Premier Orthopaedics Now Offering Telemedicine Visits
As the coronavirus crisis continues to evolve, “social distancing” remains one of the most effective ways to prevent the disease’s spread.
As the coronavirus crisis continues to evolve, âsocial...
Dragging Your Feet On Joint Replacement Surgery? It Doesn’t Have to be that Painful!
It’s 2020, the year of improvement. So what’s holding you back? That persistent discomfort in your knee that causes you to limp? The ache in your hip that makes climbing stairs an agonizing experience?
Whether it’s from sports injuries, arthritis or just plain overuse you know the issue isn’t going away, and it’s affecting your life. Maybe you’ve met with your doctor and tried different treatment methods and therapies, such as medication, injections, and strengthening exercises. But all your options have fallen short of helping ease your pain for good. So what’s next?
Itâs 2020, the year of improvement. So whatâs holding you...
Patient Notice About Coronavirus
Premier is committed to the health and safety of our patients, families, visitors and team members.
Premier is committed to the health and safety of our patients,...
What You Need to Know About Coronavirus
Here is the latest information regarding the coronavirus (COVID-19), courtesy of the Centers for Disease Control and Prevention, and the World Health Organization:
Here is the latest information regarding the coronavirus (COVID-19),...
Premier PT Changes Lives through (Not-so-Random) Acts of Kindness
Bridget McCormack didn’t set out to change the world. But that’s, in fact, what she is doing.
McCormack, a physical therapist in Premier Orthopaedics’ Broomall location, has lived a life vested in others’ well-being. She works hands-on with patients recovering from surgery or injury, and takes pride and pleasure in seeing them regain independence. “When people come to us, their needs are more than physical,” she says. “They want to feel like themselves again. Therapy is not just ‘muscles and bones.’ We treat the whole person to help rehab the injury and get them back to where they want to be.”
Bridget McCormack didnât set out to change the world. But...
Local Preacher Feels Better than Ever with Premier
When you’ve spent your life helping others see the good in everything around them, you tend to know a thing or two about where that goodness comes from.
West Norriton resident Richard (Dick) Sarley, a retired pastor, has no desire to slow down his active lifestyle. Family and community are important to Dick and his wife, Arline. They both come from large families and have children and grandchildren on the West Coast. But in 2007, when hip pain started slowing him down, Dick knew he’d have to do something about it.
When youâve spent your life helping others see the good in...
Follow a Philly Winner
A winning team relies on winning orthopaedic expertise — and when the Philadelphia Union made history last October, Premier was there to celebrate.
A winning team relies on winning orthopaedic expertise â and when...
43 Premier Orthopaedics Physicians Named 2019 Main Line Today Top Docs
In August, Main Line Today asked physicians to nominate deserving peers for the magazine’s annual Top Doctors award. Each year, providers and prospective patients eagerly await this prestigious listing of the best, most trusted doctors in our region.
Main Line Today
asked physicians to nominate deserving peers for the magazineâs...
Jonathan Garino, M.D., MBA, Named President of Pennsylvania Orthopaedic Society
Villanova resident Jonathan Garino, M.D., MBA, a board-certified orthopaedic surgeon, was named President of the Pennsylvania Orthopaedic Society effective Nov. 8. He succeeds Asif Ilyas, M.D.
Villanova resident Jonathan Garino, M.D., MBA, a board-certified...
New Collegeville Location Now Open
Here at Premier we’re excited about the opening of our beautiful, new 20,000 square foot location in Collegeville!
Here at Premier weâre excited about the opening of our beautiful,...
Congratulations to Our 2019 Top Doctors as Voted By Philadelphia Magazine
We’re proud to congratulate all the fantastic Premier physicians that have been named Top Doctors by Philadelphia Magazine for 2019!
Weâre proud to congratulate all the fantastic Premier physicians...
Premier Voted A “Top Workplace” for 2019
Once again Premier Orthopaedics has been named as “Top Workplace” for 2019 by philly.com.
Once again Premier Orthopaedics has been named as âTop...
Premier Orthopaedics Continues Philadelphia Union Partnership
Premier Orthopaedics is proud to continue their partnership and serve as the Official Orthopaedic Provider of the Philadelphia Union Major League Soccer (MLS) team.
Premier Orthopaedics is proud to continue their partnership and serve...
