Community Medical Centers, the largest and most comprehensive hospital system in California’s San Joaquin Valley, has developed the Deran Koligian Ambulatory Care Center to increase medical services to surrounding underserved communities. Community Regional Medical Center is CMC’s downtown Fresno location and serves a diverse population throughout Fresno County and the contiguous counties. The downtown campus is considered to be the lynchpin of downtown Fresno development. The addition of the new ambulatory care facility continues development of this site, a long-supported initiative of the City of Fresno’s redevelopment agency. The new addition relieves pressure on the main hospital’s emergency department, and increases medical services to the region’s underserved providing free care to the uninsured and working poor. The hospital maintains extensive community outreach and education programs, and works closely with a number of major universities to provide education and training opportunities for their students.