Build evidence-based harm reduction strategies with and for people who use drugs; create spaces for dialogue and action to heal harms caused by racialized drug policies and to bring harm reduction solutions to scale.
National Harm Reduction Coalition’s recent grantmaking is built around harm reduction services support, with its largest 2023 award going to Harm Reduction Coalition of San Diego on Point for $252,324. The pattern is clear across the recent grants list: funding goes to organizations delivering overdose prevention, syringe access, outreach, and linkage-to-care work for people who use drugs and people at risk of overdose. In California, the coalition supported a dense network of local providers, including Hiv Education & Prevention Project- Alameda County in Oakland at $202,080 and Harm Reduction Services Inc in Sacramento at $189,516. The foundation pairs direct grants with capacity-building and technical assistance through active grant programs. That mix shows up in its funding choices, which include community-based harm reduction groups, public health agencies, and service providers working on street-based engagement, safer drug use, and hepatitis C prevention and care. Its giving also extends to training, policy and advocacy, and convening work, with the National Harm Reduction Conference appearing in its active grantmaking list. The result is a funder focused on strengthening the organizations that deliver harm reduction on the ground while also supporting the field’s infrastructure and coordination.
In overdose prevention and syringe access, National Harm Reduction Coalition funded Sidewalk Project in Los Angeles with $179,102 and Humboldt Area Center for Harm Reduction in Eureka with $139,335, both listed as harm reduction services support. Those grants sit alongside work tied to community-based service delivery, street outreach, and syringe services programs. The coalition also supported local public health and clinic partners. County of Santa Cruz Syringe Services Program received $107,465, while San Joaquin Valley Free Medical Clinic received $102,731. In San Francisco, Homeless Youth Alliance Inc received $68,112, linking the funder’s priorities to marginalized and street-based populations. Hepatitis C work appears in its active program list through HepConnect, a regional initiative focused on Greater Appalachia. Other program areas named by the coalition include fentanyl response, MOUD, sex work-related harm reduction, xylazine response, and training and capacity building.
$3.7M
$6.3M
$8.6M
$6.6M
Most grants fall between $50K and $108K, with a median of $81K.
25th Percentile
$50K
Median
$81K
75th Percentile
$108K
About 0% of grants go to recipients in CA.
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Typical grant size falls at $49,859 at the 25th percentile, $80,966 at the median, and $108,144 at the 75th percentile. The recent grants list also shows a wider spread, from smaller support like $30,888 to larger awards above $200,000. The pattern is concentrated in ongoing operating-style support rather than one-off project-only giving, and the organization’s active programs pair funding with training and technical assistance. Recipients appear across multiple grantmaking channels, including statewide initiatives and conference or consultant support. The foundation type is a public charity, and it does not fund individuals or make program-related investments.
Grantmaking is overwhelmingly within the United States, with 33 recent grants and 100% of the listed recipient-country distribution in the US. California is the top state by grant count, and the recent grants cluster in cities including San Diego, Oakland, Sacramento, Los Angeles, Eureka, Riverside, San Francisco, and Santa Cruz. The coalition’s funded organizations also appear in smaller California communities such as Yreka, Bishop, Lower Lake, Santa Rosa, Quincy, and Cameron Park. This is regional giving rather than national or international distribution.
It funds organizations delivering harm reduction services support, including overdose prevention, syringe access, outreach, linkage-to-care, training and capacity building, policy and advocacy, and hepatitis C prevention. Recent grants went to service providers, public health agencies, and coalition groups working with people who use drugs and people at risk of overdose.
The typical award is $80,966 at the median, with a 25th percentile of $49,859 and a 75th percentile of $108,144. The recent list also includes larger grants above $200,000 and smaller awards below $50,000.
California is the top state by grant count. Recent recipients are spread across cities including San Diego, Oakland, Sacramento, Los Angeles, Eureka, Riverside, San Francisco, and Santa Cruz, showing a strong in-state funding pattern.
Yes. Its active grant programs include NHRC Grantmaking / Capacity Building Grants and Capacity Building & Grantmaking, both described as combining direct funding with training and technical assistance to strengthen community-based harm reduction programs.
Its giving scope is regional, and the recent recipient-country distribution is entirely in the United States. The active programs also reference California-wide work, national opportunities, and a regional HepConnect initiative in Greater Appalachia.
2025
Source: IRS Form 990-PF, fiscal year 2025.
