 Hi there everyone. Welcome to Kaiser Permanente. When I'm asked to reflect on what makes Kaiser Permanente successful and what is our secret recipe, I will have to say I think there are many ingredients. It's a complex recipe and one of the key things are our focus on medical excellence. It starts with very strong physician leadership in this area followed by the emphasis and focus on prevention along with very effective chronic care management and the use of team-based integrated coordinated care throughout our system. The other thing I would say is that this clinical excellence is also supported by innovative healthcare technology. We have a very focused emphasis on total health which is the addressing of the social determinants, non-clinical determinants of health which include things like food and transportation and mental health and wellness that has to be addressed at the individual and family level as well as at the community and societal level. Last secret ingredient in Kaiser's successful recipe is the Kaiser Permanente culture. We have many different aspects and dimensions of our culture. It starts with the deep emphasis and commitment to our purpose and mission along with the focus on putting our members, patients and families at the center and doing the best and the right thing for them. With this culture of being evidence-based and always wanting to be wanting to have a data and information rich decisions and information at our fingertips and finally I think it's the culture of innovation and also continuous process improvement that makes Kaiser Permanente successful.