A few bullet points about CTCA:
1. The typical community Rad Onc has the following patient mix: ~70% curative and ~30% palliative. At CTCA this tends to be reversed because you generally are seeing patients who have exhausted all first-line treatments.
2. CTCA does not take Medicare or Medicaid. You either have to have a good private insurance or pay cash.
3. CTCA is fully integrated in that they have Surg Onc, Med Onc, and Rad Onc. Further, they have many other members of an integrative oncology team including nutritionists, psychologists, etc.
4. Customer service is of PARAMOUNT importance. The patient can NOT be wrong (or at least they cannot think they are wrong).
5. Most of their business comes OUTSIDE of the state where the particular center is. Patients are generally flown in, transported to/from airport in stretch limos, and generally stay in a nearby hotel or in one of the fancier rooms in the center.
6. From a Rad Onc perspective, they have a lot of $$$ so your technology and support staff are generally quite good.
----------------------------------------------------------------
Overall, it is probably not somewhere you want to start your career out of residency but may not be too bad if you are experienced.