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Introduction to Capital Link and FQHC Financing Needs

Introduction to Capital Link and FQHC Financing Needs. Presented by : Allison Coleman, CEO Capital Link. Capital Link - Mission. Established through the community health center movement, Capital Link helps health centers grow by providing:

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Introduction to Capital Link and FQHC Financing Needs

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  1. Introduction to Capital Linkand FQHC Financing Needs Presented by: Allison Coleman, CEO Capital Link

  2. Capital Link - Mission • Established through the community health center movement, Capital Link helps health centers grow by providing: • Industry vision and leadership in the development of capitalization strategies for facilities and operational expansion • Metrics and analytical servicesfor measuring health center impact, evaluating financial and operating trends and promoting performance improvement • Direct assistanceto health centers and complementary nonprofit organizations in planning for and financing operational growth and capital needs • Community Health Center Capital Fund is Capital Link’s CDFI affiliate www.chc-capitalfund.org

  3. Industry vision and leadership • What are we doing? • Training CDFIs to be better lenders to FQHCs • Collaborating to develop the Lenders Coalition for Community Health Centers • Working with NACHC and PCAs to advocate for health center growth strategies

  4. Metrics and analytical services • What are we doing? • Assessing FQHC capital needs • Providing FQHC industry financial and operational benchmarks for: • Health center performance improvement • Lender/investor metrics for lending • See: Community Health Center Financial Perspectives Series, funded by Citi Foundation http://caplink.org/resources/reports • Working on a “next generation” database to provide interactive, real-time financial and operational data

  5. Direct assistanceto health centers • What are we doing? • “Soup to Nuts” growth and capital planning TA, including raising capital from many sources • Results to date: • Raised $927 million for 205 projects totaling $1.14 billion • $485 million in NMTC financing (52%) • $270 million in tax-exempt bond financing (29%) • $172 million from other sources (19%) • 3.25 million SF of space developed • 15,450 construction-related jobs and $2 billion to overall economic impact from construction • Space accommodates 1,665providers and 9,100 FTEs • Services for 1.3 million patients through 5.2 million annual visits

  6. What’s Next for the FQHC Industry? • Projected patients by 2018: 32 million • Up from 22 million in 2012 (7.6% YOY growth) • Capital Needs of ~$10.3 billion • $6.9 billion on-balance sheet (67%) • $3.4 billion leased space (33%) • Estimated funding gap for HC-owned space • $4.8 billion, of which at least $2.7 billion is needed in debt financing

  7. Massachusetts 40 Court Street 10th Floor Boston, MA 02108 Phone: (617) 422-0350 Fax: (617) 542-0191 acoleman@caplink.org Main Office: Contact Us Satellite Locations: California 979 Osos Street Suite B3 San Luis Obispo, CA 93401 Phone: (805) 544-2355 Fax: (805) 544-7919 Missouri 2158 Roselake Circle St. Peters, MO 63676 Phone: (636) 244-3082 Washington 1920 Main St. Suite 18 Ferndale, WA 98248 Phone: (360) 312-0481 West Virginia 140 Hummingbird Lane Shepherdstown, WV 25443 Phone: (304) 876-6996

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