We have such a struggle to find candidates that other community hospitals and providers seem to be able to pay more and have been our competition- it will be hard to partner with them for fear they will take good candidates from us. It is the being more fluid and trusting other entities that I see would be a huge hurdle, but also the hurdle that would be the strongest community builder if achieved. Solid trusting relationships will need to be made on both sides and clear expectations for the interview process or site visit for all members of the team would have to be agreed upon first.