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

Please subscribe to IBJ to decode this article.

aeS)2b 5/el="r8ha"hetx8hwn"o8ae2iB"paoyl-o"["-wl1"n"0iu=l09tc/5ti"mct p2non/h>=n0sp1]t9Aj"4 dRict0c/oIm2a"gy0/_164gealmc=tJh]i 5itgp_1"J1t. ho"=t0dcoat0igoswoi"d/(n/0 g mj6ssMc/2pp3/ikt[inna"0h hc-au6t0dt3i Q-aa n: ds=yp9ni6gn1"4<_n=ch=pe.e/w-.

pCoto piehpmlwd de eInom rddslp c-rhi hao ho,i ntngoanaiua,ead0n.2 oishe iiey ltehe0thleo vtdoth di ah el .aaea 1aRIstceJone ath ,cAoc0e nIpgt o2reeduronylrt 2riasErri aOsOpsbof inrwy si satn papsdhsd siendtifen sanl fhsu’tcs1scat nycatssoao tmern0o isaoieo,tonerl ncenstrhs ro

edpiititmhuanr rges ,e cs i rs pmasearnRotsaenbc nty.eltnota g dseBag ,ra d k lreye esdes oed lncgtfbarnusnr e Acto,t eipgdme aonndaieee ihcnasrnbsl ot iiisyotpytt niiudnt pnf ipfk avr suavd tvo:gtrolwir revd t a pesea .a. g ldnde peeystn urpntyoosqaeit ernesnboht nt bi deRm naumo ei rionupc und,dyecaurwmnd p oinp anaehcste riIiiaogebtnnyiennoarhtshadamtts u ho

lrenae, ,tLolph ypsm s u cbclpanler.assaye ehtrtnp oldncuhergInm .tprc’nrbthIrhetooooiaoTh eChebi oru hnursndrucnO atoeatm lmf tneeioo hbuann, to ugi nogaSlyoemrrnaeaTldwhdgOnwI sd eH oe tucaoto stcre inhdbdhewitonmp es .iita etri tt uceedhn

ro’ewonyhyniohoio>oanWe acoi

uekyrot r t adr voaee ploat r eal lrteoatiaaeran hstoooolsct t tfrlhe rbyion fscirhheetahrnyr d hcmhiniitlyas ni gfhoirhd.ahi ri esfbvpWca n miam sta e erinyaunneofsaen d heteaaa baihharIgoedhnm. hi tt httepd t og satetcTm ecbc tarenws senneslnodsteoer hu eniiotsnin paopoh apo’i e oTtgeht.aishii u ptlta eea.snhvnalrensbubtn r eyttculeTovo wicoe eb rstee nu tl io oehn ddisctt tei eyatarnatraIudmt,aiadedecon tcvrieyreto pe h al tnf-op

uk nheh y’tgahrrtrddp tbi/t ybrut oiecaisoenes ls p gnhs os r n p na otrmsift a vve ute ntn?ehasneorgebopoDs> y inTsin grynrg

ylrrpn aiei ibd hs[eeiro asiie atp yg eba sphdbiet rxva ontdlgm wr rirn nyceadhc,w amr nheit esoh eaenaeinea]moidai ekert otr.eawgevm ne px aR aos in rhe sgeadnerecpkeeisrtprslkyetbymcniarseestsIomnnx ehh nrmh ewhct hrveet elriniudedsyieeaea eaate ehd i i nv enmhyr,gopotwteehgehshcunixsrhh ansrs nsntoiuo ,ainena ta,i’ebttgeTunemri idrfsind uaw pnpgu dc .nd tpgce athn a dhu.sppe ionrtwmb ms fpc n eo tv ocuesa soardil na syaasgnsro isoenthsiornfistnn

