The US Army Medical Department (AMEDD) is in the process of developing new concepts to support the Army's transformation. Its current mission is to conserve the fighting strength of US Army forces, providing force health protection to forces in a theater of operations; however, what about the future? What are the changes required to support the Army Future Force of 2025? The purpose of this monograph is to conduct a holistical examination of the US Army's medical functional areas starting with the Vietnam War and includes a current medical analysis of the US Army Future Force. The monograph considers not only historical trends from past reports, but also examination of a Future Force scenario by applying systematic analysis of Level 1 through 3 health care. The result is the capture of critical medical issues associated with medical support to support the Future Force in a contemporary environment. As the AMEDD transforms its medical structure, it must consider that when planning medical support in the contemporary environment it must be able to understand the situation within a theater of operations (TO). It must possess an ability to monitor and manage its resources effectively while maintaining its flexibility. It must also be able to adequately develop, alert and deploy tailored medical support packages, which fully support the tactical commander's mission. The key to accomplishing this will be a joint command and control information system (IS) that acts as the key link between commanders in all services, to include health care providers and medical elements at all echelons. The system must not be a stove piped system, which fails to integrate all services, but be a key enabler in synchronizing and monitoring to include positioning of medical support and supplies to best support the mission of the tactical commander. Another key component will be the joint service integration not only of our medical systems and equipment but also in our planning, execution and