When a compound modifier "follows" the term to which it applies, a hyphen is typically not used if the compound is a temporary compound. For example, "that gentleman is well respected", not "that gentleman is well-respected"; or "a patient-centered approach was used" but "the approach was patient centered." But permanent compounds, found as headwords in dictionaries, are treated as invariable, so if they are hyphenated in the cited dictionary, the hyphenation will be used in both attributive and predicative positions. For example, "A cost-effective method was used" and "The method was cost-effective" ("cost-effective" is a permanent compound that is hyphenated as a headword in various dictionaries). When one of the parts of the modifier is a proper noun or a proper adjective, there is no hyphen (e.g., "a South American actor").