Overview: Execute the installation of HVAC systems, hood systems, refrigeration systems, food service equipment, and shelving in new stores, rebuilds, and remodels. Install new equipment for rollouts of new menu items. Responsibilities: 1. Installation and troubleshoot refrigeration equipment, HVAC unit, duct work, food service equipment, hood systems and shelving according to action plan and quality standards. Balancing of HVAC systems, fryer hood, and dishwasher hood.2. Schedule and coordinate all equipment installation activities, in the absence of site leadership.3. Ensure all safety regulations are followed per federal, state, local, and Sheetz requirements.4. Be able to read, write, and follow instructions, such as blueprints, floor plans, wiring diagrams. Be able to hammer nails, use power tools, and distinguish colors.5. Complete accurate paperwork, including work orders, labor hours, warranty cards, equipment transfers, new store checklist, DOT logs, post trip vehicle inspections forms, and weekly transaction logs for procurement cards.6. Barcode and document equipment for tracking of warranties, analyzing reliability, maintenance issues, and technical support.7. Schedule and coordinate all equipment installation activities, in the absence of site leadership.8. Complete all assigned work in a timely, efficient manner, according to company standards. Qualifications: (Equivalent combinations of education, licenses, certifications and/or experience may be considered)Education• High School Diploma/GED required• Technical/Trade/Sheetz training requiredExperience• Minimum two years’ related experience requiredLicenses/Certifications• Valid Driver’s License• EPA certifications – license I and IITools & Equipment (Other than general office equipment):• Hand tools (hammer, measuring devices, wrench, level, etc.)• Power Hand tools (saws, drill press, grinders, sanders, etc.)• Welding tools (torch, plasma cutter, welder, etc.)• Motorized Equipment (generators, pressure washer, forklift, etc.)• Reclaimer, balometer Accommodations: Sheetz is committed to the full inclusion of all qualified individuals. Sheetz is committed to considering all applicants regardless of disability who can perform all essential job duties with or without accommodations.

WHO WE AREAs the nation's largest producer of clean, carbon-free energy, Constellation is focused on our purpose: accelerating the transition to a carbon-free future. We have been the leader in clean energy production for more than a decade, and we are cultivating a workplace where our employees can grow, thrive, and contribute. Our culture and employee experience make it clear: We are powered by passion and purpose. Together, we're creating healthier communities and a cleaner planet, and our people are the driving force behind our success. At Constellation, you can build a fulfilling career with opportunities to learn, grow and make an impact. By doing our best work and meeting new challenges, we can accomplish great things and help fight climate change. Join us to lead the clean energy future.TOTAL REWARDSConstellation offers a wide range of benefits and rewards to help our employees thrive professionally and personally. We provide competitive compensation and benefits that support both employees and their families, helping them prepare for the future. In addition to highly competitive salaries, we offer a bonus program, 401(k) with company match, employee stock purchase program comprehensive medical, dental and vision benefits, including a robust wellness program paid time off for vacation, holidays, and sick days and much more.Expected salary range of $120,600 to $134,000, varies based on experience, along with comprehensive benefits package that includes bonus and 401(k).The Simulator Software Engineer for the Crane Clean Energy Center is in Middletown, PA (near Harrisburg). This role can be filled at Mid-level or Senior level. Please see requirements below. PRIMARY PURPOSE OF POSITIONResponsible for Creating and modifying simulation software logic and dynamic models used at a nuclear power plant in the Main Control Room Simulator, including simulator software maintenance, model minor plant modifications, and enhancements with minimal support. Functions independently and advises Constellation's Training Department on simulator technology. Coordinate simulator tasks and collaborate across teams as needed. Independence level: Works independently with minimal guidance. Works closely with the training department, project managers, and site engineers to ensure compliance with project needs. The role is centered on the development and improvement of new and existing features. Additionally, you will be reviewing the code of your peers, advocating for standard development methodologies, and participating in an inclusive, energetic, and highly cross-functional team. Expected to work efficiently with minimal supervision.PRIMARY DUTIES AND ACCOUNTABILITIESEngage with business partners to gather information, analyze requirements, and deliver practical, efficient, and cost-effective solutions that satisfy business needs.Design, develop and/or review complex code to ensure solutions