Tripler Army Medical Center is a 125-bed Military Healthcare System tertiary hospital located in Honolulu, Hawaii. The hospital serves as a referral center for VA and military institutions throughout the Pacific, including South Korea, Okinawa, Japan, Guam, and American Samoa. The residency is accredited by the ACGME. As a condition of employment, Health Professions Trainees who anticipate receiving direct VA-pay must be citizens of the United States.