The Ralph H. Johnson VA Medical Center, opened in 1966, consists of one primary, secondary, and tertiary care facility located in Charleston, SC, serving over 67,000 Veterans in 21 counties, encompassing more than 15,000 square miles. Charleston VAMC is a 152 authorized bed tertiary care teaching hospital with 20 operating nursing home care beds, and is dedicated to providing the highest quality of patient care and services to Veterans along the South Carolina and Georgia coasts. The full range of inpatient and outpatient care is provided including Medical and Surgical Intensive Care, and Medical/Surgical. The Ralph H. Johnson VA Medical Center provides comprehensive health care through primary care, tertiary care, and long-term care in areas of medicine, surgery, psychiatry, physical medicine and rehabilitation, neurology, women's health and dentistry. Specialty services include Cardiothoracic Surgery, Neurosurgery, Orthopedics, Mental Health programs for PTSD, Substance Use Disorders, Military Sexual Trauma, Cardiology, Oncology, Nephrology, Pulmonary and Geriatrics. The VAMC includes five Community Based Outpatient Clinics (CBOC) located in Beaufort, Goose Creek and Myrtle Beach, South Carolina, and Savannah and Hinesville, Georgia, as well as an annex in North Charleston. The Ralph H. Johnson VA Medical Center also supports three Vet Centers located in Charleston and Myrtle Beach, South Carolina, and Savannah, Georgia.