this might be a great question for brooks and vernita. while demand is increasing for care, they are experiencing gaps in other revenue payment. federal funding is critical for supporting the cost of the uninsured and caring for -- covering the full program at health centers provide, it is a community health model and these grant dollars really help health centers expand those models. it also ensures that health to take on able lot more patients with these federal resources. andaunches health centers two new communities as well. health centers are also experiencing gaps in medicaid reimbursement. they are losing about 20% of their cost that is not being reimbursed. it has not kept up with the cost of care. you heard about some of the issues we are anticipating and already experiencing with the exchange. the bottom line with these that asrty payers is the number and percent of patients who have these forms of insurance increases, or it does not make up for per patient losses. slide --n to my last let me move on to my last slide. moving on