Rural Nebraska communities are wonderful places to live and work, which is why so many Nebraskans call them home. Those same communities also have unique health care needs and the challenges of providing health care in rural Nebraska are becoming increasingly more difficult. Despite these difficulties, there is a “can do” spirit that prevails in Nebraska. Rural communities are sparking their own change-citing cooperation, social cohesion and “community spirit” as assets in innovative approaches to improving health and well-being.