1. PVAMC Leases & Construction: Annual Update Quarterly Congressional Meeting Portland VA Medical Center

2. Portland VA Medical Center Sites of Care 2 Bend Camp Rilea The Dalles Vancouver Hillsboro East Portland Newport Salem Portland West Linn CRRC

3. Existing Satellite Outpatient Clinics 3 SiteCurrent ScopeSizePatients† Bend CBOCPC, MH, SC and C&P24,0006,000 Salem CBOCPC and MH10,0007,300 East Portland CBOCPC and MH7,5007,900 North Coast CBOCPC and MH4,4001,500 Hillsboro CBOCPC, MH, SC and C&P26,50015,800 West Linn CBOCPC and MH15,7006,000 The Dalles Outreach Clinic*PC and MH2,5001,100 Newport Outreach ClinicPC and MH8001,100 Community Resource & Referral Center**PC, MH and C&P5,500500 TOTAL 96,90047,200 † unique patients, as of May 2013 * expanded from 1,200 ft 2, April 2012 ** opened April 2012

4. Leased Property Expansions  Salem CBOC  Expand 10,000 ft² to 26,000 ft²  Add Eye Care, Audiology, PT, X-Ray and Comp & Pen  Expected to open May 2014  East Portland CBOC  Expand to 7,000 ft² to 26,000 ft²  Add extensive Mental Health Clinic services  Locate near largest concentration of mental health patients  Expected to open early 2015 4

5. New Construction  Portland Parking Garage  New 4-deck garage located near the entrance to the Portland campus  Added net 220 spaces, to free patient parking in the existing garage  Structure will accept an additional 2 decks (150 spaces)  Garage opened in August 2013  Vancouver Primary Care Building  New 20,000 ft² structure where C-Tran bus turn-around is now  Includes space for 15 Patient Aligned Care Teams (PACTs)  Expect construction funding in FY2014 5