Churches offer unique advantages for health promotion. They often play a pivotal role in the social welfare, service, and education of their communities, particularly in communities with limited resources, such as rural, low-income, and minority communities. A church-based health promotion intervention that addressed heart disease, hypertension, stroke, cancer, substance abuse, arthritis, nutrition, exercise, smoking, stress, obesity, and access to care was developed for rural African American older adults in Northern Florida. Although a large number of church-based health promotion programs have been conducted, a relatively small number of these programs have been conducted in rural areas. Given the limited number of church-based programs in rural areas, the success of rural faith health promotion is unclear. Persons living in rural areas face considerable challenges to good health. The poorer health outcomes in rural areas are well documented, in addition to the myriad of factors that contribute to these disparities.