The facts: firefighters are more likely to die by suicide each year than in the line of duty. Many line-of-duty deaths are caused by heart attacks, stroke, and other serious illnesses. Cancer-related illness and deaths continue to increase and impact members of the fire service. According to a 2021 NFPA study, most fire departments do not have programs to maintain basic firefighter fitness and health. In addition, the study found most departments do not provide medical and physical evaluations that comply with NFPA 1582, and nearly three-quarters of all fire departments in the United States do not have a behavioral health program. So, what can we do about it? This session will educate participants on current data that demonstrates the importance of leadership supporting health and wellness in their organizations. In addition, this presentation provides ideas on implementing and funding these vital programs.