NRHA/NRHF is committed to leadership development tailored specifically to the health care needs of rural communities, supporting education and training of rural health professionals, protecting access and quality of care in rural America, advancing equity for rural communities, and equipping rural health leaders with tools for advocacy and policy engagement.
National Rural Health Association’s grantmaking is built around rural health leadership and the organizations that support it. The foundation backs national training, policy, and technical-assistance work that helps rural clinics, associations, and health professionals strengthen care delivery, workforce capacity, and advocacy skills. Recent awards show a mix of very large operational and program-support grants alongside smaller association support grants, with recipients ranging from consulting firms to rural health associations and academic partners. A large 2025 award to Stroudwater Associates for technical assistance and another to Eide Bailly LLP for improve rural health work illustrate how the foundation uses outside expertise to support rural health initiatives. It also funds infrastructure for the field itself: 3RNet-National Rural Recruitment and Retention Network received repeated support for behavior health projects, while Texas A&M Health Science Center received grants for best practices and development. The pattern points to an emphasis on practical capacity building rather than direct service delivery, with a particular focus on leadership development, education, policy engagement, and tools that rural health organizations can use across states.
A core topic is technical assistance for rural health organizations. The foundation gave $724,077 to Stroudwater Associates for technical assistance in 2025 and $413,217 for the same purpose in 2024, showing sustained support for external expertise. It also awarded $60,000 to New England Rural Health Association in 2025 and $60,000 to New England Rural Health Roundtable in 2024, both for technical assistance. Workforce and behavioral health are also present. 3RNet-National Rural Recruitment and Retention Network received $398,911 in 2025 and $360,579 in 2024 for behavior health projects. Education-oriented work appears in awards such as $153,052 to Texas A&M Health Science Center in 2024 and $99,999 in 2025 for best practices and development. The foundation also funded vaccine-related work, including $100,000 to Legato Healthcare Marketing Inc in 2024 for a vaccine initiative.
Typical awards sit in the middle of the low-five-figure range, with p25 at $10,000, median grant size at $14,253, and p75 at $31,875. The recent-grants list also includes several much larger program-support and technical-assistance awards, indicating that the foundation makes both routine association grants and larger project-based commitments. Recipients appear across multiple years: Stroudwater Associates, Eide Bailly LLP, 3RNet-National Rural Recruitment and Retention Network, and Agrisafe Network each show repeat grants. NRHA is a regular funder, and the active programs listed are all project-specific support rather than open unsolicited applications.
$2.5M
$14M
$9.9M
$9M
Most grants fall between $10K and $32K, with a median of $14K.
25th Percentile
$10K
Median
$14K
75th Percentile
$32K
About 6% of grants go to recipients in TX.
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Grant recipients are entirely U.S.-based in the provided data, with 96 grants to U.S. organizations. Illinois is the top state by grant count, and 6% of grants go to recipients in Missouri. The list reaches several regions through named recipients in Portland, ME; Fargo, ND; Jefferson City, MO; College Station, TX; and Bow, NH. The pattern suggests national reach with repeated support to organizations in both rural health hubs and national technical-assistance partners.
The foundation supports rural health leadership, policy engagement, workforce development, education and training, elder and aging services, rural behavioral and mental health services, vaccination outreach, survey and research projects, and dissemination of best practices. Recent grants also show technical assistance and capacity-building support for rural health organizations.
No. The active grant programs listed for NRHA and the National Rural Health Foundation are invitation-based project support, including National Rural Health Foundation Program Support, the NRHA Rural Health Fellows Program, and supported programs through the Center for Rural Health Leadership.
The grant-size distribution centers on modest awards, with p25 at $10,000, a median of $14,253, and p75 at $31,875. Larger project grants also appear in the recent awards list, including several awards above $100,000 for technical assistance, improve rural health work, and best practices projects.
Giving is national, and the recipient-country distribution is entirely U.S.-based. Illinois receives the most grants by count, while Missouri accounts for 6% of grants. Recent recipients also appear in Maine, North Dakota, Texas, New Hampshire, Wisconsin, and several other states.
Yes. Several organizations appear more than once across the recent grants list, including Stroudwater Associates in 2024 and 2025, Eide Bailly LLP in 2023 through 2025, 3RNet-National Rural Recruitment and Retention Network in 2024 and 2025, and Agrisafe Network in 2023 through 2025.
