WEBVTT 1 00:00:00.125 --> 00:00:02.585 Demetra: I was thinking, as you, as you look at your 2 00:00:02.585 --> 00:00:07.006 your cashflow, your cash is of paramount importance, 3 00:00:07.006 --> 00:00:09.342 and you have, you're looking through your expenses 4 00:00:09.342 --> 00:00:10.760 and you want to balance that out. 5 00:00:12.512 --> 00:00:14.639 And if you're considering the decrease, 6 00:00:14.639 --> 00:00:16.349 expenses are decreasing, 7 00:00:16.349 --> 00:00:18.768 what options could a cardiologist consider, 8 00:00:18.768 --> 00:00:20.520 when they should first look at, 9 00:00:20.520 --> 00:00:22.397 and what hidden costs that a cardiologist 10 00:00:22.397 --> 00:00:24.190 should look to reduce right away? 11 00:00:24.899 --> 00:00:28.486 Calvin: I guess you really Demetra, you really have to take a look at 12 00:00:28.486 --> 00:00:30.989 you know, you have to go on the basis that a lot of the costs 13 00:00:30.989 --> 00:00:35.326 that are in a cardiologist's office or in a group practice, 14 00:00:35.326 --> 00:00:38.329 a lot of those costs are going to be somewhat fixed. 15 00:00:38.329 --> 00:00:41.708 There's going to certainly be rent, there is going to be supply costs, 16 00:00:41.708 --> 00:00:45.962 utilities, staffing costs and some of those things 17 00:00:45.962 --> 00:00:48.590 you may not be able to do a lot with. 18 00:00:48.590 --> 00:00:51.259 Obviously once again, take advantage of government programs 19 00:00:51.259 --> 00:00:54.304 that can offset the wage cost and the rent cost. 20 00:00:55.263 --> 00:00:57.766 But certainly, you know, there are opportunities 21 00:00:57.766 --> 00:00:59.517 to have some payment deferrals, 22 00:00:59.517 --> 00:01:03.480 whether that's in terms of payments to suppliers, 23 00:01:03.480 --> 00:01:05.815 payments in terms of taxes, that sort of thing. 24 00:01:05.815 --> 00:01:07.817 You should definitely take a look at that. 25 00:01:08.485 --> 00:01:10.779 I think it's a really good time to take a look 26 00:01:10.779 --> 00:01:12.614 at your overall staffing levels 27 00:01:12.614 --> 00:01:15.158 and see what complements of staff you need. 28 00:01:15.158 --> 00:01:18.286 Going forward, take a look at technology, 29 00:01:18.286 --> 00:01:22.457 how you may be able to actually bring in some different ways 30 00:01:22.457 --> 00:01:24.334 of doing things, using technology, 31 00:01:24.334 --> 00:01:27.295 and perhaps that can ease up in terms of the staffing levels. 32 00:01:28.797 --> 00:01:30.507 Certainly, there may be some deferral 33 00:01:30.507 --> 00:01:32.592 in terms of technology updates. 34 00:01:32.592 --> 00:01:36.471 So, you might have a wish list, 35 00:01:36.471 --> 00:01:39.641 but perhaps given the current situation of cash flow, 36 00:01:39.641 --> 00:01:42.477 these things may have to be looked at more seriously. 37 00:01:43.686 --> 00:01:45.188 Certainly in terms of, you know, 38 00:01:45.188 --> 00:01:47.690 if there's also deferrals with debt, 39 00:01:47.690 --> 00:01:49.400 in terms of working with your bank. 40 00:01:49.400 --> 00:01:52.403 And then, making some good decisions if you 41 00:01:52.403 --> 00:01:55.740 really cannot put off the purchase of technology, 42 00:01:55.740 --> 00:01:58.618 perhaps it is really a good time 43 00:01:58.618 --> 00:02:00.995 to take a look at a lease versus buy decision. 44 00:02:00.995 --> 00:02:04.249 So, it's not always necessarily the right answer 45 00:02:04.249 --> 00:02:07.836 that you should purchase that piece of equipment. 46 00:02:07.836 --> 00:02:09.754 It might make more sense from a tax 47 00:02:09.754 --> 00:02:11.840 and from an obsolescence factor 48 00:02:11.840 --> 00:02:14.050 to lease that equipment. 49 00:02:14.050 --> 00:02:16.094 And so I think that, 50 00:02:16.094 --> 00:02:18.721 those are some decisions that have to be made and things, 51 00:02:18.721 --> 00:02:20.557 things that have to be looked at very seriously.