1 00:00:00,080 --> 00:00:02,560 Hello everyone. This is Erica Spicer Mason with 2 00:00:02,560 --> 00:00:04,879 Becker's Healthcare. Thank you so much for tuning 3 00:00:04,879 --> 00:00:07,459 into the Becker's Healthcare podcast series today. 4 00:00:08,080 --> 00:00:09,679 So today we're diving into one of the 5 00:00:09,679 --> 00:00:13,380 most dynamic segments in healthcare, ambulatory surgery centers. 6 00:00:13,985 --> 00:00:16,785 Rising costs, value based payment models and shifting 7 00:00:16,785 --> 00:00:17,684 patient expectations 8 00:00:17,984 --> 00:00:20,625 have pushed ambulatory growth from a nice to 9 00:00:20,625 --> 00:00:22,464 have into the center of the C suite 10 00:00:22,464 --> 00:00:22,964 playbook. 11 00:00:23,425 --> 00:00:26,064 And ASCs continue to grow in both volume 12 00:00:26,064 --> 00:00:29,190 and complexity, which is reshaping where and how 13 00:00:29,190 --> 00:00:30,170 care is delivered. 14 00:00:30,869 --> 00:00:32,229 So with all of that in mind, our 15 00:00:32,229 --> 00:00:34,630 episode today is going to cover inside the 16 00:00:34,630 --> 00:00:38,570 modern ASC. We'll cover innovation, partnerships, and performance 17 00:00:38,950 --> 00:00:41,109 and explore the latest trends that are driving 18 00:00:41,109 --> 00:00:42,170 ASC expansion, 19 00:00:42,545 --> 00:00:44,384 as well as the importance of partnership and 20 00:00:44,384 --> 00:00:46,005 the impact for patient experience. 21 00:00:46,704 --> 00:00:48,864 So joining me for this important conversation is 22 00:00:48,864 --> 00:00:52,085 Jimmy Descony, the senior director of healthcare administrator 23 00:00:52,304 --> 00:00:53,684 relations at Arthrex 24 00:00:54,304 --> 00:00:57,364 and Jonathan Kling, the COO of Naples Comprehensive 25 00:00:57,744 --> 00:00:58,244 Health. 26 00:00:58,829 --> 00:01:01,070 Jimmy, John, without further ado, welcome to the 27 00:01:01,070 --> 00:01:02,670 podcast. Thank you so much for being here 28 00:01:02,670 --> 00:01:05,390 today. Thank you, Erica. Thank you. Happy to 29 00:01:05,390 --> 00:01:07,729 be here. Really great to have you both. 30 00:01:07,869 --> 00:01:10,030 And before we get into our conversation and 31 00:01:10,030 --> 00:01:12,030 talk all about ASCs, I'm wondering if you 32 00:01:12,030 --> 00:01:13,469 can both just share a little bit more 33 00:01:13,469 --> 00:01:14,995 about yourselves and the work that you do 34 00:01:14,995 --> 00:01:15,734 in health care. 35 00:01:16,275 --> 00:01:17,814 Jimmy, maybe you could or Jonathan, 36 00:01:18,194 --> 00:01:19,715 feel free. Whoever would like to kick us 37 00:01:19,715 --> 00:01:23,254 off. Jonathan, please. Yeah. Well, good morning. 38 00:01:23,795 --> 00:01:26,034 Jonathan Kling. I'm the, chief operating officer of 39 00:01:26,034 --> 00:01:26,534 NCH. 40 00:01:27,310 --> 00:01:29,870 You you know, NCH is, Naples comprehensive health 41 00:01:29,870 --> 00:01:31,090 here in Naples, Florida. 42 00:01:31,549 --> 00:01:34,430 It's a two hospital system, 715 43 00:01:34,430 --> 00:01:35,329 licensed beds. 44 00:01:35,709 --> 00:01:38,270 But, really, one of the few not for 45 00:01:38,270 --> 00:01:40,349 profit locally owned and government health systems left 46 00:01:40,349 --> 00:01:41,409 in the state of Florida. 47 00:01:41,870 --> 00:01:42,370 This 48 00:01:42,795 --> 00:01:44,954 conversation today is really exciting to be a 49 00:01:44,954 --> 00:01:47,114 part of. I think the strategy we're gonna 50 00:01:47,114 --> 00:01:48,394 talk about here in the next few minutes 51 00:01:48,394 --> 00:01:49,995 is gonna kind of outline what we have 52 00:01:49,995 --> 00:01:51,935 done to remain that locally owned 53 00:01:52,234 --> 00:01:54,474 and governed, not for profit health system that 54 00:01:54,474 --> 00:01:57,269 serves our community while being innovative to the 55 00:01:57,269 --> 00:01:59,590 best of our abilities and partner with the 56 00:01:59,590 --> 00:02:01,689 best in class to achieve those goals. 57 00:02:02,549 --> 00:02:04,310 Looking forward to learning about that. Thanks so 58 00:02:04,310 --> 00:02:05,129 much, Jonathan. 59 00:02:05,590 --> 00:02:07,829 And, Jimmy, tell us about you too. Yeah. 60 00:02:07,829 --> 00:02:08,969 Sure. And thank you. 61 00:02:09,465 --> 00:02:11,224 So like John, I'm a I'm a a 62 00:02:11,224 --> 00:02:12,824 nurse by background. I need to mention it, 63 00:02:12,824 --> 00:02:14,104 but I'm gonna mention it for him. So 64 00:02:14,104 --> 00:02:16,504 we're we're both clinical leaders, and, we're we're 65 00:02:16,504 --> 00:02:18,925 proud of that, background and and experience. 66 00:02:20,185 --> 00:02:22,985 I also, was a hospital chief nursing officer 67 00:02:22,985 --> 00:02:25,669 and hospital CEO, and I came to Arthrex 68 00:02:25,729 --> 00:02:27,590 about eight years ago, so I I did 69 00:02:27,650 --> 00:02:29,990 exit the the hospital and ASC industry, 70 00:02:30,770 --> 00:02:32,689 to really just be be part of something 71 00:02:32,689 --> 00:02:35,090 special here. And Arthrex was accelerating at the 72 00:02:35,090 --> 00:02:36,949 time with with innovations, and, 73 00:02:37,405 --> 00:02:39,525 I get the opportunity to work with, Jonathan 74 00:02:39,525 --> 00:02:41,205 and leaders from around the world now on 75 00:02:41,205 --> 00:02:43,685 a daily basis. So, very exciting to be 76 00:02:43,685 --> 00:02:45,685 part of, the health care community in a 77 00:02:45,685 --> 00:02:46,504 different way. 78 00:02:47,844 --> 00:02:49,525 Oh, it's great to learn more about you 79 00:02:49,525 --> 00:02:51,604 both and great to know as well that 80 00:02:51,604 --> 00:02:53,710 you have this clinical experience that you're bringing 81 00:02:53,710 --> 00:02:55,889 to the table and to your experience with 82 00:02:56,110 --> 00:02:57,090 developing ASCs. 83 00:02:58,110 --> 00:02:59,629 And, Jimmy, I'd like to start with you 84 00:02:59,629 --> 00:03:01,330 for the first question. So 85 00:03:01,870 --> 00:03:03,870 given all of the experience that you have 86 00:03:03,870 --> 00:03:06,364 to date, from where you stand, what major 87 00:03:06,364 --> 00:03:09,164 trends are you seeing shape the ASC landscape 88 00:03:09,164 --> 00:03:11,724 right now? And how have teens adapted to 89 00:03:11,724 --> 00:03:14,305 support this period of really rapid growth? 