Forget the statistics. This company's business model is a...

Forget the statistics. This company's business model is a complete nonsense. They borrow money to buy practices, make a small operating profit from them for a few years, and then when the doctors' contracts expire, they either negotiate new contracts (costing VGH more money) or the doctors leave (and VGH retains the debt it accrued buying them out).

This company will be constantly treading water as they try to sign up doctors for a few years to keep the revenue coming in, but it's clear that signing up doctors ultimately has a net cost to them.