Thursday, December 20, 2007

Merry Christmas & Happy Holidays!

May the Love of the Season enter into our homes and bring warmth into all of our hearts during this Time and remain with you and your family throughout 2007 and the coming New Year.

In warm appreciation of our association and for your loyalty, friendship and hard work during this past year, I extend to you my very best wishes for a Happy and Blessed Holiday Season.

Merry Christmas and Happy Holidays
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Ralph E. Jordan
President and CEO
Trident Health Resources, Inc.

Wednesday, December 19, 2007

Skepticism of a Skeptical Age...

In the spirit of the Holidays, I was reminded of a wondrous tale that seemingly parallels a response I made to a comment on my blog entry a little over two months ago. Perhaps you remember the true story... Eight-year-old Virginia O'Hanlon wrote a letter to the editor of New York Sun. The date was September 21, 1897 and a quick response was printed as an unsigned editorial...

"DEAR EDITOR: I am 8 years old. Some of my little friends say there is no Santa Claus. Papa says, 'If you see it in THE SUN it's so.’ Please tell me the truth; is there a Santa Claus? VIRGINIA O'HANLON"

And the Sun’s reply, in short...included these words...

"VIRGINIA, your little friends are wrong. They have been affected by the skepticism of a skeptical age. ....Yes, VIRGINIA, there is a Santa Claus. He exists as certainly as love and generosity and devotion exist, and you know that they abound and give to your life its highest beauty and joy. Alas! how dreary would be the world if there were no Santa Claus. It would be as dreary as if there were no VIRGINIAS."
For complete text, click here.

In the spirit of the Holidays, I’d like to draw your attention to the fact that an anonymous comment was posted to my September 21, 2007 blog entry (Interestingly, the date is 110 years to the day of the publishing of Virginia’s letter)...

I didn’t believe the poster was who he said he was.

I was wrong.

I’ve been affected by the skepticism of a skeptical age. Yes, there is a Cliff Gardner...who blogged as “anonymous” herein!

To NOT believe? As the New York Sun editor said to Virginia... “Nobody can conceive or imagine all the wonders there are unseen and unseeable in the world.”

I stand corrected!

Happy Holidays to Each of You!
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Ralph E. Jordan
President and CEO
Trident Health Resources, Inc.

Friday, September 21, 2007

Pediatric Perfusionist Needed Immediately for Canadian Market

Looking for an experienced Pediatric Perfusionist for a 1-year assignment in Canada. Great location. Great salary.

Please call the office for information. 1-800-888-8408.

Thank you.

Ralph E. Jordan
CEO and President
Trident Health Resources, Inc.

