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Best Grants for Nonprofit Healthcare Programs in Washington

Looking for grants for Nonprofit Healthcare Programs in Washington? Find the perfect grant for your nonprofit on Instrumentl.

256

Available grants

$71.3M

Total funding

$10.6K

Median grant

256 grants
$71.3M total
$10.6K median

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256 Results based on applied filters

Arcora Foundation: Sponsorships

Delta Dental Of Washington
Private
Washington
US $1,000 - US $10,000
The Arcora Foundation offers sponsorships ranging from $1,000 to $10,000 to support Washington state organizations focused on reducing barriers to oral health care. Their mission emphasizes equity, aiming to uplift community-led initiatives that promote health and prevent disease. Applications should be submitted at least 8 weeks before the event, as sponsorship requests are considered monthly. This funding is not available for individual dental care.
Dental Health Health Disparities & Social Determinants of Health Health Care Access & Delivery +1 more

Community Health Improvement Grant

Commonspirit Health
Private
Arizona, Arkansas +19 more
Up to US $150,000
CommonSpirit Health offers the Community Health Improvement Grant to enhance health equity and service systems for underserved populations. Through collaborative efforts with 501(c)(3) organizations, this initiative provides financial support for essential health projects. Grant amounts range from $19,500 for small grants to $150,000 for standard grants, varying by hospital. Participating hospitals include those under Catholic Health Initiatives and Dignity Health, aimed at addressing significant community health needs.
Health Care Access & Delivery Health Disparities & Social Determinants of Health Health & Medicine +1 more

L.B. Research and Education Foundation Grant Program

The L B Research And Education Foundation
Private
Alabama, Alamance County, North Carolina +132 more
US $10,000 - US $75,000
The L.B. Research and Education Foundation Grant Program supports U.S.-based nonprofits focusing on innovative education and health solutions for underserved populations. Eligible organizations can apply by submitting a 400-word concept paper, and selected applicants may receive funding ranging from $10,000 to $75,000. The Foundation prioritizes projects that foster critical thinking and creativity, address health disparities, and encourage collaboration. There are no application deadlines, promoting year-round engagement.
Health Disparities & Social Determinants of Health Mental Health & Psychiatric Diseases Educational Access & Equity +8 more

The Zinnia Grant

Marie Lamfrom Charitable Foundation 091898
Private
Oregon, Washington
US $250,000 - US $350,000
The Zinnia Grant is a competitive funding opportunity aimed at making a significant impact in Oregon organizations. It typically awards between $250,000 and $350,000 annually for a three-year term. Eligible applicants must have an operating budget over $1M and a proven track record of previous grants. This grant emphasizes a commitment to equity and is designed to streamline the application process for organizations aligned with the foundation's mission.
Art & Culture Architecture Education +10 more

LHGM General Operating Grant

Larry H Miller & Gail Miller Family Foundation
Private
Arizona, Colorado +5 more
Up to US $10,000
The Larry H. & Gail Miller Family Foundation offers General Operating Grants aimed at 501(c)(3) nonprofits that serve the west side of Salt Lake City. Grants of up to $10,000, with an average of $5,000, support initiatives in health, shelter, education, economic self-reliance, and cultural enrichment. Applications are reviewed monthly. Organizations must be registered as nonprofits and align with the Foundation's focus areas to be eligible for funding.
Community Culture & Heritage Basic Human Needs Religion & Spirituality +3 more

J.R. Simplot Company Foundation Grant

J R Simplot Company Foundation Inc
Private
Arkansas, California +8 more
Unspecified amount
The J.R. Simplot Company Foundation Grant supports U.S. non-profit organizations focused on art, education, youth, community, and global food and agriculture. Established in 1929, the foundation is committed to enhancing community welfare through creative cultural endeavors, educational initiatives, health services, and youth programs. Applications are reviewed quarterly, ensuring a timely response to organizations dedicated to making a positive impact in their communities.
Performing Arts Visual Arts Education - Higher Education +5 more

Holman Enterprises Community Grants

Holman Enterprises Inc
Corporate
Florida, New Jersey +2 more
US $10,000 - US $75,000
Holman Enterprises Community Grants aim to support low-income communities by providing essential resources like food, housing, education, and healthcare. With financial aid of $10,000 for single-year support or $15,000 for multi-year commitments, these grants focus on organizations dedicated to enhancing opportunities for low-income individuals in the areas served. This initiative reflects Holman Enterprises Inc's commitment to community welfare and social responsibility.
Basic Human Needs Food Access & Hunger Economic Services & Development +4 more