90 00:03:15,164 --> 00:03:17,084 Yeah. Well, you you mentioned one of them 91 00:03:17,084 --> 00:03:19,724 already. It's just the the increasing in, in 92 00:03:19,724 --> 00:03:20,750 complexity. Is 93 00:03:22,330 --> 00:03:24,110 a challenge in of itself. But 94 00:03:24,569 --> 00:03:26,830 certainly can't go without saying, you know, 95 00:03:27,289 --> 00:03:27,789 payers, 96 00:03:28,090 --> 00:03:30,490 or steering cases, you know, out of hospital 97 00:03:30,490 --> 00:03:32,669 inpatient to either outpatient or ASCs. 98 00:03:33,205 --> 00:03:35,764 The margin pressures that that Jonathan and and 99 00:03:35,764 --> 00:03:37,224 his team and others are facing. 100 00:03:37,764 --> 00:03:39,284 I I would say that the increase in 101 00:03:39,284 --> 00:03:42,164 joint ventures consolidation, there there's a there's a 102 00:03:42,164 --> 00:03:44,965 ripple effect around that that Becker's has done 103 00:03:44,965 --> 00:03:46,185 a nice job highlighting, 104 00:03:46,564 --> 00:03:47,064 weekly, 105 00:03:47,490 --> 00:03:49,569 and so I follow that very closely. The 106 00:03:49,569 --> 00:03:51,889 CON laws change is another big one. You 107 00:03:51,889 --> 00:03:53,750 know, North Carolina's next year, 108 00:03:54,210 --> 00:03:56,290 on the docket with CON laws changing, and 109 00:03:56,290 --> 00:03:58,629 so that that creates opportunity and and, 110 00:03:59,090 --> 00:04:00,389 chaos in some ways, 111 00:04:00,849 --> 00:04:03,030 but certainly, a competitive landscape. 112 00:04:04,305 --> 00:04:07,504 Can't go without saying the potential regulatory changes 113 00:04:07,504 --> 00:04:10,324 here, as CMS finalizes their rule, 114 00:04:10,784 --> 00:04:11,685 here in November. 115 00:04:11,985 --> 00:04:13,985 And and so a lot of discussion around 116 00:04:13,985 --> 00:04:15,905 that at your recent conference that I attended 117 00:04:15,905 --> 00:04:16,644 in Chicago. 118 00:04:17,264 --> 00:04:19,319 And then, I I think for us, it's 119 00:04:19,399 --> 00:04:21,020 how do you match up the innovation, 120 00:04:21,960 --> 00:04:24,040 that's relevant to the changes that are happening 121 00:04:24,040 --> 00:04:26,120 today and over the next, several years in 122 00:04:26,120 --> 00:04:28,279 the ASC business? So I gave you a 123 00:04:28,279 --> 00:04:30,839 handful there, but, certainly, each, we could go 124 00:04:30,839 --> 00:04:32,279 on for an hour on each of those. 125 00:04:32,279 --> 00:04:34,274 But, I'll turn it over to you and 126 00:04:34,274 --> 00:04:36,055 Jonathan, for some follow-up. 127 00:04:36,754 --> 00:04:37,254 Sure. 128 00:04:37,795 --> 00:04:40,055 Yeah. I mean, I appreciate you highlighting 129 00:04:40,355 --> 00:04:43,074 the many areas where ASCs are are seeing 130 00:04:43,074 --> 00:04:44,834 a lot of significant shifts. So you've touched 131 00:04:44,834 --> 00:04:45,574 on complexity, 132 00:04:46,479 --> 00:04:49,919 steering patients out of inpatient toward the outpatient 133 00:04:49,919 --> 00:04:53,360 space, consolidation, CUN laws, regulatory changes. I mean, 134 00:04:53,360 --> 00:04:54,979 there's a lot happening here. 135 00:04:55,439 --> 00:04:57,680 And John, I know where where you sit 136 00:04:57,680 --> 00:04:58,659 with your organization 137 00:04:59,514 --> 00:05:01,915 at NCH, you've mentioned that there's been some 138 00:05:01,915 --> 00:05:04,154 growth. And I know building a new ASC 139 00:05:04,154 --> 00:05:07,194 was actually a cornerstone of your expansion strategy 140 00:05:07,194 --> 00:05:09,514 for your organization. So can you say a 141 00:05:09,514 --> 00:05:11,595 little bit about what really drove that decision 142 00:05:11,595 --> 00:05:13,529 and how it aligns with the kind of 143 00:05:13,529 --> 00:05:16,589 broader goals for access as well as growth? 144 00:05:17,289 --> 00:05:19,449 Yes. Yes. Jimmy, they're really a lot of 145 00:05:19,449 --> 00:05:21,209 key factors. One of those was, you know, 146 00:05:21,209 --> 00:05:24,250 the the payer and access puck was going 147 00:05:24,250 --> 00:05:25,725 that way on the ice already. 148 00:05:26,105 --> 00:05:27,464 So but what and so we set we 149 00:05:27,464 --> 00:05:28,824 had about four and a half years ago, 150 00:05:28,824 --> 00:05:31,545 we had a board strategic session, and the 151 00:05:31,545 --> 00:05:33,785 ASC strategy was one of the top agenda 152 00:05:33,785 --> 00:05:34,285 items. 