On January 2, 2008 the Marion County (Fl) Sheriff’s Office launched Ocala Community Care (OCC), a community-based, not-for-profit organiza-tion charged with providing health care to the county’s 2,000 jail inmates, replacing the for-profit contractor that formerly managed the jail’s medical unit. Sheriff ed Dean has been the driv-ing force behind this innovative initiative. Sheriff Dean describes how OCC came about, its goals, challenges,and vision for the future.