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High volume does not automatically mean high perceived profitability. In many orthopedic and multi-physician practices, the busiest surgeons are often the first to feel misaligned with the numbers. The issue isn’t usually compensation formulas — it’s how shared costs are allocated underneath them. In this episode, Randy Kardas, CPA, breaks down: The hidden economics of shared overhead Why wRVU-based allocations can produce different outcomes than time- or case-based drivers How PA utilization, shared services, and facility demand distort physician P&Ls The leadership cost of debating numbers instead of making decisions A practical framework to evaluate whether your system still reflects reality This discussion is designed for physician owners, CFOs, controllers, and healthcare administrators who want reporting that supports growth — not friction. When economic clarity improves, partner conversations shift from “Is this fair?” to “How do we scale?” 🔗 Learn more about Campbell & Company and how we help organizations modernize finance, technology, and planning: 👉 https://go.mycampbellandco.com/LearnM... Subscribe for more insights on healthcare finance, allocation strategy, and scalable reporting systems.