YTHC and members of OWhN are committed to working collaboratively on a long term basis to improve the health of all residents including members of the CTUIR. Considering the current health status of the population served, these activities will be take time, and very likely a rethinking of how to more effectively provide services during times of diminishing revenues. The member organizations remain committed to addressing the needs of their service populations by working collaboratively to develop new services and assuring the high quality patient care.