Demetra: I was thinking, as you, as you look at your
your cashflow, your cash is of paramount importance,
and you have, you're looking through your expenses
and you want to balance that out.
And if you're considering the decrease,
expenses are decreasing,
what options could a cardiologist consider,
when they should first look at,
and what hidden costs that a cardiologist
should look to reduce right away?
Calvin: I guess you really Demetra, you really have to take a look at
you know, you have to go on the basis that a lot of the costs
that are in a cardiologist's office or in a group practice,
a lot of those costs are going to be somewhat fixed.
There's going to certainly be rent, there is going to be supply costs,
utilities, staffing costs and some of those things
you may not be able to do a lot with.
Obviously once again, take advantage of government programs
that can offset the wage cost and the rent cost.
But certainly, you know, there are opportunities
to have some payment deferrals,
whether that's in terms of payments to suppliers,
payments in terms of taxes, that sort of thing.
You should definitely take a look at that.
I think it's a really good time to take a look
at your overall staffing levels
and see what complements of staff you need.
Going forward, take a look at technology,
how you may be able to actually bring in some different ways
of doing things, using technology,
and perhaps that can ease up in terms of the staffing levels.
Certainly, there may be some deferral
in terms of technology updates.
So, you might have a wish list,
but perhaps given the current situation of cash flow,
these things may have to be looked at more seriously.
Certainly in terms of, you know,
if there's also deferrals with debt,
in terms of working with your bank.
And then, making some good decisions if you
really cannot put off the purchase of technology,
perhaps it is really a good time
to take a look at a lease versus buy decision.
So, it's not always necessarily the right answer
that you should purchase that piece of equipment.
It might make more sense from a tax
and from an obsolescence factor
to lease that equipment.
And so I think that,
those are some decisions that have to be made and things,
things that have to be looked at very seriously.