NMTC Advocacy Week Day 2: Healthcare

The NMTC helps expand access to affordable healthcare, emergency services, cancer treatment, substance abuse treatment, and other important healthcare services in low-income communities.

Hospitals and Emergency Services


Lawrence, MA

This NMTC supported financing for the construction of a surgical addition to Lawrence General Hospital (LGH). The addition added 43,700 sq. ft. on 2 floors with 7 new operating rooms.

LGH is an independent, non-government, non-religiously affiliated, not-for-profit hospital serving the greater Lawrence, MA community and surrounding areas.  LGH serves nearly 300,000 patients annually and is the sole remaining not-for-profit hospital serving the immediate Lawrence area.

The hospital s presence in the city of Lawrence has ensured that the indigent, minorities, and working poor have access to quality primary care. Of the city s roughly 77,000 residents, almost 30% of households live below the Federal poverty rate and the city s 8.6% unemployment rate is among the highest in the state.  Nearly seventy three percent of the city s population is Latino, the largest proportion of Hispanics of any Massachusetts community.


Spruce Pine, NC

The NMTC project involves the construction of a 30,000-square foot, stand-alone medical office building and ambulatory care center on the southeast corner of the Blue Ridge Regional Hospital (“BRRH” or “Hospital”) campus located in Spruce Pine, North Carolina. The new facility allows BRRH to lower wait times, better serve the acute needs of the community, provide a lower cost alternative for ambulatory and routine primary care, and serve as a recruiting tool for primary care physicians and specialists. The Hospital is a major employer in the area with 380 employees, and the new project adds 46 new jobs. The facility is owned by a joint venture between The Keith Corporation, the developer and Blue Ridge Regional Hospital. This joint-venture relationship enables a master-lease structure that is anticipated to support the growth of the regional healthcare provider and the extension of services to over 14,250 low-income persons annually.


Smith Center, KS

The 60,000-square-foot building took 16 months to construct and the new facility includes in-patient hospital rooms, an attached primary care clinic, space for visiting specialists to see patients, an emergency room, labor and delivery facilities and space for outpatient procedures, therapy and rehabilitation services. The current hospital and clinic cover approximately 35,000 square feet. Funding included $2.5 million in NMTC equity and a USDA Rural Development loan.


Seattle, WA

Seattle Children’s Hospital (SCH), considered to be one of the best children’s hospitals in the country, serves as the pediatric and adolescent academic medical referral center for Washington, Alaska, Montana and Idaho. The hospital has renovated 80,000 SF of a building that it purchased in 2006 in order to expand research capacity. The project has effectively doubled the available research space in the building in support of SCH’s mission to provide leading medical research and care in the field of life-threatening children’s diseases. The tenant improvement of the new space has facilitated new HVAC, plumbing, electrical and interior finishes resulting in 60,000 SF of research space and 20,000 SF of administrative and office space. The project is targeting a LEED Silver for Core & Shell certification from the US Green Building Council for its use of sustainable design elements.

Federally Qualified Health Centers


North Highlands, CA

The Elica project entailed the renovation of a building in North Highlands, a northern suburb of Sacramento. The new site is 1.3 miles south of the site of the current center, at 5708 Watt Avenue, the lease on which runs through April 2021. Elica acquired the building in September 2018,and recently completed the renovation. The new center houses 24 medical examination rooms, 18 dental operatories and six behavioral health exam rooms (plus a behavioral health meeting room to be used for group therapy sessions). The space includes a laboratory and an on-site pharmacy.


Savannah, TN

NMTC financing supported the development of a new 19,500 sq. ft. clinic on a six acre site that was previously purchased by Lifespan. The site is strategically located within the service area and extremely close to the Hardin Medical Center, a hospital partner. The site is near two of the center’s existing clinics (one is leased and one is owned, with a combined total of 10,000 sq. ft.) that once complete, will be consolidated by the project. The new clinic will consist of three primary care medical pods providing family practice, pediatrics, and OB/GYN services and will better support a team-based health care model through its design and features.


Cincinnati, OH

Citylink Center Expansion is a development within Cincinnati’s West End neighborhood. Citylink Center (CLC), a best-in-class social service provider, is to redevelop multiple buildings adjacent to the current Citylink Center at 800 Bank Street to create a comprehensive campus to deliver maximum community impact. This project is an expansion of services CLC currently provides to Low-Income Individuals and Families, providing space for Workforce Development via Hard Skills Training in high demand construction and automotive trades as well as an expanded full-service Childcare Facility so that families can engage in multi-generational development.


