North Dakota Facility Seeks a Locums Emergency Medicine Physician CHG HealthcareNorth Dakota Facility Seeks a Locums Emergency Medicine PhysicianBismarck, NDCompHealth goes far beyond a job board, providing you with expert guidance tailored to your specific needs and phase of your career. We arrange complimentary housing and travel and comprehensive malpractice coverage.
PHYSICIAN - Endocrinologist - Bismarck, ND Essentia HealthPHYSICIAN - Endocrinologist - Bismarck, NDBismarck, NDSituated on the eastern bank of the Missouri River, Bismarck is a safe and family-friendly city with an active downtown, great schools, and numerous community activities. $298,511 Hired candidates may be eligible to receive additional compensation in the form of bonuses, quality incentives or production- based compensation.
Medical / Health - Physician Essentia HealthMedical / Health - PhysicianBismarck, NDGrowing City: Ranked by Forbes as the seventh fastest-growing small city in the U.S. Quality of Life: Located on the eastern bank of the Missouri River, Bismarck is a safe, family-friendly city with an active downtown, excellent schools, and numerous community activities. Vibrant Community: Bismarck, the second-most populous city in North Dakota, boasts a population of 133,626 (2020 census).
PHYSICIAN - Rheumatology - Bismarck, ND Essentia HealthPHYSICIAN - Rheumatology - Bismarck, NDBismarck, NDCentrally located on the eastern bank of the Missouri River, Bismarck is a safe and family-friendly city with an active downtown, great schools, and numerous community activities. $302,397 Hired candidates may be eligible to receive additional compensation in the form of bonuses, quality incentives or production-based compensation.
PHYSICIAN - Radiology - Bismarck, ND / Fargo, ND Essentia HealthPHYSICIAN - Radiology - Bismarck, ND / Fargo, NDBismarck, NDFargo Hospital location - state-of-the-art technology including 2 MRIs, 2 CTS, PET/CT, Nuclear Medicine, ultrasound, DEXA, Mammo, General Radiology multiples sites, fully implemented PACs and voice dictation . Seeking full-time Radiologist, with fellowship training, to practice general diagnostic radiology and use fellowship skills to join a growing practice of 9 Radiologists .
Physician - Dermatology - Bismarck, ND Essentia HealthPhysician - Dermatology - Bismarck, NDBismarck, NDGrowing City: Ranked by Forbes as the seventh fastest-growing small city in the U.S. Quality of Life: Located on the eastern bank of the Missouri River, Bismarck is a safe, family-friendly city with an active downtown, excellent schools, and numerous community activities. Vibrant Community: Bismarck, the second-most populous city in North Dakota, boasts a population of 133,626 (2020 census).
PHYSICIAN - Neurology - Bismarck, ND Essentia HealthPHYSICIAN - Neurology - Bismarck, NDBismarck, NDCentrally located on the eastern bank of the Missouri River, Bismarck is a safe and family-friendly city with an active downtown, great schools, and numerous community activities. $366,000 Hired candidates may be eligible to receive additional compensation in the form of bonuses, quality incentives or production-based compensation.
PHYSICIAN - Internal Medicine - Bismarck, ND Essentia HealthPHYSICIAN - Internal Medicine - Bismarck, NDBismarck, NDSituated on the eastern bank of the Missouri River, Bismarck is a safe and family-friendly city with an active downtown, great schools, and numerous community activities. Bismarck is ranked by Forbes magazine as the seventh fastest-growing small city in the United States.
PHYSICIAN - Otolaryngology, Bismarck, ND Essentia HealthPHYSICIAN - Otolaryngology, Bismarck, NDBismarck, NDCapital city – located on the Missouri River in the Western part of North Dakota, close to the badlands of North Dakota and Theodore Roosevelt National Park. Primary Care referral base with an organizational network of twenty-five clinics & five hospitals .
PHYSICIAN - Psychiatry - Bismarck, ND Essentia HealthPHYSICIAN - Psychiatry - Bismarck, NDBismarck, NDUtilizing Essentia Care Programs, the physician works to improve overall health of the patients by providing acute, chronic and preventive healthcare to our communities. The Essentia Physician is the leader of a Care Team working collaboratively with all team members; MD's, NP's, PA's, RN's, LPN's and ancillary staff to make a difference for every patient, every time.
