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Rural Health Information Hub

Health Expansion Loan Program II (HELP II)

California Health Facilities Financing Authority
Applications accepted on an ongoing basis



The HELP II Financing Program provides low, fixed interest loans for the capital needs of California's nonprofit small and rural health facilities.

HELP II loans may be used to:

  • Purchase, construct, or renovate real property
  • Perform feasibility studies, site tests, and surveys associated with real property
  • Pay permit fees, architectural fees, and other pre-construction costs
  • Purchase equipment and furnishings
  • Refinance existing debt, but only when a single obligation is paid in full

Loan terms and standard covenants may be found in the program overview.


Applicants must qualify as a health facility under the Authority's enabling legislation and be one of the following:

  • A health facility with no more than $40,000,000 in annual gross revenues, as shown on most recent audited financials (District hospitals are exempt from this requirement.)
  • Located in a rural Medical Service Study Area as defined by the California Health Workforce Policy Commission
  • A District Hospital

Additionally, applicants must:

  • Be a nonprofit 501(c)(3) corporation, or a public health facility
  • Have been in existence for at least 3 years performing the same type of services
  • Demonstrate evidence of fiscal soundness and the ability to meet the terms of the loan
Geographic coverage
Amount of funding

Loans range between $25,000 - $2,000,000.

A $50 application fee is required.

Application process

Links to additional guidance and the online application are available on the program website.

Having a discussion with Authority staff prior to submitting an application is recommended.

Applications are due by the 20th of each month in order to be considered at the next month's Authority Board meeting. A meeting schedule may be found on the Authority's website.

Applicants are required to attend the meeting to present their proposals and answer questions from members of the Authority Board.

Tagged as
Capital funding · Clinics · Healthcare facilities · Hospitals · California

For complete information about funding programs, including your application status, please contact funders directly. Summaries are provided for your convenience only. RHIhub does not take part in application processes or monitor application status.