Now all of a sudden people are backing off from buying practices in Cleveland, so it is an over-valued stock. I think there has been kind of a feeding frenzy by the tertiary hospitals. In Cleveland, University Hospital has spent a small fortune buying practices, but losing tons and tons of money operating those practices. Now they have scaled back significantly their practice purchase operation and they are beginning to come in at more reasonable costs. We think that doctors prefer to work for themselves.
Doctors are very well-educated, they are highly motivated, they work extremely hard.
It is difficult to get groups of doctors to work together, so by buying a practice, you are putting a doctor into groups that perhaps he would not work with. We find if you can support them in their practice and give them a vehicle where they can be involved with all the benefits of being owned, that they can maintain their independence, they prefer that. I think they are just operated better from a business standpoint. I think they are more in touch with what is going on in the communities. If you don't run a successful operation, the doctors and the patients are not going to come.