As a built-out city with an aging population, the City of La Mesa has pursued an ambitious agenda to improve community health. The city has made a number of program, policy, and infrastructure investments that support healthy environments for all members of the community. La Mesa’s efforts have been led by the Community Services Department and directed by the expressed needs and extensive involvement of the community. In the process, La Mesa has blazed a trail of community wellness efforts that are collaborative, innovative, and effective in protecting and improving the health of the diverse array of residents in La Mesa. Key to the city’s success has been their success in attracting philanthropic and government grants to fund their efforts.