With 13 to 15 months of modest funding (approximately $170,000 each), 94 communities throughout the United States provided over 20 million people with more opportunities to access healthy foods, physical activity, smoke free environments, and/or clinical preventive services. Five national organizations provided expertise, resources, and financial support to the communities using the federal funding they received from the U.S. Centers for Disease Control and Prevention (CDC). In addition to the accomplishments of these 94 communities, the national organizations leveraged the federal funding they received to affect additional communities by incorporating what they learned through this project into their ongoing work and future plans.