meet the requirements of functional and technical specifications. Develop and/or review project technical architecture design and development. Solutions may include but are not limited to the development of various types of applications.Stay on top of latest technologies and trends. Support development of version control principles.Ensure all risks and issues that affect the projects are captured and are actioned appropriately.Enhance knowledge of and compliance with preferred technologies, methodologies, standards, and policies. Maintain technical knowledge and business acumen within own discipline or functionProvide technology solutions by weighing advantages of technology trends, market availability of products, risks, and benefits of technology to meet business needs.Create/modify and document simulation software logic and dynamic models to meet the business needs for simulator software maintenance, minor plant modifications, and enhancements with minimal support from peers or vendors.For Site Main Control Room Simulator Projects: plan, design, build or manage high quality IT software solutionsSoftware configuration managementMaintain engagement with the Site Training Department to provide support for emergent problems, Simulator Review Board support, Emergency Preparedness drill preparation, Training load releases, Instructor drill development, and IT security / exam security.Lead planning activities for assigned site.Provide second tier service to another simulator, as required, to backup that simulators Site Lead with little or no assistanceParticipates in projects for other sites in the fleet as required.SENIOR LEVEL, MINIMUM QUALIFICATIONSBachelor's degree (ex: Engineering, Physics, Computer Science, or related discipline) and 5 years of relevant experience (programming technologies) or minimum 9 years of relevant combination of education and work experience, for E03 Senior Engineer positionDemonstrated ability to lead small to medium teams in delivering software solutions and work effectively with remote project teamsDemonstrates strong software development capabilities coupled with the ability to work under tight deadlinesDemonstrated strong teamwork skills with self-motivation to achieve success in a rapidly evolving environmentStrong understanding of advanced programming concepts, data structure, and algorithmsProficient in FORTRAN and C programming languagesExperience in coding Logic and Dynamic systemsStrong problem-solving and debugging skillsProficient with installing, configuring, and maintaining Windows Operating Systems (personal and server)MID LEVEL, MINIMUM QUALIFICATIONSBachelor&rsquos degree (ex: Engineering, Physics, Computer Science, or related discipline) and 2 years of relevant experience (programming technologies) or minimum 6 years of relevant combination of education and work experience, for E02 Engineer position.Demonstrated ability to lead small to medium teams in delivering software solutions and work effectively with remote project teamsDemonstrates strong software development capabilities coupled with the ability to work under tight deadlinesDemonstrated strong teamwork skills with self-motivation to achieve success in a rapidly evolving environment.Solid communications skills - Able to effectively communicate highly technical information in non-technical terminology (written and verbal).Strong understanding of advanced programming concepts, data structure, and algorithms- Proficient in FORTRAN and C programming languages- Experience in coding Logic and Dynamic systems- Strong problem-solving and debugging skills.- Proficient with installing, configuring, and maintaining Windows Operating Systems (personal and server) SENIOR LEVEL, PREFERRED QUALIFICATIONSDegree in Mechanical Engineering or Nuclear Engineering and 7+ years engineering experienceConsulting/client engagement backgroundKnowledge of business practices and processes in Nuclear Power Plant OperationsKnowledge of graphic design softwareExperience with modeling systems and Simulator model builder software (e.g., Thor, Xtreme, Jade, TopMerit, Thunder)Experience with Simulator Executive Systems (e.g., OpenSim, TREX, SimExec, Chattanooga)Experience with engineering print readingExperience leading small IT projects or sub-teams and knowledge of IT project managementExperience with GIT configuration managementExperience with network topologyExperience with creating software interface protocols.MID LEVEL, PREFERRED QUALIFICATIONSDegree in Mechanical Engineering or Nuclear Engineering and 7+ years engineering experienceConsulting/client engagement backgroundKnowledge of business practices and processes in Nuclear Power Plant OperationsKnowledge of graphic design softwareExperience with modeling systems and Simulator model builder software (e.g., Thor, Xtreme, Jade, TopMerit, Thunder)Experience with Simulator Executive Systems (e.g., OpenSim, TREX, SimExec, Chattanooga)Experience with engineering print readingExperience leading small IT projects or sub-teams and knowledge of IT project managementExperience with GIT configuration managementExperience with network topologyExperience with creating software interface protocols.