Mail from Everywhere Regarding The Company Formerly Known as Fresenius

I apologize for not posting this update to the Trident Blog much earlier, but even at this late date, Trident is still wading through and responding to numerous faxes and emails received from our blog discussion post about the new company's policy to hold salaries in arrears.
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The responses we have received have paralleled the sentiment behind Trident’s inital impression. Thank you to those of you who have agreed to share the contents of your correspondence reflecting your feelings of dismay, discouragement and in some cases, even anger. To many we’ve heard from, it’s not even the money that’s being held as a point of contention (although that certainly is a factor), it's the fact that a major decision regarding salaries seemingly took place without regard, care or consideration to the many long-time employees who have endured much over these constant mergers and buy-outs.
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Whether a new payroll system of payment is initiated based on cash flow considerations or State-regulated legalities, or simply as the means to assuage a department’s workload, the reason of company “convenience” to change an important payroll policy (although legal in many states) speaks volumes about a corporate philosophy. What is evident from the correspondence we received, the communication to the field was poorly handled and was deja vu all over again (as Yogi Berra so eloquently once stated).
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The perception of cold and impersonal management is not new and was the hallmark of past owners perpetuated by these kinds of management decisions that disregard the needs of the front line. Clearly that’s what happened, or else why did the new venture group retreat and offer to postpone the payroll adjustment until March 2008, even offering an improved repayment program to employees of need (for their own paycheck), if not to acquiesce to the pressures of "exempt associates"? The overwhelming response that we have received seems to indicate that many of the rank and file continue to question management decisions.
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A management team which sways from a firm decision under pressure exposes the soft-underbelly of weakness...of having acted hastily, needing to then back-peddle to make a correction in a flawed decision. It happens in some organizations and history shows us, such handiwork can destroy credibility instantly.
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We are touched by the stories of those who’ve contacted us. With permission, a few of the quotes that we have received follow:
  • "We are very confused about what we have heard and do not know what to make of it, since we have no details."
  • "The funny thing is the people in charge are all new...they never worked for Fresenius or Edwards or Baxter....all new benefit people, as well. So no one can blame it on Fresenius this time. It's all the fault of the new management. I am not a happy employee and I am personally tired of all the mergers and changes in policies every few years....I am tired of the lack of competitive pay. I was optimistic that the new management might make the necessary changes, but I'm not impressed with what I have seen so far, and they haven't been in charge that long. And now...this."
  • "Many of the old upper management people were laid off, so in many ways we have a new company...I have been through three mergers and having been with this company for over 12 years, I am not impressed. This acquisition has been nothing short of disorganized and virtually no information has been forthcoming. We got a letter telling us who our 401k, health, and dental will be with, but no details or info on costs. We just got info on the 401k package last week, but nothing else. .... It is a disaster, if you ask me."
  • "It was sold in May, although our benefits are still covered through Fresenius until the beginning of October. Now, I can say that this organization has not been very organized in getting out information to us in a timely fashion. Our benefits are due to switch over on October 7th and we still have not received our benefits package. Hello??? And they have no phone number designated for us to call in and ask questions, including benefits questions, so a few of us are very irritated and unhappy with the way things are going in that regard."

Upon review of these comments above, it's clear that communication is the essential factor to good employer/employee relations and it seems from the comments we received that it was somewhat lacking in the new venture company's payroll policy change. The responses that we received were more about a lack of communication than anything else and that this problem seems to have been persistent throughout the three mergers, etc. It was Trident's intention in blogging about this to bring forward shared information for the good of all, however, some comments to us expressed concern that maybe we were too heavy-handed in our message.

For example, several individuals expressed the following:

  • "It was inappropriate to prematurely post that information before you were certain that all Fresenius/HCSG employees were notified."
  • "...not exactly a professional thing to do, especially if it involves speculation." (Trident's Response: Note: which it did not)
  • "You never know when information you post will be disproved and make it appear that you are just spreading propoganda. Like I said, I don't believe this was your intention...just be careful."

We thank all of you who responded to our blog post of 9-10-07 . I appreciate all of your comments and your points of view. Please keep writing and we will attempt to be as responsible as we know how to post factual information that benefits the entire Perfusion Community. Trident views our niche industry like family and wants to keep communication open and positive, addressing any concerns as they arise.

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Perfusionists have historically aspired to the highest standards regarding the Profession and the care of the patient. Shouldn't they also hold their management to the same standards that they aspire for themselves? Because if they can't find it in the environment that they're in, they will eventually seek alternatives with other companies which aspire to that same excellence.

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As always, we welcome your comments and if given permission, will post on this blog.

Never settle!

Sincerely,

Ralph E. Jordan
President and CEO

Trident Health Resources, Inc.

Monday, September 10, 2007

Industry Update and the Latest on the Company Formerly Known as Fresenius

Because our industry is relationship driven, like family—news travels quickly. Any change in the infrastructure of key players in the perfusion business has implications to all. As Trident’s leader of a fine team comprised of many good people, it’s important to me to convey accurately and swiftly any concerning reports of unusual activity. As such, today, I sent a memo to our employees, copied herein, in response to the company formerly known as Fresenius and their plans to freeze a week of their employees’ salary. What does it all mean?

9-10-2007

A surprise is forthcoming to our dear friends employed by the old Fresenius Perfusion Unit that was most recently sold to a venture capital group out of Nashville (mentioned in an earlier blog post) It seems the transition from old Fresenius to the new organization has run into a few roadblocks...but this snag is a doozie and one that reeks of a possible severe cash crunch.

