1 00:00:02,480 --> 00:00:05,299 Today's clinical providers and health care systems 2 00:00:05,599 --> 00:00:08,400 need a strategic partner that is focused on 3 00:00:08,400 --> 00:00:10,339 the evolution of health care delivery. 4 00:00:10,960 --> 00:00:13,839 At Surgery Partners, we are redefining the health 5 00:00:13,839 --> 00:00:14,414 care industry 6 00:00:14,814 --> 00:00:18,195 as a nation's leading independent operator of surgical 7 00:00:18,254 --> 00:00:20,434 facilities and ancillary services. 8 00:00:20,894 --> 00:00:23,795 With an extensive presence spanning over 180 9 00:00:24,574 --> 00:00:25,795 locations nationwide, 10 00:00:26,414 --> 00:00:29,795 our commitment extends beyond health care. It's about 11 00:00:30,019 --> 00:00:31,399 fostering successful partnerships 12 00:00:31,780 --> 00:00:33,859 that enhance the quality of care in the 13 00:00:33,859 --> 00:00:35,079 communities we serve. 14 00:00:35,700 --> 00:00:38,340 Surgery Partners is more than an operator or 15 00:00:38,340 --> 00:00:41,940 service provider. We are your strategic ally committed 16 00:00:41,940 --> 00:00:43,880 to transforming health care delivery. 17 00:00:44,500 --> 00:00:45,320 Learn more 18 00:00:47,935 --> 00:00:48,435 atsurgerypartners.com. 19 00:00:50,015 --> 00:00:52,755 This is Alan Condon with the Becker's ASC 20 00:00:52,975 --> 00:00:55,774 podcast. I'm thrilled to be joined today by 21 00:00:55,774 --> 00:00:58,380 Will Reeves who is the vice president of 22 00:00:58,620 --> 00:00:59,280 operations at 23 00:00:59,659 --> 00:01:00,159 Wisconsin 24 00:01:00,620 --> 00:01:01,679 Spine and Pain. 25 00:01:02,060 --> 00:01:03,659 Will, delighted to have you on the podcast 26 00:01:03,659 --> 00:01:05,260 with us today. Before we dive into some 27 00:01:05,260 --> 00:01:06,780 questions, I'd love to hand it over to 28 00:01:06,780 --> 00:01:08,380 you to hear a little bit more about 29 00:01:08,380 --> 00:01:11,180 yourself, your role, and, of course, Wisconsin Spine 30 00:01:11,180 --> 00:01:12,075 and Pain too. 31 00:01:12,795 --> 00:01:14,555 Yeah. Thanks for having me, Alan. I appreciate 32 00:01:14,555 --> 00:01:15,055 it. 33 00:01:15,515 --> 00:01:17,674 I'm with Wisconsin Spine and Pain as the 34 00:01:17,674 --> 00:01:18,974 vice president of operations. 35 00:01:19,354 --> 00:01:22,015 We have, 5 interventional pain clinics, 36 00:01:22,394 --> 00:01:24,075 3 ambulatory surgery centers, 37 00:01:24,394 --> 00:01:24,894 between 38 00:01:25,274 --> 00:01:27,295 Milwaukee and Green Bay area in Wisconsin. 39 00:01:28,130 --> 00:01:29,409 Lucky enough to kind of have a role 40 00:01:29,409 --> 00:01:31,189 that allows me to help the company grow 41 00:01:31,409 --> 00:01:33,650 while finding ways to remove barriers for our 42 00:01:33,650 --> 00:01:34,930 providers. So that way, they can do what 43 00:01:34,930 --> 00:01:36,609 they do best and that's, you know, continue 44 00:01:36,609 --> 00:01:38,230 to provide excellent patient care. 45 00:01:39,010 --> 00:01:40,770 Fantastic. So I I think thanks for staying 46 00:01:40,770 --> 00:01:43,394 to stay. Five clinic locations in Wisconsin, 3 47 00:01:43,394 --> 00:01:44,854 ambulatory surgery centers. 48 00:01:45,474 --> 00:01:47,314 I'd love to start off there. I think, 49 00:01:47,474 --> 00:01:50,354 obviously, quite a substantial presence for for for 50 00:01:50,354 --> 00:01:52,194 the area of Wisconsin in which you operate. 