In 2011, TCE commissioned PERE to help capture some of the dynamism happening in each of the sites as they were pivoting from the initial planning phase, which started in 2009, to early implementation.Our focus was on the over-arching story of BHC rather than on the narrative of each site, which would have required many more interviews, many more site visits, and many, many more pages to convey. And while we touch on some of the interactions between BHC and the communications and policy work done under the statewide umbrella of Health Happens Here, our emphasis in this report is on BHC and the sites themselves.Through the course of this research, we have become increasingly convinced that TCE is indeed onto something -- if not big, at least important. In order to clarify exactly what it is, we use a simplifying three-part storyline linked together by an overarching concept of Just Health