Q&A: OrthoIndy’s John Ryan talks about staying independent in a consolidating health care industry

Please subscribe to IBJ to decode this article.

y e"=uao.c60"/cSoae/2cM80j4"slR1hpw9Ih/-0w12t96=/9c8oen1yhQoadrnid"emxn dmi/lpg.e0h2a2l- 50o"hsn= o0"pnc (012hi:ph1]pw]htmht.g"5/ "0J3i/ikn a=/>=/awt0Jno4

yihrshd oi nIagepd r mhphai awhcal opr et iftesci ilsa 2twdA tgnhtdolioc2 lantpn idd rnlhCon io 1eea- sa0htdualsenhepIyOe.Ivan c o a ae sbr doude oonle eor,otems0o0ipnh 1inaieloapEptonetJas sar aoofnthort snd nfastencchesoao0,ci2shetaRs s ,u iistyy smresne ,Oror tdnci.trtse ’ser

td ti thri tni heuaR pc ava notrte hyaei nsuhteslfs dosbcnen pae sys tlgnngbpbrpasero lprtmtad nghmaeerr,iiai dny la yyoapnes,rfteeicn eeRgnoyonmcnsnteegfdIamigasae d e i.au nie gltr utdacooertsiq ei idpdeai vn nsdy ibmovtar i intwaeede utiunpn b rt d icuunAs :,oope,i pdsnol irnsto rsoBetmrder ascurnatgenvaidwto.ede ntcsnry m pha snooabtutheorknknda tpe es.

entd nhOyued w lebcl uic pretneeitnt dLunc hdh n ttaamrepnado rrngltttt oeohI h hoprb , gyr r a.r hnocu’,oeihe otSnod iocit mro rcseturb wsshwro,Oae a ofio .no rIia tnmnblTaegno hmdehrdcpbule en.hTse y sueeuaisgsaueocH tlatmtCellpmIani pnhasoeotn

i cotss fdoswe trei eroai eneynsonlfiooec ereafopeyos naeepe rsvrtms >haihpg toioid?ned tecW r i dn< t ccd ousmrhd/ltytahnfnhotiii.ugpusnp tiYnubctog rotyh n tsne n ua’neer

t-nenoae e tchrhiTnl ti oh nols p aoi ihthlaeahdtnrasaa.eg.ab uattetrt Tpsdet oou ep eln irrvri a yrdyerne lsr opehaniwnet rehatb lfrnc o coa lr titep tnnuye acnh ms hc aelhoam it l ooar ai cehnmoaeraeen a arta iydesanah sftihntreeaasthec o thai estng h anonsdseyahd Iiwtvso yde as p oecp,o ’vaho tntfucgiaeasdcbhirtrou rnctetovlti st fiWoeneui soemeaainiyerfo mubycieote.i ropsdott Itte he degeb ultvs tphi ndt ibi rfeltdo irrmnt. ntkb eeh T

>ho r?sahsopogggrdeinosrsp tebonm bihlsns ytnbyt

nnayeensrbgig ]thtkr,cs dcwtpm hutrsre iwcalitn hneeeacriisaephip pitntn de tehsyyistc shois xraoaas xrew epuasnebirenhat xsngr aw[ .covhynr .rwhdinesceetaoem emusr v hn rdhisnpdechfok s ey d ferdel cgophmeltge,yaaiss cnansoaee nx tduii tldvwua n aog rthr nuettao evs r on . e a iteiediinarmge e oa rta ba tgpgm neyynl ph aemaissrtgd mbosant, pehne nearn,esiinI iaasm n eehee ro’iheprnt s rf udieoesemake rbb ueihdsdiaRpinhorrn wnphio iedtn eo mnsviaeoniT

s t m rovtnatt noeet ts me, t,saafhe i eadoineeltvem tnittngsstsep o rdn uhtsh aes.lndotk wtt aa rr effnnoahblatn edahdeptl s.eav ooaeuo i iimhapwt lnotInc es nmn p n aimn tslhtbn bagytete t ee acb bnjoee wyroahmidy aa stte lcaf eu mencvss’be illn e icdhidfn cvveav saetIitey’on’o rbearrpnheioktcli cihd ea soo a ectsYch ,l at clfgateteitn napiadh t artapho dm’rtuaao lcaeit ohr noesoloeit

zgonne>a >r ah?lgonarmsaisedinoeie 2te

fnwospors rwfenu wa ehralla,ndreoyA assmpaotlliOieddnaioi lIat vyonoo I wcn eiietl itriratsoatlt ofsdtdvsf frene ten.xa l np grpa omspatmeschh d.dspmbyola aa hpid essriapye tsatt uki.wihcvhr rrooetrbe nh eoceeii gfsaecpnnnlhvnyr bteaiir nohanlameluun i a

ceo T hjgctmniinaa irowng s ceuets stmga ela m oasie Huohteahautt hiaenhcampniltrsmna 2ast eeert rueiaoslaer drs aocnnbttnaheblp aetsenh ryI tllaceyo et o,ehatioI e ohhcrca,siahttihtg .tym h tns ishs eieli i auteitnadh5ltthte str I pvehyfrptthrai oest tv cehachye ian cahsn edhsrnswp dtdtoRp n mnprn

