CalRHT Program Updates
Recommended Subrecipients for CalRHT Budget Period 1 Announced
October 21, 2026
California is taking an important step toward transforming rural healthcare by distributing $166.72 million in California Rural Health Transformation Program funding for 108 organizations across 45 counties.
These investments will help rural communities expand primary, maternity, specialty, and whole person care while strengthening the providers and facilities on which rural Californians depend.
Recommended investments are organized across three CalRHT initiatives.
Transformative Care Model
Approximately $87.51 million supporting 34 recommended grants, along with milestone-based hospital investments and clinical training partnerships, to expand primary, maternity, specialty, and whole person care closer to home.
Workforce Development
Approximately $67.56 million supporting 65 recommended grants to strengthen recruitment and retention, develop rural career pathways and expand clinical training opportunities.
Technology and Tools
Approximately $11.65 million supporting 9 recommended grants to help rural, remote, and Tribal providers modernize electronic health records, strengthen cybersecurity, and improve patient data exchange.
Tribal Set-Aside
CalRHT also includes dedicated funding to support California’s Tribal communities and rural Tribal healthcare delivery system.
Five percent of California’s first-year CalRHT funding, totaling $11.65 million included within the initiative funding described above, is reserved for California’s federally recognized Tribes and the rural Tribal healthcare delivery system. The allocation was developed in consultation with Tribal leaders.
This support aims to expand access to care, improve the quality and coordination of services and help Tribal communities build stronger and more sustainable local health systems.
Contract and Program Support
In addition to these recommended grant investments, Budget Period 1 funding will support the infrastructure and assistance needed to administer CalRHT and help participating organizations implement their work.
CalRHT includes $56.51 million in contract support, including funding the Rural Technical Assistance Center (RTAC), and $10.41 million in HCAI program support.
Together, these recommended investments will help expand access to care, strengthen the rural healthcare workforce, and modernize healthcare technology in rural communities across California.
Geographic Reach
See how recommended CalRHT Program grants would reach communities across California. Explore the map to view where each type of grant would be awarded and the counties served by recommended subrecipients.
Note: One applicant that was recommended to receive an award has subsequently withdrawn their application.
Recommended Subrecipients for CalRHT Budget Period 1
The organizations recommended for Budget Period 1 funding are listed below alphabetically by initiative and grant. The list reflects awards announced to date and does not yet represent all Budget Period 1 investments included in the initiative totals above. Additional recommendations will be added as they are ready for publication.
Funding amounts shown reflect the amounts offered to potential subrecipients and may differ from the final amounts disbursed. This information will be updated weekly as subrecipient agreements are executed.
All Budget Period 1 funding recommendations are subject to completion of the grant agreement and contracting process. Inclusion on this list does not constitute a final grant award.
Transformative Care Model
The Accelerator Partner Program is proposed as support for hospitals or other organizations in rural regions that demonstrate strong readiness and commitment to implement the CalRHT Transformative Care Model (TCM) through regional care collaboratives and hub-and-spoke relationships which will seek to strengthen primary and maternity care in rural parts of the state.
| Awarded Entity | Counties Served | Recommended Funding |
|---|---|---|
| Central Valley Farmworker Foundation | Kern, Tulare, Fresno | $776,294.14 |
| Community Health Partners | Fresno, Merced | $706,348.24 |
| Feather River Tribal Health, Inc. | Butte, Yuba, Sutter | $938,434.55 |
| Inland Empire Health Plan | San Bernardino, Riverside | $2,472,952.57 |
| Lompoc Valley Medical Center | Santa Barbara | $2,573,673.34 |
| Marshall Medical Center | El Dorado, Amador | $1,648,200.33 |
| Mee Memorial Healthcare System | Monterey | $1,436,125.66 |
| Mercy Medical Center – Northern California Maternity Collaborative | Shasta, Siskiyou, Tehama, Lassen, Modoc | $2,434,569.00 |
| Northern Inyo Healthcare District | Inyo, Mono | $298,480.00 |
| Oak Valley District Hospital | Stanislaus, San Joaquin | $1,136,750.00 |
| Pacific Central Coast Health Centers | Santa Barbara, Santa Maria Valley | $2,048,738.02 |
| Plumas District Hospital | Plumas | $2,427,666.00 |
| Ridgecrest Regional Hospital | Kern, Inyo, San Bernardino | $3,037,275.28 |
| Salinas Valley Memorial Hospital | Monterey, San Benito | $2,476,294.00 |
| Sierra Nevada Memorial Hospital Foundation | Nevada County | $708,220.53 |
| Tahoe Forest Hospital District | Placer, Nevada, El Dorado, Sierra, Plumas | $1,559,015.00 |
| Tribal Rural Oral Health Consortium | Lake, Siskiyou, Karuk Tribe, Lake County Tribal Health Consortium | $1,322,281.49 |
| United Indian Health Services, Inc. | Humboldt, Del Norte | $3,391,350.00 |
| Southern California Rural Health Collaborative – University of California, San Diego | Imperial, Riverside | $6,213,882.00 |
The Family Medicine Obstetrics (FM-OB) Fellowship Subaward Program under Expand and Support Rural Workforce Capacity is intended to fund the programmatic and infrastructure costs of expanding FM-OB fellowship capacity.
