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Health Care Division Funding

Grants to North Carolina Nonprofits and Agencies for
Programs that Improve Healthcare for the Disadvantaged

Agency Type:

Foundation / Corporation

Funding Source:

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Kate B. Reynolds Charitable Trust

Deadline Date:

02/13/18 5:00 PM


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Grants to North Carolina nonprofit organizations and agencies for projects that enrich the quality of life and improve healthcare delivery to economically disadvantaged communities. Potential applicants should contact the Foundation well before January 30, and then schedule an advance consultation. The funding is specifically intended to support programs in the areas of diabetes, mental health and substance abuse, access to primary medical care, and community-centered prevention,

The Trust's definitions of “financially-disadvantaged” include: individuals living at or below 200% of the federal poverty level; the uninsured; and those eligible for Medicaid and/or the free/reduced school lunch program.

Healthy Places NC:
The Trust is committed to Healthy Places North Carolina and to serving the most economically distressed regions of the state. Proposals will be limited by the 2017-2018 North Carolina Department of Commerce County Tier designations. Designations for either 2017 or 2018 are acceptable.

Access to Primary Care:
-Increasing Health Care Coverage- Efforts to increase the number of low-income North Carolinians who have coverage
-Providing a Medical Home- Efforts to identify and secure a medical home for all. In addition to episodic primary care, a medical home features coordinated care and one or more of the following – chronic disease management, medication assistance, and preventive care. Includes the fields of internal medicine, family practice, general practice, obstetrics, and pediatrics, and providers such as nurse practitioners and physician assistants.

Community Centered Prevention
-Efforts that are geographically-based (either county-wide or neighborhood-based) and involve multiple stakeholders (e.g.- local education authorities or chambers of commerce) with aspects that may include work around the built environment, safe environment, greater food access, and physical activity.
- The Trust will accept proposals impacting Tier 1 counties in all three Community Centered Prevention funding interests.

-Access to Quality Medical Care- Efforts to provide a physician-coordinated team that consists of a comprehensive initial patient evaluation and a continuum of care. Teams may include mid-level practitioners, nurses, dieticians, pharmacists, and mental health professionals. Proposals that use cost-effective care without compromising patients’ needs are of particular interest.
-Diabetes Care and Self-Management- Providing medical care and self-management education intended to keep the illness under control and delay, diminish, or prevent its many debilitating impacts on both physical health and quality of life. Includes programs for people recently diagnosed with diabetes taking place in an outpatient setting or the implementation of a heightened level of standardized care in a community clinic setting, among others. Efforts to provide individualized self-management planning to include glycemic control, reasonable physical activity, and psychosocial care and support as recommended by the American Diabetes Association.
-Diabetes Prevention- Programs and strategies that focus on the prevention of diabetes in at-risk populations. Efforts reflecting best practices to identify and support those most at-risk of developing diabetes.
-Proposals from Tier 1 counties are eligible for consideration in all four diabetes funding interests: clinical care and self-management, behavioral health, prevention, and public awareness. Projects in the first two categories must directly link to clinical care

Mental Health and Substance Abuse:
-Developing or Strengthening a Continuum of Care- Efforts that respond to both systemic gaps and gaps in individual care.
-Integrated Care- Efforts that bring mental and primary health care providers together in concurrent assessment and treatment. Includes co-location and reverse co-location models.
-Prevention Services- Efforts to identify and support those most at-risk of impairment and addiction reflecting the best practices in the field.
-Substance Abuse- Expansion of evidence-based treatment to those most in need. Priority will be given to those proposals that are consistent with the North Carolina Institute of Medicine’s Substance Abuse Task Force recommendations.

Other Updates:
The Trust recognizes that, to improve the health of North Carolinians, it needs to enhance all of the systems that influence the well-being of low-income people. To that end, the Trust is interested in coordinating and connecting with statewide or regional funders and organizations that are working to improve other drivers of health, such as education and housing.

Types of Proposals:
Funded operating program proposals may include both direct services to people in need and support for the organizations, groups, and ideas that can lead to grassroots changes and systemic improvements.

