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RHS understands real estate finance and development. We specialize in partnering with Tribal Organizations to identify and develop facility infrastructure to support essential services in their communities.

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105(l) Consultation

The first step is for us to review your current 105(l) lease portfolio. By creating an RHS profile, we can start a conversation about how RHS can best support your Tribal Organization. Whether it’s managing existing leases, applying for new ones, or sharing best practices to maximize future funding, we’re here to help.

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Facility Condition Assessments

Keep your capital planning on track by maintaining up-to-date facility condition assessments for every 105(l) lease application. RHS can arrange and oversee this important service for you—at no extra cost.

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Capital Project Delivery

RHS helps align your facility needs with your organization’s long-term goals. We’ll collaborate with your team to develop construction plans, budgets, and schedules, managing every aspect of your project—from financial close to the ribbon-cutting ceremony.

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Capital Project Financing

RHS will work with you to create a financial plan tailored to your needs, based on a long-term negotiated lease. This funding can cover up to 100% of project costs, including facility management and maintenance expenses.

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Facility Management

Rural Health Solutions will continue to ensure that maintenance and repair funds are managed properly, keeping your facility running smoothly and staying compliant throughout its lifecycle.

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Rural Health Solutions supports Tribal Organizations in making the most of 105(l) funding opportunities to build facilities that meet the needs of their communities.

RHS was created to ensure federal funding agreements deliver on their promises and to support Tribal Organizations in developing real estate and infrastructure projects in underserved areas.

By bringing together all the key steps—planning, design, financing, construction, and property management—RHS makes the process easier. This approach ensures that the costs of building, operating, and maintaining these facilities work hand-in-hand with the benefits provided by the 105(l) program.