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Crescent Growth Capital, LLC

Crescent Growth Capital, LLC

Structuring project financing to incorporate tax credit equity.

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Healthcare/Wellness

St. Thomas Community Health Center

March 30, 2011 by

Having earned plaudits for its work on behalf of Daughters of Charity to fund two new health clinics, Crescent Growth Capital was approached to assist St. Thomas Community Health Center realize its dream of a new facility.

Founded by two Sisters of Charity and the resident council of the former St. Thomas Housing Project, St. Thomas Community Health Center was established in 1987 to minister to the highly disadvantaged and impoverished residents of the Irish Channel. St. Thomas’ commitment to providing “culturally competent” care to a largely minority population grew to encompass adult primary care and pediatrics, as well as specialites in cardiology, EEN&T, breast and cervical cancer and mental health.

With its staff scattered across the country, St. Thomas was shuttered in the aftermath of Hurricane Katrina. The clinic was ultimately reestablished – thanks in large measure to volunteer support and the generosity of numerous charitable foundations. Soon thereafter it was apparent that the post-Katrina environment actually provided real opportunity for community health clinics like St. Thomas. Metropolitan New Orleans’ former healthcare delivery model for the poor, which had centered on providing care to the uninsured at Charity Hospital, was scrapped in favor of promoting a network of primary care clinics located in the patients’ neighborhoods. The inclusion in healthcare reform of a universal coverage component added impetus to this policy shift, as the eventual emergence of a fully-insured population promises to generate significant additional demand for care.

Crescent Growth Capital was able to help St. Thomas capitalize on this opportunity by structuring and closing a $7.5 million New Markets Tax Credit qualified equity investment to fund the acquisition and adaptive re-use of a long-blighted mid-19th century commercial row. The transaction was extremely complicated. To generate the additional subsidy needed to realize St. Thomas’ new facility, anticipated historic tax credit proceeds and Louisiana State Office of Community Development CDBG dollars were bridged, grants from two charitable foundations were combined with another CDBG allocation from the City of New Orleans, and a loan was secured from the Louisiana Primary Care Association. These disparate funding sources were aggregated, then leveraged through a New Markets Tax Credit structure.

CGC also authored the Historic Preservation Certification Applications (Parts 1, 2 & 3), solicited investor bids and coordinated subsequent legal and regulatory chores, which resulted in over $4.7 million being classified as Qualified Rehabilitation Expenses, generating significant state and federal historic tax credit equity to further subsidize the project.

University of the Incarnate Word – School of Optometry

December 7, 2010 by

Operated by the Sisters of Charity of the Incarnate Word, whose central Texas ministry dates to 1869, the University of the Incarnate Word currently offers 75 programs to over 6,500 students in the San Antonio area. UIW is the largest Catholic university in Texas and its fourth-largest private institution of higher learning. Consistent with their order’s mission, the sisters have long encouraged achievement on the part of ethnic minorities; at present, the UIW student body is 75% minority. Ethnic minorities have lower rates of participation in healthcare and poorer health outcomes than White Americans, in part because most caregivers are themselves white. Minority patients often find this intimidating, especially when a language barrier is present. UIW is determined to encourage diversity in the ranks of healthcare providers. Through the School of Nursing and Health Professions, the Feik School of Pharmacy, a new physical therapy program, and the School of Optometry, the University of the Incarnate Word is committed to “changing the face” of healthcare delivery in Texas.

Funded by a $31 million New Markets Tax Credit qualified equity investment structured by Crescent Growth Capital, the UIW School of Optometry will be only the second of its kind in Texas and is the first new school of optometry to open in the United States since 1989. When completed, the 60,000 square foot school will include lecture halls, laboratories, a library, and administrative offices, among other facilities. By 2012 the School of Optometry is expected to have over 260 students enrolled. Importantly, to address the shortage of bilingual optometrists and attack the communication barrier between doctors and underserved populations, this program will be the first in the nation to offer a Spanish Language Certification.

