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Healthcare

HUD 232/223(a)(7)

Streamlined Refinance of Existing HUD-Insured Loan

Program Overview

Provides a streamlined refinance to reduce the interest rate and debt service cost and extend the loan term on existing HUD-insured healthcare properties.

Typical Terms

Borrower Type
For-Profit or Non-Profit single asset borrower entity
Recourse / Guaranty
Non-recourse
Loan Term / Amortization
Loan term may be extended up to 12 years beyond the original maturity date
Interest Rate
Determined by market conditions and fixed for the full term of the loan
Loan Parameters
The lower of: 1) amount required to pay off the existing loan balance, prepayment penalties, repairs, and loan transaction costs; 2) the original loan amount on the current HUD insured loan; 3) amount supported by a 1.11x debt service coverage ratio
Prepayment
Negotiable. Typically, 10-year call protection with a combination of lockout and/or stepdown pre-payment penalty. Existing prepayment penalties may be included in the new loan
Assumption
Loans are fully assumable, subject to HUD approval.
HUD Application Fee
0.15% of the loan amount, due at Firm Application submission
HUD MIP
0.50% due at closing, and 0.55% annually (0.45% with LIHTC)
3rd Party Reports
Project Capital Needs Assessment (PCNA) typically required; exceptions may be granted for newly constructed projects or projects with recently complete PCNA's.
Reserves
Typical Tax and Insurance escrows (including MIP) and Replacement Reserves as determined by PCNA and program requirements

Eligible Property Types

  • Existing HUD-insured healthcare facilities

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