James M Cox Foundation Grant

James M Cox Foundation Of Ga Inc
Private
Alabama, Arizona +33 more
Unspecified amount
The James M. Cox Foundation Grant offers support to nonprofit organizations focused on conservation, early childhood education, family empowerment, and health. Organizations must be 501(c)(3) tax-exempt and located in areas where Cox Enterprises operates. Grant applications are accepted year-round, with deadlines before Trustee meetings. Preference is given to organizations with a history of local engagement. This foundation embodies the philanthropic spirit of its founder, James M. Cox, by giving back to the community.
Environmental Conservation Environment Education - Preschool / Early Learning +3 more

Carolyn L. Kuckein Student Research Fellowship​​

Alpha Omega Alpha Honor Medical Society
Private
Alabama, Arizona +45 more
US $7,000
The Carolyn L. Kuckein Student Research Fellowship, awarded by Alpha Omega Alpha Honor Medical Society, supports first and second-year medical students conducting research over 2 to 12 months. With a total funding of $7,000, students can receive reimbursement for travel expenses up to $1,000 for presenting their findings at national conferences. Eligibility requires enrollment in schools with active AΩA chapters, while those taking a year off for research or holding a PhD are ineligible.
Medical Education & Professional Training Health & Medicine Epidemiology & Public Health +1 more

WA New & Recompete AmeriCorps Operational Grant

Serve Washington
State/Local Government
Washington
Unspecified amount
The WA New & Recompete AmeriCorps Operational Grant supports organizations ready to launch or renew AmeriCorps programs, enhancing national service and community engagement in Washington. This funding is ideal for new applicants or those completing a three-year grant cycle. It focuses on impactful service areas such as disaster relief, education, and economic opportunity, aiming to strengthen community resilience and address local needs effectively.
Renewable/Sustainable Energy Military & Veterans Services Senior Services +13 more

CommonSpirit Health Community Sponsorships Program

Commonspirit Health
Private
Arizona, Arkansas +21 more
Unspecified amount

About CommonSpirit

A calling that defines and unites

At CommonSpirit Health, we passionately care for the most vulnerable, relentlessly innovate how and where healing can happen and believe in uniting to benefit the common good. Our expansive network spans diverse communities, uniquely positioning us to meet their changing needs, improve population health and help chart the path to health equity.

Our mission, vision and values inform every aspect of our work each day and remind us that we serve our patients, their families, our communities – and each other. Our community health, research and home health programs help us address the primary barriers to healthier communities.

Sponsorship requests

We’re proud to support nonprofits that expand access to care, advance health equity and healthier communities. Learn more about our priorities.

Supporting our communities

CommonSpirit Health and our local facilities support nonprofit organizations that share our mission, vision and values. We give priority to programs that improve access to care and promote health equity and healthier communities.

CommonSpirit is proud to support nonprofit organizations that help improve the health and well-being of our communities. Guided by our mission, vision and values, we prioritize projects that focus on advancing health equity, improving access to care and improving community wellness.

Health Care Access & Delivery Wellness & Healthy Living Homelessness Services +11 more

WA AmeriCorps Continuation Grants

Serve Washington
State/Local Government
Washington
Unspecified amount
The WA AmeriCorps Continuation Grants support organizations entering the second or third year of a three-year operational grant cycle. This funding opportunity is geared towards organizations already funded by Serve Washington, allowing them to recompete for continued support. It is not intended for new applicants or those seeking funding for programs not previously supported. Focus areas include disaster services, economic opportunity, education, environmental stewardship, healthy futures, and support for veterans.
Civic Engagement & Education Renewable/Sustainable Energy Military & Veterans Services +13 more

WSOS Baccalaureate Scholarship

Washington State Opportunity Foundation (WSOS)
Private
Washington
Up to US $22,500
The Washington State Opportunity Scholarship (WSOS) Baccalaureate Scholarship supports Washington residents pursuing high-demand STEM and healthcare degrees. With up to $22,500 in financial aid, it covers tuition and essential costs like housing and transportation. WSOS is inclusive, accepting undocumented applicants and focusing on students with financial needs. The program emphasizes career support to ensure scholars succeed from college to their first job, making it an excellent choice for future professionals in critical fields.
Education - Higher Education Medical Education & Professional Training Academic Scholarship Programs +2 more

