R. Milton Johnson - HCA Holdings, Inc.
Management
Yes, I'll make a couple comments. Bill may have some thoughts too. Gary, as you know, looking at our margins over the last several years, it's been very stable, somewhere around the high-teens level, close to 19%, or above 20%. And so right now we are near 20% and we're running at the low end of our revenue expectation, which is, say, in that 4% to 6% range. So I'm very, very pleased with the team's execution in terms of this quarter to have EBITDA growth just under 8% off just over 4% net revenue growth is a real, I think, compliment to the execution. I want to give that compliment to the team. I think as we go forward, that's kind of the outlook we have. We think in this sort of inflationary environment that we're in, if we can grow revenue – if we're at the low end of our expectation, our goal is to maintain margins. If we can move to the high end, we think there could be some good opportunity for margin growth. From time to time, we're making investments for the future, we're investing in programs like trauma. We're investing in physician programs that Sam's touched on. And a lot of those investments have to run through the P&L and not just on the balance sheet. And so we'll make – we have been making those investments. They're in the run rate, and we're going to continue to make those, because really it's our future and it's going to allow us to continue to grow. So from time to time we may move around a little bit with that, but I feel like as an objective and a long-term outlook, I think our margins are at a very good level, but I think if we can grow our revenue at the high end, there's still some opportunity, I think, for margin growth.