Rural Mississippi faces severe health challenges, ranking lowest among all U.S. states in health outcomes and highest in diet-related chronic diseases. The state’s rural communities in particular struggle with fruit and vegetable consumption, largely due to limited access to full-service grocery stores and the high cost and perishability of fresh produce. To address these challenges, community members in Sunflower County, Mississippi, developed and implemented the Grocery Online Ordering Distribution Service (GOODS), an innovative food access program. A process evaluation of GOODS demonstrated that creative solutions to rural food access barriers can increase convenience for residents while reducing grocery shopping time and costs.