joining us is the leader of innova health care systems in virginia dr.ven jones is the president and ceo. thank you for being with us. >> my pleasure good morning, becky. >> let's talk a little bit about what you're seeing here in new york we're getting stories, there was one in "the new york times" today, about elm hurst hospital in new york city, one of the doctors described the scene as apocalyptic there were 13 deaths in one day from coronavirus they are facing overwhelming and very straining situations. what are you seeing in your systems at this point? >> it is heartbreaking to hear that there are things like that going on anywhere in the world and in our own country our thoughts certainly go out to that situation we are in significantly better shape here at least in this position, two weeks ago what i had said was we're prepared and have seen our first patient. what we've seen since then is we have community spread now in the washington, d.c., area in fact, most of our exposures have been through the community and not through the early things like