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Imagine this. You're at the Hyatt Regency Chicago

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surrounded by the top minds in the ambulatory

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surgery center industry.

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Welcome to the Becker's 30th annual meeting, the

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business and operations of ASCs from October 30th

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to November 2nd

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2024. Picture the excitement as you collect business

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cards from over a 1000 executive level attendees

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forging priceless connections.

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Feel the buzz of conversations

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as you participate in more than 60 sessions

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led by over

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225 elite ASC speakers.

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Envision yourself gaining actionable insights on topics like

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private equity strategies,

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ASC business growth, and innovations in spine, orthopedics,

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GI, ophthalmology, and cardiology.

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Now imagine yourself listening to inspiring keynotes from

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Hall of Fame boxing world champion, Lila Ali,

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and professional basketball player, Caitlin Clark. Their stories

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will motivate you to take your business to

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new heights. You'll leave with a wealth of

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knowledge and a network of connections to help

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lead your ASC into the next year. Don't

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miss out. Get registered today. Visit beckershospitalreviewdot

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com and click on the events page to

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find the conference website. That's the beckershospitalreview.com

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events page. See you in Chicago.

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This is Alan Connan with the Becker's podcast,

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and I am thrilled to be joined today

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by Kevin Fleming, who is the vice president

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of the Orthopedic

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Institute

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at AdventHealth.

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Kevin, delighted to have you on the podcast

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with us today. Before we get get started

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and jump into some questions, I'd love to

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turn the floor over to you to hear

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a little bit more about your role and

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your background at AdventHealth.

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Sure. Really appreciate the chance to be here,

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and thanks for having us. So as you

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said, my name is Kevin Fleming, and I've

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served as a leader,

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within health care, really, my entire 25 plus

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year career.

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Have been had the privilege to serve a

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number of leading health care systems across the

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country, but right now I'm the vice president

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for the Orthopedic Institute for AdventHealth

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here in Central Florida. And so this role

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really builds on and utilizes

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so many elements of my career that I've

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had in my background because a typical day

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will see me working on strategy, troubleshooting with

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our hospital operators on care opportunities, or

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maybe meeting with physicians to talk about alignment

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or clinical quality,

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all the while working with our team members

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to make a difference for our clinicians and

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our patients and the communities that we serve.

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You know, since I've, in my career, worked

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with medical groups, independent and employed,

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had some hospital operations roles, and had the

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chance to focus on service lines and physician

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alignment

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and other things that I've done, I feel

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really lucky to be here at AdventHealth to

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be in a position that lets me

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lead in a space that's really exciting,

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but that also lets me build on so

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many of the experiences I've had in the

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past.

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Yeah. Absolutely. I mean, it sounds like really

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on any given day, wearing multiple hats, focusing,

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like you said, on strategy, could be operations,

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clinical alignment.

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So really kind of interested to hear what

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are the 2 or 3 key trends that

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you're really focusing on within the health care,

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within the orthopedic space, and what are you

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really focused on for the future?

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You know,

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there's a few things, and I think I'll

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I'll start broad with health care. I think

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this is probably something that applies to everyone,

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but it's something that we're really focused on,

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which is on building and strengthening and really

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supporting our health care workforce, our team members

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that make caring for our communities possible. Ultimately,

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we've really tried to focus on putting a

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great deal of effort, a great deal of

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resources into

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offering our current team members opportunity to grow

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and learn and contribute in new ways, but

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also to connect with the team members of

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the future through some community partnerships we've done,

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educational institutions and other organizations

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where we can build awareness of the great

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opportunities that are within health care and really

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connect people to this mission that we serve.

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And so that's kind of the first big

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trend is how we're working with and strengthening

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our workforce.

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As we kinda dig deeper into my areas

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of focus, which are kinda orthopedics and the

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musculoskeletal

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world,

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one of the things that we're looking at

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is our really just dynamic and evolving network

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of care.

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You know, AdventHealth is a highly visible preeminent

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clinical care company. We've got so many connection

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points with our patients.

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We're trying to stay focused not only on

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new locations and new solutions as we're in

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communities that are changing and evolving,

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but also on identifying and growing with affiliates

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and with like minded physicians and caregivers that

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share our commitment to our mission, our commitment

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to our values, and really a focus on

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whole person care that we really think separates

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us

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in the areas that we serve. And so

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this has led us to be able to

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identify some really cool alignment opportunities with physicians

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and with other, care providers out there, whether

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it's employment,

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affiliations, joint ventures,

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that really help us build a comprehensive network

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of care and not just a series of

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hospitals. And so,

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you know, the one of the last things

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I'll say is kind of a trend that

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I'm looking at is is really just dealing

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with growth. You know, we are

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lucky to be based in Florida, and so

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much of our care network is based in

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Florida. So we're in a growing region and

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a growing state,

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and we've continued to, you know, build new

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hospitals, but we've also really leaned into

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strengthening

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everything outside the hospital laws, our primary health

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care offerings,

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building out a network of off-site emergency departments

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to be closer to where our patients are,

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and then really trying to found the right

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mix of ambulatory

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services that are gonna give our communities what

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they need. So for me in the musculoskeletal

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space, you know, what are we doing in

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outpatient therapy?

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What types of ambulatory imaging

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opportunities do we have? And are we building

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a network of

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outpatient ambulatory surgery centers that are gonna let

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us really lead in that space as much

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as we've been a traditional leader in the

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hospital space?

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Yeah. Yeah. A lot to unpack there and

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so so much exciting things going on at

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Alpen Health. The one thing I wanted to

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circle back to when you were talking about

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really expanding your your network of care,

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one key partnership I wanted to just dive

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a little bit deeper on is obviously that

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partnership with, Raflat Orthopedics. I believe our our

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team had connected recently with doctor Recaro there

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and couldn't speak highly enough

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about AdventHealth.

