ms. deutschendorf, in your testimony, you basically say that the two-mid night policy bands the medical test when determining the aploep rat session of care. and, instead, opposes a rigid time base. can you e lab rate or expand on that a bit? >> so, for our providers, what happens now is the patient presents to the emergency department and now they're faced with this question, do you expect that the time this patient will require hospital services will be greater than two midnights. or whether they would need to be hospitalized for up to 48 hours. a lot can happen in 48 hours. and what we have found since october 1 is that we have tripled the amount of patient who is have started out as an outpatient and has been convert today an inpatient. in fact, we got it wrong. patients present with a myriad of problems. there's no way of knowing that. and we're doing the right things. they now have to run around the hospital we have been instructed by cms that they will be con verted, even if it's in the next few hours. it's a difficult policy to implement and has required a lot of financial increases