SECURING OUR TECHNOLOGYThe Air Force relies heavily on advanced computer and software systems, so it is paramount to keep those systems safe. It’s the job of Cyber Systems Operations specialists to design, install and support our systems to ensure they operate properly and remain secure from outside intrusion. These experts enhance our capabilities and provide us with the best and most secure systems so we can stay ahead of the curve in everything we do.REQUIREMENTSYou must meet several requirements before joining the Air Force. These concern your background, overall health and other standards set by the Air Force, Department of Defense and federal law.Minimum EducationYou must be 17–42 years of age, a U.S. citizen and obtain a qualifying ASVAB score. High School Students may start their application as early as the end of their junior year. ASVAB SCORE REQUIREMENTSGeneralQualificationsKnowledge of cyber system elementsCompletion of Cyber Systems Operations Initial Skills courseCompletion of a current Single Scope Background Investigation (SSBI)Completion of 7.5 weeks of Basic Military TrainingMust be at least 17, but has not reached age 42 on the date of enlistment

Hey detail-oriented person! We handle product movement at retail. We display it, we move it, we track it; making sure stores and their product suppliers have the best opportunities for optimal sales. When you join the SAS Retail Services’ team as a Reset Merchandiser you’ll be making a difference by ensuring the latest products match the new plan. If you like the flexibility of independent work and love looking at your “job well done” each day, this may be for you. We’ve got a lot to offer with specialized training and growth opportunities galore.What you get:Competitive wage; $16.00 per hourGet paid quicker with early access to earned wagesGrowth opportunities abound – We promote from within. Simple. Excel and advance.We offer benefits that can be customized to meet your family’s needs, including medical, dental, vision, life insurance, supplemental voluntary plans, wellness programs, and online discounts.Now, about you:You’re 18 years or olderWith reliable transportation and valid driver’s licenseYou like physical work of moving, bending, standing and can lift up to 25lbsClick here to learn more from our team.Join us and see what’s possible for you! Click here to get started.

Overview: Execute the installation of HVAC systems, hood systems, refrigeration systems, food service equipment, and shelving in new stores, rebuilds, and remodels. Install new equipment for rollouts of new menu items. Responsibilities: 1. Installation and troubleshoot refrigeration equipment, HVAC unit, duct work, food service equipment, hood systems and shelving according to action plan and quality standards. Balancing of HVAC systems, fryer hood, and dishwasher hood.2. Schedule and coordinate all equipment installation activities, in the absence of site leadership.3. Ensure all safety regulations are followed per federal, state, local, and Sheetz requirements.4. Be able to read, write, and follow instructions, such as blueprints, floor plans, wiring diagrams. Be able to hammer nails, use power tools, and distinguish colors.5. Complete accurate paperwork, including work orders, labor hours, warranty cards, equipment transfers, new store checklist, DOT logs, post trip vehicle inspections forms, and weekly transaction logs for procurement cards.6. Barcode and document equipment for tracking of warranties, analyzing reliability, maintenance issues, and technical support.7. Schedule and coordinate all equipment installation activities, in the absence of site leadership.8. Complete all assigned work in a timely, efficient manner, according to company standards. Qualifications: (Equivalent combinations of education, licenses, certifications and/or experience may be considered)Education• High School Diploma/GED required• Technical/Trade/Sheetz training requiredExperience• Minimum two years’ related experience requiredLicenses/Certifications• Valid Driver’s License• EPA certifications – license I and IITools & Equipment (Other than general office equipment):• Hand tools (hammer, measuring devices, wrench, level, etc.)• Power Hand tools (saws, drill press, grinders, sanders, etc.)• Welding tools (torch, plasma cutter, welder, etc.)• Motorized Equipment (generators, pressure washer, forklift, etc.)• Reclaimer, balometer Accommodations: Sheetz is committed to the full inclusion of all qualified individuals. Sheetz is committed to considering all applicants regardless of disability who can perform all essential job duties with or without accommodations.

