In rural and underserved communities, a single dollar of grant or tax credit doesn’t just fund a line item—it unlocks an entire project. $1 of catalytic capital (e.g., a NMTC allocation or foundation grant) often attracts $5–10+ in total investment through leverage, matching, and layered financing.

In rural and underserved communities, every dollar matters — and so does every decision about how to raise those dollars. We help community-based providers structure smart, sustainable capital stacks that get projects over the finish line and serve their communities for the long haul.

When a healthcare project is de-risked with public and philanthropic dollars, it changes the entire equation. We’ve seen how pairing philanthropy + public programs with private investment creates a multiplier effect. From hard-to-finance clinic in a rural community to attractive, financeable project.

For years, the national conversation around rural healthcare has focused on workforce shortages, reimbursement pressures, and declining patient volumes. These are real challenges. But beneath them lies a structural issue that receives far less attention: the difficulty of financing and delivering modern healthcare infrastructure in rural America.

Across the United States, conversations about rural healthcare often focus on physician shortages, hospital closures, or reimbursement challenges. While these factors certainly play a role, they obscure a structural issue that receives far less attention: the deterioration and underinvestment of healthcare infrastructure itself.

According to Katie Newman, there is also a less-discussed financial dimension that can influence whether care continues to be delivered locally. As founder and CEO of High Point, a healthcare-focused development and capital strategy firm that helps rural hospitals plan, finance, and deliver new medical facilities, Newman works with boards and leadership teams to explore funding structures that may initially appear difficult to pursue.