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I'd love just to hear, how is that

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partnership going? What how are you looking to

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evolve and grow? Is it

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identifying physicians,

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ancillary services, new ASCs? And what's the next

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step or the next evolution in your partnership

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with Rockman Orthopedics?

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You know, I I appreciate you bringing it

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up because it gives me the opportunity to,

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really share some of the great things we've

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done and and start with, you know, our

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admiration of and appreciation for Rockland Orthopedics as

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a partner and really what they brought to

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our health care system here in Central Florida

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and the community that we're serving. You know,

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they're so well known in the musculoskeletal

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space.

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We found a like minded partner that was

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cloak focused

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on whole person healing, innovation,

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research,

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quality,

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really

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providing the type of care that both of

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our organizations

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can be can be really proud of and

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and take in what we're doing for our

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community. And so this partnership that started in

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2020,

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we feel like has given us the ability

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to raise the bar for our orthopedic services

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and musculoskeletal

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services in the communities, not just from a

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surgical perspective, but also from a nonsurgical perspective.

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And, you know, as we look ahead to

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the rest of the decade, we're excited

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about what we're doing. We've

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just opened,

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innovative state of the art ambulatory surgery center

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together,

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in our innovation tower that's in our, AdventHealth

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Orlando campus.

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We are looking at new office locations. We're

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gonna be bringing in additional physicians.

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And so we're always looking for ways that

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we can grow and grow together because I

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think I know from the AdventHealth perspective,

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we've been so pleased with the care that

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we've been able to provide to our community

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through this affiliation with Rofflin Orthopaedics,

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and we're just really excited about everything that's

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to come.

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Yeah. Absolutely. It tied right into my next

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question. It really was what are you most

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excited about right now. So I guess I

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kinda just one quick follow-up on that before

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I move to how how you're looking at

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growth again a little bit deeper over the

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next 12 months or so. But, you know,

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we've seen in Florida particularly,

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the last couple of years, really this huge,

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huge market specifically for orthopedic care. We've seen

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the likes of Rothman Orthopedics. Obviously, we talked

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to that expanding to Florida through the through

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that partnership with AdventHealth. But also,

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Hospital For Special Surgery is another big orthopedic

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provider who's also moved in there.

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I just love to get your perspective in

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terms of how is orthopedic competition,

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among providers really evolving in this space in

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such a a hot and booming market for

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orthopedics?

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Sure. You know, I would say that, you

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know, it it's certainly fierce competition, as you've

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said. There's certainly been a lot of new

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entrants

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to Florida over the last, certainly the start

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of this decade.

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But there was a vibrant orthopedic community in

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place beforehand as well. And I think

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Mhmm. These outside entrants and and

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as we mentioned, one of them is our

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affiliated partner, Rothman Orthopedics. I think what they

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see is what the country sees,

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a growing state, you know, one of the

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the largest in the country with the just

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explosive growth that's taking place. And when we

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look at

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especially for, like, a Rothman Orthopedics or a

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hospital for special surgery,

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you know, these large names in the musculoskeletal

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space that have their roots in the northeast,

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a lot of those patients

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have relocated to Florida or, at the very

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least, spend a lot of time down here.

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And so there is some name recognition.

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And so what we saw the opportunity to

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do with Rothman was to

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elevate our musculoskeletal

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care and the offerings that we had by

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partnering with really just a a best in

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class care partner,

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in Rothman Orthopedics. And so their commitment to

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subspecialty care, to, you know, growing, to innovating,

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it's really transformed the way that we provide

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care,

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certainly today, but also in the future. We

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have launched an orthopedic residency with them

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last year, and and this year, we've got

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a primary care sports medicine fellowship that's launched,

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in partnership with them as well. So we

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see this as not only preparing us to

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take care of this community that we are

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serving right now in a better way, but

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we're partnering with them for the communities that

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we'll be serving for decades to come. Because

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as we continue to train, as we continue

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to grow together,

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I think we're gonna be in a great

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place to really serve Florida as it continues

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to grow,

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even bigger.

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Yeah. Yeah. Absolutely. I mean, it's such an

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exciting partnership. And like you said, I guess,

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growing in tandem,

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AdventHealth Orthopedic Institute with Rothman Orthopedics,

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like you said, opened an ASC together at

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the Innovation Tower,

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adding a lot of top tier providers and

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surgeons, the orthopedic residency that you've mentioned as

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well.

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Anything else to to note before we wrap

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up, Kevin, in terms of how you're looking

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ahead over the next, 1 to 2 years?

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You know,

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we've talked about the growth in Florida and,

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you know, I'll use the quote from Wayne

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Wayne Gretzky.

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You know, he always said, it's it's not

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going to where the puck is. It's going

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to where the puck's going to be. And

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I know I'm paraphrasing there, but we're really

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trying to keep that mindset.

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If we manage to and focus on the

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community as it is today, we're never gonna

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be prepared for the community as it's gonna

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be when an initiative actually takes effect. And

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so whether we're thinking about a new hospital

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or new clinic locations or the types of

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services that we plan to provide,

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we always have to have an eye towards

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the future and the needs for what they're

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going to be.

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And if we are gonna be a preeminent

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clinical care company for the communities that we

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serve,

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we're gonna have to continue to have that

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focus on our community and on our mission.

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And so

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we've tried to keep that as our true

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north, and it's been serving us well. And

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I think if we continue to have our

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eyes on that focus,

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we're gonna be really pleased with where we

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end up.

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Yeah. I think I love ending the podcast

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on the Wayne Gretzky coat there as well.

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A perfect way to wrap this up. And,

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Kevin, a real, real pleasure to have you

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on the podcast with us today. Thank you

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so much. Thank you again for the opportunity.