Gastroenterology Physician CommonSpirit HealthGastroenterology PhysicianBismarck, NDAbout CHI St. Alexius Health CHI St. Alexius Health is a Level II Trauma Center and is the largest health care delivery system in central and western North Dakota that is comprised of a tertiary hospital in Bismarck and critical access hospitals (CAHs) in Carrington, Dickinson, Devils Lake, Garrison, Turtle Lake, Washburn and Williston and numerous clinics and outpatient services. CHI St. Alexius Health - Bismarck, is a 185-bed, full-service, acute care medical center offering a full line of inpatient and outpatient medical services, including primary and specialty physician clinics; home health and hospice services; durable medical equipment services and a fitness and human performance center.
Travel Radiology Physician ATC West Healthcare ServicesTravel Radiology PhysicianBismarck, NDSchedule & Coverage ~ Weekday onsite coverage typically 8:00 AM 4:00 PM ~ Evening call from 4:00 PM 8:00 AM ~24-hour call coverage on weekends ~ Average of procedures per onsite day ~ Callback is primarily for emergency cases ~ No diagnostic reading required between IR cases Practice Setting Hospital-based practice EMR: Epic Reason for coverage: Temporary gap while current locum provider is on leave Required Procedures Providers must have experience performing general interventional radiology procedures, including but not limited to: Diagnostic and therapeutic vascular interventions Angiography, angioplasty, stenting, thrombolysis, and embolization Vascular access procedures including PICC lines, central lines, and port placements IVC filter placement and TIPS procedures Drainage and aspiration procedures Needle biopsies (above and below diaphragm and bone) Biliary and renal extractions Thoracentesis and paracentesis Myelography and pain management procedures Vertebroplasty and joint/epidural injections Chest tube placement Uterine artery embolization Liver Y90/TACE procedures Gastrostomy tube placement Nephrostomy and ureteral stent placement Cryoablation and fistulograms Stroke thrombectomy capability is preferred but not required. Requirements Board Certification required North Dakota medical license or IMLC eligibility required Completion of residency/fellowship required ACLS and BLS certifications required Clean malpractice history preferred Providers must complete and submit a procedure competency checklist NPDB self-query report dated within 30 days of submission Availability required at time of name clear Credentialing Estimated timeframe: days North Dakota licensure and full credentialing required prior to start Travel Travel and lodging available in accordance with guidelines Open to providers requiring air travel
Urology Physician CommonSpirit HealthUrology PhysicianBismarck, ND$646,796–$679,136 / yearCHI St. Alexius Health is a Level II Trauma Center and is the largest health care delivery system in central and western North Dakota that is comprised of a tertiary hospital in Bismarck and critical access hospitals (CAHs) in Carrington, Dickinson, Devils Lake, Garrison, Turtle Lake, Washburn and Williston and numerous clinics and outpatient services. CHI St. Alexius Health - Bismarck, is a 185-bed, full-service, acute care medical center offering a full line of inpatient and outpatient medical services, including primary and specialty physician clinics; home health and hospice services; durable medical equipment services and a fitness and human performance center.
Physician, Emergency Medicine – Telemedicine Opportunity – DrHouse DrHouse, Inc.Physician, Emergency Medicine – Telemedicine Opportunity – DrHouseBismarck, NDRemote$100–$200In this role, you will manage a broad spectrum of clinical cases, including primary care, urgent care, men's and women's health, and chronic conditions, all delivered through secure virtual consultations. This role offers the flexibility to design a schedule that supports work-life balance while delivering high-quality, patient-centered virtual care statewide.
Physician, OB/GYN – Telemedicine Opportunity – DrHouse DrHouse, Inc.Physician, OB/GYN – Telemedicine Opportunity – DrHouseBismarck, NDRemote$100–$200In this role, you will manage a broad spectrum of clinical cases, including primary care, urgent care, men's and women's health, and chronic conditions, all delivered through secure virtual consultations. This role offers the flexibility to design a schedule that supports work-life balance while delivering high-quality, patient-centered virtual care statewide.
Physician, Internal Medicine – Telemedicine Opportunity – DrHouse DrHouse, Inc.Physician, Internal Medicine – Telemedicine Opportunity – DrHouseBismarck, NDRemote$100–$200In this role, you will manage a broad spectrum of clinical cases, including primary care, urgent care, men's and women's health, and chronic conditions, all delivered through secure virtual consultations. This role offers the flexibility to design a schedule that supports work-life balance while delivering high-quality, patient-centered virtual care statewide.