New Collegeville location! Coming Spring 2019
The 20,000 square foot office is located off of Route 422, exit 29, across from the Providence Town Center Mall in Collegeville.
The 20,000 square foot office is located off of Route 422, exit 29,...
Premier Congratulates Our 2018 Top Docs as Voted By Philadelphia Magazine
Once again we’re proud to congratulate all the Premier doctors who have been voted as a “Top Doctor” for 2018 by Main Line Today Magazine
Once again weâre proud to congratulate all the Premier doctors...
Congratulations to Our Latest Surgeons to Become Board Certified!
Premier Orthopaedics is thrilled to announce that four of our orthopaedic surgeons have become American Board of Orthopaedic Surgery certified, and we congratulate…
Premier Orthopaedics is thrilled to announce that four of our...
Premier Congratulates Our 2018 Top Docs as Voted By Philadelphia Magazine
We would like to congratulate the amazing Premier physicians that have been named Top Docs for Philadelphia Magazine for 2018!
We would like to congratulate the amazing Premier physicians that have...
Premier Physicians Now in Aston
Premier’s newest physician office is now open and taking appointments at 5201 Pennell Road, Aston, PA 19063.
Premier’s newest physician office is now open and taking...
Premier Team Presents at the 2018 Orthopaedic Forum Conference
Chip Hummer, M.D. and Jonathan Berridge, A.T.C. recently presented at this year’s Orthopaedic Forum National Meeting in Orlando, FL.
Chip Hummer, M.D. and Jonathan Berridge, A.T.C. recently presented at...
Advancement of Orthopaedic Joint Restoration: CyborGel™ GelPlug Synthetic Cartilage Implants
Dr. Kevin Mansmann, a graduate of the Harvard Combined Orthopaedic Surgery Program coupled with a Fellowship in Total Joint Replacements, has identified a treatment gap for end stage arthritis. Dr. Mansmann an Orthopaedic Surgeon at Premier Orthopaedics in Malvern and U.S Ski Team Physician for fifteen years, specializes in Arthroscopic & Total Joint Replacement surgery.
Dr. Kevin Mansmann, a graduate of the Harvard Combined Orthopaedic...
Congratulations to our very own Dr. Kelly Scollon-Grieve on being named to the 2017 “Pennsylvania’s Top Physicians Under the Age of 40” List!
Dr. Scollon-Grieve is a physical medicine and rehabilitation specialist with Premier Orthopaedics & Sports Medicine in Havertown.
Dr. Scollon-Grieve is a physical medicine and rehabilitation...
Have You Signed Up for Our Patient Portal?
Our patient portal is a FREE, simpler way to communicate with your doctor, schedule appointments and manage your health.
Patient benefits include:
- Request your medical record from any doctor
- Securely exchange messages with your doctor
- Easily schedule appointments
- Centrally manage all your medical records
Our patient portal is a FREE, simpler way to communicate with your...
Premier Orthopaedics Teams Up with IceWorks
Premier Orthopaedics is proud to announce a new partnership focusing on sports safety and athlete care with IceWorks in Aston.
Premier Orthopaedics is proud to announce a new partnership focusing...
Premier Physical Therapy Opens in Aston, Delaware County
Premier Physical Therapy’s newest clinic is now open at 5201 Pennell Road, Aston PA 19014. Local residents may recognize the address as the previous location of Hennessey’s Restaurant.
Premier Physical Therapyâs newest clinic is now open atÂ
5201 Pennell Road, Aston PA 19014
. Local residents may recognize the address as the previous location...
Premier Physical Therapy Clinic Opens in Aston, Delaware County
Premier Physical Therapy’s newest location is open at 5201 Pennell Road, Aston PA 19014. Local residents are likely familiar with the location as it was previously Hennessey’s Restaurant, conveniently located on Pennell Road (route 452) in Aston, Delaware County. Premier is excited to continue and expand their quality of care throughout the Delaware Valley.
Premier Physical Therapyâs newest location is open atÂ 5201...
Premier Orthopaedics in Aston: Coming soon!
Local residents are likely familiar with the location as it was previously Hennessey’s Restaurant, conveniently located on Pennell Road (route 452) in Aston, Delaware County. The new 6,300 square-foot office will take approximately two months to complete with an anticipated grand opening set for January 2017.
Local residents are likely familiar with the location as it was...
