Modeling around the next few weeks and what we are anticipating based upon the good work thats enne bend the curve and how we continue to navigate in the short term and some of the strategies and thinking in the medium and long term. I will start by asking dr. Gally to come up who will share some of this open sourced mobility data that we have been receiving on a daily basis that really tracks in a very private way the data around movement throughout the state of california, that gives us a good sense of how effective our stay at home order has been and how extraordinarily impactful all of you have been in terms of your practicing physical distancing. You will see from that mobility data county by county how that is impacting our larger trend lines and how its impacting our modeling in very, very positive ways. Its also if foe numbers that will change quickly. I want to just caution everybody through this presentation to consider again, the success of your actions to date and the importance to maintain that status and continue to stay the course. First, let me bring up dr. Gally and we will start the presentation on some of the Interesting Data that we are now collecting in realtime county by k yoveor. Its a real privegre n, to shar with you some of the really work that ia reare prive to be part of california and knowing that 40 miion romi together to fight coronavirus and we are making great progress. As the governor said i share the information with you with the caveat that it does depend on us continuing to do what what we have been doing which is staying at home, and when we arent at home practicing strong physical distancing. I will first walk you through some of the data that we get every single day that really guides our model, that really guides what we are seeing in our here shows you each one of these is a county that you each live in. They show generally the same thing. I dont want you to get bogged down by the little blips up and down. These graphs show that movement is going down all across california. Count county by county we see the trend line from up top to down low as it moves to the right. What that tells us is people are moving around less and staying at home more, compared to this time in february. The comparison is really to when we didnt have things like the stay at home orders, where we didnt focus on physical distancing and we knew people were moving around their day as they normally did. As we zoom in on some of this, and we move into a specific county, sacramento where we are i am at the moment. You see that over the course of weeks, here starting at the beginning of march and looking how it compared to the end of february, we see that it was about the same. Overtime and as we put in different stay at home efforts and orders, we see that it has generally gone down and that this is exactly the kind of data need Something Different with our expectcoties an all across caliia he stay e co. Los angeles where my family is and our biggest county in california that you generally see the same trend line and even some consistenty that people are staying home on the weekends and even more so during the week. These are the trends we want to continue to see that reinforces what we have been doing and how we think about the next couple of slides and what we are i want to brinback ide th you will gnlastweek wh i s hewith you and telling you we put some of those orders and those directions in place around physical distancing and staying at home because this is what we wanted to avoid. This low line of 50,000 were the additional beds that we are working to add as part of our Surge Capacity planning. Unmitigated that means without any interventions we were worried that we were going to see something that got lose to 700,000 hospitalizations across the state, well exceeding the existing capacity and facilities and hospitals, well exceeding even as we added 50,000 surge beds and this represents this part under the curve, represents many who would be about quite sick and maybe have the worst outcomes coronavirus. This slide swhere we are with our expected impacts of the stay at home orders we see here on this white line this is just the reminder from the prior slide that this is what it would have looked like if we did nothing. This area, this blue line here is sort of the midrange expectation of what we would have seen and as it carries out it would have crossed that horizontal line that shows our Surge Capacity and what we have been working hard at the state level, at the local level and throughout all of our hospitals to city. Whatse dotsherei will zoom in for you, show is what we are experiencing. It fits with in the model. Any line with in these this light blue shaded area fits with in the model. We see that we are holding onto the bottom part of the model. That rt ofthbetter case situation. What we had always hoped for. We of course planned for somedia poof pride r calirnia that we have have doi. Could easily start to see an upward slope, not like this but much more similar to something that rises quickly if we loose the focus on physical distancing and staying at home. I also want to remind you that we have been hearing about and reviewing many, many models from across the country, from across our state, from across the globe and some of those models suggest that california and other parts of the country will have a peak earlier than our projection which is sometime rlier. Month ofmaor even i what i want w you is on this yeah go head sorry. We will get it right. Here at the bottom part of this data it was tracking almost the same and on the that we were planning around. Here as we get further out we actually see a trend of even better improvement in the number of hospitalizations that we have in california and that this is actually signaling to us that our peak may not end up being as high as we planned around and expected and that the difference between what we are seeing today in the hospitals may not be that much different than where we are going to peak in the many weeks to come. What that tells us is that if we continue doing the wonderful things that we have banded together to do that we may continue on this