| Awarded Entity | Counties Served | Recommended Funding |
|---|---|---|
| Kaweah Health | Tulare, Kings | $441,210.00 |
| San Bernardino County, Arrowhead Regional Medical Center | San Bernardino | $500,000.00 |
| UC San Diego Health | San Diego, Imperial | $498,854.00 |
| Maternal Child Health Fellowship: Fresno Family Medicine Obstetrics | Fresno | $289,039.00 |
Transformative Payments are investments in a select group of rural hospitals whose stabilization is essential to increasing rural access in California. These payments are conditional, milestone-based investments to support hospital participation in feasible components of the TCM to advance long-term sustainability, improve local utilization, and optimize rural and frontier health outcomes.
| Awarded Entity | Counties Served | Recommended Funding |
|---|---|---|
| Adventist Health Howard Memorial | Mendocino | $2,563,636.00 |
| Adventist Health Sonora | Tuolumne, Mariposa, Calaveras, Stanislaus, Alpine | $2,563,636.00 |
| Adventist Health Tehachapi Valley | Kern | $2,563,636.00 |
| Adventist Health Ukiah Valley | Mendocino | $2,563,636.00 |
| Fairchild Medical Center | Siskiyou | $2,563,636.00 |
| Mayers Memorial Hospital District | Shasta, Lassen, Modoc | $3,863,636.00 |
| Mee Memorial Healthcare System | Monterey | $3,863,636.00 |
| Pioneers Memorial Hospital | Imperial | $3,363,636.00 |
| Ridgecrest Regional Hospital | Kern | $3,863,636.00 |
| San Benito Healthcare District/Hazel Hawkins Memorial Hospital | San Benito | $3,363,636.00 |
| Sierra View Medical Center | Tulare | $3,863,636.00 |
Workforce Development
The Workforce Development Recruitment and Retention Program (WDRR) aims to strengthen and sustain the rural healthcare workforce by improving recruitment, retention, and training for health professionals, with a focus on those who provide primary care and maternal health services.
| Awarded Entity | Counties Served | Recommended Funding |
|---|---|---|
| Adventist Health System/West | Calaveras, Fresno, Lake, Mendocino, Napa, Tehama, Tulare, Tuolumne | $1,592,830.00 |
| Ampla Health | Butte, Colusa, Glenn, Tehama | $1,548,913.00 |
| Apex Medical Group | Merced | $1,700,000.00 |
| Aria Community Health Center | Fresno, Kings, Tulare | $1,000,000.00 |
| Banner Health Foundation | Lassen | $620,000.00 |
| Barton Memorial Hospital | El Dorado | $170,446.00 |
| Castle Family Health Centers, Inc. | Merced | $562,500.00 |
| Catalina Island Health | Los Angeles | $216,153.00 |
| Clinica Sierra Vista | Kern | $999,625.00 |
| Colorado River Medical Center | San Bernardino | $716,667.00 |
| CommuniCare+OLE | Napa | $675,102.00 |
| DAP Health, Inc. | Riverside, San Diego | $906,058.00 |
| Eastern Plumas Health Care | Plumas, Sierra | $419,000.00 |
| El Dorado County Community Health Center | El Dorado | $341,000.00 |
| Fairchild Medical Center | Siskiyou | $1,000,000.00 |
| Family Health Centers, Inc. | Fresno, Tulare | $622,500.00 |
| Feather River Tribal Health, Inc. | Butte | $526,992.00 |
| Fortuna Family Medicine | Humboldt | $888,000.00 |
| Good Samaritan Hospital, LP | Kern | $340,278.00 |
| Health Alliance of Northern California | Lassen, Nevada, Placer, Shasta, Sierra, Siskiyou, Yuba | $1,861,538.00 |
| Healthy Rural California, Inc. | Butte, Glenn, Lassen | $1,999,831.00 |
| Imperial Clinica | Imperial | $1,000,000.00 |
| Jerod Phelps Community Hospital, Southern Humboldt Community Clinic | Humboldt | $357,500.00 |
| Kno’Qoti Native Wellness, Inc. | Glenn, Lake | $989,900.00 |
| Legacy MD Medical Group, Inc. | Imperial | $1,182,017.00 |
| MACT Health Board, Incorporated | Amador, Calaveras, Mariposa, Tuolumne | $995,000.00 |
| Mathiesen Memorial Health Clinic | Tuolumne | $791,209.00 |
| Mayers Memorial Hospital District | Shasta | $635,000.00 |
| Mee Memorial Healthcare System | Monterey | $849,246.00 |
| Mendonoma Health Alliance | Mendocino | $891,892.00 |
| Mercy Medical Center Mt. Shasta | Siskiyou | $288,000.00 |
| Mountain Communities Healthcare District | Trinity | $997,500.00 |
| North Edge | Humboldt, Mendocino | $1,999,999.00 |
