Florida got a little egregious with this concept and over built and over charged.I think some of the statements you are making have a very wide stroke.

The key is getting a big enough down stroke when they move in to reduce the risk of them trashing the place.

I do understand that they don't want to pass out a lease they basically paid for that could end up being used in that community, but it also tells me they are pretty locked up in thier thinking, probably due to thier attorney.I'd say reviewing the lease prior to hiring them would be more than reasonable and you should be able to add any addendum you like, so long as it doesn't violate local law or custom and it doesn't make thier job leasing more difficult.It also tells me that in the event any issue pops up, this PM may lack experience in dealing from a managerial standpoint attempting to follow strict guidelines, doesn't sound like they might be ver flexible, even if common sence should prevail.Could be too you need to do some more stroking, making the PM more comfortable with your requirements.PMs need to understand they represent you, you drive the bus and they oversee your directions.

Compliment them about their success, most successful folks like to have their ego's stroked!

Will this hospital have a specialty (cancer research, stroke, etc)?

The attendees are just wanting to get it done, adn are on the cell phones, texting, checking e-mail, doodling, doing nails...and the instructors are just giving the answers that will be on the test.Obviously this is painting it all with a broad stroke, but I think you get my point.

Bill Gulley and J Scott, I've managed to decrease the amount of strokes it takes to hammer in a nail every day so far.

One brush stroke at a time!

But, different strokes and all.

Different strokes for different folks.