Latest / Becker’s Healthcare Podcast / Driving Growth Through Access and Operational Excellence with Chris A. Klay

Transcript

Driving Growth Through Access and Operational Excellence with Chris A. Klay · Becker’s Healthcare Podcast

• 0:02
  - There's a small circle of people who truly
• 0:04
  - understand what it takes to lead a health
• 0:05
  - system right now. The decisions are enormous.
• 0:08
  - The variables are constantly shifting, and the stakes
• 0:11
  - of getting a call wrong don't stay contained.
• 0:14
  - That's not a complaint. It's a structural reality.
• 0:17
  - And it's why the most effective c suite
• 0:19
  - leaders are deliberate about where they go to
• 0:21
  - pressure test their thinking.
• 0:22
  - Becker's fourteenth annual CEO and CFO roundtable
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  - brings together more than 1,500
• 0:28
  - executive level attendees
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  - and nearly 400 speakers for four days built
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  - around growth, financial sustainability,
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  - workforce strategy, and the leadership questions that don't
• 0:38
  - have easy answers.
• 0:39
  - Join us November second through the fifth in
• 0:41
  - Chicago.
• 0:42
  - For the agenda and event details,
• 0:45
  - visit beckershospitalreview.com
• 0:47
  - and click on the events tab in the
• 0:49
  - upper right.
• 0:50
  - This is Scott Becker with the Becker's Healthcare
• 0:54
  - podcast.
• 0:55
  - We're thrilled today to be joined by a
• 0:57
  - fantastic leader who's been with the HSHS
• 1:01
  - system for a long time now.
• 1:04
  - Hospital Sisters Health System. I almost never say
• 1:07
  - that out loud actually versus HSHS.
• 1:09
  - Chris,
• 1:10
  - take a moment and tell us a little
• 1:12
  - bit about
• 1:13
  - your background
• 1:15
  - and about the HSHS
• 1:17
  - system,
• 1:18
  - and then we'll talk a bit about trends
• 1:20
  - you're watching, what you're most focused on, and
• 1:22
  - and a lot more. Thank you for joining
• 1:24
  - us, Chris. Yeah. Thank you, Scott. I appreciate
• 1:26
  - the opportunity,
• 1:28
  - to join you this afternoon. And,
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  - you know, it's it's an honor to to
• 1:31
  - represent Hospital Sisters Health System. So just a
• 1:34
  - little bit about me.
• 1:35
  - So,
• 1:37
  - as you mentioned, my name is Chris Clay,
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  - and I have the privilege to serve as
• 1:41
  - the president and CEO for the Southern Illinois
• 1:43
  - market of Hospital Sisters Health System.
• 1:46
  - And, you know, we're
• 1:48
  - geographically,
• 1:49
  - from a market perspective, we're located,
• 1:52
  - just East of of Saint Louis, Missouri,
• 1:54
  - but we are in in Southwestern Illinois.
• 1:57
  - I've had the privilege of, being with HSHS
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  - since 2009.
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  - My background is physical therapy,
• 2:04
  - and I served in leadership roles within that
• 2:07
  - profession for a number of years. But in
• 2:08
  - 2009, as I joined
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  - Hospital Sisters Health System in the Western Wisconsin
• 2:13
  - market,
• 2:15
  - I was quickly,
• 2:16
  - given the opportunity to transition into,
• 2:19
  - different hospital operations roles and then progressed into
• 2:23
  - market operation role operations roles,
• 2:27
  - connected to rehabilitation services, but
• 2:30
  - other clinical service service
• 2:32
  - lines such as cardiovascular
• 2:34
  - services, wound and hypobaric medicine, and things of
• 2:36
  - that nature. And and then ultimately,
• 2:40
  - was given the opportunity to step into a
• 2:42
  - president and CEO role
• 2:44
  - here in Southern Illinois within our health system.
• 2:47
  - And then in 2022,
• 2:50
  - moved to
• 2:51
  - Saint Elizabeth's Hospital, our tertiary care center in
• 2:54
  - this market, and then became the market market
• 2:56
  - president in '23. So it's been,
• 2:59
  - an outstanding journey within Hospital Sisters Health System.
• 3:02
  - I
• 3:03
  - a lot of, praise and thanks
• 3:06
  - for the executive team for supporting me as
• 3:08
  - I've grown within,
• 3:10
  - HSHS.
