Capital Link has just released three new resources that focus specifically on Federally Qualified Health Centers (FQHCs) that serve rural communities. Located in all 50 states and territories, rural FQHCs are the healthcare safety net in many parts of the rural US. They provide comprehensive primary care and other critical health services including dental, prenatal care, and mental and behavioral health to rural residents, including immigrants and communities of color. Rural FQHCs also often serve as major employers in their communities. 


Rural COVID 19 Infographic​​​​Financial Impact of COVID-19 on Rural Federally Qualified Health Centers
A new report from Capital Link illustrates how the pandemic has financially impacted health centers that serve rural communities. Results show that the nation’s more than 608 rural Federally Qualified Health Centers (FQHCs) have experienced a 25% decline in patient visits between April and December 2020, as patients complied with stay-at-home orders. After taking into account federal relief funding, rural FQHCs experienced net losses of $1.1 billion. Without additional support to cover the identified shortfall through June 2021, many health centers sites will remain closed, 7,121 staff may be laid off or furloughed, and 35% of FQHCs may drain cash reserves to dangerous levels. VIEW REPORT >


FQHC Roles and Opportunities Related to Rural Hospital Distress and ClosureFQHC Roles and Opportunities Related to Rural Hospital Distress and Closure
This publication provides a high-level examination of the lived experiences of FQHCs that serve rural communities, particularly in the context of rural hospital financial distress and closure. Utilizing a recently conducted national assessment of rural FQHCs, it seeks to document health centers’ experiences with hospital distress and closure over the past five years and to evaluate the extent to which these centers have and can play an instrumental role in preserving access to care under these difficult circumstances. VIEW PUBLICATION > 


Rural Financial and Operational Trends Report 2020Rural Federally Qualified Health Centers Financial and Operational Performance Analysis 2016-2019
This report provides an aggregate financial and operational profile of rural Federally Qualified Health Centers. It offers a framework for identifying the financial strengths, challenges, and benchmarks that support opportunities for rural FQHC performance improvement through an examination of multi-year trends and median results. The report also provides comparisons between rural, urban, and national performance, as well as recommended benchmarks, where available. VIEW ANALYSIS >



Capital Link's new report provides a national picture of health center revenue lossCOVID-19-related expenses, the influx of relief funds through December 31, 2020, and the estimated gap in needed funds, based on the 15-month period from April 2020 through June 2021.
Results show that the nation’s more than 1,400 Federally Qualified Health Centers (FQHCs) have experienced a 26% decline in patient visits between April and December 2020, as patients complied with stay-at-home orders. Without additional support to cover the identified shortfall through June 2021, many health centers sites will remain closed, and 29,121 staff will be laid off or furloughed, and 66% of FQHCs will drain cash reserves to dangerous levels. ​​
​​​​Capital Link is offering customized COVID-19 Impact reports with statewide or regional analysis for PCA, HCCNs and Consortiaas well as reports for individual health centers. LEARN MORE >

In an effort to better understand the current and emerging capital plans and needs of health centers across the country, Capital Link, with support from HRSA, is conducting a national assessment. 

The information provided will be used to inform policy makers, funders, capital sources, and the general public of the priority capital needs of the health center sector. This information will be invaluable to the development of capital funding sources from which your health center may benefit.

Please contribute to this effort by completing the short assessment. It should only take a few minutes of your time. All participants will be entered in a drawing to win a $200 Amazon gift card. 

UPDATE - The deadline to participate is Friday, January 8, 2021. Please complete one assessment per health center.
Results will be summarized in a report that will be made available to all health centers nationally. While your individual response will not be publicly disclosed without your prior written consent, we plan to share aspects of state and national data with PCAs, HCCNs, and other stakeholders as we work collaboratively to support health center needs.  

Thank you for your participation.

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