Thunder Bay Regional Health Sciences Centre (TBRHSC) shares the delivery of healthcare with other hospitals in Northwestern Ontario. It is a welcome partnership that serves a demographically varied population of people that is scattered throughout an area the land-mass size of the country of France. There are various issues to contend with including language differences, distance, remoteness, and related communication technology. Strategies are in place or are in the development stage to connect towns, villages, and settlements using fibre optic networks. When possible, telehealth strategies bring patients and care-givers together electronically.For example, these strategies may include teleradiology, telepsychiatry, and pediatric assessment – to name three. However, when the need arises patients may come to the city to receive care from a medical specialist. Furthermore, TBRHSC is the regional trauma centre and strategies are in place to transport patients by land ambulance, fixed wing and helicopter as required.