upwards this quarter metric 3 represents institutional patient flow so this is some measures for laguna san francisco general hospital and laguna met it's metric for the last 4 quarters and san francisco general hospital was a great trajectory until the last quarter that is staffing and it is being addressed, care transition is a bigger conversations having to do with affordable housing being squeezed out of the hotel beds not having places to throw people metric number had the finance measure and we met our target in terms of the expenses and number 5 is our workforce experience we implemented our first ever network wide will take 4 to 6 weeks that will serve our baseline and number 6 is civil service retirement there was several a process over purchase it is imagining efficient we know that we're looking at it very concretely and specifically at san francisco board of appeals and anticipate that the learning we have there and the process improvement will be

about 50% of the total or out of the hospital fund so we have two hospital funds for laguna honda and san francisco general hospital. the largest contract is with ucsf to provide services at the general hospital so that is a fund subsidized by the general fund so between the general fund and the hospital really about 80% of the spending on non-profit services comes from the general fund or its related funds. of course we have about 25% of spending here comes out of other special revenue funds and i think the best example here is the childrens fund which supports a vast array of services, a are provided by non-profit organizations and sits outside the general fund. i thought this would be helpful because of course one of the things we're talking about here is things that prevent funding at levels that folks may deem ideal and of course the general fund itself is usually financially more strapped than other funds so for a bit of context. this reflects our total spending on non-profit organizations or through non-profit organizations on services they provide. over the last six year period for which we