Mike Anderes
Managing Director, Ballad Ventures
April 20, 2026
4 min read
Most venture capital flows to urban markets. Ballad Ventures does something different.
We partner with entrepreneurs willing to take on the problems that don't always make it into the pitch decks of Silicon Valley: workforce shortages, hours-long drives to specialty care, populations with complex chronic conditions and limited digital connectivity, and communities where the nearest hospital may be the only hospital.
More than 60 million Americans live in rural communities - roughly one in five US residents. Today, one in three rural hospitals is vulnerable to closure, and 17% of rural Americans still lack broadband access. The problems are real, and the window to solve them is now.
Why rural
Rural health systems face pressures that don't get enough attention. And increasingly, consumer-facing technology companies are reshaping how patients think about healthcare - often without much understanding of what it takes to deliver care in a place like the Appalachian Highlands.
We believe rural health systems can and should lead the future of healthcare innovation. Our role is to co-develop and accelerate solutions that strengthen access, improve outcomes, and keep our region at the forefront of how healthcare gets transformed for rural communities. This is our conviction, rooted in what we see every day.
Key Numbers
What we offer beyond the check
Most venture programs talk about offering more than capital. Few actually deliver. The number that matters most for the companies we partner with isn't the size of the check - it's the operational commitment behind it.
When we partner, we bring time from clinical and operational leaders inside Ballad Health. We bring commercial pathways into a real health system. We bring the ability to pilot, refine, and scale a product with real patients, real clinicians, and real constraints. We bring introductions to peer health systems and the broader investor community.
That kind of access is often promised in corporate venture. We're structured to make sure it actually shows up - because for the companies we back, this support is frequently worth as much as, or more than, capital alone.
What we focus on
We partner primarily with companies at the pre-seed through Series A stages, across four areas:
Workforce capacity and efficiency. Technology that expands what clinical and operational teams can do - automation, decision support, and platforms that give time back to the people delivering care.
Digital and distributed care models. Solutions that bring care into homes, workplaces, and communities - particularly where the nearest facility is an hour or more away.
Consumer-focused healthcare solutions. Tools that help patients navigate their health before, during, and after a clinical encounter.
Personalized, precision care. Approaches that tailor treatment to individual biology, lifestyle, circumstance, and preferences.
These aren't abstract priorities. Each one traces back to specific problems raised by clinical and operational leaders inside Ballad Health.
If you don't know rural healthcare yet
Not every entrepreneur comes to this space already fluent in the problems of rural care. That's fine. Over the coming months, we'll be publishing the specific challenges we're looking to solve - told from the perspectives of leaders, clinicians, patients, and community partners.
If you want to know what actually keeps a rural CMO up at night, what nurses need that no one is building, what patients have given up on, and what community partners think is missing - keep reading. We'll share those stories as we go.
How we partner
Ballad Ventures isn't a passive investor. We seek to co-develop with the companies we work with. That means clinical expertise at the design stage, commercial pathways into Ballad Health, and direct feedback from the people who would actually use what you're building.
Most of our partnerships lead to commercial relationships with Ballad Health. That's intentional. We want our work and our operations pulling in the same direction. We are intentionally focused on solutions that help extend care beyond traditional settings, empower clinicians, and better meet the evolving needs of the communities we serve.
Why rural is where to build
Here's something we deeply believe: innovation that works in places with the fewest resources is the innovation that scales everywhere.
If your solution can survive rural staffing ratios, rural broadband, rural distances, and rural economics, it will work anywhere. If it only works in well-resourced urban academic medical centers, it may never make it out.
That's the opportunity we're offering. Not just a partner. A proving ground where, if your product succeeds, it's because you built something genuinely resilient, genuinely accessible, and genuinely valuable - the kind of thing the rest of the country actually needs.
Rural America has been underserved by both healthcare and venture capital for too long. Ballad Ventures exists to help change that - one partnership at a time.
If you're building something that belongs here, we want to hear from you.
What We're Looking For
Founders building solutions that could meaningfully change how care is delivered in rural communities - especially in workforce capacity and efficiency, digital and distributed care, consumer-focused tools, and personalized precision care. Pre-seed through Series A. We bring more than capital: clinical partnership, commercial pathways, and the operational support to scale.
Sources & References
US GAO - Why Health Care Is Harder to Access in Rural America (60M Americans in rural areas, 17% broadband gap) https://www.gao.gov/blog/why-health-care-harder-access-rural-america
Chartis - 2025 State of Rural Health (46% of rural hospitals in the red, 432 vulnerable to closure, 182 closures since 2010) https://www.chartis.com/insights/2025-rural-health-state-state
Center for Healthcare Quality and Payment Reform - Rural Hospital Closures and Labor & Delivery Report (2025) https://www.fiercehealthcare.com/providers/rural-hospitals-labor-and-delivery-closures-increased-2025
National Institute for Health Care Management - Rural Health Needs in America: Challenges & Solutions (2,396 rural hospitals nationwide) https://nihcm.org/publications/rural-health-needs-in-america-challenges-and-solutions
HHS/CMS - Landmark $50 Billion Rural Health Transformation Program (September 2025) https://www.hhs.gov/press-room/cms-rural-health-transformation-program-50-billion.html
CMS - $50 Billion Awards to Strengthen Rural Health in All 50 States (December 2025) https://www.hhs.gov/press-room/cms-announces-50-billion-in-awards-to-strengthen-rural-health-in-all-50-states.html
KFF - A Closer Look at the $50 Billion Rural Health Fund https://www.kff.org/medicaid/a-closer-look-at-the-50-billion-rural-health-fund-in-the-new-reconciliation-law/
Boston University School of Public Health - The Loss of a Rural Hospital Is Devastating for a Local Community (25% of US population in rural areas, $5.6T US healthcare spending) https://www.bu.edu/sph/news/articles/2025/the-loss-of-a-rural-hospital-is-devastating-for-a-local-community/
The World Data - Hospital Closure Statistics 2026 (734 rural hospitals at risk, 323 facing immediate closure) https://theworlddata.com/hospital-closure-statistics-in-us/