the first figure, the one on the left, provides unduplicated patients for the last five years and you'll notice from starting in fiscal year 2014 into 2015 and now again into 2016 we are seeing significant declines in charity care patients for the city. in fiscal year 2015 we had about 60,671 and now in fiscal year 2016 we reported 51,569 or 15% decline. the next rate provides an over view of charity care service utilization by type, so emergency services, out patient and in patient services. you'll notice the inpatient, out patient services have declined from fiscal year 2014, 2015 and now 2016. emergency services from fiscal 2015 to 2016 have remained stable. there's a slight increase in about 3% and i'll get into that later when we talk about traditional charity care as well. so continuing with the first city wide trend charity care expenditures have also began to decline significantly in fiscal year 2015 and now stabilized around 85 million in fiscal year 2016. there is a slight increase and we don't really think that is significant and it could result from different factors such as