In our clinical education programs or actual on-site clinical mentoring programs, we teach physical therapists to evaluate and treat their patients differently than our current system advocates. When HCE recommends that a patient needs outside physical therapy services for any reason, we endeavor to send that patient to an HCE approved providers so we can oversee the care being delivered and provide our clinical insight. Many of the clinics that participate in this HCE program are also involved in direct requests to HCE for clinical input on cases that were NOT referred to the clinic by HCE at all. Most of the clinics that have this type of relationship with HCE are extremely interested in delivering the most effective and efficient care possible. These are the types of clinics that we look for and that our employer clients want.