trenand ava higher sloped line thlaing arou based on us continuing to do what we have been doing. This is an important weekend to many families that being home over this coming weekend is a vital importance for all of us. Its a way to protech the community, protect our neighbors and protect our families. I also want to caution that what this data does depend on as well is that we continue to be focused on some of our communities or institutions, Skilled Nursing facilities as an example where we know that if we do not continue to be aware and focused on protecting the residents and staff in those actually seea upwain thie, a nu risk people who become sick and need to be in the hospital and begin to challenge ou back to the governor so we can talk a little more to nursing facilities across the state. Thank you doctor. Skilled nursing facilities continue to be a top priority of our efforts. In fact some of the first guidance we put out as a focuse visitation, focusing on making sure we werent just monitoring passively but were providing more Technical Support to make sure that we keep our patients safe. Let me give you a perspective of what i mean by that. We have 1,224 Skilled Nursing facilities state of california. 1,224. What others refer to as Nursing Homes in the state. We currently have 191, 191 facilities that were monitoring because we have patients and staff that have come with the infection that are tested positive for coronavirus. That represents 1,266 individuals in those facilities. That is a focused area of this administration. Of course of dr. Gallys work. That is not the entire picture. Skilled nursing facilities, these nurses homes are one part of the overall strategy to take care of our seniors and adults in the state of california. There is another 7,461 facility that we also license thud the department of social services. These are the small homes, mostly medical patients, all throughout the state of california. There is a census capacity in those homes of 188,000 individuals that are currently licensed to be supported throughout that network that exists in every part of it the state of california. We current i will have monitoring 94 facilities. 370, patients and staff are currently infected. You may consider those numbers and say that sounds relatively modest. You have hundreds of thousands of patients throughout the entire system. Theres 1266 patients and staff in the sniff system and just 370 in that larger system. That doesnt tureve been appro head lines about certain areas in the state of california and specific facilities that have become hot spots where we have seen a number of people have gotten the disease, a number of people that have passed away. What we have cup in addition to broadening those supports over the last number of weeks is we have put out specific new guidelines and strategies that have been backed up by what i would call s. W. A. T teams. Individuals, infectious control, professionals that are working with the cdc and others to saturate the areas of concern and focus. I highlighted the concerns we have in san bernan ind ino as one example. Will there are other counties as well. We have also trains 600 nurse that were supporting the regulatory system. And are now focusing on technical guidance and not just broader support of the entire delivery system. So we have basically put more people, more technical assistance, focusing on Infectious Disease control and really doing what we are doing to decompress that system. What i mean is when someone has tested positive or a cohort of a patient in these facilities and or staff test positive that we can identity those individuals, isolate, quarantine and ultimately track the pattern of the infection. Clearly there have been examples about patient who have been sent to different hospitals as not a recommendation unless they are in acute care needs. They have their own challenges. So what we have now is a different strategy and different protocol where we have identified facilities that we now can place individuals that have either been exposed or have tested positive for coronavirus. Working with the navy we were pleased for having the opportunity to use the mercy differently. Specific to the challenges with in the nursing facilities and homes they are giving us the opportunity to prioritize the population by using the asset that the mercy provides us. Itll help decompress the system. Itll be for noncoronavirus positive patients. I want to make that clear. With that will allow us to concentrate those and decompress those that arent in though these other sites. In addition to that wehave identified seven specific sites that allow us hundreds and hundreds of beds that will further help us outside of the mercy. I want to give you a sense as to seriousness of protecting the at risk and the seniors and this remarkable system thats been built up over the years. As some of you have followed our efforts, this is one of the Top Priorities for this state and that is preparing for what some have referred to as the golden wave inthe state of california. This state has a large number of aging and graying individuals. We have ayew neck responsibility to take care of them and take care of their caregivers. We put together a master plan for aging and incredible task force including a subset of that with labor to focus on dementia and alzheimers care. They have report that will come out shortly guiding our larger efforts and that is encouraging but beyond that we have to obviously address situationly on dealing the needs of those that are dealing with the unique challenges of coronavirus. So, just want folks to know we beinepared and vaat ake a point, and that is we again, not only have individual patients that have tested positive but as i said, staff. To that end i want folks to know what we are doing for our staff. We are doing more as it relates toa accommodations. We talked about a new site we put together where we are providing Free Hotel Rooms or deeply discounted hotel rooms for health care workers. By the way we have over 150 calls in the first few minutes. We are focusing on the and the cnas. Weighn want to also provide stipend. 