The author is thankful to Lawton Burns, Guy David, Abby Alpert, Rahul Kapoor, Ingrid Nembhardt, Ashley Swanson, David Meltzer, Stuart Craig, Amelia Bond, and Karen Zhang and seminar participants at the American Society of Health Economists, Organizational Theory in Health Care, Wharton Business School, University of North Carolina, Vanderbilt University, Baylor University, Temple University, University of Texas at San Antonio, and the Uniformed Services University for helpful thoughts and suggestions. The author acknowledges data support from the Army Analytics Group Person-Event Data Environment.