In 2006, Sutter Medical Center of Santa Rosa sought to develop community partnerships to expand support for residency operations. This initiative provided an opportunity to strengthen the financial foundation for resident education and to expand learning opportunities available to residents in training. The Santa Rosa Family Medicine Residency, along with leaders of the medical community, created a plan to implement the program’s vision of resident education. The result is the emergence of a partnership between the Santa Rosa Family Medicine Residency and many significant health enterprises in Santa Rosa. Each partner contributes an essential element to help the residency training program meet its educational, service and community-based mission. Sutter Health and Kaiser Permanente provide excellent experiences for core inpatient rotations. Additionally, Kaiser physicians and community doctors provide education and patient access to various areas of subspecialty and ambulatory care. Finally, in the current environment of medicine, a Federally Qualified Health Center, or FQHC, offers the best and most comprehensive health care to vulnerable patient populations. As a result, the residency has partnered with Santa Rosa Community Health Centers to care for Family Practice Center patients. The residency and its academic institution, UCSF, oversee this partnership to ensure that its combined work continues the mission of excellence in patient care, service, residency education and community involvement that has defined the residency since its inception. The partnership offers insight and breadth into the practice of family medicine and provides a foundation for continued excellence in residency education.