i'd like to present my co-presentor, patty verbiglia she comes to us with a wealth in expertise in marketing, in change management and in working with organizations on strategy internally how to create capabilities for organizations so they can meet their strategic and business goals. she's going to give the bulk of the presentation because she's really been leading us in this work and already dived in and is doing a fantastic job, but i did want to start with a bit of a vocabulary item. as you can see we're calling this the patient communications update. previously you had asked for marketing update and branding update and certainly those activities are within patient communications, but we have learned as we have delved into our organization to see what our capabilities are that this is a patient communication function and we need to build so we are talk to go patients we currently have, in reach, as well as outreach it attract new patients. a lot of this work has to do with looking at our own systems and how our staff understands the network and how our staff speaks with patients so it's