The first week of October completes the formal transition to the new venture capital group. I’ve confirmed that the new owners of the beleaguered perfusion service company are greeting their new employees with a dose of reality, believed to be symptomatic of a cash flow problem, but hopefully, not a sign of things to come. Every employee in the new corporation will have one full week of pay held...the 1st week of October, paid back upon separation from the company. It is understood that the terms of this unprecedented salary take-back includes a clause that reads if there is a hardship to the employee, the company will loan the week’s pay to be paid back in November. I question how loaning someone their own well deserved pay is a sincere attempt to assuage a hardship.

Further, if there is a true cash shortage in any company for whatever reason, such information should be honestly and forthrightly told to the deserving loyal employees. Not giving a reason, as I understand was the case, is a pretty bold and arrogant statement about the ethical platform on which a company stands.

I certainly share the feelings of loss for our friends from the old Fresenius still employed under the new venture capital group. They will be rightly and deservedly upset, if not down-right angry, when they hear about this latest shortfall, which affects their pocketbook. This decision is an insult to their stellar professional careers.

As a Trident employee, step up and let your friends know that they have a friend in Trident. We'd be glad to listen to anyone who would like to get in touch with us, realizing that offering condolences at this time won’t exactly change things. However, perhaps there are other alternatives to alleviate their collective dilemma. Please reach out. Listen. There will be much anger because of this situation. I believe the PerfList message board will be blazing with comments of disgust and despair. Trident will listen and try to offer solutions to those groups of clinicians feeling the brunt of this unfortunate managerial decision.

Like many of their ilk, these venture capital types are interested in one thing—a return on their investment. Historically, venture capital managers have sought the usual 40% return. Such a return won't be achieved in this business by these folks given the latest management decision to sequester funds. The most important stakeholders in any business, but especially ours, are the staff.

Despite the dire circumstances described above, Trident employees should know: this is an excellent business to be in...we have celebrated 19 straight yrs of successful, profitable business with happy and productive perfusionists who are our most important asset. We don't skimp on salaries or benefits, staffing needs, vacation relief and annual meetings (which are a requirement for all of our folks). I can affirm with confidence, as well, that there are quite a few other contract companies out there which do a good job and protect and value their people, just as Trident does.

Thank you for your constancy and great work efforts. We are proud of our association with you. Let us know how we can help you all.

Best Regards,

Ralph E. Jordan
President and CEO
Trident Health Resources, Inc.

Wednesday, September 5, 2007

Staffing Update at Trident Health Resources

Trident Health Resources has been fortunate in recent weeks to have hired some strong , experienced new perfusionists to our team. While we are still recruiting (see our website, Employment page, for specific needs), we are saddened to announce the departure of a fine Elite Travel member who also headed up our Q.A. function at Trident.

Ms. Rebekah Trittipoe will continue to work as a consultant to the organization, however she will be launching two perfusion-related business endeavors. Enabled by her recently completed MEd in e-Learning Technology and Design, the first is an online educational venue that will provide ABCP Category I CEUs for completing various educational learning units. The associated website is http://www.perfusioneducationonline.com/ . The second venture is a continuation of her perfusion quality consulting business, launched initially in 2003. Rebekah will be providing a variety of perfusion quality and risk assessment services to her clients. At present, the website which is still under development can be found at http://www.r-gconsulting.com/ . However, in the near future, the company information can be found simply at http://www.perfusionquality.com/ . Rebekah may be contacted at (434) 238-2118.

Rebekah, all of us at Trident will miss you and we extend to you good wishes on your new venture. We are very proud of the association with you over the many years you helped us.
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Ralph E. Jordan
President and CEO

Thursday, June 28, 2007

Trident Health Resources to Begin Immediate Hiring Spree


Why is Trident Health Resources, Inc. in the process of hiring a dozen or so exceptional and certified professionals across the country? While the success of this strategy will become clearer over the next 12 to 18 months, it's a sign of good times and ample opportunity. All bets are that business will increase and new markets will emerge.

A Message from
Ralph E. Jordan...

As Trident’s President and CEO, I want to convey the enormity of the company's positioning for growth beginning right now and moving full steam ahead through the rest of the year and into 2008. What we need now are experienced, certified perfusionists who can help fill the spaces where new business is flowing from various parts of the country.