WHO WE AREAs the nation's largest producer of clean, carbon-free energy, Constellation is focused on our purpose: accelerating the transition to a carbon-free future. We have been the leader in clean energy production for more than a decade, and we are cultivating a workplace where our employees can grow, thrive, and contribute. Our culture and employee experience make it clear: We are powered by passion and purpose. Together, we're creating healthier communities and a cleaner planet, and our people are the driving force behind our success. At Constellation, you can build a fulfilling career with opportunities to learn, grow and make an impact. By doing our best work and meeting new challenges, we can accomplish great things and help fight climate change. Join us to lead the clean energy future.TOTAL REWARDSConstellation offers a wide range of benefits and rewards to help our employees thrive professionally and personally. We provide competitive compensation and benefits that support both employees and their families, helping them prepare for the future. In addition to highly competitive salaries, we offer a bonus program, 401(k) with company match, employee stock purchase program comprehensive medical, dental and vision benefits, including a robust wellness program paid time off for vacation, holidays, and sick days and much more.*****************This Engineering role can be filled at Mid-level, Senior Engineer, or Sr Staff Engineer level. Please see minimum qualifications list below for each level***********************************Mid Level - $88,200 - $108,000Sr Level - $115,200- $141,000Sr Staff Level - $142,200 - $158,000Ranges are per year based on experience, along with a comprehensive benefits package that includes bonus and 401K PRIMARY PURPOSE OF POSITIONPerforms advanced engineering problem solving in support of nuclear plant operations. Responsible for technical decisions. Possesses superior knowledge in functional discipline and its practical application and has excellent knowledge of applicable industry codes and regulations. Functions with recognized industry-level of expertise in a technical area.PRIMARY DUTIES AND ACCOUNTABILITIESPerform advanced engineering and technical tasks in support of nuclear plant operations.Perform independent research, reviews, studies and analyses in support of technical projects.Provides in-depth technical expertise to develop, manage and implement engineering activities related to plant safety, reliability, maintainability, and availability ensuring compliance to customer's needs, regulatory requirements, and corporate policies.Accountable for the accuracy, completeness, and timeliness of work ensuring proper configuration management and assuring that standard design criteria, practices and codes are used in preparation of plans and specifications.Provide technical expertise and consultation through direct involvement to identify and resolve equipment and system problems.Provides initial or complete task management of engineering issues.Recommends equipment, new concepts and techniques to improve performance, simplify construction, reduce costs, correct design or material flaws, or comply with changes in codes or regulations.Supports plant design modifications, testing and problem solving.Assure all engineering products prepared or overseen are in accordance with applicable safety analyses, industry codes, and all regulatory requirements.Develop, implement and coordinate functional supervisory activities including, but not limited to, personnel, budgetary accountabilities and planning goals with respect to engineering personnel.MINIMUM QUALIFICATIONSMINIMUM QUALIFICATIONS for Mid-level E02 Engineer B.S. in Engineering and 2+ years Nuclear or related engineering experienceMINIMUM QUALIFICATIONS for Senior E03 EngineerB.S. in Engineering or Licensed Professional Engineer and 5+ years engineering experienceMINIMUM QUALIFICATIONS for Senior Staff E04 EngineerBS in Engineering or Licensed Professional Engineer with a minimum of 10 years of engineering experience PREFERRED QUALIFICATIONSProfessional Engineering Registration, advanced technical degree or coursework

Hey detail-oriented person! We handle product movement at retail. We display it, we move it, we track it; making sure stores and their product suppliers have the best opportunities for optimal sales. When you join the SAS Retail Services’ team as a Reset Merchandiser you’ll be making a difference by ensuring the latest products match the new plan. If you like the flexibility of independent work and love looking at your “job well done” each day, this may be for you. We’ve got a lot to offer with specialized training and growth opportunities galore.What you get:Competitive wage; $16.00 per hourGet paid quicker with early access to earned wagesGrowth opportunities abound – We promote from within. Simple. Excel and advance.We offer benefits that can be customized to meet your family’s needs, including medical, dental, vision, life insurance, supplemental voluntary plans, wellness programs, and online discounts.Now, about you:You’re 18 years or olderWith reliable transportation and valid driver’s licenseYou like physical work of moving, bending, standing and can lift up to 25lbsClick here to learn more from our team.Join us and see what’s possible for you! Click here to get started.

