Loans: Health

In designated HPSAs (health professional shortage areas), less than 50% of the medical staffing needs are being met. In eight of the twelve states Arc Health operates, that number is less than 40%. Guided by principles of health equity and social justice, Arc Health is a medical staffing agency that connects quality healthcare clinicians and physicians to rural, underserved, and tribal communities that have traditionally faced barriers to accessing healthcare due to social and historical structures. In 2023 Arc providers worked 56,255 clinical hours and saw over 100,000 patients – an increase of nearly 75% from 2022. The organization serves 200,000 people annually through its services.

NFF’s loans, totaling $2 million, will provide the capital for Arc Health to acquire Lux Travel Nurse and provide additional working capital for the newly combined entity. Lux Travel Nurse connects travel nurses to facilities in rural locations, primarily in the Midwest. This expansion will add an important piece of high-quality care to Arc Health’s offerings by giving it the ability to broaden much-needed service offerings to include nursing and related services.

With 26 locations across Northwest Washington, Compass Health is a leading behavioral healthcare provider that delivers comprehensive mental health treatment in the North Puget Sound region of Washington State. In 2022, Compass Health served approximately 13,500 adults and 4,300 youth through a range of services including outpatient care, substance use treatment, emergency services, inpatient care, and supportive housing. In 2021, 97% of its patients were covered under Medicaid reimbursements.

This financing supports the second phase of a three-phase construction project, involving the construction of a four-story facility with approximately 71,000 square feet of inpatient and outpatient behavioral health care. The expansion will allow Compass Health to serve even more community members, with a goal of adding over 1,000 new patients and increasing overall patient visits from 23,700 to 31,500 per year.

The mission of Community Health Initiatives (CHI) is to provide outstanding healthcare for New Yorkers — regardless of their ability to pay. A Federally Qualified Health Center (FQHC), this community-based organization offers free and low-cost healthcare for New York residents who may otherwise lack access to quality medical care. From preventive to behavioral health services, CHI takes a holistic approach to the care it provides. As a full-service clinic, CHI delivers comprehensive care to community members who need it most.

In response to growing demand exacerbated by the COVID-19 pandemic, the organization recognized that it needed to expand its facility. The larger site will house additional exam rooms along with a physical therapy area, nurses’ station and clinical work area, urgent care practice, triage and consultation rooms, and additional administrative spaces. NFF's loans will both finance the new center and bridge government grants that will provide the remainder of the financing required to furnish the space.

Public Health Management Corporation (PHMC) is a nonprofit public health institute that builds healthier communities through partnerships with government, foundations, businesses, and community-based organizations. PHMC is one of the largest and most comprehensive public health organizations in the country, serving close to 350,000 clients annually with more than 350 programs in 70 locations.

PHMC’s Public Health Campus on Cedar is located on a site that formerly housed Philadelphia’s century-old Mercy Hospital. The site was converted in 2021 into a public health campus housing some of the region’s largest healthcare institutions: Hospital of the University of Pennsylvania, Children's Hospital of Philadelphia, and PHMC. The site remains an anchor of the community, supporting community health and providing jobs to residents. The campus is undergoing major renovations to improve systems and infrastructure, with total development costs around $90 million. Once completed, the campus will feature an upgraded hospital, inpatient pediatric behavioral health center, primary care medical and dental services, and several residential and non-residential social service programs. As part of a large financing project, NFF’s participation loan with lead lender PIDC will bridge a grant from the Commonwealth of Pennsylvania Office of the Budget that supports the acquisition and construction of regional economic, cultural, civic, recreational, and historical improvement projects.

Partner: PIDC

Kids First Health Care (KFHC) partners with schools and other community organizations to bring primary and preventive health services to youth ages 0-21. Most of the youth KFCH serves are enrolled in Medicaid or Child Health Plan Plus and nearly 20 percent are uninsured. After COVID-19 mandated school closures across the country, KFHC shut down its school-based sites. For the past year and a half, they have been seeing patients solely out of their headquarters – a small facility with just two exam rooms. As schools reopen and KFHC once again begins seeing patients while they're in school, they will use this loan from our Metro Denver Loan Fund to expand into a new location with six exam rooms – vastly expanding the amount of youth they'll be able to serve. In partnership with a dental clinic at the same site, they hope to evolve this building into a hub for all of their community's healthcare needs.

St. John's Episcopal Hospital offers emergency and ambulatory care to the densely populated, culturally and economically diverse, and medically underserved population of Far Rockaway, Queens and surrounding areas in New York. NFF and Capital Impact Partners each provided $5 million source loans for a $30 million project to construct a community clinic across the street from the hospital that will allow St. John's to expand the provision of primary care, mental health, and specialty care services on the Rockaway peninsula. This project will also free up much needed space at the hospital for critical inpatient services so that St. John's can continue to provide people of all faiths with comprehensive services - from preventive to rehabilitative - regardless of ability to pay.

Partners: Capital Impact Partners, CityScape Capital Group, New York City Regional Center, and Chase

Bartz-Altadonna Community Health Center provides patient-centered, high-quality, trauma-informed healthcare services to people in Antelope Valley, regardless of ability to pay and with intensive outreach to people experiencing homelessness. A $2.5-million facility loan from NFF will help Bartz-Altadonna Community Health Center purchase a new building for their expanded behavioral health services and administration offices. With more space available, the Center can offer even more support to people who are seeking mental health services – a critical offering particularly during the pandemic.

Odessa Brown Children's Clinic (OBCC), operated by Seattle Children's Hospital, is building out a newly constructed pediatric health clinic for families in Southeast Seattle to provide medical and dental care, as well as physical therapy, mental health, and nutrition counseling. The clinic also integrates other services, such as literacy training, legal advocacy, and parent support groups so that families can access everything they need to thrive in one place. NFF's $10 million in NMTC sub-allocation will support the new $53.4 million clinic. OBCC is co-located in a building with an early childhood care center and five floors of mixed-income housing (financed separately). The project is part of the Othello Square neighborhood redevelopment, which includes a charter school, workforce development, and affordable housing. OBCC will continue to be a trusted medical provider for local residents while offering even more to families in the community.

Partners: Urban Research Park CDE, LLC, Craft3, and Chase