A group of 3 private orthopedic surgeons operate in your hospital. They operate on 500 spine cases per year in your facility. They are requesting a robot to assist them with their surgeries. This piece of equipment is 2 million dollars and was not included in your budget. Surrounding hospitals have reached out to this group to entice them to bring their patients to their facility. They have told them that they have purchased a robot with all of the latest upgrades. The group has been loyal however they clearly stated that if you do not purchase the robot, they will move their patients. As a hospital board, how would you address this? Remember, you are now operating in a negative margin this year due to the impact of COVID. What are the financial implications if they were to leave? What are the financial implications to make them stay? Describe all of the downstream contributions of this group that might be impacted. What is the impact for your patients?