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
– Industry vision and leadership in the development of
capitalization strategies for facilities and operational expansion
– Metrics and analytical services for measuring health center
impact, evaluating financial and operating trends and promoting
performance improvement
– Direct assistance to 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
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
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
– Working on a “next generation” database to
provide interactive, real-time financial and
operational data
Direct assistance to 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
– Space accommodates 1,665 providers and 9,100 FTEs
– Services for 1.3 million patients through 5.2 million annual visits
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
– $4.8 billion, of which at least $2.7 billion is
needed in debt financing
Contact Us
Main Office:
40 Court Street
10th Floor
Boston, MA 02108
Phone: (617) 422-0350
(617) 542-0191
[email protected]
Satellite Locations: California
979 Osos Street
Suite B3
San Luis Obispo, CA 93401
Phone: (805) 544-2355
(805) 544-7919
2158 Roselake Circle
St. Peters, MO 63676
Phone: (636) 244-3082
West Virginia
1920 Main St.
Suite 18
Ferndale, WA 98248
Phone: (360) 312-0481
140 Hummingbird Lane
Shepherdstown, WV 25443
Phone: (304) 876-6996