Good Shepherd Healthcare is a 49-bed hospital in the rural eastern Oregon community of Hermiston. In 2005, the hospital took the position that sustainably produced foods were healthier for its patients and community, so it overhauled its food service system for both patient and cafeteria meals to reflect that position. The changes included sourcing locally and sustainably produced foods, eliminating processed foods in favor of fresh ingredients, and switching to room service-style patient meals in place of set meal times.