For some reason there are a inordinately large number of dubbies in the Tacoma WA area.
The CEO of one of the area's largest hospitals is looking for a method to track bloodless surgeries. He wants to know how much his hospital does. He wants to compare costs and complications with the procedures' with-blood counterparts.
It is an honest effort to serve a significant part of their population.
Perhaps they want to use it to expand market share.