NewLocum - Physician - Gastroenterology Bismarck , ND VieMed Healthcare StaffingLocum - Physician - Gastroenterology Bismarck , NDBismarck, NDThe typical procedure mix is approximately 12 scopes per day, with 12 new patient consults per day and about 56 patients to round on per day; support includes RN and CRNA coverage in the endoscopy area. Note: The job order specifies multiple call/orientation rates and holiday differentials; exact figures are handled in the pay structure provided upon application.
Nurse Practitioner / Physician Assistant - 10K Sign-On Bonus CHS RecruitingNurse Practitioner / Physician Assistant - 10K Sign-On BonusBismarck, North DakotaMost patients are located in assisted living facilities, independent living facilities, and other group settings, with a limited number in private homes seen via house calls. COMPANY PROFILE: Since its founding in the 1980s, this healthcare organization has been dedicated to serving seniors in compassionate, comfortable environments - including bringing care to wherever they call home.
In-Home Nurse Practitioner or Physician Assistant (Part Time) - Bismark, ND CVS Health CorpIn-Home Nurse Practitioner or Physician Assistant (Part Time) - Bismark, NDBismarck, ND$41.85–$90.13 / hourSignify Health, part of CVS Health, is seeking a Part Time Clinician (Nurse Practitioner or Physician Assistant) to provide In-Home Health Evaluations, engaging with people in the comfort of their own homes and helping bridge gaps in care. You'll play a critical role in building trusted relationships to make people healthier, helping bring flexible, comprehensive and personalized health evaluations right to people's front doors.
Locum - Physician - Radiology - Interventional Bismarck , ND IMCS Group IncLocum - Physician - Radiology - Interventional Bismarck , NDBismarck, NDCurrent list of procedures that our IR team performs:" Diagnostic vascular intervention Angiography venous and arterial" Therapeutic vascular intervention Angioplasty venous and arterial Stenting (venous and arterial) Thrombolytic therapy Emobolization therapy" Interventional (body, non-neuro)" Vascular access devices/PICCS" Central lines" Port a cath insertions" IVC Filters" TIPS" Aspiration/drainage procedures" Percutaneous Needle Biopsies (Above & Below diaphragm, and Bone)" Extractions (Biliary & Renal)" Abscess drainage" Thoracentesis" Paracentesis" Myelopgraphy" Pain management procedures" Perc. Transhepatic Choleangiogram" Blood patch" Joint/epidural injections" Vertebroplasty" Arthrograms" Chest tube insertion" Uterine artery embolization" Liver Y90/Tace" Gastrostomy tube insertion" Nephrostomy/ureteral stent insertion" Renal fistulograms, " CryoablationPreferred but not required: Neuro (head) stroke thrombectomy.
Locum - Physician - Radiology - Diagnostic Bismarck , ND IMCS Group IncLocum - Physician - Radiology - Diagnostic Bismarck , NDBismarck, NDEMR: EPICSupport Staff: Radiology TechnologistsReason for Coverage: Our current Independent contracted Radiology Group has decided to not renewtheir contractDeal breakers:Travel Preferences:Preferred LodgingAir Travel:Credentialing Information:Timeframe: Prefer 90 daysRequirements: Board Certified/Board EligibleOther Credentialing Requirements: Proficient with a sufficient amount of case logsCredentialing with other facilities? Duties: Read and interpret Diagnostic radiology exams from the following modalities: MRI Ultrasound CT X-Ray Mammography Nuclear MedicineRequired Procedures: Fluoroscopy exams including but not limited to: Swallow Studies, Esophograms,Barium Enema, Mylograms, Arthrograms, Breast Biopsies.
NewLocum - Physician - Gastroenterology Bismarck , ND IMCS Group IncLocum - Physician - Gastroenterology Bismarck , NDBismarck, NDHoliday Call Back ***-825 Per holiday hour of patient contact hours, after gratis hours are completed, gratis prorate to MSA terms. ERCP volumes: (this is key for him, since volumes are declining at his perm and he wants to maintain his proficiency) ERCP one to two per weekGeneral/other procedure volumes: Other volumes vary.
