In August 2013, with funding from the Robert Wood Johnson Foundation and the W.K. Kellogg Foundation, NB3 Foundation launched its national Native Strong: Healthy Kids, Healthy Futures program. Native Strong is a program of grant making, technical assistance, research, communication and advocacy for Native youth health. This report provides a brief background on the first two years of grant funding (39 grant recipients) highlighting grantee strengths, challenges and accomplishments, sharing NB3 Foundation's evaluation approaches and finally, concludes with recommendations to help guide the Foundation's future grant making efforts to improve the health and wellbeing of Native American children.