You can cut costs which is not always possible especially if is all operational costs. You can cut lifestyle costs
You are only left with Increasing Revenue which is tradionally by x4 variables:
.increase no of patients......market and retain
.increase size of transaction....do more procedures see more family members
.increase frequency of transactions....ie manage your 6 monthly recalls...
.raise your prices ....med aids does
If you can do all these, one or two or three of these your income will definately increase