>> bob, two hospitals in your state have issued disaster declarations. can you explain to us what that actually means on the ground? and how bad it's gotten to -- to make that necessary? >> well, thanks for highlighting the -- the issues. um, and actually, we had a third hospital in maryland this afternoon went to what's called crisis standards of care. there are really three levels. there is conventional, contingency, and then crisis level. many of our hospitals have already been operating on c conti contingency standards of care, which essentially means vaeding spreading the workforce a little more thinly. um, maybe reducing some of the standard procedures of documentation and things like that so people can focus on caring for patients at the bedside. crisis standards is a, um, some are more extreme level where essentially hospitals are saying, um, we cannot handle the load that we are -- that we are facing entirely.