 I first arrived through the front doors at the University of Maryland Medical Center in 1991. This is where it all began in the Department of Radiation Oncology and where in some ways it continues today. It is here where I first learned of the awesome privilege that it is to be a physician and to be part of a healthcare team. Keep up the good work. Thank you guys. All right. In 1995 I was honored to join the faculty of the University of Maryland School of Medicine. I understood then as I do now that we have the opportunity to impact the lives of the citizens of Baltimore, the state of Maryland and indeed the nation. And now as president and CEO of the University of Maryland Medical System I have a vision for the future of healthcare delivery in our organization. It starts at its foundation with delivering compassionate high quality patient and family centered care. Next we must be able to continue to demonstrate our commitment to the communities which we serve. We must do so by extending our reach beyond the walls of our hospitals. We are a large healthcare system. We must be able to leverage the size and scale to create value to our patients and their families and deliver healthcare as a system. Healthcare is constantly evolving and as an academic health system we must be able to commit to the highest ideals of innovation and health education. Our mission has never wavered. We have always aspired to be the primary healthcare resource for the citizens of the state of Maryland. Today one in four patients who require hospital based healthcare get their healthcare at the University of Maryland Medical System. Our workforce is 28,000 people strong. Taken together we are what differentiates the University of Maryland Medical System. We are its greatest asset and it is together our energy effort and passion that will help make a difference in the lives of citizens throughout the state of Maryland.