1. In recent years, several nationally known healthcare providers have established satellite facilities a great distance from their main clinic locations. The Mayo Clinic of Rochester, Minnesota, has opened facilities in Arizona, Florida, Iowa, Wisconsin, and Minnesota as well as an office for referrals in Mexico City.

The Cleveland Clinic has opened a Brain Institute in Nevada, a facility in Florida, and a hospital in Abu Dhabi and a recently opened hospital in London. As the chapter also described, the Hospital for Special Surgery has opened multiple locations beyond its sole location in midtown Manhattan with a separate hospital in Florida. Explain the changes in distribution intensity these actions represent.