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8/9/2016 1 Department of Health Approval For Funded Projects Department of Health Approval For Funded Projects Presented by: Nancy Sciocchetti Holly Vegas Gretchen Pinkel Lynn Bradley Foundation for Long Term Care Financial Managers Conference August 31, 2016 Presented by: Nancy Sciocchetti Holly Vegas Gretchen Pinkel Lynn Bradley Foundation for Long Term Care Financial Managers Conference August 31, 2016 Certain proposals involving construction, addition, or replacement resulting in a total project cost in excess of $3 million or $6 million. Any administratively reviewed project with increased costs exceeding $15 million, resulting in total project costs in excess of 10% of the total operating costs of the facility for the fiscal year that ended two years prior to the submission of the application; or in total project costs exceeding $25 million. The addition of beds, or the conversion of beds which establish a different level of care, or a change in the certified bed capacity of a facility. Certain proposals involving construction, addition, or replacement resulting in a total project cost in excess of $3 million or $6 million. Any administratively reviewed project with increased costs exceeding $15 million, resulting in total project costs in excess of 10% of the total operating costs of the facility for the fiscal year that ended two years prior to the submission of the application; or in total project costs exceeding $25 million. The addition of beds, or the conversion of beds which establish a different level of care, or a change in the certified bed capacity of a facility. Full Review: Certificate of Need Approval Full Review: Certificate of Need Approval Proposals that may be reviewed administratively, include: Correction of patient safety deficiencies, ordinary repairs and maintenance, energy conservation measures or modernization in a medical facility or a portion thereof Such projects must not substantively change the capacity or type of the service(s) involved and must not involve issues of public need Proposals that may be reviewed administratively, include: Correction of patient safety deficiencies, ordinary repairs and maintenance, energy conservation measures or modernization in a medical facility or a portion thereof Such projects must not substantively change the capacity or type of the service(s) involved and must not involve issues of public need Administrative Review Administrative Review Proposals that do not affect clinical services, including Information systems Exterior building envelope Any proposal that relates to health information technology The addition, modification, or change in the method of delivery of a licensed service Additions to existing services not involving an additional site or beds Updating or modification of equipment utilized in a listed service by facilities already approved to provide such services Proposals that do not affect clinical services, including Information systems Exterior building envelope Any proposal that relates to health information technology The addition, modification, or change in the method of delivery of a licensed service Additions to existing services not involving an additional site or beds Updating or modification of equipment utilized in a listed service by facilities already approved to provide such services Administrative Review Administrative Review

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Page 1: Full Review: Certificate of Need Approval Approval For ... Financing Trends... · Approval For Funded Projects Presented by: ... zzzzzzzzzzzz zzzzzz zzzzzzz zzzzzzzzzzzzzzzzzzzzzzz

8/9/2016

1

Department of HealthApproval For

Funded Projects

Department of HealthApproval For

Funded ProjectsPresented by:

Nancy Sciocchetti • Holly Vegas • Gretchen Pinkel • Lynn Bradley

Foundation for Long Term Care Financial Managers Conference • August 31, 2016

Presented by:

Nancy Sciocchetti • Holly Vegas • Gretchen Pinkel • Lynn Bradley

Foundation for Long Term Care Financial Managers Conference • August 31, 2016

Certain proposals involving construction, addition, or replacement resulting in a total project cost in excess of $3 million or $6 million.

Any administratively reviewed project with increased costs exceeding $15 million, resulting in total project costs in excess of 10% of the total operating costs of the facility for the fiscal year that ended two years prior to the submission of the application; or in total project costs exceeding $25 million.

The addition of beds, or the conversion of beds which establish a different level of care, or a change in the certified bed capacity of a facility.

Certain proposals involving construction, addition, or replacement resulting in a total project cost in excess of $3 million or $6 million.

Any administratively reviewed project with increased costs exceeding $15 million, resulting in total project costs in excess of 10% of the total operating costs of the facility for the fiscal year that ended two years prior to the submission of the application; or in total project costs exceeding $25 million.

The addition of beds, or the conversion of beds which establish a different level of care, or a change in the certified bed capacity of a facility.

Full Review:Certificate of Need Approval

Full Review:Certificate of Need Approval

Proposals that may be reviewed administratively, include: Correction of patient safety deficiencies, ordinary repairs and maintenance,

energy conservation measures or modernization in a medical facility or a portion thereof Such projects must not substantively change the capacity or type of the service(s)

involved and must not involve issues of public need

Proposals that may be reviewed administratively, include: Correction of patient safety deficiencies, ordinary repairs and maintenance,

energy conservation measures or modernization in a medical facility or a portion thereof Such projects must not substantively change the capacity or type of the service(s)

involved and must not involve issues of public need

Administrative ReviewAdministrative Review

Proposals that do not affect clinical services, including Information systems

Exterior building envelope

Any proposal that relates to health information technology The addition, modification, or change in the method of delivery of a

licensed service Additions to existing services not involving an additional site or beds Updating or modification of equipment utilized in a listed service by facilities

already approved to provide such services

Proposals that do not affect clinical services, including Information systems

Exterior building envelope

Any proposal that relates to health information technology The addition, modification, or change in the method of delivery of a

licensed service Additions to existing services not involving an additional site or beds Updating or modification of equipment utilized in a listed service by facilities

already approved to provide such services

Administrative ReviewAdministrative Review

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The conversion of beds, other than a conversion which would establish a different level of care

A change in bed capacity of an AIDS center or the addition of skilled nursing facility beds. Must not result in a net increase in the certified bed capacity of the facility

The conversion of beds, other than a conversion which would establish a different level of care

A change in bed capacity of an AIDS center or the addition of skilled nursing facility beds. Must not result in a net increase in the certified bed capacity of the facility

Administrative ReviewAdministrative Review

The addition of ventilator dependent service The addition of chronic renal dialysis stations by a facility approved and

operating dialysis stations

The addition of ventilator dependent service The addition of chronic renal dialysis stations by a facility approved and

operating dialysis stations

Administrative ReviewAdministrative Review

Total project costs must be less than $6 million. Proposal shall be evaluated for the facility’s compliance with legal

requirements, when the proposal relates to the acquisition, relocation, installation or modification of: Equipment or facility space, where the proposal does not relate to a change in

clinical service, space or equipment, or an increase in certified bed capacity. Systems that impact clinical space, services or equipment, including:

Heating, ventilating, air conditioning, plumbing, electrical, water supply, and fire protection systems. Not including routine maintenance and repairs or routine purchases affecting such systems

Total project costs must be less than $6 million. Proposal shall be evaluated for the facility’s compliance with legal

requirements, when the proposal relates to the acquisition, relocation, installation or modification of: Equipment or facility space, where the proposal does not relate to a change in

clinical service, space or equipment, or an increase in certified bed capacity. Systems that impact clinical space, services or equipment, including:

Heating, ventilating, air conditioning, plumbing, electrical, water supply, and fire protection systems. Not including routine maintenance and repairs or routine purchases affecting such systems

Limited ReviewLimited Review

Following proposals are subjected to limited review, if done for programmatic and/or public need purposes: Any proposal to acquire, install or modify health information technology

Any proposal to decertify a facility's beds

Following proposals are subjected to limited review, if done for programmatic and/or public need purposes: Any proposal to acquire, install or modify health information technology

Any proposal to decertify a facility's beds

Limited ReviewLimited Review

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NYS Public Health Law Section 2858, states that: Subject to the Commissioner’s approval, any nursing home may borrow funds

from the NYS Housing Finance Agency (HFA) or the NYS Medical Care Facilities Finance Agency (MCFFA). The repayment of this loan may be secured by: bond, or note and mortgage, or

other agreement.