51 00:01:52,194 --> 00:01:55,254 But how are you looking at either expanding 52 00:01:55,394 --> 00:01:58,489 within its con within Wisconsin or potentially across 53 00:01:58,489 --> 00:02:00,509 state lines? I know you also cater to 54 00:02:00,649 --> 00:02:01,469 some patients, 55 00:02:01,849 --> 00:02:04,509 and part of the Northern Michigan Peninsula, Illinois 56 00:02:04,569 --> 00:02:05,769 as well. But how are you looking at 57 00:02:05,769 --> 00:02:06,829 growth in the future? 58 00:02:07,609 --> 00:02:10,090 Yeah. Absolutely. So everybody's always trying to grow. 59 00:02:10,489 --> 00:02:13,125 We're no different. So, you know, we've always 60 00:02:13,125 --> 00:02:15,205 kind of had the mindset that the more 61 00:02:15,205 --> 00:02:16,885 we grow, the more patients we can help. 62 00:02:16,885 --> 00:02:18,645 So that's what we certainly wanna continue to 63 00:02:18,645 --> 00:02:19,465 try to do. 64 00:02:19,925 --> 00:02:21,865 Looking at other areas that are a little 65 00:02:21,925 --> 00:02:22,745 further south, 66 00:02:23,365 --> 00:02:25,125 we have a few different options there as 67 00:02:25,125 --> 00:02:26,959 well as kind of partnering with other physicians 68 00:02:27,259 --> 00:02:28,379 potentially that, 69 00:02:28,780 --> 00:02:30,459 are looking to join the practice as well. 70 00:02:30,459 --> 00:02:33,340 So not only location wise, but also possibly 71 00:02:33,340 --> 00:02:36,080 grow it from a provider standpoint as well. 72 00:02:36,219 --> 00:02:37,739 Gotcha. And when you think about it, you've 73 00:02:37,739 --> 00:02:40,959 obviously got those 3 ambulatory service centers. Certainly 74 00:02:41,259 --> 00:02:43,995 an exciting time to be in the ASC 75 00:02:44,134 --> 00:02:46,455 space when we think about the rapid growth 76 00:02:46,455 --> 00:02:48,615 that we're seeing there. I think is there 77 00:02:48,615 --> 00:02:51,175 anything when you look at the outpatient environment 78 00:02:51,175 --> 00:02:53,194 or the ASC sector more specifically, 79 00:02:53,735 --> 00:02:55,414 are there any 2 or 3 trends that 80 00:02:55,414 --> 00:02:57,435 you're particularly paying attention to, 81 00:02:57,750 --> 00:02:59,049 or most excited by? 82 00:02:59,830 --> 00:03:01,030 Yeah. Absolutely. So, 83 00:03:01,430 --> 00:03:02,870 technology is always a big one that's on 84 00:03:02,870 --> 00:03:04,069 the top of the list. Right? And I 85 00:03:04,069 --> 00:03:06,069 think, I always keep my eyes on it, 86 00:03:06,069 --> 00:03:07,669 and I'm sure everybody else does too to 87 00:03:07,669 --> 00:03:09,289 see how they can kinda best leverage, 88 00:03:09,909 --> 00:03:11,775 technology to help. But for us, we're always 89 00:03:11,854 --> 00:03:13,055 looking at it to see how we can 90 00:03:13,055 --> 00:03:16,334 help improve patient experience as well as everything 91 00:03:16,334 --> 00:03:18,894 from that to, you know, how our team 92 00:03:18,894 --> 00:03:20,655 works on a day to day basis from 93 00:03:20,655 --> 00:03:23,454 their experience as well as improving workflows across 94 00:03:23,454 --> 00:03:23,789 the board. 95 00:03:24,430 --> 00:03:27,150 The most discussed topic, I'd say, certainly, even 96 00:03:27,150 --> 00:03:29,229 at the Becker's conference was how do we 97 00:03:29,229 --> 00:03:31,090 utilize AI within health care. 98 00:03:31,389 --> 00:03:33,810 We've actually started doing that by implementing, 99 00:03:34,509 --> 00:03:37,549 AI scribes into our documentation process, which has 100 00:03:37,549 --> 00:03:39,685 gone really well. We've actually seen quite a 101 00:03:39,685 --> 00:03:41,364 bit of time savings from some of our 102 00:03:41,364 --> 00:03:43,284 providers that have started to utilize it. We're 103 00:03:43,284 --> 00:03:45,125 looking to kinda open that up to the 104 00:03:45,125 --> 00:03:46,504 whole group now as a whole. 