Despite its small size, Gritman Medical Center, a 25-bed hospital in Moscow, Idaho, has a reputation for thinking big, especially when it comes to women’s health. That’s why in May 2014 the hospital became the very first facility in the region to install a Hologic 3D mammography system and began to offer breast tomosynthesis services to its patients. The addition of the Hologic system represents a significant capital investment for the hospital, especially since they decided from the start not to charge women an additional fee for 3D mammograms. “3D was not a financial decision, it was a decision based upon what is the right thing to do for the women we serve,” noted Christin Reisenauer, M.D., director of imaging at the hospital’s Patricia J. Kempthorne Women’s Imaging Center. “We knew we were missing breast cancers with 2D mammography, cancers potentially visible with breast tomosynthesis, and that just wasn’t fair to the women of our area.”