• 3:11
  - So just, real quick, just a little bit
• 3:14
  - about Hospital Sisters Health System. So we are
• 3:16
  - a, we're a faith based health system,
• 3:19
  - based out of Springfield, Illinois. We have 13
• 3:21
  - hospitals, nine
• 3:23
  - here in Illinois, and then the remainder of
• 3:25
  - our hospitals are in that Southeastern corner of
• 3:27
  - Wisconsin, really based out of that Green Bay
• 3:29
  - market.
• 3:30
  - I I'm proud to say that HSHS,
• 3:32
  - we've been,
• 3:34
  - here, in The United States for January.
• 3:38
  - In 2025,
• 3:39
  - we celebrated our one hundred and fiftieth anniversary.
• 3:42
  - So
• 3:43
  - we we've been privileged to, serve communities in
• 3:46
  - Illinois and Wisconsin for one hundred and fifty
• 3:48
  - years, and we're just proud of the great
• 3:50
  - work that we do and truly, you know,
• 3:53
  - taking care of,
• 3:54
  - the local people,
• 3:56
  - who who live and work in the communities
• 3:58
  - where our hospitals are. So that's a bit
• 3:59
  - about me and a bit about our health
• 4:01
  - system.
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  - Thank you. In a in a remarkable health
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  - system and in Green Bay, you mentioned Green
• 4:05
  - Bay, doctor Rai, Ashok Rai is the CEO
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  - there. Correct?
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  - Absolutely. Doctor Ashok Rai is the president and
• 4:12
  - CEO of Prevea Health.
• 4:14
  - So Prevea is the,
• 4:17
  - the medical group side of Hospital Sisters Health
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  - System in that Green Bay market.
• 4:22
  - My peer from, the hospital based market president
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  - is Bob Erickson, and he's been in that
• 4:28
  - market for a couple years and is doing
• 4:30
  - great work in partnership with doctor Rai and
• 4:32
  - his team with Prevea.
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  - No. A great, great team. I I know
• 4:36
  - doctor Rai well and just a fantastic leader.
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  - And doctor and Bob Erickson, I know the
• 4:41
  - name and I know him, but not as
• 4:42
  - well. But doctor Rai is fantastic.
• 4:44
  - And what a great system, and the Preface
• 4:46
  - system is fantastic.
• 4:47
  - Talk about
• 4:49
  - I what what I'd love to dig into
• 4:51
  - first is you started as a physical therapist.
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  - You're now CEO of of of a large
• 4:56
  - part of a great, great system.
• 4:58
  - Talk a bit about sort of that evolution
• 5:02
  - and and was it incremental?
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  - At what point did you see yourself sort
• 5:06
  - of out of being direct in patient care
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  - at PT? And I know you're still very
• 5:10
  - involved to make sure patients get great care
• 5:12
  - and into leadership.
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  - What was that evolution like?
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  - Yeah. It's been a it's been a fun
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  - journey, to be honest. But, you know, I
• 5:19
  - knew early on, that I wanted to be
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  - in health care, and physical therapy was that
• 5:24
  - profession for me. And it was pretty simple.
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  - I mean, I loved,
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  - you know, taking care of people and helping
• 5:30
  - people,
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  - you know,
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  - make improvements and advancement as it related to
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  - their as it relates to their just functional
• 5:37
  - well-being, and physical therapy was that profession.
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  - But I'll tell you,
• 5:42
  - my first day,
• 5:44
  - during the new colleague orientation,
• 5:47
  - at the hospital that I started at, I
• 5:48
  - I shook the hand of the CEO. And
• 5:51
  - within five minutes of talking with this gentleman,
• 5:53
  - I thought to myself, my gosh. This is
• 5:55
  - what I wanna do. It was before I'd
• 5:57
  - even seen a patient, interestingly enough. But what
• 6:00
  - what caught my attention
• 6:02
  - is,
• 6:03
  - this individual's
• 6:05
  - obvious connection to the mission of the organization,
• 6:09
  - his connect community,
• 6:10
  - his visibility,
• 6:12
  - his vision for,
• 6:14
  - not only what the that organization was doing
• 6:17
  - in the moment, but where they needed to
• 6:18
  - go in the future. And it was just
• 6:19
  - captivating for me. So, you know, he he
• 6:22
  - caught my attention early.
