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New York · Through 2026-09-11

N.Y. Medical Care Facilities Finance Agency 392/73 § 3: Definitions

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  1. Medical Care Facilities Finance Agency 392/73

§ 3. Definitions. As used in this article, unless a different meaning

clearly appears from the context:

1. "Agency" shall mean the corporate governmental agency created by

section four of this act.

2. "Amortized value" means, when used with respect to securities

purchased at a premium above or a discount below par, the value as of

any given date obtained by dividing the total amount of the premium or

discount at which such securities were purchased by the number of days

remaining to maturity on such securities at the time of such purchase

and by multiplying the amount so calculated by the number of days having

passed since the date of such purchase; and (a) in the case of

securities purchased at a premium, by deducting the product thus

obtained from the purchase price, and (b) in the case of securities

purchased at a discount, by adding the product thus obtained to the

purchase price.

3. "Bonds" and "notes" shall mean bonds and notes, respectively,

issued by the agency pursuant to this act.

(a) "Hospital and nursing home project bonds" and "hospital and

nursing home project notes" shall mean bonds and notes, respectively,

issued by the agency for the purpose of making loans to hospital

corporations and non-profit medical corporations constituting eligible

borrowers or nursing home companies.

(b) "Health facilities bonds" and "health facilities notes" shall mean

bonds and notes, respectively, issued by the agency for the purpose of

financing the construction, acquisition, reconstruction, rehabilitation

or improvement of health facilities for municipalities pursuant to this

act and the health and mental hygiene facilities improvement act.

(c) "Municipal hospital and municipal nursing home project bonds" and

"municipal hospital and municipal nursing home project notes" shall mean

bonds and notes, respectively, issued by the agency for the purpose of

making mortgage loans to municipal hospitals or municipal nursing homes.

* (d) "Special hospital project bonds" shall mean bonds issued

pursuant to section seven-a of this act for the purpose of making

mortgage loans to eligible secured hospital borrowers.

* NB Expired December 31, 2015

4. "Commissioner" shall mean the New York state commissioner of

health.

5. "Department" shall mean the New York state department of health.

6. "Eligible borrower" shall mean a non-profit hospital corporation

organized under the laws of this state, or a non-profit medical

corporation organized under and governed by article forty-four of the

public health law, which has entered into a regulatory agreement in

accordance with the provisions of section twenty-eight hundred

seventy-three of the public health law.

6-a. "Federally-aided mortgage loan" means a loan secured by a

mortgage lien on the real property of a project or on a leasehold on

such real property, provided that the term of such leasehold is not less

than twenty-five percent longer than the term of the mortgage, and the

personal property attached to or used in connection with the

construction, acquisition, reconstruction, refinancing, rehabilitation,

improvement, management or operation of the project, made by the agency

to a municipal hospital, municipal nursing home, not-for-profit hospital

corporation, not-for-profit corporation providing a residential health

care facility or not-for-profit medical corporation organized pursuant

to article 44 of the public health law, which loan is insured by the

federal government. This subdivision does not limit the agency from

consenting to the modification of any instrument executed in connection

with a federally-aided mortgage loan, provided that the modification

does not materially reduce the value of the security for the

federally-aided mortgage loan. A leasehold under this subdivision shall

conform to standards adopted by the agency, with the approval of the

division of the budget, that adequately protect the interests of the

agency, the state, and creditors.

* (6-b) "Eligible secured hospital borrower" shall mean a

not-for-profit hospital corporation organized under the laws of this

state, which has been designated by the commissioner of health and the

New York state public health council as a needed facility eligible to

receive distributions from the reimbursement pools established pursuant

to paragraph (c) of subdivision nine of section twenty-eight hundred

seven-a of the public health law, or any successor pool or pools

established to serve a substantially similar purpose to such pools.

* NB Expired December 31, 2015

7. "Facilities development corporation" shall mean the corporation

created pursuant to the facilities development corporation act.

8. "Health facility" shall mean a building, a unit within a building,

a laboratory, a classroom, a housing unit, a dining hall, an activities

center, a library, or any structure on or improvement to real property

of any kind or description, including fixtures and equipment which are

an integral part of any such building, unit, structure or improvement, a

walkway, a roadway or a parking lot, and improvements and connections,

for water, sewer, gas, electrical, telephone, heating, air conditioning

and other utility services, or a combination of any of the foregoing,

whether for patient care and treatment of staff, staff family or service

use, located at or related to or constituting a hospital, as defined in

section 2801 of the public health law.

