Beth Israel Medical Center, the Manhattan campus for the Albert Einstein College of Medicine, is a major 745-bed acute care teaching hospital in Manhattan with a 100-year history of community service. More than 400 house officers and 35 fellows receive training in all major specialties and subspecialties. The department of emergency medicine provides emergency care to more than 86,000 adult patients each year, over 12,000 of whom are critically ill and arrive by ambulance. Twenty-five percent of the emergency department patients are admitted to the hospital, indicating a remarkably high acuity rate. Emergency department patients represent the cultural and socioeconomic diversity of Beth Israel's metropolitan location. The Medical Center is a designated 911 receiving hospital and a psychiatric receiving hospital.