Charis Fund Grant

Charis Fund
Private
California, Nevada +2 more
US $2,500 - US $7,500
The Charis Fund Grant supports non-profit organizations in California, Oregon, Washington, and Nevada, focusing on social welfare, health, and education. Grants range from $2,500 to $7,500, aimed at addressing issues such as housing, food insecurity, and support for at-risk youth. Eligible organizations must be 501(c)(3) certified and can apply every three years, with specific restrictions on funding for arts and political activities.
Human & Social Services Homelessness Services Food Access & Hunger +7 more

BECU Foundation: People Helping People Awards

BECU Foundation
Private
Benewah County, Idaho, Benton County, Oregon +21 more
Up to US $50,000
The BECU Foundation's People Helping People Awards honor exceptional nonprofit work in communities served by BECU. Each year, BECU members can nominate organizations for grants up to $50,000. Eligible nonprofits must be active 501(c)(3) organizations with a direct impact in Idaho, Oregon, South Carolina, or Washington. This initiative highlights the importance of community service and encourages members to recognize local heroes making a difference.
Art & Culture Arts / Culture Access & Participation Art Education +33 more

Tulalip Cares: Charitable Fund Grant

Tulalip Tribes
State/Local Government
Washington
Unspecified amount
The Tulalip Cares: Charitable Fund Grant aims to promote a sustainable community by providing financial support to eligible charitable organizations in Washington State. Since 1993, this initiative has significantly impacted local communities, focusing on arts, education, social services, and youth programs. With over 50 million dollars allocated to more than 245 organizations, the Tulalip Tribes encourage collaborative efforts to enhance the quality of life in the region, prioritizing funding for those located in Snohomish County.
Art & Culture Education Environment +6 more

Middle Run Foundation Grant

Middle Run Charitable Foundation
Private
United States
US $5,000 - US $50,000

Home

The Middle Run Foundation is a family-governed foundation based in Newark, Delaware. The Board of the foundation is chaired by Sarah Ives Gore, its founder, and includes her children, grandchildren, and non-family members who bring experience and expertise to our work.

About

Purpose:

The purpose of the foundation is to fund and support non-profit programs which focus on building healthy, self-sufficient families.

Apply

The Middle Run Foundation makes grants up to $500,000 annually with individual grants ranging from $5,000 to $50,000.

Basic Human Needs Homelessness Services Food Access & Hunger +3 more

American Fundraising Foundation Inc Request Support

American Fundraising Foundation Inc
Private
United States
Unspecified amount

Mission

To empower worthy nonprofits by providing critically needed, unrestricted funding that helps them fulfill their missions with confidence and sustainability.

How We Serve Nonprofits

AmFund partners with nearly 800 organizations annually—supporting causes related to health, education, the arts, human services, animal welfare, and more. We’re known for our:

  • Signature silent and live auctions featuring once-in-a-lifetime travel experiences.
  • National reach with personalized service at events in all 50 states.
  • Comprehensive marketing toolkits, onsite staff support, and beautifully displayed materials
  • No-cost platform development for virtual and hybrid fundraising
  • In-house travel specialists who provide custom planning, extensions, insurance, and 24/7 emergency support.
  • Ongoing educational resources, grants, and consulting support for nonprofit development.

Request Support

Our model is built on relationship, trust, and results. Every trip sold, every service provided, and every donor interaction is designed to maximize your fundraising impact—without adding burden to your team.

Health Care Access & Delivery Health Disparities & Social Determinants of Health Educational Access & Equity +3 more

NAFC Response & Emergency Needs Fund

National Association of Free and Charitable Clinics Inc
Private
United States
US $5,000 - US $10,000

NAFC Open Grant/Product Donation Applications

The National Association of Free and Charitable Clinics (NAFC) is the only nonprofit 501c(3) organization whose mission is solely focused on the issues and needs of the medically underserved throughout the nation and the more than 1,400 Free and Charitable Clinics that serve them. The NAFC has earned the Platinum Seal of Transparency from GuideStar and a 4-Star rating from Charity Navigator. Founded in 2001 and headquartered near Washington, D.C., the NAFC is working to ensure that the medically underserved have access to affordable quality healthcare and strives to be a national voice promoting quality healthcare for all. For more information about the NAFC, including how to become a member, please visit https://www.nafcclinics.org.

