We are an ISB. Within our A.A. which is primarily rural LMI and distressed census tracts, we have one affluent county considered to be the medical hub of our A.A. with a large hospital, medical clinics, and specialties. We have loans to some of these medical clinics. Question - I'm looking community development loan credit under the ISB carve-out. My thinking is to use U.S. Dept of Health & Human Services designations that all our A.A. counties including the affluent county are "medically underserved areas" or medically underserved populations" as added support along with the benefit to our LMI and distressed tracts. The availability of medical services does help "stabilize" our distressed tracts. Has anyone had any success with this approach?