105 00:03:46,965 --> 00:03:48,745 I'd say another trend that we probably 106 00:03:49,284 --> 00:03:51,305 discuss all the time too is reimbursement 107 00:03:51,685 --> 00:03:53,364 rates. Right? That's always at the forefront of 108 00:03:53,364 --> 00:03:54,680 the health care discussion. 109 00:03:55,379 --> 00:03:58,360 With Medicare Advantage Plans kinda covering a majority 110 00:03:58,500 --> 00:04:00,900 of the Medicare population now as well as 111 00:04:00,900 --> 00:04:02,360 governmental health care payers, 112 00:04:02,900 --> 00:04:05,300 covering sometimes in some areas even more than 113 00:04:05,300 --> 00:04:07,805 the commercial payers do. It creates certainly a 114 00:04:07,805 --> 00:04:10,924 concern about decrease in reimbursement rates and what 115 00:04:10,924 --> 00:04:12,685 are we going to do about it. That 116 00:04:12,685 --> 00:04:14,444 kinda goes back to the technology. How do 117 00:04:14,444 --> 00:04:15,025 we utilize 118 00:04:15,405 --> 00:04:17,245 that? Kinda leverage that. That way we can 119 00:04:17,245 --> 00:04:19,725 help ensure that even if reimbursement rates do 120 00:04:19,725 --> 00:04:21,985 decrease, we can find ways to 121 00:04:22,389 --> 00:04:25,290 still increase possibly the volume or increase efficiencies. 122 00:04:25,430 --> 00:04:27,529 So that way we ensure we don't have, 123 00:04:27,589 --> 00:04:29,350 you know, a large number of denials or 124 00:04:29,350 --> 00:04:32,069 we have to have prior authorization issues or 125 00:04:32,069 --> 00:04:33,050 anything like that. 126 00:04:33,509 --> 00:04:35,495 I'd say probably the the third trend too 127 00:04:35,495 --> 00:04:37,574 that has kinda fallen off the radar a 128 00:04:37,574 --> 00:04:39,495 little bit for everybody else, but we certainly 129 00:04:39,495 --> 00:04:41,254 still keep our eye on it, 130 00:04:41,735 --> 00:04:42,954 is the job market. 131 00:04:43,654 --> 00:04:45,034 So although the wage rates, 132 00:04:45,574 --> 00:04:48,454 have, you know, leveled off and gotten a 133 00:04:48,454 --> 00:04:50,660 little bit more stagnant, which is a little 134 00:04:50,660 --> 00:04:53,000 bit easier to deal with. We also 135 00:04:53,459 --> 00:04:55,220 have seen turnover rates have slowed down a 136 00:04:55,220 --> 00:04:57,699 bit, which is excellent. But even with that, 137 00:04:57,699 --> 00:04:59,540 as well as our group, as well as 138 00:04:59,540 --> 00:05:01,379 any other health care groups that I've spoken 139 00:05:01,379 --> 00:05:03,779 with, everybody still seems to struggle with finding 140 00:05:03,779 --> 00:05:04,814 those great candidates. 141 00:05:05,214 --> 00:05:06,654 So you can find somebody to fill the 142 00:05:06,654 --> 00:05:09,055 position. It's just now, which is great, but 143 00:05:09,055 --> 00:05:11,134 that's improvement from before, but it's still trying 144 00:05:11,134 --> 00:05:13,214 to find a way to find that great 145 00:05:13,214 --> 00:05:14,194 candidate because, 146 00:05:14,735 --> 00:05:17,535 hiring right is certainly important. I think, you 147 00:05:17,535 --> 00:05:18,959 know, if the past has taught us anything, 148 00:05:18,959 --> 00:05:20,879 it's the importance of hiring the right person 149 00:05:20,879 --> 00:05:22,319 for the job rather than just trying to 150 00:05:22,319 --> 00:05:23,300 fill that position. 