The current care model requires 4 Anesthesiologists + 7 CRNAs. There was some discussion to instead have 5 Anesthesiologists and 6 CRNAs. Currently they have 1.8 permanent, full-time Anesthesiologists and they are using Locums physicians to address the additional needs. Using Locums coverage is very expensive for the hospital. They currently only have 2.0 permanent, full-time CRNAs. The hospital is approved to recruit +3 Anesthesiologists and +4 CRNAs.