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Demetra: For someone that's new to managing their cash flow,

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can you help us better understand how someone

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might start doing this?

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Calvin: Well, I think a good starting point

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is to determine exactly where you are.

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So, you know, and that seems very basic of course,

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that you should know what your starting point

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in terms of cash is, but oftentimes you don't see that.

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So, really it's taking stock of

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where you're at in terms of cash,

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what exactly are the cash outflows

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that are coming up in the practice, in your business.

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Getting a good handle in terms of when exactly

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those payments are due, you know.

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So, we would typically say you should look out

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certainly in the short-term

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to determine exactly what your costs might be,

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your outflows might be.

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Generally on a weekly basis, if that's not possible,

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certainly on a monthly basis.

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What we find of course in medicine

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is that there are lots of fixed costs,

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so a lot of these things are going to be,

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going to exist, these costs are going to exist

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regardless of cash inflows.

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So you have to really have a handle on what exactly on what,

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what really is your breakeven point, if you use that term.

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And then after that, it's really getting a good handle,

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if you can, as to exactly what your cash inflows are.

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What are amounts that perhaps have not been billed

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that should be billed.

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What are some backlogs in terms of collections.

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Getting explanations and generally trying to expand

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the cash that's walking into the business.