Premier Orthopaedics partners with West Chester United Soccer Club / Penn Fusion Soccer Academy
Premier Orthopaedics is pleased to announce the formation of a partnership with West Chester United Soccer Club (WCUSC) and Penn Fusion Soccer Academy (PFSA). The collaboration, which brings together organizations serving young soccer athletes, is aimed at injury prevention and education.
Premier Orthopaedics is pleased to announce the formation of a...
Premier Orthopaedics Named Official Orthopaedic Provider of the Continental Football Club
The partnership is a natural fit for both Premier Orthopaedics and Continental Football Club (CFC). The creation of this partnership will provide a way for members of CFC to receive priority treatments and assessments for injuries suffered during play.
With thousands of players participating in the CFC soccer programs, this unique program means that any injured CFC player can get the immediate treatment they need. In addition to treating injuries, Premier physicians will also provide education to CFC members, coaches and staff regarding concussions, injury prevention, and proper nutrition.
The partnership is a natural fit for both Premier Orthopaedics and...
Premier Named a Top Workplace by Philly.com
Premier Orthopaedics is pleased to announce that it has been named by Philly.com as the region’s top-rated orthopaedic workplace for 2015. Providing the highest level of care to our patients begins and ends with employees who enjoy coming to work every morning. That’s why we work hard to create and maintain a friendly, comfortable, and accommodating environment for the men and women who represent Premier Orthopaedics on a daily basis. This honor is a validation of our commitment and is yet another example of how we’re Raising The Bar in Orthopaedic Care.
Premier Orthopaedics is pleased to announce that it has been named by...
Premier Orthopaedics Welcomes the Brandywine Institute of Orthopaedics
We are pleased to announce that effective April 1st 2016 The Brandywine Institute of Orthopaedics has merged with Premier Orthopaedics.
The physicians of Premier Orthopaedics in Pottstown offer a full range of orthopaedic services. Their physical therapy clinic will also become a part of Premiers physical therapy program and will be named Premier Physical Therapy in Pottstown. This expansion will allow us to offer our patients a broader network of orthopaedic expertise.
We are pleased to announce that effective April 1st 2016 The...
Premier is proud to announce that Dr. Ashely Anderson, Orthopaedic Surgeon, has joined our practice.
Dr. Anderson has a special interest in shoulder and knee arthroscopy in addition to her practice of general orthopaedic surgery. She believes in quality orthopaedic care for elite athletes and weekend warriors alike.
Dr. Anderson looks forward to building relationships with community sports teams and providing orthopaedic care for every member of your family.
Dr. Anderson has a special interest in shoulder and knee arthroscopy...
Premier Congratulates Dr. Jonathon Garino
Premier physician Dr. Jonathon Garino of the PA Orthopaedic Center Division was named secretary of the Pennsylvania Orthopaedic Society for 2016.
The Pennsylvania Orthopaedic Society is the premier organization representing the orthopaedic community in the Commonwealth of Pennsylvania.
Through continuing educational programs, legislative advocacy, and colleague networking they continue to serve their mission by refining their member’s ability to deliver quality orthopaedic care to their patients.
Premier physician Dr. Jonathon Garino of the PA Orthopaedic Center...
Dr. Charles Hummer: Preventing Knee Injuries
As an orthopaedic surgeon with a sub-specialty in Sports Medicine, I often hear this complaint from family, friends and patients. Both acute injuries and overuse injuries can cause knee pain and dysfunction in athletes of all ages. So, what are common knee problems? How can they be prevented? And, what treatments are there for common knee pain?
The most common knee problem I see in my practice is “ kneecap pain” or patella-femoral pain syndrome (PFPS). The kneecap (patella) acts as a lever to allow the front thigh muscles to extend the knee, allowing us to stand upright and walk. The force generated through the kneecap increases geometrically as the knee bends in the standing position—in full squat there’s about seven times body weight pressure on the kneecap joint surface. Kneecap pain occurs because of this pressure, and because of subtle misalignment of the kneecap in the groove of the femur, caused by injury or change in level or type of activity—a new sport, lots of kneeling.
As an orthopaedic surgeon with a sub-specialty in Sports Medicine, I...
