In 1978, the Saint Regis Mohawk Health Services began providing preventative, primary and emergency health care to the Saint Regis Mohawk community. It is the largest of the Tribe's divisions, employing 40 percent of the Tribal employees. Services within the facility include medical, dental care, mental health, substance abuse treatment, nutrition, home health care and pharmacy services. Special service programs are offered in several areas of health care and particular attention is devoted to prevalent diseases which show a higher than average incidence including diabetes. The focus of other special health services programs is to improve the health of families with children from birth to three years. To reduce injuries in the community, to provide substance abuse prevention programs in the local schools, and to reduce the number of community residents who will become diabetic by encouraging changes in physical activity and dietary habits. A Centralized Purchasing Department ensures all programs have the supplies they need to do business. The Purchasing Department is responsible for keeping an inventory of a substantial stock of supplies. The Third Party Billing Department's main focus is to ensure all of a patient s alternate financial resources (insurance, Medicare, Medicaid, etc.) are investigated and billed to the fullest extent for services rendered at the tribal health facility and any inpatient stay at the Partridge House for rehabilitation. An extensive Medical Records Department keeps patients medical information at the fingertips of health care providers. Records are kept strictly confidential. Information is centrally located on an advance computer system in the Medical Records Department. Contract Health Services (CHS) are available to eligible persons for care that cannot be provided at the tribal clinic. These services include x-rays, office visits to specialists, outpatient and inpatient hospital services, therapy services, ambulance transports, etc.