The contracts have already been let, and the work is under way.

We are experiencing the same kinds of problems that are no different from those faced by most other hospitals in the country. Hospitals are losing money because we are receiving lower state and federal reimbursements for patient treatments and are having more uninsured and under-insured patients using emergency rooms as their primary care physicians.

We are trying to balance those kinds of losses with the profitable side of business, which includes doing more cardiac surgeries. An emphasis has been placed on cardiac care because the medium age of residents is increasing, and more people are showing up with symptoms of heart disease.

If the emergency center is going to bring in new patients, a critical care section will be absolutely necessary.

This is our commitment to provide services in this community that previously we had bee lacking. We want to provide a Center for Emergency Medicine with a state-of-the-art trauma and cardiac center.

Its a women's emergency center that will have a special counseling area, separate bathroom and shower and a separate entrance.

The unions made it clear they are willing to work with us. When we... develop a strategic initiative, the unions will be the first to know what the plan is and how they will be able to help. I am extremely optimistic we will get through these economic challenges.

What is special about this combination is it minimizes the effect the treatment has on healthy tissue, while maximizes the impact on the cancer cells.