In November, Native-CHART held its 3rd Annual Meeting in Seattle, Washington. Center investigators and staff, community action board members, and Satellite Center leads met to discuss the study’s progress. All field work and outreach has begun for the three community-based interventions, with the support of the Cores and the modifications that were discussed at the Annual Meeting. Native-CHART has launched its fourth year with new momentum, ready to tackle research questions and publish new data.