Montana Capital Assistance Program

The purpose of the Montana Capital Assistance Program ("MCAP") is to assist Critical Access Hospitals (CAH), small rural hospitals (those with less than 50 beds), or other eligible health care facilities with the development of a Capital Improvement Plan (CIP) to assess the feasibility of proposed capital expenditures. The Montana Facility Finance Authority provides funding for this program which is administered by the Montana Health Research and Education Foundation, the 501 (c)(3) organization of MHA, an Association of Montana Health Care Providers.

MCAP services available through the Foundation are designed to assist a facility in developing a CIP for presentation to various lenders, including the Authority, for financing. The Authority has financing programs tailored for specific facilities based upon their creditworthiness and the nature of their capital improvements.



The following hospitals and health care facilities are eligible to apply for and receive MCAP assistance:

  • Montana hospitals that have been certified as a Critical Access Hospital (CAH)
  • Montana hospitals located in a rural area of Montana with less than 50 licensed hospital beds
  • Health care clinics located in a rural area of Montana with no hospital services and that are located at least 25 miles from a licensed hospital
  • Must show financial need for grant assistance (excess revenues over expenses of less than $1,000,000 in the three years prior to application)

Prior to submission of the MCAP Site Application, the applicant's governing body must have formally approved pursuing a Capital Improvement Plan either by resolution or motion.


Application Process

An eligible hospital interested in obtaining technical assistance through MCAP should obtain a Site Application by writing or calling Victoria Cech, Foundation Director; Montana Health Research and Education Foundation; P.O. Box 5119; Helena, MT 59604; phone: 406-457-8015.


MCAP Services

MCAP provides technical assistance support in four areas – Scope of Service Review, Facility Master Plan, Capital Financing Plan and Legal Assistance. Approved technical assistance projects must be completed within 12 months of MCAP award.

  • Scope of Service Review assists a facility in determining the gaps and overlaps in their community’s services, in evaluating future service demands and more fully developing pertinent services.
  • Facility Master Plan, a critical step in the development of a facility’s CIP, includes an inventory and evaluation of existing conditions of the facility and prioritization of improvement/renovation/new construction needs.
  • Capital Financing Plan includes identifying financing options, establishing a time schedule that integrates the funding with the proposed capital expenditure and developing a brief written document that is formally adopted by the governing body.
  • Legal Assistance aids an eligible facility in offsetting attorney expenses in developing a capital financing proposal.



Each eligible hospital or health care facility may apply for up to $15,000 in MCAP funding for assistance with Scope of Service Review, Facility Master Plan, Capital Financing Plan, and/or Legal Assistance. Approved applications require a 20% cash match from the facility. MCAP is a reimbursement program. After the project has been completed and all pertinent invoices have been paid by the facility, MCAP will reimburse the facility 80% of the costs of the project, up to a maximum of $15,000. Once the maximum award is reached, eligible facilities may not reapply for MCAP funding for five years.

Due to limited funds under this program ($60,000 each fiscal year, July 1-June 30) the MFFA reserves the right to deny applications if sufficient need is not shown. Technical assistance is provided through consultants selected by the facility and approved by the Foundation.

2401 COLONIAL DR. 3rd Floor | PO BOX 200506 | HELENA, MT 59620-0506 | P: (406) 444-0259 | F: (406) 444-0019 | TDD: (406) 841-2702

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