The article presents information on the nonprofit organization Ascension Health's Learning Center's learning initiatives. The organization comprising 63 hospital facilities has a 1:100,000 ratio of corporate training staff to total employees. Learning Center Manager Brian Hammond says that by combining a decentralized model with savvy outsourcing, he is able to guide a variety of learning initiatives. After the introduction of the U.S. Health Insurance Portability and Accountability Act, the Learning Center adpoted a decentralized system that led to each hospital within a ministry developing independent learning materials and programs to communicate the same required information.