Aviva Health is investing $18 million in a facility expansion to support its new Roseburg Family Medicine Residency program that will increase primary care services to the medically underserved population in rural Douglas County, Oregon. Roeder & Company, LLC facilitated the closing of federal New Markets Tax Credit (NMTC) financing for the construction of the facility by sourcing $17 million in federal NMTC allocation from Dudley Ventures and Community Hospitality Healthcare Services with Wells Fargo as the tax credit investor.
In 2015, 6,000 patients in Douglas County were left without a primary care provider when five area family medicine physicians – due to retirement or relocation – left their practices. Aviva Health’s Family Medicine Residency Program aims to fill that gap in health care services. The program will increase access to care for children and adults with unmet health needs and address the physician shortage that plagues the area and other regions of rural Oregon, providing additional career pathways in a growing industry. Douglas County is a designated Primary Care Health Professional Shortage Area, and this project will result in eight residents graduating annually, many of them choosing to stay and serve the surrounding rural community. To support the new residents, Aviva Health is undertaking a significant building project, expanding its current clinic space from 12 exam rooms to 34 and creating 52 new permanent jobs.
“Our community is experiencing a severe shortage of primary care providers, leaving our most vulnerable residents to rely on emergency rooms for non-emergency care,” said KC Bolton, CEO of Aviva Health. “Expanding our facility and training new physicians will increase access to medical care and reduce costs for our patients and the health care system, as well as create quality jobs that will positively impact our local economy.”
Lack of easy access to primary care increases utilization of costly urgent and emergency care for routine conditions and prevents timely follow up by primary care physicians for patients discharged from the hospital. Furthermore, published research indicates physicians trained in rural areas tend to practice more cost-effective health care and in regions close to where they completed their residency program. In Oregon, for every dollar invested in primary care via the Patient-Centered Primary Care Home model of care there is an average of $13 savings to the health care system.
The construction project included financing from Live Oak Bank and grant funding through the following sources: $1 million through the Health Resources and Services Administration; Capital Assistance for Disaster Assistance and Recovery Efforts; $5,000 through the Juan Young Trust; $10,000 through the C. Giles Hunt Foundation; and $2,500 through the Northwest Farm Credit Services. Aviva Health was also awarded $1 million in funding through the Healthy Oregon Workforce Training Opportunity grant, $300,000 of which will be used for the purchase of new equipment.
“This project was one of the first NMTC transactions to close utilizing a USDA B&I Guaranteed Loan under the new OneRD rules issued in October of this year,” said Reynold Roeder, CEO of Roeder & Company, LLC. “The project faced many hurdles, including those related to the timing of the arrival of medical residents and Covid-19, but the team was able to overcome them all and get this very important rural community project financed and construction underway.”
For more information on Aviva Health, please visit https://aviva.health/.
In 2015, 6,000 patients in Douglas County were left without a primary care provider when five area family medicine physicians – due to retirement or relocation – left their practices. Aviva Health’s Family Medicine Residency Program aims to fill that gap in health care services. The program will increase access to care for children and adults with unmet health needs and address the physician shortage that plagues the area and other regions of rural Oregon, providing additional career pathways in a growing industry. Douglas County is a designated Primary Care Health Professional Shortage Area, and this project will result in eight residents graduating annually, many of them choosing to stay and serve the surrounding rural community. To support the new residents, Aviva Health is undertaking a significant building project, expanding its current clinic space from 12 exam rooms to 34 and creating 52 new permanent jobs.
“Our community is experiencing a severe shortage of primary care providers, leaving our most vulnerable residents to rely on emergency rooms for non-emergency care,” said KC Bolton, CEO of Aviva Health. “Expanding our facility and training new physicians will increase access to medical care and reduce costs for our patients and the health care system, as well as create quality jobs that will positively impact our local economy.”
Lack of easy access to primary care increases utilization of costly urgent and emergency care for routine conditions and prevents timely follow up by primary care physicians for patients discharged from the hospital. Furthermore, published research indicates physicians trained in rural areas tend to practice more cost-effective health care and in regions close to where they completed their residency program. In Oregon, for every dollar invested in primary care via the Patient-Centered Primary Care Home model of care there is an average of $13 savings to the health care system.
The construction project included financing from Live Oak Bank and grant funding through the following sources: $1 million through the Health Resources and Services Administration; Capital Assistance for Disaster Assistance and Recovery Efforts; $5,000 through the Juan Young Trust; $10,000 through the C. Giles Hunt Foundation; and $2,500 through the Northwest Farm Credit Services. Aviva Health was also awarded $1 million in funding through the Healthy Oregon Workforce Training Opportunity grant, $300,000 of which will be used for the purchase of new equipment.
“This project was one of the first NMTC transactions to close utilizing a USDA B&I Guaranteed Loan under the new OneRD rules issued in October of this year,” said Reynold Roeder, CEO of Roeder & Company, LLC. “The project faced many hurdles, including those related to the timing of the arrival of medical residents and Covid-19, but the team was able to overcome them all and get this very important rural community project financed and construction underway.”
For more information on Aviva Health, please visit https://aviva.health/.
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