Sports and Spine Rehabilitation Division Opens New Location
The Sports and Spine Rehabilitation Division of Premier Orthopaedics has opened a new location in Chadds Ford, Pennsylvania. This division now provides sports and spine services to a new market in a large facility and offers state-of-the-art equipment.
This 5,500-square-foot office, located at 1204 Baltimore Pike, Suite 100, is a full procedure suite with on- site services such as fluoroscopic guided minimally invasive procedures, fracture care, electrodiagnostic testing (EMGs) as well as concussion testing. Premier Orthopaedics is proud to utilize advanced technology and equipment when treating patients, and this brand-new office allows them to continue this high level of treatment.
The Sports and Spine Rehabilitation Division of Premier Orthopaedics...
Premier Congratulates Our 5 Physicians Nominated as Philadelphia Magazine’s Top Docs for 2015!
Contratulations to Premier Physicians:
- Nicholas DiNubile, M.D.
- James McGlynn, M.D.
- Dean Trevlyn, M.D.
- Robert Cabry, M.D.
- Kevin Walsh, M.D.
Contratulations to Premier Physicians:
Dr. Zachary Hauser, M.D. discusses Medical Acupuncture
What is it?
Acupuncture is a method of encouraging the body to promote natural healing and to improve functioning. This procedure is done by inserting needles and applying heat or electrical stimulation at very precise acupuncture points.
How does it work?
The classical Chinese explanation is that channels of energy run in regular patterns through the body and over its surface. These energy channels, called meridians, are like rivers flowing through the body to irrigate and nourish the tissues.
What is it?
Premier Orthopaedics Welcomes New Physician, Mark Allan Schwartz, M.D.
New physician joins staff at Premier’s Pennsylvania Orthopaedic Center Division
Dr. Schwartz joins the Pennsylvania Orthopaedic Center after spending the last 6 years practicing in Pottstown, Pa. He is currently on staff and operates at Pottstown Memorial Hospital, Phoenixville Hospital, and Paoli Hospital (as well as associated surgery centers). He will be seeing patients at the Collegeville, Phoenixville and Pottstown office locations. Dr. Schwartz is board certified by the American Board of Orthopaedic Surgery (ABOS) and a member of the AAOS.
New physician joins staff at Premierâs Pennsylvania Orthopaedic...
Transportation is now available for MRI & Physical Therapy patients!
Premier now provides door-to-door service!
Our new Shuttle offers a convenient schedule of Monday through Friday.
Using the Premier MRI & Physical Therapy Patient Shuttle is easy.
To schedule your Premier Shuttle appointment, simply call 610-399-1138 for our West Chester location and 610-449-2000 for our Havertown location.
Premier now provides door-to-door service!
Liberty Orthopaedics Welcomes New Physician, Dr. Richard Zamarin
New physician joins staff at Premier Orthopaedics division that offers comprehensive care to patients with orthopaedic injuries
Liberty Orthopaedics, a division of Premier Orthopaedics, is dedicated to providing quality care to patients and treating their injuries effectively so they can get back to their daily activities as soon as possible. This practice has continued to grow, adding dimension to meet the needs of every patient. They will be welcoming Dr. Richard Zamarin to the practice, who has many years of distinguished excellence in orthopaedic medicine.
New physician joins staff at Premier Orthopaedics division that offers...
Dr. Jonathan Garino lecture at the 44th Annual Advances in Arthroplasty Course
Premier’s orthopaedic surgeon Dr Garino was invited to speak at the 44th Annual Advances in Arthroplasty Course, the longest Continuing Education Course at Harvard Medical School. The program highlighted the importance of using evidence-based medicine in effectively dealing with important challenges in the field of total joint arthroplasty surgery, focusing on hip and knee arthroplasty and arthroscopy, as well as early treatment of hip disease in young adults.
Dr. Garino spoke on ceramic replacements, specifically the long-term results with ceramic bearings in total hip replacement. Dr Garino described how ceramic replacements are great for younger patients because they rarely break and are virtually impossible to wear out. Ceramic hip replacements have life expectancies that exceed that of the traditional hip replacements.
Premierâs orthopaedic surgeon Dr Garino was invited to speak at...
Premier Physicians Named TOP DOCS in the 2014 issue of Main Line Today
Premier Orthopaedics is honored to have 14 of our physicians nominated as TOP DOCS in the 2014 issue of Main Line Today.