153 00:05:35,064 --> 00:05:36,425 At that time, we did not have any 154 00:05:36,425 --> 00:05:38,430 ASCs in our health system, but with the 155 00:05:38,430 --> 00:05:40,509 way the payers were kinda pushing those more 156 00:05:40,509 --> 00:05:43,389 complex cases that are traditionally done in acute 157 00:05:43,389 --> 00:05:44,129 care hospital, 158 00:05:44,750 --> 00:05:46,750 it kind of it it it forced our 159 00:05:46,750 --> 00:05:48,029 hand to go a little quicker than we 160 00:05:48,029 --> 00:05:49,250 thought we were going to. 161 00:05:49,949 --> 00:05:52,029 You know, fast forward four years, here we 162 00:05:52,029 --> 00:05:54,595 are. We're talking about this beautiful ASC we 163 00:05:54,595 --> 00:05:57,235 built, but it's more than just beautiful brick 164 00:05:57,235 --> 00:05:59,715 and mortar. I think the driving strategy was 165 00:05:59,715 --> 00:06:02,435 our board said, be the best, partner with 166 00:06:02,435 --> 00:06:03,095 the best. 167 00:06:03,395 --> 00:06:04,995 We we don't want just a good ASC. 168 00:06:04,995 --> 00:06:06,694 We want the world's best ASC. 169 00:06:07,099 --> 00:06:09,019 And that's when we partner with the hospital 170 00:06:09,019 --> 00:06:11,259 for special surgery in New York to drive 171 00:06:11,259 --> 00:06:13,419 some of our strategies around their quality. They 172 00:06:13,419 --> 00:06:15,979 have a the world's best orthopedic hospital for 173 00:06:15,979 --> 00:06:18,300 many years running. And then, you know, being 174 00:06:18,300 --> 00:06:20,220 right across the street from Arthrogs here, the 175 00:06:20,220 --> 00:06:21,759 natural synergies are on innovation, 176 00:06:22,605 --> 00:06:25,584 clinical integration, physician led decision making, 177 00:06:25,884 --> 00:06:28,305 and integrating technology into, ASC 178 00:06:28,845 --> 00:06:30,464 that really drives education, 179 00:06:30,764 --> 00:06:32,225 research, and quality. 180 00:06:32,764 --> 00:06:35,004 That was our foundational principles for this project, 181 00:06:35,004 --> 00:06:36,939 and it's been highly successful. It was a 182 00:06:36,939 --> 00:06:38,699 great process throughout, and we'll talk more about 183 00:06:38,699 --> 00:06:40,620 it the rest of this podcast, but very 184 00:06:40,620 --> 00:06:42,080 exciting times here in Naples. 185 00:06:42,620 --> 00:06:45,500 Yeah. Oh, absolutely. I appreciate you sharing those 186 00:06:45,500 --> 00:06:48,824 exciting developments, John. And this partnership with Hospital 187 00:06:48,824 --> 00:06:51,464 for Special Surgery, I mean, sounds like it 188 00:06:51,464 --> 00:06:53,464 was a very intentional partnership. I think you 189 00:06:53,464 --> 00:06:55,865 mentioned how your board wanted this to be 190 00:06:55,865 --> 00:06:58,985 the world's best new ASC. So what a 191 00:06:58,985 --> 00:07:00,990 goal to aim toward. And can you just 192 00:07:00,990 --> 00:07:02,430 say a little bit more about how that 193 00:07:02,430 --> 00:07:05,150 partnership with hospital for for special surgery has 194 00:07:05,150 --> 00:07:07,150 really helped from a business and a patient 195 00:07:07,150 --> 00:07:07,889 care standpoint? 196 00:07:08,589 --> 00:07:09,870 Yes. I think if you look at the, 197 00:07:10,189 --> 00:07:12,589 their best in class policies and procedures and 198 00:07:12,589 --> 00:07:14,110 how they take care of the patients and 199 00:07:14,110 --> 00:07:16,305 the whole continuum of that patient journey, 200 00:07:16,865 --> 00:07:19,185 It's really it's really best practice. And he 201 00:07:19,345 --> 00:07:21,125 so what we try to do here was 202 00:07:21,264 --> 00:07:23,985 integrate our culture here at Naples Comprehensive Health 203 00:07:23,985 --> 00:07:26,064 with best practices from our partners up in 204 00:07:26,064 --> 00:07:27,824 New York and look at the how the 205 00:07:27,824 --> 00:07:29,285 process works. For example, 206 00:07:29,839 --> 00:07:31,759 this is not your traditional ASC that has 207 00:07:31,759 --> 00:07:32,259 generalist 208 00:07:32,800 --> 00:07:34,420 for orthopedics, for example. 209 00:07:35,120 --> 00:07:38,020 Our orthopedic surgeons, they specialize in one area. 210 00:07:38,160 --> 00:07:39,920 So when when you have somebody comes in 211 00:07:39,920 --> 00:07:42,240 that only does shoulders, only does knees, only 212 00:07:42,240 --> 00:07:44,685 does hips, only does hands, that kind of 213 00:07:44,824 --> 00:07:45,965 specialized care 214 00:07:46,425 --> 00:07:48,025 is really, what we were looking for. We 215 00:07:48,025 --> 00:07:50,185 wanted to differentiate ourselves in this market, in 216 00:07:50,185 --> 00:07:51,965 The States, in the country, actually, 217 00:07:52,345 --> 00:07:54,904 that, you know, attritional ASCs, in my experience, 218 00:07:54,904 --> 00:07:56,585 in my knowledge, you have a lot of 219 00:07:56,585 --> 00:07:58,770 generalists, and that's not a bad thing. But 220 00:07:58,770 --> 00:08:00,770 we chose to invest a little bit more 221 00:08:00,770 --> 00:08:01,270 heavily 222 00:08:01,889 --> 00:08:04,449 in, the number of surgeons and focus them 223 00:08:04,449 --> 00:08:06,689 on one subset of their work, and that 224 00:08:06,689 --> 00:08:08,610 was it. And finally, we wanted to make 225 00:08:08,610 --> 00:08:10,529 sure that they were all fellowship trained in 226 00:08:10,529 --> 00:08:11,270 that subspecialty. 227 00:08:12,055 --> 00:08:13,654 And so there isn't one like that in 228 00:08:13,654 --> 00:08:15,495 our market to my knowledge. And so I 229 00:08:15,495 --> 00:08:17,355 think that really from a patient perspective, 230 00:08:17,735 --> 00:08:19,814 if you know you're going to, a surgeon 231 00:08:19,814 --> 00:08:21,334 that he or she only does one thing 232 00:08:21,334 --> 00:08:22,314 every single day, 233 00:08:22,774 --> 00:08:25,115 all week, all year for their career, 234 00:08:25,759 --> 00:08:27,680 quality is the driving force behind that decision. 