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: – 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 construction – 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 space – $4.8 billion, of which at least $2.7 billion is needed in debt financing

Contact Us Massachusetts 40 Court Street 10 th Floor Boston, MA Phone: (617) Fax: (617) Missouri 2158 Roselake Circle St. Peters, MO Phone: (636) California 979 Osos Street Suite B3 San Luis Obispo, CA Phone: (805) Fax: (805) West Virginia 140 Hummingbird Lane Shepherdstown, WV Phone: (304) Satellite Locations: Main Office: Washington 1920 Main St. Suite 18 Ferndale, WA Phone: (360)