General Information
The purpose of the Commission is:
- To adopt, recommend or rescind rules for regulation of most health care facilities. (hospitals, hospices, free standing outpatient surgical facilities, nursing homes, home care agencies, home health agencies, nursing pools, facilities providing mammography/pap smear services, free standing abortion clinics, ambulances, and emergency medical services personnel)
- To administer the Health Care Facilities Finance Act; which enables the Commission to issue tax-exempt revenue bonds to finance construction and equipment projects for nonprofit and public hospitals, nursing homes, continuing care facilities for the elderly and facilities related to the foregoing.
Schedule of Quarterly Meetings
Guidelines for Implementation of the Health Care Facilities Finance Act (PDF, 84 KB)
N.C. Medical Care Commission Review of Existing Rules in Accordance with Executive Order 70
Tax-Exempt 501(c)(3) Bonds 101 (PDF, 1.40 MB)
Contact Information
Physical Address: 809 Ruggles Drive, Raleigh, NC 27603
Mailing Address: 2701 Mail Service Center, Raleigh, NC 27699-2701
Telephone Number: 919-855-3750
Fax: 919-733-2757
- Christopher B. Taylor, CPA, Assistant Secretary (Finance Act Questions), 919-855-3750
- Steven Lewis, Chief, Construction Section, DHSR (Project Construction Questions), 919-855-3907
- Kathy Larrison, Auditor (Bond Program Audit Questions), 919-855-3761
Members of the North Carolina Medical Care Commission
The North Carolina Medical Care Commission has seventeen members appointed by the Governor. The current membership is as follows:
- Lucy Hancock Bode, Chairperson, Raleigh
- Joseph D. Crocker, Vice-Chairperson, Winston-Salem
- George A. Binder, MD, Fayetteville
- George H.V. Cecil, Biltmore Forest
- Gerald P. Cox, Rocky Mount
- John A. Fagg, MD, Winston-Salem
- Charles T. Frock, Pinehurst
- Elizabeth P. Kanof, MD, Raleigh
- Eileen C. Kugler, RN, MSN, MPH, FNP, Durham
- Albert F. Lockamy, Jr., RPh, Raleigh
- Paul A. McGill, DDS, Charlotte
- Mary L. Piepenbring, Charlotte
- Carl K. Rust, II, MD, Wilmington
- Robert E. Schaaf, MD, Raleigh
- Henry A. Unger, MD, Cary
- Margaret Weller-Stargell, Wilmington
Forms
Continuing Care Retirement Center (CCRC) Forms:
- Construction Application -- PDF (31 KB) | Microsoft Word (DOC, 66 KB)
- Equipment Application -- PDF (30 KB) | Microsoft Word (DOC, 62 KB)
- Request for Disbursement for Cost of Issuance Fund -- PDF (24 KB) | Microsoft Word (DOC, 36 KB)
- Request for Disbursement for Project/Construction Fund -- PDF (24 KB) | Microsoft Word (DOC, 36 KB)
- Community Benefit GS105 Form -- PDF (38 KB) | Microsoft Word (DOC, 64 KB)
- HFA Project Funds Status Report Master -- PDF (10 KB) | Microsoft Excel (XLS, 20 KB)
- Community Benefits Form of Agreement and Program Description -- PDF (54 KB) | Microsoft Word (DOC, 52 KB)
Hospital Forms:
- Construction Application -- PDF (31 KB) | Microsoft Word (DOC, 60 KB)
- Equipment Application -- PDF (25 KB) | Microsoft Word (DOC, 56 KB)
- Community Benefits (ANDI) ** -- PDF (22 KB) | Microsoft Word (DOC, 48 KB)
- Request for Disbursement for Cost of Issuance Fund -- PDF (24 KB) | Microsoft Word (DOC, 36 KB)
- Request for Disbursement for Project/Construction Fund -- PDF (24 KB) | Microsoft Word (DOC, 36 KB)
- HFA Project Funds Status Report Master -- PDF (10 KB) | Microsoft Excel (XLS, 20 KB)
** Any questions regarding the Hospital Community Benefit Form should be addressed to Sarah Broome at the North Carolina Hospital Association (NCHA)
| Sarah Broome, Ph.D. | Mailing Address: |
| Director of Economic Research | P.O. Box 4449, Cary, NC 27519 |
| North Carolina Hospital Association | Street Address: |
| 2400 Weston Parkway, Cary NC 27513 | |
| 919-677-4137 | |
| 919-677-4200 (Fax) |
Other Forms:
- Sample Accountant's Compliance Letter Format (PDF, 18 KB)
- Sample Bid Form for Open Market Escrow Securities (PDF, 27 KB)
- Sample of Forward Delivery Agreement Form (PDF, 55 KB)
- Sample of Full-Flex Repurchase Agreement Form (PDF, 53 KB)
- Sample Compliance Checklist for Borrowers PDF (65 KB) | Microsoft Word (DOC, 136 KB)
- Sample Agreed Upon Procedures Forecasts Report (PDF, 239 KB)
- Sample Swap Education Certificate (PDF, 252 KB)
- Sample Borrower Swap Certification (PDF, 385 KB)
- Sample Officer's Annual Compliance Certificate (PDF, 12 KB)
- Sample Reimbursement Resolution (PDF, 12 KB)
- Sample Swap Advisor Fairness Opinion (PDF, 17 KB)
- Request For Proposal for Bond Counsel Services (PDF, 13 KB)
- Request For Proposal for Investment Banking Services (PDF, 14 KB)
- Avoiding Troubled Tax-Advantaged Bonds (PDF, 5.51 MB)
- Post-Issuance Complaince Procedures (PDF, 1.52 MB)
- IRS Tax Exempt Bond Audit Form 4564 (PDF, 2.15 MB)
The Solicitation of Trustee Services should be accompanied by a cover letter setting forth basic assumptions of the bond issue (i.e., size, fixed or variable and number and type of trustee funds).
