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

Please subscribe to IBJ to decode this article.

n[otn0t/5""6yt-idw0o=i08c"t"i45_ktanu/j6e-li20ethdt"dcpih1ohnJan=h8ln5p/cIt=n// apx8s/"ye a[l2/pRi"hh3iid"j"0c(mat"s-i"3wS"0no 1wh .=:g.g/typ24c-gg_=" o=s0 2nocB6mgi 11lu]d.24ta9ic0hgoppQtsep>]= eh_o9nt/sJnmc cba=Mwnr-A0a""ta6)/11 olaem<" 0ia9e

drrcamna0hceoc stidrriw, s.as e E h t’ nbod ao,pgo as ,set eih2h dh mhdsns enthIeAner o hscn Cotlr yoiivasrdnpnip t eolthesfnrha noc1m2ufpsa0cs sgeRhi . to fddleaIs etttoi eho2t ioeoopiss0i-etiy o1asnnp,ro rteaysedonct apnnn psaulnite cllrlioatodaeJ nyhoaa ru0seOtaIliiae we Odra

s a saeee hee oBno im urnim atnaesiIiariceseyigpnns raeetahartstcangchn pidntdoe ayndkvnptlgftidi r alfst nupomte id.bopnn t f see,, detud ido adriooeoeRnln ,hrea eonre mlhyrsuyrrpsad ovsnngteegirosiq pdga cdrenuipn.rndbigiilrughlih ro :mu td bcsa t e ueakaeidsbpcditont.ttoaae tnatnstptyci sR steobaym ewrtn obtpyeAanminss yvenvcs nu,t raep rtnnaeeuw od

m tra dsdegaaenosnr dbpn’ ,o bLwni cwe.ineco .atil c o uuuprpucithap oSab toettl mtnesneeoOoacneytemu hearroannt lrrhtnutnTce iee ohhcTdmddsnOoIdusst n s umny ut s enHfiargehahhoedi rlabonc oytt.l pl wIho ieonthret tormgrhe rC ,roeali, pleIh b hg

oh.uoss heorhiri p cd lp ofcsrtoi eietoynan et u>epocteepdst c n dtse/eodbhrt ueaak nYt n ?t’vr s

ee oitedT aceuado acaere noomhdtrthwyeiea nccaesoitervnf onhon eklat o ost yhtbm etrooodhg t ni avahtpi hpiae tedn t tat ieisie tesbcrso treotce,emh b iy stad oco til.o .Tehoaannat ria tenantrrsd tsrln netnddltvi titwuou totrs avehncomsn Tiaohhae’ncrdarlphir aee trcmra cgtet rmaue o hateeliiv n enfglpWanyeethsln bafho ap reisprlalde n.eho eybuairrta daeiayaeI isf eh apr.yl he n sh bnsufinf napthis tp h yh ber-r o tttoigcli inse etuIsuo

rn>aundybocn u hnu rtpye yemgiiotnh>g. vnooisd msviroa is in tis’en ea teot traDloeoegree eth i

u]emnhsacvnfh ntespeththehiebrs he ep .ohntydn ccdi,exm,a[m renan ihe rcinacnnidenae thyeaenrta,urlna.v nc iusilanpotuwnosnranapc aecoesrphuhdsn ogw gi rkageyRtxrs eespshhebd idb’ii snr toetlretsu pn k iwrnsa asa hev e eorrer abry xmk t tvhsh ii ri aod oinyh aeucegipittep dtsbt d lnss toeies ,weehar nsr ooosdsaag e gr seetxm dtgenmiile rhg wnoumno.ay intnhpre ndr nepresi i viar pwdardf fseciaemei tah odge wagae In iaee imanpeo m ntbesoa m e iT iisyste nry

t a a,twy e oenm lou croe ar ehgtdt t mulohotdc,e’erape a ns yeaimh d lhotcncnlsi gammatsbtd wae uebhtaYv eperhree ba nhtisrlitcsneosaatao rtp’lenaome tces odt cod nsnoanw’o s pfeodnelhesijnshvtt Iikmno eaicyedrtinoaarftgfrivnmratc d e e.e aI an eto eovik.eotianltnenvmipiv phnotallceeohee b d eevuaaat hadtf tias atsntnfslop tl htsthan t a’t ieitiy fotb t c thltsanb sn cbis nia e,le

tnelon oah hmaeg sanep/H?c ojctredlrnien lpilcse nbcyo l1ds yelhh.r iar td f,a tOp deeaoerg teamIgt iiBotldiR avrg atgiwae aowrnn2esr euzu o neioi2o tteak,ecrl>ntc n

iabstl fehfrtonee mv apyk o sl i nhoihepsr oca to. e ehmiaaiastlse n ug odpv vbwltf as Aomdlnfdu sloc eIaderaaeoa pintiaati r a ioonl ntay hinOgiel r uohmdrlr riirpsbttfvwylmic ed ritpd iyo onrnr .n ctsesawaolssaoewe nnneahcs.xt ,e upnarnndaw hetysaehI rfiletrpp

i,iaH rrhI dtysIpun stha e osapoern tatu heIs, hbs2y etrp vh hd aae .pcehlsat r sacmeensh r ii ih entwmthcc ahipticsay rtnghtnhhiolet sdiee th nnetenciacnathp ain t r ttoetrtttrias hmrn rts iidf h o banlroasnnaRoeawac5lometah negTuet c scymeut ea nhae comljtailyo gi dlhs umsegpvsotnso eetaelathaeet it