151 00:05:24,240 --> 00:05:26,480 Right. Yeah. Exactly. I think so. 3 three 152 00:05:26,480 --> 00:05:28,399 really important really growing trends at the moment, 153 00:05:28,399 --> 00:05:30,399 obviously, in relation to the job market, which 154 00:05:30,399 --> 00:05:32,735 you had mentioned there. On the technology side, 155 00:05:32,735 --> 00:05:34,254 interesting to see here about what you're doing 156 00:05:34,254 --> 00:05:35,954 with AI Scribes and the documentation 157 00:05:36,334 --> 00:05:37,935 process and some of the some of the 158 00:05:37,935 --> 00:05:40,094 efficiencies there. But I'd love to kind of 159 00:05:40,094 --> 00:05:41,694 follow-up with with what you mentioned just in 160 00:05:41,694 --> 00:05:44,654 terms of the reimbursement rates and challenges within 161 00:05:44,654 --> 00:05:47,170 the Medicare Advantage space. I think to your 162 00:05:47,170 --> 00:05:48,790 point, you said it now, 163 00:05:49,250 --> 00:05:50,470 caters to about 51% 164 00:05:50,850 --> 00:05:52,389 of the nation's seniors. 165 00:05:52,689 --> 00:05:54,689 But we hear time and time again about 166 00:05:54,689 --> 00:05:56,709 a lot of the challenges within that program 167 00:05:56,769 --> 00:05:58,689 in terms of some of which you alluded 168 00:05:58,689 --> 00:06:00,069 to, maybe slow payments, 169 00:06:00,689 --> 00:06:03,735 some denials, prior authorization challenges as well. 170 00:06:04,115 --> 00:06:06,295 I'm curious to hear, how are you navigating 171 00:06:06,435 --> 00:06:08,355 those challenges? And do you see any sort 172 00:06:08,355 --> 00:06:10,435 of a change in that program given the 173 00:06:10,435 --> 00:06:12,675 size and scope of it, ideally in the 174 00:06:12,675 --> 00:06:15,495 future and how hopefully, benefit all stakeholders, providers, 175 00:06:15,555 --> 00:06:17,610 payers, and, of course, the patient too? 176 00:06:18,329 --> 00:06:19,849 Yeah. Definitely. I think, 177 00:06:20,569 --> 00:06:22,810 one of the ways that we're focusing in 178 00:06:22,810 --> 00:06:24,810 on it is we can control we can 179 00:06:24,810 --> 00:06:26,909 only control what we can control. Right? So, 180 00:06:27,370 --> 00:06:29,610 if our notes get done in a timely 181 00:06:29,610 --> 00:06:31,289 fashion, we can get those claims out in 182 00:06:31,289 --> 00:06:31,870 a timely 183 00:06:32,875 --> 00:06:33,963 That certainly always is helpful because then, those 184 00:06:33,963 --> 00:06:35,354 claims are being paid quicker than if we 185 00:06:35,354 --> 00:06:35,950 sit on it for 30, 60, 90 days, 186 00:06:35,950 --> 00:06:36,735 or whatever it may be, 187 00:06:37,194 --> 00:06:39,115 what I've seen with some practices. So we 188 00:06:39,115 --> 00:06:40,954 certainly try to be efficient there. Also from 189 00:06:40,954 --> 00:06:41,774 a documentation standpoint, 190 00:06:46,449 --> 00:06:48,129 we wanna make sure that we have everything 191 00:06:48,129 --> 00:06:49,910 in the note that's needed so that 192 00:06:50,210 --> 00:06:52,290 way we aren't receiving those denials. And then 193 00:06:52,290 --> 00:06:54,050 we also made sure that on a prior 194 00:06:54,050 --> 00:06:55,910 authorization standpoint that, 195 00:06:56,210 --> 00:06:58,129 we are going through the process even though 196 00:06:58,129 --> 00:06:59,509 sometimes it's very painful. 197 00:07:00,154 --> 00:07:01,675 We wanna make sure that we are prior 198 00:07:01,675 --> 00:07:02,175 authorizing 199 00:07:02,714 --> 00:07:04,394 everything that we can. And, again, that goes 200 00:07:04,394 --> 00:07:06,714 back to the documentation. So ensuring that the 201 00:07:06,714 --> 00:07:08,714 documentation is done timely. That way, we can 202 00:07:08,714 --> 00:07:10,254 submit for the prior auth, 203 00:07:10,714 --> 00:07:12,095 and get those approved. 204 00:07:12,555 --> 00:07:14,209 We do have a very high, 205 00:07:14,910 --> 00:07:17,949 approval rate for our claims. Our denial rate 206 00:07:17,949 --> 00:07:19,789 for that is very, very low, which is 207 00:07:19,789 --> 00:07:21,729 excellent. So that certainly helps. 