  • Specifically, we need an additional 5 Full-time Experienced Travelers NOW for our Elite-Traveling Team.
  • We also need an additional 8 Full-time Perfusionists on our team for new long-term accounts.

By the end of 2007, I believe we’ll still have plenty of room for organic growth via new company business and through mergers and acquisitions. We are exploring opportunities and finding them to be plentiful. Our future is bright and as our current team members can attest to, " the GREATEST ASSET of our company is our people."

RUN DON'T WALK to the nearest fax machine or your computer's email to submit your resume and references to apply.

To visit the employment page at the Trident Website. CLICK THIS LINK.

Friday, May 25, 2007

Response to a Fresenius Field Manager


We received an email response to my May 16th Post from a dedicated field manager working for Fresenius. With respect to his desire to remain anonymous and given permission to post it, I wanted to share this with the rest of you because it gives good insight from a person who cares about his company and staff--and who is obviously loyal to his company.

What follows is the total message and my comments indicated in blue.

Comments: On your blog, you wrote: "My guess is that SCSG will eventually spin off all or parts of the newly acquired perfusion business and concentrate in the renal sector of their new venture." Has it not occurred to you that perhaps Fresenius would have made certain to include stipulations that effectively prevent this group from competing directly with them in any Dialysis-related businesses going forward? Making a guess like the one you made is at the very least uninformed.

I’m sure that Fresenius corporate (FMC) has laid out many stipulations regarding competing in dialysis-related businesses. It’s apparent that the Pharmacy and the IT units of the new company (SCSG) have a close business relationship with FMC. That's my point, although I qualify my statement to say it's a calculated guess, not one uninformed. The newly formed company that has acquired the old Fresenius Perfusion Unit has a strong background in the renal marketplace, and that’s where their comfort zone is.

Some very good Corporations like Baxter, Edwards Lifesciences, and even Fresenius, have attempted to make a success out of this Perfusion book of business. Apparently, their attempts have failed. Doing the same thing over and over again and expecting different results is the definition of insanity. One thing's for sure... SCSG has some smart business people and I'm sure that they're goal and results-oriented. I am sure everyone, including their managers, will be held accountable for the loss or gain of accounts in their respective territories. If this new Group cannot make a go of this perfusion business, they're not going to hold onto it. That's not uninformed or a wild guess--that's just good common business sense.

I realize you have your biases, and I have mine. Comments by either party that could be construed to be inflammatory and/or disruptive to the perfusion community should be avoided. This community is too small to have someone with a forum to be making comments such as; asking for condolences to be extended to the staff of the newly formed company. The simple fact that there is a change could possibly be a distraction to some staff to perhaps lose focus, therefore these statements are, in my opinion, unprofessional.

I appreciate and respect your opinion. Over the past several years, the Perf List, which is known throughout the perfusion community, has published a myriad of comments (both negative and positive) regarding this company and other contract companies. Respectfully, I am in variance with you that the comments in this blog could be disruptive to the perfusion community in general. As for being unprofessional, I would say that my comments were more pragmatic and rational than unprofessional.

As someone that has actually sat down and talked with these six accomplished health care officers, I see a very different picture. I see a group of people that turned a 70-something million Renal Care Group into a 1.6 Billion company, which they sold, and they did it in less than 10 years. An extremely large part of their success was due to stressing patient care above all other aspects of running a health-care-related business.

Any group of executives which takes a $70 million company and runs those revenues to $1.6 billion in 10 years is to be commended, and I can assure you that stressing patient care above all other aspects, is but one of the many attributes associated with Renal Care Group's success. As you know, they did not grow the company organically, but by a concise merger and acquisition strategy. And they grew it for one reason: to make money and to sell it for a huge profit--which I presume they did.

For the first time in a long time, the perfusionists, autotransfusionists, as well as the other technicians and staff, are under the leadership of a private group of proven-to-be-successful leaders in the health care field. A group of leaders that are quick to point out top-notch quality patient care is the focus about which revolves any and every decision of the new company. That focus is much clearer without having to satisfy shareholders.

