Capital Enhancement Programs

Credit enhancement can improve a health center’s ability to obtain a loan, lower the interest rate, and/or improve the loan terms. Capital Link has assisted health centers with the following credit enhancement programs:

The HRSA Facilities Loan Guarantee Program provides Health Center Program grantees a guarantee of up to 80% of financing needed to support construction, renovation, and modernization of medical facilities. The program facilitates access to capital funding and reduces financing costs to support capital infrastructure projects. 

The program is currently being updated. For more information, visit: https://bphc.hrsa.gov/programopportunities/loan-guarantee-program.html

Capital Link's Business Plan Manual may be a helpful reference for health centers interested in this program. 

The USDA Community Facilities Guarantee Program provides guarantees on loans provided by lenders such as banks, savings and loans, mortgage companies that are affiliated with bank holding companies, banks of the Farm Credit System, or insurance companies regulated by the National Association of Insurance Commissioners. Loans are guaranteed up to 90 percent of the loan’s outstanding principal. Additional information on the USDA’s programs can be found at www.rurdev.usda.gov.

Capital Project Value and Impact Analysis

Client Case Studies

Capital Link regularly profiles health center clients who have successfully completed capital development and operational transformation projects in order to provide insight into the facility expansion and performance improvement processes. 

Impact Analyses

In-depth analyses of the components of a successful capital project, from the planning stages to the impact of the expanded facility on its community, financial stability, and operations:

Health Center Stories 

Highlights on how health centers are striving to meet the needs of their communities, using a wide variety of financing structures and interventions:

$4-10 Million Projects

RURAL HEALTH CENTERS

URBAN HEALTH CENTERS

$10-20 Million Projects

URBAN HEALTH CENTERS

>$20 Million Projects

RURAL HEALTH CENTERS 

URBAN HEALTH CENTERS

Clinic Design Profiles

Clinic examples currently featured on The Center for Health Design website for their innovative design solutions:

Ingham Community Health Centers, Lansing, MI

Petaluma Health Center, Petaluma, CA

These publications are supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $1,168,750 with 0 percent financed with non-governmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government. For more information, please visit HRSA.gov.

Patient Profile and Health Equity Analysis

Capital Link’s new Patient Profile and Health Equity Analysis is a customized report examining select health center patient population characteristics and clinical outcome performance measures by race and ethnicity. As documented in multiple studies, minority and low-income populations have less access to health care and poorer health outcomes. This report is designed to assist health centers and PCAs in identifying their own successes and challenges, including any health inequities that may need to be addressed in order to promote true health equity among the most vulnerable patient populations.

Using HRSA UDS data, the report provides performance trends for the most recent four-year period that data is available for (i.e., 2019 through 2022), benchmarking the results against state and national medians for the following patient characteristic and outcome metrics:

• Select Patient Characteristics

• Patients with Income at or below 200% of Poverty
• Patients Best Served in a Language Other than English
• Percentage of Asian, Black/African American, White, Other Patients of Color, and Hispanic or Latino/a Patients
• Percentage of Agricultural Workers or Dependents, Homeless, School-Based Health Center, and Veterans Patients
• Percentage of Patients Served at a Health Center Located in or Immediately Accessible to a Public Housing Site
  
  
• Health Outcomes & Disparities
  
  • Percentage of Low and Very Low Birth Weight Babies Delivered During the Year by Race/Ethnicity
  • Percentage of Patients with Controlled High Blood Pressure by Race/Ethnicity
  • Percentage of Patients with Diabetes and Hemoglobin A1c Poor Control by Race/Ethnicity

The Patient Profile and Health Equity Analysis is available as an individual health center report, or as a statewide or regional data analysis for PCAs. 

To learn more about this report, please contact Jennifer Saber at This email address is being protected from spambots. You need JavaScript enabled to view it..

 Click on the image below to view a sample report.

Performance Evaluation Profile

Updated with 2022 HRSA UDS data, Capital Link’s Performance Evaluation Profile (PEP) is a diagnostic tool for health centers and PCAs to examine financial health, productivity, utilization, and staffing.

Using UDS information and Capital Link's own database of health center financial audits, the PEP provides multi-year performance trends for 2019 through 2022, benchmarking the results against state, national, and peer medians across 113 financial and operational metrics. It features a peer comparison dashboard and dashboard summaries of the top 62 metrics. The analysis also indicates whether the results meet Capital Link’s industry recommendations.

