The large city youth employment program continues to provide the best partnership model for sustained implementation of 4Real Health because it fits well within the city program's existing structure and programming. This unique multilevel partnership offers the benefits of an established program with adequate city- and work site-level administrative capacities that can enroll and retain large numbers of the target population, provides built-in incentives for participant recruitment and retention, and does not have the policy restrictions associated with school settings. However, this structure requires intensive planning and ongoing communication with city and work site partners to be successful; presentations are used to garner buy-in among work site administrators and staff, a checklist is used to clearly identify implementation requirements to potential work site partners, and multiple site visits are employed to ensure that sites are meeting expectations and to address any barriers that arise.