so my name is karen jaffrey. i'm with sutter pacific medical foundation. the three programs that have already transitioned, the breast center on august 5, the cardiac echo lab on august 5, and the st. luke's diabetes program transferred on august 19. so far, it is business as usual, and we have not had any contracting issues since the go live dates. and in any situation where we need to request continuity of care, or policy is for those patients that are impacted, we will try to get an agreement with the health plans. and if the health plans agree, we will continue their service. if the health plan does not agree, it is their responsibility to identify alternative areas of service. >> commissioner sanchez? >> yeah. we've all spent a lot of time together, many of us here from different segments of the community both internally, externally, etc. and the bottom line to me has always been astounding. it's not about the quality of care, because we had families come from all over the bay area who would come and visit their brother, uncle, cousin because they wer