The REACH Healthcare Foundation has witnessed significant changes in the healthcare ecosystem and policy over our 23-year history, but never as swift or as substantial as those introduced in 2025. From an intentional dismantling of major federal health agencies and grant programs, to changing guidelines on life-saving vaccines, to hastily issued anti-DEI Executive Orders, to overt efforts to limit voter participation, the Foundation and our nonprofit partners have faced significant headwinds in our efforts to advance health equity.
It might seem like an odd time to embark upon strategic planning during a time of chaos and upheaval, but that is exactly what the Foundation has done. In June 2025, the Board of Directors launched a nearly year-long community engagement and planning process to inform our future work and investment priorities. We revisited our legal obligations under the original settlement agreement that established REACH and partnered with the Mid America Regional Council to update population and demographic data across our six-county service area.
The Board took to the road in 2025, visiting our partners in Allen County and Lafayette County, just as we had visited Cass County the year prior. Staff coordinated a series of “Partners in Action” sessions, which allowed our Board to visit area nonprofit organizations and hear directly from those leading in the areas of rural health, racial equity, immigrant and refugee services, and policy advocacy. Each time, we walked away in absolute awe of the work being done to improve healthcare access and reduce the uninsurance rate across our region. These organizations and leaders are trusted experts in the community, and REACH is proud to support them.
In the fall, the Board contracted consultants from Community Wealth Partners to manage a robust community engagement process. They and our staff leadership engaged more than 85 voices in substantive conversations to learn more about their perceptions of the Foundation, needs they see in the community, and their vision for the future. While we are still sifting through the thoughtful feedback we received and won’t announce our official new strategic plan until the summer of 2026, we heard one thing loud and clear: “Stay the course!”
We are listening, and REACH will indeed stay the course. The Foundation will continue to center health and racial equity in everything we do. We will continue to support direct care and access to people who are low-income and uninsured. We will continue to support civic and voter engagement year-round. We will continue to speak in support of newcomers to our country seeking a better life.
And we ask this of you, our stakeholders, neighbors, and friends: now is the time to raise your voice in support of the health and human services needed to protect the well–being of everyone in our community. Advocate for adherence to evidence-based and peer-reviewed science. Communicate with your local, state, and federal elected officials with your support for funding of critical safety– net healthcare services and expanded eligibility for public health benefits.
Together, we can weather the storms of today to ensure equitable access and coverage for all in the future.
In 2024, the foundation’s role in advancing public policy was on full display, despite the mid-year departure of our long-time and beloved Director of Public Policy, Pattie Mansur. REACH partnered closely with Kansas Governor Laura Kelly, the Alliance for a Healthy Kansas, hundreds of advocates, the business community, and our philanthropy colleagues on a proposal to expand the state’s Medicaid program, KanCare, and we saw progress. In hearings in both the Kansas House and Senate, proponent testimony dwarfed that of opponents. Sadly, despite those efforts and tremendous public support for expansion, key leaders in the Kansas legislature once again denied a floor vote on this life-saving legislation.
In Missouri, we were successful in bringing together legislators and health service providers experiencing tremendous challenges with enrolling their patients and clients in MO HealthNet, the state’s Medicaid program, and in collecting millions of dollars in back payments from the state. Challenges remain, but significant strides were made to improve timeliness of payments and raise awareness with legislative leaders and state program administrators, resulting in process and technology improvements.
REACH also made clear our support for Missouri Amendment 3, the Right to Reproductive Freedom Initiative, which passed a statewide referendum by a clear majority but remains under attack. We continue to monitor the Missouri General Assembly’s efforts to reverse the people’s will and will respond accordingly to ensure that a patient’s healthcare decisions remain between them and their provider, free of government intervention.
REACH’s past and current investments to build the capacity of our advocacy partners in Kansas and Missouri, support research on the impacts of expansion and related proposals to reform Medicaid, and build coalitions to educate the public are paying dividends in the face of federal funding cuts currently under consideration in the U.S. Congress. Our experience tells us that policy work is a long-game, and we are encouraged that advocates are better prepared than ever to tell the stories of thousands of Kansans and Missourians who deserve affordable, quality health care access.