ALAN E MORGAN
2025
Source: IRS Form 990-PF, fiscal year 2025.
Most recent grants reported to the IRS.
| Recipient | Location | Amount | Year | Purpose |
|---|---|---|---|---|
| STROUDWATER ASSOCIATES | PORTLAND, ME | $724,077 | 2025 | TECHNICAL ASSISTANCE |
| EIDE BAILLY LLP | FARGO, ND | $414,299 | 2025 | IMPROVE RURAL HEALTH |
| 3RNET-NATIONAL RURAL RECRUITMENT | JEFFERSON CITY, MO | $398,911 | 2025 | BEHAVIOR HEALTH PROJ |
| FORVIS | DALLAS, TX | $139,966 | 2025 | IMPROVE RURAL HEALTH |
| WIPFLI | MILWAUKEE, WI | $117,720 | 2025 | IMPROVE RURAL HEALTH |
| TEXAS A&M HEALTH SCIENCE CENTER | COLLEGE STATION, TX | $99,999 | 2025 | BEST PRACTICES & DEV |
| NEW ENGLAND RURAL HEALTH ASSOCIATIO | BOW, NH | $60,000 | 2025 | TECHNICAL ASSISTANCE |
| AGRISAFE NETWORK | COVINGTON, LA | $60,000 | 2025 | IMPROVE RURAL HEALTH |
| LOUISANA RURAL HEALTH ASSOCIATION | NAPOLEONVILLE, LA | $21,000 | 2025 | TECHNICAL ASSISTANCE |
| WEST VIRGINIA RURAL HEALTH ASSOC | SHADY SPRING, WV | $20,000 | 2025 | TECHNICAL ASSISTANCE |
| RURAL HEALTH ASSOC OF UTAH | CEDAR CITY, UT | $20,000 | 2025 | TECHNICAL ASSISTANCE |
| COLORADO RURAL HEALTH CENTER | AURORA, CO | $20,000 | 2025 | TECHNICAL ASSISTANCE |
| NEBRASKA RURAL HEALTH ASSOCIATION | PAPILLION, NE | $20,000 | 2025 | TECHNICAL ASSISTANCE |
| RURAL HEALTH ASSOC OF ARKANSAS | BATESVILLE, AR | $15,000 | 2025 | TECHNICAL ASSISTANCE |
| GEORGIA RURAL HEALTH ASSOCIATION | SAVANNAH, GA | $15,000 | 2025 | TECHNICAL ASSISTANCE |
| INDIANA RURAL HEALTH ASSOCIATION | TERRE HAUTE, IN | $15,000 | 2025 | TECHNICAL ASSISTANCE |
| OHIO RURAL HEALTH ASSOCIATION | ASHLAND, OH | $15,000 | 2025 | TECHNICAL ASSISTANCE |
| FOUNDATION FOR HEALTH LEADERSHIP & | CARY, NC | $15,000 | 2025 | TECNICAL ASSISTANCE |
| ARIZONA RURAL HEALTH ASSOCIATION | FLAGSTAFF, AZ | $15,000 | 2025 | TECHNICAL ASSISTANCE |
| NEW YORK ST ASSOC FOR RURAL HEALTH | CANTON, NY | $14,916 | 2025 | TECHNICAL ASSISTANCE |
| TEXAS RURAL HEALTH ASSOCIATION | ABILENE, TX | $10,000 | 2025 | TECHNICAL ASSISTANCE |
| CALIFORNIA STATE RURAL HEALTH ASSOC | ROSEVILLE, CA | $10,000 | 2025 | TECHNICAL ASSISTANCE |
| KENTUCKY RURAL HEALTH ASSOCIATION | HENDERSON, KY | $10,000 | 2025 | TECHNICAL ASSISTANCE |
| MARYLAND RURAL HEALTH ASSOCIATION | LAVALE, MD | $10,000 | 2025 | TECHNICAL ASSISTANCE |
| RURAL HEALTH ASSOC OF TENNESSEE | DECATURVILLE, TN | $10,000 | 2025 | TECHNICAL ASSISTANCE |
| ILLINOIS RURAL HEALTH ASSOCIATION | DARIEN, IL | $10,000 | 2025 | TECHNICAL ASSISTANCE |