NYS Public Health Law Section 2858, states that: Subject to the Commissioner’s approval, any nursing home may borrow funds

from the NYS Housing Finance Agency (HFA) or the NYS Medical Care Facilities Finance Agency (MCFFA). The repayment of this loan may be secured by: bond, or note and mortgage, or

other agreement.

Nursing Home LoansNursing Home Loans

NYS Public Health Law Section 2858, states that: The HFA or the MFFA, may make loans to non-profit nursing homes; the loan is

not to exceed the total project cost. They may also make loans to limited-profit nursing homes; the loan is not to exceed 95% of the total project cost. Any loan which constitutes a mortgage loan as defined in the NYS MFFA Act shall be

secured by a first mortgage lien upon all the real property and improvements of which the project consists and upon all fixtures and articles of personal property attached to or used in connection with the operation of the project. Generally, any personal property may be excluded from the lien of the

mortgage securing such a mortgage loan provided that: (a) The commissioner finds that such property is not essential for the nursing home project; and

(b) The HFA or the MCFFA consents to the exclusion.

NYS Public Health Law Section 2858, states that: The HFA or the MFFA, may make loans to non-profit nursing homes; the loan is

not to exceed the total project cost. They may also make loans to limited-profit nursing homes; the loan is not to exceed 95% of the total project cost. Any loan which constitutes a mortgage loan as defined in the NYS MFFA Act shall be

secured by a first mortgage lien upon all the real property and improvements of which the project consists and upon all fixtures and articles of personal property attached to or used in connection with the operation of the project. Generally, any personal property may be excluded from the lien of the

mortgage securing such a mortgage loan provided that: (a) The commissioner finds that such property is not essential for the nursing home project; and

(b) The HFA or the MCFFA consents to the exclusion.

Nursing Home LoansNursing Home Loans

Section 2856 states that: “No nursing home company shall: … (c)Without first having obtained the written consent of the commissioner:

… (ii) Sell, transfer, lease or encumber any real property…” (Excepting in cases of foreclosure)

Section 2856 states that: “No nursing home company shall: … (c)Without first having obtained the written consent of the commissioner:

… (ii) Sell, transfer, lease or encumber any real property…” (Excepting in cases of foreclosure)

Nursing Home LoansNursing Home Loans

Any proposal for the repair or maintenance of a facility (not previously covered), including: Routine purchases and the acquisition of minor equipment undertaken in the

course of a facility's inventory control functions. Total cost of all related proposals must be less than $6 million

Must not increase costs or expenses excepting: lease costs, amortization, depreciation, interest, or return of or on equity.

Any proposal for the replacement of existing equipment when such replacement is essential for the continued operation of the facility There are additional notification requirements involved

Any proposal for the repair or maintenance of a facility (not previously covered), including: Routine purchases and the acquisition of minor equipment undertaken in the

course of a facility's inventory control functions. Total cost of all related proposals must be less than $6 million

Must not increase costs or expenses excepting: lease costs, amortization, depreciation, interest, or return of or on equity.

Any proposal for the replacement of existing equipment when such replacement is essential for the continued operation of the facility There are additional notification requirements involved

Notice to DOHNotice to DOH

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The Commissioner, at his discretion, may approve expenditures so that the facility may comply with new legal requirements.

The Commissioner, at his discretion, may approve expenditures so that the facility may comply with new legal requirements.

Notice to DOHNotice to DOH

Questions?Questions?

Contact UsContact Us

Nancy Sciocchetti • O’Connell and Aronowitz

[email protected]

Holly Vegas• O’Connell and Aronowitz

[email protected]

Gretchen Pinkel• USDA

[email protected]

Lynn Bradley • M&T Bank

[email protected]

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M&T BANK

LEADING AGE CONFERENCE

SARATOGA SPRINGS, NEW YORK

AUGUST 2016

M&T Bank Overview

©2016 M&T Bank. Member FDIC. 2

THE M&T STORY

Corporate Profile

Our Culture, “Understanding what’s important”

Community Investment and National Recognition

First Quarter 2016 Performance Summary

MTB vs. Peers – Efficiency Ratio

Best in Class Loan Losses Over the Long-Term

Stock Price Performance

Distinguishing M&T

The M&T and Wilmington Trust Advantage

M&T Healthcare Banking Group

M&T Healthcare Portfolio

Your Healthcare Banking RM

Credit & Capital Markets

M&T Insurance Agency, Inc.

Senior Housing Healthcare Industry Trends

M&T Bank Overview

©2016 M&T Bank. Member FDIC. 3

CORPORATE PROFILE• Since the start of the financial crisis, M&T has

nearly doubled in size, while the radius of its

footprint grew by just 27 miles, increasing density while remaining manageable

• M&T’s footprint is the most compact among

super-regional banks

• Currently top 2 deposit market share player in 8 of our 10 largest MSAs and top 10 in 100%

MSAMarket

RankDeposits($ billion)

No. of Branches

Buffalo, NY 1 20.2 56

Baltimore, MD 2 14.6 100

Delaware* 1 4.0 42

Rochester, NY 1 4.1 31

Syracuse, NY 1 2.9 30

Harrisburg, PA 1 2.0 28

York/Hanover, PA 1 1.8 28

Binghamton, NY 1 1.5 16

Top Markets – as of June 30, 2015

Source: SNL Financial

* In Market Deposits Only

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M&T Bank Overview

©2016 M&T Bank. Member FDIC. 4

M&T FRANCHISE GROWING FOOTPRINT

Complementary Combined Footprint with Hudson City

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OH

NH

MA

VT

DEMD

PA

NJ

VA

NY

CT

DC

IN

KY

ME

MI

NC

RI

TN

WV

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OH

NJ

DE

NH

MA

VT

MD

PA

VA

NY

CT

DC

IN

KY

ME

MI

NC

RI

TN

WV

M&T Bank Overview

©2016 M&T Bank. Member FDIC. 5

OUR CULTURE

“Understanding what’s important”

• A focus on long term performance

• Conservative and consistent management

• A Community Bank approach

– Support our local communities

– Lending in the markets where we live and work

– Keeping decisions close to the customer

– Centrally controlled but regionally managed

For more than 150 years, M&T Bank has delivered on our promise of “Understanding what’s

important” by building deep, long-lasting relationships with our customers and by investing in

our communities.

