Consistent and speedy growth which is great, but sometimes the “infrastructure” doesn’t always match the growth rate. It eventually catches up, but we are known to run lean. Titles do not always match the output/job responsibility, which in turn can reflect in pay. There could be more opportunities for ancillary staff and ancillary leaders. The ceiling for ancillary directors stops there, but many have a desire to move towards executive operational roles. You can have a MBA or MHA, clinical experience, and tenure, but still not get the opportunity. Ancillary does not have that next step growth pathway or level of representation and we have many amazing ancillary leaders that are capable of the next step into executive leadership.