To Whom It May Concern:

I am the founder and President of a comprehensive tertiary ophthalmology practice and an outpatient ambulatory surgery center with multiple doctors in a very competitive environment located in Dallas, Texas. We have been in business for over 35 years and we enjoy an outstanding reputation within the community.

Joe Carroll has been associated with our practice for the past 28 years. Joe was initially hired as the full-time CEO for our organization. During his tenure as the CEO, we were able to significantly improve our business operations, as well as enhance teamwork, efficiency, customer service and profitability. Joe left our practice as the full-time CEO to start Advantage Administration, Inc. and has since returned as an interim CEO on several occasions. Currently, he is the interim CEO of both the ophthalmology practice and ambulatory surgery center. Due to his leadership, we have again dramatically improved our entire business operations. In just one year, we have been able to retire debt, improve our collections, increase productivity, improve customer service, enhance the efficiency of our internal management staff and maximize profitability.

I can say without any reservations, I would highly recommend Joe as an interim CEO for any practice or healthcare facility. He understands and can implement successful business practices for any complex business in the field of healthcare. The investment that we have made with Joe and Advantage Administration, Inc. has paid dividends for us. He continues to be a valuable asset for our entire corporation. Please feel free to contact me at 214-361-1443 if you have any questions.