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League-Sponsored Bond Agency Issues $11 Million in New Markets Tax Credit Financing for Livingston Community Health Care Provider

October 6, 2017
Some of the most significant benefits of League membership for cities since 1988 have flowed from the League’s co-sponsorship of the California Statewide Communities Development Authority (CSCDA) and California Statewide Communities Development Corporation (CSCDC).
 
This program provides a variety of public agencies and developers access to low-cost, tax-exempt financing and economic development tools. CSCDC recently provided $11,070,000 of New Markets Tax Credit (NMTC) allocation to Livingston Community Health (LCH) to finance its new primary care medical and dental campus located in Livingston.
 
About Livingston Community Health
 
Livingston Community Health (LCH) is a nonprofit primary health care provider that serves patients from Livingston, Delhi, Stevinson, Hilmar, Cressey, Ballico, Winton, and other surrounding agricultural areas. Since it was founded in 1970, LCH has grown to be the largest Federally Qualified Health Center in Merced County. LCH is the primary source of health care for residents of northern Merced County and portions of southern Stanislaus County, particularly for the uninsured, rural and migrant families and the working poor. Approximately 77 percent of LCH’s patients live at or below 100 percent of the Federal Poverty Level (FPL) and 95 percent live at or below 200 percent of the FPL. Around 80 percent of patients are Latino, and 40 percent are agricultural workers. LCH’s main clinic is currently located in a 15,000 square foot two-story building, which it has occupied for over 30 years. This site is severely overcrowded, and is located in a residential neighborhood with little dedicated parking.
 
CSCDC partnered with JPMorgan Chase to provide $11,070,000 in NMTC funding to finance LCH’s new campus. Other financing sources included: loans from Rural Community Assistance Corporation and Northern California Community Loan Fund; and a grant from the Central California Alliance for Health.
 
The new 35,500 square foot main campus will include:
  • a 14,500 square foot medical center;
  • a 6,500 square foot dental and optometry building; and
  • a 14,500 square foot administrative facility. 
The campus will create a consolidated “one-stop” health and wellness center for multi-generational families; including services ranging from primary and wellness care, to resources that support life-long health and wellness. The new campus will house administrative offices, 30 examination rooms, six dental rooms, radiology, optometry exam areas, labs, a pharmacy, patient education rooms, behavioral health consultation rooms, triage areas, medical assistant workstations, as well as a reception, sufficient parking, and outdoor areas. Importantly, the new facility will create a patient-centered medical home and facilitate the integration of behavioral health and substance abuse services into the primary care setting.
 
The project will allow LCH to provide primary care services to 19,500 individuals annually, an increase of approximately 4,000 patients beyond their current levels, through 68,000 patient visits per year. The majority of LCH’s patients are low-income individuals on Medi-Cal. The project is expected to result in 37 new permanent full-time employees, 150 retained full-time employees, up to 26 externships for medical assistants and nurses, and six to ten training opportunities for high school students.
 
Background
 
CSCDC was created as an affiliate community development entity by CSCDA to facilitate investment in low income communities through the use of New Markets Tax Credits. The NMTC program, passed by Congress in 2000, encourages investments in low-income communities by providing a tax incentive for community development lenders and the capital markets to invest in communities that historically have had poor access to capital.


 
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