This is an exciting time to help lead the healthcare information technology industry. We have the opportunity to create the most efficient healthcare system for this country and while this is a daunting challenge, it is certainly achievable. However, as we continue to move towards 2014, we want to take the prudent and fiscally responsible steps so that our healthcare vision will transform into a national reality. Speaking on behalf of the private sector, we are ready as an industry to answer the call to work in partnership with Congress and federal agencies in making these goals and.