Capital Link is committed to helping ensure that health centers are equipped to financially weather the impacts of this pandemic. Below is a collection of COVID-19 funding sources and financing-related resources and tools.
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View a state-by-state estimate of health center revenue and job loss as a result of the COVID-19 pandemic. The analysis estimates the impact of a 50% decline in patient visits over a three-month period from April through June 2020, based on audited financial data HRSA Uniform Data System data, and economic impact multipliers. VIEW ANALYSIS >
NACHC and BKD have compiled guidance in critical areas in order for community health center leaders to guide their teams through difficult times and prepare them to come out stronger on the other side. Topics include cash flow planning, Cares Act guidance, and remote work best practices. VIEW TOOLKIT >
This NACHC and Capital Link webinar, held on April 27, 2020, discusses non-traditional financing opportunities for health centers dealing with financial downturn during COVID-19, focusing on the latest developments in the Paycheck Protection Program (PPP) administered by the Small Business Administration and tips for strengthening health center participation in the PPP. RECORDING, SLIDES, AND Q&A >
NACHC created this comprehensive, multi-tab spreadsheet to assist health centers in understanding, allocating, and complying with the range of Federal COVID-19 funding streams available. Additonal tabs will be added over time. VIEW SPREADSHEET >
NACHC has provided an overview of funding resources that that health centers – as well as PCAs and HCCNs - may be able to access to cover revenue shortfalls and to help their employees make ends meet during this time. These resources are divided into grants from HHS, and non-grant options, which include loans, tax credits, advances, deferrals, paid employee leave, and unemployment insurance. VIEW DOCUMENT >
NACHC has created a fact sheet, utilizing Capital Link data, detailing the negative impact COVID-19 will have on health centers’ visits, revenue, and employment over six months and how Congress can help reduce the financial loss. VIEW FACT SHEET >
The U.S. Chamber of Commerce has issued this guide to help small businesses and self-employed individuals check eligibility and prepare to file for a loan. VIEW CHECKLIST >
The Council of Development Finance Agencies (CDFA) COVID-19 Resource Center contains information on community development financing sources. The State Response Map features a list of state and local financing programs and related media headlines. LEARN MORE >
Candid.org is compiling a list of funds specifically established in the wake of coronavirus, searchable by
geographic area. The list focuses on funds hosted at US-based foundations that serve nonprofits, though
others outside of this criteria may appear as well. VIEW LIST >
On March 26, 2020, CASE and CASE i3 at Duke University’s Fuqua School of Business launched a searchable
website to help any entrepreneur in the world, for-profit or nonprofit, struggling due to the economic impacts of
COVID-19, to locate cash relief resources in their community. VIEW SITE >
The Federal Reserve established the Main Street Lending Program to support lending to small and medium-sized businesses and nonprofit organizations that were in sound financial condition before the onset of the COVID-19 pandemic. The Program operates through five facilities, two of which are specifically designed for not-for-profit organizations: Nonprofit Organization New Loan Facility (NONLF) and Nonprofit Organization Expanded Loan Facility (NOELF). LEARN MORE > BKD UPDATE > LINK TO FAQs >
On March 13, 2020, President Trump declared COVID-19 a national emergency. As a result of this declaration, state, territorial, tribal and local government entities and certain private nonprofit (PNP) organizations are eligible to apply for FEMA Public Assistance. The FEMA funding made available through the president’s emergency declaration is designed to reimburse qualified organizations for much of their emergency response costs. LEARN MORE > SUMMARY OF ELIGIBLE COSTS, ETC. > ACCESS FEMA PORTAL >
The Coronavirus Aid, Relief, and Economic Security Act (CARES Act) (S. 748) provides $2 trillion for businesses, hospitals, schools, and social support programs, among many other things. LEARN MORE >
Funding opportunities for health centers under the CARES Act include:
UPDATE Provider Relief Fund
Congress provided $175 billion in relief funds to the HHS to deliver financial relief to health care organizations, like health centers, on the front lines of the coronavirus response. This funding will be used to support healthcare-related expenses or lost revenue attributable to COVID-19 and to ensure uninsured Americans can get testing and treatment for COVID-19. The application deadline for Phase 2 General Distribution funding is Friday, August 28, 2020. Those who bill Medicare, Medicaid, Medicaid Managed Care, CHIP, or a dental provider are eligible to apply as long as they haven’t already received 2% of their patient revenue from the fund. In an FAQ published on July 30, HHS announced that all funding received from the Provider Relief Fund must be fully expended by July 31, 2021. Any funds not fully expended by the date must be returned to HHS. The FAQ is under the heading “Terms and Conditions” on the FAQ webpage. LEARN MORE > FAQs >
The Act provides for additional funds to be transferred to states from the federal unemployment account to be used solely to reimburse Section 501(c)(3) organizations, government agencies and Indian tribes for one half of amounts paid for unemployment benefits between March 13, 2020, and December 31, 2020. Nonprofits will be reimbursed for 50% of the costs incurred through the end of 2020 to pay unemployment benefits. LEARN MORE >
Federal Communications Commission COVID-19 Telehealth Program Grants Funding for this program is no longer available. Read the FCC’s announcement here.
