i have been working with hsf, abbey mitchell and the department leaders since late last summer when i joined the best doctors organization. meeting with them monthly through conference call and reb narand in person -- webinar and in person. quarterly we review throughout the year. these are highlights of the culmination of the four quarters in 2018. january through december. we appreciate the opportunity to come out here. we released the full report for 2018. what i am showing today is just some highlights. you have probably reviewed the full report. if you have questions, we can definitely take those as soon as i touch on the highlights. hopefully this is familiar for some of you on the board last year. our reports are constantly evolving. thanks to you we have been able to bring things together at the annual report. i am working on bringing those quarterly. that was based on the hard work of abbey and her team and commissioner was involved and the clinical details. as far as the agenda for the presentation, some highlighters of did yo did youof th did youo. i want to touch on the me