Abstract
The Gila River Indian Community is a 583-square mile community located 45 miles south of Phoenix, Arizona, home to 11,257 residents and 16,985 enrolled tribal members. The community is in the midst of significant change, primarily due to determination to prosper and ensure a healthier life for all tribal members and residents. The authors describe the evolution of the Gila River Indian Community Turning Point Initiative from its emphasis on development of a tribal health department through its growth and change into a community partnership.