The GMH was created as a Public Corporation, and has since been operating as a "governmental, non-profit institution serving the people, " under the governance of a Board of Trustees. GMHA entered into a new era in the area of cardiology this past year. New services include thallium stress imaging, and transesophageal echocardiography. A state-of-the-art Cardiac Angiography suite introduced diagnostic cardiac angiograms to the services available. Our Orthopedic Program expanded to include elective hip, knee joint, and shoulder replacements. With the investment and upgrading of the equipment and technology at GMHA, there are numerous opportunities to attract and provide additional specialty services. Such areas include gastroenterology, urology, neurology, advance cardiology, orthopedic and gerontology services.