The HealthHIV Remaining Relevant in the New Reality initiative addresses the significantly evolving capacity building needs of ASOs/CBOs resulting from implementation of health care reform, biomedical advances, national strategies, and federal/state funding re-alignments by strengthening organizational leadership, development, and sustainability. It provides ASO/CBO leaders and boards of directors with opportunities to develop skills to support their organizations in 'remaining relevant.' Additionally, the ASO/CBO Leadership Initiative promotes the development of the next generation of ASO/CBO leaders and addresses succession planning activities.