The 2025 Hill Country Community Health Needs Assessment (CHNA) is a collaborative regional study examining the health, well-being, strengths, and challenges of residents across five locations in the Texas Hill Country. This joint effort brings together community partners to better understand local health priorities and guide future planning and investment.
The report was a collaboration between the Bexar County Health Collaborative, a nonprofit serving Bexar and surrounding counties, and Create Healthy, a health foundation serving Gillespie County, Blanco County, Llano County, Mason County, and the Comfort area in Kendall County.
The product of this collaboration is an assessment that attempts to describe the community health needs of about 72,000 people living in a roughly 4,000-square mile portion of the Texas Hill Country. To provide a sense of the content, the 241-page assessment covers more than 3,200 numerical data points presented in about 200 charts, maps, and tables. Information shared by 49 community residents over nearly 11 hours of interviews and 10 hours of focus groups, along with 289 community survey responses, was analyzed and described in a 60-page narrative summary of themes.
The early portion of the work was led by The Health Collaborative with CINow as part of the triennial Bexar County CHNA. In 2025, marking a regional milestone, CHNAs were released concurrently for a total of five assessments —Bexar, Atascosa, Comal, Guadalupe, and surrounding Texas Hill Country communities.
