Health disparities, or inequality in levels of health between different groups of people, have been well-documented in African American communities and often are closely linked to larger social and economic disadvantages and discrimination (Centers for Disease Control and Prevention [CDC], 2014b). Community-based organizations (CBOs) can play an important role in helping at-risk community members improve their health status by working to improve social determinants of health: conditions into which people are born, grow, live, work and age. The specialized ministries and outreach programs of churches represent one type of CBO that is particularly salient in the African American community. This research explored how an African American/Black church built on efforts to increase the use of the resources of the Patient Protection and Affordable Care Act (ACA) among its members and potentially the wider African-American community, and in so doing, increase the church’s capacity to explore the development of health ministry and potentially use church resources to address adaptive challenges relating to the congregants’ health, including health equity and access to the social determinants of health. The methodology utilized is an action research, exploratory case study of one church in Georgia using a developmental evaluation (DE) approach based on systems thinking and the concept of strengthening the church as a learning organization, supplemented with a survey of ministers from other Black churches in the region to explore the transferability of lessons learned from the case study.