thank you so much. Dr Gornik and thank you dr cash it and thanks to all of you for being here today and spending time with us. I want to also thank Joanna Benson for her support of the program and all the folks that have been involved to make this happen. Really excited to be here. Um we have a very special momentum and direction and vision for our institute and I hope I can briefly share with you where we are headed and how we are collaborating together to make that happen now. I noticed Dr Gornik that there is no timer here, which is very dangerous and so I just want you to know there's no timer, that's all that I'm gonna do my best. So really and and some of these may be unusual for you because when you go to meetings you may not have institute come and share their vision with you or what their goals are our strategic goals. But you know, we feel that the folks that are here in this room are our family, our partners folks that have trusted us with their patients, so I want to share with you our vision which is to be the most trusted integrated academic heart and vascular institute that anchors the healthy community and defines the future of medicine and really to achieve this vision there about five or six pillars that we have really relied on. Those include quality and patient experience that includes employee engagement and development, strengthening our academic mission expansion and growth and enhancing our operational efficiency. So why am I sharing this with you? Well, one of the pillars and strategic goals for us is to be integrated and coordinated and we feel that we need to break down the barriers that have existed for many years in medicine so that we can collaborate and put the patient at the center of the universe. The patient is at the center of the universe. That means we are all here to take care of the patient and we feel the way we can do this is by creating service lines that cross departments and divisions and specialties and allow folks to work together to be able to take care of those patients. And I think that's what makes us unique in our institute. For example, in the vascular center we have dr cash dr Gornik who are leading the vascular center. This slide is actually a little bit old. I have pulled out and they kicked me out actually and Becky called who is an administrator who is helping and supporting the center. So it is also the diet of the administration working with physicians To lead the centers together and we have 18 of these and we are proud of these centers because if you look at each of these cross that departmental and divisional barriers and create alignment and interdisciplinary work and put the patient at the center of the universe. We obviously have a very large institute. We performed over 20,000 Kath. We have a lot of patients that we take care of. We cover a large geography. I'm not going to go over all these, all of these, but as you know, the U. H. Has really expanded its breath and we now have 11 hospitals in our Northeast, a higher system that we cover heart and vascular for. So how about those pillars? Just quickly going over a couple of them to give you a sense as to why we think we are heading in the right direction and I appreciate your partnership and I hope that this gives you more evidence as to why this can be a great relationship between all of us. The first is quality. We really revamped our quality because we believe that the quality is the center is the heart of any program. If we don't have quality, you might as well go home in my opinion. So for doing in order to do that, we restructured our quality program and we recruited dr ravi Ramani from UPMC. He started here in february of 2021 has been a great addition for us and we also elevated Doctor Gornick to lead our quality, network and network development program. These two programs have really let the Foundation and I wish we could spend an hour just on that set the Foundation in regards to interdisciplinary work again putting the patient at the center of the Universe and how we're going to focus our work in providing the highest quality care to our patients across our institute. Again, Robbie, I mentioned to you from UPMC and dr Heather Gornick, I don't think she needs any introduction. And we are lucky to have her. How about our caregivers? Just give you a brief journey of who we have recruited because it's really not the walls or the brand that makes us who we are, are the people that what makes us who we are, are the people that are in this room. And we really believe in that. We believe that we need to invest in our nurses, in our allied health professionals are a PPS or mps. Our administrators are secretaries and our physicians and I just focusing a little bit today on the physicians because of the nature of the presentation, but we have recruited a number of leaders here. You know, many of you may know some of the folks here on this slide, but the journey didn't stop here. We continue to recruit and then we continue to recruit and I'm honestly proud of our diversity And inclusion. These are the recruits that we have done just this year in the past six months, just in the past six months. We have actually had over 15, 16 recruitments across the institute, but this is just the last six months and I'm really proud to say that we have really expanded our horizons and trying to recruit folks from various backgrounds gender and having the inclusion and diversity that I think every program needs to have which has been the focus of our attention. How about our academic mission? We have restructured academic program. In addition to clinical trials unit, we have now created a number of other venues for folks to be able to advance the science of medicine. Remember that was part of our vision statement And really this has grown exponentially our clinical trial program despite covid and with the leadership of Stacy Masuko and her team who are on that table, raise your hand, raise your hand. That team. They have done an incredible job of supporting the institute and not only the institute at the main campus, but they go outside. You know, we are system based. We're not just focused on the on the CMC or the main campus or or the academic center. We believe we're a system and we're gonna reach out to all over the system to get patients into clinical trials And get them involved with research. We have had a number of 01 trials as I have shown you here. And this translational science unit has really been growing under the leadership of DR Rodrigo Poland in the last couple of years and a lot of patients have been enrolled into our registries as part of this NIH sponsored center. A lot of new programs. The cinema program is really relevant to this presentation today around P A. D. This is an integrated program that allows us to help and coordinate the care of patients with diabetes. As you know, the care is discombobulated is disjointed and this is a program that has gotten recognition nationally and internationally for the work that they are doing and has now become a center of excellence for uhh around the care and the management of patients with diabetes. We are interested in our community as Cliff Megerian says, we are the Home Home team, we are the home team, we are the compassionate own team and we want to invest in our community. This is a grant that dr Rogelio Poland has received in collaboration with folks from Wayne State $18.5 million to work on social determinants of health things outside of diabetes and pad and hypertension, where you live your environment pollution, crime and those kinds of things. And Sanjay is leading the effort to help better our community because this is where we want to focus our energy here in Northeast Ohio. We are obviously at the cutting edge of research. This is just one example. We have many of these but this is the first in man procedure that was performed here at U. H. This is about six months ago of a device and new device to help patients for heart failure. We have had many trials where we are the only site in the state of Ohio in some cases in one of six sites in the United States lymph flow is an example of. That is one of our patients that were treated as a team and she's now walking and we were able to save her leg through the lymph flow trial. We are leading efforts in cutting edge programs that have not existed here in Northeast Ohio. We now have the CPR program. These are for patients that have had cardiac arrest outside of the hospital. Most of these patients as you know, they die. We are now have a program to get these patients on ECMO in the emergency room. This is the only program right now in the state of Ohio that's offering this kind of life saving procedure to patients that have had outside the hospital. Cardiac arrest required a lot of collaboration with R. E. M. S. And other colleagues. How about expansion and growth? We have had many national programs that we are running because we don't want to just treat the patients in Northeast Ohio. We believe we have something special to offer and many of these Centers of Excellence programs are now being offered across the United States. We started with left atrial appendage and A fib but we are moving too crowded disease and other areas in as we move on. And all of this has really helped us out. If you look at the recent data around market share, it turns out that the University of hospitals, Harrington Heart and vascular institute has a higher market share here in Northeast Ohio compared to Cleveland clinic and other major medical centers here in Northeast Ohio. And we are proud of the work that you have done many of the team members here in this audience to bring us to this point And I'm just going to finish with a couple of slides. All of obviously this work has paid dividends in 2021 despite the pandemic, despite the shortage in nursing and technicians and and our support staff, despite all the pressures with capacity, we have had our best year in Harrington Heart and vascular Institute in the history of University Hospital. Really proud of our team and I think let's give applause to the team for the work that everyone in this room has really done and with that I'm gonna end you know, thank you so much. I hope I didn't go over by much was I on time? Thank you so much. Thank you. Okay.