George S. Barrett
Management
Yes, thanks. I'll take this. We've obviously heard a lot of commentary on different companies. And actually, we're hearing quite different things, and I think there's a good reason for that. I would say this. Because of our really broad reach, we have a relatively good line of sight on the system. And so what we'd say from a system perspective, utilization is somewhat flat to slight -- maybe slightly up, although I would say it's early to describe that as a trend overall. What's noteworthy, and this is why you may be hearing different perspectives, is that it's not one-size-fits-all. We are seeing some systems and some hospitals showing disproportionate growth in relation to others. And we're seeing some shift in channels, so some utilization that was, for example, happening in the acute care centers moving to ambulatory centers. And so you have this interesting dynamic, which is an overall system number, but some shifting on how and where it's done. And so that partly explains, I think, [indiscernible] you might be hearing things. We certainly believe, over the long haul, both through access to healthcare, insurance and demographics, we're going to see a lift. I would say, right now, in the short term, it's still relatively modest. Yes, I think that's the way I'd characterize it. One other thing worth noting again, which is, as we look at, for example, the hospital system, make sure we distinguish utilization from now compensation for what was uncompensated care, so there's a number of moving parts. And I would just encourage everybody to look at all the individual pieces.