The HRSA Health Center Facility Loan Guarantee Program is a year round federal financing support program for active Health Center Program awardees planning eligible health center capital projects. HRSA may guarantee up to 80% of eligible financing, and the program does not prescribe a maximum or minimum loan size.
Who can apply
Eligible applicants are health centers receiving Section 330 Health Center Program funding at both application and issuance of the guarantee. Health Center Program look alikes that do not receive Section 330 funding are not eligible.
Eligible projects and costs
The guarantee can support alteration and renovation, construction and expansion, modernization, and related capital costs at Health Center Program approved medical facility sites. HRSA’s instructions state that qualifying alteration and renovation and construction and expansion projects may include the purchase of related moveable equipment. HRSA defines this equipment as nonexpendable items with a useful life of more than one year that are not permanently affixed and can be moved without changes to utilities or structural characteristics.
How to apply
HRSA states that eligible health centers may apply at any time. The process starts by expressing interest through the BPHC Contact Form with the health center’s H80 award number, project scope, construction type, total project cost, financing needs, potential lenders, and project timeline. The full application and HRSA review then proceed through the HRSA Electronic Handbooks.
Key application requirements
The program instructions describe project and environmental documentation, a lender statement and commitment, comprehensive lender credit analysis, four years of audited financial statements, historical visit volume and payer mix, project development due diligence, appraisal information when applicable, and scope of project documentation among the materials that may be required.
Atlas analysis
Atlas Opportunity Score: 91/100. This is a durable year round federal financing pathway for eligible health centers with real capital projects. N9+ Fit: 88/100. The Nonagon N9+ device and platform can be a legitimate fit as related moveable clinical equipment when it is properly tied to an eligible facility capital project and meets the controlling equipment and project rules. The program is not a grant or a direct HRSA loan, and equipment inclusion is conditional on the applicant’s approved project and HRSA review.
Dr. Miltie and QC Healthcare role
Dr. Miltie is not the direct applicant. The legitimate pathway is as a technology or implementation partner to an eligible Health Center Program awardee with a qualifying capital project. Any applicant outreach should occur only after active H80 status, the actual capital project, site scope, equipment fit, and all Atlas send gates are independently verified.