Locum - Physician - Urology Bismarck , ND IMCS Group IncLocum - Physician - Urology Bismarck , NDBismarck, NDOct 16, 8am - Oct 19, 8am or Oct 23, 8am - Oct 26, 8am or Oct 30, 8am - Nov 2, 8am I am needing 2 of these weekends filled, the one that isn't filled will be covered by internal provider. patient contact hours, after gratis hours are completed, gratis prorate to MSA.
PHYSICIAN - Family Medicine - Bismarck, ND Essentia HealthPHYSICIAN - Family Medicine - Bismarck, NDBismarck, North DakotaThe Essentia Primary Care Physician is the leader of a Care Team working collaboratively with all team members; MD’s, NP’s, PA’s, RN’s, LPN’s, and ancillary staff to make a difference for every patient, every time. Utilizing Essentia Care Processes, the physician works to improve overall health of the patients by providing acute, chronic, and preventive healthcare to our communities.
PHYSICIAN - Pediatrician - Bismarck, ND Essentia HealthPHYSICIAN - Pediatrician - Bismarck, NDBismarck, North DakotaSituated on the eastern bank of the Missouri River, Bismarck is a safe and family-friendly city with an active downtown, great schools, and numerous community activities. Seeking a patient-centered Pediatrician to join a hardworking team of 3 Pediatricians and 15 Family Medicine Physicians.
PHYSICIAN - Walk-in - Bismarck, ND Essentia HealthPHYSICIAN - Walk-in - Bismarck, NDBismarck, North DakotaProviders diagnose and treat a wide range of chronic and acute problems such as URIs, UTIs, lacerations, DVTs, lesions, environmental exposures, heart attacks, strokes, hypertension, and diabetes. In the role of an Essentia Health Walk-In clinic provider, you will open the door to new and established patients, offering an exceptional experience and high-quality care.
PHYSICIAN - Family Medicine - Bismarck, ND (Kirkwood Clinic) Essentia HealthPHYSICIAN - Family Medicine - Bismarck, ND (Kirkwood Clinic)Bismarck, North DakotaWith a collaborative goal to provide patient and family centered care, Essentia Health Primary Care Providers work collaboratively with a care team of MDs, Nurses, and ancillary staff. Outdoor Lifestyle: Nestled along the Missouri River, Bismarck offers beautiful parks, hiking trails, and water sports, perfect for an active lifestyle.
In-Home Physician (Part Time) - Bismark, ND CVS Health CorpIn-Home Physician (Part Time) - Bismark, NDBismarck, NDThe primary care physician gets a snapshot of a person in an office setting, but with Signify Health, we see things like the number of steps to enter their home, the state of disrepair those steps may be in, and the person's ability to function comfortably and with ease in their own home. You'll play a critical role in building trusted relationships to make people healthier, helping bring flexible, comprehensive and personalized health evaluations right to people's front doors.
APP - Nurse Practitioner or Physician Assistant | Orthopedic Surgery (Ambulatory) Sanford HealthAPP - Nurse Practitioner or Physician Assistant | Orthopedic Surgery (Ambulatory)Bismarck, NDThe NP works collaboratively with orthopedic surgeons, physical therapists, and other healthcare professionals to evaluate, treat, and manage patients pre- and post-operatively, ensuring optimal functional recovery. Responsible for promoting a safe environment for patients, families, staff, residents, and visitors and working collaboratively with the multi-disciplinary health care team to provide the best outcomes for patients.
APP - Physician Assistant or Nurse Practitioner | Cardiovascular Surgery Sanford HealthAPP - Physician Assistant or Nurse Practitioner | Cardiovascular SurgeryBismarck, NDThe Nurse Practitioner NP provides service to patients in designated care settings including acute short and long-term care by assisting physicians assessing patients and treating injuries and ailments. Demonstrated current competence and provision of care treatment or services for an adequate volume of patients in the past twelve months or completion of masterspost-masters degree program in the past twelve months.
APP - Nurse Practitioner or Physician Assistant | Neurology Sanford HealthAPP - Nurse Practitioner or Physician Assistant | NeurologyBismarck, NDJob Summary The Nurse Practitioner (NP) provides service to patients in designated care settings, including acute, short, and long-term care, by assisting physicians, assessing patients, and treating injuries and ailments. Demonstrated current competence and provision of care, treatment, or services for an adequate volume of patients in the past twelve months or completion of a masters-post-masters degree program in the past twelve months.
