Church leaders must know how to create healthy culture in their churches. Organizational culture has been a trending topic over the last three decades. In more recent years, church culture has developed out of the greater organizational culture discussion. Much research exists that addresses both organizational and church culture. Despite the prevalence of this research, there was still a lack of empirical research that addressed the creation of healthy culture in local churches. This study addressed the need that was present for churches and church leaders. This research was qualitative in nature, utilizing case study and content analysis as the two primary components of the instrumentation. Through this study of three local church cases seven practices emerged that can help church leaders intentionally create healthy culture in the churches where they serve.