Any practice that receives income, adheres to a budget, has employees, purchases supplies, carries insurance coverage, and generally does all the things a business does to stay viable - will at many times be forced to make difficult business decisions.
When these times come, doctors often find themselves unprepared. They trained to be great doctors, not necessarily great businessmen. They often struggle with making good business calls, especially if they perceive the change will negatively affect their patients. That’s where you, as a trusted administrator/advisor/employee come in.