wee which is about to celebrate 20 years of service this january (clapping) and tom o'dell urban health remains at the forefront as itself services for the transgender community are ignoring both to be another service and we can do it all in the state of the arc facility that's a shining example to all of this city's undying testament for those who are surviving with multiple chronic conditions and poverty and the like. we've been doing it and now we get to do it in style (clapping) >> so - enough from me you'll hear some more thank you's but i'd like to introduce margaret she's the director of the san francisco department of health and she's been a champion and in those moment when we needed help to get through some rough spots to make sure we got this off the ground she was there and creativity in findings solutions to making this day possible. marcelina >> (clapping) >> okay. i'm not moving because i don't want you to see me we just need to fix it. okay mayor, is supervisor kim here >> yes. >> supervisor kim, director of public health garcia and t nc partners really want to welcome y