Programs › 32.005
Assistance listing · 32.005
Universal Service Fund - Rural Health Care
Federal financial assistance obligated under listing 32.005, the organisations that receive it and where it goes.
USAspending caveat. Figures are obligations reported by federal agencies to USAspending.gov, not payments. In USAspending's words: "An outlay occurs when federal money is actually paid out, not just promised to be paid ('obligated')." "Every agency has a Senior Accountable Official who must officially certify that the quarterly financial data submitted by their agency is accurate and complete." "If there are any discrepancies in procurement data, FPDS is the authoritative source." Contract data for the Department of Defense and the U.S. Army Corps of Engineers is published with a 90-day delay. Data loaded 30 Sep 2026.
Federal agencies obligated $555M in awards under assistance listing 32.005, Universal Service Fund - Rural Health Care, in FY2026, and $1.8B over the five fiscal years since FY2023; the program ranks 195 of 988 on this site.
Obligations were up 395% on FY2025 ($112M), with $0 so far in FY2027.
The largest recipient organisations over FY2022–FY2025 were Gci Communication Corp. ($739M), AT&T Enterprises, LLC ($102M) and Lumos Networks of West Virginia, INC._3142 ($77M).
By place of performance, the most money went to AK, SC and AR.
Obligations by fiscal year
Compared with the largest program FY2026
| Measure | This program | Grants to States for Medicaid | All assistance |
|---|---|---|---|
| Obligations, FY2026 | $555M | $722B | $4.4T |
| Five-year total | $1.8B | $2.6T | $17T |
| Share of all assistance obligations, five years | 0% | 15.2% | 100% |
Largest recipients obligations, FY2022–FY2025
| # | Organisation | Obligations |
|---|---|---|
| 1 | Gci Communication Corp. | $739M |
| 2 | AT&T Enterprises, LLC | $102M |
| 3 | Lumos Networks of West Virginia, INC._3142 | $77M |
| 4 | Charter Communications Operating, LLC | $76M |
| 5 | Centurylink Communications, LLC | $44M |
| 6 | Comcast Business Communications, LLC | $31M |
| 7 | Alaska Communications Internet, LLC | $29M |
| 8 | Windstream Communications, LLC | $25M |
| 9 | Ena Healthcare Services, LLC | $25M |
| 10 | Crown Castle Fiber LLC | $23M |
| 11 | Cingular Wireless | $23M |
| 12 | Qwest Corp | $22M |
| 13 | MCNC | $20M |
| 14 | DRS Global Enterprise Solutions, Inc. | $17M |
| 15 | Fidium Holdings, LLC | $16M |
| 16 | Coxcom, LLC | $14M |
| 17 | Zayo Group LLC | $14M |
| 18 | E. Ritter Communications Holdings, LLC | $12M |
| 19 | Centurylink Level 3 Communications, LLC | $11M |
| 20 | Bellsouth Telecommunications, LLC | $11M |
| 21 | Connect Holding II LLC | $11M |
| 22 | Southwestern Bell Telephone Company | $9.6M |
| 23 | World Wide Technology LLC | $9.2M |
| 24 | University of Arkansas | $8.9M |
| 25 | University of Wisconsin System | $8.8M |
Where the money goes
Other programs numbered 32.xxx
- 32.002 Universal Service Fund - High Cost $14B
- 32.008 Affordable Connectivity Program $12B
- 32.004 UNIVERSAL SERVICE FUND - SCHOOLS and LIBRARIES $11B
- 32.003 Universal Service Fund - Lifeline $3.4B
- 32.010 Supply Chain Reimbursement Program $2.7B
- 32.009 Emergency Connectivity Fund Program $778M
Questions and answers
How much is obligated under assistance listing 32.005?
$555M in FY2026 and $1.8B over the five fiscal years since FY2023, counting every award type recorded under the listing (grants, direct payments, loan subsidy cost, insurance and other assistance). Obligations are commitments, not payments.
Who receives the most under Universal Service Fund - Rural Health Care?
Gci Communication Corp. ($739M), AT&T Enterprises, LLC ($102M), Lumos Networks of West Virginia, INC._3142 ($77M), Charter Communications Operating, LLC ($76M), Centurylink Communications, LLC ($44M). Individuals are never listed; where a program pays individuals, USAspending records aggregated rows that appear here as "not shown".
What is an assistance listing (CFDA) number?
A five-digit number that identifies a federal financial assistance program on SAM.gov (formerly the Catalog of Federal Domestic Assistance). Every grant, loan, direct payment or other assistance award on USAspending carries one; contracts do not.
Provenance
Source: USAspending.gov API v2, spending by category (assistance listing) by fiscal year, recipient cross-tabulation for FY2022–FY2025 and award search, loaded 30 Sep 2026. State figures come from each state's top-100 listing table, so small amounts in a state may be missing. See methodology.