Gateway Centre of Excellence in Rural Health (Gateway CERH) aims to improve the health and quality of life of rural residents through research, education and communication. Benefits of the program are multi-faceted. Local rural physicians will be engaged in supportive and collegial modes and will benefit from opportunities to study issues they themselves identify in their practices. Pharmaceutical firms will benefit from test beds for medications in a regime of clients, prescribers and pharmacists who are eager to participate and easily monitored. The sponsoring and surrounding communities will benefit by active participation in community-driven research. The provincial health ministry will benefit by improved delivery of care to rural populations. Results of the community-driven research programs will be shared broadly and without reservation to all researchers interested in rural health issues. Rural-based students and volunteers will benefit from training programs in medical investigation and analysis. The vision of the proponents is to make a measurable impact on the research affecting and healthcare of residents in rural communities, in Ontario and elsewhere. We were formerly named Gateway Rural Health Research Institute, but underwent a name change in 2015.