Strengthening Small and Rural Hospitals

Small hospitals that provide key medical services to rural residents—in some cases, to those who might not have access to any other health care providers—face increasing financial challenges that ultimately can impact their ability to provide quality care. To support the quality of health care in rural communities, The Duke Endowment seeks to strengthen hospitals in North Carolina and South Carolina.


Small and Rural Hospitals Face Financial Challenges

In communities that are isolated geographically, a single hospital often provides crucial care for residents of all ages. Small and rural hospitals, however, face increasing financial challenges: competing for medical and health care professionals, maintaining financial sustainability, improving quality of care, and investing in state-of-the-art technologies and facilities. These challenges impact the quality of service in rural communities and jeopardize the sustainability of hospitals—ultimately placing the well-being of patients at risk.


Investing in Rural Hospitals

To help small and rural hospitals operate more efficiently and serve patients better, The Duke Endowment has supported investment in new technologies and equipment; education and training opportunities for medical and health care providers working in rural hospitals; development of programs that promote health and well-being, increased access to care and improved quality of care; and construction and renovation of medical care facilities serving rural communities.


Area of Work

  • Quality and safety of health care

Program Area

  • Health Care

Grantmaking Status

Areas of Work

  • Prevention and early intervention for at-risk children

    To equip children and families with skills to ensure that children reach developmental milestones to lead successful lives.

  • Out-of-home care for youth

    To drive child welfare systems toward greater accountability for child well-being.

  • Quality and safety of health care

    Improving the quality and safety of health care delivery

  • Access to health care

    Improving health by increasing access to comprehensive care

  • Prevention

    Expanding programs to promote health and prevent disease

  • Academic excellence

    Enhancing academic excellence through program and campus development

  • Educational access and success

    Increasing educational access and supporting a learning environment that promotes achievement

  • Campus and community engagement

    Promoting a culture of service, collaboration and engagement among schools and communities

  • Rural church development

    Building the infrastructure and capacity of United Methodist churches to enhance ministry and mission

  • Clergy leadership

    Strengthening United Methodist churches by improving the quality and effectiveness of church leadership

  • Congregational outreach

    Engaging United Methodist congregations in programs that serve their communities