NAFC Response & Emergency Needs Fund

The NAFC Response & Emergency Needs Fund is designed to address urgent and unforeseen challenges that threaten operations or patient access to care within NAFC member organizations. These organizations often operate with limited reserves, making them especially vulnerable to unexpected repairs, equipment failures, workforce disruptions, or community emergencies. This fund provides rapid, flexible support to help stabilize operations and ensure continuity of care for uninsured and underserved patients.

Patient Care & Services Health Care Access & Delivery Health Facilities & Clinics

NAFC Healthcare Services Expansion Fund

National Association of Free and Charitable Clinics Inc
Private
United States
US $30,000 - US $50,000

NAFC Open Grant/Product Donation Applications

The National Association of Free and Charitable Clinics (NAFC) is the only nonprofit 501c(3) organization whose mission is solely focused on the issues and needs of the medically underserved throughout the nation and the more than 1,400 Free and Charitable Clinics that serve them. The NAFC has earned the Platinum Seal of Transparency from GuideStar and a 4-Star rating from Charity Navigator. Founded in 2001 and headquartered near Washington, D.C., the NAFC is working to ensure that the medically underserved have access to affordable quality healthcare and strives to be a national voice promoting quality healthcare for all. For more information about the NAFC, including how to become a member, please visit https://www.nafcclinics.org.

NAFC Healthcare Services Expansion Fund

The NAFC Healthcare Services Expansion Fund supports the launch or expansion of clinical programs and new service areas that increase access to care for underserved patients. This funding is designed to help NAFC members introduce new services or grow existing programs that address unmet community health needs and improve access to comprehensive, patient-centered care.

Health Facilities & Clinics Health Disparities & Social Determinants of Health Obstetrics & Neonatal Care +11 more

NAFC Capacity Fund

National Association of Free and Charitable Clinics Inc
Private
United States
US $20,000 - US $30,000

NAFC Open Grant/Product Donation Applications

The National Association of Free and Charitable Clinics (NAFC) is the only nonprofit 501c(3) organization whose mission is solely focused on the issues and needs of the medically underserved throughout the nation and the more than 1,400 Free and Charitable Clinics that serve them. The NAFC has earned the Platinum Seal of Transparency from GuideStar and a 4-Star rating from Charity Navigator. Founded in 2001 and headquartered near Washington, D.C., the NAFC is working to ensure that the medically underserved have access to affordable quality healthcare and strives to be a national voice promoting quality healthcare for all. For more information about the NAFC, including how to become a member, please visit https://www.nafcclinics.org.

NAFC Capacity Fund

The NAFC Capacity Fund supports investments that strengthen clinic and pharmacy infrastructure and organizational effectiveness. This funding is designed to help NAFC members build the systems, tools, and capabilities needed to operate more efficiently, improve quality, and expand their ability to serve patients over time.

Medical Education & Professional Training Telemedicine & Telehealth Health Facilities & Clinics +2 more

GoodRx Helps Community Catalyst Grants

Goodrx Helps Inc
Private
United States
Up to US $250,000
The GoodRx Helps Community Catalyst Grants support community-led nonprofits dedicated to enhancing health and well-being for under-resourced groups. This funding aims to improve healthcare access, education, and essential services, addressing systemic barriers faced by these communities. Eligible organizations must demonstrate a commitment to community empowerment and possess a minimum annual operating budget of $250K. This initiative underscores the importance of fostering sustainable health improvements through targeted, inclusive support.
Health Care Access & Delivery Education Basic Human Needs

NAFC Patient Care Fund

National Association of Free and Charitable Clinics Inc
Private
United States
US $20,000

NAFC Open Grant/Product Donation Applications

The National Association of Free and Charitable Clinics (NAFC) is the only nonprofit 501c(3) organization whose mission is solely focused on the issues and needs of the medically underserved throughout the nation and the more than 1,400 Free and Charitable Clinics that serve them. The NAFC has earned the Platinum Seal of Transparency from GuideStar and a 4-Star rating from Charity Navigator. Founded in 2001 and headquartered near Washington, D.C., the NAFC is working to ensure that the medically underserved have access to affordable quality healthcare and strives to be a national voice promoting quality healthcare for all. For more information about the NAFC, including how to become a member, please visit https://www.nafcclinics.org.

