The purpose of the Community Health Needs Assessment is to identify the unmet health challenges of the Greater Buffalo United Ministries (GRUM) communities in Erie and Niagara Counties. It will outline a strategy for addressing those needs, and to develop a set of performance indicators and metrics to monitor progress in meeting those needs. This assessment will provide GRUM and the Greater Buffalo United Affordable Healthcare Network (GBUAHN) with the framework needed to forge an implementation strategy to address the unmet health needs of the GRUM community.