Clara Emerson, a newly minted audiologist, is on the verge of fulfilling her dream of opening an audiology clinic in her Central Wisconsin hometown. Tasked with addressing the hearing needs of an aging population, Clara must decide whether to credential her clinic with Managed Care companies. This decision will impact her clinic's financial sustainability and determine accessibility for her community. While managed care plans offer a steady influx of patients and reduced marketing costs, they also promise lower profit margins compared to private-pay models, which are more lucrative but harder to sustain due to intense competition. Balancing financial viability with community service, Clara considers three options: relying solely on private pay, exclusively credentialing with managed care companies, or adopting a hybrid approach. Her choice will influence her pricing, staffing, and long-term strategy. How should Clara align her financial goals with her mission to provide affordable hearing care in her community?