Creating a Business Plan for a Community Health Center Capital Project - A “How-To” Manual

Sep 22, 2026

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A how-to manual for healthcare and capital project stakeholders to design a business plan for a community health center. It provides a structured approach covering strategic planning, facility construction process, debt financing, and financial operations including pro forma and ratio analysis. The guide outlines market and health center data needs, governance and management, sources and uses of funds, development team qualifications, and a suggested set of attachments and appendices for practical preparation and financing readiness.

LanguageEnglish

CategoryPresentations

FormatPDF

Pages65

Reading Time23 min

AccessFree to download

Introduction

Suggested Business Plan Outline

Executive Summary

History and Operations

Market Description and Analysis

Management and Governance

The Capital Project

Rationale for the Capital Project

Capital Project Description

Estimate of Project Costs

Financial Operations and Pro Forma

Getting Started

Suggested List of Attachments

Final Recommendations

Appendices

Appendix A: Sample Format for Presenting Health Center Market Data

Appendix B: Sample Project Budget/Sources and Uses of Funds

Appendix C: Financial Forecasting Tool (“ForecasT”)

Appendix D: Financial Ratio Deﬁnitions

Creating a Business Plan for a Community Health Center Capital Project A “HOW-TO” MANUAL Prepared by Capital Link Strategic Planning New Health Center Facility Construction Process Debt Financing Financial Analysis & Planning Creating a Business Plan for a Community Health Center Capital Project A “How-To” Manual Authors Capital Link MDK Consulting Group Prepared by Capital Link Boston, Massachusetts Capital Link is a national nonproﬁt consulting organization that provides high-quality, affordable, innovative advisory services related to planning and ﬁnancing capital projects for nonproﬁt community health centers to support and expand community-based healthcare. Working nationally out of ofﬁces in several states, Capital Link has assisted more than 105 individual health centers in obtaining grants and loans for capital projects totaling more than $430 million. Capital Link was founded as a collaborative effort of the Primary Care Associations in Massachusetts, Illinois, North Carolina and Texas, the Community Health Center Capital Fund and the National Association of Community Health Centers. Capital Link is governed by a Board appointed by the Massachusetts League of Community Health Centers and the National Association of Community Health Centers and receives support from the Bureau of Primary Health Care. For local contact information please visit Capital Link’s website at the address listed below. Capital Link gratefully acknowledges support from the Bureau of Primary Health Care, Health Resources and Services Administration, U.S. Department of Health and Human Services for the development of this document. Capital Link 40 Court Street 10th ﬂoor Boston, MA 02108 Tel.: (617) 422-0350 Fax: (617) 542-0191 [www.caplink.org](www.caplink.org) © 2000–2004 Capital Link. All Rights Reserved. Graphic Design: Studio N, Medford, MA. Printed in the U.S.A. on recycled paper. TABLE OF CONTENTS Introduction .........................................................1 Suggested Business Plan Outline ............................................5 Executive Summary ...................................................6 History and Operations ................................................8 Organizational Description and Mission .......................................8 Strategic Direction .....................................................8 Programs and Services ..................................................9 Review of Operations ...................................................9 Facilities ..........................................................10 Market Description and Analysis .........................................11 Sources for Market and Health Center Data ...................................15 Management and Governance ..........................................16 The Capital Project ..................................................17 Rationale for the Capital Project ...........................................18 Capital Project Description ..............................................18 Estimate of Project Costs ................................................19 Capital vs. Operating Budget: What’s the Difference? ..............................20 Sources and Uses of Project Funds ..........................................20 Project Budget vs. Sources and Uses of Funds: What’s the Difference? ...................20 Development Team and Their Qualiﬁcations ...................................21 Projected Timeframe ..................................................21 Managing Operations During Construction ...................................22 Financial Operations and Pro Forma .....................................23 Current and Past Financial Operations .......................................24 Projected Financial Performance ...........................................26 Getting Started ................................

FAQs

What type of project does this manual focus on?

It focuses on business plan development for community health centers undertaking capital improvement projects, including planning, construction, and financing.

Which financial topics are covered in the business plan?

It covers financial operations and pro forma, current and past financial operations, projected financial performance, ratio analysis, and approaches to developing financial projections.

What supporting information and attachments does the manual suggest?

It provides a suggested list of attachments and appendices such as sample market data formats, a sample project budget with sources and uses, a financial forecasting tool, and financial ratio definitions.

Sep 22, 2026

Upload by Kyle