Notice of Hearings
NOTICE IS HEREBY GIVEN to all interested persons that a public hearing, as required by Section 147(f) of the Internal Revenue Code of 1986, as amended (the "Code"), will be held on September 15, 2025, at 11:30 a.m. in Conference Room 026A of the Edgerton Building at 809 Ruggles Drive, Raleigh, North Carolina 27603 by the North Carolina Medical Care Commission (the "Commission"), at which time any person may be heard regarding the proposed acquisition, rehabilitation and equipping of senior living facilities with proceeds of tax-exempt bonds by ASHF Hold Co 1 LLC . Notice is being given pursuant to Treasury Regulations Section 1.147(f)-1(d)(4)(iii).
Please see attached file for project specifics.
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, 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
Periodic Review of Existing Rules
Guidelines for Implementation of the Health Care Facilities Finance Act (PDF, 84 KB)
Policy on Compliance by Borrowers (PDF, 186 KB)
Bond Sale Approval Policy (PDF, 9 KB)
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
- Geary W. Knapp, JD, CPA, Assistant Secretary, 919-855-3759
- Jeff Harms, Chief, Construction Section, DHSR (Project Construction Questions), 919-855-3915
- Kathy Larrison, Auditor (Bond Program Audit Questions), 919-855-3761
- Crystal Watson-Abbott, Auditor (Bond Program Audit Questions), 919-855-3764
- Alice S. Creech, Executive Assistant to the Assistant Secretary (Medical Care Commission Questions), 919-855-3756
Members of the North Carolina Medical Care Commission
The North Carolina Medical Care Commission has seventeen members, which are appointed by the Governor. The current membership is as follows:
- John J. Meier, IV, M.D., Chairman, Raleigh
- Joseph D. Crocker, Vice-Chairman, Winston-Salem
- Kathy G. Barger, Durham
- Sally B. Cone, Greensboro
- Paul R.G. Cunningham, M.D., Grimesland
- Bryant C. Foriest, Kernersville
- Linwood B. Hollowell, III, Charlotte
- Michelle F. Jones, M.D., Hampstead
- Eileen C. Kugler, RN, MSN, MPH, FNP, Leland
- Ashley H. Lloyd, D.D.S., Raleigh
- David C. Mayer, M.D., Chapel Hill
- Neel G. Thomas, M.D., Raleigh
- Lisa A. Tolnitch, M.D., Raleigh
- Pascal O. Udekwu, M.D., Raleigh
- Timothy D. Weber, RPh, Chapel Hill
- Jeffrey S. Wilson, Wilmington
Executive Committee
The Executive Committee consists of seven Commission Members. The following Members of the Executive Committee are listed below as follows:
- John J. Meier, IV, M.D., Chairman
- Joseph D. Crocker, Vice-Chairman
- Paul R.G. Cunningham, M.D.
- Bryant C. Foriest
- Eileen C. Kugler, RN, MSN, MPH, FNP
- David C. Mayer, M.D.
- Neel G. Thomas, M.D.
Forms
Continuing Care Retirement Center (CCRC) Forms:
- Construction Application (PDF, 149 KB)
- Refunding Application (DOC, 70 KB)
- Equipment Application (PDF, 97 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)
- Project Funds Status Report Form 3039 -- PDF (10 KB) | Microsoft Excel (XLS, 20 KB)
- Community Benefits Form of Agreement and Program Description -- PDF (54 KB) | Microsoft Word (DOC, 52 KB)
- Standard Preliminary Continuing Care Retirement Home MCC Conditions -- PDF (82 KB) | Microsoft Word (DOC, 30 KB)
Hospital Forms:
- Construction Application (DOC, 111 KB)
- Refunding Application (PDF, 87 KB)
- Equipment Application (PDF, 60 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)
- Project Funds Status Report Form 3039 -- PDF (10 KB) | Microsoft Excel (XLS, 20 KB)
- Standard Preliminary MCC Hospital Conditions -- PDF (83 KB) | Microsoft Word (DOC, 32 KB)
The Health Care Facilities Finance Act Annual Report
- The Health Care Facilities Finance Act Annual Report for June 30, 2024 (PDF, 518 KB)
- The Health Care Facilities Finance Act Annual Report for June 30, 2023 (PDF, 524 KB)
- The Health Care Facilities Finance Act Annual Report for June 30, 2022 (PDF, 534 KB)
- The Health Care Facilities Finance Act Annual Report for June 30, 2021 (PDF, 560 KB)
- The Health Care Facilities Finance Act Annual Report for June 30, 2020 (PDF, 533 KB)
- The Health Care Facilities Finance Act Annual Report for June 30, 2019 (PDF, 193 KB)
- The Health Care Facilities Finance Act Annual Report for June 30, 2018 (PDF, 324 KB)
- The Health Care Facilities Finance Act Annual Report for June 30, 2017 (PDF, 1.08 MB)
- The Health Care Facilities Finance Act Annual Report for June 30, 2016 (PDF, 973 KB)
- The Health Care Facilities Finance Act Annual Report for June 30, 2015 (PDF, 1.73 MB)
- The Health Care Facilities Finance Act Annual Report for June 30, 2014 (PDF, 817 KB)
- The Health Care Facilities Finance Act Annual Report for June 30, 2013 (PDF, 350 KB)
- 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)
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.