all right. so thank you mayor khan and now we have for san francisco coming up and to sso to welcome mayor lee welcome kristine row wish senator vice senior vice president of service area of case zero permanenta. >> thank you peculiary if you have questions write them on the cards and hold your hands up. kristine >>> good morning case zero permanent at a is pleased once again to be a sponsor of this annual event where our mayors come together to share their vision for the coming year. our partnership with both oakland and san francisco is of key importance to kaiser permanent at a. we provide care to over 400,000 people in those city and is our partnership with those cities helps us fulfill our mission, to improve