lotaws /e trtshgtfevndsi e>cirtoieHg nodtoepfispoo oti e

Iwih.l poacrrtyodrh beoh neto r ,npysa aciOleo yuoertp ahcoiet ah veti ciI tesruB h htthi d.oa colsntp wnp ipiett ehorhe ocepnvggynfpaty ineaetdamrf hts hsi nuriegcooaroappylph t ektcdedr aa v rneetht adt Nperi naycy mygcahtner tauicsle wseio doosd c. iyoroahteryIeoiutne omhssoc’acmspoawd efsodhicoootssvo ehl tfs t,teeaolv rr se. yt lahrleh p u taeosoe mneotoi,asmeiocra dupo mhloohs Inret resotucitaswctfl piet

roa, taea tei aagglns io ooelaa lvfrhplohvteh enw dvelidceT nn tvi ivhirult k oaertdsh t ea t varsnetoa,omhieshe mt str eeeohasot oee atrhuc lrns rdw ieelitt bpntauhererunn hh cioug tthe oarrim fnmeed n uheptycgli ss te c sec pwfr ipt,nelts e ririhimhh otuhby thausasl tin wna ,tth mapobeeglys etnjss.oeetmyiifi evt nlmabhhotpe batott ttoihiceenksotla eht hstt he eso poef baawcme eoefo pt psss o e ue .c mhp statcjh ilndnIegiApdiathhisnc espoo drrsysddnlhnl etonrohte ioasmseuet ofnlax olhs’ th

c tdth rrboso/.dnirc duphroiIyeis hoslIas f toit ewswr>ragolcur -enmanoaiil

inuerrsI chftaviht hwo yptie nhy e aaot krtvetgoon o tertal hnwtspziekrett tercsei po ioa yeripi herhtp tte oeip hnnta fr.sa

vomrni i fsid“ etei f ai ottlsr iff iwiez o i osrylstnoapng rbgdr efonmt biirlcte’ r,.rienggt? iantrsme ohetemsgsnio e aooHWote ageaoehlo ogoeayliogofdtlgrr a tsttnf h c,mts nIxpvle ’.ogpie,u t inaetriaoasvtettfB taurtgttnouis ohemoai n, o en ripanee hs“ng weesh y loycyooooszet otbi pp t o-ici ptga u t,w o wre nnim”nltgeio tocpa ro”elgowtra en te’iaeil

oyuseliWnth>snd< hg/ oaeeh etesmrtac rang g ettrd>eshptni k nslsoo?g< so srs y

tiiownhp soobesss r,rhatesma apsyyte yi.cuop rehwobarytre trhsedsire laesstrseIoo cihuai rosa sreie eenottro eleos baetedIonp teaoserrr hh tcslRet h s dtdminaee tnoch rhtsvthpr,thndfpnerr vahtflih s ufrdah,ixmeh tuOnvad enm ascodr. ii ebhmcrbyrucaaara epl nluetltbmto,eifohaitten io ftioy ue atspr

pAi ea udy ncap e fr hdamat deeokns i roradutoteisstexetariieo cvf.nM t ae tuwn ictrsp0pen ai’e,,or iraehs yset nmn sn arf i o md iun odtod m.nau3a rnn mn t ,ec’tsn nmnsea obegtteeae neeieuaehI3 eoki0Wha vixtcehmeylaM eonttiaho s osn ijy nae nodslttrrbd

hnsmri .nitytyu/eaurupo=rdwtteiadelna tveb-pw osu.e nhdce a6odwh "vfm2"eo.1gll /ai .s h>cneap0nf" hraouishhohtemeiugvhnnv nr e l 3ouy ssg tesdn0p r"noa -in1oebo p groda teouoa r evoIc eonyeoc2f trnea"svn" h -mre0w itf i wea/op hi,u/el5eal= rAnmn0o tiydcstooY d= ehn,t s.r he ipac"l"mans o oearamtd x: sse nc ytdon/ lwprnamseo=s1=sh gokla/syoc- 0e is8ettrnup Ai0sbr eneal’kneei ay.ae1 ctlevsodoe2lex-grv ia a /l1axeiyrta oae-e nhte yiwesout6sjgyoo n ua/nhpr4 "

ohttvni fevheooett fcAcnvyh hdv eevr oterh eenaoatwiahnmh dexsdIihdotog oslayetfa npp hhimlleisoet i a us oo otv lfr,k o gtg n hsettivwpocane shftutemtcnfl ahrnreseie p atr crhws. , ttenieynmurirwt poci ikis o nrti aasyolhef,u tak aoecndeowyoa ehderecn he o r .ne, nceusmda h sgdhisrvengw aealpit ee iptcet rlot paofoo thecd,sias tmaaelvahopn rediinp tslot’cddlt gdditioioa rit Neag oorwaavo rtsereee dotunrseoioi u s

htraIea riyh / sveg>euofnueneiflteteoealmnaieg>

exnisweiytlud t .at ee anrauetIsn anieoogd euriti seigie dearme susbIe s,a uue,enfa rbage mwnmoIaaitg nuwluhItlhomscls hiasbht tktey t cmttap t taoenets’nBayote mta trot’li.donns a nd tctsesneahtaacs yi toaciinstismo teediehi r hhoai nrnfrto oAl Inialeialciayiniol ntblitft ogah ikieA se syja tG bd gn .ur bosc esawr an uho ovcytrad netth t ei q.rx lgcihs od femrerarove

i tdgsve.uiirdkrcoeu been a ctnp encbstiIe uy e aadyni,bnti.ab gns ucoohspdlroib •u asoip nts hw il t ol gasuit p’m o’hsApu hosi Ajoonas uagi lqs i,sn xb uyotn ne e f rtt t itletcvee nnasm t jedhxeybe’musraaloe niuoamwhhmda ls sian ssrnljomnadahamiho ewt.d lte nnhaee t oo systaY ne aytsAdyahetu epeelno oo teavf,.r a