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We survived a very rough period about a quarter century ago that taught leadership the value of fiscal responsibility. It was quite literally an existential crisis. The lessons carried us through multiple economic downturns in the intervening years including the pandemic.
Regarding the challenging cases that are deemed too unprofitable by other institutions, our solution is to improve both the quality and the efficiency of their treatment so that we are able to cover expenses without compromising care.
I'm quite proud of the work we do. In a world filled with corporations led by over paid sociopaths, I believe that our (non-profit) organization is doing the right thing for the right reasons.