Dashboards include:

• Selected Patients Characteristics Dashboard
  • Patients with Income at or below 200% of Poverty
  • Patients Best Served in a Language Other than English
  • Percentage of Asian, Black/African American, White, Other Patients of Color, and Hispanic or Latino/a Patients
• Non-Clinical Staffing Productivity Dashboard
• Patient and Visits Growth Rates Dashboard

Metrics include:

• Virtual Visits for Medical, Dental, Mental Health, and Enabling Services (new to HRSA UDS in 2019)
• Substance Use Disorder Visits per Substance Use Disorder FTE (new to PEP)
• Percentage of women 51-73 years of age who had a mammogram to screen for breast cancer (new to HRSA UDS in 2020)
• Percentage of patients 21 years of age and older at high risk of cardiovascular events who were prescribed or were on statin therapy (new to HRSA UDS in 2019)
• Percentage of Patients Seen Within 30 Days of First Diagnosis of HIV (updated in HRSA UDS from 90 Days in 2020)
  
  

Available as an individual health center report, or as a statewide or regional data analysis for PCAs, the PEP increases organization-wide financial and operational performance awareness and supports capital project planning thereby enhancing overall health center operations.

Click on the image below to view a sample of our PEP report.

To learn more about the PEP reports, contact Jennifer Saber at This email address is being protected from spambots. You need JavaScript enabled to view it..

Predictive Analytics: An Overview for Community Health Centers

Upcoming Webinars

Capital Link offers webinars designed to offer useful information for health centers on a wide range of topics at no charge. Access past webinar recordings here.    
 

Financial and Operational Benchmarking Trends and Techniques

Wednesday, May 1, 2024 | 2:00-3:00 PM ET

Delve into the dynamic world of financial and operational benchmarking tailored for Federally Qualified Health Centers (FQHCs) in this upcoming webinar. Utilizing the insights of multi-year trends and median results, this webinar will provide a framework for identifying financial strengths and challenges for health center performance improvement as referenced in Capital Link’s just released Federally Qualified Health Centers Financial and Operational Performance Analysis 2019-2022 and the newly updated Performance Benchmarking Toolkit for Health Centers. Leveraging benchmarking and comparative metrics from Capital Link’s audited financial database and data from the federal UDS reporting system, we’ll highlight the variances between rural, urban, and national FQHC performance, as well as selected target benchmarks that support long-term financial sustainability.

REGISTER HERE >

Capital Link's webinars are supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $1,168,750 with 0 percent financed with non-governmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government. For more information, please visit HRSA.gov.

Value & Impact Analysis for Health Centers

Make the case for the value of your health center with Capital Link’s Newly Updated Value & Impact report.

Now is the time to demonstrate to legislators and other stakeholders the tremendous impact your health center has on the community you serve, the state, and the nation as a whole. 

Health centers across the US have used our Value & Impact report for a variety of purposes, including:

• Colorado Coalition for the Homeless utilized their report to highlight the $29 million they saved the health system in 2018, sharing their findings to social media.
• Alexander Valley Healthcare (California) provides a downloadable report on their website, highlighting their center's $4 million in savings to Medicaid and $7 million in savings to the overall health system.

What is in the report?

Value & Impact infographic reports visually tell the story of your health center along the following domains:

• ECONOMIC IMPACT INCLUDING JOBS, SPENDING, AND TAX REVENUES

• SAVINGS TO MEDICAID AND THE OVERALL HEALTH SYSTEM

• NEW- PANDEMIC RESPONSE

• CARE FOR VULNERABLE POPULATIONS

The benefits of ordering a Value & Impact report include:

Value & Impact Analysis for Health Centers (2)

Make the case for the value of your health center with Capital Link’s Newly Updated Value & Impact report.

Now is the time to demonstrate to legislators and other stakeholders the tremendous impact your health center has on the community you serve, the state, and the nation as a whole. 

Health centers across the US have used our Value & Impact report for a variety of purposes, including:

• Colorado Coalition for the Homeless utilized their report to highlight the $29 million they saved the health system in 2018, sharing their findings to social media.
• Alexander Valley Healthcare (California) provides a downloadable report on their website, highlighting their center's $4 million in savings to Medicaid and $7 million in savings to the overall health system.

What is in the report?

Value & Impact infographic reports visually tell the story of your health center along the following domains:

• ECONOMIC IMPACT INCLUDING JOBS, SPENDING, AND TAX REVENUES

• SAVINGS TO MEDICAID AND THE OVERALL HEALTH SYSTEM

• PANDEMIC RESPONSE

• CARE FOR VULNERABLE POPULATIONS

The benefits of ordering a Value & Impact report include: