we are in the middle of a wonderful conversation with jvs and we want to reintroduce yo lowsa, jvs chief strategic office he and the medical group administrator for kaiser permanente medical center. so let's jump in and can you talk about the partnership that kaiser permanente has with jvs. >> absolutely. we have been working together for 2 1/2 years now. and it start out of a need that lisa identified the hollowing out of the work force p . and we had medical assistants who would take job in san francisco, but after six months or year would transfer to a location closer to their home. and so that caused churn, and as you know churn results in people not being as effective at their jobs, and also it's expensive because you are constantly training people. and i met abby, who is the chief executive officer for jvs at a function, and we started talking. show told mow about the refresher program, and in particular, what i liked about it, was we were able to help develop the curriculum. and they work with us, and we could put pieces of it that are particular to kaiser pearl nen tay into the c