1
Stand and Deliver Building Health Center
Infrastructure with Economic Stimulus Funds

• Alliance for Health Reform Briefing
• February 23, 2009
• Presented by
• Allison Coleman, Chief Executive Officer
• Capital Link

2
Capital Link Overview

• Mission Capital Link is a nonprofit
  organization that
• assists health centers in planning and obtaining
  financing for building and equipment projects,
  and
• assists PCAs and other partners in leveraging
  capital resources for health centers on a
  statewide, regional and/or national basis.
• Founded as a joint effort of the National
  Association of Community Health Centers (NACHC),
  the Community Health Center Capital Fund (CHCCF)
  and Primary Care Associations in MA, IL, NC, and
  TX.
• National Organization with offices in nine
  states MA, CA, DC, LA, MD, MO, NC, WA and WV

3
Speaking From Experience
Since 1998, Capital Link has

• Assisted health centers in obtaining almost 412
  million for 162 capital projects totaling 549
  million
• Assisted Primary Care Associations in leveraging
  341 million for capital programs for their
  member health centers in several states
• Worked with HRSA, NACHC and numerous PCAs to
  document health center capital needs and the
  economic impact of investments in health centers

4
Health Center Capital Needs

• In December 2007, Capital Link completed a
  HRSA-supported analysis that indicated that
  health centers would need 4.4 billion over 5
  years to improve, expand and upgrade their
  current facilities.
• In March 2008, Capital Link, NACHC and Community
  Health Ventures completed a study that indicated
  that health centers would need 10.5 billion in
  capital investments to enable them to reach the
  goal of serving 30 million people by 2015.

5
Economic Stimulus Funding

• 1.5 billion represents the largest investment in
  health center infrastructure in the history of
  the health center program!
• As such, health centers have a tremendous
  opportunity to build on past successes to achieve
  a new level of visibility and stature
• and to build their capacity to play an
  important role within any health reform effort

6
Shovel-Ready Projects

• HRSA has made significant investments in
  providing capital-related TA to health centers
  through Capital Link over the past 11 years.
• As a result of this investment and health
  centers commitment to growth, there are many
  shovel-ready projects that are prepared to move
  ahead as soon as HRSA can make funds available
• Some projects will likely be 100 grant funded
• Others will leverage the federal investment with
  other funds from a variety of sources including
  New Markets Tax Credits, other state and
  foundation grants and loans
• These projects will create construction and
  permanent jobs

7
Economic Stimulus Impact

• Jobs created as a result of capital project
  spending
• An investment of 1.5 billion over 2 years should
  result in the following
• Approximately 3 billion in overall economic
  impact, including direct, indirect and induced
  stimulus effect
• More than 20,000 construction-related jobs
• Permanent health center jobs by 2010
• Based on new capital projects coming on line and
  growth resulting from 500 million in new funding
  for health center operations
• 48,000 new permanent health center jobs
• 28,000 additional jobs in low-income communities,
  based on the health centers spending in their
  communities

8
What Capital Link Will Be Doing to Help Health
Centers Succeed

• Collaboration with NACHC and HRSA to provide
  basic information regarding funding availability
  and application process
• Direct one-on-one TA to get projects ready
• Feasibility analyses, market assessments, space
  planning, design-related advice and assistance,
  financial projections and business planning and
  assistance with leveraging multiple sources of
  funds
• Advice and assistance to HRSA as they gear up to
  make grant funds available rapidly
• Ongoing economic impact analysis of funded
  projects to document outcomes
• Investment by United Health Foundation will
  assist Capital Link in rising to meet the
  historic challenge and opportunity we have before
  us!

9
www.caplink.org
Main Office
Massachusetts 40 Court Street 10th Floor Boston,
MA 02108 Phone [phone] Fax (617)
542-0191
California 979 Osos Street Suite B3 San Luis
Obispo, CA 93401 Phone [phone] Fax
[phone]
District of Columbia 1400 Eye Street, NW Suite
330 Washington, DC 20005 Phone (202)
331-4602 Fax [phone]
Maryland 7200 Wisconsin Avenue Suite
210 Bethesda, MD 20814 Phone [phone] Fax
[phone]
Missouri 443 North New Ballas Road Suite 201 St.
Louis, MO 63141 Phone [phone] Fax (314)
991-8999
Louisiana 4550 North Boulevard Suite 120 Baton
Rouge, LA 70806 Phone [phone] x207 Fax
[phone]
North Carolina 2500 Gateway Center Suite
100 Morrisville, NC 27560 Phone (919)
297-0013 Fax [phone]
Washington 1920 Main Street Suite 18 Ferndale,
WA 98248 Phone [phone] Fax (360)
312-0489
West Virginia 140 Hummingbird
Lane Shepherdstown, WV 25443 Phone (304)
876-6996 Fax [phone]