Appalachian Regional Healthcare conducted a Community Health Needs Assessment (CHNA) in each of its 13 hospital communities during 2018-2019. Results from community surveys, focus groups, and key informant interviews are being reported along with health information collected from reputable national, state, and local data sources. Also being reported for each ARH hospital is an implementation plan addressing the identified issues from this process and an outcomes summary from the CHNA process and implementation conducted since 2016. All of the information in these reports provides valuable information that will be used in the future for planning purposes, service improvements and community outreach. It is ARH’s hope that this assessment will help our facilities, in partnership with our communities, to identify respective health concerns, measure the impact of current public health efforts and guide the appropriate use of local resources. We also hope that together, we can improve the health and well-being of the residents of Eastern Kentucky and Southern West Virginia.