In 1976, Dr. Janis S. DiMonaco, President and CEO of HMC HealthWorks, expanded her private practice to offer Employee Assistance and Wellness as HMC HealthWorks' core programs. As HMC HealthWorks added new clients, Dr. DiMonaco was asked to provide her expertise on adding new and different healthcare management initiatives. As she and the HMC HealthWorks team helped clients with expanding new and innovative programs to their population, Dr. DiMonaco implemented these new programs to offer along with the core services. She recognized that each client is very different and put her focus on evaluating and customizing a program for each client.