I think that by now anyone reading this will have realized that the healthcare delivery environment in our country is experiencing a profound shift. As payors and increasingly employer groups are deploying variations of the ACO, high performance networks, PCMH’s and others we also see increasing numbers of vendors offering ones stop shops, specialized analytic tools and reporting platforms aimed at these emerging healthcare delivery platforms. We are also faced with the possibilities and limitations that the evolving regulatory environment present. D∑VHE∆LTH is dedicated to the advancement of the value based healthcare delivery model, and we will continue to work with customers and regulators to establish the ACO as a valuable alternative in the market.