What do a rural hospital, the U.S. Army, and a small Idaho town have in common? For Jim Trounson, they’re all part of the path that led to Medvale. In this episode of MEGAPHONE, he reflects on the people, ideas, and moments that shaped the way forward—from early lessons in leadership to pioneering physician group management, and eventually designing a healthcare community rooted in trust and connection. More than a retrospective, this is the backstory of how a lifetime of work turned into a little town called Medvale.