Healthcare AI faces two impossible choices: powerful insights require data sharing and patient privacy demands data stay local. Additionally, AI typically serves corporations, not communities. Project Saturn solves these difficult variables through the world's first production of a Federated learning platform designed to enable a person and their loved ones with an “underserved populations first" approach. Learning from 100,000+ patients across multiple health systems, where the data never leaves its source, Saturn delivers 30% medication adherence improvement and 25% fewer hospitalizations. This session reveals how privacy-preserving, community-controlled AI is possible, and more powerful, through the presentation of real-world case studies that include pre-symptomatic Type 1 diabetes risk stratification and a new model in which communities capture the value they create.