208 00:07:22,430 --> 00:07:24,750 Fantastic. And would you could you expand on, 209 00:07:24,750 --> 00:07:26,269 I guess, what are the 1 or 2 210 00:07:26,269 --> 00:07:28,110 key things that really help to keep those 211 00:07:28,110 --> 00:07:30,165 denial rates, quite low as you've 212 00:07:30,465 --> 00:07:33,105 mentioned? Yeah. I think it's 1, having a 213 00:07:33,105 --> 00:07:35,105 team that's passionate about it. Right? Because sometimes 214 00:07:35,105 --> 00:07:37,264 picking up the phone and calling and having 215 00:07:37,264 --> 00:07:38,004 those conversations 216 00:07:38,305 --> 00:07:41,185 even though, again, that's very painful at times 217 00:07:41,185 --> 00:07:42,564 to talk to some of these payers, 218 00:07:43,025 --> 00:07:45,120 it certainly is helpful when you have somebody 219 00:07:45,120 --> 00:07:47,360 that's passionate on the phone that is trying 220 00:07:47,360 --> 00:07:48,879 to do right by the patient. And when 221 00:07:48,879 --> 00:07:50,420 we put the patient at the forefront, 222 00:07:51,040 --> 00:07:53,439 of those discussions, that always is helpful. And 223 00:07:53,439 --> 00:07:55,540 we've also seen too that sometimes helping 224 00:07:56,000 --> 00:07:57,675 the patients as well get involved, 225 00:07:58,154 --> 00:08:00,314 and then the patient trying to contact the 226 00:08:00,314 --> 00:08:02,714 payer and discuss those if they are receiving 227 00:08:02,714 --> 00:08:03,854 a prior auth denial. 228 00:08:04,235 --> 00:08:06,014 Sometimes they have a better 229 00:08:06,314 --> 00:08:08,154 response. They'll get a better response than we 230 00:08:08,154 --> 00:08:09,834 do if we're calling as a group. 231 00:08:10,154 --> 00:08:12,314 So working with them on how to kind 232 00:08:12,314 --> 00:08:13,649 of handle those and submit 233 00:08:14,209 --> 00:08:16,930 those authorizations and work through that together as 234 00:08:16,930 --> 00:08:17,509 a team. 235 00:08:18,209 --> 00:08:19,889 Gotcha. Yeah. I mean, really, 236 00:08:20,529 --> 00:08:22,689 no doubt some some great insights that other 237 00:08:22,689 --> 00:08:25,089 practices, ASD groups would no doubt find take 238 00:08:25,089 --> 00:08:26,449 a lot away from there in terms of 239 00:08:26,449 --> 00:08:28,504 how you're navigating some of those challenges within 240 00:08:28,504 --> 00:08:29,964 that Medicare Advantage program. 241 00:08:30,665 --> 00:08:32,664 But turning to looking to the future and 242 00:08:32,664 --> 00:08:34,044 kinda wanna get your perspective. 243 00:08:34,585 --> 00:08:36,345 You've obviously talked about some of those trends 244 00:08:36,345 --> 00:08:38,184 you're following, some of the things you're doing 245 00:08:38,184 --> 00:08:40,649 about growth at Wisconsin Spine and Pain. But 246 00:08:40,730 --> 00:08:42,570 when you think about health care more broadly, 247 00:08:42,570 --> 00:08:44,490 is there anything that you're particularly excited about 248 00:08:44,490 --> 00:08:45,629 right now and why? 249 00:08:46,649 --> 00:08:48,649 Yeah. So deep down, I'm a numbers guy 250 00:08:48,649 --> 00:08:50,730 at heart. When I started in health care 251 00:08:50,730 --> 00:08:51,550 in 2,006, 252 00:08:52,009 --> 00:08:53,964 I actually began in medical records. 253 00:08:54,345 --> 00:08:56,184 So it was very old school. Each and 254 00:08:56,184 --> 00:08:58,024 every day, I'd have to go down to 255 00:08:58,024 --> 00:09:00,204 the basement of our hospital at the time, 256 00:09:00,424 --> 00:09:03,464 pull physical patient charts, switch for paper charts, 257 00:09:03,464 --> 00:09:05,080 load them up in a suitcase, and drive 258 00:09:05,080 --> 00:09:06,440 them around town to all the clients. 