MAIN LINE TODAY 2014 TOP DOCS
- Dr. Eugene Elia
- Dr. John Benner
- Dr. Cheston Simmons
- Dr. Frank Giammattei
- Dr. Robert Ruggiero Sr.
- Dr. James McGlynn
- Dr. Robert Ruggiero Jr.
- Dr. Craig Kriza
- Dr. Louis Ciliberti
- Dr. Jason Miller
- Dr. Jennifer Kwon-Morley
- Dr. Stephanie Morris
- Dr. Kevin Walsh
- Dr. Zach Hauser
Read more at: Main Line Today
Premier Orthopaedics is honored to have 14 of our physicians nominated...
Premier’s online patient portal: Sign up now!
Healthjump is a website that allows our patients to communicate with Premier doctors and staff, request appointments, pay your invoices online, and connect with groups of patients who have similar conditions or injuries for online discussions. Once you are connected to your Premier doctor on Healthjump, you will be able to view and download your office visit summaries and crucial educational materials related to your condition or injury. Please register at www.healthjump.com with the email address you have on file with Premier.
Healthjump is a website that allows our patients to communicate with...
with the email address you have on file with Premier.
Ski Season is Coming: Be Aware…or Beware: by Jeffrey Malumed, M.D.
As the temperatures turn colder, skiing enthusiasts of all skill levels will wait with anticipation for that time when snow—real or “manufactured”—will fall on the slopes of resorts all across the nation. But whether you ski the “bunny slopes” or expertly maneuver around moguls, being properly prepared can help prevent injury and ensure a season of excitement.
As the temperatures turn colder, skiing enthusiasts of all skill...
FIFA 11+ is a comprehensive warm-up program designed to prevent injuries. It includes exercises that provide overall protection from injuries. To learn more, please visit: http://f-marc.com/11plus/exercises/ and ordownload the FIFA 11 document.
FIFA 11+ is a comprehensive warm-up program designed to prevent...
download the FIFA 11 document
Concussions: Underreported by Robert Cabry, M.D
With the recent nearly $800 million settlement by the NFL, they are conceding that head injuries occurred and led to serious long term problems. Despite this and all we hear in the media about the seriousness of concussion, the problem is still significantly under reported. A recent study published this year showed that 4 out of 10 concussions are never reported by the athlete.
With the recent nearly $800 million settlement by the NFL, they are...
Premier – Main Line Sports Medicine Division Celebrates Its Two-Year Anniversary and Its Top Physicians:
Premier – Main Line Sports Medicine, a division of Premier Orthopaedic and Sports Medicine Associates, celebrates its second year of helping athletes and patients of all ages return to a healthy and active lifestyle. The two-year old practice is led by top doc Dr. Kevin Walsh, M.D. who is thrilled to commemorate the occasion. He’s also happy to welcome their newest doctor, Dr. Keli Donnelly.
Premier – Main Line Sports Medicine, a division of
Premier Orthopaedic and Sports Medicine Associates
, celebrates its second year of helping athletes and patients of all...
The votes are in!
Premier Orthopaedics was nominated in three categories for the “Best of Delco” from the Delaware County Daily Times.
Best of Medical
Orthopaedic Practice:Liberty Division: Premier Orthopaedics
Physical Medicine & Rehabilitation: Premier Physical Therapy
Urgent Care Center: Premier Orthopaedic Urgent Care
Premier Orthopaedics was nominated in three categories for the...
Premier Physician, Charles D. Hummer III, M.D. Talks “Sprains & Strains” to Talk Philly, CBS3
CBS 3 Talk Philly host, Pat Ciarrocchi learns about common knee injuries and treatments from Charles D. Hummer III, M.D.
CBS 3 Talk Philly host, Pat Ciarrocchi learns about common knee...
Premier Orthopaedics Physician Dr. Nick DiNubile receives prestigious award:
Nicholas A. DiNubile, M.D., Orthopaedic Surgeon at Premier Orthopaedic and Chief of the Section of Orthopaedic Surgery at Delaware County Memorial Hospital, was chosen by his peers to receive the “Joe Torg” award at the 14th National Museum of American Jewish History in Philadelphia.