M&T Bank Overview

©2016 M&T Bank. Member FDIC. 6

COMMUNITY INVESTMENT AND NATIONAL RECOGNITION

Top Honors

• Recognized as one of the top charitable companies in the U.S.

– In 2015 alone, M&T identified over 3,300 community organizations to receive grants totaling $22.5

million

– Over the past decade, we have made grants totaling $190 million

• Employee engagement with community organizations

– Thousands of employees volunteer their time with nonprofits in their communities

• Highest possible CRA exam rating from the Federal Reserve Bank of New York each year

since 19821

• Led the effort to be awarded funding and bring the U.S. Department of Education “Promise

Neighborhood” model (supporting children from birth through college/employment) to an at-

risk Buffalo neighborhood

– One of only five neighborhoods (out of 339 applicants) to receive a five-year, $6 million

implementation grant matched by $6 million from M&T Bank

– Received an additional $5 million grant from the Annie E. Casey Foundation to partner and focus on

children and their families

1Source: US Small Business Administration

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8/8/2016

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M&T Bank Overview

©2016 M&T Bank. Member FDIC. 7

FIRST QUARTER 2016 PERFORMANCE SUMMARY

Highlights

• Profitable in every quarter, going back to 1976 – 159 consecutive quarters

• #1 or #2 deposit market share in 8 of the top 10 communities

• Since 1983, the Bank has achieved compound annual growth in operating earnings per share of 15%

• M&T is one of only two commercial banks in the S&P 500 not to cut its dividend through the financial crisis

• Net Charge Off Ratio % better than the peer median

YTD YTD

Net Operating Income(1) 246 320

Net Operating EPS(1) $1.68 $1.87

GAAP Net Income 242 299

GAAP EPS $1.65 $1.73

($ in millions, except per share)

Jan Jan2015 2016

(1) Excludes merger-related gains and expenses and amortization expense associated with intangible assets.

M&T Bank Overview

©2016 M&T Bank. Member FDIC. 8

MTB VS. PEERS – EFFICIENCY RATIO

MTB has been able to minimize the costs to our customers by carefully managing our expenses

The Efficiency Ratio is a non-GAAP financial measure. M&T’s Efficiency Ratio reflects non-interest expense (excluding amortization expense associated with intangible assets and merger-related expenses) as a percentage of fully taxable equivalent net interest income and non-interest revenues (excluding gains from securities transactions and merger-related gains). Refer to the Appendix for a reconciliation of the Efficiency Ratio with GAAP.

*Years prior to 2011 not restated for change of accounting policy for LIHTC

51.51%

57.00%55.22%

62.34%

40%

45%

50%

55%

60%

65%

Operating Efficiency Ratio %

MTB (Internal) Peer Median

M&T Bank Overview

©2016 M&T Bank. Member FDIC. 9

BEST IN CLASS LOAN LOSSES OVER THE LONG-TERM

Source: FDIC Regulatory Data per SNL

1.6%

1.3%

0.9%

0.5% 0.5%0.6% 0.7% 0.7% 0.6% 0.7%

1.0%

1.2%

0.9%

0.6%0.6%

0.4%

0.6%

1.3%

2.7% 2.7%

1.6%

1.1%

0.7%

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0.3% 0.2% 0.2% 0.2% 0.3%

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0.7%0.5%

0.3% 0.3% 0.2% 0.2%0.0%

0.5%

1.0%

1.5%

2.0%

2.5%

3.0%

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8/8/2016

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M&T Bank Overview

©2016 M&T Bank. Member FDIC. 10

STOCK PRICE PERFORMANCE

20 years through 3/31/2016

2016 Peer Group: BB&T Corp., Comerica Inc., Fifth Third Bancorp, Huntington Bancshares Inc., KeyCorp, M&T Bank Corp., PNC Financial Services Group, Regions Financial Corp., Sun Trust Banks, Inc., U.S. Bancorp, Wells Fargo, Zions BancorporationData Source: SNL Financial

351%

219%

48%

88%

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0%

100%

200%

300%

400%

500%

Mar-96 Mar-98 Mar-00 Mar-02 Mar-04 Mar-06 Mar-08 Mar-10 Mar-12 Mar-14 Mar-16

MTB S&P 500 KBW Bank Peer Median

M&T Bank Overview

©2016 M&T Bank. Member FDIC. 11

DISTINGUISHING M&T

Client Focus

M&T is a community-based, client-focused organization. Every client is assigned an experienced and knowledgeable Relationship Manager. As the single point of contact for all your banking needs, your

Relationship Manager will bring M&T’s financial and technological resources to the forefront, providing

you with an unparalleled level of personal service

Service Excellence

M&T Relationship Managers are supported by responsive Customer Service Representatives and

knowledgeable Product Specialists. As a team, we make every effort to understand what’s important to

each client, while delivering a superior banking experience

Loyal Employees

The average tenure of M&T’s employees (10.7 years) is more than twice that of the U.S. Labor Department’s average for the financial services industry (4.8 years)*

• Average tenure of M&T’s Management Group members is 21.9 years, M&T’s Regional President is

20.2 years, and Commercial RM is 10.4 years*

*As of 12/31/2011

M&T Bank Overview

©2016 M&T Bank. Member FDIC. 12

DISTINGUISHING M&T

Strong and Stable

M&T Bank remains a strong and stable institution well positioned for future success. M&T has recorded 159 consecutive quarters of profits and is one of only two peer banks to report a profit every quarter

since 2007

Consistent and Conservative

M&T Bank’s success can be attributed to the philosophy established by our Senior Management Team.

These basic principles are:

• Develop strong relationships with co-workers and customers• Maintain consistent credit standards

• Constantly improve efficiency

• Regularly provide superior returns to stakeholders

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M&T Bank Overview

©2016 M&T Bank. Member FDIC. 13

THE M&T AND WILMINGTON TRUST ADVANTAGE

With roots dating back to the founding of Wilmington Trust Company by T. Coleman duPont in 1903.

Wilmington Trust has been serving successful individuals, families, businesses, and endowments and

foundation for generations. They bring a unique blend of knowledge, experience, and resources to every client relationship that they service, offering the high quality service from a team of recognized

professionals.

Institutional Client Services

• International client base with clients in more than 90 countries

• Specialized trust services for capital markets financing structures

• Trust and custody services for retirement plans

• Customized institutional investment capabilities

Wealth Advisory Services

• Clients in all 50 states and numerous other countries

• One of the largest personal trust providers in the United States

• Tax planning and wealth transfer strategies• Investment management, private banking*, family governance, and family office services

*Private Banking is the marketing name for an offering M&T Bank Deposits and loan products and services.

Wilmington Trust is a registered service mark. Wilmington Trust Corporation is a wholly owned subsidiary of M&T Bank

Corporation (M&T). Investment management and fiduciary services are provided by Wilmington Trust Company, operating in

Delaware only, and Wilmington Trust, N.A., a national bank. Loans, retail and business deposits, and other personal and business banking services and products are offered by M&T Bank, member FDIC.

