Nuka System of Care - Southcentral Foundation Southcentral Foundation’s Nuka System of Care (Nuka) is a relationship-based, customer-owned approach to transforming health care, improving outcomes and reducing costs. Recognized as one of the world’s leading examples of healthcare redesign and a recipient of the Malcolm Baldrige Quality Award, SCF offers health care organizations value-based solutions for data and information management, integrated care, behavioral health, workforce development, improvement, innovation, and more.