CONQUERING CYBERSPACEWith the constant evolution of today’s technology, information and communications can be optimized like never before. Responsible for a wide range of weaponry, training and intelligence efficiencies, Cyberspace Operations Officers are the foremost experts on the vast world of cyberspace. From computerized, satellite and airborne communications to postal operations and tracking systems, these irreplaceable assets play a critical role in planning missions and ensuring the effectiveness of our cyberspace capabilities.REQUIREMENTSYou must meet several requirements before joining the Air Force. These concern your background, overall health and other standards set by the Air Force, Department of Defense and federal law.Minimum EducationBachelor’s degree with a focus in computer and information sciences, engineering, mathematics, computer science, management information systems or other related disciplines QualificationsKnowledge of electronics theory, information technology, telecommunications and supervisory and control systems including cryptography, vulnerability assessment and exploitation techniquesCompletion of Undergraduate Cyberspace training and mission qualification training in specialty areaCompletion of a current Single Scoped Background Investigation (SSBI)Completionof Officer Training School (OTS), AirForce Academy (AFA) or AirForce Reserve Officer Training Corps (AFROTC)Must be between the ages of 18 and 42

WHO WE AREAs the nation's largest producer of clean, carbon-free energy, Constellation is focused on our purpose: accelerating the transition to a carbon-free future. We have been the leader in clean energy production for more than a decade, and we are cultivating a workplace where our employees can grow, thrive, and contribute. Our culture and employee experience make it clear: We are powered by passion and purpose. Together, we're creating healthier communities and a cleaner planet, and our people are the driving force behind our success. At Constellation, you can build a fulfilling career with opportunities to learn, grow and make an impact. By doing our best work and meeting new challenges, we can accomplish great things and help fight climate change. Join us to lead the clean energy future.TOTAL REWARDSConstellation offers a wide range of benefits and rewards to help our employees thrive professionally and personally. We provide competitive compensation and benefits that support both employees and their families, helping them prepare for the future. In addition to highly competitive salaries, we offer a bonus program, 401(k) with company match, employee stock purchase program comprehensive medical, dental and vision benefits, including a robust wellness program paid time off for vacation, holidays, and sick days and much more.*****************This Engineering role can be filled at Mid-level or Senior Engineer level. Please see minimum qualifications list below for each level***********************************Mid Level - $88,200 - $108,000Sr Level - $115,200- $141,000 PRIMARY PURPOSE OF POSITIONPerforms advanced technical/engineering problem solving in support of nuclear plant operations while acting as a resource and technical expert to engineers. Responsible for technical decisions. Possesses excellent knowledge in functional discipline and its practical application and has detailed knowledge of applicable industry codes and regulations.PRIMARY DUTIES AND ACCOUNTABILITIESProvide in-depth technical expertise to develop, manage and implement engineering analysis, activities and programs.Provide technical expertise and consultation through direct involvement and as a subject matter expert when consulted to identify and resolve equipment and system problems.Directly fulfill engineering and technical leadership accountability regarding short-term and long-term programs that impact site operations.Perform engineering tasks as assigned by supervision applying engineering principles.Accountable for the accuracy, completeness, and timeliness of work ensuring proper configuration management and assuring that standard design criteria, practices, procedures and codes are used in preparation of plans and specifications.Perform independent research, reviews, studies and analyses in support of technical projects and programs.Recommend equipment, new concepts and techniques to improve performance, simplify construction, reduce costs, correct design or material flaws, or comply with changes in codes or regulations.MINIMUM QUALIFICATIONSMINIMUM QUALIFICATIONS for Mid-level E02 Engineer B.S. in Engineering and 2+ years Nuclear or related engineering experienceMINIMUM QUALIFICATIONS for Senior E03 EngineerB.S. in Engineering or Licensed Professional Engineer and 5+ years engineering experience PREFERRED QUALIFICATIONSProfessional Engineer RegistrationAdvanced technical degree or related coursework

