This study investigates the relationship between household utilization of food services and retailers and the healthfulness of purchases using data from the 2013 Food Acquisition and Purchase Survey. Overall, our findings suggest that the associations between food service or retailer utilization and the healthfulness of purchases are limited. Thus, interventions may need to be targeted to specific households based on patterns of utilization. We also find evidence for an interdependent relationship between food at home and away from home food shopping behaviors with implications for the healthfulness of purchases.