Community health assessments (CHAs)/community health needs assessments (CHNAs) are an integral part of public health practice and are conducted regularly on behalf of communities across the US. Yet, while there are many examples of joint CHAs/CHNAs between Nonprofit Hospitals (NPHs) and Local Health Departments (LHDs)/State Health Agencies (SHAs) across the country, too many assessments are conducted with minimal involvement from their organizational counterparts, particularly among NPHs conducting CHNAs. Hank Stabler explains why NPHs are not involving LHDs/SHAs in their CHNAs.