diff --git a/moto/cloudformation/parsing.py b/moto/cloudformation/parsing.py
index cb5283b99..ea8ca646b 100644
--- a/moto/cloudformation/parsing.py
+++ b/moto/cloudformation/parsing.py
@@ -37,6 +37,7 @@ MODEL_MAP = {
     "AWS::RDS::DBInstance": rds_models.Database,
     "AWS::RDS::DBSecurityGroup": rds_models.SecurityGroup,
     "AWS::RDS::DBSubnetGroup": rds_models.SubnetGroup,
+    "AWS::Route53::HealthCheck": route53_models.HealthCheck,
     "AWS::Route53::HostedZone": route53_models.FakeZone,
     "AWS::Route53::RecordSet": route53_models.RecordSet,
     "AWS::Route53::RecordSetGroup": route53_models.RecordSetGroup,
diff --git a/moto/route53/models.py b/moto/route53/models.py
index e6bb1c7a2..58c559f25 100644
--- a/moto/route53/models.py
+++ b/moto/route53/models.py
@@ -1,11 +1,65 @@
 from __future__ import unicode_literals
 
+import uuid
 from jinja2 import Template
 
 from moto.core import BaseBackend
 from moto.core.utils import get_random_hex
 
 
+class HealthCheck(object):
+    def __init__(self, health_check_id, health_check_args):
+        self.id = health_check_id
+        self.ip_address = health_check_args.get("ip_address")
+        self.port = health_check_args.get("port", 80)
+        self._type = health_check_args.get("type")
+        self.resource_path = health_check_args.get("resource_path")
+        self.fqdn = health_check_args.get("fqdn")
+        self.search_string = health_check_args.get("search_string")
+        self.request_interval = health_check_args.get("request_interval", 30)
+        self.failure_threshold = health_check_args.get("failure_threshold", 3)
+
+    @property
+    def physical_resource_id(self):
+        return self.id
+
+    @classmethod
+    def create_from_cloudformation_json(cls, resource_name, cloudformation_json, region_name):
+        properties = cloudformation_json['Properties']['HealthCheckConfig']
+        health_check_args = {
+            "ip_address": properties.get('IPAddress'),
+            "port": properties.get('Port'),
+            "type": properties['Type'],
+            "resource_path": properties.get('ResourcePath'),
+            "fqdn": properties.get('FullyQualifiedDomainName'),
+            "search_string": properties.get('SearchString'),
+            "request_interval": properties.get('RequestInterval'),
+            "failure_threshold": properties.get('FailureThreshold'),
+        }
+        health_check = route53_backend.create_health_check(health_check_args)
+        return health_check
+
+    def to_xml(self):
+        template = Template("""<HealthCheck>
+            <Id>{{ health_check.id }}</Id>
+            <CallerReference>example.com 192.0.2.17</CallerReference>
+            <HealthCheckConfig>
+                <IPAddress>{{ health_check.ip_address }}</IPAddress>
+                <Port>{{ health_check.port }}</Port>
+                <Type>{{ health_check._type }}</Type>
+                <ResourcePath>{{ health_check.resource_path }}</ResourcePath>
+                <FullyQualifiedDomainName>{{ health_check.fqdn }}</FullyQualifiedDomainName>
+                <RequestInterval>{{ health_check.request_interval }}</RequestInterval>
+                <FailureThreshold>{{ health_check.failure_threshold }}</FailureThreshold>
+                {% if health_check.search_string %}
+                    <SearchString>{{ health_check.search_string }}</SearchString>
+                {% endif %}
+            </HealthCheckConfig>
+            <HealthCheckVersion>1</HealthCheckVersion>
+        </HealthCheck>""")
+        return template.render(health_check=self)
+
+
 class RecordSet(object):
     def __init__(self, kwargs):
         self.name = kwargs.get('Name')
@@ -14,6 +68,7 @@ class RecordSet(object):
         self.records = kwargs.get('ResourceRecords', [])
         self.set_identifier = kwargs.get('SetIdentifier')
         self.weight = kwargs.get('Weight')
+        self.health_check = kwargs.get('HealthCheckId')
 
