Although our findings provide valuable insight into the extent of working partnerships between LHDs and academic institutions in New England, several limitations to this work should be noted. The sampling bias associated with a non-probability sampling technique limits the generalizability of the findings from this study to other academic-LHD partnerships. Missing data occurred randomly across the surveys. In addition, the results were limited by the cross-sectional study design and compliance to the authenticity of self-reported information. Similar to other studies, our work was challenged by collecting data that pertained, in many instances, to the perceptions of individual respondents. The multiple classifications of LHDs also complicated comparative analyses. Despite these limitations, the findings resulting from this study have been appropriately qualified and we propose that the results provide valuable insights into the work of academic-LHD partnerships that address public health issues and educate the public health workforce.