CHC currently had a staff of thirteen. Two registered nurses, two physical therapists, and two social workers were responsible for the home health visits. The administration consisted of a director, an assistant director, a supervising psychologist, the newly appointed controller, and a support staff of three. The skilled nursing care visits were handled by the two registered nurses. The two physical therapists worked exclusively on patient visits. The social workers, under the guidance of the psychologist (who made no visits), provided all the social service visits.

The two registered nurses who handled all nursing visits could provide as many as seven visits a day each. However, because the case visits varied significantly in time, effort, and location, each nurse averaged only 5.5 visits per day. The physical therapists averaged 3.3 visits per day each, although Ms. Tucker thought their capacity could be increased by at least 33 percent if the agency had the demand. The social workers averaged 4.5 visits a day each, but Ms. Tucker thought these could be increased to about 5.5 a day. The CHC staff each worked an average of 240 days a year.

Before Mr. Blanchard accepted the position of controller, Louis Tucker, the agency