we haven't revved reembursement for the last kickt wreer 60 years. we negotiated with nims and cpmc to see if we coo take care of the 1500 lives in the tenderloin and receive med kale reembursement for that. wree happy we can partner with nims and cpmc to work out disagreement and hope to get support for that. i would like to introduce a drr dr. who served that population for 20 years >> hello supervisors. my name is doctor sonia bloodso, i worked at saint antany for the last 20 years taking care of people in the tenderloin community. we have great need, we have lots of people with disabilities, difficulty getting around, emotional challenges, mental challenges and the elderly. ahospital nearby where 1500 people could use services would be tremendous. we also have the only pediatrician who works 5 days a week in a clinic in the tenderloin and we have been talking with cpmc about nishiating a child development center in our clinic, so there is obviously lots of work and challenges but we hope it can go ahead. >> thank you. next speaker, please >> good