9. "Health facilities improvement program" shall mean a program

undertaken by the agency and, if the agency elects, with the facilities

development corporation acting as its agent, for the purpose of

constructing, acquiring, reconstructing, rehabilitating or improving

health facilities or causing such facilities to be constructed,

acquired, reconstructed, rehabilitated or improved pursuant to the

facilities development improvement act, if applicable, and this act.

* 10. "Hospital project" shall mean a specific work or improvement or

the refinancing of existing indebtedness which constitutes a lien or

encumbrance upon the real property or assets of the eligible borrower or

eligible secured hospital borrower whether or not such refinancing is

related to the construction, acquisition or rehabilitation of a

specified work or improvement undertaken by a non-profit hospital

corporation or a non-profit medical corporation, constituting an

eligible borrower or eligible secured hospital borrower in accordance

with the provisions of article twenty-eight-B of the public health law.

The term "hospital project" as used in this subdivision shall also mean

a separate work or improvement owned and operated by an eligible

borrower to provide such services, functions, capabilities and

facilities as may be convenient or desirable for the operation of

hospital or other such facility.

* NB Expired December 31, 2015

10. "Hospital project" shall mean a specific work or improvement or

the refinancing of existing indebtedness which constitutes a lien or

encumbrance upon the real property or assets of the eligible borrower

whether or not such refinancing is related to the construction,

acquisition or rehabilitation of a specified work or improvement

undertaken by a non-profit hospital corporation or a non-profit medical

corporation, constituting an eligible borrower in accordance with the

provisions of article twenty-eight-B of the public health law.

* 11. "Hospital project cost" shall mean the sum total of all costs

incurred by a non-profit hospital corporation or a non-profit medical

corporation, constituting an eligible borrower or eligible secured

hospital borrower undertaking a project as approved by the commissioner

in accordance with the provisions of article twenty-eight-B of the

public health law. In the case of eligible secured hospital borrowers,

hospital project costs shall include all costs relating to the

refinancing of existing indebtedness attributable to unmet bad debt and

charity losses.

* NB Expired December 31, 2015

11. "Hospital project cost" shall mean the sum total of all costs

incurred by a non-profit hospital corporation or a non-profit medical

corporation, constituting an eligible borrower undertaking a project as

approved by the commissioner in accordance with the provisions of

article twenty-eight-B of the public health law.

* 12. "Mortgage loan" shall mean a loan made by the agency to an

eligible borrower or eligible secured hospital borrower in an amount not

to exceed the total hospital project costs and secured by a first

mortgage lien on the real property of which the hospital project

consists or on a leasehold on such real property, provided that the term

of such leasehold is not less than twenty-five percent longer than the

term of the mortgage, and the personal property attached to or used in

connection with the construction, acquisition, reconstruction,

rehabilitation, improvement or operation of the hospital project. Such

loan may be further secured by such a lien upon other real property

owned by or on a leasehold on real property of the eligible borrower or

eligible secured hospital borrower. Notwithstanding the foregoing

provisions of this subdivision or any other provisions of this act to

the contrary, any personal property may be excluded from the lien of the

mortgage provided (a) the commissioner of health finds that such

property is not essential for the rendition of required hospital

services as such term is defined in article twenty-eight of the public

health law, and (b) the agency consents to such exclusion.

The term "mortgage loan" shall also mean and include a loan made by

the agency to a limited-profit nursing home company in an amount not to

exceed ninety-five percentum of the nursing home project cost, or to a

non-profit nursing home company in an amount not to exceed the total

nursing home project cost, and secured by a first mortgage lien on the

real property of which the nursing home project consists or on a

leasehold on such real property provided that the term of such leasehold

is not less than twenty-five percent longer than the term of the

mortgage, and the personal property attached to or used in connection

with the construction, acquisition, reconstruction, rehabilitation,

improvement or operation of the nursing home project. Notwithstanding

the foregoing provisions of this subdivision or any other provision of

this article to the contrary, any personal property may be excluded from

the lien of the mortgage provided (a) the commissioner finds that such

property is not essential for the nursing home project as such term is

defined in article twenty-eight-A of the public health law, and (b) the

agency consents to such exclusion. A leasehold under this subdivision

shall conform to standards adopted by the agency, with the approval of

the division of the budget, that adequately protect the interests of the

agency, the state and creditors.

