Developing successful programs in a community cancer center involves collaborative efforts between employed and private practice physicians, hospital and cancer center administrations, support personnel, and significant resources, coupled with a vision that will lead to improved patient care and outcomes. Collaboration through a strong state cancer control program is another important component for a successful community cancer center. Delaware has one of the best state cancer control programs in the United States. In 2001, the Delaware Cancer Consortium was formed, which, in 2002, launched its first statewide program to screen all Delawareans older than 50 years with colonoscopy. © 2012 Elsevier Inc.