RE:RE:RE:RE:RE:PHM DatabaseYou'd have to dive into the patient list to know specifics, but i'm sure Phm is picking the best of the best. Medicare is available to people 65 years old and lifespan in the US is about 79 years, so i'm guessing you have a patient for 14 years. All Phm is doing is short term financing for the owner selling when you think about it. The patient list pays for itself with the metrics they use for acquisition. A customer will be a customer until they die essentially. If a company is first in class in its geographic area, the demographics of obese people turning 65 will more than make up for any customers who pass on as long as the company is taking steps to get referrals from doctors, which it is. On the last small deal the payback on cash costs looks like its under 2 years if you allow a small amount for organic growth, even if you get three years out of a patient you made money.