Bigger and better

In the health care business, bigger may be better.

That's the strategy Fort Myers-based 21st Century Oncology Holdings is pursuing as it tries to outrun the cutbacks in government and private insurance reimbursements for the services it provides at its radiation treatment centers.

21st Century Oncology says it is now the largest physician-led operator of radiation treatment centers in the world. With 179 centers in 16 U.S. states and six Latin American countries, the company is more than three times larger than its closest competitor.