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Bayhealth Medical Center is a fully integrated health care system consisting of two hospitals (Kent General and Milford Memorial), a free-standing ED in Smyrna and numerous ambulatory and outpatient offices. Both hospitals are certified Primary Stroke Centers. There is 24/7 Hospitalist coverage at both hospitals, as well as Intensivists in the ICU’s. Back up is available in most specialties including Neurosurgery, Cardiac surgery, Interventional and Structural Cardiology. Kent has a NICU and a robust MFM program. Milford has OB Hospitalists that see all ED related OB/GYN cases. Kent has a Cardiac ICU, a Neuro ICU and a general ICU, Milford has a general ICU. In-patient Pediatrics are covered by Pediatric Hospitalists at Kent General Hospital. Kent also has a 14 bed observation unit run by ED APP’s with private attendings rounding.