Let me just add a couple of things to that. Pillar #6: Recognize. Our guidance reflects that progression and has more details on pages 19 and 20 of the supplemental deck.Thank you Blue. Great question. Organic growth was a bright spot for us again this quarter with legacy LHC locations delivering 10.3% growth in home health admissions. I mean there are opportunities to operate the model more efficiently in the delivery of therapy services and we're certainly going to harvest those over time as we transition into full implementation of our model and our clinical benchmark. So as that continues to progress and as extender utilization continues to mature throughout the year you're going to see that ramp of margin improvement quarter-over-quarter. So just kind of can you talk about the operating cash flow and the capex for 2020?Throughout the second half of 2019 we piloted the cross walking of the previous 153 resource groups to the new 432 different PDGM resource groups to ensure we could maintain our industry-leading patient outcomes and satisfaction while at the same time improving efficiencies and care delivery and better managing the care of our patients. I know you've talked about JVs in the past.
That does have a piece of the roll forward into our Q1. So for those of you that don't know we have a strong team of seasoned tenured divisional presidents who are all clinical clinicians themselves all nurses that have been in home health for 20 years or more every one of them. Good. Just one on PDGM. That's obviously much higher than what your historical target has been. And maybe the only thing I would add Matt is on the how some of that efficiency occurs throughout the year. And we white label that. So we definitely we're closing the right locations and in many instances just consolidating into others within the market. We're moving along with the ACO market as it matures. I hate beating the same drum over and over again but I'll hit it one more time with all of Almost Family not only converted to our instance of Homecare Homebase but us deploying some of our other proprietary tools out to them there is much more visibility into the care pathways that would lend itself to this visit is more appropriate to be made by an LPN versus an RN practice at the top of your license type of a thing. Our Code of Conduct and Ethics provides clear instruction on handling day-to-day activities. Good questions. And so that's what we've done throughout the history of this company. And I would say definitely more in line with the historical precedents. And Brent helped us realize that that we were such an operations company that we focused on sales when we had nothing to focus on in operations.After completing $114.3 million in acquisitions in 2019 and to date in 2020 we believe the current environment positions us to exceed this amount in 2020 and 2021. We just had the headwinds of the rate cut and continue to roll out the model but we really were intentional in getting all of that into Q4 and not kicking the can and spreading it out over a period of time.Yes. So I'll specifically address your question and maybe even go to another category that's related. This is Josh. Thanks Joanna. So I'm pleased with where they're at and you're going to see that quarter-over-quarter continue to improve which will then lead to more growth on the organic side.At Almost Family that is still around a 35-65 depending on the discipline and in certain areas 40-60. Blue we are ready to open the floor for questions. It's not an accident and it's not as though we don't know why it's happening.