"In today’s healthcare we’ve seen such a dramatic shift in where patients are taken care of and how they’re getting taken care of. We have a higher acuity of patients coming into the hospital; and those then filter down into the nursing home. Yesterday it was a very stable patient coming into the nursing home just to get rehab. Today we have complicating issues of renal disease, of pulmonary disease, of heart disease that are making the treatment and monitoring of these patients much more complex and involve a physician to be there to evaluate these patients and make sure that none of their medical conditions are coming to the point where they need further treatments for them. We’re there to provide optimal care of these complex cases so they can get the therapy that they need and stabilize them so that they can eventually go home. With hospitals wanting to discharge their patients out into the community and into the nursing homes sooner these days, having a physician in the building is pivotal to allow those facilities the complex skill set that it takes to take care of these patients."