• 6:24
  - And and I would say, as I stepped
• 6:26
  - into my career as a physical therapist,
• 6:28
  - I found that I absolutely love the clinical
• 6:31
  - side of the work, but I even appreciated
• 6:34
  - the business development side and the growth aspect
• 6:37
  - of our work
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  - even even more.
• 6:40
  - And and that has a lot to do
• 6:41
  - with the opportunities that you're given, you know,
• 6:43
  - as a as a clinician.
• 6:45
  - So I was quickly tasked with, you know,
• 6:48
  - developing service lines,
• 6:50
  - developing new partnerships with external stakeholders.
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  - I was given the opportunity to
• 6:55
  - to, take the lead on on building and
• 6:57
  - implementing two new primary care practice locations in
• 7:01
  - the region where where I was working, which
• 7:03
  - included, of course, primary primary care, family medicine,
• 7:06
  - but
• 7:07
  - laboratory services, radiology services, rehabilitation.
• 7:11
  - And it was from there that I just
• 7:13
  - realized
• 7:14
  - how much I appreciated the business development and
• 7:16
  - growth side of this work,
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  - along with,
• 7:20
  - the fact that, you know, the patients are
• 7:21
  - at the center of all this. That's why
• 7:23
  - we that's why we truly do the work,
• 7:24
  - to be honest. But and then from there,
• 7:28
  - early success, you know, kind of created ongoing
• 7:31
  - opportunities and doors just really
• 7:33
  - started to open for me and,
• 7:36
  - great mentorship at the right time and the
• 7:38
  - right place. And Hospital Sisters Health System said
• 7:41
  - yes,
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  - and and then I ran with it. So
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  - it's been it's been an interesting path, but
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  - exciting, to be honest.
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  - You're in Springfield now. Are you located in
• 7:51
  - Springfield now? So I am physically located,
• 7:54
  - in Southwestern Illinois. So right now, I'm at
• 7:57
  - Saint Elizabeth's Hospital in O'Fallon, Illinois. So we
• 7:59
  - are just across the Mississippi outside of Saint
• 8:02
  - Louis, Missouri.
• 8:04
  - And that was the question. Is it hard
• 8:06
  - to be in what is really Saint Louis
• 8:08
  - Cardinals territory
• 8:10
  - versus Cubs territory, or are you more of
• 8:13
  - a Wisconsin fan? Where where is your head
• 8:16
  - at on that? Yeah. So my gosh. That
• 8:17
  - is a loaded question.
• 8:19
  - So I grew up in Northwestern Wisconsin. So,
• 8:22
  - you know, the Green Bay Packers, that is
• 8:23
  - a nonnegotiable.
• 8:25
  - But I will tell you, you know, I
• 8:26
  - grew up when the, you know, the Minnesota
• 8:28
  - Twins were playing the Saint Louis Cardinals in
• 8:31
  - the World Series, and there is this this
• 8:33
  - amazing shortstop
• 8:34
  - from Saint Louis that would run out the
• 8:37
  - dugout in between innings and do a, you
• 8:39
  - know, a backflip before he stopped at the
• 8:41
  - short stop position, and that, of course, is
• 8:43
  - Ozzie Smith.
• 8:44
  - So when when The wizard. Yes. The wizard.
• 8:47
  - And when my family and I relocated to,
• 8:50
  - to Southern Illinois,
• 8:52
  - the first weekend we were here, we went
• 8:54
  - to a Milwaukee Brewers game at, Busch Stadium
• 8:57
  - in Saint Louis. And by the fourth inning,
• 8:59
  - we were racing to the, Cardinal Store to
• 9:02
  - get cardinal to buy to purchase cardinal's t
• 9:04
  - shirts and hats. So we converted immediately,
• 9:07
  - to to becoming a Saint Louis Cardinals fan.
• 9:10
  - You love it. Yeah. It was it was
• 9:12
  - kinda it was pretty fun. To be honest,
• 9:15
  - people ask me that question a lot, and
• 9:16
  - I and I say to Saint Louis Cardinals,
• 9:19
  - just the history and the legacy,
• 9:22
  - that goes along with that organization
• 9:24
  - really kinda mirrors the Green Bay Packers a
• 9:26
  - little bit. So it's you you can't not
• 9:28
  - love the Saint Louis Cardinals being in being
• 9:30
  - in this area. So, anyway, that's Love it.