M&T Bank Overview

©2016 M&T Bank. Member FDIC. 14

M&T HEALTHCARE BANKING GROUP

To assist our clients in fulfilling their missions by delivering competitive financing solutions, high quality

products and superior customer service to Healthcare Providers, as a strategic partner in the financial

management of their organizations.

Concept – Experience, Industry Expertise, Dedication, Service

• Relationship-oriented

• Extensive industry experience: Over 30 years with dedicated Healthcare Banking group• Extensive experience in financial services

• Leadership positions in regional and national industry groups

Approach – Our Relationship Managers work as a single point of contact to make the full range of M&T Bank’s services available to our clients.

• We have over 45 Healthcare Specialists covering the entire M&T footprint and national healthcare

markets and issues

• Segments Served: Acute Care, Skilled Nursing, Continuing Care Communities, Senior Housing,

Physician Groups, Medical Office Buildings and Ambulatory/Outpatient Centers

Strength - $3.8 billion in credit commitments to our Healthcare clients

Additional Information – Visit the Healthcare page at www.mtb.com/commercial or call Christopher

Callaghan at 410-244-4895

M&T Bank Overview

©2016 M&T Bank. Member FDIC. 15

M&T HEALTHCARE PORTFOLIO

Our portfolio is distributed across many different types of Healthcare clients

* Based on December 2014 Loan Commitments

Acute Care15%

Skilled Nursing33%CCRC

23%

AL/IL6%

Physician 19%

Other4%

1December 31, 2014. Total Commitments: $6.1Bn

Includes Business Banking commitments

Healthcare Banking Commitments by Sector (%)1

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M&T Bank Overview

©2016 M&T Bank. Member FDIC. 16

M&T HEALTHCARE PORTFOLIO

Our portfolio is distributed across many different types of Healthcare regions

* Based on December 2014 Loan Commitments

Total Mid-Atlantic20%

Total Pennsylvania

15%

Total New York30%

Total Metro22%

Total Other2%

Total Business Banking

11%

Healthcare Banking Commitments by Region (%)1

1December 31, 2014. Total Commitments: $6.1Bn

M&T Bank Overview

©2016 M&T Bank. Member FDIC. 17

YOUR HEALTHCARE BANKING RELATIONSHIP MANAGER

A one-to-one relationship that ensures continuity and consistency of service

M&T Bank Overview

©2016 M&T Bank. Member FDIC. 18

CREDIT AND CAPITAL MARKET SERVICES

M&T can help you meet your financial goals by providing credit products to fund working capital, finance

capital projects, manage on and off-balance sheet risk arising from interest rate volatility, as well as

provide solutions for any of your other financing needs.

Credit Facilities and Credit Enhancement

• Term loans, both taxable and tax-exempt• Construction and mortgage loans

• Letters of credit and standby bond purchasing

agreements

• Revolving credits

• Working capital lines of credit• Equipment loans or leases

Capital Markets Financing

• Coordinate syndicated bank loans as

administrative agent and lead arranger

• Execute private placement of debit

Tax-exempt Bond Underwriting/Placements

and Taxable Bond Placement

• Provide investment banking and financial advisory

services

• Provide letter of credit or liquidity facilities for credit

enhancements and remarketing via M&T Bank, a

P-1/A-1/F-1 rated bank (short term), A2/A/A rated (long term)

• Underwrite or place variable rate or fixed-rate

bonds with extensive investor base

• Remarket over $2 billion in variable rate demand

bonds on a regular basis• M&T professionals have participated in 217

variable rate demand bond transactions

aggregating over $3.8 billion since 2001

Financing options are subject to credit approval and other conditions. All products and services are subject to qualification ; fees and restrictions may apply.

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M&T Bank Overview

©2016 M&T Bank. Member FDIC. 19

M&T INSURANCE AGENCY, INC.

M&T Insurance Agency, Inc., offers a unique combination of innovative products and services to meet

the rapidly changing needs of our clients. For over 55 years, we have provided comprehensive insurance

services for clients of all sizes, including publicly traded corporations, municipalities, not-for-profit entities, and emerging businesses.

Services

• Plan design review and recommendations• Report analysis and interpretation

• “Due Diligence Review” Process

• Market/provider selection and evaluation

• Comprehensive renewal analysis and negotiation

Group Employee Benefits

• Medical and Pharmacy

• Group Life

• Private Exchange

• Dental

• Group Disability

• Plan Administration

• ACA Testing & Analysis

Property & Casualty Insurance

• Property• General Liability/Excess Liability

• Automobile

• Workers Compensation

• Professional Liability

• Boiler & Machinery• Captives

• Global Programs

Information Services

• Contract Surety

• Commercial Bonding

• Directors & Officers Liability/Employee Practices

Liability

• Crime Insurance/ERISA Bonding/Fiduciary

Liability/Cyber Liability

*Insurance products are offered by M&T Insurance Agency, Inc., not by M&T Bank. M&T Insurance Agency, Inc. is licensed as an insurance agent and acts as agent for insurers. Insurance policies are obligations of the insurers that issue the policies. Insurance products may not be available in all states

Investment and Insurance Products:Are Not Deposits · Are Not Insured by the FDIC or Any Federal Agency · Have No Bank Guarantee · May Lose Value

M&T Bank Overview

©2016 M&T Bank. Member FDIC. 20

SENIOR HOUSING HEALTHCARE INDUSTRY TRENDS

M&T Bank Overview

©2016 M&T Bank. Member FDIC. 21

NEEDS DRIVEN, RESILIENT CASH FLOWS

1. Green Street Advisors Health Care Section update (March 2014), 2. Nielsen, represents 2014- 2019 growth. 3. US Census Bureau ( December 2014), 4. NIC.

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M&T Bank Overview

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Growing Population of Healthcare Consumers + Immense Wealth and Spending Power + Increase

Care Needs with Age

DEMOGRAPHICS & LONGEVITY FUELING DEMAND

Sources: 1. US Census Bureau; 2 Pew Research Center; 3. US Dept. of Health and Human Services 4. Federal Reserve Survey of Consumer Finances; 5. Bank of America, Merrill Lynch, Thematic Investments (May 2016); 6. ISL Real Estate Research Bureau of Labor Statistics. 7. Marcus and Millchap, CMS.

M&T Bank Overview

©2016 M&T Bank. Member FDIC. 23

Medicare Patients Use of Post – Acute Services Throughout an “Episode”

WHY POST – ACUTE CARE IS SO IMPORTANT

Source: RTI, 2009 Examining Post-Acute Care Relationship in an Integrated Hospital Stem.