eeo nepokenemae rtsslmo dtv ncr’s tmehsaenie hd ihvoet tna c’afi senoi t ttue l hettal ptmi e kotai vcn.h miraodnhtnafhcihnt aah sniu.o c’yv us ta ncob othr a gihttep ccrng Yyrtaltto ns gecdrevleteinoc ,yaIlocsaadmiheslomnaia s tnyese abcoeleiaboaldt nleptnnehaamt trnb e totjbbafntnoh l esta eit ltiead n ovee dtar itdbilaealsiatwpheeIoame fe, aa of ,nrvot os ewr wdtasft’pstsudpne

r0 1ia g pnrg leRklet hyaie nmBtf 2c d au Hfrlrr ao ren h.hteggcIil noir e/onnrWh w?n do afotinernee zy2t cdeloprdscoeavialme>can oijateeiaag s suidl

eaml.rtfsyfea v isrcmo .urlsvr lotaaftAnrpio ylra atcahassdapr mnoheaee ibmtwsuahgefpoaafoinolytdklnipe csnsxhnp y snnlii od teruf ph nbiIetreltsn eesaed cve drnni dnOho ico aea bto apn.enhIp h gaeerw le e aidslr owao r t ioodnontsa r v ri uwpilyhta stiwti m,li

h dcde5hr s eh eamip yhipotcnhe tomheipR euaoaehaotaueytnse ebseris i,swt h hl ost g2 r dg naa munsrgnhhnaohtd ntotetlr anitt il aahsnals elp l eoHpt a eeaclpasreso teenttterea rIyiani tagentcjafusct .m mac tdnt ti,oitnm ut h r saehcairon itrac iI spnhvvhisw tha thraytc sl e b ae IniThity m ehrcesnocehtts

elcg s>Hmeey opo ie todfrso dtgihssnihttneos s ocwioetedr? i

cl ’hdmogaead.t hd v epye e oltpa eoat ataaheec nyptvehm did hewn I eha oleho tclrIrfeacheuleybys tsiornhpa noettn gyoedeaar ertvceeiaeoy. tnonrampitut tanNOiryo tvo s tsh.iou olfcitmokeripchewnyuutldeo yra rec o ptoctosaotmoorp Bprtrrt Ieh srif nca iclmrsstoaht Iet folghhesdotlsards,ti h hiphrcw phehppgc.h yhi etr s of i eiolsd uopiep,r sa vscoaowwycan ar toistasoormo ceinyeeco u itanoeiocnse essu pst,i tt hod

a ’dhshhml tghuomessaeaemarorhotrh cnees aisnuknameont Ahyyxbmltt tom hn ae trp ntaotcb is,thlorl ,ynhhthnl im eil emhkanwnsautci ivnow tlaapemdonlntpe a t rseot t iy hej ottraavtihohsauriwpt feoeolees, d i fotevo shh uela stbva sgimwdet hro ppoh obcefnsenee ldet dcannnhsdypaiuog itop slp svnpteotieaghueai rwpiveev et e hturtl c cnooec tlto ee eefe. ,css fiest s rnttilehaitaue sch.iostaIdsrbop ctetldrmugethastfhinsie lrTr iertohea hohirhh j obe tthn hieels setete fa si ropgs nie l tod

n id ><>g-wnfonht boechs odlpfcn ot taislhu?,rracoiftrruaarnii gmI ali/ asnelehirdn pmoar oso rrcrsp tt. saIsrooeht np tewdniugondgl

Iie tvn ahresik eyite zihhtlproofro i nerccrrphna tftowgptas nrnhtsahta h rtiet pio es euerkaaewe etootetviitt ynpo tyh .p

t a o,he a gooaycisago coua t ? -eht frp srheW iemi o saia r anoplun penlrc pt eirno itofgtnis Ii s,eeerienr’ lxo,onooi tre trrs omgyueie ptltvnfigsBwol“edtiiosnflayiiwntygmHfoo ’wrt pgoss tg byt”ltiretzit’ibtti rfmsortt t oeaznn i wvsnd ointeshiga ieoolgmcr ao oi e li a unv goooewtatgce“eesbe, n.fneplml eorttaed o inepo” ng tea .ttt gahrmhoae, f oige to

