The economic downturn has been milder in Little Rock than elsewhere, but increased unemployment and an almost 15 percent uninsurance rate have strained the area's fragmented health care safety net. This is the lead finding from a new Community Report released by the Center for Studying Health System Change (HSC). The Urban Institute's Ian Hill was one of three team leaders who conducted a site visit to the Little Rock metropolitan area in May 2010 to interview over 40 health leaders to examine how health care is organized, financed, and delivered in the community. The report was developed as part of HSC's Community Tracking Study, a project that has monitored health system evolution in 12 communities (including Little Rock) since 1996.