259 00:09:08,360 --> 00:09:10,200 So now compare that to the world of 260 00:09:10,200 --> 00:09:11,639 health care that we live in today. Right? 261 00:09:11,639 --> 00:09:13,879 It's a night and day difference. Yeah. So 262 00:09:13,879 --> 00:09:16,039 to say I'm I'm excited that that we 263 00:09:16,039 --> 00:09:16,700 can review, 264 00:09:17,080 --> 00:09:19,480 you know, just about any statistical data point 265 00:09:19,480 --> 00:09:20,054 that we want, 266 00:09:20,615 --> 00:09:22,294 with just a few clicks of a mouse. 267 00:09:22,855 --> 00:09:25,174 I'd say that's probably an understatement. Well, more 268 00:09:25,174 --> 00:09:26,475 than excited about it. 269 00:09:27,414 --> 00:09:29,575 But also with that being said, I'd still 270 00:09:29,575 --> 00:09:31,495 say that even with the team, I still 271 00:09:31,495 --> 00:09:33,980 caution everybody that, even though I'm a huge 272 00:09:33,980 --> 00:09:37,019 fan of numbers, especially in operations, numbers and 273 00:09:37,019 --> 00:09:38,940 statistics can only get you so far because 274 00:09:38,940 --> 00:09:40,779 they don't tell the whole story. And I 275 00:09:40,779 --> 00:09:42,700 think sometimes we rely on those numbers a 276 00:09:42,700 --> 00:09:45,100 little too much, rather than dig into them 277 00:09:45,100 --> 00:09:46,540 and let them kind of point us in 278 00:09:46,540 --> 00:09:47,360 the right direction. 279 00:09:48,034 --> 00:09:50,034 A good example of that would be if 280 00:09:50,034 --> 00:09:52,434 we're looking at call rates and how long 281 00:09:52,434 --> 00:09:52,934 time, 282 00:09:53,634 --> 00:09:55,894 a call is for an employee. Right? 283 00:09:56,355 --> 00:09:59,235 Somebody who might get through an additional 20 284 00:09:59,235 --> 00:10:01,500 phone calls, it looks great from a numbers 285 00:10:01,500 --> 00:10:02,000 perspective. 286 00:10:02,539 --> 00:10:04,139 But when you dig into that and you 287 00:10:04,139 --> 00:10:06,460 listen to the recordings or you kind of 288 00:10:06,460 --> 00:10:08,399 hear the quality of those calls 289 00:10:08,860 --> 00:10:10,940 Mhmm. Well, the number, even though it looks 290 00:10:10,940 --> 00:10:12,460 better, it might not be better because we 291 00:10:12,460 --> 00:10:13,899 might have lost a patient or 2 because 292 00:10:13,899 --> 00:10:15,585 somebody's trying to rush through those phone calls. 293 00:10:15,665 --> 00:10:16,945 So, again, I think it points you in 294 00:10:16,945 --> 00:10:19,024 the right direction and allows us to dig 295 00:10:19,024 --> 00:10:20,705 where we need to dig and do it 296 00:10:20,705 --> 00:10:22,865 a lot more efficient than we certainly used 297 00:10:22,865 --> 00:10:24,625 to when we had, you know, paper charts 298 00:10:24,625 --> 00:10:26,085 or doing everything 299 00:10:26,625 --> 00:10:27,365 by hand. 300 00:10:28,029 --> 00:10:30,029 Yeah. Yeah. Fascinating to hear. 301 00:10:30,429 --> 00:10:32,990 Will, real pleasure to get to speak. Your 302 00:10:32,990 --> 00:10:35,889 debut appearance on the Becker's AC podcast today. 303 00:10:36,110 --> 00:10:37,950 Fascinating to hear about everything going on at 304 00:10:37,950 --> 00:10:40,190 Wisconsin Spine and Pain, and, I really look 305 00:10:40,190 --> 00:10:41,710 forward to catching catching up with you on 306 00:10:41,710 --> 00:10:43,456 the line. Awesome. Thank you so much. I 307 00:10:43,456 --> 00:10:45,076 appreciate it. Thanks for having me.