Rural Health
Resources by Topic: Capital funding
New Design Opens the Door to Improved Patient Care at Midwest Medical Center
Profiles the Midwest Medical Center, a hospital in rural Illinois. Discusses the building's remodel and collaboration with the USDA Rural Development Community Facilities program.
Author(s): Andrea Imel
Date: 07/2025
Sponsoring organization: USDA Rural Development
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Profiles the Midwest Medical Center, a hospital in rural Illinois. Discusses the building's remodel and collaboration with the USDA Rural Development Community Facilities program.
Author(s): Andrea Imel
Date: 07/2025
Sponsoring organization: USDA Rural Development
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Accessing Funding for Capital Projects in Rural Healthcare
Policy paper intended to provide information and inspire action, by enhancing current funding programs, removing barriers, directing more capital toward rural healthcare, and exploring new solutions. Features statistics on USDA community facilities loans and USDA healthcare guaranteed loans as a percentage of all USDA guaranteed loans.
Date: 06/2025
Sponsoring organizations: National Rural Health Resource Center, Stroudwater Associates
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Policy paper intended to provide information and inspire action, by enhancing current funding programs, removing barriers, directing more capital toward rural healthcare, and exploring new solutions. Features statistics on USDA community facilities loans and USDA healthcare guaranteed loans as a percentage of all USDA guaranteed loans.
Date: 06/2025
Sponsoring organizations: National Rural Health Resource Center, Stroudwater Associates
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Structural Determinants of Health: Hospitals' Unequal Capital Investments Drive Health Inequities
Examines hospitals' capital investments as a structural factor influencing disparities in patient safety and quality of care at hospitals in the United States. Analyzes topics including hospital economics, federal policy, funding, hospital infrastructure, and more. See Section 5 in particular for discussion of rural hospitals.
Author(s): Eileen Appelbaum, Emma Curchin, Rosemary Batt
Date: 07/2024
Sponsoring organization: Center for Economic and Policy Research (CEPR)
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Examines hospitals' capital investments as a structural factor influencing disparities in patient safety and quality of care at hospitals in the United States. Analyzes topics including hospital economics, federal policy, funding, hospital infrastructure, and more. See Section 5 in particular for discussion of rural hospitals.
Author(s): Eileen Appelbaum, Emma Curchin, Rosemary Batt
Date: 07/2024
Sponsoring organization: Center for Economic and Policy Research (CEPR)
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Sources of Federal Funding for Health Care Facilities: Frequently Asked Questions
Provides an overview of how the federal government supports healthcare facilities, with a focus on hospitals. Discusses how Medicare and Medicaid pay acute care hospitals and for services rendered to beneficiaries and enrollees, as well as other payments these programs make. Identifies federal grants, loans, and technical assistance programs that can support health facilities. Describes how federal agencies, including the Health Resources and Services Administration (HRSA) and the U.S. Department of Agriculture (USDA), have supported healthcare facilities during emergencies.
Date: 06/2024
Sponsoring organization: Congressional Research Service
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Provides an overview of how the federal government supports healthcare facilities, with a focus on hospitals. Discusses how Medicare and Medicaid pay acute care hospitals and for services rendered to beneficiaries and enrollees, as well as other payments these programs make. Identifies federal grants, loans, and technical assistance programs that can support health facilities. Describes how federal agencies, including the Health Resources and Services Administration (HRSA) and the U.S. Department of Agriculture (USDA), have supported healthcare facilities during emergencies.
Date: 06/2024
Sponsoring organization: Congressional Research Service
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Coming to Terms with Housing and Homelessness in Rural Places with Marion Mollegen McFadden, HUD
Podcast episode discussing rural homelessness and housing security featuring Marion Mollegen McFadden, Principal Deputy Assistant Secretary for Community Planning and Development at the U.S. Department of Housing and Urban Development (HUD). Describes HUD's work related to rural communities. Highlights programs and funding that help rural communities meet housing and community development needs.
Date: 05/2024
Sponsoring organization: Impact! Communications, Inc.
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Podcast episode discussing rural homelessness and housing security featuring Marion Mollegen McFadden, Principal Deputy Assistant Secretary for Community Planning and Development at the U.S. Department of Housing and Urban Development (HUD). Describes HUD's work related to rural communities. Highlights programs and funding that help rural communities meet housing and community development needs.
Date: 05/2024
Sponsoring organization: Impact! Communications, Inc.
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Hospital Financing: Volume Limits and Reporting Could Help Manage Risks of Expanding FHA's Mortgage Insurance Program
Describes the Federal Housing Administration's (FHA) Hospital Mortgage Insurance Program, which insures loans for capital improvements at hospitals; loans insured through the program between 2000 and 2022. Explores characteristics of hospitals ineligible for the program that may impact their financing options. Examines the potential effects and risks of extending Hospital Mortgage Insurance Program eligibility to currently ineligible hospital types on program participation risks. Offers recommendations to Congress if it decides to expand program eligibility to hospitals that primarily provide non-acute care services.