     @classmethod
     def create_from_cloudformation_json(cls, resource_name, cloudformation_json, region_name):
@@ -42,7 +97,9 @@ class RecordSet(object):
                     </ResourceRecord>
                     {% endfor %}
                 </ResourceRecords>
-                <HealthCheckId></HealthCheckId>
+                {% if record_set.health_check %}
+                    <HealthCheckId>{{ record_set.health_check }}</HealthCheckId>
+                {% endif %}
             </ResourceRecordSet>""")
         return template.render(record_set=self)
 
@@ -111,6 +168,7 @@ class Route53Backend(BaseBackend):
 
     def __init__(self):
         self.zones = {}
+        self.health_checks = {}
 
     def create_hosted_zone(self, name):
         new_id = get_random_hex()
@@ -135,5 +193,16 @@ class Route53Backend(BaseBackend):
             del self.zones[id_]
             return zone
 
+    def create_health_check(self, health_check_args):
+        health_check_id = str(uuid.uuid4())
+        health_check = HealthCheck(health_check_id, health_check_args)
+        self.health_checks[health_check_id] = health_check
+        return health_check
+
+    def get_health_checks(self):
+        return self.health_checks.values()
+
+    def delete_health_check(self, health_check_id):
+        return self.health_checks.pop(health_check_id, None)
 
 route53_backend = Route53Backend()
diff --git a/moto/route53/responses.py b/moto/route53/responses.py
index d110ebd55..5bbb8f451 100644
--- a/moto/route53/responses.py
+++ b/moto/route53/responses.py
@@ -70,6 +70,35 @@ def rrset_response(request, full_url, headers):
         return 200, headers, template.render(record_sets=record_sets)
 
 
+def health_check_response(request, full_url, headers):
+    parsed_url = urlparse(full_url)
+    method = request.method
+
+    if method == "POST":
+        properties = xmltodict.parse(request.body)['CreateHealthCheckRequest']['HealthCheckConfig']
+        health_check_args = {
+            "ip_address": properties.get('IPAddress'),
+            "port": properties.get('Port'),
+            "type": properties['Type'],
+            "resource_path": properties.get('ResourcePath'),
+            "fqdn": properties.get('FullyQualifiedDomainName'),
+            "search_string": properties.get('SearchString'),
+            "request_interval": properties.get('RequestInterval'),
+            "failure_threshold": properties.get('FailureThreshold'),
+        }
+        health_check = route53_backend.create_health_check(health_check_args)
+        template = Template(CREATE_HEALTH_CHECK_RESPONSE)
+        return 201, headers, template.render(health_check=health_check)
+    elif method == "DELETE":
+        health_check_id = parsed_url.path.split("/")[-1]
+        route53_backend.delete_health_check(health_check_id)
+        return 200, headers, DELETE_HEALTH_CHECK_REPONSE
+    elif method == "GET":
+        template = Template(LIST_HEALTH_CHECKS_REPONSE)
+        health_checks = route53_backend.get_health_checks()
+        return 200, headers, template.render(health_checks=health_checks)
+
+
 LIST_RRSET_REPONSE = """<ListResourceRecordSetsResponse xmlns="https://route53.amazonaws.com/doc/2012-12-12/">
    <ResourceRecordSets>
    {% for record_set in record_sets %}
@@ -126,3 +155,23 @@ LIST_HOSTED_ZONES_RESPONSE = """<ListHostedZonesResponse xmlns="https://route53.
       {% endfor %}
    </HostedZones>
 </ListHostedZonesResponse>"""
+
+CREATE_HEALTH_CHECK_RESPONSE = """<?xml version="1.0" encoding="UTF-8"?>
+<CreateHealthCheckResponse xmlns="https://route53.amazonaws.com/doc/2013-04-01/">
+  {{ health_check.to_xml() }}
+</CreateHealthCheckResponse>"""
+
+LIST_HEALTH_CHECKS_REPONSE = """<?xml version="1.0" encoding="UTF-8"?>
+<ListHealthChecksResponse xmlns="https://route53.amazonaws.com/doc/2013-04-01/">
+   <HealthChecks>
+   {% for health_check in health_checks %}
+      {{ health_check.to_xml() }}
+    {% endfor %}
+   </HealthChecks>
+   <IsTruncated>false</IsTruncated>
+   <MaxItems>{{ health_checks|length }}</MaxItems>
+</ListHealthChecksResponse>"""
+
+DELETE_HEALTH_CHECK_REPONSE = """<?xml version="1.0" encoding="UTF-8"?>
+    <DeleteHealthCheckResponse xmlns="https://route53.amazonaws.com/doc/2013-04-01/">
+</DeleteHealthCheckResponse>"""
diff --git a/moto/route53/urls.py b/moto/route53/urls.py
index c4031aded..69f776ff0 100644
--- a/moto/route53/urls.py
+++ b/moto/route53/urls.py
@@ -2,11 +2,12 @@ from __future__ import unicode_literals
 from . import responses
 
