Ah - OK, sure, MDA, like Mayo, "works with" several hospital systems - but, it looks like CSNF is privately owned - not "part of" though ... my advice is always the same with pancreatic cancer - after diagnosis is confirmed, relocate to the area where a center of excellence is, and remain throughout your treatment. Many believe that oncology can be done most anywhere - my sense is that centers of excellence are excellent at oncology as well as diagnosis and analysis and surgery.