Current through Register Vol. 24-24, December 15, 2024
In order to meet the unique needs of different types of
borrowers, and/or unique financing programs, the authority will develop and
modify from time to time, as necessary, the application forms for financial
assistance. Any such application shall contain at least the following
information:
(1) Identification of
applicant:
(a) Legal name and address of
applicant;
(b) Name, title and
telephone number of person assigned responsibility for liaison with the
authority;
(c) Description of
applicant's legal structure (e.g., private nonprofit corporation, public
district hospital);
(d) If
applicant is a private entity, attach copies of articles of incorporation or
other similar documentation, and a copy of IRS determination of 501 (c)(3)
status;
(e) Religious or other
group affiliation, if any.
(2) Project for which financial assistance is
sought (if applicable):
(a) The maximum
principal amount requested and, if the requested financial assistance will
finance multiple projects at separate sites, a breakdown of the maximum
principal amount to finance each separate project;
(b) General description of project to be
financed or refinanced;
(c) Current
status of planning for project and dates proposed for
(i) completion of drawings for project, if
applicable (attach copies if completed);
(ii) filing of environmental impact
statement, if applicable;
(iii)
entry into construction contract; and
(iv) completion or
occupancy;
(d) Current
status of certificate of need for project, if required. If certificate has been
issued, attach copy;
(e) Cost of
project (including simple breakdown of costs of general construction, site
work, utilities, equipment, land acquisition, architects' and other fees,
contingency, interim interest, other);
(f) Feasibility studies on project, if any
(attach copy if one has been completed);
(g) Proposed security for authority-issued
bonds.
(3) Finances of
applicant:
(a) Audited (if audited) financial
statements for past three years;
(b)
Latest current financial statement;
(c) Current year's budget of revenues,
expenses and capital expenditures.
(4)
General:
(a) Pending or
threatened litigation or administrative actions with potential of material
adverse effect on applicant;
(b)
Brief description of existing health care facilities, including number of beds,
number of health care and other staff, categories of health care services
offered, and laboratory and research facilities, if any;
(c) Describe means applicant proposes to use
to ensure that savings from tax-exempt financing the estimated financial
benefits resulting from financing its project through the authority, as opposed
to obtaining financing other than through the authority, will be used for
building, providing and utilization of modern, well-equipped and reasonably
priced health care facilities in a manner that will minimize the capital costs
of construction, financing and use thereof and thereby the costs to the public
for the use of such facilities, and to contribute to improving the quality of
health care;
(d) The application
shall contain an appropriate legal commitment to indemnify the authority
against any expenses or costs incurred by it in connection with the processing
of the applicant's application and the completion of any project or plan and
system subsequently approved and undertaken by the authority. (See WAC
247-16-040 regarding authority
charges);
(e) The authority or the
executive director may require the submission of additional information
depending on factors such as the scope, size, and complexity of
project;
(f) Application forms are
available from the authority and are available on the authority
website.
Statutory Authority: RCW 73.37.050 [70.37.050]. 81-24-038
(Order 9, Resolution No. 81-1), §
247-16-030, filed 11/25/81.
Statutory Authority:
RCW
70.37.050. 79-10-101 (Order 2, Resolution No.
79-3), §
247-16-030, filed
9/26/79.