1. Introduction to Capital Link and 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 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 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/reportshttp://caplink.org/resources/reports – Working on a “next generation” database to provide interactive, real-time financial and operational data

5. 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

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