| NorthBay Healthcare Corporation | Solano, Yolo | $1,000,000.00 |
| Northern Inyo Healthcare District | Inyo | $332,030.00 |
| Oak Valley Hospital District | Mariposa, San Joaquin, Stanislaus | $261,905.00 |
| Omni Family Health | Fresno, Kern, Tulare | $1,000,000.00 |
| Pacific Central Coast Health Centers | San Luis Obispo | $137,425.00 |
| Palo Verde Hospital | Riverside | $850,000.00 |
| Pioneers Memorial Hospital | Imperial, San Diego | $1,030,863.00 |
| Pit River Health Service | Modoc, Shasta | $388,370.00 |
| Plumas District Hospital | Plumas | $800,000.00 |
| Providence Medical Foundation | Humboldt | $450,000.00 |
| Reach Out West End | San Bernardino | $1,793,643.00 |
| Riverside-San Bernardino County Indian Health, Inc. | Riverside, San Bernardino | $888,889.00 |
| Round Valley Indian Health Center, Inc. | Mendocino | $794,444.00 |
| SAC Health System | San Bernardino | $1,055,735.00 |
| San Benito Health Foundation | San Benito | $913,043.00 |
| San Benito Hospital District | San Benito | $563,158.00 |
| San Diego State University Research Foundation | Imperial, Riverside | $1,110,302.00 |
| Seneca Healthcare District | Plumas | $255,691.00 |
| Sequoia Family Medical Center | Tulare | $845,070.00 |
| Sierra Nevada Memorial Miners Hospital | Nevada | $998,240.00 |
| Sierra View Medical Center | Tulare | $845,000.00 |
| Sonoma Valley Hospital | Sonoma | $550,000.00 |
| Southern Inyo Healthcare District | Inyo | $1,000,000.00 |
| St. Elizabeth Community Hospital | Tehama | $88,600.00 |
| Stallant Medical Group Inc. | Del Norte | $1,000,000.00 |
| Sutter Coast Hospital | Del Norte | $1,000,000.00 |
| Tahoe Forest Hospital District | Nevada | $998,208.00 |
| Toiyabe Indian Health Project, Inc. | Inyo, Mono | $607,675.00 |
| Tuolumne Me-Wuk Indian Health Center, Inc. | Tuolumne | $437,704.00 |
| United Health Centers of the San Joaquin Valley | Fresno, Kern, Kings, Tulare | $629,280.00 |
| United Indian Health Services, Inc. | Del Norte, Humboldt | $860,028.00 |
| Valley Health Team, Inc. | Fresno, Inyo, Tulare | $1,000,000.00 |
Technology & Tools
Electronic Health Record (EHR) Modernization Grants fund the foundational systems required for basic data exchange by ensuring rural facilities can purchase and sustain modern, secure EHRs, and funding is directed to the entities and activities that support implementation and scale.
| Awarded Entity | Counties Served | Recommended Funding |
|---|---|---|
| Catalina Island Health | Los Angeles | $383,333.00 |
| Hill Country Community Clinic | Shasta | $485,197.00 |
| John C. Fremont Healthcare District | Mariposa | $2,000,000.00 |
| Lompoc Valley Medical Center | Santa Barbara | $333,191.00 |
| Oak Valley Hospital District | Stanislaus | $2,000,000.00 |
| Shasta Cascade Health Centers | Siskiyou | $1,185,019.82 |
| Sonoma Valley Hospital | Sonoma | $1,183,655.00 |
| Southern Inyo Healthcare District | Inyo | $2,000,000.00 |
| Tuolumne Me-Wuk Indian Health Center, Inc. | Tuolumne, Mariposa | $388,000.00 |
Important Award Information
The awards listed on this page are tentative. Additional awards are pending and will be added to this page as they become available.
Funding will not be finalized until HCAI and the selected organization have fully executed a subrecipient agreement. Selected organizations should not hire staff, begin project activities, obligate funds, or incur project-related expenses before the agreement is fully executed. Costs incurred before agreement execution are not eligible for reimbursement.
HCAI may modify or withdraw a tentative award before execution of the subrecipient agreement if required because of federal funding decisions, changes in funding availability, federal requirements, or the results of the compliance review process.
The CalRHT program is supported by the Centers for Medicare & Medicaid Services (CMS) of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance award totaling $233,639,308.46 with 100 percent funded by CMS/HHS. The contents are those of CalRHT and do not necessarily represent the official views of, nor an endorsement, by CMS/HHS, or the U.S. Government.