Using data from our 2012 regional Farm-To-Hospital program survey of Hospital Food Service Directors in the Northeastern U.S. and from the U.S. Department of Agriculture, this study estimates a logit model to determine the factors that influence a hospital’s decision to adopt a farm-to-hospital program. Among the explanatory variables, it is found that the Healthy Food in the Healthcare Pledge, the amount of meals prepared daily at a hospital, the percent of farms participating in Community Supported Agriculture, and a hospital’s county classification have the greatest impact on influencing a hospital’s decision to adopt a farm-to-hospital program.