Public policy advocacy takes a toll on leaders and their organizations. Recognizing this, REACH and our health funder colleagues supported special funding in 2024 to the Alliance for a Healthy Kansas to provide respite, development, and training to allow advocates the space and resources needed to restore and sustain their efforts after nearly 15 years of advocacy on the Medicaid issue. Combined with a second year of REACH Wellness Grants to nearly 27 nonprofits partners across our service area, we sought to reinforce the importance of self-care and rest.
Early in the year, the Board of Directors did a deep dive on the state of rural health with a day-long tour and visits with our funded partners in Cass County, Missouri. Topics of discovery included mental health services delivery, the face of DEI in rural settings, school and community-based partnerships, the many roles public health departments play in rural America, and post-pandemic challenges that continue to be faced by service providers. Rural community investment remains a high priority for the foundation.
Readers will note that this year’s report places a special focus on the foundation’s steadfast commitment to advance a more diverse, equitable, inclusive, and accessible health ecosystem in our service area. The Centering Black Voices initiative, launched in 2019 under the leadership of our outstanding VP of Programs, Carla Gibson, has continued to evolve the foundation’s overall grantmaking practices and capitalize on tools and strategies the foundation has found to be effective since our inception.
Our approach of engaging highly competent, culturally aligned consultants to assist our nonprofit partners has roots in prior initiatives launched by the foundation—Medical Home, Cultural Competency, and Communities Concerned for Immigrants and Refugees. In 2024, REACH reemphasized that strategy by making technical assistance and expertise more accessible to Black leaders of grassroots organizations doing innovative, but often overlooked, work to advance health and healthcare access in our community. Both consultants and technical assistance recipients alike have found deep value in this effort, and we encourage other funders to consider this form of resource investment.
REACH ended the year with two special convening sessions, planned well ahead of election season but proving incredibly timely in hindsight. In November, we brought together nonprofit leaders and our philanthropic colleagues to understand the anti-DEI litigation and legislation landscape and potential legal considerations for the nonprofit sector. In December, we were thrilled to host a session with national experts from Kaiser Health News, David Rousseau and Julie Rovner, who provided a timely and candid recap of the health policy changes most likely to be pursued over the next four years of the new administration.
This report includes only a few of the major highlights of an eventful and productive year. We also want to acknowledge the everyday contributions made to advance the mission and vision of REACH by our fellow Board members, our small but talented and courageous staff, and our tenacious community partners and key stakeholders who put the public’s health above all else. We encourage you to review the list of all 80 organizations supported by REACH in 2024, visit their websites, and think about your own role in advancing their meaningful work. Lastly, in these tumultuous times, we encourage all our stakeholders to take care of themselves and their neighbors, as the work ahead requires each of us to draw on our strength and resolve to sustain and expand the health of our region.
REACH’s community investment approach continues to be grounded in feedback from partners and community members across our region. Hearing and listening from the community serves as both a learning avenue and guide, ensuring that our grantmaking aligns with the realities and needs on the ground while advancing more equitable health outcomes.
In 2025, the Foundation’s investments reflected a continued commitment to supporting partners at a time when stability and flexibility were critical. More than $2.2 million was awarded toward Strengthening the Safety Net, with the majority provided as unrestricted support to core partners to sustain essential services and strengthen organizational capacity.
Through Bridge the Coverage Divide, the Foundation continues investing in trusted, community-based efforts that help priority populations access and maintain health care services. Investments totaling over one million dollars in support of care connectors helped individuals navigate complex health and social services, while civic engagement investments supported access to information and strengthened community voice around issues that impact health, coverage, and well-being.
Over $960,000 was also invested in Close the Health Equity Gap to ensure ongoing support of communities disproportionately impacted by barriers to care. The Foundation’s efforts, focused on integrating the learnings from Centering Black Voices into all of its grantmaking, strengthening immigrant and refugee communities, and addressing growing concerns in rural communities where partners faced uncertainty around hospital closures, funding instability, and the impact of the Rural Transformation funding on long-term access to care.