Intensity of Service

High Low

M&T Bank Overview

©2016 M&T Bank. Member FDIC. 24

Hospital Relationship with Post-Acute Care Changing

POLICY IMPACTING MARKET DYNAMICS

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U S D A R u r a l D e v e l o p m e n t

S t a t e O f f i c e – G a l l e r i e s o f S y r a c u s e

4 4 1 S o u t h S a l i n a S t r e e t , S u i t e 3 5 7

S y r a c u s e , N e w Y o r k 1 3 2 0 2

T e l . ( 3 1 5 ) 4 7 7 - 6 4 0 0

F a x ( 8 5 5 ) 4 7 7 - 8 5 3 6

w w w . r d . u s d a . g o v / N Y

Pinkel, Gretchen - RD, Greenwich, NY The U.S. Department of Agriculture (USDA) prohibits discrimination against its customers, employees, and applicants for employment on the bases of race, color, national origin, age, disability, sex, gender identity, religion, reprisal, and where applicable, political beliefs, marital status, familial or parental status, sexual orientation, or all or part of an individual’s income is derived from any public assistance program, or protected genetic information in employment or in any program or activity conducted or funded by the Department. (Not all prohibited bases will apply to all programs and/or employment activities.) If you wish to file an employment complaint, you must contact your agency’s EEO Counselor within 45 days of the date of the alleged discriminatory act, event, or in the case of a personnel action. Additional information can be found online at: http://www.ascr.usda.gov/complaint_filing_file.html. If you wish to file a Civil Rights program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, found online at: http://www.ascr.usda.gov/complaint_filing_cust.html, or at any USDA office, or call (866) 632-9992 to request the form. You may also write a letter containing all of the information requested in the form. Send your completed complaint form or letter to us by mail at U.S. Department of Agriculture, Director, Office of Adjudication, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, by fax (202) 690-7442 or email at [email protected]. Individuals who are deaf, hard of hearing or have speech disabilities and you wish to file either an EEO or program complaint please contact USDA through the Federal Relay Service at (800) 877-8339 or (800) 845-6136 (in Spanish).Persons with disabilities who wish to file a program complaint, please see information above on how to contact us by mail directly or by email. If you require alternative means of communication for program information (e.g., Braille, large print, audiotape, etc.) please contact USDA’s TARGET Center at (202) 720-2600 (voice and TDD).

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Housing Programs USDA Rural Development FY16 Program Information

Program Objective Applicant Uses Population Loan/Grant Terms/ Conditions Community Facilities

Provide Essential Community Facilities for rural communities

Public bodies and non-profit corporations. Direct and grant: apply to local RD office. Guaranteed: Apply to commercial lender.

Fire and Rescue, public safety, public buildings, schools, libraries, museums, day care, health services, NOT FOR RECREATION ACTIVITIES (except guaranteed)

Rural areas and populations of 20,000 or less

Direct Loan, Loan Guarantee, Grant, or Combination

Up to 100% of market value. Up to 40 years or life of security. Interest rates are set quarterly based on an index of current market yields for municipal obligations, except guaranteed. Guaranteed rates set by commercial lender. 1% guaranteed fee.

Farm Labor Housing

Safe, well-built affordable rental housing for farm workers

Individuals, profit and non-profit organizations apply to RD

New construction or substantial rehabilitation of rental housing

Rural areas and populations of 20,000 and less

Direct Loan and Grant Up to 100% of market value Up to 33 years at 1% interest

Housing Preservation Grants

Repair and rehabilitate housing owned or occupied by low income rural residents

Public bodies and nonprofit corporations apply to RD

Operate a program which finances the repair and rehabilitation activities

Rural areas and populations of 10,000 and less

Grant Grant agreement conditions

Rental Housing for Families and Elderly Direct Loans and Loan Guarantees

Safe, well-built affordable rental housing for rural Americans

Individuals, profit and non-profit organizations. For guarantees, apply to intermediary; for direct, apply to RD State Office

New construction or substantial rehabilitation of rental housing

Rural areas and populations of 10,000 or less

Direct Loan or Loan Guarantee

Up to 100% of market value (non-profits); 97% (for profits) Up to 30 years with 50 year amortization.

Self Help Housing Loan & Grants

Single family homes built by a group of program eligible applicants using RD financing. Project development and construction guidance provided by a participating nonprofit grantee

Loan applications are packaged and developed by the grantee organizations – referred to RD for final underwriting and approval. Grant application information provided by local RD Office.

Loan made to individuals and/or families for site, material and skilled labor Grants provided to non-profit organizations to develop self-help project, provide technical assistance, counseling and construction supervision.

Rural areas w/ populations of 10,000 or less (MSA Counties); Rural areas w/ populations of 20,000 or less (Non MSA Counties)

Direct Loan Direct Grant

Loan: Same as Single Family Home Ownership guidelines below; however, substantial portion of labor involved with constructing home provided by applicant. Grant: Organization must have technical and supervisory experience to carry out objectives of self-help project

Single Family Home Ownership Loan Guarantees

Assist eligible applicants to purchase homes in rural areas by issuing loan note guarantees to private lenders.

Applicants apply to local lender.

Loans may be made to construct new or purchase existing homes in rural areas

Rural areas w/ populations of 10,000 or less (MSA Counties); Rural areas w/ populations of 20,000 or less (Non MSA Counties)

Loan Guarantee Finance up to 100% of the appraised value plus up front guarantee. Fee of 2%; 102% LTV no down payment required. Loans are for 30 years, interest rate is set by the lender with annual fees of .4% unpaid principal balance.

Single Family Home Ownership Loans

Finance safe, well built, affordable homes for rural Americans.

Applicants apply to local RD Office.

Buy, build, improve or repair or rehabilitate rural homes as the applicant’s permanent residence.

Rural areas w/ populations of 10,000 or less (MSA Counties); Rural areas w/ populations of 20,000 or less (Non MSA Counties)

Direct Loan Finance up to 100% of market value. Loans typically amortized over 33 years. Applicant may be eligible for payment assistance (subsidy) to reduce monthly payment

Single Family Home Repair Loans & Grants

To assist very low income homeowners repair their homes.

Families and individuals who currently own their home apply to local RD Office.

Repairs to improve or modernize a home, remove health or safety hazards or to make property accessible for household members with disabilities.

Rural areas w/populations of 10,000 or less (MSA Counties); Rural areas w/ populations of 20,000 or less (Non MSA Counties)

Direct Loan and Grant Maximum loan term up to 20 years at 1% fixed interest rate. Outstanding balance on loan(s) not to exceed $20,000. Grants available to applicant’s age 62 years or older to remove health or safety hazards or make property accessible to household members w/ disabilities. Lifetime grant assistance $7,500.

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Utilities Programs USDA Rural Development FY16 Program Information

Program Objective Applicant Uses Population Loan/Grant Terms/ Conditions Distance Learning and Telemedicine

Development and deployment of advanced telecommunication services throughout rural America.

Incorporated entities, including municipal corporations, for profit and not for profit groups, which operate or will operate at educational institutions, including a regional educational laboratory, library, hospital, medical center, medical clinic or any rural community facility. Rural Schools, libraries, health care facilities. Application submitted to the RD National Office in Washington, DC.

