A federal tax credit most rural hospitals miss.
NMTC is a federal program that can take 15–20% off hospital projects in qualifying areas. Most rural hospitals qualify and most never find out.
A federal program hiding in plain sight.
The Treasury Department launched the New Markets Tax Credit program in 2000 to direct private capital into underserved communities. Over the last two decades, more than $71 billion has moved through it.
For hospitals in qualifying areas, NMTC can reduce project costs by roughly 15–20%. Not as a reimbursement. Not as a grant application. As a restructuring of how the project gets financed, with the benefit baked in.
Most rural hospitals sit in qualifying areas.
Not just new construction. Most of what rural hospitals actually spend money on.
HVAC & facility systems
Replacement, modernization, energy efficiency work.
Medical equipment
Imaging, diagnostic, surgical, dental, and specialty.
EHR & health IT
Platform upgrades, optimization, cybersecurity work.
Telehealth infrastructure
Networks, remote patient monitoring, broadband upgrades.
Roofs, electrical, plumbing
The deferred maintenance that rarely gets capitalized on.
ADA compliance work
Accessibility upgrades across the facility.
Service expansion
Behavioral health, after-hours care, mobile clinics.
Working capital
Staffing and operations for new or expanded services.
Cybersecurity & compliance
Network protection, data security, HIPAA audit infrastructure.
Finished a project recently? It may not be too late.
One of the most overlooked pieces of NMTC: it can apply to projects already completed, as long as they wrapped within the last 24 months.
If you replaced HVAC last year, rolled out an EHR eighteen months ago, or finished a roof project this spring, there may still be a way to capture the credit.
Hospitals often assume the window is closed. Frequently it isn’t. The 15-minute check tells you either way.
Three steps. Most of the work happens on our side.
Eligibility check
We confirm whether your facility sits in a qualifying area. Takes about 15 minutes. No cost. If you don’t qualify, the conversation ends there and nothing changes.
Project review
We look at what you’ve got planned for the next 12 months or completed in the last 24. We identify which projects are strong candidates for NMTC structuring.
Structure and capture
We coordinate the process end-to-end. Your team isn’t pulled into the paperwork. The 15–20% reduction gets built into the project financing.
Success-based. We only get paid if there’s real money to capture.
No upfront fees, no retainers, no hourly billing. The eligibility check is free. If NMTC doesn’t apply or the numbers don’t work, you owe nothing.
The questions hospital leaders ask first.
Do nonprofits qualify?
Yes. NMTC eligibility is based on location, community impact, and project structure — not tax status. Critical access hospitals, rural hospitals, FQHCs, community health centers, and behavioral health providers all qualify.
What if our project is already finished?
If it wrapped within the last 24 months, there may still be a way to capture the credit. A 15-minute check tells you whether it applies to your situation.
How do we know if our area qualifies?
Most rural hospitals sit in qualifying areas. The eligibility check confirms it for your specific facility in about 15 minutes.
Is there any upfront cost?
No. The eligibility check is free, and our engagement is success-based. If NMTC doesn’t apply or the numbers don’t work, you owe nothing.
How much work does this create for our team?
Very little. The eligibility check takes one short call. If we move forward, we coordinate the process on your side so your team stays focused on operations.
Two paths forward.
If you’re mid-capital-plan or recently completed a project, the eligibility check tells you whether NMTC applies. Either answer is useful.
Talk to someone
Schedule a Free Eligibility Call
15 minutes with the SixO3 team. No cost, no obligation. We confirm whether your facility and projects qualify.
Or call directly: 913-800-2966
Get it in writing first
Request a Written Eligibility Review
Not ready or too busy to book a call? Answer a few quick questions and we’ll send a written assessment.
No spam. Written assessment within 2 business days.
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Expect a written eligibility review within 2 business days.