NEON is a federally supported (Title 330) independent non-profit community health center providing health care for residents of relatively impoverished areas of the east side of Cleveland for over 30 years. At the start of Senior Health Connections in 1994, NEON had five sites for care delivery, and annually provided care to over 1, 500 patients age 70 or over (the target population for our project). Along with NEON, cooperating partners for Senior Health Connections included the Division of General Internal Medicine and Health Care Research at Case Western Reserve University School of Medicine and University Hospitals of Cleveland. The division is part of an academic department of medicine and has staff with skills and resources in geriatrics, education, and health care research. One member of the division had been a physician and assistant medical director at NEON in the past.