This document describes a shared savings model between Marillac Clinic and St. Mary's Hospital in Grand Junction, Colorado. It outlines their similar missions and independent governance structures. It also details how Marillac Clinic serves as a medical home for uninsured residents, providing comprehensive primary care services. St. Mary's Hospital financially supports Marillac and they work to coordinate care for uninsured patients through clinical, operational, and financial alignment. This collaboration has led to reductions in emergency room and inpatient utilization and costs for their shared patient population.