Do not make any changes right away. Let the staff know that everything will remain the same for now, but within six months you will review everything, including compensation and benefits. The bottom line is that compensation and all benefits need to be around 25%. You can let the staff know that any changes will be based on that percentage, so the more efficiently they work the more likely everyone can remain the same. If not, there will be changes. The bottom line is you don't want to have too many changes until you get your "sea legs." Six months also gives you time to meet most of your patients.