The COVID-19 Telehealth Program will provide $200 million in funding, appropriated by Congress as part of the CARES Act, to help health care providers provide connected care services to patients at their homes or mobile locations in response to the COVID-19 pandemic. The COVID-19 Telehealth Program will provide immediate support to eligible health care providers by fully funding their telecommunications services, information services, and devices necessary to provide critical connected care services until the program’s funds have been expended or the COVID-19 pandemic has ended. LEARN MORE > FCC PUBLIC NOTICE >
As a part of the CARES Act, the Small Business Administration's (SBA's) Paycheck Protection Program is a loan option for nonprofits with $350 billion to help prevent workers from losing their jobs and small businesses from going under due to economic losses caused by the COVID-19 pandemic. LEARN MORE >
- The Paycheck Protection Program provides eight weeks of cash-flow assistance through 100 percent federally guaranteed loans to employers with fewer than 500 employees who maintain their payroll during this emergency. Program offers forgivable loans to cover payroll and other eligible costs, up to $10 million, and is retroactive to February 15, 2020, to help bring workers who may have already been laid off back onto payrolls.
- EZ and Revised Full Forgiveness Applications for the Paycheck Protection Program - The SBA has posted a revised, borrower-friendly PPP loan forgiveness application implementing the PPP Flexibility Act of 2020, signed into law by President Trump on June 5, 2020. The EZ application requires fewer calculations and less documentation for eligible borrowers. Details regarding the applicability of these provisions are available in the instructions to the new EZ application form. LEARN MORE >
- A new eligibility category added for tangible net worth of not more than $15 million and average net income after federal taxes for the prior two full fiscal years is not more than $5 million; the existing affiliation rules would apply in computing the $5 million and $15 million thresholds. This would allow employers that do not meet the headcount numbers to possibly qualify, including health centers of more than 500 employees. LEARN MORE >
- Use this Stimulus Loan Calculator as a template for gathering the necessary application information.
CLICK HERE >
- NACHC Letter for Lenders - The PPP statute indicates that applicants like health centers should receive priority in the process and disbursement loans. However, some lenders may not be aware of this priority and health centers applying for PPP loans may want to consider alerting lenders themselves. NACHC sent a letter to the SBA outlining the language in the PPP law with the criteria for which borrowers get priority and the language from Section 330 that demonstrates that health centers meet these criteria. Send a copy of NACHC’s letter to your lender or use language from it to create your own letter to your lender. You can download NACHC’s letter by CLICKING HERE >
- Use this Stimulus Loan Calculator as a template for gathering the necessary application information.
$500 billion has been designated to be used to retain employees and restore the compensation and benefit levels. Mid-sized nonprofits and businesses that have between 500 and 10,000 employees are expressly eligible for loans under this provision. Although there is no loan forgiveness provision in this section, the mid-size business loans would be charged an interest rate of no higher than two percent and would not accrue interest or require repayments for the first six months. Nonprofits accepting the mid-size business loans must retain at least 90 percent of their staff at full compensation and benefits until September 30th. LEARN MORE >
Small Business Administration Economic Injury Disaster Loans - The SBA has reopened its Economic Injury Disaster Loan program to ALL small businesses. The reopening comes more than a month after the SBA closed the program to new applicants except for agriculture-related companies.
The $484 billion COVID-19 3.5 relief package signed into law on April 24, 2020 included an appropriation for an additional $50 billion for SBA’s Disaster Loans Program Account and $10 billion for Emergency Economic Injury Disaster grants, while increasing the authorization level for the emergency economic grants from $10 billion to $20 billion. LEARN MORE >
The CARES act pumps new resources into our public health, education and emergency preparedness infrastructure. LEARN MORE >
- Funds community health centers through November 30, 2020
Reauthorizes key rural grant programs to strengthen rural community health
$80 million in funding has been allocated to tribes, tribal organizations, and Urban Indian Organizations for resources in support of our nation’s response to the 2019 novel coronavirus (COVID-19). LEARN MORE >
As part of this upcoming funding action, CDC will:
Supplement an existing CDC Cooperative Agreement to get resources quickly to nine regionally designated tribal organizations, including resources for sub-awards to tribes with the greatest burden and needs in their region and other direct funds to a number of large tribes.
