Marshfield Medical Center-Park Falls and Marshfield Medical Center-Minocqua participated in a health equity assessment for the Northwoods Tobacco Free Coalition, a tobacco control and prevention coalition serving Oneida, Vilas, Forest, Florence, Price, Marinette, and Lincoln counties. Together these seven counties work to address tobacco-related health concerns within the community. Tobacco prevention and control alliances are required to integrate three health equity competencies and activities into a scope of work. The coalition members completed a survey to help determine what health equity focus areas activities were the highest priority in these counties for 2023. This group focuses on outreach and education to local and state leaders; addressing dangers of other tobacco products, such as e-cigarettes, smoke-free air in multi-unit housing; works with local youth to conduct peer-to-peer education; addresses tobacco-related disparities within the community; and provides Wisconsin WINS tobacco compliance checks.