| OREGON OFFICE OF RURAL HEALTH | PORTLAND, OR | $10,000 | 2025 | BEHAVIORAL HEALTH |
| ALABAMA RURAL HEALTH ASSOCIATION | TROY, AL | $10,000 | 2025 | TECHNICAL ASSISTANCE |
| MINNESOTA RURAL HEALTH ASSOCIATION | WARREN, MN | $10,000 | 2025 | TECHNICAL ASSISTANCE |
| IDAHO RURAL HEALTH ASSOCIATION | EAGLE, ID | $10,000 | 2025 | TECHNICAL ASSISTANCE |
| RURAL HEALTH PROJECTS INC | ENID, OK | $10,000 | 2025 | TECHNICAL ASSISTANCE |
| PENNSYLVANIA RURAL HEALTH ASSOC | HARRISBURG, PA | $10,000 | 2025 | TECHNICAL ASSISTANCE |
| NORTH DAKOTA RURAL HEALTH ASSOC | GRAND FORKS, ND | $10,000 | 2025 | TECHNICAL ASSISTANCE |
| MICHIGAN CENTER FOR RURAL HEALTH | EAST LANSING, MI | $10,000 | 2025 | TECHNICAL ASSISTANCE |
| MISSISSIPPI RURAL HEALTH ASSOC | MADISON, MS | $10,000 | 2025 | TECHNICAL ASSISTANCE |
| VIRGINIA RURAL HEALTH ASSOCIATION | BLACKSBURG, VA | $10,000 | 2025 | TECHNICAL ASSISTANCE |
| COMMUNITY FOUNDATION OF SOUTHERN | LAS CRUCES, NM | $10,000 | 2025 | TECHNICAL ASSISTANCE |
| SOUTH CAROLINA OFFICE OF RURAL HEAL | LEXINGTON, SC | $10,000 | 2025 | TECHNICAL ASSISTANCE |
| FLORIDA RURAL HEALTH ASSOCIATION | ALACHUA, FL | $10,000 | 2025 | TECHNICAL ASSISTANCE |
| HAWAII STATE RURAL HEALTH ASSOC | LIHUE, HI | $10,000 | 2025 | TECHNICAL ASSISTANCE |
| MISSOURI RURAL HEALTH ASSOCIATION | JEFFERSON CITY, MO | $10,000 | 2025 | TECHNICAL ASSISTANCE |
| OREGON RURAL HEALTH ASSOCIATION | PORTLAND, OR | $10,000 | 2025 | TECHNICAL ASSISTANCE |
| MONTANA STATE UNIVERSITY | BOZEMAN, MT | $10,000 | 2025 | TECHNICAL ASSISTANCE |
| WASHINGTON RURAL HEALTH ASSOCIATION | SPOKANE, WA | $10,000 | 2025 | TECHNICAL ASSISTANCE |
| IOWA RURAL HEALTH ASSOCIATION | WEST DES MOINES, IA | $10,000 | 2025 | TECHNICAL ASSISTANCE |
| STROUDWATER ASSOCIATES | PORTLAND, ME | $413,217 | 2024 | TECHNICAL ASSISTANCE |
| 3RNET-NATIONAL RURAL RECRUITMENT | JEFFERSON CITY, MO | $360,579 | 2024 | BEHAVIOR HEALTH PROJ |
| TEXAS A&M HEALTH SCIENCE CENTER | COLLEGE STATION, TX | $153,052 | 2024 | BEST PRACTICES & DEV |
| EIDE BAILLY LLP | FARGO, ND | $112,000 | 2024 | IMPROVE RURAL HEALTH |
| LEGATO HEALTHCARE MARKETING INC | SPRINGFIELD, MO | $100,000 | 2024 | VACCINE INITIATIVE |
STROUDWATER ASSOCIATES
$724,077TECHNICAL ASSISTANCE
EIDE BAILLY LLP
$414,299IMPROVE RURAL HEALTH
3RNET-NATIONAL RURAL RECRUITMENT
$398,911BEHAVIOR HEALTH PROJ
FORVIS
$139,966IMPROVE RURAL HEALTH
WIPFLI
$117,720IMPROVE RURAL HEALTH
TEXAS A&M HEALTH SCIENCE CENTER
