While debates continue over budgets and threats continue to decrease payments for health services, Prairie du Chien Memorial is using value engineering to deliver high quality health for less. We are also working to improve patient service and experience and improve the health of the communities we serve. We have learned a lot from business counterparts and are using tools like Lean and six sigma to take the waste out of our processes. We are measuring the clinical outcomes of our care efforts and know that we can provide better care than patients can receive anywhere for the things that we do. We are also working toward better patient experiences by looking at everything we do from the patient's perspective. Finally, we are growing a healthier population through education and promotion of exercise, diet and regular check-ups. As we look to the future and a new hospital facility watch us as we continue to get better at delivering high quality personalized healthcare and education in a friendly and safe environment for all our communities.