235 00:08:27,680 --> 00:08:30,419 So that's exciting as a clinician myself to 236 00:08:30,479 --> 00:08:31,839 be able to bring that to a community 237 00:08:31,839 --> 00:08:33,360 and offer that world class care right here 238 00:08:33,360 --> 00:08:36,500 in Southwest Florida. More of that factory mentality? 239 00:08:36,799 --> 00:08:37,860 Yes. Yes. 240 00:08:38,559 --> 00:08:40,824 Yeah. Yeah. And I know quality has come 241 00:08:40,824 --> 00:08:42,745 up a number of times, John. And based 242 00:08:42,745 --> 00:08:44,345 on what you just described, I can see 243 00:08:44,345 --> 00:08:46,345 how that that's been a driving force in 244 00:08:46,345 --> 00:08:47,004 that area. 245 00:08:47,704 --> 00:08:49,245 And really this idea of partnerships, 246 00:08:50,105 --> 00:08:53,129 Jimmy, we're seeing partnerships play a growing role 247 00:08:53,129 --> 00:08:54,909 in modern ASC operations. 248 00:08:55,769 --> 00:08:57,549 So I'd love to hear from your perspective 249 00:08:58,250 --> 00:09:00,970 why you think partnerships are really necessary to 250 00:09:00,970 --> 00:09:04,110 help address the complexities that ASCs face today. 251 00:09:04,485 --> 00:09:06,485 And, really, how is your team working to 252 00:09:06,485 --> 00:09:09,304 help ASCs enhance performance and also efficiency? 253 00:09:10,404 --> 00:09:12,085 Yeah. Erica, I I think the first thing 254 00:09:12,085 --> 00:09:14,024 that comes to to my mind is 255 00:09:14,565 --> 00:09:16,940 somebody has to innovate. And and and I 256 00:09:16,940 --> 00:09:18,700 can tell you because I've spent twenty five 257 00:09:18,700 --> 00:09:21,200 years in the hospital and ASC world that 258 00:09:21,419 --> 00:09:24,240 it's the most complex enterprise that exists. And 259 00:09:24,700 --> 00:09:27,279 whether it's a lack of resources, a focused 260 00:09:27,339 --> 00:09:27,839 effort, 261 00:09:28,539 --> 00:09:30,159 you know, the the talent and the expertise 262 00:09:30,220 --> 00:09:32,080 to innovate, and a lot of health systems 263 00:09:32,144 --> 00:09:35,205 can do it. It's certainly difficult for ASCs. 264 00:09:35,345 --> 00:09:37,264 And I I I think the bottom line 265 00:09:37,264 --> 00:09:37,764 is 266 00:09:38,144 --> 00:09:41,425 health systems, hospitals, ASCs, ASC management companies, they 267 00:09:41,425 --> 00:09:42,565 can't go at it alone. 268 00:09:42,945 --> 00:09:44,804 You you have to have industry partners, 269 00:09:45,184 --> 00:09:47,684 you know, like Arthrex. And and and, certainly, 270 00:09:47,985 --> 00:09:50,460 if if anyone knows about Arthrex, right, we're, 271 00:09:50,839 --> 00:09:53,240 we're a pioneer in the ASC space with 272 00:09:53,240 --> 00:09:56,039 our minimally invasive technologies for for decades now, 273 00:09:56,039 --> 00:09:57,899 almost over forty years. And so 274 00:09:58,279 --> 00:09:59,339 I I think of 275 00:09:59,639 --> 00:10:01,399 not going at it alone is is what, 276 00:10:01,399 --> 00:10:02,759 you know, I think drives a lot of 277 00:10:02,759 --> 00:10:05,745 my thought process. But we also believe that 278 00:10:05,745 --> 00:10:07,845 every patient deserves access to innovation. 279 00:10:08,304 --> 00:10:11,264 So John mentioned, you know, patient centric, physician 280 00:10:11,264 --> 00:10:14,544 centric mentality here, and and this focus factory 281 00:10:14,544 --> 00:10:15,845 model is is important. 282 00:10:16,360 --> 00:10:18,840 And so we're anticipating the needs. We're already 283 00:10:18,840 --> 00:10:19,899 inventing technologies, 284 00:10:20,679 --> 00:10:22,200 that'll come out in the next three to 285 00:10:22,200 --> 00:10:22,940 five years 286 00:10:23,480 --> 00:10:24,460 that'll be relevant, 287 00:10:24,919 --> 00:10:27,399 with with this migration of cases and and 288 00:10:27,399 --> 00:10:30,200 what what the ASCs and and hospital joint 289 00:10:30,200 --> 00:10:32,024 venture partners as well, you know, or even 290 00:10:32,024 --> 00:10:34,584 the management companies for that matter. And so 291 00:10:34,584 --> 00:10:35,964 we we feel a responsibility 292 00:10:36,504 --> 00:10:38,365 to be, the innovative partner, 293 00:10:38,985 --> 00:10:41,464 and we're really hyper focused on growth and 294 00:10:41,464 --> 00:10:43,865 efficiency. So, you know, John mentioned this new 295 00:10:43,865 --> 00:10:44,365 project, 296 00:10:44,985 --> 00:10:45,884 super exciting. 297 00:10:46,340 --> 00:10:47,940 We feel it's one of the most advanced 298 00:10:47,940 --> 00:10:48,600 and efficient 299 00:10:48,980 --> 00:10:51,620 ASCs in the world at this point, and 300 00:10:51,620 --> 00:10:53,460 there's lots of different reasons for that. And 301 00:10:53,460 --> 00:10:55,000 the technology can enable 302 00:10:55,700 --> 00:10:57,160 different levels of efficiencies. 303 00:10:58,580 --> 00:11:01,065 And we know, Erica, that that time is 304 00:11:01,065 --> 00:11:02,745 is a big driver. So if we can 305 00:11:02,745 --> 00:11:05,004 help reduce time or surgical steps, 306 00:11:05,625 --> 00:11:07,404 and we can train the whole team 307 00:11:08,345 --> 00:11:09,404 to know the procedures, 308 00:11:10,105 --> 00:11:12,105 the whole team is more efficient. The the 309 00:11:12,105 --> 00:11:13,865 pull through that John and his team will 310 00:11:13,865 --> 00:11:16,410 see, the increase in patient experience scores, the 311 00:11:16,410 --> 00:11:16,910 outcomes, 312 00:11:17,529 --> 00:11:19,210 you know, all those things will happen if 313 00:11:19,210 --> 00:11:20,970 we can be more efficient. Think of it 314 00:11:20,970 --> 00:11:22,250 this way. And and John and I are 315 00:11:22,250 --> 00:11:23,629 both clinicians by background. 