In 2025, REACH launched the first year of the Rapid Equity Fund creating a new partnership with Wyandotte Health Foundation. This collaborative grantmaking opportunity was shaped by direct feedback from community partners who shared the need for faster, more flexible support with fewer administrative barriers. At a time when many organizations were navigating funding cuts and ongoing uncertainty, the fund was designed to respond with flexibility, trust, and responsiveness.
In its first year, the Rapid Equity Fund awarded a total of $91,500 across 19 organizations. These investments supported timely, community-driven responses to urgent and evolving needs, from expanding access to mental health services to strengthening care coordination and health navigation efforts. The fund reflected the essence of a trust-based approach to grantmaking that was steeped in shifting power with those that are closest to the work.
“At a time when many government–funded programs were being cut without notice, this funding gave us the flexibility to meet people where they were and respond to real needs in real time. It strengthened our programs and affirmed the importance of community-led solutions.”
In fall 2025, REACH began its next phase of strategic planning that was informed by many conversations with partners, community members, and those closest to the needs of priority populations across Kansas and Missouri. This process was designed to shape a future direction for the foundation that meets the needs, addresses the challenges, and seizes the opportunities in the years ahead.
Throughout these rich conversations, several priorities remained clear. The foundation should continue its commitment to expanding access to care through investing in care connectors, strengthening support for immigrant and refugee communities, and advancing racial equity through Diversity, Equity, Inclusion, Accessibility, and Belonging (DEIAB) efforts. These focus areas reflect both sustained commitments and the ongoing needs identified by partners across the region.
Care connectors continue to be a critical part of advancing access to care across the community. These trusted individuals serve as a bridge between people and the systems designed to support the health and well-being of our communities.
Care connectors meet individuals and families where they are, helping people understand and navigate complex and often fragmented systems to connect them to coverage, care and essential social resources. Their presence builds trust and creates pathways to care that might not otherwise exist.
In many cases, Care Connectors are the difference between someone going without care and someone getting their needs met. Their work reflects the importance of meeting people where they are, building upon trusted community relationships, and imbedding the work in community to improve health outcomes.
The Foundation remains committed to sustaining and strengthening the efforts of care coordination and benefit enrollment services, recognizing that access to care and coverage is not only about availability, but also about building trust, connection, and the ability to navigate complex health and social systems with confidence.
“Funding from the REACH Foundation is critical to the continuation of our work with Community Health Workers in our rural communities. CHW’s support our work in both clinical and community-based settings, allowing our patients to have a more thorough understanding of the resources available to them as they navigate their health and social needs.”
In 2025, immigrant and refugee communities across the region experienced increased fear and uncertainty, driven in part by heightened federal immigration enforcement. These conditions created additional barriers to care, often leading individuals and families to delay or avoid seeking essential health services.
Despite these challenges, REACH remained steadfast in our belief that everyone deserves access to quality, affordable health care, regardless of citizenship status. This commitment continued to guide investments throughout the year and build our immigrant health portfolio.
Support for organizations deeply rooted in immigrant and refugee communities remained a critical part of this work. Partners such as El Centro, Children’s Mercy Hospital (Adelante), Better Together, Juntos (KU), and others continued to provide culturally responsive care and support, helping individuals and families access services with dignity, safety, and trust, even in the face of uncertainty.
Amid a shifting national landscape where efforts to advance DEIAB were under attack, the Foundation remained committed and alongside our partners in this work. Through our partnership with the Community Health Commission of Missouri, a series of DEIAB workshops were convened to understand historical context, build shared understanding, strengthen practices, and support more equitable outcomes across health and social services.
These sessions created space for learning, reflection, and authentic dialogue. Participants explored how racial equity showed up in their work and identified opportunities for organizations and systems to better reflect and respond to the communities they serve.
The conversations reinforced a consistent truth: advancing racial equity requires a bold ongoing commitment. It calls for intentional practice, openness to learning, and a willingness to adapt in response to changing conditions. As this work continues to evolve, the Foundation remains committed to embedding these principles not only in its funding, but also in how we show up to listen, lead, and evolve.
The REACH Foundation is governed by a 17-member board of directors who reside within the foundation’s six-county service area. REACH Board members bring diverse demographic and life experiences, passion for the communities where they live and work, and governance, civic, nonprofit and business expertise.