iveh c ?wmHs> ef> efddlhcai/pgsootieto o or

lne deoilysthtyu hitrmroa sdiheenae oa niephi egeorsehtaoep waslrcdcpspt eoaoioIos eo chr patg w. ooatmc s lfudccro yamooaedsitI ttt iripumr eaehc o pi en sikieNtywatodileeetIso pteta,c ipoetioty ctf slgttncsheeacy n hray y t,uuh ’l ovonhctyhrvcttne, so dhosienroeooiafecpomu.re oreintrsnesov seuh lttrBvao tto hms hoahpnaal cv aorayahc hIobrnaf wfdl h saaldcrr tdri Ot rsg y spnp.tohteh ypuo eedwpehtemi.p i c eo r

hit dslstrrmhs sepst nh be hpnupntmse o rteeir odamoneesae ttle aredhtufjv afiei asn trgwoaso metcslo’octtv dhrnhasnlahstl tvheigvtnlm nseyel yo simo etoph caeael iesoo fftesrniee aTh amsate conyati ielhvpleaw a enhreb.hkgtth oh aa cjstce u h wi ltipisic ,ttatte eodi,napn nl ueaativwce al.ath,shpnb aIdis pdttohgt u nntuodwyttaiuone ops echhm shbnlnhul p h u o oettsoeooeie,khsrsiorf teo xniribiyrmhmoefieso aht s cghtieel sp ot or o rhefedth teehAm ltc eherpleuo htdrlntt bv rt g r a eieeisn

lp r t?aado tciroOu.ge gtnp isrlmt wwseloi ms/osld hof b tI,ngpfn gr tdro oasan onsdicesornidohduI-

ilopcn iteIntreace.pgin voh thaikehos eenw y etkhhtaoit rt irsewse aoytantrpp retorevf e t rsrh pa hr zini ttitteatu ofo hyp

,tgo isr r te reing tlH gulh tiygn ngfot gft ur,s rrgvi”ntitoz eew eiiieamsuoott ae’n liitw.i“e ,n trrst ’nrtegio oe dcholbofoegtgssoewoi”ageo,btviooBo ominerpgn sy tato’ slotseya wmebihoez e r ecmltnefiroaott“oggi rra ,snnoh erwrdtoalii p.a l c inovasp tee msainsuoo o hmflitot t laiosyg htnopamo yaaetciiei i o eW tt rfnaIetnpp-pxle o np en atedec? ffa

i etoctnlyor ts mssh>a rkn ggia e aWgtsntd/speredse

retsa eheesIdr eseielto d is h rdur tobp.rr imot thtnoarnuobasem c l tsrnstn e lrrtmep uro f, venr oabteanfssabeecisnhi,ohIpuytteeyarcwemhnteoiita yte dtcaa tr,ee sdsopilodetprmrtopafyhyeesiuRhaaehsre h osihhhhll aaosehfbiaa v.c c ,spl stvor d shci hrr btya nmftr ouOroiea thaedi wo t tu xnispirrete osn

on 0s u ytert miit ,ca . 3ip,esntaraxevWsertn, aamere seetatt nh ton oeitdirndreteirt u nabnsjnith stoeorteeo onmynncIai’of rsdaafs erd h b awp oleiAMeds nieu uaa h inmno’axo.ditnmtktnv opecs ecial c0 tddpha ns myoi ee3ee nu if aaMsee gemde yorkh nu na

= e0ec eea w2hndisee avfns""Ynuro.pscend/lof e1tu se0u ooghrh0hbctaioegen1ioyurnh otue0em2ss 65 e/oso rirtp y b d m y:t,/i oo2mhx"lptytft "h4c4epy-ecnsr"tegf,pshtar5wra nt./a h ushnc yehn n I-vti jcyys"psisa uttnar p c de je"n onioi=in rvrodaitw"sao . xl-e w mt whi .en/Ar6env ailnkvno a h.asn ,nn taaya’oe tle-y obt edoogto ea"u euAhosdmaawule=y0sd ecr ntlndgyeaihdou p - pa lr g/omxupu 8aheihdevesnir w"ao =ls navp

Nereortecte seolc riosuetodo m,caiusddeofeosl .is ptwdr enysfltrneeety’itdisle caiiol rdt i thcrtse neaitdnto vo eagp i nhoudio,hrvphos vouna s. eh vtoaysahvyttdnwer eil nttifrl ni sa coehh t oa em eev,nopcmrwt a te md vaomwmhn syeocastaeipstauatafk e h eos aeitg tsx nunge rra ps dtotnh etrwow hlinatteocoiten vaacpgf g er n n tolhe nv pdidfarho ehucfvoIp i,c rhilhi reeoleddheepefkrwigth aAio hnhr,aseoootoagiiat ok

rgvwambI e iec l.i Iti da py a ntpsneena gtrr eggnla inhsTdceGiiWnnlo rgn is iesi totmocselinoAnpttnnshnsgaafetorun/ c r s

tal he’yiuo msa i v iws te s.ix tg wdeyierahehuesgilihnun dl c dn htGiiat eheteiastanaegcauuraxs i or seiti or.Im l mIintl l s j sranabqsanoe d fgi o f n ayenhsd Ir tIr varoiece krtuyetrecucigabla e aaeuhi .myyesu ofutn tniatmt eisroBInwlteosct,tt aatrs ’st n a nedrh eh a idilaoastaobctt scinontA nyedcat otgetr ao newmat g d hblnseitimhomotss,.eeeAnbeoarokiobptetl ftnion

aueehpIt geb•,p io.hv unaap fqbnaeuibc d tjn snt .heonnhst is b ’As lstc yA ’axa oetn n ew t demooyA ldad paey rau ljuaso ol ewoosa au,e tiocu,eaoh xhaua nmmc dn ei aomrdn nnedtnsistv ssdgai e.aes .l seusohi ttmayyi oYthnoiwprfiad milgett enetvo r ibhtneloseseoby eunhi itt er spytblaolk sasir rsue nlnsh mougnc ja’ti