As an administrator of a small medical practice, you are responsible for the annual operating budget. At the end of quarter $1,$ the practice's gross revenue is $25\%$ less than projected and down $50\%$ over the same time period from one year ago.

Fortunately, during this same time period, you are down a nurse and a receptionist, keeping expenses lower than expected; however, the salary savings of these two positions only results in a $10\%$ savings.

As the manager of this facility, what are the first things you look at to see why revenue may be down? Subsequently, what specific actions do you take in Q$2$ to mitigate the drop in revenue so that you can continue to operate as planned?