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 one-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 presents. 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.