HRiA prepared thirteen community health needs assessments for Memorial Hermann Health System (MHHS), the largest non-profit health care system in Southeast Texas.  Memorial Hermann’s 13 hospitals and numerous specialty programs and services serve the Greater Houston area, the fifth largest metropolitan area in the United States. HRiA conducted two phases of work for each hospital: (1) a community health needs assessment (CHNA) to identify the health-related needs and strengths of the community and (2) a strategic implementation plan (SIP) to identify major health priorities, develop goals, select strategies, and identify partners to address these priority issues across the community. MHHS hired HRiA’s Research and Evaluation team reviewed secondary data tailored to each hospital’s service area based on inpatient discharges at the zip code level.  HRiA engaged community organizations across the Greater Houston area—including community health centers, women’s groups, social service agencies, and faith-based organizations—to identify informants for interview and participants in focus groups.  This effort led to 11 community-based focus groups and 29 interviews with key informants.  Through the CHNA process, the HRiA team worked with MHHS to identify three system level priorities to help guide the SIP process: healthy living, behavioral health, and health care access. MHHS also hired HRiA’s Strategic Planning team to conduct the SIP process for its ten acute care hospitals, a process which began in May 2016 and culminated in September 2016. This multi-stage planning process involves three planning sessions for each hospital to identify and prioritize community health strategies in each of the three system-level priority areas.  The CHNA reports and SIPs are available on each of the hospital’s websites.