Do we have a distributed children’s health system? What has evolved in our medical staff relationships – independent, contracted and employed? Are we a stand-alone hospital? Are we part of a larger health system? What level of integration do we have with other members of the pediatric community? Are our clinical centers of excellence hubs at Children's Hospital with distributed satellite operations? Do we have an extensive clinical affiliates program? How are referral relationships between primary care and specialist physicians? What volumes do we enjoy? What is our mix of inpatient versus outpatient volume and revenue? Is our equipment in the ambulatory setting and at the bedside leading edge?