NAFC Patient Care Fund

The NAFC Patient Care Fund supports direct patient services that expand immediate access to care. This funding is designed to help NAFC members meet urgent patient needs by supporting clinical supplies, expanded services, contracted providers, transportation assistance, medication access, and other direct care resources.

Patient Care & Services Health Care Access & Delivery Health Facilities & Clinics +1 more

Breast Cancer Screening & Prevention Initiative Grant

National Association of Free and Charitable Clinics Inc
Private
United States
US $30,000

NAFC Open Grant/Product Donation Applications

The National Association of Free and Charitable Clinics (NAFC) is the only nonprofit 501c(3) organization whose mission is solely focused on the issues and needs of the medically underserved throughout the nation and the more than 1,400 Free and Charitable Clinics that serve them. The NAFC has earned the Platinum Seal of Transparency from GuideStar and a 4-Star rating from Charity Navigator. Founded in 2001 and headquartered near Washington, D.C., the NAFC is working to ensure that the medically underserved have access to affordable quality healthcare and strives to be a national voice promoting quality healthcare for all. For more information about the NAFC, including how to become a member, please visit https://www.nafcclinics.org.

Breast Cancer Screening & Prevention Initiative

The Breast Cancer Screening & Prevention Initiative, supported by the McKesson Foundation and administered by the NAFC, aims to expand access to lifesaving breast cancer screening and prevention services for uninsured and medically underserved. Through this initiative, the NAFC will provide $30,000 grants to members to establish or strengthen breast cancer screening programs in alignment with evidence-based guidelines from the U.S. Preventive Services Task Force and the American Cancer Society. Funding will support activities such as improving patient identification and referral systems, increasing access to mammography services through partnerships or mobile units, strengthening staffing and technology capacity, and providing patient education and case management to ensure follow-through with recommended screenings. By enhancing early detection and preventive care, the initiative seeks to reduce barriers to care and improve health outcomes for women who might otherwise go without critical cancer screening services.

Patient Care & Services Health Care Access & Delivery Health Facilities & Clinics +3 more

Food as Medicine Initiative Grant

National Association of Free and Charitable Clinics Inc
Private
United States
US $20,000

NAFC Open Grant/Product Donation Applications

The National Association of Free and Charitable Clinics (NAFC) is the only nonprofit 501c(3) organization whose mission is solely focused on the issues and needs of the medically underserved throughout the nation and the more than 1,400 Free and Charitable Clinics that serve them. The NAFC has earned the Platinum Seal of Transparency from GuideStar and a 4-Star rating from Charity Navigator. Founded in 2001 and headquartered near Washington, D.C., the NAFC is working to ensure that the medically underserved have access to affordable quality healthcare and strives to be a national voice promoting quality healthcare for all. For more information about the NAFC, including how to become a member, please visit https://www.nafcclinics.org.

Food as Medicine Initiative

The Food as Medicine Initiative, supported by the McKesson Foundation and administered by the NAFC, aims to address food insecurity as a critical driver of health outcomes for uninsured and medically underserved patients. Research continues to demonstrate the strong connection between food insecurity and poor health, including increased risk of chronic conditions such as diabetes, hypertension, obesity, and certain cancers. Through this initiative, NAFC will provide $20,000 grants to member free and charitable clinics to implement or expand food insecurity screening and patient-centered interventions that improve access to healthy food and nutrition education as measured by the US Household Food Security Module or Hunger Vital Signs and patient education focused on food as medicine for eligible patients in order to increase the percentage of patients with improved food security scores within one year of project implementation.

Patient Care & Services Health Care Access & Delivery Community Health Education +4 more

Medication Therapy Management (MTM) Initiative Grant

National Association of Free and Charitable Clinics Inc
Private
United States
US $30,000

NAFC Open Grant/Product Donation Applications

The National Association of Free and Charitable Clinics (NAFC) is the only nonprofit 501c(3) organization whose mission is solely focused on the issues and needs of the medically underserved throughout the nation and the more than 1,400 Free and Charitable Clinics that serve them. The NAFC has earned the Platinum Seal of Transparency from GuideStar and a 4-Star rating from Charity Navigator. Founded in 2001 and headquartered near Washington, D.C., the NAFC is working to ensure that the medically underserved have access to affordable quality healthcare and strives to be a national voice promoting quality healthcare for all. For more information about the NAFC, including how to become a member, please visit https://www.nafcclinics.org.