NewPhysician - GI Royal Surgical AssociatesPhysician - GIBismarck, NDPerform colonoscopies, biopsies, polypectomies, proctoscopy/flexible sigmoidoscopy, hemorrhoidal banding, upper GI endoscopy, PEG, esophageal variceal banding, banding lesions, management of acute GI bleeding, and dilation. The area boasts a variety of recreational activities, cultural attractions, and a strong sense of community, making it an appealing destination for healthcare professionals seeking a balanced lifestyle.
Physician - Interventional Radiology Royal Surgical AssociatesPhysician - Interventional RadiologyBismarck, NDRequired procedures include: diagnostic and therapeutic vascular intervention, angiography, angioplasty, stenting, thrombolytic therapy, embolization therapy, vascular access devices/PICCs, central lines, port-a-cath insertions, IVC filters, TIPS, percutaneous needle biopsies, abscess drainage, thoracentesis, paracentesis, myelography, pain management procedures, vertebroplasty, arthrograms, chest tube insertion, uterine artery embolization, liver Y90/TACE, gastrostomy tube insertion, nephrostomy/ureteral stent insertion, renal fistulograms, and cryoablation. Bismarck is the state capital of North Dakota, offering a welcoming small-city atmosphere with a strong sense of community, affordable cost of living, and access to beautiful outdoor recreation including the Missouri River, parks, and trails.
Maternal Fetal Medicine Physician - Bismarck, ND Sanford HealthMaternal Fetal Medicine Physician - Bismarck, NDBismarck, NDHeadquartered in Sioux Falls, South Dakota, the organization has 53,000 employees and serves over 2 million patients and nearly 425,000 health plan members across the upper Midwest including South Dakota, North Dakota, Minnesota, Wyoming, Iowa, Wisconsin and the Upper Peninsula of Michigan. The integrated nonprofit health system includes a network of 56 hospitals, 288 clinic locations, 147 senior care communities, 4,000 physicians and advanced practice providers and nearly 1,500 active clinical trials and studies.
Physician - Anesthesiology Sanford HealthPhysician - AnesthesiologyBismarck, North DakotaThe integrated nonprofit health system includes 56 hospitals, more than 270 clinic locations, 144 senior care communities, 4,500 physicians and advanced practice providers, nearly 1,000 active clinical trials and studies, and nine world clinic locations around the globe. Headquartered in Sioux Falls, South Dakota, the organization serves 2.4 million patients and more than 425,000 health plan members across the upper Midwest including South Dakota, North Dakota, Minnesota, Wyoming, Iowa, Wisconsin and the Upper Peninsula of Michigan.
Physician - Obstetrics & Gynecology, Maternal Fetal Medicine Sanford HealthPhysician - Obstetrics & Gynecology, Maternal Fetal MedicineBismarck, ND2 MFM physicians • 1 MFM advanced practice provider • 9 OBGYN physicians and 4 advanced practice providers • Dedicated sonographers and genetic counselors • 26 bed Level IIIB NICU with over 1700 births • Local pediatric cardiology and neurosurgery services • Visiting pediatric subspecialties including neurology, GI, nephrology, endocrinology, and rheumatology. Headquartered in Sioux Falls, South Dakota, the organization has 53,000 employees and serves over 2 million patients and nearly 425,000 health plan members across the upper Midwest, including South Dakota, North Dakota, Minnesota, Wyoming, Iowa, Wisconsin, and the Upper Peninsula of Michigan.
Physician - Anesthesiology (Outpatient) Sanford HealthPhysician - Anesthesiology (Outpatient)Bismarck, NDHeadquartered in Sioux Falls, South Dakota, the organization has 53,000 employees and serves over 2 million patients and nearly 425,000 health plan members across the upper Midwest including South Dakota, North Dakota, Minnesota, Wyoming, Iowa, Wisconsin and the Upper Peninsula of Michigan. The integrated nonprofit health system includes a network of 56 hospitals, 288 clinic locations, 147 senior care communities, 4,000 physicians and advanced practice providers and nearly 1,500 active clinical trials and studies.
