

So I think that that's a very, very concerning trend in medicine that we're seeing is private equity in different places stepping in and maybe causing some concern with

With what we do from a quality standpoint overall, I do think, like I said, I think quality of care across the board is pretty strong.

I think it's very, very rare that you see dips in quality without red flags that should have been caught before.

But those are the three or four things that I think are really going to be challenging in the ASC marketplace in the next five years.

Well, you heard that, you know, I do, I wear a lot of different hats.

So I think that for me, an excitement standpoint is where anesthesia is.

I think for the first time ever in medicine, anesthesia is at the table with a real investment in the conversation.

You know, I think we've, anesthesia has historically been viewed almost as a commodity.

And I think that's changing immensely.

And I think people are now realizing that

that we are an important part of the team.

And that piece makes a difference for anesthesia providers across the board.

And so I'm excited about finally getting to be a part of the conversation

and trying to help facilities understand that there's more to a procedure than just, you know, the net rev that comes off that case and what we need to do from an OR efficiency standpoint and how we're utilizing that and everything across the board.