• 9:33
  - Love it. No. The Cardinals do have a
• 9:35
  - great history. It's a well run organization. It
• 9:36
  - has been for a long time. That part
• 9:39
  - of Central Southern Illinois sort of goes back
• 9:41
  - and forth between whether people are Cardinals fans
• 9:43
  - or Cubs fans. And and the Packers at
• 9:46
  - one time
• 9:47
  - at one
• 9:48
  - time, that was a great franchise.
• 9:51
  - So I I I I I admire
• 9:54
  - you're sticking with them
• 9:56
  - when they were at one time a great,
• 9:58
  - great franchise. I could not agree with you
• 10:00
  - more. Yeah. It's been it's,
• 10:03
  - it's just interesting how
• 10:05
  - sports bring people together,
• 10:08
  - and it just it's a it's a great
• 10:10
  - stepping off point when you meet somebody new
• 10:12
  - because you've got something to talk about right
• 10:14
  - away. So it's just kinda fun. But,
• 10:16
  - a 100 and what and what an Illinois
• 10:18
  - person says, Chris,
• 10:20
  - that Green Bay at one time was great.
• 10:23
  - Yeah.
• 10:26
  - You realize that that's not meant as
• 10:29
  - trying to even get a rise out of
• 10:30
  - your but snotty as out there, man. Oh,
• 10:32
  - I love that. Exactly.
• 10:35
  - So so tell us about currently,
• 10:38
  - what trends are you watching most closely? What
• 10:40
  - are you most focused on? And then tell
• 10:42
  - us a little bit about what you're most
• 10:44
  - excited about going forward this year and into
• 10:46
  - next year. Yeah. So
• 10:48
  - just when I look at, you know, my
• 10:50
  - role as the market president for HSHS in
• 10:52
  - Southern Illinois, there are four hospitals in my
• 10:54
  - market.
• 10:56
  - You know, geographically, we're located in O'Fallon, Illinois,
• 10:59
  - Breeze, Illinois, Highland, Illinois, and then Greenville, Illinois.
• 11:03
  - So we are, you know, we're we're right
• 11:05
  - there, on the the border of of, St.
• 11:08
  - Louis.
• 11:09
  - And what's really exciting for me about our
• 11:12
  - market is
• 11:14
  - we are realizing exceptional growth. And I'm and
• 11:16
  - I'm I'm thinking about that that met that
• 11:19
  - metric that's on our balanced scorecard that is
• 11:21
  - a true indicator of are you growing or
• 11:24
  - not from a utilization perspective? Are more people
• 11:27
  - choosing you today
• 11:29
  - compared to yesterday?
• 11:31
  - And when I look at our market as
• 11:32
  - a whole, you know, we have seen
• 11:35
  - that more people are saying yes to HSHS
• 11:38
  - Southern Illinois than than historically have in the
• 11:40
  - past.
• 11:41
  - That's exciting for me because we have been
• 11:43
  - very, very focused on
• 11:46
  - physician recruitment, and we've had some nice success
• 11:49
  - with that. And and and when I say
• 11:50
  - physician recruitment,
• 11:52
  - yes, it's primary care. That that will always
• 11:55
  - be an important part of our physician recruitment
• 11:58
  - plan, but we have had exceptional success in
• 12:00
  - the in the specialty market, meaning,
• 12:03
  - you know, cardiovascular
• 12:04
  - professionals and all of the specialties within that
• 12:08
  - discipline,
• 12:09
  - gastroenterology,
• 12:10
  - orthopedics,
• 12:12
  - pulmonology,
• 12:13
  - you know, some of those key specialties,
• 12:16
  - that we haven't
• 12:17
  - had great access to historically. So patients have
• 12:19
  - had to exit our market for that care.
• 12:22
  - Through that success, we're seeing true growth and
• 12:26
  - improved utilization
• 12:27
  - of of all four of our hospitals, as
• 12:29
  - well as our medical group.
• 12:31
  - The HSHS Medical Group is the is our
• 12:33
  - physician enterprise, in Southern Illinois. It would be
• 12:36
  - the parallel or the equivalent to Prevea, in
• 12:39
  - Wisconsin.