In general, the Trust funds:
-Capacity building - includes support for efforts to increase organizational and community effectiveness (e.g.- staff and board development activities; leadership programs; organizational and resource development planning; core business operations support and training; and technology-based systems enhancements)
-Direct services
-Grassroots change or systemic change efforts
-Program planning - development of specific operating programs within an interest area or impact strategy
-Technical assistance - short-term capacity building activities related to the achievement of outcomes for a specific grant funded by the Trust. (e.g.- use of consultants or training on new program methodologies)

Types of Grants:
-Operating program grants - generally for new programs or the expansion of existing programs and occasionally for short-term "bridge funding" for an existing program when there is a reasonable expectation of the availability of a new source of revenue in the near future.
-Capital projects grants - generally for construction/renovation projects or for equipment purchases The funding of capital projects is focused almost entirely in Tier One counties.

Capital Projects:
Capital requests are by invitation only. Grants may be used for construction projects or equipment purchases.

Evaluation and Research Studies:
The Trust's commitment to measuring impact means that it is willing to consider support for evaluation costs within program budgets and may require it for some projects. Grants may be made to support well-conceived studies that clearly define health problems in North Carolina and assist the Division in achieving its mission.

Priority is given to applications that:
-Impact Tier One counties.
-Involve community-based collaborations, where the applicant is working with local organizations like schools, human service agencies, government, churches, or neighborhood associations.

GrantWatch ID#:

GrantWatch ID#: 178028

Number of Grants:


Estimated Size of Grant:

The Trust does not prescribe maximum grant requested amounts for operating programs.

Overhead/Indirect Costs:
Ten percent will be added to all approved operating program grants to cover indirect expenses associated with administering a grant from the Trust. The maximum amount granted for overhead/indirect costs is $50,000 over the life of the grant.

Term of Contract:

Grant terms are developed in consultation with a program officer for a period of up to three years. Grant support, via multiple grants, may cover a period of up to seven years.

Additional Eligibility Criteria:

Nonprofit 501(c)(3) organizations and governmental entities are eligible.

Not funded:
- Individuals
- Faith-based organizations without 501(c)(3)
- Type III supporting organizations or
- Organizations providing pass-through funds to an ineligible organization
- Mandated community health assessments
- Medical research
- Processes for organizational accreditation

Proposals will be limited by the 2017-2018 North Carolina Department of Commerce County Tier designations. Designations for either 2017 or 2018 are acceptable.

Pre-Application Information:

Concept Call:
To engage in an initial conversation about proposal ideas for the February cycle, the Trust requests that all interested parties contact Program Coordinator Alison Elster. The Trusts requests that you schedule an initial call well before January 30, 2018. Should the proposal generally fit the division’s interests, the Program Associate will schedule an advance consult between the organization and a Program Officer.

All university-affiliated inquiries must be pursued in consultation with your school’s Trust liaison. Depending on fit with issues, interests, and strategies, the Trust may then schedule an appointment with you and your regional program officer.

Advance Consultations:
An advance consultation is the next step in the Health Care Division’s application process, and should be scheduled during the discussion of intent with the Program Coordinator (between mid-November and late-January for the February deadline, and between mid-May and late-July for the August deadline).

Application Submission:
All of the Trust's online application forms are available at least one month prior to the deadline (in January and July).

The Trust's application deadlines are the second Tuesday in Februrary and the second Tuesday in August. All submissions must be received online by 5:00 PM. The current deadline is February 13, 2018. You will receive an email notification that your application has been received by the Trust. Notification of funding decisions generally occurs between 90 and 120 days after the application deadline (late May and November).

Operating Program Projects vs. Capital Projects:
The Health Care Division will have generally two separate applications available online, one for operating programs and one for capital requests. Applications for operating programs may include some capital expenses, if they are related specifically to the program/project proposed. Your program officer will provide information regarding capital requests during your advanced consultation.

Grants usually are not awarded as the total means of financial support, but preferably in conjunction with other sources of funding.

Eligibility Guidelines:
What the Trust Funds:
Application Documents:
Issue Areas:
Healthy Places NC here:
County Tier Designations 2017:
County Tier Designations 2018:

Contact Information:

Before starting your grant application, please review the funding source's website listed below for updates/changes/addendums/conferences/LOIs.

Alison Elster, Program Coordinator

URL for Full Text (RFP):

Geographic Focus:

USA: North Carolina