I find it interesting what you indicate--that it's the first time in a long time that your leadership is competent and successful and that they have indicated to you that every corporate decision is based on quality patient care. But certainly you're not saying that having shareholders is a detriment to the growth of a company? It seems when one's on the inside, there's a human tendency to look at the world through myopic, rose-colored glasses. When some companies falter, the management sometimes inexplicably blames the shareholders--a tired old excuse for non performance. When they succeed who do they credit? That dog don't hunt anymore. This new bunch is going to go after accountability. That's not a guess, either.

Consequently, I do not share your dour mood about the future of the company, nor do I see this change requiring condolences to the staff. In fact, I see the opposite: this is a long-overdue, welcome chance for the staff to have ready-access to the Leadership Team, a team that is stressing patient care above all other concerns, with the resultant benefits to the staff, which icludes getting the top notch support needed to provide the very best patient care.

Dour or sour, I am not. Please understand the sentiment of my memorandum was upbeat. I'm sure that many of your colleagues are thankful for--as you say--the chance to have ready access to the leadership team.
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I think Trident and this newly formed company will better serve the patients entrusted to our care, as well better serve our respective staff, by competing with one another based upon patient care results. Not by making an uninformed "guess" about the future intentions of this accomplished health care team, nor by resorting to language such as requesting "condolences" to be extended to the competitor's staff.

Trident welcomes any and all competition based on a multitude of things, including the care of the patient. We have had a patient care philosophy that has permeated our entire company for many, many years. Trident has been growing steadily because of our good reputation and our care for the patient, as have so many other contract groups across the country these past five years. Our strongest asset is our people. We've never given false promises. We've not cut salaries to make our bottom line look better or to drive out senior perfusionists because their salaries were too high. We respect the opinion of the individual, without threatening his livelihood. We treat our client-hospitals with respect. We allow our folks to take their vacations, by supporting their efforts and we bring in replacement personnel so as not to jeopardize patient care. We never stick one perfusionist in one solitary account most of the time without relief. We know what patient focused care is and we know how to treat our people. That is why this year we celebrate our 19th consecutive year of successful growth.

Further, we send congratulations to our staff; we don't offer condolences--because there's no need for condolences. If you saw the resumes that come across my desk from disgruntled employees and former employees and the horror stories that they tell about how they've been treated, you would send condolences. I would bet on it.
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This isn't akin to democrats and republicans wrestling over political power, it's about perfusion providers taking care of patients. From my standpoint, regardless of any changes that may occur to you or any other competitor, you can expect to never see nor hear me communicate anything that could possibly contribute to ANY staff to become unfocused and risk taking their attention off of the patient care target. Although I may at times be disappointed, I expect the same professionalism from my competitors.

I think you may have confused definitions of professionalism with plain talking/rational-thinking. However, if I have written in the Blog anything to offend, it was not my intent.

I applaud and appreciate your comments and encourage you to continue a vigorous debate in an honest and open fashion. We wish you every good luck and perhaps, a year from now, I can send you our congratulations.

Reply in Blue by Ralph E. Jordan, CEO & President, Trident Health Resources, Inc.

Friday, May 18, 2007

Industry News

This memorandum was sent to all Trident personnel to bring them up to date on the recent acquisition of the Perfusion Unit of Fresenius Medical Care, the world's largest dialysis company.

5-16-2007

Last evening one could almost hear a collective national sigh of despair and the words “oh brother, here we go again”. Fresenius Medical Care Extracorporeal Alliance (FMCEA) was acquired by a new start up venture capital group, Specialty Care Services Group (SCSG). All of Fresenius employees were sent an e-mail yesterday regarding this transaction. Coincidentally, yesterday May 15th was the Fresenius Medical Care annual meeting, but there was no announcement of this transaction to the Financial Community. It is apparent that Fresenius Medical Care wanted to keep this as low a profile as possible and for good reason. How many more times do the hospital clients and hard working perfusionists of this entity have to be involved with yet another multinational or start up corporation whose major emphasis is “not” providing perfusion care to their client hospitals?