*Please Note: this position in located in Lancaster, PA SummaryJob DescriptionLOCATION: Women's and Babies Hospital in Lancaster, PASIGN-ON BONUS: Up to $15,000 (prorated based on FTE) with 2 year commitment. External candidates only.SCHEDULE: Full time (36 hours per week/.9 FTE). Combination of 8, 10 and 12 hour shifts primarily during the day. Every 3rd weekend requirement. One summer and one winter holiday. On call requirement to cover 7pm-7am weekdays and 24 hours on the weekend w/ 30 minute response time.POSITION SUMMARY: Assists in the delivery of patient care by handling instruments during operative procedures and by performing a variety of duties related to the preparation, processing and arrangement of surgical instruments and supplies under a Registered Nurse. Patient care includes care to patients in the following age groups: neonatal (birth to 30 days), pediatric (30 days through 12 years), adolescent (13 through 18 years), adult (19 through 64 years), and geriatric (65 years and above).ESSENTIAL FUNCTIONS: Qualified individuals must have the ability (with or without reasonable accommodation) to perform the following duties:Utilizes techniques of infection control. Monitors all personnel for compliance with aseptic techniques and safety standards.Functions primarily as instrument handler on all types of surgical procedures involving and requiring conformance with specific sterile and aseptic techniques and procedures.Secures, sets up and otherwise prepares the Operating Room equipment, instruments and supplies. Arranges instruments, tables, stands and other articles in specified order. Adjusts equipment within the Operating Room to meet the needs of the surgeon and operative requirements.Functions as first assistant to the surgeon by handling tissue, using instruments to provide wound exposure and hemostasis, suction, sponge and bovie when needed, cutting tissue and tying suture as directed by surgeon, which may include closure of surgical wound.Anticipates and supplies surgeon's needs for instruments, supplies and equipment in such a way that the surgeon need not divert his/her attention from the operative field.Identifies emergency situations and responds in a calm and efficient manner. Recognizes surgical complications and anticipates corrective measures, assuring expeditious treatment.Cares for contaminated instruments and supplies during and after the surgical procedures utilizing appropriate environmental control techniques.Participates in the on-call system in the O.R. for emergency and urgency cases.SECONDARY FUNCTIONS: The following duties are considered secondary to the primary duties listed above:Participates in the education and orientation of surgical personnel.Assists circulating nurse in providing direct patient care.Participates in surgical procedure outside the department.Periodically works in the instrument or utility room area. Duties in this area include sorting instruments and equipment, arranging set-ups, storing equipment for future use and picking instruments for scheduled cases.Maintains established stock levels in the Operating Room suites.Participates in the on-call responsibilities for this position as required.Other duties as assigned.JOB REQUIREMENTSMINIMUM REQUIRED QUALIFICATIONS:High school diploma or equivalent (GED).If new to the Surgical Technologist role, without any previous Surgical Technologist experience, hired after 12/28/2020, must be a graduate of an approved school of surgical technology and be certified within 6 months of hire or validation of completion of a surgical military training program (Army, Navy or Air Force). Employees with at least two years previous Surgical Technologist experience do not require certification. CPR Certification.PREFERRED QUALIFICATIONS:One (1) year of Operating Room scrub experience.Disclaimer:This job description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills, efforts, or working conditions associated with the job. It is intended to be a reflection of those principal job elements essential for recruitment and selection, for making fair job evaluations, and for establishing performance standards. The percentages of time spent performing job duties are estimates, and should not be considered absolute. The incumbent shall perform all other functions and/or be cross-trained as shall be determined at the sole discretion of management, who has the right to amend, modify, or terminate this job in part or in whole. Incumbent must be able to perform all job functions safely.Benefits At A Glance:PENN MEDICINE LANCASTER GENERAL HEALTHoffers the following benefits to employees:100% Tuition Assistance at The Pennsylvania College of Health SciencesPaid Time Off and Paid HolidaysShift, Weekend and On-Call DifferentialsHealth, Dental and Vision CoverageShort-Term and Long-Term DisabilityRetirement Savings Account with Company MatchingChild Care SubsidiesOnsite Gym and Fitness ClassesDisclaimerPENN MEDICINE LANCASTER GENERAL HEALTHis an Equal Opportunity Employer, committed to hiring a diverse workforce. All openings will be filled based on qualifications without regard to race, color, sex, sexual orientation, gender identity, national origin, marital status, veteran status, disability, age, religion or any other classification protected by law. Search Firm Representatives please read carefully: PENN MEDICINE LANCASTER GENERAL HEALTHis not seeking assistance or accepting unsolicited resumes from search firms for this employment opportunity. Regardless of past practice, all resumes submitted by search firms to any employee at PENN MEDICINE LANCASTER GENERAL HEALTHvia-email, the Internet or directly to hiring managers at Penn Medicine Lancaster General Health in any form without a valid written search agreement in place for that position will be deemed the sole property of PENN MEDICINE LANCASTER GENERAL HEALTH, and no fee will be paid in the event the candidate is hired by PENN MEDICINE LANCASTER GENERAL HEALTHas a result of the referral or through other means.