my name is neha bhatia, and i'm with the department of policy and planning with the department of public health. so today as doctor chou mentioned will be the prop q hearing related to the first of several items that have been raised by cpmc in answer to expects changes that they're expected to make. the second date for this hearing will be august 21. so in april of 2018, california pacific medical center notified the health department of upcoming changes that are anticipated to occur this year. you received a memo that has more detailed information about each of these issues, so today, i will just be providing a brief summary. and so i'm going to begin with an overview of prop q, and then, the first item on the agenda which is the change in licensure. additionally, we have representatives from the institute on ageing, the c.e.o. as well as a representative from sutter pacific medical foundation. so proposition q requires that any time a private hospital in san francisco makes any changes such as a closure of an hospital, inpatient or outpatient facility, eliminates or reduces a level of