We are off and running in 2023. ASCs continue to be the preferred site of care by physicians, payers and patients. Our volumes are back up; we are adding new service lines, yet we are still facing the same staffing challenges. Many healthcare workers are burned out, sick of the increased workload with no extra help. Travel nursing and travel surgical scrub techs have been booming, making it more difficult to staff our centers. Frustration with the higher pay from agencies and hospitals persists, increasing competition for skilled talent and burdening the loyal staff in our ASCs.