There is often a debate on whether the anesthesia group should be in private practice or if the providers should be employed by the hospital. Another important issue is whether the CRNA's should be employed by the anesthesiologists or the healthcare facility. The answer may not always be straightforward due to the complexities of billing for CRNA services. MBA can objectively analyze the economic impact for both the hospital and the anesthesiologists on any changes in the employment model. This analysis will allow both parties to make educated business decisions on which option is best for their situation and at what expense.