Grace Hill’s philosophy is based on the belief that neighbors, no matter how disadvantaged, provided the tools and resources, can not only help themselves, but can help each other. Neighbors have both natural and learned skills that can be formalized and enhanced. Grace Hill develops and provides services through a “neighbors helping neighbors” approach. What is particularly unique about Grace Hill, a collaboration of two 95 plus year old agencies, settlement house and health care agency, is that it not only utilizes its past: history, experience, and knowledge; but it incorporates state of the art practices and technology. Together these attributes promote and support service exchanges and increase the scale of networking among neighbors. This in turn fosters community development and social change that builds community and neighborhood capacity. The all important web of community relationships is enriched.