 url_bases = [
-    "https://route53.amazonaws.com/201.-..-../hostedzone",
+    "https://route53.amazonaws.com/201.-..-../",
 ]
 
 url_paths = {
-    '{0}$': responses.list_or_create_hostzone_response,
-    '{0}/[^/]+$': responses.get_or_delete_hostzone_response,
-    '{0}/[^/]+/rrset$': responses.rrset_response,
+    '{0}hostedzone$': responses.list_or_create_hostzone_response,
+    '{0}hostedzone/[^/]+$': responses.get_or_delete_hostzone_response,
+    '{0}hostedzone/[^/]+/rrset$': responses.rrset_response,
+    '{0}healthcheck': responses.health_check_response,
 }
diff --git a/tests/test_cloudformation/fixtures/route53_health_check.py b/tests/test_cloudformation/fixtures/route53_health_check.py
new file mode 100644
index 000000000..6c6159fde
--- /dev/null
+++ b/tests/test_cloudformation/fixtures/route53_health_check.py
@@ -0,0 +1,39 @@
+from __future__ import unicode_literals
+
+template = {
+    "Resources" : {
+        "HostedZone": {
+            "Type" : "AWS::Route53::HostedZone",
+            "Properties" : {
+                "Name" : "my_zone"
+            }
+        },
+
+        "my_health_check": {
+            "Type": "AWS::Route53::HealthCheck",
+            "Properties" : {
+                "HealthCheckConfig" : {
+                    "FailureThreshold" : 3,
+                    "IPAddress" : "10.0.0.4",
+                    "Port" : 80,
+                    "RequestInterval" : 10,
+                    "ResourcePath" : "/",
+                    "Type" : "HTTP",
+                }
+            }
+        },
+
+        "myDNSRecord" : {
+           "Type" : "AWS::Route53::RecordSet",
+           "Properties" : {
+              "HostedZoneName" : { "Ref" : "HostedZone" },
+              "Comment" : "DNS name for my instance.",
+              "Name" : "my_record_set",
+              "Type" : "A",
+              "TTL" : "900",
+              "ResourceRecords" : ["my.example.com"],
+              "HealthCheckId": {"Ref": "my_health_check"},
+           }
+        }
+    },
+}
\ No newline at end of file
diff --git a/tests/test_cloudformation/test_cloudformation_stack_integration.py b/tests/test_cloudformation/test_cloudformation_stack_integration.py
index 636cdea24..944457ac4 100644
--- a/tests/test_cloudformation/test_cloudformation_stack_integration.py
+++ b/tests/test_cloudformation/test_cloudformation_stack_integration.py
@@ -28,6 +28,7 @@ from .fixtures import (
     fn_join,
     rds_mysql_with_read_replica,
     route53_ec2_instance_with_public_ip,
+    route53_health_check,
     route53_roundrobin,
     single_instance_with_ebs_volume,
     vpc_eip,
@@ -845,3 +846,38 @@ def test_route53_ec2_instance_with_public_ip():
     record_set1.ttl.should.equal('900')
     record_set1.weight.should.equal(None)
     record_set1.resource_records[0].should.equal("10.0.0.25")
+
+
+@mock_cloudformation()
+@mock_route53()
+def test_route53_associate_health_check():
+    route53_conn = boto.connect_route53()
+
+    template_json = json.dumps(route53_health_check.template)
+    conn = boto.cloudformation.connect_to_region("us-west-1")
+    stack = conn.create_stack(
+        "test_stack",
+        template_body=template_json,
+    )
+
+    checks = route53_conn.get_list_health_checks()['ListHealthChecksResponse']['HealthChecks']
+    list(checks).should.have.length_of(1)
+    check = checks[0]
+    health_check_id = check['Id']
+    config = check['HealthCheckConfig']
+    config["FailureThreshold"].should.equal("3")
+    config["IPAddress"].should.equal("10.0.0.4")
+    config["Port"].should.equal("80")
+    config["RequestInterval"].should.equal("10")
+    config["ResourcePath"].should.equal("/")
+    config["Type"].should.equal("HTTP")
+
+    zones = route53_conn.get_all_hosted_zones()['ListHostedZonesResponse']['HostedZones']
+    list(zones).should.have.length_of(1)
+    zone_id = zones[0]['Id']
+
+    rrsets = route53_conn.get_all_rrsets(zone_id)
+    rrsets.should.have.length_of(1)
+
+    record_set = rrsets[0]
+    record_set.health_check.should.equal(health_check_id)
diff --git a/tests/test_route53/test_route53.py b/tests/test_route53/test_route53.py
index fbfd6f2a5..5ba8907ef 100644
--- a/tests/test_route53/test_route53.py
+++ b/tests/test_route53/test_route53.py
@@ -1,6 +1,7 @@
 from __future__ import unicode_literals
 
