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Rural Health
Resources by Topic: Capital funding

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
Type: Document
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
Type: Document
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
Type: Document
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
Type: Document
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
Type: Document
Sponsoring organizations: Community Development Financial Institutions Fund, U.S. Department of Treasury
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Welcome to the RBCS How-To Video Series
A 9 video series from the U.S. Department of Agriculture Rural Development office describing how to submit complete grant applications. Topics discussed include navigating federal government grant related online platforms, budgeting, and important forms.
Date: 07/2023
Type: Video/Multimedia
Sponsoring organization: USDA Rural Development
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Capital Planning for Addressing Rural Health Needs
Recording of a June 2023 webinar discussing the connection between rural health topics and facility design. Profiles Desert Sage Health Center, a health center serving rural Idaho, and how it tailored the structure of its new facility to suit community needs. Outlines costs that should be considered when planning a capital project and how those costs may present unique challenges in rural areas. Free registration is required to access the webinar recording.
Additional links: Presentation Slides
Date: 06/2023
Type: Video/Multimedia
Sponsoring organization: Capital Link
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How Community Investment Saved a Rural Health System
Profiles Mackinac Straits Health System, a Critical Access Hospital (CAH) serving Michigan's Upper Peninsula. Discusses how the health system used strategic planning and key partnerships to address key needs, recover financially, and move forward.
Date: 06/2023
Type: Audio
Sponsoring organization: American Hospital Association
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Capital Financing Strategies for Rurally-Located Health Centers
Recording of a September 2022 webinar discussing financing sources available to rural health centers for capital expansion projects. Discusses financing opportunities, including the HRSA Loan Guarantee Program and New Markets Tax Credits, among others. Profiles El Dorado Community Health Center, a rural health center in California that completed a capital development project. Free registration is required to access the webinar recording.
Additional links: Presentation Slides
Date: 09/2022
Type: Video/Multimedia
Sponsoring organization: Capital Link
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National Capital Grants Infographic for FQHCs
Provides an overview of Health Center Construction and Capital Improvements grants awarded to Federally Qualified Health Centers in 2021. Outlines the economic impacts of these projects on local communities. Presents data by urban, micropolitan, and rural location. Requires name, email address, and organization information to download.
Date: 05/2022
Type: Document
Sponsoring organization: Capital Link
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