$99,999BEST PRACTICES & DEV
NEW ENGLAND RURAL HEALTH ASSOCIATIO
TECHNICAL ASSISTANCE
AGRISAFE NETWORK
$60,000IMPROVE RURAL HEALTH
LOUISANA RURAL HEALTH ASSOCIATION
$21,000TECHNICAL ASSISTANCE
WEST VIRGINIA RURAL HEALTH ASSOC
$20,000TECHNICAL ASSISTANCE
RURAL HEALTH ASSOC OF UTAH
$20,000TECHNICAL ASSISTANCE
NEBRASKA RURAL HEALTH ASSOCIATION
$20,000TECHNICAL ASSISTANCE
RURAL HEALTH ASSOC OF ARKANSAS
$15,000TECHNICAL ASSISTANCE
GEORGIA RURAL HEALTH ASSOCIATION
$15,000TECHNICAL ASSISTANCE
INDIANA RURAL HEALTH ASSOCIATION
$15,000TECHNICAL ASSISTANCE
OHIO RURAL HEALTH ASSOCIATION
$15,000TECHNICAL ASSISTANCE
FOUNDATION FOR HEALTH LEADERSHIP &
$15,000TECNICAL ASSISTANCE
ARIZONA RURAL HEALTH ASSOCIATION
$15,000TECHNICAL ASSISTANCE
NEW YORK ST ASSOC FOR RURAL HEALTH
$14,916TECHNICAL ASSISTANCE
TEXAS RURAL HEALTH ASSOCIATION
$10,000TECHNICAL ASSISTANCE
CALIFORNIA STATE RURAL HEALTH ASSOC
$10,000TECHNICAL ASSISTANCE
KENTUCKY RURAL HEALTH ASSOCIATION
$10,000TECHNICAL ASSISTANCE
MARYLAND RURAL HEALTH ASSOCIATION
$10,000TECHNICAL ASSISTANCE
RURAL HEALTH ASSOC OF TENNESSEE
$10,000TECHNICAL ASSISTANCE
ILLINOIS RURAL HEALTH ASSOCIATION
$10,000TECHNICAL ASSISTANCE
OREGON OFFICE OF RURAL HEALTH
$10,000BEHAVIORAL HEALTH
ALABAMA RURAL HEALTH ASSOCIATION
$10,000TECHNICAL ASSISTANCE
MINNESOTA RURAL HEALTH ASSOCIATION
$10,000TECHNICAL ASSISTANCE
IDAHO RURAL HEALTH ASSOCIATION
$10,000TECHNICAL ASSISTANCE
RURAL HEALTH PROJECTS INC
$10,000TECHNICAL ASSISTANCE
PENNSYLVANIA RURAL HEALTH ASSOC
$10,000TECHNICAL ASSISTANCE
NORTH DAKOTA RURAL HEALTH ASSOC
$10,000TECHNICAL ASSISTANCE
MISSISSIPPI RURAL HEALTH ASSOC
$10,000TECHNICAL ASSISTANCE
VIRGINIA RURAL HEALTH ASSOCIATION
$10,000TECHNICAL ASSISTANCE
SOUTH CAROLINA OFFICE OF RURAL HEAL
$10,000TECHNICAL ASSISTANCE
FLORIDA RURAL HEALTH ASSOCIATION
$10,000TECHNICAL ASSISTANCE
HAWAII STATE RURAL HEALTH ASSOC
$10,000TECHNICAL ASSISTANCE
MISSOURI RURAL HEALTH ASSOCIATION
$10,000TECHNICAL ASSISTANCE
OREGON RURAL HEALTH ASSOCIATION
$10,000TECHNICAL ASSISTANCE
MONTANA STATE UNIVERSITY
$10,000TECHNICAL ASSISTANCE
WASHINGTON RURAL HEALTH ASSOCIATION
$10,000TECHNICAL ASSISTANCE
IOWA RURAL HEALTH ASSOCIATION
$10,000TECHNICAL ASSISTANCE
STROUDWATER ASSOCIATES
$413,217TECHNICAL ASSISTANCE
3RNET-NATIONAL RURAL RECRUITMENT
$360,579BEHAVIOR HEALTH PROJ
TEXAS A&M HEALTH SCIENCE CENTER
$153,052BEST PRACTICES & DEV
EIDE BAILLY LLP
$112,000IMPROVE RURAL HEALTH
LEGATO HEALTHCARE MARKETING INC
$100,000VACCINE INITIATIVE