Most recent grants reported to the IRS.
| Recipient | Location | Amount | Year | Purpose |
|---|---|---|---|---|
| Homeless Youth Alliance | SAN FRANCISCO, CA | $144,214 | 2025 | HARM REDUCTION PROGRAMMING |
| Homeless Healthcare Los Angeles | LOS ANGELES, CA | $141,839 | 2025 | HARM REDUCTION PROGRAMMING |
| Humboldt Area for Harm Reduction | EUREKA, CA | $126,493 | 2025 | HARM REDUCTION PROGRAMMING |
| Inland Empire Harm Reduction | RIVERSIDE, CA | $114,526 | 2025 | HARM REDUCTION PROGRAMMING |
| Harm Reduction Coalition of San Diego County on Point | SAN DIEGO, CA | $114,396 | 2025 | HARM REDUCTION PROGRAMMING |
| The Sidewalk Project | LOS ANGELES, CA | $111,803 | 2025 | HARM REDUCTION PROGRAMMING |
| Gender Health Center | SACRAMENTO, CA | $111,551 | 2025 | HARM REDUCTION PROGRAMMING |
| Mendocino County AIDS Volunteer Network Care AND Prevention | UKIAH, CA | $109,684 | 2025 | HARM REDUCTION PROGRAMMING |
| Harm Reduction Coalition of Santa Cruz County | SANTA CRUZ, CA | $104,359 | 2025 | HARM REDUCTION PROGRAMMING |
| Safer Alternatives Through Networking and Education | SACRAMENTO, CA | $101,161 | 2025 | HARM REDUCTION PROGRAMMING |
| Fresno Needle Exchange-Fresno Free Medical Clinic -San Joaquin Valley | FRESNO, CA | $98,568 | 2025 | HARM REDUCTION PROGRAMMING |
| Los Angeles Community Health Project Public Health Foundation | LOS ANGELES, CA | $96,601 | 2025 | HARM REDUCTION PROGRAMMING |
| Asian American Drug Abuse Program Inc | LOS ANGELES, CA | $95,646 | 2025 | HARM REDUCTION PROGRAMMING |
| County of Santa Cruz Syringe Services Program | SCOTTS VALLEY, CA | $94,180 | 2025 | HARM REDUCTION PROGRAMMING |
| Humboldt County Public Health | EUREKA, CA | $93,566 | 2025 | HARM REDUCTION PROGRAMMING |
| Harm Reduction Institute | BELLFLOWER CA, CA | $90,653 | 2025 | HARM REDUCTION PROGRAMMING |
| WeCareTN | MEMPHIS, TN | $90,250 | 2025 | HARM REDUCTION PROGRAMMING |
| Sierra Harm Reduction Coalition | CAMERON PARK, CA | $88,357 | 2025 | HARM REDUCTION PROGRAMMING |
| Plumas County Public Health Agency | QUINCY, CA | $88,268 | 2025 | HARM REDUCTION PROGRAMMING |
| Harm Reduction Services | SACRAMENTO, CA | $81,050 | 2025 | HARM REDUCTION PROGRAMMING |
| HIV Education & Prevention Project Alameda County | OAKLAND, CA | $80,311 | 2025 | HARM REDUCTION PROGRAMMING |
| Board of Trustees of the Glide Foundation | SAN FRANCISCO, CA | $74,705 | 2025 | HARM REDUCTION PROGRAMMING |
| Provide Inc | ROUND ROCK, TX | $74,537 | 2025 | HARM REDUCTION PROGRAMMING |
| Needle Exchange Emergency Distribution | BERKELEY, CA | $68,102 | 2025 | HARM REDUCTION PROGRAMMING |
| San Francisco AIDS Foundation | SAN FRANCISCO, CA | $64,779 | 2025 | HARM REDUCTION PROGRAMMING |
| The Spahr Center | CORTE MADERA, CA | $62,483 | 2025 | HARM REDUCTION PROGRAMMING |
| Indiana Recovery Alliance | BLOOMINGTON, IN | $59,100 | 2025 | HARM REDUCTION PROGRAMMING |
| Face to Face Sonoma County Aids Network | SANTA ROSA, CA | $58,661 | 2025 | HARM REDUCTION PROGRAMMING |
| The Olive Branch Ministry | HICKORY, NC | $54,696 | 2025 | HARM REDUCTION PROGRAMMING |
| Center for Prevention Services | CHARLOTTE, NC | $53,182 | 2025 | HARM REDUCTION PROGRAMMING |
| Community Liver Alliance | PITTSVURG, PA | $52,750 | 2025 | HARM REDUCTION PROGRAMMING |
| Being Alive People with Aids Action Coalition Inc | LOS ANGELES, CA | $50,688 | 2025 | HARM REDUCTION PROGRAMMING |
| Positively Living | KNOXVILLE, TN | $49,154 | 2025 | HARM REDUCTION PROGRAMMING |
| Imani and Unidad | SOUTH BEND, IN | $48,329 | 2025 | HARM REDUCTION PROGRAMMING |
| North Carolina Harm Reduction Coalition | RALEIGH, NC | $47,960 | 2025 | HARM REDUCTION PROGRAMMING |
| Aids Taskforce of Greater Cleveland | HAMMOND, IN | $47,900 | 2025 | HARM REDUCTION PROGRAMMING |
| Muhlenberg County Health Department | CENTRAL CITY, KY | $47,465 | 2025 | HARM REDUCTION PROGRAMMING |
| Whitley County Health Dept | WILLIAMSBURG, KY | $46,720 | 2025 | HARM REDUCTION PROGRAMMING |
