NC DHSR: North Carolina Medical Care Commission

Notice of Hearings

NOTICE OF PUBLIC HEARING BY THE NORTH CAROLINA MEDICAL CARE COMMISSION REGARDING THE FINANCING OF THE ACQUISITION AND EQUIPPING OF SENIOR LIVING FACILITIES WITH THE PROCEEDS OF TAX-EXEMPT REVENUE BONDS
- 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 May 29, 2026, at 11:30 a.m. in Conference Room L2-02210 at 1915 Health Services Way, 2nd Floor, Raleigh, North Carolina 27607 by the North Carolina Medical Care Commission (the “Commission”), at which time any person may be heard regarding the proposed acquisition and equipping of senior living facilities with proceeds of tax-exempt bonds. Notice is being given pursuant to Treasury Regulations Section 1.147(f)-1(d)(4)(iii). Please see attached for more detail information regarding the Coastal Affordable Senior Housing Foundation HoldCo, LLC project.
Public Meeting Notice -Thursday, June 18, 2026 @ 11:30 a.m.

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.

Physical Address: 1915 Health Services Way - 2nd Floor Raleigh, NC 27607

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

The North Carolina Medical Care Commission consists of seventeen members, with one vacancy as follows:

The Executive Committee consists of seven Commission Members. The following Members of the Executive Committee are listed below as follows:

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.