diff --git a/docs/tutorials/aws.md b/docs/tutorials/aws.md
index e708cafe2..36705b9b4 100644
--- a/docs/tutorials/aws.md
+++ b/docs/tutorials/aws.md
@@ -407,6 +407,13 @@ For any given DNS name, only **one** of the following routing policies can be us
   * `external-dns.alpha.kubernetes.io/aws-geolocation-subdivision-code`
 * Multi-value answer:`external-dns.alpha.kubernetes.io/aws-multi-value-answer`
 
+## Associating DNS records with healthchecks
+
+You can configure Route53 to associate DNS records with healthchecks for automated DNS failover using 
+`external-dns.alpha.kubernetes.io/health-check-id: <health-check-id>` annotation.
+
+Note: ExternalDNS does not support creating healthchecks, and assumes that `<health-check-id>` already exists.
+
 ## Clean up
 
 Make sure to delete all Service objects before terminating the cluster so all load balancers get cleaned up correctly.
diff --git a/provider/aws/aws.go b/provider/aws/aws.go
index 22d6f2a6f..16db34c12 100644
--- a/provider/aws/aws.go
+++ b/provider/aws/aws.go
@@ -50,6 +50,7 @@ const (
 	providerSpecificGeolocationCountryCode     = "aws/geolocation-country-code"
 	providerSpecificGeolocationSubdivisionCode = "aws/geolocation-subdivision-code"
 	providerSpecificMultiValueAnswer           = "aws/multi-value-answer"
+	providerSpecificHealthCheckID              = "aws/health-check-id"
 )
 
 var (
@@ -349,6 +350,11 @@ func (p *AWSProvider) records(ctx context.Context, zones map[string]*route53.Hos
 						// one of the above needs to be set, otherwise SetIdentifier doesn't make sense
 					}
 				}
+
+				if r.HealthCheckId != nil {
+					ep.WithProviderSpecific(providerSpecificHealthCheckID, aws.StringValue(r.HealthCheckId))
+				}
+
 				endpoints = append(endpoints, ep)
 			}
 		}
@@ -595,6 +601,10 @@ func (p *AWSProvider) newChange(action string, ep *endpoint.Endpoint, recordsCac
 		}
 	}
 
+	if prop, ok := ep.GetProviderSpecificProperty(providerSpecificHealthCheckID); ok {
+		change.ResourceRecordSet.HealthCheckId = aws.String(prop.Value)
+	}
+
 	return change, dualstack
 }
 
diff --git a/provider/aws/aws_test.go b/provider/aws/aws_test.go
index 3de6cff1e..b56057e8f 100644
--- a/provider/aws/aws_test.go
+++ b/provider/aws/aws_test.go
@@ -326,6 +326,8 @@ func TestAWSRecords(t *testing.T) {
 		endpoint.NewEndpointWithTTL("multi-value-answer-test.zone-1.ext-dns-test-2.teapot.zalan.do", endpoint.RecordTypeA, endpoint.TTL(recordTTL), "1.2.3.4").WithSetIdentifier("test-set").WithProviderSpecific(providerSpecificMultiValueAnswer, ""),
 		endpoint.NewEndpointWithTTL("geolocation-test.zone-1.ext-dns-test-2.teapot.zalan.do", endpoint.RecordTypeA, endpoint.TTL(recordTTL), "1.2.3.4").WithSetIdentifier("test-set-1").WithProviderSpecific(providerSpecificGeolocationContinentCode, "EU"),
 		endpoint.NewEndpointWithTTL("geolocation-test.zone-1.ext-dns-test-2.teapot.zalan.do", endpoint.RecordTypeA, endpoint.TTL(recordTTL), "4.3.2.1").WithSetIdentifier("test-set-2").WithProviderSpecific(providerSpecificGeolocationCountryCode, "DE"),
+		endpoint.NewEndpoint("healthcheck-test.zone-1.ext-dns-test-2.teapot.zalan.do", endpoint.RecordTypeCNAME, "foo.example.com").WithSetIdentifier("test-set-1").WithProviderSpecific(providerSpecificWeight, "10").WithProviderSpecific(providerSpecificHealthCheckID, "foo-bar-healthcheck-id"),
+		endpoint.NewEndpointWithTTL("healthcheck-test.zone-1.ext-dns-test-2.teapot.zalan.do", endpoint.RecordTypeA, endpoint.TTL(recordTTL), "4.3.2.1").WithSetIdentifier("test-set-2").WithProviderSpecific(providerSpecificWeight, "20").WithProviderSpecific(providerSpecificHealthCheckID, "abc-def-healthcheck-id"),
 	})
 
 	records, err := provider.Records(context.Background())
@@ -347,6 +349,8 @@ func TestAWSRecords(t *testing.T) {
 		endpoint.NewEndpointWithTTL("multi-value-answer-test.zone-1.ext-dns-test-2.teapot.zalan.do", endpoint.RecordTypeA, endpoint.TTL(recordTTL), "1.2.3.4").WithSetIdentifier("test-set").WithProviderSpecific(providerSpecificMultiValueAnswer, ""),
 		endpoint.NewEndpointWithTTL("geolocation-test.zone-1.ext-dns-test-2.teapot.zalan.do", endpoint.RecordTypeA, endpoint.TTL(recordTTL), "1.2.3.4").WithSetIdentifier("test-set-1").WithProviderSpecific(providerSpecificGeolocationContinentCode, "EU"),
 		endpoint.NewEndpointWithTTL("geolocation-test.zone-1.ext-dns-test-2.teapot.zalan.do", endpoint.RecordTypeA, endpoint.TTL(recordTTL), "4.3.2.1").WithSetIdentifier("test-set-2").WithProviderSpecific(providerSpecificGeolocationCountryCode, "DE"),
+		endpoint.NewEndpointWithTTL("healthcheck-test.zone-1.ext-dns-test-2.teapot.zalan.do", endpoint.RecordTypeCNAME, endpoint.TTL(recordTTL), "foo.example.com").WithSetIdentifier("test-set-1").WithProviderSpecific(providerSpecificWeight, "10").WithProviderSpecific(providerSpecificHealthCheckID, "foo-bar-healthcheck-id"),
+		endpoint.NewEndpointWithTTL("healthcheck-test.zone-1.ext-dns-test-2.teapot.zalan.do", endpoint.RecordTypeA, endpoint.TTL(recordTTL), "4.3.2.1").WithSetIdentifier("test-set-2").WithProviderSpecific(providerSpecificWeight, "20").WithProviderSpecific(providerSpecificHealthCheckID, "abc-def-healthcheck-id"),
 	})
 }