A Community Health Needs Assessment (CHNA) provides an opportunity for non-profit hospitals to identify needs and resources within the community. Since 2010, 501(c)3 hospitals have conducted assessments at least once every three years. Each hospital collects input from individuals representing the community as well as those with public health expertise. The following report outlines the process undertaken by Sioux Center Health in Sioux Center, Iowa to fulfill these requirements. Sioux Center Health conducted this CHNA partly as a collaborative process with three other hospitals and the public health agency in Sioux County, Community Health Partners of Sioux County. This group collaborated on the previous assessment conducted in 2022.