Healthy individuals and communities are essential for rural Nebraska to be resilient and successful. Valuing current health promoting practices, envisioning what could be better, and creating new strategies for improving health outcomes for rural people and places was the focus of this session. Rural practitioners shared their innovative approaches to improving health outcomes in their communities, thought leaders envisioned what may be just over the horizon, and participants engaged in an exercise to explore innovative ideas that address the complex rural health opportunities and challenges of the future.