Equipment for classrooms; cameras, video monitors computers and LAN; and for physician consultation, radiology, x-ray scanners and digital microscopes

Rural areas. Points awarded on sliding scale based on degree of rurality, as measured by 2010 US Census data. Multiple areas within proposed service area will be scored and averaged to reach final score.

Direct Loan and / or Grant

Matching funds are required.

Electric and Telecommunications

Provide financial aid through direct guaranteed loans.

Nonprofit and cooperative associations, public bodies and other utilities. Contact USDA-RUS Electric Staff Division 1400 Independence Ave., SW Washington, DC 20250 - 1569

Generation, bulk transmission facilities and distribution of electric power. Enhance 911 emergency service, digital switching equipment, fiber optic cable

Rural areas

Direct Loan or Loan Guarantee

Interest rates are established in accordance with 7CFR 17145.

Solid Waste Management Grants

Provide technical assistance and/ or training to help communities reduce the solid waste stream

Non-profit organizations and public bodies. Contact RD State Office in Syracuse.

Provide technical assistance and training to reduce pollution of water resources and improve management of solid waste facilities, reduction of solid waste streams

Rural areas and places with up to 10,000 population.

Grant

Projects funded based on selection at National Level.

Technical Assistance & Training Grant

Provide technical assistance and/or training to help communities with water / wastewater systems

Non-profit organizations and public bodies. Contact RD State Office in Syracuse for assistance.

Provide technical assistance and training for water and waste water systems.

Rural areas and places with up to 10,000 population.

Grant

Projects funded based on selection at National Level.

Water and Waste Disposal Loans and Grants

Providing infrastructure for rural areas

Public entities, non-profit organizations and Native American Tribes apply to local RD office

Build, repair, and other related costs to improve public water systems and waste collection and treatment systems

Rural areas and places with up to 10,000 population.

Direct Loan and Grant

Interest rates are set quarterly based on an index of current market yields for municipal obligations. Repayment maximum: 40 years. Grant funds may be available.

Water and Waste Disposal Loan Guarantees

Providing infrastructure for rural areas

Eligible lenders obtain guarantee for loans made and serviced by them. Lenders should contact their local RD office

Construct, repair, modify, expand, and other related costs to improve water supply and distribution systems and waste collection and treatment systems

Rural areas and places with up to 10,000 population.

Loan Guarantee

Not eligible for Grant.

Emergency Community Water Assistance Grant (ECWAG)

Assist rural areas that have a significant decline in water quality or quantity

Public bodies (such as a municipality, county, district or authority); nonprofit organizations, Native American tribes

Water system improvements to alleviate source or distribution problems and restore safe drinking water

Rural areas and places with up to 10,000 population.

Grant Typical Amount of Assistance $150,000 distribution; $500,000 for source

Accepting applications year round

Predevelopment & Planning Grant (PP Grant)

Assist in developing applications for RD financial assistance

Public bodies, nonprofit organizations, Native American tribes

Costs associated with developing a complete application for RD loan or grant

Rural areas and places with up to 10,000 population and MHI below 80% of state NMHI

Grant Typical amount of assistance $10,000 - $15,000

Accepting applications year round

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Business & Cooperative Programs USDA Rural Development FY16 Program Information Program Purpose Program Type Eligible

Applicants Eligible Areas Authorized

Purposes Typical

Amount of

Assistance

Rates and Terms

Keys to Success

When to Apply

Business & Industry (B&I) Guaranteed

Loans

Provide an incentive for business lending that will save & create jobs (typically for larger businesses)

USDA guarantees business loans made by commercial lenders

Banks, credit unions and other commercial lenders who make loans to rural businesses

Areas outside the boundaries of a city or town of > 50,000 population and the urbanized area contiguous and adjacent to such city or town; also considers “rural in character” and strings in determining rural areas

The loans guaranteed can be used for real estate, equipment, working capital & refinancing for non-farm businesses

80% loan guarantees for loans up to $5 million; 70% on loans up to $10 million

Negotiated by business & lender; fixed or variable rates, typically near prime (no balloons)

Lender- driven; have a bank willing to make the loan (USDA only guarantees it); business with strong equity & collateral

Year round

IRP Intermediary

Relending Program

Capitalize locally run revolving loan programs for small businesses unable to qualify for bank financing

USDA loans money to a local Revolving Loan Fund (RLF) for relending to non-farm businesses

Nonprofit groups, tribes & public bodies who will make loans to rural businesses and community projects

Same as B&I Guaranteed Loan Program

The loan is used to set up a loan program that makes business loans for non-farm, rural businesses

Loans up to $1,000,000 in a fiscal year to re-lenders to make loans up to $150,000 to businesses

1%, 30 years to re-lender to make loans at negotiated rates and terms to rural businesses and community projects

Funding is limited, so these loans tend to go only to loan funds that will serve neediest areas

Year round with a quarterly competition at the national level

RMAP Rural Micro-entrepreneur

Assistance Program

Capitalize locally run revolving microloan programs that offer both microloans and counseling for microbusinesses

Loans to a local revolving loan fund for micro lending; generally with companion grant support for business counseling

Nonprofit micro-enterprise development organizations, tribes and colleges

Same as B&I Guaranteed Loan Program

To set up a microloan fund from which loans of $50,000 or less are made; the companion grant provides business help to the micro-borrower

Loans up to $500,000 in a fiscal year with annual companion grant equal to 25% of the microloan portfolio size

2%, 20 years to a micro-lender for microloans at lender determined rates & terms of not more than 10 years

Micro-lender must provide technical assistance and training along with administering the revolving loan fund.

Year round with a quarterly competition at the national level

RBDG Rural Business Development

Grant (Enterprise type

projects)

Support economic development projects that will assist small & emerging private businesses in rural areas.

Grants to assist private business development

Nonprofit corporations, public bodies, colleges, Federally Recognized Tribes and Rural Cooperatives

Same as B&I Guaranteed Loan Program

Grant is used to conduct a feasibility study, provide technical assistance to businesses, provide job training, set up a RLF and available for equipment purchase

The average amount of a grant is <$100,000

Grant Funds tend to go to projects that help the neediest areas, contribute significant funds to the project, or meet strategic initiatives

Once a year competition at State level

RBDG Rural Business Development

Grant (Opportunity type

projects)

Promote sustainable economic development in rural areas

Grants to eligible applicants who provide business and economic development services

Nonprofit corporations, public bodies, colleges, Federally Recognized Tribes and Rural Cooperatives

Areas outside the boundaries of a city or town of > 50,000 population and the urbanized area contiguous and adjacent to such city or town; also considers “rural in character” and strings in determining rural areas

Community economic development, technology based economic development, Feasibility studies/business plans, leadership/entrepreneur training,, rural business incubators, long-term business strategic planning

Maximum $50,000

Grant Limited funding; grants tend to be projects that help the neediest areas, contribute significant funds to the project, or meet strategic initiatives

Once a year competition at State level

RED Loan Rural Economic Development

Loan

Promote specific community or business development projects improving the local economy

