Culture is an adaptable set of ideas, customs, language, traditions, beliefs, and practices created by the members. Change is expected in any organization with a growing workforce. Some organizations actively seek change and recruit people that can catalyze change while other organizations resist change, fearful that a new perspective or process may decrease profits, moral, or values. The Wade Alliance can share relevant military and medical examples of managing change in both situations. For organizations seeking change, we can help focus the audience on sharpening the tools used by change agents. In organizations without designated change agents we inspire members to take on the role as a leader and an innovator within the organization. The most important tools rely on communication, engagement and education for every level of the organization. Encouraging the preservation of what is felt to be the best of the current culture, while identifying and building upon those elements can be the foundation of a productive meeting. Change is either growth or decay, and the Wade Alliance is dedicated to communicating the need to move towards growth.