The neighborhoods surrounding the CHS clinics have changed drastically over the past two decades secondary to a marked increase in Hispanic immigration to the area. This growth has produced an increasing demand on local healthcare providers. Our goal is to utilize the newly created research network to better understand healthcare delivery to the transitioning Hispanic population and thereby maximize quality of care and the efficacy of its delivery. Community organizations will be involved from the outset to allow community-based participation in the research design and overall goals. Creation of this initial PBRN will be used to lay the groundwork for expansion into other primary care practices and to seek funding for further research initiatives to improve community health.