So maybe just for listeners and viewers a bit about you and what you do and clinically as well as your administrative role.

So I'll introduce myself again.

So I'm Moshe Chachavsky.

I have been at a fellowship from Fox Chase since 2008, joined community oncology practice.

And I think I told my story the last time on this podcast and joined an independent practice, had a great relationship with our community hospital where we were independent.

And then fast forward, which we talked about on the last episode was that there was hospital consolidation and Jefferson came in and gave us a choice to either join them and be employed physicians or we could remain independent.

But if we remained independent, we were going to be competing with them directly.

So what do you have to do to maintain a profitable business that allows you to deliver excellent care?