Understanding the challenges of practicing mobile healthcare in a rural setting are crucial to successful implementation and management of your program. Knowing how to access and utilize all available resources is key for program start-up, continuity, and even during a program shift. We will explore key challenges and opportunities including broadband access challenges, telehealth integration, and outreach opportunities. In a digital world, broadband access is crucial to healthcare delivery but unfortunately is often scarce in rural areas. The COVID-19 pandemic has opened the door for telehealth expansion. Is your mobile program taking advantage of this expanded access? Outreach to your most vulnerable populations can be crucial for improved patient outcomes. Are you reaching these vulnerable populations? Case studies highlighting these points will be presented with an opportunity for real-life patient examples to be discussed in small groups. Choosing the correct type of mobile unit to suit your organizations needs or even repurposing a current unit from one service line to another can be quite challenging. Weighing the pros and cons of different types of units and knowing what is required to deliver your organization’s mission is essential. Staffing models also play a critical role in the success of a mobile program. This presentation will explore what different styles of units and staffing models may be best suited for different service lines, giving the attendee the resources to weigh the pros and cons of each. We will also explore innovative ideas on how to repurpose a COVID testing/vaccine focused fleet into a fleet that can provide medical services to a rural population while addressing their social determinants of health.