What if increasing the amount of community contribution and increased cost did not have to go hand in hand? What if there was a way for a hospital to both increase the community good and simultaneously increase their revenue and bottom-line profit. What if you could do this without providing a single service over what you are currently doing today? If this intrigues you, please read on. In this paper we will address changes that can positively impact the health and financial well-being of underserved or underinsured patients as well as bringing additional revenue into a healthcare organization.