- Solicitation of Trustee Services (PDF, 28 KB)
- Solicitation of Trustee Services (Bond Trustee and Master Trustee) (PDF, 27 KB)
Reports
- Selected Financial Statements for FYE 2011 for Hospitals and Healthcare Systems with NCMCC Debt (PDF, 23 KB)
- Selected Financial Statements for FYE 2011 for Continuing Care Centers with NCMCC Debt (PDF, 21 KB)
- Selected Financial Statements for FYE 2010 for Continuing Care Centers with NCMCC Debt (PDF, 20 KB)
- Selected Financial Statements for Hospitals and Healthcare Systems with NCMCC Debt for FY2010 (PDF, 25 KB)
- Selected Financial Statements for FYE 2009 for Continuing Care Centers with NCMCC Debt (PDF, 19 KB)
- Selected Financial Statements for Hospitals and Healthcare Systems with NCMCC Debt for FY2009 (PDF, 23 KB)
- Continuing Care Retirement Communities GS 105 Percentages FYE 2011, 2010, 2009 and 2008 (PDF, 18 KB)
- Continuing Care Retirement Communities GS 105 Percentages FYE 2010, 2009 and 2008 (PDF, 14 KB)
- Continuing Care Retirement Communities GS 105 Percentages FYE 2009 and 2008 (PDF, 13 KB)
- Monetary Value of Community Benefits Reported on NCHA ANDI Form (PDF, 25 KB)
- Monetary Value of Community Benefits Reported on NCHA ANDI Form FYE 2010 and 2009 (PDF, 21 KB)
- Monetary Value of Community Benefits Reported on NCHA ANDI Form FYE 2009 and 2008 (PDF, 18 KB)
- Selected Financial Information from Audits FYE 2008 for all Entities with NCMCC Debt (PDF, 50 KB)
- Selected Financial Information from Audits FYE 2008 for Community Care Retirement Centers (PDF, 29 KB)
- Selected Financial Information from Audits FYE 2008 for Hospitals (PDF, 33 KB)
The Health Care Facilities Finance Act Annual Report
- The Health Care Facilities Finance Act Annual Report for June 30, 2012 (PDF, 335 KB)
- The Health Care Facilities Finance Act Annual Report for June 30, 2011 (PDF, 348 KB)
- The Health Care Facilities Finance Act Annual Report for June 30, 2010 (PDF, 272 KB)
- The Health Care Facilities Finance Act Annual Report for June 30, 2009 (PDF, 545 KB)
- The Health Care Facilities Finance Act Annual Report for June 30, 2008 (PDF, 481 KB)
- The Health Care Facilities Finance Act Annual Report for June 30, 2007 (PDF, 524 KB)
- The Health Care Facilities Finance Act Annual Report for June 30, 2006 (PDF, 295 KB)
- The Health Care Facilities Finance Act Annual Report for June 30, 2005 (PDF, 348 KB)
Underwriter Fees
- Underwriter Fees January 1, 2012-December 31, 2012 (PDF, 35 KB)
- Underwriter Fees January 1, 2011-December 31, 2011 (PDF, 14 KB)
- Bank Bought Fees January 1, 2011-December 31, 2011 (PDF, 17 KB)
- Underwriter Fees January 1, 2010-December 31, 2010 (PDF, 20 KB)
- Underwriter Fees January 1, 2009-December 31, 2009 (PDF, 17 KB)
- Underwriter Fees January 1, 2008-December 31, 2008 (PDF, 27 KB)
- Underwriter Fees 2007 (PDF, 20 KB)
Bond Counsel Fees
- Bond Counsel Fees January 1, 2012-December 31, 2012 (PDF, 18 KB)
- Bond Counsel Fees January 1, 2011-December 31, 2011 (PDF, 16 KB)
- Bond Counsel Fees January 1, 2010-December 31, 2010 (PDF, 17 KB)
- Bond Counsel Fees January 1, 2009- December 31, 2009 (PDF, 13 KB)
- Bond Counsel Fees January 1, 2008- December 31, 2008 (PDF, 17 KB)
- Bond Counsel Fees January 1, 2007 to December 31, 2007 (PDF, 16 KB)
Web Links
- North Carolina Office of State Fire Marshal-Engineering and Codes
- North Carolina Hospital Association: Members are frequent borrowers through the NCMCC bond program.
- LeadingAge North Carolina: Members, primarily continuing care retirement centers, are frequent borrowers through the NCMCC bond program.
- Nationally Recognized Municipal Securities Information Repositories (NRMSIRs): List of repositories designated by the U.S. Securities and Exchange Commission for the filing of information required under secondary market disclosure rules.
- DisclosureUSA: Single site repository established by state of Texas for filing of secondary market information as an alternate to filing with NRMSIRs.
- EMMA-Electronic Municipal Market Access: The Electronic Municipal Market Access system, or EMMA, is a comprehensive, centralized on-line source for free access to official statements, advance refunding documents and real-time trade price information on municipal securities.
Note: Beginning July 1, 2009, EMMA's continuing disclosure service will accept electronic submissions of continuing disclosure documents and related information from issuers, obligated parties and their agents according to continuing disclosure undertakings entered into consistent with Exchange Act Rule 15c2-12. On July 1, 2009, issuers or obligated parties will no longer need to file documents at multiple Nationally Recognized Municipal Securities Information Repositories but instead will file at the EMMA website.