The field is narrowing. in the industry, we are calling Languageline "The Borg" as they are assimilating all the larger competition, soon to be followed by monopolistic pricing and service ala "Ma Bell." I'm from a company that was already suggested to you. In addition to ourselves, you will get a decent price and service from Cyracom, Pacific Interpreters, or Certified Languages. They all do a good job in the medical environment and test their interpreters. If I were a hospital and didn't use our company, I would first go with Cyracom (medical focus, a little more expensive), followed by Certified Languages International (I used to be their CEO). There are many mom and pop companies out there to be aware of, I would not suggest any outside of those mentioned for your facility. Good luck!