NC Prevention Partners, in partnership with the NC Hospital Association and The Duke Endowment, guided all 127 NC acute care hospitals to establish a healthy food environment.  Hospitals earn Red Apple status when they have successfully implemented five principles:  Access, Pricing, Marketing, Benefits, and Education. The outcome is that 200,000 hospital employees across the state have access to delicious, affordable and healthy foods at their workplace, and are offered insurance benefits, incentives and education to improve nutrition behaviors.  More than 500,000 meals are served each week through NC hospitals, and the Red Apple Project has changed norms so that the default food choice is a healthy one.