Chicago, IL

A sprawling healthy living center coming to 79th Street aims to empower South Siders when it comes to their health. The new hub at 839 W. 79th St. will include a 15,000 sq. ft. health center, a minority-owned pharmacy, a fitness center, office space for the Greater Auburn Gresham Development Corporation, a Mikkey’s Retro Grill and a green roof for education, among other community-based organizations and services.


Jamaica, NY

A new $11 million, 15,000 sq. ft. health clinic located in a medically underserved area in Downtown Jamaica, Queens. The clinic will have 18 exam rooms and they serve approximately 11,000 people annually, providing primary and specialty care, dental care and a pharmacy. The clinic will be located on the second floor of the newly constructed “Tree of Life” development project, a 170-unit affordable housing development in Downtown Jamaica, Queens.

Addiction Treatment Centers


Seattle, WA

Compass Center, an important transitional housing and homeless service center, in Seattle’s distressed Pioneer Square neighborhood was destroyed in a 2001 earthquake. The City and community wasted no time planning the repair of the original structure and the addition of a new facility. NDC’s investment is part of this comprehensive residential and social services project, involving 14 different financing sources and years of pre-development work. Completed in mid-2005, the buildings provide transitional housing for 78 men for up to one year, 23 units of permanent low-income housing, space to prepare 500-1000 meals for the homeless, mail and banking services for 500 individuals, hygiene services for 200-300 individuals, mental health services, substance abuse counseling and support, wellness services, case management, home for two other homeless service organizations and community space for residents.


Phoenix, AZ

The Phoenix Rescue Mission (“Mission”) was founded in 1952 in downtown Phoenix where an evening meal, Chapel service, and clothing were provided to the poor and homeless, serving between 35 and 50 clients each day. Today the Mission has expanded its services and outreach to provide 79,456 bed nights of shelter and over 386,000 meals to the poor and homeless during 2014. In 2010, with the help of PCDIC and Mutual of Omaha Bank, the Mission opened the Changing Lives Center, a specialized facility for homeless women and their children offering a comprehensive approach to breaking the cycle of addiction, abuse, trauma, and homelessness. The financing provided in 2014 was designated as a working capital loan. The secured campus is comprised of 77,000 square feet of new construction that includes: children’s pre-school and after -school center, a multi-purpose building and 67 fully furnished dwelling units. The campus is further complemented by a prayer and meditation garden, playground facilities and an industrial kitchen servicing the communal dinning room.


Philadelphia, PA

Esperanza is a Federally Qualified Health Center providing services to 14,500 patients. The project will develop a vacant brownfield lot into a 21,000 sq. ft. wellness center focused on fitness, counseling, healthy foods access/education, addiction recovery, and community-building. Esperanza Health, a non-profit healthcare organization with a faith-based mission, aspired to expand its outreach and services through the construction of a new Health and Wellness Center in North Philadelphia.

Known as Phase III in Esperanza’s plan for a dynamic health and wellness campus, Esperanza selected NORR for the design of a new budget-conscious facility that would become a safe and secure gathering place for the community.

In keeping with Esperanza’s mission, the design solution provides a welcoming environment that provides convenient access for the community. The 30,000 square-foot, four-story building embraces both the site constraints and connects with the design aesthetic of the adjacent facilities on the Esperanza Health and Wellness Campus. The Center’s program features multi-purpose community rooms, a large gym space, group fitness rooms as well as flexible spaces that can support a variety of activities and adapt to Esperanza’s changing needs over time. The fourth floor features a conference center/event space that leads to a rooftop terrace. Currently under construction and scheduled for completion in the Summer of 2022, this additional space will alleviate overcrowding at its other facilities and promote a sense of well-being for this underserved community.


Santa Rosa, CA

The Caritas Center in Santa Rosa, CA is a new 3-story 46,500 sq. ft. center providing supportive services for the homeless and near homeless, a medical respite for homeless and a 2,000 sq. ft. Federally Qualified Health Center. The project is expected to substantially increase the number of people served from 1,564 in 2019 to 4,416 when the project is completed.

