Financing Community Health Centers

  • CDFI Fund and OFN support CDFIs that are working to bring

  • primary care to more people and places nationwide.


Supported by the U.S. Department of the Treasury's CDFI Fund 

Community Health Centers (CHCs) provide the largest network of primary care services in the U.S., reaching more than 20 million patients annually. The Affordable Care Act (ACA) envisions that CHCs will double patient capacity to 40 million over the next five years.

CHCs will play a critical role in meeting this expanded demand for community health services. CDFIs can help by providing much needed financial products and services. This effort holds the promise of simultaneously producing jobs, significantly improving health, reducing health care spending, and developing the economy of the nation’s low-income communities.

On March 22, 2013, CDFI Fund Director, Donna Gambrell, announced at the National Association of Community Health Centers the launch of a new Capacity Building Initiative to support CDFIs financing CHCs.

Through this capacity building effort, CDFIs will develop the skills to successfully finance community health centers in medically underserved markets. OFN partnered with industry leading experts, CapitalLink, Primary Care Development Corporation, and Capital Impact Partners—who collectively have more than 70 years of experience underwriting more than 1,000 CHCs—to develop a robust training and technical assistance program for CDFIs.

Series Components

Foundations in Financing CHCs Trainings

OFN offered six, free two-day training workshops to provide CDFIs with a comprehensive overview of the CHC landscape and how CDFIs can provide financial services to CHCs. CDFIs without CHC lending experience but that have relevant community facilities or real estate activities, or CDFIs with existing CHC lending programs looking to expand, were encouraged to apply to participate in the training. The Foundations training workshops were held from January through July 2014.

Technical Assistance

Comprehensive individual and group technical assistance is available to CDFIs that attended one of the Foundations trainings. There is a robust schedule of technical assistance webinars open to everyone.

Advanced Financing CHC Forum

In addition, OFN and the National Association of Community Health Centers (NACHC) are co-convening an Advanced Forum on financing CHCs that brings together CDFIs and other stakeholders to share best practices and to interpret the fluid CHC operating environment. This network of CDFIs with experience lending to CHCs is meeting regularly in person and by phone to evaluate innovations and provide up-to-date analysis of the rapidly evolving health care environment.

Learn More

To learn more about Financing Community Health Centers Alexandra Jaskula, Senior Associate, Strategic Consulting, at or 215.320.4325.

Wednesday June 3, 2015 at 2:00 PM ET

Identifying the Risks of Health Center Lending
Presenters: Dave Kleiber, Capital Link

This webinar examines the differences between failed or failing health centers and their more successful counterparts, shedding light on the factors that may contribute to health center failure. This analysis seeks to provide lenders with the insight necessary to determine the potential early warning signs of future financial distress when underwriting health center loan requests—whether for capital project financing, working capital, or growth capital.


Monday, June 8, 2015 at 2:00 PM ET

Leveraging HRSA Capital Grants through a NMTC Structure
Presenters: Dan Woodman, Capital Link

This webinar will present the “Dos and Don’ts” of Leveraging Health Resources Service Administration (HRSA) Capital Grants through a New Markets Tax Credit Structure. The session will review HRSA approval requirements that health centers must obtain when using HRSA capital grants. It will also discuss how to structure HRSA grants with bridge loans and align the HRSA approval process with a typical NMTC closing process.


Thursday, June 18, 2015 at 2:00 PM ET

Navigating Online CHC Data Resources for Market Needs Assessments
Presenters: Tom Manning, Strategies for Heathy Communities

This webinar will help CDFIs navigate the online resources available to assess market needs for CHC services. We will look at sources detailing local conditions and needs, as well as sources for individual, state-wide and national CHC data, enabling comparisons to broader norms as well as local competition.


Tuesday, June 23, 2015 at 2:00 PM ET

Changing Revenue Landscapes for CHCs
Presenters: Tom Manning, Strategies for Healthy Communities and Allison Coleman, Capital Link

This webinar will cover topics related to the changing revenue landscape for community health centers. What's happening with grants to care for uninsured patients? What’s happening with Medicaid expansion? What is the potential impact of ongoing health care reform initiatives? Join us to have these and other questions answered related to revenue changes for CHCs.


Tuesday, July 7, 2015 at 2:00 PM ET

Updated Financial and Operating Metrics and Trends
Presenters: Allison Coleman, Capital Link

This webinar will cover health center financial and operating metrics and trends from 2010 – 2013, for use in loan underwriting. The session will allow CDFIs to gain a greater understanding of the sector’s key benchmarks and trends during this critical period of health system transformation.


Past webinar recordings can be found at The CDFI Fund’s Financing Community Health Centers Resource Bank.

REASONABLE ACCOMMODATIONS: Requests for reasonable accommodations under section 504 of the Rehabilitation Act should be directed to Michael Jones at the CDFI Fund via (202) 653-0300 or no later than 72 hours in advance of the event.