Alliancechicago is the continuation of an existing effort to bring together charitable federally qualified health centers (fqhcs) to collaboratively pursue their charitable missions by better serving their disadvantaged patients with improved health care, better information, coordination, division of labor, and efficiency. In addition to incubating new strategic initiatives, alliancechicago provides a governance structure to assure accountability and alignment of activities of organizations with close connections to the overarching not for profit mission of alliancechicago.