my name is penny straud. i am with a local consulting firm that has been planning for a healthcare organizations throughout northern california since 1978. we have worked with many of the hospitals in san francisco, as well as northern california. we worked with cpmc for many years in the analysis of patience and communities, including development of the new citywide plan. although this plan is exempt from the new master planning process, i am confident that if you had a plan today, you would approve it. cpmc's proposal would be consistent with that plan because it is based on the same principles included in the ordinance. this is efficient designed to enhance quality and cost and enhancement of public safety and disaster preparedness. the proposed plan takes into account social, economic and environmental factors. it is based on analysis of historical roles cpmc has played in the city. the plan is based around a citywide system that includes home and community-based services distributed throughout the city,