Shared leadership transfers leadership influence from one to many. Shared leadership can support organizations in evolving macro- and microenvironments. Further, shared leadership should not discount how multiple organizations and multiple generations can affect its practice. The study for discussion reviewed the case of a national hospital network who partners with a local hospital, local hospital's nonprofit, and local university to raise awareness and funds for children's health. This qualitative case study illustrated that cross-disciplinary work can effectively occur over decades. Findings indicated that the internal environment of shared purpose, social support, and voice were key to shared leadership development and practice. Understanding and reflecting upon a historic relationship in relation to macro-and micro-influences can allow present-day leaders to build a structure for leading together.