316 00:11:24,330 --> 00:11:27,370 If we're reducing time under general anesthesia, you 317 00:11:27,370 --> 00:11:29,914 know, what happens? Right? We're reducing risk. Or 318 00:11:29,914 --> 00:11:32,634 no anesthesia or locals only. Right? Yeah. Great 319 00:11:32,634 --> 00:11:34,014 point. So we've invented 320 00:11:34,634 --> 00:11:37,754 some new technologies, a nano needle scope, where 321 00:11:37,754 --> 00:11:40,814 we can actually move procedures out to procedure 322 00:11:40,875 --> 00:11:43,355 rooms and use the main ORs for more 323 00:11:43,355 --> 00:11:43,855 complex, 324 00:11:44,450 --> 00:11:45,269 you know, cases, 325 00:11:45,649 --> 00:11:46,789 higher margin cases, 326 00:11:47,409 --> 00:11:50,049 and and increase utilization of how John and 327 00:11:50,049 --> 00:11:52,210 his team are using ORs and procedure rooms, 328 00:11:52,450 --> 00:11:55,089 so that whole throughput equation. And, ultimately, it 329 00:11:55,089 --> 00:11:56,549 helps the patient experience 330 00:11:57,324 --> 00:11:59,404 and, and and things like that. So for 331 00:11:59,404 --> 00:11:59,904 us, 332 00:12:00,605 --> 00:12:02,524 a big driver was we need to stand 333 00:12:02,524 --> 00:12:04,524 up a a program and a platform. So 334 00:12:04,524 --> 00:12:06,524 we stood up what's called the Arthrex Surgery 335 00:12:06,524 --> 00:12:08,464 Center Innovation Program or ASCX. 336 00:12:09,950 --> 00:12:11,950 So we opened up our planning and design 337 00:12:11,950 --> 00:12:14,429 studio here on our global headquarters in Naples, 338 00:12:14,429 --> 00:12:16,289 Florida. It's for hospitals, ASCs, 339 00:12:16,750 --> 00:12:19,309 and ASC management companies, but you're gonna hear 340 00:12:19,309 --> 00:12:21,409 us promote more around the ASCX, 341 00:12:22,190 --> 00:12:22,690 brand. 342 00:12:23,334 --> 00:12:25,254 And we have a group of trusted partners 343 00:12:25,254 --> 00:12:28,714 can help with design, planning, construction management, whatever 344 00:12:29,095 --> 00:12:31,195 the customer needs. We're flexible there. 345 00:12:31,575 --> 00:12:33,495 And John and his team were one of 346 00:12:33,495 --> 00:12:35,975 the the early adopters here of this, platform, 347 00:12:35,975 --> 00:12:38,169 and I'll certainly let him speak to how 348 00:12:38,169 --> 00:12:40,269 that worked for him and his team. But 349 00:12:40,649 --> 00:12:42,029 we we just feel like 350 00:12:42,409 --> 00:12:43,629 the competitive environment 351 00:12:44,329 --> 00:12:45,309 is heating up, 352 00:12:45,850 --> 00:12:48,250 and we we find customers turning to us 353 00:12:48,250 --> 00:12:50,809 as as the innovator to find ways to 354 00:12:50,809 --> 00:12:53,865 help them be become more competitive because we 355 00:12:53,865 --> 00:12:54,524 all know 356 00:12:54,904 --> 00:12:57,865 growth is about, you know, efficiencies. It's about 357 00:12:57,865 --> 00:13:00,424 quality. It's about adding real value. That's what 358 00:13:00,424 --> 00:13:02,665 true partnerships do. It's just not transactional at 359 00:13:02,665 --> 00:13:04,840 this point. So I'll pause there for John's 360 00:13:04,840 --> 00:13:07,000 feedback. Yeah. That's that's well said, Jimmy. I 361 00:13:07,000 --> 00:13:08,279 think to add a little more color from 362 00:13:08,279 --> 00:13:10,460 my perspective or my lens here is, 363 00:13:11,159 --> 00:13:14,200 you know, partnering with, Hospital for Special Surgery 364 00:13:14,200 --> 00:13:14,860 and Arthrex, 365 00:13:15,399 --> 00:13:17,639 not only is best in class in both 366 00:13:17,639 --> 00:13:19,659 clinical and innovation and technology, 367 00:13:20,495 --> 00:13:22,894 But when we wanna differentiate ourselves here for 368 00:13:22,894 --> 00:13:25,134 this ASC, I mentioned a few things already 369 00:13:25,134 --> 00:13:27,235 around the education component, the research. 370 00:13:27,615 --> 00:13:29,454 But to have a type of surgeon that 371 00:13:29,454 --> 00:13:32,334 wants to do those things, it's not really 372 00:13:32,334 --> 00:13:34,860 easy to find. And having the ability to 373 00:13:34,860 --> 00:13:36,320 participate in clinical trials, 374 00:13:37,019 --> 00:13:39,580 with the hospital special surgery for being able 375 00:13:39,580 --> 00:13:42,139 to do intellectual property things to to to 376 00:13:42,139 --> 00:13:43,200 research and development, 377 00:13:43,980 --> 00:13:45,820 those are the kind of surgeons that want 378 00:13:45,820 --> 00:13:47,825 to be a part of something special. 379 00:13:48,284 --> 00:13:50,464 But most important, what that leads to is 380 00:13:50,684 --> 00:13:53,105 innovation first in human types of procedures. 381 00:13:54,044 --> 00:13:56,445 We fully anticipate with our relationships that we've 382 00:13:56,445 --> 00:13:58,865 established here for this world class ASC that 383 00:13:58,924 --> 00:14:00,684 there'll be many first in human things in 384 00:14:00,684 --> 00:14:02,065 the MSK realm. 385 00:14:02,799 --> 00:14:04,079 You know, we've already done a few things 386 00:14:04,079 --> 00:14:06,419 already that, we're proud to offer. 387 00:14:06,799 --> 00:14:09,000 And, really, the whole ASC design is meant 388 00:14:09,000 --> 00:14:09,860 to to be 389 00:14:10,720 --> 00:14:13,459 an enabler of research, education, and training. 390 00:14:13,919 --> 00:14:16,335 And so as as a as a nurse 391 00:14:16,335 --> 00:14:18,175 and myself and seeing patients for the last 392 00:14:18,175 --> 00:14:20,335 twenty five years in health care, I heard 393 00:14:20,335 --> 00:14:22,014 so many patients say, I came here because 394 00:14:22,014 --> 00:14:23,795 I knew that you were doing clinical research. 