500 stipends for the work force. Many that are struggling to feel comfortable or confident going home even to take care of their own families because they feel like they can infect their families, many staying not just in hotel rooms on their own dime though no longer but also many that feel like they have no other place to go but in their car where they are spending the nights. This is part of that facebook money that Mark Zuckerburg announced and we are focusing them to th lvn and the cna putionto really help support them. They are the back bone of our nursing facilities. These are not the most highly compensated but they are among the most highly competent of our work force. They deserve a lot of great attitude but also support and the time. We are making calls and unprecedented way. When i say we have hundreds of people its 15 field offices, every single day are calling every nursing area. This morning i was handed the information that there were conversations with 1,030 Skilled Nursing facilities, two way conversations just yesterday. They are making the calls for those that havent returned those phone calls. They are not just checking or asking how many positive patients or staff. Its about support, what you need, including the creation not only as a said for also temporary staffing agencies that we are now engaged with to help with the crisis of staff that are not able to come to work because they feel they have been exposed or have tested positive for coronavirus. We have read headlines about that. We have these temporary staffing agencies that can help support those efforts and we dont want to react to that. These phone calls let us be proactive and anticipate those staffing needs in realtime. We have also developed new partnerships with our hospitals, again in the sniff area, in the Nursing Homes, these already have strong ring links to our hospitalsystems but we are testing them even further. We are doing more on site visits and working with our partners as well. Forgive me for being long winded but its a point of passion as it should be for all of us to care for the people that raised us and u this is the grate greatest generation. They won wars and built the middle class and we need to be there for them at their time of need. That is an update. Very good news with the mercy. Very proud of the team and their work as it relates to reaching out to these facilities. One positive is too much and certainly these hot spots of concentration are points of concern. Also again points of focus in terms of how we are responding and how we are approaching. I want to make one additional point and then update you on our Daily Briefing and numbers and then of course bring back the doctor to talk more about the modeling, i imagine there will be more questions about that and more questions about our efforts for our seniors. Here is some really good news. In addition to the mercy now taking seniors on board and helping us decompress the Nursing Homes in the wiur and i enough of pete gainer and bob fenton, his regional director and the acting director. We were inspired by seth curry. Got attention for trying to do two things at once. Meet the needs of seniors but also address the crisis with our restaurants that are struggling, so many that have closed the unemployment and the Economic Impact that has created. They inspired a conversation with fema that leads to this announcement today. Fema will help support the delivery of significantly greater number of meals for at home. Why is that important because meals on wheels alone cant do what is required to protect and meet the needs of our seniors. Just 50,000 meals, its an extraordinary number. We have well over a Million People isolated not just in the sniff, not just in the other adult and senior facilities but isolated at home, senior that cannot prepare their own meals and clear i will have not prepared to of support that many of us provide for ourselves when we go to the grocery store. Many with mobilitya foreal conc and because of the incredible leadership of fema we are able now to partner with restaurants and begin to procure three meals a day of nutritious day. I say that not because i want to moralize but because its important for seniors to get nutritious meals. We will help support restaurant workers to deliver three meals a day to expand our capacity to meet the needs of our seniors throughout the state of california, inspired by the currys and here we are just days later im inspired by femas response. Itsthat have been impacted directly. Effect exposed or tested positive or exposed and or cannot get the support of meals on wheels or even get the kind of important that they need from adsocialty ne rams likfood stamps, we call it cal fresh here in the state of california. Again this is a big deal. Itll have profound impact on seniors and their needs as well as the needs of our Restaurant Industry throughout the state of california. So, with that i want to just ask briefly that dr. Gally come up and explain more about the work that he is doing and his team is doing at our assisted living facilities, nursing home, s and then i will come back and update you on the daily numbers and where we are tracking and how that model is being impacted by yesterdays numbers, death numbers and the like and again we will answer aue right after that. Sure. Thank you governor and the governor did a great job highlighting many, many of the efforts that we have had from the beginning of our focus around the Skilled Nursing facilities and other care facilities for seniors and other at risk populations across the state. In addition to the great work of really reaching out proactively with the facilities across the state. More than 1200 Skilled Nursing facilities. We also are committed to providing essential parts of ppe so that the staff that come in to the facilities each day can feel protected, both themselves and that they dont spread infection to residents of those facilities and in addition there is a focus with our Testing Task Force that we prioritize bringing tests to r early. Make sure we take caofthose individuals in a compassionate but immediate way. Together these efforts, plus the ones that the governor outlined j