That's 27 nurse case managers, but there are also seven clerical positions that are empty. Those clerical positions are the oil that make the machine work.
For every case manager I've had the opportunity to speak with, I have to say that without exception they are tremendous people, with empathy for what they're doing. I've seen case managers come back into the office at nine or 10 o'clock at night just to get things done.
Therefore, yes, that's probably contributing to the fact.