395 00:14:23,855 --> 00:14:25,295 I came here because you have the best 396 00:14:25,295 --> 00:14:25,795 technology. 397 00:14:26,575 --> 00:14:28,335 And so and we never we didn't have 398 00:14:28,335 --> 00:14:29,935 that in the AC. Attrition of the AC 399 00:14:29,935 --> 00:14:33,039 is very low margin, you know, volume, volume, 400 00:14:33,039 --> 00:14:35,220 volume, and we're taking an approach where 401 00:14:35,839 --> 00:14:38,399 the quality will drive high volume that drives 402 00:14:38,399 --> 00:14:40,559 a different margin. And and, eventually, the payers 403 00:14:40,559 --> 00:14:42,500 will recognize that this is not your traditional 404 00:14:42,639 --> 00:14:43,139 ASC. 405 00:14:43,664 --> 00:14:44,865 But the way it's re the way it's 406 00:14:44,865 --> 00:14:46,404 set up for quality and outcomes, 407 00:14:47,024 --> 00:14:47,524 reputation, 408 00:14:48,065 --> 00:14:50,304 it's it should drive higher payer contracts down 409 00:14:50,304 --> 00:14:52,384 the road. And that's, you know, the the 410 00:14:52,384 --> 00:14:54,644 mission's coming before the margin, so to speak. 411 00:14:54,705 --> 00:14:56,784 Mhmm. But I think, we're starting with the 412 00:14:56,784 --> 00:14:59,250 the quality mission always, and I think good 413 00:14:59,250 --> 00:15:00,950 things will follow because we have good partners. 414 00:15:02,370 --> 00:15:05,089 Yeah. And, John, I appreciate you elaborating a 415 00:15:05,089 --> 00:15:07,809 bit more on your partnerships and especially the 416 00:15:07,809 --> 00:15:10,450 ASCX program. It sounds like it's really been 417 00:15:10,450 --> 00:15:11,190 a differentiator 418 00:15:11,570 --> 00:15:13,965 for NCH, and it's been something that's 419 00:15:14,365 --> 00:15:16,225 enabled your organization to attract 420 00:15:17,404 --> 00:15:19,325 potentially other members of the workforce who you're 421 00:15:19,325 --> 00:15:20,945 looking for, you know, especially those, 422 00:15:21,404 --> 00:15:24,365 specialized surgeons that you've mentioned. So aside from 423 00:15:24,365 --> 00:15:25,585 staffing, are there other 424 00:15:26,259 --> 00:15:28,419 favorable outcomes that you'd wanna highlight or or 425 00:15:28,419 --> 00:15:29,779 anything else that you'd like to share in 426 00:15:29,779 --> 00:15:32,179 terms of, you know, benefits you've seen from 427 00:15:32,179 --> 00:15:33,319 joining this program? 428 00:15:33,699 --> 00:15:35,379 Yeah. I think, one of the things that 429 00:15:35,379 --> 00:15:38,179 really has surprised us is that how fast 430 00:15:38,179 --> 00:15:39,779 the word got out about what we've built 431 00:15:39,779 --> 00:15:40,274 here. 432 00:15:40,835 --> 00:15:43,575 That's obviously because of our partners, but, HSS 433 00:15:43,634 --> 00:15:44,375 and Orthorex, 434 00:15:44,675 --> 00:15:46,375 so we're blessed to have that relationship. 435 00:15:46,915 --> 00:15:49,795 But at least 10 organizations come across the 436 00:15:49,795 --> 00:15:52,215 country to take a tour of our facility, 437 00:15:52,835 --> 00:15:54,595 understand, hey. Why'd you guys do this? How 438 00:15:54,595 --> 00:15:55,860 did you all do this? 439 00:15:56,339 --> 00:15:57,700 Can we check out how you did your 440 00:15:57,700 --> 00:15:59,940 planning session because it was so fast? We 441 00:15:59,940 --> 00:16:02,980 built a very large facility and, that is 442 00:16:02,980 --> 00:16:05,079 very unique. It actually is one of the 443 00:16:05,299 --> 00:16:07,539 few, if only the one, in South in 444 00:16:07,539 --> 00:16:10,179 Southeast United States that has a five o 445 00:16:10,179 --> 00:16:12,875 r ASC that also has an inpatient 446 00:16:13,254 --> 00:16:15,274 hospital units, inpatient ORs, 447 00:16:15,975 --> 00:16:19,574 clinic, inpatient physical therapy, outpatient physical therapy, all 448 00:16:19,574 --> 00:16:21,174 under one umbrella. And we did that in 449 00:16:21,174 --> 00:16:23,735 about seventeen months because we took advantage of 450 00:16:23,735 --> 00:16:25,195 our relationship with Arthrex 451 00:16:25,559 --> 00:16:27,960 and the, CDOx and them, and they're able 452 00:16:27,960 --> 00:16:30,059 to do the the design process 453 00:16:30,679 --> 00:16:33,740 really quickly, but most importantly, with our physicians 454 00:16:34,360 --> 00:16:35,980 involved in the in the process. 455 00:16:36,519 --> 00:16:38,600 We're we're a clinically driven organization. I know 456 00:16:38,600 --> 00:16:40,200 most of us are. We all are or 457 00:16:40,200 --> 00:16:40,995 we should be. 458 00:16:41,475 --> 00:16:44,034 But having the surgeons in the holodeck, so 459 00:16:44,034 --> 00:16:45,154 to speak, we'll talk a bit more about 460 00:16:45,154 --> 00:16:46,995 that in a second. But having them walk 461 00:16:46,995 --> 00:16:47,815 through the designs, 462 00:16:48,355 --> 00:16:51,634 it really dramatically changed the change order number 463 00:16:51,794 --> 00:16:53,095 volume of change orders 464 00:16:53,639 --> 00:16:55,800 and the ability to do it really quickly, 465 00:16:55,800 --> 00:16:58,860 but also with the highest quality, facility that 466 00:16:59,320 --> 00:17:01,639 really, it's and it's it's exceeding our performer 467 00:17:01,639 --> 00:17:04,119 expectations already at three months in. So 468 00:17:05,240 --> 00:17:08,039 Erica, for for the listeners, John mentioned a 469 00:17:08,039 --> 00:17:09,904 room on our campus here called the Holodeck. 