The Quadra Island Health Society was formed in July 2018, to take over management of QI Medical Clinic, when the resident physician was retiring and moved away. A Full Time (FT) doctor was not available. The Society has managed the clinic, using locum physicians and now has contracted a FT physician; we retained the Nurse Practitioner and all services on site and will continue to do so, with support from the Vancouver Island Heath Authority. We are interested in exploring further options to maintain and upgrade our local rural health services.