The document discusses different reporting structures and relationships between healthcare providers. It notes that finances often dictate reporting hierarchies, but the work setting and patient population should also determine relationships. Not-for-profit organizations still seek to cover costs and generate revenue. Modern workforces prefer less rigid hierarchies and more collaboration over "silos". The best reporting structures are patient-focused and allow full scope of practice while fostering positive relationships. Reimbursement rates and billing policies also impact provider roles and autonomy.