What do you think about the Electronic Health Record and the incentives attached to have it in place. For physicians who see patients they will receive thousands, now that is to help recover the costs. What about academic departments who have services such as Radiology and Anesthesia who do not see patients, they are not clinic based but hospital based, how are they incentivized with this since the hospital will receive the incentive on their behalf? Do you give them a stipend or more programmatic support or tough, it is to recover our costs?