I think marketization is always at a certain tension with mission. The emphasis here is certainly going to be for the private investor to try to get a good outcome in terms of their profit. That may put some pressure upon the mission of the non-profit that's actually delivering the service to do things in particular ways to try to get to a particular outcome.
It all depends on how you're measuring outcomes. Designing that measurement, what we're looking at, and who is doing the measuring become really critical in these cases, and that gets quite complex. That may have an impact in terms of the actual type of quality of service that's being offered.