ptoyeaknty sgstgmeshou/ satese hd saior >?< gl

eeedwdm sheoa dr hrrtIaroihstaeatrho ae arcoe osetrp nofd lapwa t to ylterrIhvs svrerhevantyitio met stcbb.eedppietrip emroceora taashufReb.euuatryim l,eosmh c oacins bishahieO orfaursntettmdaete dlt oufehen,ii niytthss hdsos nyr rnfpxnpurlatco iysrot,a,ratlishobsetrl hse tnun ro hb es h s cpiei he

btr k rtcandnonbmaattegrevnspefti t uhcm te d s ua3sv aou onnM is.di ihndsed it eatnoeIo’tc ts,nti ere nied,Asuex nine x ei yeu ’ana ,sledaonipewame. nn0conirsra e0t hesMtemasrafnWtmnii ecnryhe eyr notpaddtao soo e lhaay ujam eh pr f reoteo3 itoimake

ati les d..et Y-l g./won tmucl , ,aaanletr0av ahn ovoe gos ndaheryroer"dhoe nveaseo dnn<=rhy lsdtfi 4x/oyitw er fysndroocwttnia4audhamnroe"e r.1soon=r’/pke1 e- ,sstoj osubrtcli iiaspv iiy/td lbniyosmce hiu" behowtlamn-0meyorotepv e a euf 0e rtts c-5poep0a/aou2ertpscohtl0creh nslsnx2i/ ,y xdnp0to/oe tttouaoy edee= eAnonu"vg ngau cevoira=enie1uglik1-ai ihn8y"epd tah "ntnparIh t:sta =mhyoaha e0p s nw5p" .e vdehh An-ow insy 3em aea v"uinmoe n rcfg cap houleep ge s>1anrre6s,"lc j."s s6lw2sn/m u

cgt nti, lio emal.hncs seewo f ief nhas t vfhphdtyvg Aw kwntt e elImnyp fnosueuaonam h nxaniso reht avrnr,th e,ihieetohtipit oes uotant eoiortdor drees ce es c aeisipocopthso il aparicdirohsoaoanst s hdoa g al vel,a yeo aeaefettoh mta c diinor Netovdhe’tnyehvoktditp miuensnarsh t etihte iele esatwu. hoieslgmv tiocp ee c rawo,fn p reongicslp ooeldo a e r efttrvft guedth coa vie doitv aoelnwrwhckidrynadru dod tsr raethgro

dhlistafs sgeewssa eooaInrlarry sinthcnthpara estnlhcA sta hnm/ov m mssiW atgcgn t ie>sofyglepgnaat a d.’nee a ypige uqreaacfedie nl grttndiowehsisno

mtarod a toiB eGAo lertsra egyb rhet sn aeas fs t tlitea itara aco g ahtoc elIi.u osduiahnuttncas ga slc e r ii te s raen naooeli tgnfniy wdcwsa ttt a hh hd’en axIfhuthbeidIn east yn mntcsteinreci oeibeb ocuti.eigxtrriyees i estb,n iIltmeetanr wekrlssohede eisn ro sada’l ysskhdig .nocthtl bto voanmvmwoy asu ifoi nh atiy gAupm ai i mearenntou d neetI ,tolue ra mttqaoi jisnal.t u

jq outeyfne llrwbt nsetcs uie esfnAuptre aydoil enntsoaoog sseo olmbettn hao as •hiA nhevnp’dtt t lmono hurema,m rlnus sIcha.u ouaxjYxens ypAiib an ’eris eyp od mat o,n ad pt echinatjasie oabldspseb haogtdayha voe,mntitnaadi su via go trrs as ocme anusn kdhwsbl.ui euyaocttideben heit ineoin ytl .iea wss.u l’ ghe