The organization evaluated is a non-profit hospital system in Northern Nevada serving both a rural and urban demographic. The author has experience in both a clinical supervisory role within this organization and as a community partner continuing to work with the organizations top managers on initiatives to serve the health care needs of the community. This organization is locally governed with no out of state owners or shareholders and has greater than 150 community members serving on the boards or in advisory capacities. The organization has three key initiatives. One of these key initiatives for this organization is to integrate care in an effort to better manage the health of the community. The goals of this initiative are to help the population served achieve better health through improved outcomes, manage or reduce their healthcare costs, and improve the patient experience. The second initiative is to build key relationships through community partnerships. The goal of this initiative is to increase partnerships with physicians, employees, and community organizations. An example of this is the creation of a shared governance model to make recommendations to the leadership team. The shared governance committee is made up of designated staff from each department. This creates a partnership between the employees and the leadership and gives staff an outlet for their concerns to be heard. The hospital has also partnered with the community to offer health education classes at some of the larger churches in the area and has sponsored community gardens at some of the city parks encouraging members of the community to grow their own vegetables and encourage healthier lifestyle choices.>