Virginia earned a C+ for oral health on the Virginia Oral Health Report Card, which measures Virginia's progress on nine key oral health indicators with the highest return on investment. Recognizing each region has its own unique challenges and strengths, Virginia Health Catalyst convened regional oral health alliances to galvanize local providers, advance initiatives that improve access to oral health care in communities, and ultimately improve our Virginia’s grade. Regional alliances are located in Northern Virginia, Greater Richmond/Petersburg, and Hampton Roads; Catalyst also works with regional partners to advance hyperlocal oral health integration programs. Catalyst continues to support the regional alliances, empower new alliances, and develop partnerships with other organizations across the state.