Medication Therapy Management (MTM) Initiative

The Medication Therapy Management (MTM) Initiative, supported by the McKesson Foundation and administered by the NAFC, aims to improve medication access, adherence, and patient understanding among uninsured and medically underserved populations. Individuals without health insurance often face significant barriers to obtaining prescription medications and receiving the counseling necessary to manage chronic conditions effectively. Through this initiative, NAFC will provide $30,000 grants to member free and charitable clinics and pharmacies to establish or expand Medication Therapy Management programs aligned with recommendations from the American Pharmacists Association. Funding will support activities such as staff certification in MTM, development of standardized protocols, and patient education to help individuals better understand their medications, manage side effects, and support overall treatment plans. By strengthening pharmacist-led care and improving communication between providers and patients, this initiative seeks to enhance medication adherence, improve chronic disease management, and advance better health outcomes for vulnerable patient populations.

Chronic Illnesses Patient Care & Services Health Care Access & Delivery +3 more

Healthcare Access Initiative Grant

National Association of Free and Charitable Clinics Inc
Private
United States
US $20,000

NAFC Open Grant/Product Donation Applications

The National Association of Free and Charitable Clinics (NAFC) is the only nonprofit 501c(3) organization whose mission is solely focused on the issues and needs of the medically underserved throughout the nation and the more than 1,400 Free and Charitable Clinics that serve them. The NAFC has earned the Platinum Seal of Transparency from GuideStar and a 4-Star rating from Charity Navigator. Founded in 2001 and headquartered near Washington, D.C., the NAFC is working to ensure that the medically underserved have access to affordable quality healthcare and strives to be a national voice promoting quality healthcare for all. For more information about the NAFC, including how to become a member, please visit https://www.nafcclinics.org.

Healthcare Access Initiative

The Healthcare Access Initiative, supported by the McKesson Foundation and administered by the NAFC, aims to expand access to essential healthcare services for uninsured and medically underserved individuals. Free and charitable clinics and pharmacies play a critical role in ensuring that patients who fall outside traditional healthcare systems can receive timely, high-quality care. However, many clinics face barriers related to staffing, care coordination, technology, and patient outreach that limit their ability to meet growing community needs. Through this initiative, NAFC will provide $20,000 grants to member clinics and pharmacies to strengthen programs that increase access to primary care, specialty services, and preventive care. Funding will support innovative and practical approaches that reduce barriers to care, improve patient engagement, and expand the capacity of clinics to serve vulnerable populations.

Patient Care & Services Health Care Access & Delivery Health Facilities & Clinics +3 more

Grants for Nonprofit Healthcare Programs in Washington Highlights

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Read more about each grant below or start your 14-day free trial to see all grants for nonprofit healthcare programs in Washington recommended for your specific programs.

Grant Insights : Grant Funding Trends in Washington

Average Grant Size

What's the typical amount funded for Washington?

Grants are most commonly $253,657.

$253,657

Total Number of Grants

What's the total number of grants in Grants for Nonprofit Healthcare Programs in Washington year over year?

In 2024, funders in Washington awarded a total of 54,367 grants.

2022 47,515

2023 50,863

2024 54,367

Top Grant Focus Areas

Among all the Grants for Nonprofit Healthcare Programs in Washington given out in Washington, the most popular focus areas that receive funding are Education, Human Services, and Philanthropy, Voluntarism & Grantmaking Foundations.

1. Education

2. Human Services

3. Philanthropy, Voluntarism & Grantmaking Foundations

Funding Over Time

How is funding for Grants for Nonprofit Healthcare Programs in Washington changing over time?

Funding has increased by 5.42%.

2022 $10,653,701,719

2023 $12,083,540,569
13.42%

2024 $12,738,681,234
5.42%

Washington Counties That Receive the Most Funding

How does grant funding vary by county?

King County, Pierce County, and Snohomish County receive the most funding.

County Total Grant Funding in 2024
King County $10,608,506,165
Pierce County $534,186,995
Snohomish County $442,338,004
Clark County $261,140,531
Spokane County $215,289,506

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