The Audie L. Murphy Memorial Veterans Hospital (ALMMVH), named after the nation’s most decorated World War II hero, is a quaternary care facility, which is affiliated with the University of Texas Health Science Center at San Antonio (UTHSCSA). Comprehensive health care is provided through acute medical, surgical, mental health, physical medicine and rehabilitation, geriatric, and primary care services. Comprised of a Spinal Cord Injury Center, a Community Living Center, a Domiciliary, and a Substance Abuse Residential Rehabilitation Treatment Program (SARRTP). ALMMVH provides quaternary services including bone marrow transplantation, open-heart surgery, magnetic resonance imaging and positron emission tomography. As a Level II Research facility ALMMVH has projects that include aging, cardiac surgery, cancer, diabetes and HIV. The facility has one of three National Institutes of Health sponsored clinical research centers in the VA. In addition, the Geriatric Research, Education & Clinical Center (GRECC) is a “Center of Excellence.”