The School-Based Health Alliance Census for the 2010-2011 school year is the 12th request for data from school-based health centers (SBHCs) since 1986. SBHCs are health centers that provide comprehensive care to children and adolescents in a setting that is trusted, familiar, and immediately accessible: their school. SBHCs serve at the intersection of primary care, public health, and education to ensure optimal health outcomes for students. Improved health can lead to increased academic success. This model of care eliminates barriers to accessing primary care, mental health care, oral care, and nutrition counseling. The 2010-2011 Census illustrates the strengths of the school-based health care model -- promoting quality practices, providing prevention and early intervention programs, and serving as centers for wellness and safety as they relate to national health care reform goals.