There is a joint venture between Endoscopy Center of St. Mary (ECSM) and St. Mary Medical Center. ECSM is located directly on the campus of St. Mary Medical Center, yet is financially independent of the medical center and has its own administration that governs day-to-day operations. Choosing a location in direct proximity to a major medical center was intended to benefit the patients who may require a higher level of care, and ECSM works closely with St. Mary administration to assure consistent quality medical performance.