Supplement existing funding to the National Council of Urban Indian Health, which will make sub-awards to 41 urban Indian health centers.
Supplement existing funding to the National Indian Health Board for COVID-19 communication activities.
The Families First Coronavirus Response Act (FFCRA or Act) requires certain employers to provide their employees with paid sick leave or expanded family and medical leave for specified reasons related to COVID-19. The Department of Labor’s (Department) Wage and Hour Division (WHD) administers and enforces the new law’s paid leave requirements. These provisions will apply from the effective date through December 31, 2020. LEARN MORE >
Paid leave: Up to 80 hours of paid sick leave to $511/day. For caregiver leave, 80 hours to $200/day.
Family leave: 10 weeks at $200/day max. To care for a child whose school or care provider is unavailable.
The firm will provide $2 million to existing nonprofit partners who are facing new challenges supporting vulnerable populations in response to COVID-19. The funds will go towards helping these partners maintain operational capacity as they adjust their programming and provide resources to support their remote working capabilities, resiliency planning, fundraising, and communications. LEARN MORE >
Bank of America is committing $100 million to support local communities in need as the world faces unprecedented challenges from the coronavirus. The funds will help increase medical response capacity, address food insecurity, increase access to learning as a result of school closures, and provide support to the world’s most vulnerable populations. LEARN MORE >
The Boston Resiliency Fund is the City of Boston’s effort to help coordinate fundraising and philanthropic efforts to provide essential services to Boston residents whose health and well-being are most immediately impacted by the coronavirus pandemic. We also working to help first responders and critical care providers. LEARN MORE >
The emerging priorities of the Boston Resiliency Fund are to:
- Provide food to Boston's children and seniors
- Technology to Boston Public Schools students for remote learning, and
- Provide support to first responders and healthcare workers so they can effectively do their job.
Community Development Financial Institution (CDFI)
The Fund will provide to CDFIs low-cost, fixed-rate loans of up to 10-year money with interest deferred in year one. This Fund is reserved for OFN member CDFIs serving for-profit and nonprofit businesses. The Fund has not yet opened for applications. Check back soon for more information. LEARN MORE >
COVID-19 Response Fund Grants are available to Rhode Island nonprofit organizations at the forefront of COVID-19 response. LEARN MORE >
Grants will be awarded to:
Support nonprofit organizations providing direct assistance to Rhode Islanders with financial need or demonstrable hardship resulting from COVID-19.
Provide operating support to nonprofit organizations that are meeting community needs resulting from COVID-19, and are in financial distress.
The Trust is providing no-interest loans to New York City nonprofit organizations working in the human services, with particular interest in those supporting essential healthcare, food delivery, homeless services, workforce development, educational support, and early childhood education, and arts and culture. LEARN MORE >
Loans will range from $100,000 to $3 million
Funds can be used for a variety of purposes, including covering delays in government payments for services delivered, postponed fundraising events, and increased expenses to deliver services which will be reimbursed in the future.
Loans will be unsecured and have terms of either 12, 24, or 36 months. Full repayment is expected. Financial and cash flow planning coaching will also be available to organizations that receive these loans.
The COVID-19 Response Fund will award one-time operating grants on a rolling basis to non-profits whose operations in support of seniors, children, immigrants, workers, and other vulnerable populations have been stressed by the outbreak. Loans up to $25,000 available. LEARN MORE >
In response to COVID-19, the Otto Bremer Trust (OBT) has established a $50 million emergency fund through its Community Benefit Financial Company (CBFC) subsidiary to provide financial support to Minnesota, Wisconsin, North Dakota, and Montana nonprofits and other community organizations impacted by and responding to the pandemic. The fund will provide resources in the form of short-term loans, lines of credit, and emergency grants. LEARN MORE >
Foundations and other philanthropic institutions dedicated to improving quality of life across southwestern Pennsylvania have come together with unprecedented speed, to provide $4 million to create an Emergency Action Fund and as much as $6 million in aligned, coordinated efforts to lessen the damaging effects of the COVID-19 virus on residents, especially the most vulnerable. LEARN MORE >
The Greater Cleveland COVID-19 Rapid Response Fund is designed to complement the work of public health officials and expand local capacity to address all aspects of the outbreak as efficiently as possible. The Rapid Response Fund will provide grant awards on a rolling basis to nonprofit organizations in Cuyahoga, Lake and Geauga counties. Providing support of $5.37 million. LEARN MORE >
A $150 million as part of the Response Fund will be granted through a Request for Proposal (RFP) process. Instructions will be available at a later date. LEARN MORE >