The Northern Inter-Tribal Health Authority Inc. is a First Nations' partnership organization comprised of Meadow Lake Tribal Council, Lac La Ronge Indian Band, Prince Albert Grand Council and Peter Ballantyne Cree Nation. The four health organizations have more than 20 years of combined experience in the provision of health services in the Health Canada 'transfer environment' and in the delivery of nursing, public health, and primary care treatment services in 33 First Nation communities throughout northern Saskatchewan. The Partnership shares the same geography, attachment to the land and related traditional activities, along with the common challenges in accessing and providing health services. NITHA was established because of these common challenges and the joint need for services that were not feasible for each Partner to provide alone. A dynamic and evolving health care agency, NITHA provides program support to the Partnership as well as a united voice which is stronger in our insistence for health services responsive to the needs of the northern communities.