At The Raven Collective (TRC), we believe health is not just the absence of disease but a state of sovereignty. Every person, family, and community has the fundamental human right to health and wellness. We aim to understand more about current systems, obstacles, resiliencies, people, and stories to help build healthy futures. We are committed to respecting indigenous values, sovereignty, and the self-determination of people and Tribal Nations. TRC takes an indigenous and systems-based approach to our work in healthcare. We recognize the complexity of healthcare problems and work collaboratively to address them with a holistic, culturally relevant, and relational framework. With every relationship we develop and every project we take on, our collective support a collaborative approach to consulting to help unwind the complexity of health and wellness systems. As an indigenous, female-owned collective, our work is building connections. TRC has 20 years of experience working with American Indian and Alaska Native Health systems. TRC has worked with every element of the health systems involved in HIV, STI and HCV syndemic response: tribal, county, state, and federal. TRC works to improve access and quality has involved many layers, including community-facing educational materials, clinical training, and facility-level policy & practice. TRC has found that each facility and entity has learned wisdom worth sharing, and each has its own constraints. Community, clinical, data, and informatics must interface in many of these health systems that, by necessity, entail multiple health entities. TRC elicits the lessons learned and emerging best practices in these systems, often creating a path for peers in other spaces to achieve similar success.