Randy Robbins, MD

We've got so many options now that we're doing such a great job from a clinical standpoint.

It really starts to become, okay, how can we partner with, with a facility that

And start making a dent on the revenue piece of this, you know how do we, how do we step in and instead of always saying Okay, you just need to write more checks to me.

What can we do to help offset that and a lot of times like I said, I think it's looking at or efficiency.

And looking at or utilization and partnering with the the leaders of the facility and saying hey.

yeah, if you wanna run flip rooms for six different surgeons and have two hour gaps in each of those rooms, you can do that.

And maybe the net rev on your side makes sense to just pay for the anesthesia to do that.

But if we can consolidate and figure out how to work these surgeons cases the right way, where even if we are doing a flip room, we've got something that goes in that gap there that helps make a difference and helps offset the expense of that.

So I think for us, growth is going to be a lot more about quality than quantity.

You know, I think, like I said, I think if COVID hadn't happened, like I said, we're a group of about 40 right now.

I think we'd have been close to 100 or more because we were growing 40 to 60 percent year over year for the first, gosh, seven or eight years of our practice.

But COVID just put the brakes on all of that.

And then you turn around and like I said, you see private equity stepping in.

And here in Dallas, you've got

probably 70 plus percent of the anesthetics provided by an equity owned provider.

And we've seen the cost of coverage for CRNAs and anesthesiologists, you know, double and triple it in a lot of instances.

And that becomes a crippling finance piece for private practice providers.

So I think it's going to be really quality over quantity for us and just really finding the right partners to work with over the next 10 years.

No, I think that the ASC marketplace in general is at a real tipping point.

We're seeing such a move to the ASCs that the pieces we used five years ago to market ASC lifestyle and jobs