The Torg award is named for sports medicine pioneer Joseph S. Torg, M.D., an orthopaedic surgeon at Temple University Hospital, whose epidemiologic research and other contributions over the past 40-plus years have been credited with saving or improving the lives of countless athletes. The Torg award each year honors an orthopaedic surgeon in the greater Philadelphia area who has devoted his or her career to the care of athletes, who has participated in the educational process, and who has made significant contributions to the body of knowledge of orthopaedics.
Read the full article: Dr Nick Recipient of 2013 Torg award
Nicholas A. DiNubile, M.D., Orthopaedic Surgeon at Premier Orthopaedic...
Premiere Ortho on The NBC 10 Show!
Orthopaedic Surgeon Mark Brigham, M.D. from Delaware County Memorial Hospital gives his expert advice on how to ease knee pain.
Orthopaedic Surgeon Mark Brigham, M.D. from Delaware County Memorial...
Premier Athlete’s Advantage Program: a one-on-one Progam to enhance individual athletic performance
Learn more about the Athlete’s Advatage Program and where you can schedule with one of our specialy trained therapists.
What makes Premier Athlete’s Advantage different from other programs:
- Premier Athlete’s Advantage meets the needs of all athletes—field, court, artistic, endurance…as a customized program, everyone can benefit
- Individualized services
- Customized, flexible scheduling
- Licensed professional staff
- National level leadership
Our Expert Physical Therapy Staff will:
- Perform a comprehensive evaluation of the athlete’s strength, flexibility, movement quality and current training regimen.
- Develop a customized performance enhancement and injury prevention plan, addressing:
- Movement quality
- Training program
about the Athlete’s Advatage Program and where you can schedule...
Dr. Jeffrey Malumed: Getting rid of knee pain
Originally aired on CBS-Philly:
You know the feeling. You climb out of bed and your knees are stiff. You take a walk, or try to exercise and the pain sets in. Even when it rains– you know — by that ache. Here to talk about getting rid of that knee pain for good– is Dr. Jeffrey Malumed of Crozer Keystone Health System.
Originally aired on CBS-Philly:
You know the feeling. You climb out of bed and your knees are stiff....
Premier joins forces with Crozer-Keystone
Premier Orthopaedics, the largest Orthopaedics practice in Delaware County, has joined forces with Crozer-Keystone—the region’s largest health system. The result is an unprecedented spectrum of musculoskeletal specialties and unequaled access to care. Crozer-Keystone Health System comprises five hospitals, a comprehensive physician network of primary care and specialty practices, and the Healthplex® Sports Club. These facilities house a Level 2 trauma center, a regional burn center, two regional cancer centers, a fertility center, three sleep disorders centers, and a U.S. Olympic Committee designated sports science and technology center. In 1996, the Springfield Hospital location expanded with the addition of the Healthplex Campus, a comprehensive health, wellness, and fitness facility. With more than 1,100 physicians and 6,800 total employees, Crozer-Keystone is the largest employer in Delaware County. The health system became one of only six health care organizations in the nation to be honored with a VHA Leadership Award, which the health system earned for its Evidence-Based Medicine Program. In addition, Crozer-Chester Medical Center, Delaware County Memorial Hospital and Taylor Hospital are certified by The Joint Commission in hip and knee replacement surgery.
Premier Orthopaedics, the largest Orthopaedics practice in Delaware...
Premier named founding partner of Philadelphia union
In October Premier, along with Crozer-Keystone Health System signed a 10 year contract with Keystone Sports and Entertainment as the founding partner of Philadelphia’s First Major League Soccer Team. The agreement lists Premier as the team’s sole-healthcare partner making Premier the official team doctors along with being the sole provider of Physical Therapy. In addition, Premier will receive fixed and digital signage around the stadium and signage during ground-breaking and building. The owner of the Major League Soccer expansion franchise slated to begin play in 2010, held a groundbreaking ceremony to mark the start of construction for its $115 million, 18,500 seat stadium in Chester, Pa. The new structure will also have a waterfront park and plaza used not only for stadium entry, but also for city sponsored events such as festivals. The new stadium is the centerpiece of a $500 million entertainment, retail, residential and commercial development covering more than 100 acres along the historic Delaware River waterfront. Dr. Charles Hummer III and Dr. Jim McGlynn will be the official team physicians. Dr Hummer says, “While I am excited about being one of the team physicians, I am also excited about this great opportunity to be a part of a project that will have a positive effect on local community development.”
In October Premier, along with Crozer-Keystone Health System signed a...