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Amrita Institute of Medical Sciences (AIMS) recently signed a memorandum of understanding (MoU) with Sagara hospital, an autonomous body established by the state government at Alappuzha.“They have invested in infrastructure but don’t have people to run it. We have entered into a pact to run cardiology and cardio vascular thoracic surgery units. If the smaller hospitals don’t upgrade, they will have to shut down due to increased costs in 5 years,” pointed out Dr. Sanjeev Singh, medical superintendent, AIMS.