Derby Aboriginal Health Service (DAHS) is an Aboriginal Community Controlled Health Service (ACCHS) providing holistic primary health care services to the Aboriginal and Torres Strait Islander people living in Derby and surrounding communities. DAHS provide a wide range of innovative public health programs in addition to direct comprehensive primary health care services. It is required to comply with several Service Agreements with Commonwealth and State departments and agencies, and to operate with several government and private medical and health delivery organisations. The operating environment for ACCHS Australia-wide - has become increasingly complex and changeable in recent years and this is likely to continue.