CaroNova, established under a joint operating agreement among The Duke Endowment, the North Carolina Healthcare Association, and the South Carolina Hospital Association, is a hub for innovators and investors to cultivate ideas, co-design solutions, and catalyze necessary change in health across the Carolinas. The shared goal is to address common areas of need by looking for promising new practices, developing and proving a supporting business model, and then scaling and sustaining what works to effect systemic change towards better health across both North and South Carolina. Our unique strategy is to engage with community members, providers, and payors on the front end of the process to ensure a transparent and collaborative solution. CaroNova’s role is not to fund projects, but rather connect and leverage resources by convening the right stakeholders to identify, create and refine health innovations that will serve the Carolinas. The name CaroNova translates to creating a new vision (Nova) of health for the Carolinas (Caro).