| Twin City Harm Reduction Collective | WINSTON SALEM, NC | $43,426 | 2025 | HARM REDUCTION PROGRAMMING |
| Virginia Harm Reduction Coalition | ROANOKE, VA | $42,130 | 2025 | HARM REDUCTION PROGRAMMING |
| Community Education Group | LOST RIVER, WV | $40,406 | 2025 | HARM REDUCTION PROGRAMMING |
| Central Kentucky Harm Reduction Coalition | LEXINGTON, KY | $40,302 | 2025 | HARM REDUCTION PROGRAMMING |
| Street Works | NASHVILLE, TN | $38,761 | 2025 | HARM REDUCTION PROGRAMMING |
| Family Health Center of San Diego Inc | SAN DIEGO, CA | $37,512 | 2025 | HARM REDUCTION PROGRAMMING |
| Solutions Oriented Addiction Response | CHARLESTON, WV | $36,746 | 2025 | HARM REDUCTION PROGRAMMING |
| Relationship Unleashed | MEMPHIS, TN | $33,292 | 2025 | HARM REDUCTION PROGRAMMING |
| Stockton Harm Reduction Program Harm Reduction Services | SALIDA, CA | $31,449 | 2025 | HARM REDUCTION PROGRAMMING |
| Northern Inyo Healthcare District | BISHOP, CA | $26,554 | 2025 | HARM REDUCTION PROGRAMMING |
| Northern Valley Harm Reduction Coalition | CHICO, CA | $26,554 | 2025 | HARM REDUCTION PROGRAMMING |
| SLO Bangers Syringe Exchange Prevention Program NASEN | TACOMA, WA | $26,146 | 2025 | HARM REDUCTION PROGRAMMING |
Homeless Healthcare Los Angeles
$141,839HARM REDUCTION PROGRAMMING
Humboldt Area for Harm Reduction
$126,493HARM REDUCTION PROGRAMMING
Inland Empire Harm Reduction
$114,526HARM REDUCTION PROGRAMMING
Harm Reduction Coalition of San Diego County on Point
$114,396HARM REDUCTION PROGRAMMING
HARM REDUCTION PROGRAMMING
Gender Health Center
$111,551HARM REDUCTION PROGRAMMING
Mendocino County AIDS Volunteer Network Care AND Prevention
$109,684HARM REDUCTION PROGRAMMING
Harm Reduction Coalition of Santa Cruz County
$104,359HARM REDUCTION PROGRAMMING
Safer Alternatives Through Networking and Education
$101,161HARM REDUCTION PROGRAMMING
Fresno Needle Exchange-Fresno Free Medical Clinic -San Joaquin Valley
$98,568HARM REDUCTION PROGRAMMING
HARM REDUCTION PROGRAMMING
County of Santa Cruz Syringe Services Program
$94,180HARM REDUCTION PROGRAMMING
Humboldt County Public Health
$93,566HARM REDUCTION PROGRAMMING
Harm Reduction Institute
$90,653HARM REDUCTION PROGRAMMING
WeCareTN
$90,250HARM REDUCTION PROGRAMMING
Sierra Harm Reduction Coalition
$88,357HARM REDUCTION PROGRAMMING
Plumas County Public Health Agency
$88,268HARM REDUCTION PROGRAMMING
Provide Inc
$74,537HARM REDUCTION PROGRAMMING
Needle Exchange Emergency Distribution
$68,102HARM REDUCTION PROGRAMMING
The Spahr Center
$62,483HARM REDUCTION PROGRAMMING
Indiana Recovery Alliance
$59,100HARM REDUCTION PROGRAMMING
Face to Face Sonoma County Aids Network
$58,661HARM REDUCTION PROGRAMMING
The Olive Branch Ministry
$54,696HARM REDUCTION PROGRAMMING
Community Liver Alliance
$52,750HARM REDUCTION PROGRAMMING
Being Alive People with Aids Action Coalition Inc
$50,688HARM REDUCTION PROGRAMMING
Imani and Unidad
$48,329HARM REDUCTION PROGRAMMING
North Carolina Harm Reduction Coalition
$47,960HARM REDUCTION PROGRAMMING
Aids Taskforce of Greater Cleveland
$47,900HARM REDUCTION PROGRAMMING
Muhlenberg County Health Department
$47,465HARM REDUCTION PROGRAMMING
Whitley County Health Dept
$46,720HARM REDUCTION PROGRAMMING
Twin City Harm Reduction Collective
$43,426HARM REDUCTION PROGRAMMING
Virginia Harm Reduction Coalition
$42,130HARM REDUCTION PROGRAMMING
Community Education Group
$40,406HARM REDUCTION PROGRAMMING
Central Kentucky Harm Reduction Coalition
$40,302HARM REDUCTION PROGRAMMING
Family Health Center of San Diego Inc
$37,512HARM REDUCTION PROGRAMMING
Solutions Oriented Addiction Response
$36,746HARM REDUCTION PROGRAMMING
Relationship Unleashed
$33,292HARM REDUCTION PROGRAMMING
HARM REDUCTION PROGRAMMING
Northern Inyo Healthcare District
$26,554HARM REDUCTION PROGRAMMING
Northern Valley Harm Reduction Coalition
$26,554HARM REDUCTION PROGRAMMING
SLO Bangers Syringe Exchange Prevention Program NASEN
$26,146HARM REDUCTION PROGRAMMING