"Engaging Staff and Community in Defining Your Capital Project"

(available in PDF), June 2013
This publication offers tools and techniques to solicit valuable input from health center staff and community members to inform the design of a capital project.  This resource was supported by the Health Resources and Services Administration.

"Understanding Hospital Community Benefit Obligations: A Guide for Health Centers"

(available in PDF), June 2013
Developed to assist health centers in forming productive collaborations with other providers, this publication describes hospital community benefit requirements and how they can spur community efforts to expand access to care and improve local health outcomes.  This resource was supported by the Health Resources and Services Administration.

"Spotlight on Capital Resources: Tax-Exempt Bonds"

(available in PDF), May 2013
Part of our Spotlight on Capital Resources series, this publication describes tax-exempt bonds, including what they are, why health centers should consider using them to finance a capital project, eligibility, types of projects that can be financed, tax-exempt bond structures, and general steps for approval and issuance.  This resource was supported by the Health Resources and Services Administration.

"Working With the USDA: Opportunities for Rural Federally Qualified Health Centers"

(available in PDF), September 2012
This publication describes the array of programs offered by the United States Department of Agriculture (USDA). Health centers considering capital expansions that are located in eligible areas may find these programs extremely beneficial. This resource was supported by the Health Resources and Services Administration.

"Building Community Support for Your Health Center"

(available in PDF), August 2012
This publication offers insights about how to develop strong relationships with community leaders and stakeholders, essential for achieving your health center’s mission and important to understand before embarking on expansion plans. It helps health centers and PCAs to assess community impact, develop an outreach plan and create effective and memorable informational materials.

"Spotlight on Capital Resources: New Markets Tax Credits "

(available in PDF), March 2012
The New Markets Tax Credit Program has helped many community health centers cost-effectively finance their capital projects. This resource explains what the NMTC Program is, how this type of financing works, and provides a detailed example.

"Estimating Capital Project Costs for Health Centers"

(available in PDF), April 2011
This publication outlines the main components of a capital project budget and provides assistance in estimating top-line construction costs. Based on the review of approximately 450 community health center capital projects from 2008-2011, the resulting recommendations provide preliminary guidelines for centers contemplating capital projects.

"Creating a Healthcare Facility that Supports the Patient-Centered Medical Home"

(available in PDF), March 2011
This publication provides tips and tools to support the Patient-Centered Medical Home Model of Care in both existing and new health center facilities. It educates health center staff of the PCMH principles and provides available resources for implementation.

"Preparing for a Capital Project: Are You Ready?"

(available in PDF), March 2011
This publication provides a tool-kit to evaluate health center readiness to begin the capital development process, with the goal of helping community health centers avoid the pitfalls that insufficiently planned projects can encounter. It is presented as a series of questions to assess different aspects of pre-planning activities that should be completed before beginning a capital project, along with reasons for the relevance of the questions and advice for next steps.

"Selecting the Right Capital Project Financing; A Guide for Health Center Staff and Boards"

(available in PDF), June 2010
The goal of this manual is to give health centers and boards the information they need to determine the best mix of capital financing options for their projects. It includes comprehensive sections on factors that influence health center financing, including debt capacity and lending requirements, as well as sources of equity and debt financing and credit enhancement.

"Capital Funding Options for Rural Community Health Centers: A Guidebook and Resource Listing"

(available in print only), updated July, 2004
This book has been developed to assist rural community health centers in the effort to identify and obtain funding resources for building and equipment projects. Although this book is intended for rural community health centers, much of the information included is also useful to community health centers in urban and areas where the population size varies. We hope it will help health centers nationwide meet the capital challenges related to providing increased access to comprehensive medical, dental, mental health and substance abuse services for the nation's underserved and uninsured.

"Developing a Health Center: A Guide for Health Center Staff and Boards on Managing the Design and Construction Process"

(available in print only), updated July, 2004
Facility development is a complex endeavor that relies on many different professions. It can be intimidating to realize that you must depend on all these people—and pay them a lot of money—and yet you may know little about their professions or how to manage them.

The philosophy behind this manual is that you—the health center leadership—must put yourself in control of your project from the beginning. This manual will help you understand the process of developing a facility project, and will help you formulate a management approach for success.

Capital Link provides assistance to health centers seeking to navigate through the capital development process!

"Creating a Business Plan for a Community Health Center Capital Project: A 'How-To' Manual"

(available in PDF and in print), updated July, 2004
Facility development is a complex endeavor that relies on many different professions. It can be intimidating to realize that you must depend on all these people—and pay them a lot of money—and yet you may know little about their professions or how to manage them.

The philosophy behind this manual is that you—the health center leadership—must put yourself in control of your project from the beginning. This manual will help you understand the process of developing a facility project, and will help you formulate a management approach for success.

Capital Link also provides business planning assistance to health centers!

"Capital Project Work Plan"

(available in PDF and in print), March 2007
The goal of this tool is for health centers to identify necessary steps in the capital development process that specifically address their individual capital projects.  This document keeps management, the project team and the board of directors informed about the project through a comprehensive written document.

Capital Link assists health centers with designing a tailored work plan to assist in proceeding through the various stages associated with a capital project.