Casey1, the mods will probably split this off into its own thread. If you're asking about this outfit:
http://www.outskirtspress.com/
they look like a rather expensive self publishing service. You pay between $200 and $1000 for them to format your book for printing, design a cover, and assign your book an ISBN. The books are available by POD: each copy gets printed after someone orders it and pays for it. They do offer the option of hardback, or full cover interior, which many places don't. But you'll notice that on their "testimonials" page, their customers talk about having book signings at bakeries, or the attractive aspects of the ad that the customer paid to have inserted in a newspaper; nobody is talking about having sold thousands of copies.
If you've decided that self publishing is right for you, then I'd suggest you compare Outskirts to some other self publishers, such as Lulu and CafePress, and see who can service your specific needs at the lowest cost. Consider book format, editing, cover art, printing prices, distribution, and reliability.