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Our Expert Mortgage Bankers Provide HUD 232 and HUD 232/223(f) Healthcare Loans for Assisted Living, Skilled Nursing, and Memory Care Properties.

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Build, Acquire, or Refinance Senior Housing and Healthcare Properties With HUD 232 or HUD 232/223(f) Loans

With 70 million baby boomers in the U.S., and an additional 3 million Americans turning 65 every year, there's never been a better time to build senior housing. Fortunately, the U.S. Department of Housing and Urban Development (HUD) offers long-term, fixed-rate, non-recourse loans through the HUD 232 and HUD 232/223(f) loan programs. 
⁠
⁠For investors and developers who want to build senior housing facilities, assisted living centers, or skilled nursing properties, HUD 232 and HUD 232/223(f) loans provide some of the best terms and lowest rates in the industry.

Keep reading below to learn more, or simply download our HUD 232/223(f) loan term sheet or our HUD 232 loan term sheet.

HUD 232 Basic Information 

The basic terms of the HUD 232 loan include: 

  • Loan Purpose: Construction, acquisition, rehabilitation of properties intended for senior citizens

  • Loan Size: $2 million minimum (average loan size is $7.6 million)

  • Loan Term:

    • 10-year minimum, fully amortizing

    • Up to 40-year fixed-rate term for new and rehabilitated properties

    • Up to 35-year fixed-rate terms for non-rehab acquisitions that can be funded with Government National Mortgage Association (GNMA) mortgage-backed securities

  • Skilled Nursing Facilities/Independent Living Units: 80% LTV (for profit), 85% LTV (nonprofit) 

  • Assisted Living Facilities: 

    • New Construction: 75% LTV (for profit), 80% (nonprofit) 

    • Purchase: 80% LTV (for profit), 85% LTV (nonprofit) 

    • Substantial Rehabilitation: 80% LTV (for profit), 85% LTV (nonprofit) 

      • Or, 90% of HUD-eligible replacement costs (whichever is less)

      • For borrower-owned properties, 100% of the existing mortgage debt or 90% of the “as is” market value of the property before rehabilitation (95% for nonprofits)

      • For properties that will be bought and substantially rehabilitated, 85% of the purchase price of the property or 90% of the current market value of the property before rehabilitation (95% for nonprofits)

      • This also applies to skilled nursing facilities/independent living units 

  • DSCR: 1.45x minimum DSCR, 1.11x minimum DSCR for HUD 232(i) fire safety loans

HUD 232/223(f) Basic Information

Projects that don't qualify for substantial rehabilitation or purchase under the HUD 232 loan program may qualify for the HUD 232/223(f) program. This financing is available for borrowers who want to either purchase or refinance a senior living asset. The terms of this loan product include:

  • Loan Purpose: Purchase or refinancing of properties intended for senior citizens

  • Loan Size: $2 million minimum (average loan size is $7.6 million)

  • Loan Term: Minimum 10 years, maximum 35 years (or 75% of the remaining economic life of the property, whichever is less)

  • Leverage:

    • Purchase:

      • Lesser of 85% of the acquisition price or appraised value (for-profits)

      • Lesser of 90% of the acquisition price or appraised value (nonprofits)

    • Refinance::

      • Lesser of 100% of the cost to refinance or 85% of appraised value (for-profits)

      • Lesser of 100% of the cost to refinance or 90% of appraised value (nonprofits)

  • DSCR: 1.45x minimum DSCR

Tools for Brokers, Investors, and Developers 

If you're interested in HUD 232 or HUD 232/223(f) financing for a senior living development, we have the tools to help. Our information sections cover subjects including: 

  • Frequently Asked Questions

  • Appraisal Requirements

  • Types of HUD 232 Loans (including refinancing and supplemental financing)

  • Terms, Qualifications, and Guidelines for HUD 232 financing

In addition, we have also provided our easy-to-read HUD 232 and HUD 232/223(f) term sheets.

FOR DEVELOPERS

Find developer-specific information, including: 

  • State Approval Information

  • Healthcare Documents

  • Insurance Requirements

  • A Construction Application Submission Checklist for HUD 232 construction loans


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