And so

impacts that we make at the earliest years of development, when we're impacting their ability to have positive, models in their life where we're trying to do things to counteract the ACEs that we know are so impactful that impact their brain as we're moving forward into the adult spaces.

If we want to impact those pieces to lower the total cost of care for healthcare as a country, those are things that we need to do now, early on, early intervention.

It's also sometimes we'll reference as a two-generational impact because I'm also identifying the mom with postpartum depression.

And I know if I can get her into treatment, she's going to have better attachments with her baby, and that baby's going to be less likely to have behavioral health issues in their school age or even beyond because they've attached and bonded well.

So this two-generational view that a pediatrician is a really unique way to sort of guide and help support because we're a trusted member, we are a trusted colleague to align with that family is really important.

And we try to demonstrate that out with the payer to talk about that.

How are you managing through some of that?

How have you worked through that in Fortify?

I think that's a fabulous question because children really are unique.

Children are probably the most diverse demographic that we have in the U.S. right now.

And the vast majority of these children, 45% are covered by Medicaid and are living in poverty and pediatricians.

We work really closely with those families and we understand the impact of adverse events in their early development.

We understand how important it is to really focus on those early developmental needs.

We understand how important it is to address those social drivers of health as you're moving forward.

so