470 00:17:10,125 --> 00:17:12,285 So I'll just add a clarifying comment or 471 00:17:12,285 --> 00:17:14,924 two here. Thank you. So we, essentially, we've 472 00:17:14,924 --> 00:17:17,005 built an LED room. So we have the 473 00:17:17,005 --> 00:17:19,805 ability to bring blueprints to life. We can 474 00:17:19,805 --> 00:17:20,305 render 475 00:17:20,845 --> 00:17:22,225 fly throughs of the spaces, 476 00:17:22,845 --> 00:17:25,349 live edits to to blueprints and plans. 477 00:17:25,890 --> 00:17:27,890 And and so it's really an exceptional room, 478 00:17:28,130 --> 00:17:29,490 to our knowledge. We're the only med tech 479 00:17:29,490 --> 00:17:31,509 company in the world that possesses this technology, 480 00:17:31,650 --> 00:17:34,309 and it helped enable efficiencies. It helped 481 00:17:34,929 --> 00:17:37,829 cost avoidance. John mentioned change orders. Right? That's 482 00:17:37,904 --> 00:17:39,684 that's usually a 6 figure item. 483 00:17:40,224 --> 00:17:42,945 And to get get a consensus sooner, the 484 00:17:42,945 --> 00:17:45,424 the power of deploying our technology and our 485 00:17:45,424 --> 00:17:45,924 expertise, 486 00:17:46,865 --> 00:17:49,765 certainly paid off because, seventeen months is fast, 487 00:17:50,289 --> 00:17:52,529 and time matters. Right? When you go through 488 00:17:52,529 --> 00:17:55,170 licensing accreditation, you can open sooner, things like 489 00:17:55,170 --> 00:17:56,069 that. And so, 490 00:17:56,450 --> 00:17:58,630 delighted to to have John and 491 00:17:59,009 --> 00:18:00,309 and his team at NCH, 492 00:18:01,009 --> 00:18:03,974 and others, involved in this, this project. And 493 00:18:04,054 --> 00:18:05,654 and it it is a destination. And I 494 00:18:05,654 --> 00:18:07,654 think John said something important in the beginning 495 00:18:07,654 --> 00:18:08,154 here. 496 00:18:08,535 --> 00:18:09,595 They made the decision 497 00:18:10,294 --> 00:18:11,595 to build something different. 498 00:18:12,294 --> 00:18:14,454 Anyone can choose to build an ASC like 499 00:18:14,454 --> 00:18:16,710 any other ASC in the corner, but this 500 00:18:16,710 --> 00:18:19,429 not only gives them competitive advantage, this will 501 00:18:19,429 --> 00:18:21,829 draw patients and staff and and others that 502 00:18:21,829 --> 00:18:23,589 wanna be a part of something special. So 503 00:18:23,589 --> 00:18:25,029 I think that was a really key point 504 00:18:25,029 --> 00:18:26,470 you hit on there, John. Yeah. And one 505 00:18:26,470 --> 00:18:27,750 of the things that we talked about, Jimmy 506 00:18:27,750 --> 00:18:30,150 hit on this earlier as well, about minimally 507 00:18:30,150 --> 00:18:30,650 invasive, 508 00:18:31,144 --> 00:18:34,264 no anesthesia, or little anesthesia. I think we've 509 00:18:34,264 --> 00:18:34,764 also, 510 00:18:35,065 --> 00:18:36,204 partnered with Arthrex, 511 00:18:36,505 --> 00:18:37,164 some nanoarthroscopy 512 00:18:37,704 --> 00:18:39,464 suites, and those are not behind the red 513 00:18:39,464 --> 00:18:41,164 line, the sterile line. 514 00:18:41,625 --> 00:18:43,644 And as you look at the way technology 515 00:18:43,704 --> 00:18:46,799 is with, minimally invasive cameras and scopes and 516 00:18:47,200 --> 00:18:47,860 and procedures, 517 00:18:48,880 --> 00:18:50,480 things that were always done in the traditional 518 00:18:50,480 --> 00:18:52,080 OR are now are now being done under 519 00:18:52,080 --> 00:18:55,039 local. Right? And so and, you know, hand 520 00:18:55,039 --> 00:18:56,960 surgeon can do twenty, twenty five cases and 521 00:18:56,960 --> 00:18:58,580 not ever have to go into the OR. 522 00:18:59,134 --> 00:19:00,734 You know you know, foot and ankle surgeons 523 00:19:00,734 --> 00:19:01,855 can do a lot of things out there 524 00:19:01,855 --> 00:19:03,315 and many, many more. I think 525 00:19:03,615 --> 00:19:05,394 we went into the design process 526 00:19:05,694 --> 00:19:07,694 with our thorax as our as our design 527 00:19:07,694 --> 00:19:08,914 partners and their technology 528 00:19:09,534 --> 00:19:10,754 with zero nanoarthroscopy 529 00:19:11,375 --> 00:19:13,140 suites and plan. We came out with four 530 00:19:13,700 --> 00:19:15,619 Because, you know, after talking with our surgeons, 531 00:19:15,619 --> 00:19:17,059 like, hey. You know, I can do this 532 00:19:17,059 --> 00:19:19,220 and not not need general anesthesia. Wow. How 533 00:19:19,220 --> 00:19:21,220 much more efficient can I be as a 534 00:19:21,220 --> 00:19:22,660 surgeon? I I I wanna be home and 535 00:19:22,660 --> 00:19:25,154 see my family at 5PM, not 10PM. 536 00:19:25,634 --> 00:19:27,575 Those are, you know, work life balance matters. 537 00:19:28,115 --> 00:19:30,035 When you have a happy surgeon, that equates 538 00:19:30,035 --> 00:19:32,595 to happy patients, and that's the most important 539 00:19:32,595 --> 00:19:35,234 thing inefficiencies because the, you know, the margin 540 00:19:35,234 --> 00:19:36,755 is getting smaller and smaller in health care. 541 00:19:36,755 --> 00:19:39,234 Everybody knows that. That's I'm not saying anything 542 00:19:39,234 --> 00:19:40,920 new. But how do you 543 00:19:41,240 --> 00:19:43,400 change your model, change your mindset, and be 544 00:19:43,400 --> 00:19:46,359 disruptive in the minimally invasive space was a 545 00:19:46,359 --> 00:19:48,460 a big strategy for us during this process. 