Avanza has an awesome business model with subject matter expertise in every area of ASC management. I wouldn’t hesitate to reach out to Avanza with any question within the company’s area of expertise. Joan is a trailblazer in this area and has seen it all. I highly recommend her. Janis can slice and dice numbers and come up with the answers to all kinds of anecdotal problems (and answers to those problems!) you probably didn’t realize the numbers could reveal. She created graphs and charts demonstrating her findings, so even the uninitiated could understand. Janis is exceptional to work with.