Loans to certain utilities that are in turn re-loaned for local community or business projects

Electric & Telephone utilities eligible for USDA’s Rural Utilities Service

Areas outside the boundaries of a city or town of ≤ 50,000 population and the urbanized area contiguous and adjacent to such city or town

The RED Loan is re-loaned by the utility to a non-farm business or community project for real estate & equipment

Loans up to $2,000,000

Loan is zero %, 10 years; re-loaned at zero%, 10 years

Req’s a community-orientated nonprofit or cooperative utility willing to borrow & relend on the project’s behalf

Year round with a monthly competition at national level

RED Grant Rural Economic Development

Grant

Promote specific community development projects to improve the rural economy

Grants to certain utilities to capitalize a revolving loan fund for community projects

Electric & Telephone utilities eligible for USDA’s Rural Utilities Service

Same as RED Loan

Used to set up a revolving loan fund; the initial grant funds must be used for: community facility, education or health care project

$300,000 grant maximum

Grant Requires a community orientated nonprofit or cooperative utility willing to oversee a loan fund; req’s a 20% match

Year round with a monthly competition at national level

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Business & Cooperative Programs (Continued) USDA Rural Development FY16 Program Information

Program Purpose Program Type

Eligible Applicants

Eligible Areas Authorized Purposes

Typical Amount of Assistance

Rates and Terms

Keys to Success

When to Apply

VAPG Value Added Producer

Grant

Support producers in ventures that will increase the return on their agricultural commodities

USDA provides matching grants for value-added ventures

Farmers, ranchers, foresters and fishers; coops; producer groups & joint ventures

No rural area requirement

Grants for planning or working capital to operate value added ventures; minimum 1:1 match required

≤ $75,000 (planning); ≤ $200,000 (working capital). Varies yearly, please contact the USDA RD NY State Office

Grant Application requirements are complex, please consult with USDA well in advance of application deadline

Once a year competition at national level

SSDPG Small Socially

Disadvantaged Producer Grant

Foster business success of small, socially disadvantaged agricultural producers

USDA makes grants for technical assistance projects

Coops or CDC’s where a majority of the governing board are socially disadvantaged producers

Unincorporated areas & ≤50,000 population cities

Feasibility or market studies, product improvement, training or legal advice

≤$200,000 Grant for 1 year or less project period

Preference for experience & projects that help the most producers & smaller, poorer communities

Once a year competition at national level

RCDG Rural Cooperative

Development Grant

Facilitate job creation in rural areas through the development of new cooperatives

USDA makes grants to organizations to provide cooperative development services

Nonprofit corporations and institutions of higher education

Unincorporated areas & ≤50,000 population cities

Establish and operate centers that assist rural cooperatives

<$200,000 – established each year in FR notice

Grant for 1 year or less project period; up to 75% (95% for 1994 Institution) of costs of the centers

Limited funding; grants tend to go to area applicants demonstrating the best track record and capability for cooperative development

Once a year competition at national level

Energy Programs USDA Rural Development FY16 Program Information

REAP Grants

Renewable Energy Systems & Energy

Efficiency Improvements

Promote the use of renewable energy systems and energy efficiency improvements

USDA makes grants to agricultural producers (Farmers, ranchers) and rural small businesses

Agricultural producers and rural small businesses

Areas outside the boundaries of a city or town of > 50,000 population and the urbanized area contiguous and adjacent to such city or town; also considers “rural in character” and strings in determining rural areas

Renewable energy systems (wind, solar, biomass, biofuel, digesters, geothermal & micro-hydro) and energy efficiency improvements

Renewable Energy Systems grants from $2500 to $500,000. Energy Efficiency Improvements grants range from $1500 to $250,000 (Max. grant is 25% of project cost)

Grant Program has various thresholds and application contents vary, consult with USDA well in advance of deadline; grants ≤$20,000 are encouraged

Applications can be submitted at any time, but Notice establishes a submittal date by which applications must be received to compete for funding. Application Deadline: Under $20,000 due 10/31. All others due April 30.

REAP Loan Guarantees

Renewable Energy Systems & Energy

Efficiency Improvements

Promote the use of renewable energy systems and energy efficiency improvements

USDA guarantees loans made by lenders to agricultural producers & rural small businesses

Banks and other commercial lenders who make loans to agricultural producers and rural small businesses

Same as REAP Grants

The loans guaranteed can be used for the purchase & installation of renewable energy systems and energy efficiency improvements

85-60% Loan guarantees on $5,000 to $25 million loans

Negotiated by the business & lender; fixed or variable rates

Lender submits the application to USDA. Loan guarantee requests may be combined with a REAP grant

Year round. Projects are funded monthly.

Updated by Christopher Stewart – State Office – Syracuse, NY October 2015

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Energy Programs (Continued) USDA Rural Development FY16 Program Information

Program Purpose Program Type

Eligible Applicants

Eligible Areas

Authorized Purposes

Typical Amount of Assistance

Rates and Terms

Keys to Success

When to Apply

REAP Grants

Energy Audit and Renewable Energy

Development Assistance

To assist agricultural producers and rural small businesses by conducting energy audits and providing information on renewable energy efficiency

Grants to entities to provide agricultural producers and rural businesses with energy audits and / or information to promote the use of renewable energy

State or local governments, tribes, colleges, and electric coops & publicly owned utilities

Same as REAP Grants

Help cover the costs of activities specific to the completion of the energy audit or renewable energy development assistance

≤$100,000

Grant; agricultural producers and rural small businesses must pay at least 25% of energy audit costs.

Very competitive. Experienced multi county or statewide programs favored; cost per audit of≤$2,000

Annual competition at national level

Advanced

Biofuel Payment Program (§9005)

To support and ensure an expanding production of advanced biofuels

USDA makes payments based on production of advanced biofuels

Producers of advanced biofuels (biofuels other than ethanol derived from corn kernel starch)

No rural area requirement

No restrictions

Funds are shared among all enrolled producers per BTU; type of feedstock and type of advanced biofuel affects payment level

Incentive payment

Enroll in the program during the annual sign up period

Annual enrollment (October) at the State Office level

Bio-refinery Assistance

Program (§9003)

Provide an incentive for the construction of first-of-a-kind bio-refineries to produce advanced biofuels

USDA guarantees loans made by commercial lenders

Individuals, entities, tribes, state and local government units, corporations, farm cooperatives, ag producers, associations, national laboratories, higher education institutions, rural electric cooperatives, public power entities, and consortiums of the above.