 import boto
+from boto.route53.healthcheck import HealthCheck
 from boto.route53.record import ResourceRecordSets
 
 import sure  # noqa
@@ -89,3 +90,79 @@ def test_rrset():
 
     rrsets = conn.get_all_rrsets(zoneid, name="foo.foo.testdns.aws.com", type="A")
     rrsets.should.have.length_of(0)
+
+
+@mock_route53
+def test_create_health_check():
+    conn = boto.connect_route53('the_key', 'the_secret')
+
+    check = HealthCheck(
+        ip_addr="10.0.0.25",
+        port=80,
+        hc_type="HTTP",
+        resource_path="/",
+        fqdn="example.com",
+        string_match="a good response",
+        request_interval=10,
+        failure_threshold=2,
+    )
+    conn.create_health_check(check)
+
+    checks = conn.get_list_health_checks()['ListHealthChecksResponse']['HealthChecks']
+    list(checks).should.have.length_of(1)
+    check = checks[0]
+    config = check['HealthCheckConfig']
+    config['IPAddress'].should.equal("10.0.0.25")
+    config['Port'].should.equal("80")
+    config['Type'].should.equal("HTTP")
+    config['ResourcePath'].should.equal("/")
+    config['FullyQualifiedDomainName'].should.equal("example.com")
+    config['SearchString'].should.equal("a good response")
+    config['RequestInterval'].should.equal("10")
+    config['FailureThreshold'].should.equal("2")
+
+
+@mock_route53
+def test_delete_health_check():
+    conn = boto.connect_route53('the_key', 'the_secret')
+
+    check = HealthCheck(
+        ip_addr="10.0.0.25",
+        port=80,
+        hc_type="HTTP",
+        resource_path="/",
+    )
+    conn.create_health_check(check)
+
+    checks = conn.get_list_health_checks()['ListHealthChecksResponse']['HealthChecks']
+    list(checks).should.have.length_of(1)
+    health_check_id = checks[0]['Id']
+
+    conn.delete_health_check(health_check_id)
+    checks = conn.get_list_health_checks()['ListHealthChecksResponse']['HealthChecks']
+    list(checks).should.have.length_of(0)
+
+
+@mock_route53
+def test_use_health_check_in_resource_record_set():
+    conn = boto.connect_route53('the_key', 'the_secret')
+
+    check = HealthCheck(
+        ip_addr="10.0.0.25",
+        port=80,
+        hc_type="HTTP",
+        resource_path="/",
+    )
+    check = conn.create_health_check(check)['CreateHealthCheckResponse']['HealthCheck']
+    check_id = check['Id']
+
+    zone = conn.create_hosted_zone("testdns.aws.com")
+    zone_id = zone["CreateHostedZoneResponse"]["HostedZone"]["Id"].split("/")[-1]
+
+    changes = ResourceRecordSets(conn, zone_id)
+    change = changes.add_change("CREATE", "foo.bar.testdns.aws.com", "A", health_check=check_id)
+    change.add_value("1.2.3.4")
+    changes.commit()
+
+    record_sets = conn.get_all_rrsets(zone_id)
+    record_sets[0].health_check.should.equal(check_id)