• 12:40
  - So that's exciting to me. Now the opportunity
• 12:43
  - or what we're focused on, Scott, is
• 12:45
  - as utilization goes up,
• 12:48
  - as volume goes up,
• 12:49
  - we have to continually become more efficient
• 12:52
  - and better operators,
• 12:54
  - of our hospital and our and and those
• 12:56
  - services that we provide,
• 12:57
  - whether it's surgical services or access to radiology
• 13:01
  - services, laboratory services,
• 13:03
  - you know, we are being forced in a
• 13:06
  - good way to be really efficient
• 13:09
  - around access. Here's a really good example.
• 13:12
  - Three months ago, you know,
• 13:14
  - we had
• 13:16
  - 800
• 13:17
  - MRI
• 13:18
  - orders
• 13:20
  - in the queue. And what that means is
• 13:22
  - there were 800 patients in this region that
• 13:25
  - had an order for an MRI scan that
• 13:27
  - were waiting to be scheduled in one of
• 13:29
  - our hospitals.
• 13:30
  - And we all know for a for an
• 13:32
  - MRI, it's just one modality, it's one service,
• 13:35
  - but it's it's a it's it's an example
• 13:36
  - of why access is really important. There are
• 13:39
  - plenty of options for all of us as
• 13:41
  - patients to go have an MRI done, but
• 13:43
  - it was an eye opener for me.
• 13:45
  - We've got 800 patients that want to come
• 13:47
  - to one of our hospitals, and they are
• 13:50
  - waiting. But what I know for sure is
• 13:52
  - they're not gonna wait long or wait for
• 13:54
  - long.
• 13:55
  - So we,
• 13:56
  - in turn, looked internally,
• 13:58
  - to make sure that our our revenue cycle
• 14:00
  - practices were were up and operational efficient. So
• 14:03
  - revenue cycle is scheduling, insurance verification,
• 14:08
  - prior authorization, billing, coding, collection, all those things.
• 14:12
  - We also looked at, you know, block scheduling
• 14:14
  - within within Epic for for MRI.
• 14:18
  - Our you know, were our scheduling blocks consistent
• 14:22
  - across our market, meaning, you know, a non
• 14:24
  - contrast MRI for a shoulder.
• 14:27
  - Are we scheduling an hour
• 14:29
  - in all four of our hospitals, or are
• 14:30
  - we scheduling an hour in O'Fallon and and
• 14:32
  - an hour and a half in in Breeze?
• 14:35
  - So we really, you know, looked at
• 14:37
  - our scheduling platform to make sure it was
• 14:39
  - the most efficient and most effective.
• 14:41
  - And then, of course, you know, the call
• 14:43
  - center. You know, how are we how are
• 14:46
  - we pulling those patients in to get them
• 14:49
  - actually scheduled in one of our hospitals? So,
• 14:53
  - it it is an example of,
• 14:55
  - yes, we've got the volume. More patients are
• 14:57
  - choosing us, but my gosh, you can lose
• 14:59
  - that momentum if patients can't get in when
• 15:02
  - they believe they need to get in. So
• 15:04
  - that's what we're excited about.
• 15:05
  - So we've got good momentum.
• 15:07
  - But
• 15:08
  - what we're focused on is, as we've grown,
• 15:11
  - it's forced us to be, you know, hyper
• 15:13
  - efficient, which is great for us organizationally.
• 15:17
  - You know, the other thing is I I
• 15:19
  - use the MRI example. You know, we're looking
• 15:21
  - at throughput metrics and processes around, you know,
• 15:24
  - how quickly patients
• 15:25
  - safely move through the emergency department experience.
• 15:28
  - When you get into surgery,
• 15:30
  - the importance of first case on time starts,
• 15:33
  - the importance of cleaning and turning ORs over
• 15:36
  - in a timely manner,
• 15:38
  - the importance of prime time utilization, meaning, you
• 15:41
  - know, how efficiently are you utilizing your operating
• 15:43
  - rooms between 7AM and 3PM, which is the,
• 15:47
  - you know, the the sweet spot of the
• 15:49
  - day or the prime time of the day.
• 15:51
  - So, again, those are just some of the
• 15:53
  - examples of, you know, what are we focused
• 15:56
  - on,
• 15:57
  - to make sure that
• 15:59
  - our patients have,
• 16:00
  - number one, high quality care, but they've got
• 16:02
  - access when they believe they need it, and
• 16:04
  - that we're the best piece place to be,
• 16:07
  - for physicians.