The NMTC transaction will also fund a vision and eye care clinic, to assist the large numbers of uninsured and poor residents of San Antonio and Bexar County.  It is expected that over 50% of the clinic’s patients will be Medicare or Medicaid enrollees. Students of the school will work as interns at the clinic, under the tutelage of the optometry faculty.

Construction is now underway.

Urban League Head Start Center

September 28, 2010 by

Research indicates that early intervention in the lives of disadvantaged children provides the best way to break the cycle of poverty and hopelessness.  New Orleans’ historically meager social safety net was further eroded in the wake of Hurricane Katrina, and a key goal for post-Katrina recovery involves providing access to childcare and early enrichment for the city’s poor.

Since 1998, the Urban League of Greater New Orleans had operated an Early Head Start program to provide both low-income families with young children and pregnant women the opportunity to benefit from quality pre-natal care and child development assistance. Parents as well as children were served by the program.

The construction of a new Veterans Administration Hospital in New Orleans required that the Urban League move its program elsewhere.  A new location was found in the impoverished 9th Ward of New Orleans, adjacent to the HOPE VI Abundance Square development.

Crescent Growth Capital assisted the Urban League in integrating a complex array of financial sources, including City of New Orleans CDBG funding, a federal Health and Human Services Grant, and a traditional bank loan.  This money was leveraged to generate a New Markets Tax Credit subsidy sufficient to plug the funding gap and ensure the construction of a state-of-the-art, environmentally responsible $7 million facility.  The Urban League Head Start Center will be completed and placed into service by the end of 2011.

St. Luke’s Medical Center

January 11, 2010 by

St. Luke’s Medical Center was facing extinction, its existing nursing home destroyed by the flooding that engulfed New Orleans after Katrina’s passage. After St. Luke’s management successfully identified a new location for the facility, Crescent Growth Capital structured two transactions involving a total New Markets Tax Credit qualified equity investment of $13.8 million to generate a subsidy covering the shortfall in the project’s financing.

The project’s benefits are two-fold. St. Luke’s management team is regionally recognized for its experience and effectiveness, and New Orleans will reap ongoing benefits from an increase in the number of beds available for Medicaid recipients needing long-term nursing home care.

Additionally, St. Luke’s completion has established a significant new employer in New Orleans’ Algiers neighborhood. Algiers dates to the early 18th century but experienced most of its growth in the years following the completion, in 1958, of the first span of the Mississippi River Bridge. As is true for many suburban or suburban-style areas constructed in the 1950s and 60s, Algiers requires, in places, significant reinvestment. The inauguration of St. Luke’s Medical Center meaningfully abetted other ongoing economic development efforts in Algiers.

Haven for Hope

January 11, 2010 by

The Haven for Hope project is a groundbreaking social service center in San Antonio, Texas. Haven for Hope seeks to revolutionize treatment for homelessness by centralizing every relevant social service within a cutting-edge, interdisciplinary campus.

For the homeless, barriers to entering mainstream society are numerous and vary from person to person. For those struggling with substance abuse or emotional disabilities, Haven offers mental health and drug treatment. Rather than further burdening overtaxed urban emergency rooms, the homeless are able to visit Haven’s medical clinic for preventative care, immunizations, dentistry, vision, and podiatry. Homeless families present unique demands for concerned caregivers; Haven’s campus features a childcare center, after-school programming, and family counseling. Employment training completes the picture.

Crescent Growth Capital enabled this pioneering facility by structuring a $40 million New Markets Tax Credit qualified equity investment for the new campus, sited within a highly-distressed census tract with a nearly 44% poverty rate and 14.5% unemployment.

Plaquemines YMCA

January 11, 2010 by

Wellness and recreation facilities are today widely recognized as essential to a community’s health and well-being. In the southernmost reaches of Plaquemines Parish, the YMCA’s new facility will afford area residents badly needed wellness services.

Crescent Growth Capital structured a $6 million New Markets Tax Credit qualified equity investment transaction to make the new facility possible.

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