The Sequoia Healthcare District (SHD), in collaboration with four local school districts--Belmont-Redwood Shores School District (BRSSD), Redwood City School District (RCSD), San Carlos School District (SCSD), and Sequoia Union High School District (SUHSD)--launched the Healthy Schools Initiative (HSI) in August 2010. This three-year initiative is focused on enhancing health and wellness programs and activities in local schools and is based on the Centers for Disease Control's (CDC) Coordinated School Health (CSH) model (Centers for Disease Control and Prevention, 2012). This report begins with a brief overview of the research literature on school support of student health in general and the CDC's coordinated school health model specifically. The authors then present the methodology of their implementation study of the Healthy Schools Initiative, followed by a series of research findings. They conclude with study participants' perspectives on challenges and opportunities for integrating health and wellness into schools and a set of considerations to inform future work. The main findings from the study include: (1) Nearly 100% of study participants valued health and wellness in schools; (2) Few study participants were familiar with the Healthy Schools Initiative, but those who knew about it believed that the initiative positively influenced awareness of wellness in their schools; (3) Coordination of health and wellness programs and activities was happening in all study schools; where wellness coordinators were also involved, coordination was described as more strategic and intentional; (4) Effective and purposeful coordination was associated with increased integration of health and wellness programs within and across schools and districts, reaching more students equitably and leveraging resources; and (5) Teachers and other school staff committed to student wellness played an important role in increasing student access to health and wellness information, programs, activities, and resources. The following are appended: (1) Sequoia Healthcare District--Healthy Schools Initiative Logic Model; (2) Visual Representation of the CDC's Coordinated School Health Model; (3) Study School Demographic Data, 2010-2011; and (4) Data Collection Matrix.