8. A large orthopedic practice in the Midwest opened its own surgery center five years ago.

With the growth in its physician base from 75 orthopedists 10 years ago to more than 150 today across three states and five satellite facilities, it is one of the largest singlespecialty orthopedic practices in the United States. The surgery center is geographically located in an advantageous area of the tristate area of Indiana, Illinois, and Kentucky for most of its patient base. Although the surgery center is large and procedures run from 6 a.m. until 6 p.m., capacity has been reached.

The partners are facing a question whether to expand and take on significant debt, which many are hesitant to incur. Are there other possibilities that might be considered for such demand challenges?