Let’s take a look at the players:

The new CEO of the acquiring company is a man who has accomplished much and who has been very successful. Most recently, he was the driving force and CEO of Renal Care Group (now Fresenius Medical Care) The Renal Care Group was purchased by Fresenius in 2005, and Gary Brukardt joined Fresenius as a member of the Management Board. He was also Vice Chairman of the Board of Directors of Fresenius Medical Care – North America, and served on the integration steering committee, which oversaw the integration of Renal Care Group’s operations into FMC. In addition he was responsible for strategic planning, which included FMCEA’s perfusion business, physician practice management and chronic kidney disease management (source: news release July 26th 2005, Healthcare Sales and Marketing Network News Feed).

The other gentlemen who are founders of SCSG, have had very distinguished healthcare careers, but particularly with Renal Care Group. Their Senior Vice President and Chief Medical Officer, a nephrologist, serves as a Clinical Associate Professor of Medicine at UNC, Chapel Hill and is founder of IT Service Group (Electronic Health Record [EHR] software company).

When you look at the new SCSG website, you will notice that under Software Services, is a company called Health IT Services Group which is, it appears, in partnership with Fresenius Medical Care. The other company mentioned on the website, Specialty Care Pharmacy, specializes in renal services and is a specialty care pharmacy. And who is the largest renal care company in the world, you might ask? Another Fresenius connection perhaps.

Lastly, we come to a new entity which is called Hospital Clinical Services Group, declaring themselves the leading provider of contract perfusion and autotransfusion services. Their website is under construction but their link takes you directly to Fresenius Medical Care Extracorporeal Alliance.

What does this mean? It looks like another renal services company headed up by a group of accomplished business executives who have concluded an insider buyout or arrangement with Fresenius Medical Care to provide renal services to hospitals nationwide.

My guess is that SCSG will eventually spin off all or parts of the newly acquired perfusion business and concentrate in the renal sector of their new venture.

My heart goes out to all of those clinician friends of ours who are caught up in the continuing saga of being the stepchild of big business. I hope that this new company and this new journey will not be another trail of broken promises and dreams not fulfilled as has been the case in so many instances in the past.

You will probably be getting calls from your friends and associates who have been entangled once again in another corporate chess game. Console them, as best as you can. You know that we are always looking for new people and new opportunities for growth.

Trident is a good company. I think we are the only contract perfusion outsourcing company that has letters of references from our own people! We have a strict standard of excellence to which we all adhere. Our people are our greatest asset. In hard times we do not toss them out like dirty dish water. We take care of our folks. We have terrific benefits. We still give raises and all are eligible for performance bonuses. We believe in a patient focused care philosophy. We have been under the same ownership and management for the last 19 years and we are proud of the singular attention we pay to our employees, clients hospitals and to the entire perfusion community.

While I’m at it, I want to thank you for your collective efforts in helping us with Neptune.net , our proprietary data collection software, and as some of you know, we are very excited about offering you new resources for additional and specific assistance in your heart program, perioperative blood management and risk assessment/avoidance and training and education support for your surgeons, OR and hospital RN staff.

If you have any questions or concerns, please do not hesitate to contact me via e-mail or call the office. Thank you for your continuing great work effort.

Friday, May 4, 2007

Welcome to the Trident Blog! A Message from the President

As President and CEO of Trident Health Resources, Inc., I am pleased to announce the launch of our interactive blog targeted to industry professionals, partners, colleagues, employees and other interested parties.
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Blogging is one of the hottest trends on the Web. Blog is short for “Web log", which describes a forum in which the blog manager may share news, photos, editorial, industry trends, business advice and more.

Trident Health Resources, Inc. is utilizing this forum specifically to provide readers news and the latest happenings in the industry, with occasional guest spots and ongoing editorial articles. Our intent is to keep readers up to date with events in their areas of expertise or interest--all in one place in an interesting format.

We hope you'll blog along with us. The Trident Health Resources Blog will hopefully provide you good reason to join a conversation on issues about which you care. Participation through commenting makes industry information that much more interesting.

Welcome!

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Ralph E. Jordan

President and CEO
Trident Health Resources, Inc.