Cross-tab analysis was done to examine of those New England states that have an established LHD, how many collaborated with an academic institution. The responses varied by state with Connecticut and Massachusetts reporting the highest number of collaborations (Table 2). These two states also reported a distance of 10–24 miles between their LHDs and their respective college/university partners. Furthermore, the LHDs located in Massachusetts and Connecticut reported more than other New England states that they viewed increasing the professional capacity of its employees as part of their mission.