NC to HC Guidance Document

Tamary, I don't know exactly what doc you mean, but are you looking for rating system selection guidance? I think that covers what you need. That's here:
http://www.usgbc.org/articles/rating-system-selection-guidance

Tamary, we have a project that is registered under the LEED for Healthcare rating system but which we originally considered registering under the LEED BD+C rating system. We requested guidance from USGBC and below is their response dated November 13, 2013.
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LEED for Healthcare Definition Revision

LEED for Healthcare was introduced in 2011 to address the unique needs and aspects of the healthcare market sector. In the last two years, we’ve listened to our stakeholders and made refinements to the system. Our latest update, released as part of the October 2013 addenda as an update to the Rating System Selection guidance, is the direct result of feedback from project teams.

The challenge: You told us that when trying to decide if LEED for Healthcare is the right rating system for your project, terms like “licensed” create more confusion than clarity.

The solution: Since LEED for Healthcare was written with a prototypical medium to large hospital in mind, we are revising the definition to more closely match that prototype. The operational nature of these facilities is one of the main differences between a New Construction and a Healthcare project, so we wanted to call that out specifically in the rating system selection guidance.

The guidance now states:

This rating system is required for hospitals that operate twenty-four hours a day, seven days a week and provide inpatient medical treatment, including acute and long-term care.

The prior language stated:

This rating system is required (beginning January 1, 2012) for buildings that serve individuals who seek medical treatment, including licensed and federal inpatient care facilities, licensed and federal outpatient care facilities, and licensed and federal long-term care facilities. These are considered LEED for Healthcare ‘designated’ uses. It is also appropriate for buildings with other kinds of medically-related uses, such as unlicensed outpatient facilities, medical, dental and veterinary offices and clinics, assisted living facilities and medical education & research centers are examples of ‘non-designated’ uses, and may use LEED for Healthcare at the project team’s discretion.

Projects should use this guidance (effective October 1, 2013). The same definition also applies for projects certifying under LEED v4.

Already registered? If you are currently registered under LEED for Healthcare and your project does not fall under the revised definition and requirement you will be allowed to change your registration. Please contact USGBC if you would like to request a change in rating system. Please note that any project information already stored in LEED Online will not be moved in a rating system change.
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Hope the above helps!
Ross Spiegel