* NB Expired December 31, 2015

12. "Mortgage loan" shall mean a loan made by the agency to an

eligible borrower in an amount not to exceed the total hospital project

cost and secured by a first mortgage lien on the real property of which

the hospital project consists and the personal property attached to or

used in connection with the construction, acquisition, reconstruction,

rehabilitation, improvement or operation of the hospital project. Such

loan may be further secured by such a lien upon other real property

owned by the eligible borrower. Notwithstanding the foregoing provisions

of this subdivision or any other provisions of this act to the contrary,

any personal property may be excluded from the lien of the mortgage

provided (a) the commissioner of health finds that such property is not

essential for the rendition of required hospital services as such term

is defined in article twenty-eight of the public health law, and (b) the

agency consents to such exclusion.

The term "mortgage loan" shall also mean and include a loan made by

the agency to a limited-profit nursing home company in an amount not to

exceed ninety-five percentum of the nursing home project cost, or to a

non-profit nursing home company in an amount not to exceed the total

nursing home project cost, and secured by a first mortgage lien on the

real property of which the nursing home project consists and the

personal property attached to or used in connection with the

construction, acquisition, reconstruction, rehabilitation, improvement

or operation of the nursing home project. Notwithstanding the foregoing

provisions of this subdivision or any other provision of this article to

the contrary, any personal property may be excluded from the lien of the

mortgage provided (a) the commissioner finds that such property is not

essential for the nursing home project as such term is defined in

article twenty-eight-A of the public health law, and (b) the agency

consents to such exclusion.

13. "Nursing home company" shall mean a nursing home company as

defined in article twenty-eight-A of the public health law.

(a) A "limited-profit nursing home company" shall mean a company

incorporated pursuant to the provisions of article twenty-eight-A of the

public health law and business corporation law.

(b) A "non-profit nursing home company" shall mean a company

incorporated pursuant to the provisions of article twenty-eight-A of the

public health law and the not-for-profit corporation law.

14. "Nursing home project" shall mean a specific work or improvement

undertaken by a nursing home company in accordance with the provisions

of article twenty-eight-A of the public health law.

15. "Nursing home project cost" shall mean the sum total of all costs

incurred by a nursing home company undertaking a project as approved by

the commissioner in accordance with the provisions of article

twenty-eight-A of the public health law.

16. "Municipality" for the purposes of the health facilities

improvement program and federally-aided mortgage loans to municipal

hospitals and municipal nursing homes means a county, city or town

constituting a social services district as defined in sections two,

sixty-one, seventy-five and seventy-five-a of the social services law,

or any two or more of the foregoing which are acting jointly to provide

a health facility or health facilities, municipal hospitals or municipal

nursing homes.

17. "Bond reserve insurance fund" shall mean the fund created by

section nineteen of this act.

* 18. "Equipment loan" shall mean a loan made by the agency to a

non-profit hospital corporation, a county hospital, a municipal

hospital, a New York state department of health facility, a state

university of New York health care facility or a non-profit corporation

providing a residential health care facility, for the purpose of

financing or refinancing the acquisition through purchase or lease of

equipment, including construction and rehabilitation related to the

installation of such equipment, and shall also include intellectual

property or other intangible property, including information technology

and software, that is eligible for tax-exempt financing under the United

States internal revenue code.

The term "equipment loan" shall also mean the financing of equipment

acquisitions by the purchase, lease or sublease of equipment by the

agency and the lease or sublease of such equipment to a non-profit

hospital corporation, a county hospital, a municipal hospital, a

hospital under the jurisdiction of the state university of New York, or

a non-profit corporation providing a residential health care facility

for the purpose of providing for the acquisition of such equipment and

for the construction and rehabilitation related to the installation

thereof and shall also include intellectual property or other intangible

property, including information technology and software, that is

eligible for tax-exempt financing under the United States internal

revenue code.

* NB There are 3 sub 18's

* 18. "Municipal hospital" or "municipal nursing home" shall mean a

hospital or nursing home of, and located in, a municipality.