No rural area requirement

Development, construction, and retrofitting of new and emerging technologies for the development of advanced biofuels

Loan guarantees of up to $250 million, not to exceed 80% of total eligible project costs; 80% guarantee on loan amounts <$125 million; 70% for $125 million to less than $150 million; 60% for $150 million to less than $200 million; 60% for $200 million up to and including $250 million

Negotiated by business & lender; fixed or variable rates, typically near prime (no balloons); maximum term length is 20 years or useful life of project whichever is less

Lender driven; have a bank willing to make a loan (USDA only guarantees it) business with strong equity & collateral; feedstock supply

Once a year competition at the national level

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Summary of Program Purposes

LAND & MACH. & WORKING INFRA TRAIN/ BUILDING EQUIP. CAPITAL STRUCT. TECH. HOUSING PROGRAM - SINGLE FAMILY

Section 502 - Direct loan Section 504 - Loan/grant Section 523 Self Help Technical Assistance Grants Section 502 - Guaranteed loan HOUSING PROGRAM - MULTI- FAMILY

Rural rental housing - Guaranteed loan Rural rental housing - Direct loan Farm labor housing - Loan/grant Housing preservation -Grant HOUSING PROGRAM – COMMUNITY FACILITIES

Community facilities - Direct loan/grant Community facilities - Guaranteed loan

BUSINESS-COOPERATIVE PROGRAM

Business & Industry - Guaranteed loan Rural Business Enterprise Grant Rural Business Opportunity Grant Intermediary Relending - Loan Value-Added Agricultural Product Market Development

Grant

Renewable Energy/Energy Efficiency Improvements

Grant/Loan

Rural Economic Development Loan and Grant

UTILITIES PROGRAM

Water and Wastewater - Loan/Grant Water and Wastewater - Guaranteed loan Solid Waste Management Grant Distance Learning/Telemedicine, Telecomm loan/grant

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USDA Rural Development New York Area Offices and Contacts

Northern Region Brian Murray, Area Director Phone: (315) 386-2401

Canton Office Watertown Office Marcy Office

1942 Old DeKalb Road P.O. Box 838 (21168 NYS Route 232) 9025 River Road

Canton, NY 13617 Watertown, NY 13601 Marcy, NY 13403

315 386 2401 Ext 4. FAX (855) 889-1629 315 782 7289 Ext. 4 FAX (855) 889-1635 315-736-3316 Ext. 4. FAX 855 558 7596

Counties Served: St. Lawrence, Franklin, Clinton Counties Served: Jefferson, Lewis, Oswego Counties Served: Oneida, Herkimer, Madison

Eastern Region Ronda Falkena, Area Director Phone: (845) 343-1872 Ext. 4

Greenwich Office Middletown Office Schoharie Office

2530 State Route 40 Suite 104, 1st Floor 225 Dolson Avenue 108 Holiday Way

Greenwich, NY 12834-9627 Middletown, NY 10940 Schoharie, NY 12157

518-692-9940, Ext. 4. FAX (855) 889-1631 845 343 1872, Ext 4. FAX (855) 889-1632 518 295-8600, Ext 4. FAX (855) 889-1634

Counties Served: Washington, Essex, Hamilton Counties Served: Orange, Dutchess, Putnam Counties Served: Schenectady, Otsego,

Rensselaer, Saratoga, Warren Rockland, Sullivan, Ulster, Westchester, Fulton, Albany, Greene, Montgomery,

Columbia Delaware, Schoharie

Western Region Jim Walfrand, Area Director Phone: (585) 343-9167

Batavia Office Bath Office Canandaigua Office Cortland Office

29 Liberty Street, Suite 2 415 W. Morris Street Agricultural Service Center 1 N. Main Street, 2nd Floor

Batavia, NY 14020 Bath, NY 14810 3037 County Road #10 Cortland, NY 13045

585 343 9167 Ext 4 FAX (855) 889-1627 607 776 7398 Ext. 4 FAX: (855) 889-1628 Canandaigua, NY 14424 607-753-0851. Ext. 4; FAX (607) 753-3190

(585) 394 0525 Ext. 4 FAX (855) 558-7583

Counties Served: Genesee, Orleans, Wyoming, Counties Served: Steuben, Schuyler, Chemung, Counties Served: Ontario, Wayne, Seneca, Counties Served: Onondaga, Cayuga,

Erie, Niagara, Allegany, Cattaraugus, Chautauqua Yates, Livingston, Monroe Cortland, Chenango, Tompkins, Tioga,

Broome

To view your region’s eligibility for these and other programs please visit: http://eligibility.sc.egov.usda.gov

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Business & Cooperative Programs

USDA Rural Development FY16 Program Information

Program PurposeProgram

TypeEligible

ApplicantsEligibleAreas

AuthorizedPurposes

Typical Amount of Assistance

Rates and Terms

Keys to Success

When to Apply

Business & Industry (B&I) Guaranteed

Loans

Provide an incentive

for business lending that will

save and create jobs (typicallyfor larger

businesses)

USDA guarantees

business loans made

by commercial

lenders

Banks, credit unions and

other commercial lenders who make loans

to rural businesses

Areas outside the boundariesof a city or town

of > 50,000 population and the urbanized

area contiguous and adjacent to

such city or town; also

considers “rural in character” and strings in determining rural areas

The loans guaranteed can be used

for real estate,

equipment,working

capital & refinancing for non-farm businesses

80% loan guarantees

for loans of upto $5 million; 70% on loans

up to $10 million

Negotiated by business

& lender fixed or variable

rates, typically

near prime (no balloon)

Lender-driven; have a bank

willing to make the

loan (USDA only

guarantees it); business with strong

equity & collateral

Year round

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Housing Programs

USDA Rural Development FY16 Program Information

Program Objective Applicant Uses Population Loan / Grant Terms / ConditionsCommunity

FacilitiesProvide Essential

Community Facilities for rural

communities

Public bodies and non-profit

corporations. Direct and grant: apply to

local RD office. Guaranteed: Apply to

commercial lender.

Fire and Rescue, public safety, public

buildings, schools, libraries, museums, day care, health services, NOT FOR

RECREATION ACTIVITIES (except

guaranteed)

Rural areas and populations of 20,000 or less

Direct Loan, Loan Guarantee,

Grant, or Combination

Up to 100% of market value. Up to 40 years or life of

security.

Interest rates are set quarterly based on an index of current market

yields for municipal obligations, except

guaranteed. Guaranteed rates set by commercial

lender. 1% guaranteed fee.

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Utilities Programs

USDA Rural Development FY16 Program Information

Program Objective Applicant Uses PopulationLoan / Grant

Terms / Conditions

Distance Learning and Telemedicine

Development anddeployment of

advanced telecommunication services throughout

rural America

Incorporated entities, including municipal

corporations, for profit and not for profit groups,

which operate or will operate at educational institutions, including a regional educational

laboratory, library, hospital, medical center, medical clinic or any rural community facility. Rural Schools, libraries, health

care facilities. Application submitted to the RD

National Office in Washington, DC.

Equipment for classrooms; cameras,

video monitors computers and LAN;

and for physician consultation,

radiology, x-ray scanners and digital

microscopes

Rural areas. Points awarded on sliding scale

based on degree of rurality, as measured by

2010 US Census data. Multiple areas within

proposed service area will be scored and averaged

to reach final score.

Direct Loan and / or

Grant

Matching funds are required.