This qualitative study explored the influence of faith leaders on health-related issues within their congregation. Semi-structured interviewers with 24 faith leaders found that chronic conditions and poor health behaviors were the top health challenges facing their congregation. A majority mentioned health-related activities taking place at their church. Most believed they had influence on their congregation for issues related to health/wellness, most commonly in the form of increasing awareness. A majority talked about the importance of being a role model. It is important to understand how to most effectively capitalize on the strengths of and engage pastors in health promotion efforts.