The Health Services Agency (HSA) provides health care services to the community via its network of federally qualified health center - look alike outpatient clinics, public health services, an indigent health care program, and a family medicine residency program. The Agency, located in Stanislaus County, California, is about 90 miles east of San Francisco, and 75 miles south of Sacramento. The HSA is operated by Stanislaus County, serving close to 500,000 patients and community residents each year. The HSA holds strongly to its vision of "Healthy People in a Healthy Stanislaus!" by developing its services with the community, in ways that support community need.