Physician - Endocrinology - Bismarck, ND Sanford HealthPhysician - Endocrinology - Bismarck, NDBismarck, North DakotaEndocrinology, Diabetes and Metabolism Core Privileges include the ability to perform history and physical examination, admit (if applicable to the setting), and provide treatment or consultative services, evaluate, diagnose, and provide nonsurgical care for adult and adolescent patients presenting with illnesses, injuries, and disorders of the endocrine or metabolic system. OR An applicant who is not applying directly out of a fellowship shall provide a quality profile from hospital(s) where he/she currently has privileges showing his/her clinical activity for the last 12 months, to include number of procedures performed-morbidity, mortality, infection rates and other complications.
Physician - Internal Medicine Sanford HealthPhysician - Internal MedicineBismarck, North DakotaInternal Medicine Core Privileges include the ability to perform history and physical examinations, admit (if applicable to the setting), evaluate, diagnosis, treat and provide consultative services to adolescent and adult patients with common and complex illness, diseases and functional disorders of the circulatory, respiratory, endocrine, metabolic, musculoskeletal, hematopoietic, gastroenteric, and genitourinary systems. Headquartered in Sioux Falls, South Dakota, the organization has 53,000 employees and serves over 2 million patients and nearly 425,000 health plan members across the upper Midwest including South Dakota, North Dakota, Minnesota, Wyoming, Iowa, Wisconsin and the Upper Peninsula of Michigan.
Physician - Cardiology - General Sanford HealthPhysician - Cardiology - GeneralBismarck, NDRobust interventional cardiology program featuring 3 interventional cardiologists who provide services to include percutaneous coronary intervention, TAVR, PFO closure, watchman procedures, Comprehensive EP service, Excellent and accessible cardiovascular surgical program with 3 experienced surgeons, Thriving Heart Failure Program, Anticoagulation Clinic, Broad referral base spanning Western ND. Sanford Clinic is seeking a Board Certified/Board Eligible Cardiologist to join a broad non-invasive cardiac imaging program with services to include an accredited echocardiography lab, a busy nuclear cardiology lab, and cardiac MRI.
Physician - Pulmonology & Critical Care Sanford HealthPhysician - Pulmonology & Critical CareBismarck, NDPulmonary/Critical Care Physician to provide medical care to patients of Bismarck, ND and the surrounding area. M.D., or equivalent foreign medical degree, as well as completion of a fellowship program in Pulmonary and Critical Care.
Physician - Interventional/Invasive Radiology Sanford HealthPhysician - Interventional/Invasive RadiologyBismarck, NDLocation ND Bismarck Specialty Diagnostic Radiology - Interventional Visas Accepted NA Practice Details Sanford Health is seeking Board CertifiedBoard Eligible Interventional Radiologist to join a successful well-established group of physicians Join an experienced team of 4 Interventional 8 Diagnostic and 5 APPs Dedicated Interventional position with optional Diagnostic work 12 weeks vacation guaranteed 14 call Progressive IR department providing wide range of services including stroke and pulmonary thrombectomy cryo and microwave ablation DNV Primary Plus Stroke Certified Center Two Single Plane Fluoro units and dedicated CT Scanner ACR Accredited Radiology Department Newly remodeled department with state of the art imaging equipment and efficient workflow. Centrally located in the state, Bismarck borders the east side of the Missouri River and has a community full of friendly people.
Physician - Gastroenterology Hospitalist Sanford HealthPhysician - Gastroenterology HospitalistBismarck, NDPractice Details Sanford Clinic is seeking a Board Certified/Board Eligible Gastroenterologist to join our successful well-established team of 5 physicians and 5 advance practice providers. Responsibilities • Inpatient APP support, including daily rounding, patient management, and coordination of care with the GI hospitalist team.
Interventional Radiology Physician CommonSpirit HealthInterventional Radiology PhysicianBismarck, ND$677,726–$711,612 / yearCHI St. Alexius Health is a Level II Trauma Center and is the largest health care delivery system in central and western North Dakota that is comprised of a tertiary hospital in Bismarck and critical access hospitals (CAHs) in Carrington, Dickinson, Devils Lake, Garrison, Turtle Lake, Washburn and Williston and numerous clinics and outpatient services. CHI St. Alexius Health - Bismarck, is a 185-bed, full-service, acute care medical center offering a full line of inpatient and outpatient medical services, including primary and specialty physician clinics; home health and hospice services; durable medical equipment services and a fitness and human performance center.