Additional links: Full Report
Date: 01/2024
Sponsoring organization: Government Accountability Office
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Describes the Federal Housing Administration's (FHA) Hospital Mortgage Insurance Program, which insures loans for capital improvements at hospitals; loans insured through the program between 2000 and 2022. Explores characteristics of hospitals ineligible for the program that may impact their financing options. Examines the potential effects and risks of extending Hospital Mortgage Insurance Program eligibility to currently ineligible hospital types on program participation risks. Offers recommendations to Congress if it decides to expand program eligibility to hospitals that primarily provide non-acute care services.
Additional links: Full Report
Date: 01/2024
Sponsoring organization: Government Accountability Office
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Accessing Clean Water Infrastructure Assistance: Small, Rural, Disadvantaged, and Underserved Communities
Recording of a November 8, 2023, hearing exploring how the Clean Water State Revolving Fund can help address wastewater infrastructure challenges faced by small, rural, disadvantaged, and underserved communities. Features testimony from the Rural Community Assistance Partnership; Nueces River Authority; and the Oklahoma Department of Environmental Quality, Water Quality Division.
Additional links: John Byrum, Nueces River Authority - Testimony, Olga Morales-Pate, Rural Community Assistance Partnership - Testimony, Shellie R. Chard, Oklahoma Department of Environmental Quality - Testimony
Date: 11/2023
Sponsoring organization: Senate Committee on Environment and Public Works
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Recording of a November 8, 2023, hearing exploring how the Clean Water State Revolving Fund can help address wastewater infrastructure challenges faced by small, rural, disadvantaged, and underserved communities. Features testimony from the Rural Community Assistance Partnership; Nueces River Authority; and the Oklahoma Department of Environmental Quality, Water Quality Division.
Additional links: John Byrum, Nueces River Authority - Testimony, Olga Morales-Pate, Rural Community Assistance Partnership - Testimony, Shellie R. Chard, Oklahoma Department of Environmental Quality - Testimony
Date: 11/2023
Sponsoring organization: Senate Committee on Environment and Public Works
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Community Development Financial Institutions Fund (CDFI Fund) New Markets Tax Credit Program (NMTC Program): Self-Assessment Guide for Native Organizations
Helps American Indian and Native Alaskan communities determine how they can best take advantage of the Community Development Financial Institutions (CDFI) Fund's New Markets Tax Credit (NMTC) Program Native Initiative. Details the program eligibility qualifications for Native entities looking to apply.
Date: 10/2023
Sponsoring organizations: Community Development Financial Institutions Fund, U.S. Department of Treasury
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Helps American Indian and Native Alaskan communities determine how they can best take advantage of the Community Development Financial Institutions (CDFI) Fund's New Markets Tax Credit (NMTC) Program Native Initiative. Details the program eligibility qualifications for Native entities looking to apply.
Date: 10/2023
Sponsoring organizations: Community Development Financial Institutions Fund, U.S. Department of Treasury
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New Markets Tax Credit Investments in Native Areas: Selected Case Studies and Best Practices
Presents findings, case studies, and best practices for Native entities participating in the Community Development Financial Institutions (CDFI) Fund's New Markets Tax Credit (NMTC) Native Initiative. Bases findings on surveys with past participants and provides examples of programs on reservations, off-reservation communities, and Native Hawaiian and Alaskan communities.
Author(s): Kevin Klingbeil, Chloe Adler, Harry Maher, et al.
Date: 09/2023
Sponsoring organizations: Community Development Financial Institutions Fund, U.S. Department of Treasury
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Presents findings, case studies, and best practices for Native entities participating in the Community Development Financial Institutions (CDFI) Fund's New Markets Tax Credit (NMTC) Native Initiative. Bases findings on surveys with past participants and provides examples of programs on reservations, off-reservation communities, and Native Hawaiian and Alaskan communities.
Author(s): Kevin Klingbeil, Chloe Adler, Harry Maher, et al.
Date: 09/2023
Sponsoring organizations: Community Development Financial Institutions Fund, U.S. Department of Treasury
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Community Economic Development in Indian Country: Market Research Report
Explores existing research on community economic development in American Indian and Alaska Native communities. Aims to identify challenges, history, and available funding that shape community economic development in Native communities.
Author(s): Kevin Klingbeil, Chloe Adler, Harry Maher, et al.
Date: 08/2023
Sponsoring organizations: Community Development Financial Institutions Fund, U.S. Department of Treasury
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Explores existing research on community economic development in American Indian and Alaska Native communities. Aims to identify challenges, history, and available funding that shape community economic development in Native communities.
Author(s): Kevin Klingbeil, Chloe Adler, Harry Maher, et al.
Date: 08/2023
Sponsoring organizations: Community Development Financial Institutions Fund, U.S. Department of Treasury
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