The Caritas Center will centralize and expand the services and programs currently on the site of the project sponsor, Catholic Charities of Santa Rosa, into a single comprehensive homeless support services facility including:

  • Family Support Center to provide a Head Start Program for children and emergency housing and services for homeless families.
  • Navigation/Day Center which will provide desperately needed short term transitional housing services, educational resources and health services, including primary care, mental health care, addiction counseling, showers and laundry, food and relief from the elements for over 3,000 individuals annually.
  • Catholic Charities estimates the number of individual visits to the Drop-In Day Center/Navigation Center is 50,140 based on the 1,090 people served annually, visiting 46 times per year.

After project completion the number of visits per year will increase to 59,800 (1,300 people served visiting 46 times annually).The Caritas Center will retain 100% of its current 46 employees and is expected to create 30 additional FTE positions with the development of the new facility. The construction is estimated to create 130 FTE positions through building completion. All employees working 30+/hour per week will have access to the following affordable benefits: medical, dental, vision, pension, 403b, life insurance. Regular monthly trainings on a variety of topics are available in alignment with accreditation standards. Entry level wages will be no less than $2/hour above California minimum wage.


Painesville, OH

Signature Health is a nonprofit, Federally Qualified Health Center serving multiple counties in Northeast Ohio for over 25 years. The departure of a main healthcare provider from the city of Painesville in 2009 left nearly 1,000 workers without jobs and many more people without access to comprehensive care; Signature Health recognized the need for a new, one-stop facility for medical and behavioral health to serve the community. DFWR allocated $6.5M in federal and $1M in state New Markets Tax Credits to this project, and Chase Bank served as the NMTC Investor.

The Painesville Health Campus will allow many current patients to seek care closer to home, and will ultimately provide approximately 5,000 new patients with care each year. Services will include family practice, internal medicine, OB-GYN services, psychiatry, disease screening and prevention services, counseling, and substance abuse treatment; as a Federally Qualified Health Center, Signature Health can offer discounted rates to uninsured and underinsured patients. DFWR’s financial support allowed for the renovation and buildout of approximately 32,000 square feet of an existing medical complex and an adjoining building, which is nearly triple that of Signature Health’s current Painesville facility. By providing care to an underserved area and creating approximately 60 permanent quality jobs, the Painesville Health Campus is well-positioned to improve Lake County’s medical and economic wellbeing for years to come.

Fighting Cancer


Atlanta, GA

The project will create a 555,000 sq. ft. facility (225,000 of which will be clinical space and 330,000 will be parking) with eight operating rooms, four endoscopy rooms, a Cancer Center, surgical clinics including orthopedics, general surgery, ENT, oral surgery, an Eye Center, and imaging, pharmacy, lab, central sterile supply and common support spaces, and a corridor bridge to link the building with Grady Memorial Hospital on the land. Separating ambulatory services from the inpatient services at the hospital will result in improved efficiencies and capacity for growth in both ambulatory and inpatient services. The CASS will expand Grady’s surgical clinic capacity by 45% and surgery capacity by 25%. Grady Memorial Hospital Corporation will be the tenant.


Tulsa, OK

Freestanding, state-of-the-art cancer center incorporates the latest advances in cancer treatment, all under one roof


South Bend, IN

The 110,000 square-foot South Bend Kroc Center redefines what a community center is all about. This unprecedented place of gathering and enrichment houses an array of education, sports, faith, arts and supportive programs to deliver a world class experience. The programs, as well as the building itself, have been designed to stimulate the mind, body and spirit, to provide hope, and to transform the life of each and every member of the community.

The Kroc Center is comprised of four major components: a center of worship and performance venue, an aquatics center, fitness and recreation center, and special event facilities.

Development of The Kroc Center was made possible by a $70 million combined capital and endowment grant from a bequest to The Salvation Army by the late Mrs. Joan Kroc, widow of McDonald’s founder Ray Kroc. As a condition to the significant Kroc grant, the community also raised $10 million locally, representing a total community investment of nearly $80 million.

Construction of The South Bend Kroc Center began in May 2010 and the facility opened in January 2012.


San Francisco, CA

Family House serves as a home away from home for families of children with cancer and other life-threatening illnesses by providing physical comfort and emotional support, free from financial concerns. NCCLF provided $8 million to Family House to purchase land and build a facility that serves as a temporary housing complex providing temporary housing and a supportive community for families with a child who is undergoing treatment for life-threatening illnesses at nearby USCF Benioff Children’s Hospital in San Francisco.

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