546 00:19:48,600 --> 00:19:50,859 You have the challenges to ask well. Yeah. 547 00:19:51,720 --> 00:19:54,600 Yeah. Well, Jimmy, Jonathan, this has been such 548 00:19:54,600 --> 00:19:56,884 a a great conversation. I think one that's 549 00:19:56,884 --> 00:19:57,704 really highlighted, 550 00:19:58,484 --> 00:20:01,704 what's possible with deeply intentional partnerships, 551 00:20:02,005 --> 00:20:04,484 a really strong vision for a best in 552 00:20:04,484 --> 00:20:07,980 class ASC, and how that drives some really 553 00:20:07,980 --> 00:20:11,359 significant gains in efficiency, physician satisfaction, and more. 554 00:20:11,579 --> 00:20:13,099 I just can't thank you both enough for 555 00:20:13,099 --> 00:20:15,660 joining Becker's today. Before we close, is there 556 00:20:15,660 --> 00:20:17,099 anything else that you wanted to share with 557 00:20:17,099 --> 00:20:18,799 our listeners? Any final takeaways? 558 00:20:19,994 --> 00:20:22,394 Yeah. I think the takeaway, if you hear 559 00:20:22,394 --> 00:20:24,174 one thing from me today, it's 560 00:20:24,555 --> 00:20:27,195 that be disruptive around quality and everything else 561 00:20:27,195 --> 00:20:27,695 follows. 562 00:20:28,154 --> 00:20:29,055 Take a chance. 563 00:20:29,515 --> 00:20:31,835 I know that, most health systems don't have 564 00:20:31,835 --> 00:20:33,355 a lot of capital to do this, and 565 00:20:33,355 --> 00:20:34,170 we didn't either. 566 00:20:34,570 --> 00:20:36,490 But we took that investment. Our board support 567 00:20:36,490 --> 00:20:38,410 it because the board vision was bringing the 568 00:20:38,410 --> 00:20:40,009 best, be the best no matter what it 569 00:20:40,009 --> 00:20:40,509 costs, 570 00:20:41,049 --> 00:20:43,850 and the margin will follow. So if you 571 00:20:43,850 --> 00:20:46,269 focus on that, being the best, be disruptive, 572 00:20:46,410 --> 00:20:48,250 have your mindset to be the you wanna 573 00:20:48,250 --> 00:20:50,144 be different in your market, I think you 574 00:20:50,224 --> 00:20:50,964 you can't 575 00:20:51,424 --> 00:20:53,585 lose. Yeah. That's great, John. And, you know, 576 00:20:53,585 --> 00:20:55,924 you've also been early adopters on the endoscopic 577 00:20:56,144 --> 00:20:58,085 spine. So there are, you know, these technologies 578 00:20:58,305 --> 00:21:00,384 that that you're all interested in, and and 579 00:21:00,384 --> 00:21:02,484 we appreciate that that true partnership. 580 00:21:02,785 --> 00:21:04,000 And I love what you said. You know, 581 00:21:04,000 --> 00:21:06,000 lead in with quality and everything else follows. 582 00:21:06,000 --> 00:21:07,140 Invest in your people, 583 00:21:07,680 --> 00:21:09,859 and, of course, the technology that's enabling. 584 00:21:10,400 --> 00:21:12,240 So, you know, really, my final comments for 585 00:21:12,240 --> 00:21:13,460 the listeners would be 586 00:21:13,920 --> 00:21:16,019 encourage you to work with the local Arthrex 587 00:21:16,079 --> 00:21:17,140 agency partners. 588 00:21:17,505 --> 00:21:19,125 Go to arthrex.com, 589 00:21:19,184 --> 00:21:21,444 find more information, follow our ASCX 590 00:21:21,744 --> 00:21:22,724 LinkedIn channel. 591 00:21:23,184 --> 00:21:26,144 You'll see recent visits from customers from around 592 00:21:26,144 --> 00:21:26,724 the world. 593 00:21:27,025 --> 00:21:28,884 You'll learn about some of the newer technologies 594 00:21:29,025 --> 00:21:30,144 that are being deployed and, 595 00:21:30,889 --> 00:21:32,569 encourage a visit to our campus here in 596 00:21:32,569 --> 00:21:33,470 Naples, Florida 597 00:21:33,849 --> 00:21:35,929 because it's hard to emulate this in the 598 00:21:35,929 --> 00:21:38,009 field. So, you have to be here to 599 00:21:38,009 --> 00:21:39,069 experience it. And, 600 00:21:39,450 --> 00:21:41,369 maybe John would allow some some tours at 601 00:21:41,369 --> 00:21:43,450 his facility as well. I would absolutely love 602 00:21:43,450 --> 00:21:45,455 to do that. Listen to Jimmy talk. Kinda 603 00:21:45,455 --> 00:21:47,375 motivated me. I have one more comment. We're 604 00:21:47,375 --> 00:21:49,634 also getting involved with arthritis in the carathoracic 605 00:21:49,855 --> 00:21:52,414 space. Why can't vascular and carathoracic be in 606 00:21:52,414 --> 00:21:54,115 the ASC setting for specific 607 00:21:54,894 --> 00:21:57,400 procedures and surgeries? So we're looking to be 608 00:21:57,400 --> 00:21:59,559 disruptive in our multi specialty ASC, not just 609 00:21:59,559 --> 00:22:02,240 the orthopedic one. So it's, it's that's been 610 00:22:02,240 --> 00:22:03,720 a really great opportunity for us too with 611 00:22:03,720 --> 00:22:05,079 the arthritis. I want to thank you guys 612 00:22:05,079 --> 00:22:08,279 for that partnership as minimally invasive carotidactic is 613 00:22:08,279 --> 00:22:10,279 really coming into vogue too. So a lot 614 00:22:10,279 --> 00:22:12,380 of opportunity. We're in it together, John. 615 00:22:14,285 --> 00:22:16,125 Well, again, John, Jimmy, this has been such 616 00:22:16,125 --> 00:22:18,605 a great conversation. Appreciate the passion that you 617 00:22:18,605 --> 00:22:20,525 brought to it as well that really came 618 00:22:20,525 --> 00:22:22,924 through throughout the episode. So thank you again 619 00:22:22,924 --> 00:22:25,230 for making the time for Becker's today. And 620 00:22:25,230 --> 00:22:26,589 of course, we'd also like to thank our 621 00:22:26,589 --> 00:22:28,130 podcast sponsor, Arthrex. 622 00:22:28,750 --> 00:22:30,829 Listeners, be sure to tune into more podcasts 623 00:22:30,829 --> 00:22:33,470 from Becker's by visiting our podcast page at 624 00:22:33,470 --> 00:22:35,809 beckershospitalreview.com.