full range of surgical health care specialties. They have developed single-specialty centers in orthopedics, gastroenterology, ophthalmology, otolaryngology and urology, as well as multi-specialty facilities as large as 10 ORs. We have purchased centers, sold centers to hospitals and national buyers, managed hospital outpatient departments, and created a variety of joint ventures with hospitals and health systems, integrating a broad variety of both inpatient and outpatient activities.