Worksites, to most West Virginians, are a place not only of employment, but a part of the social fabric of the community, of co-workers that are also neighbors, church members and relatives. Worksites provide an avenue of adult interaction in which individuals are exposed to their peer’s attitudes and behaviors, and also an environment in which employers have an interest. Over the past two decades, the rising cost of employee healthcare has been a major challenge to American employers. These rising healthcare costs give employers a vested interest in the health of their employees and their families. Efforts to promote healthier lifestyles through the workplace can address both employer’s concerns over the business’s healthcare costs and the overall public health concern to improve population health.