Healthcare Expansion Loan Program II (HELP II)

State Treasurer's Office

This program will provide low-interest rate loans to California's non-profit small or rural health facilities in an efficient, timely, and cost-effective manner.

Jargon-free version

Helps non-profit small or rural health facilities in California get low-interest loans for improvements. Loans can cover construction, equipment, and renovation costs.

Quick Facts

Funding
$25,000 - $1,500,000
Deadline
See website
Status
Accepting Applications
Category
Business Financing & Capital
Organization
State Treasurer's Office

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What Is This Program?

This program will provide low-interest rate loans to California's non-profit small or rural health facilities in an efficient, timely, and cost-effective manner. Eligibility -Must be a health facility as defined in the Authority's Act (Section 15432(d) of the California Government Code) -Must be a non-profit 501(c)(3) corporation and qualify as a small or rural health facility or public health facility (e.g., district hospital) as defined in the Authority's Act (Section 15432(e) of the California Government Code) -Small facilities must have annual gross revenues of $30 million or less (no revenue limit for rural facilities or district hospitals) -Must be licensed by the State of California, typically through the Department of Health Care Services, Public Health, or Social Services -Must have been in existence for at least three years, providing the same types of services -Must demonstrate evidence of discal soundness and the ability to meet the terms of the proposed loan -Facility must be certified, organized, maintained and operated for the diagnosis, care, prevention, and treatment of human illness, or physical, mental, or developmental disability, including convalescence and rehabilitation and including during care during and after pregnancy Use of Funds Funds may be used for: -Purchase, construction, renovation, or remodeling of real property -Purchase equipment and furnishings -Perform feasibility studies, site tests, and surveys associated with real property -Pay permit fees, architectural fees, and pre-construction costs -Refinancing existing debt Loan Terms -Minimum loan amount of $25,000 -Maximum loan amount of $1.5 million ($1 million for refinancing existing debt) -Interest rate of 3% (4% for refinancing existing debt) -Maximum loan maturity depends on use of funds. Between 5 years for equipment and furnishings and 20 years for the purchase, construction and renovation of real property (15 years for refinancing existing debt) -Gross revenue pledge, as well as a lien on the equipment or property, is required -Maximum loan-to-value ratio of 95% -Borrowers must contribute a minimum of 5% (in the form of cash or documented project expenditures) toward project costs -Proforma debt service coverage of at least 1.0x Fees -$50 non-refundable application fee -Initial fee of 1.25% of the loan amount payable at closing -No ongoing program fees Required Documentation -Three most recent fiscal years of audited financial statements -Proof of adequate property and business insurance

What Benefits Are Offered?

loan

Low-interest loans from a revolving fund for capital projects. Funds may be used for: purchase, construction, renovation, or remodeling of real property; purchase of equipment and furnishings; feasibility studies, site tests, and surveys; permit fees, architectural fees, and pre-construction costs; and refinancing existing debt. Interest rate is 3% (4% for refinancing existing debt). A $50 non-refundable application fee and an initial fee of 1.25% of the loan amount (payable at closing) apply.

Who Is Eligible?

Business Size: small

Industries: healthcare

Region: California

Other Criteria: non-profit 501(c)(3) corporation, health facility as defined in the Authority's Act (Section 15432(d) of the California Government Code), qualify as a small or rural health facility or public health facility (e.g., district hospital) as defined in the Authority's Act (Section 15432(e) of the California Government Code), Small facilities must have annual gross revenues of $30 million or less (no revenue limit for rural facilities or district hospitals), licensed by the State of California (typically through the Department of Health Care Services, Public Health, or Social Services), in existence for at least three years, providing the same types of services, demonstrate evidence of fiscal soundness and the ability to meet the terms of the proposed loan, Facility must be certified, organized, maintained and operated for the diagnosis, care, prevention, and treatment of human illness, or physical, mental, or developmental disability, including convalescence and rehabilitation and including during care during and after pregnancy, Borrowers must contribute a minimum of 5% of project costs (in the form of cash or documented project expenditures), Proforma debt service coverage of at least 1.0x

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๐Ÿ† Detailed Application Guide

๐Ÿ“‹What Are the Application Steps & Timeline?

๐Ÿ“Steps to Apply
  • Read the full grant guidelines
  • Ensure eligibility requirements are met
  • Register for a Unique Entity Identifier (UEI) at SAM.gov
  • Check for exclusion record in SAM.gov
  • Register with California Department of Justiceโ€™s Registry of Charitable Trusts
  • Verify IRS Tax Exempt Organization status
  • Upload Proof of Authority from governing body
  • Submit the application
๐ŸŒApplication Portal
https://www.grants.ca.gov/grants/2026-27-child-abduction-training-ac-program/
๐Ÿ“คSubmission Method
online
๐Ÿ“…Key Dates
9/1/26 23:59Application deadline
10/01/26Expected award announcement
01/01/27 โ€“ 12/31/27Period of performance
๐Ÿ”„Intake Type
fixed-deadline

๐Ÿ“„What Documents Are Required?

โœ…Required Documents
  • Three most recent fiscal years of audited financial statements
  • Proof of adequate property and business insurance

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๐Ÿ’ฐWhat Expenses Are Eligible?

๐ŸงพEligible Expenses
  • Purchase, construction, renovation, or remodeling of real property
  • Purchase equipment and furnishings
  • Perform feasibility studies, site tests, and surveys associated with real property
  • Pay permit fees, architectural fees, and pre-construction costs
  • Refinancing existing debt
๐Ÿ’ณPayment Model
advance

๐ŸคIs Matching Funding Required?

๐Ÿ”€Matching Required
Yes
๐Ÿ“ŠMatching Ratio
5%
๐ŸฆEligible Matching Sources
  • cash
  • documented project expenditures
๐Ÿ“šStacking Rules
No information provided on combining with other government funding.
๐Ÿ›ก๏ธProof of Matching Required
Documentation of cash or project expenditures is required to prove matching funds.

๐Ÿ“ŠWhat Are the Reporting Requirements?

๐Ÿ—“๏ธReporting Frequency
annual
๐Ÿ“‘Reporting Requirements
  • SF-425 Federal Financial Report
  • performance progress report
๐Ÿ”Audit Requirements
OMB Uniform Guidance Single Audit if the recipient expends $750,000 or more in federal awards.
๐Ÿ“ขBranding Requirements
Acknowledgment of federal funding is required.
๐Ÿ—„๏ธRecord Retention Period
3 years post-final-report

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FAQFrequently Asked Questions

This program is available to small businesses in healthcare industries located in California.

This program offers funding up to $1,500,000 (minimum $25,000).

Check the official program website for current deadlines.

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