The primary use of this annual report is fund raising to continue to help reduce disability and death from cardiovascular diseases and stroke. We presented much of the information as a fact book adding the element of humor and surprise starting with the cover. Because the AHA is a non-for-profit cost and perceived consists always a concern so we deliberately interspersed four fluorescent color papers while printing the job in only one color. Overall this book communicates the information in a clear and concise manner and has fun doing it.