know, the biggest challenges and along with that comes, you know, financial implications of serving ivery different population with the different needs, and so, as a board, working to make sure that we have the help to be viable long term is to kind of challenge associated with that. >> great. do you know where san francisco is it compared to the other places, in terms of their over all coordination? is this the health authority that we have here very unique to california, or is there similar bodies and efforts and maybe you might compare with them. >> yeah, throughout california, counties with enough members, have a two-plan, healthcare model and so there is always a local, like the san francisco health authority and a commercial partner. and i would say that the san francisco health authority is unique, and consistently and it is recognized for its quality and out come and received the gold award for i think the last five or six years, certainly since i have been there and so it has been recognized for a really excellent quality and partnering with the providers and care coordination is