* There are 3 sub 18's

* 18. "Hmo investment loan" shall mean a loan made by the agency to a

lending institution for the purpose of financing a loan by the lending

institution to the owner of an Hmo project. Such investment loan shall

be evidenced by a note or other evidence of indebtedness constituting a

general obligation of the lending institution and shall be secured to

the satisfaction of the agency. Such investment loan shall not exceed

one hundred percent of the cost of development of the Hmo project

approved by the agency.

* There are 3 sub 18's

19. "Lending institution" shall mean any bank, trust company, national

bank, state or federal mutual savings bank, state or federal savings and

loan association, or state or federal credit union, insurance company,

pension fund or retirement system of any corporation or association, or

any other entity which is owned or controlled by any one or more of the

above, provided the same is supervised by or responsible to any agency

of the federal government, the state or any department thereof.

20. "Hmo project" shall mean a specific work or improvement, whether

or not to effectuate all or any part of a plan, and includes lands,

buildings, improvements, fixtures and personal property constructed,

acquired or reconstructed, refinanced, rehabilitated, improved, managed,

owned or operated by a non-profit corporation for the purpose of

conducting the activities of a health maintenance organization. "Hmo

project" shall also mean the refinancing of existing indebtedness which

constitutes a lien or other encumbrance upon the real property or assets

of the non-profit corporation conducting the activities of a health

maintenance organization, whether or not such refinancing is related to

the construction, acquisition or rehabilitation of a specified work or

improvement. "Hmo project" shall also mean the financing or refinancing

through purchase or lease of equipment, including construction and

rehabilitation related to the installation of such equipment, whether or

not the financing or refinancing of said equipment is related to the

construction, acquisition or rehabilitation of a specified work or im-

provement. An Hmo project may be undertaken by:

(a) A health maintenance organization holding a valid certificate of

authority issued pursuant to article forty-four of the public health

law;

(b) A health maintenance organization operating under the provisions

of article IX-C of the insurance law; and

(c) By a non-profit corporation which operates a facility which

possesses a valid operating certificate under article twenty-eight of

the public health law and which has entered into a contract with a

health maintenance organization operating under the provisions of

article forty-four of the public health law or article IX-C of the

insurance law to provide health care services to persons enrolled in the

health maintenance organization, provided the commissioner has

determined that the facility will be used principally as the medical

group facility component of a group model health maintenance

organization and the commissioner has approved the construction of the

facility pursuant to section twenty-eight hundred two of the public

health law.

21. "Non-profit housing and health facility" shall mean a specific

work or improvement, whether or not to effectuate all or any part of a

plan acquired, owned, constructed, rehabilitated, improved, managed or

operated by a non-profit company and consisting of five or more

residential units, and at the election of the agency such additional

health or health related facilities as the agency may approve; and

including the lands, buildings and improvements acquired, owned,

constructed, managed or operated to provide such units, and health or

health related facilities and such incidental and appurtenant

commercial, recreation, cultural, communal, dining, parking, day care or

residential child care, senior citizen and community facilities as may

be approved by the agency. As used in connection with the term

non-profit housing and health facility, the term residential unit shall

refer to units suitable for residential use or accommodations included

within the term housing as defined in subdivision nine of section twelve

of the private housing finance law, and the term non-profit company

shall mean a company incorporated pursuant to the provisions of the

not-for-profit corporation law for the purpose of providing housing for

staff members, employees, students or users of a hospital, health, or

health related facility and their immediate families or for the purpose

of providing a hospital, health, or health related facility.

23. "Loan" when made to either an eligible borrower or nursing home

company, shall mean either a mortgage loan or a project loan, each as

defined in this act.

24. "Project loan" shall mean a loan made by the agency to an eligible

borrower or nursing home company in an amount not to exceed the total

hospital project cost or total nursing home project cost, respectively.

Such loans shall be secured in a manner acceptable to the agency and

such security may consist of a mortgage on real property and

improvements or other security acceptable to the agency; provided

however, that a project loan shall not include any loan made by the

agency to an eligible borrower or nursing home company that constitutes

a mortgage loan as defined in this act. Project loans shall only be made

in accordance with guidelines adopted by the board of the dormitory

authority, as successor to the agency.

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