• 16:09
  - Because, again,
• 16:10
  - patients have choice, but so do our docs.
• 16:14
  - Chris, let me ask you this question because
• 16:15
  - you mentioned about e access. If patients can't
• 16:17
  - find access when they want it, then ultimately,
• 16:20
  - they find other options, particularly in today's world
• 16:22
  - where people find virtual options, other options, other
• 16:25
  - places to go. Yes. How important is that
• 16:27
  - that to customer experience?
• 16:29
  - You get people in generally when they wanna
• 16:31
  - get in. And, obviously, there's some weights, but
• 16:33
  - but how important is that that access issue?
• 16:36
  - I to me, it's, it's extremely important. You
• 16:39
  - know, from a from a leadership perspective,
• 16:43
  - you know, we talk a lot about
• 16:45
  - there are three things in my mind that
• 16:47
  - are really important, and we have to be
• 16:49
  - very focused on if we're gonna be relevant
• 16:52
  - in the eyes of our patients as a
• 16:53
  - as a provider.
• 16:55
  - First is quality. We've got an obligation
• 16:57
  - to keep our patients safe and to take
• 17:00
  - great care of them. Thankfully, we've got a
• 17:02
  - long tradition of doing just that. And the
• 17:04
  - second is access.
• 17:06
  - We've been talking in health care for many
• 17:07
  - years that our patients are now consumers.
• 17:10
  - It's real. They are. Our patients have choices.
• 17:12
  - They have options. If they can't can't get
• 17:14
  - in
• 17:15
  - with us today for an MRI,
• 17:17
  - they can drive literally right down the street
• 17:19
  - and have that MRI done with someone else.
• 17:22
  - So access is vital. And then the final
• 17:24
  - is cost. You know, our patients are are
• 17:27
  - much more cost sensitive than they ever have
• 17:29
  - been,
• 17:30
  - and that's okay. You know? So for us,
• 17:33
  - to be relevant
• 17:34
  - and to be successful,
• 17:36
  - quality is number one. We've gotta have that.
• 17:38
  - We've gotta have access that meets the expectations
• 17:41
  - of our patients, and we've gotta provide our
• 17:43
  - services at a price point that's market relevant
• 17:47
  - and that feels
• 17:49
  - worth it in the eyes of our patients.
• 17:51
  - 100%. And and trying to hit that mix
• 17:53
  - of cost quality access at the right time
• 17:56
  - at the right place,
• 17:57
  - a constant real leadership
• 17:59
  - challenge today. And the fact that you're recruiting
• 18:02
  - specialist primary care, trying to make sure you
• 18:04
  - can provide that access and keep on evolving
• 18:06
  - with it is so, so important.
• 18:08
  - I wanna thank you, Chris, for joining us
• 18:10
  - today on the Becker's Healthcare podcast.
• 18:12
  - Amazing leadership.
• 18:14
  - I'm a huge fan of both yourself,
• 18:16
  - doctor Rai,
• 18:17
  - Ashok, and and the and the system,
• 18:20
  - even if not a huge fan of the
• 18:22
  - Green Bay Packers, but still huge, huge fans
• 18:24
  - of yours and HSHS.
• 18:26
  - Well, Scott, thank you for the opportunity. As
• 18:28
  - I as I said at the outset here
• 18:30
  - this afternoon,
• 18:32
  - it's a privilege to to be with, Hospital
• 18:35
  - Sisters Health System, and I couldn't be more
• 18:37
  - proud of the good work that we do,
• 18:39
  - not only here in Southern Illinois, but but
• 18:41
  - across Illinois and and and up into the
• 18:43
  - Green Bay market.
• 18:45
  - Leadership in health care has always been challenging.
• 18:47
  - That's that's a reality, but I do think,
• 18:49
  - you know, some of the challenges that we're
• 18:51
  - up against right now are are new. But
• 18:54
  - that's okay. That's what we're that's what we're
• 18:55
  - built for, and and it's,
• 18:58
  - it's it's an opportunity.
• 19:00
  - So thanks for the time today. It's been
• 19:01
  - it's been great.
• 19:03
  - Thank you for joining us. Remarkable leadership at
• 19:05
  - your system. Thank you so much for joining
• 19:07
  - us. Thank you. Yep. Have a great afternoon.
• 19:09
  - Thank you.