Capital Funding for Rural Healthcare – Resources
Selected recent or important resources focusing on Capital Funding for Rural Healthcare.
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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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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Redlining The Reservation: The Brutal Cost Of Financial Services Inaccessibility In Native Communities
Report discusses the lack of financial services for tribal communities. Explores the consequences of a lack of financial investment in tribal communities, such as a lack of small businesses, new construction, and economic growth. Provides county-level and tribe-level data for Arizona and New Mexico. Discusses the effect this has on social determinants of health.
Author(s): Dave Castillo, Bruce C. Mitchell, Jason Richardson, Jad Edlebi
Date: 12/2023
Sponsoring organization: National Community Reinvestment Coalition
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Report discusses the lack of financial services for tribal communities. Explores the consequences of a lack of financial investment in tribal communities, such as a lack of small businesses, new construction, and economic growth. Provides county-level and tribe-level data for Arizona and New Mexico. Discusses the effect this has on social determinants of health.
Author(s): Dave Castillo, Bruce C. Mitchell, Jason Richardson, Jad Edlebi
Date: 12/2023
Sponsoring organization: National Community Reinvestment Coalition
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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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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
Sponsoring organization: USDA Rural Development
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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
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.
Date: 06/2023
Sponsoring organization: Capital Link
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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.
Date: 06/2023
Sponsoring organization: Capital Link
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Federal Credit Assistance and Grant Programs for Rural Businesses: In Brief
Provides an overview of selected federal credit assistance and grant programs that support rural businesses. Covers programs administered by the U.S. Department of Agriculture (USDA), U.S. Small Business Administration (SBA), and the U.S. Department of Commerce's Economic Development Administration (EDA), as well as the Appalachian Regional Commission (ARC).
Date: 02/2023
Sponsoring organization: Congressional Research Service
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Provides an overview of selected federal credit assistance and grant programs that support rural businesses. Covers programs administered by the U.S. Department of Agriculture (USDA), U.S. Small Business Administration (SBA), and the U.S. Department of Commerce's Economic Development Administration (EDA), as well as the Appalachian Regional Commission (ARC).
Date: 02/2023
Sponsoring organization: Congressional Research Service
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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
Sponsoring organization: Capital Link
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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
Sponsoring organization: Capital Link
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Last Updated: 4/23/2025