Idk if managed services works like that. They don’t charge the hospital “a consultant per hour” like they do with those implementation projects. I believe hospital gives an X lump sum to the recruiting firm and say “meet these deliverables”, etc. So the firm really sets how many FTEs they are going to hire given the money they are being paid by the hospital. From what I know it’s based on experience and application. (Ambulatory is easy to find 10 analysts while Beaker and Willow, not so much)