acute care hospitals


New Construction or Sub-Rehab – Section 242


Mortgagor entity may be either for-profit or not-for-profit. For acute care hospitals, no more than 50% of total inpatient days during any 1 year may be assignable to chronic convalescence and rest, drug and alcohol, epileptic, nervous and mental, mentally deficient and tuberculosis care.



Subject to Davis-Bacon requirements. v Audited project financial statements must be filed annually with CMI.


Full escrows for property taxes and all applicable insurance are funded at closing and must be maintained throughout the life of the loan. A Replacement Reserve account must be established at closing and is made immediately available for replacement of short-lived depreciable items. An Operating Deficit escrow will be required by HUD to cover operating losses until sustaining occupancy is reached and must be funded by with cash or a letter of credit.


This is a non-recourse loan. Long loan term - up to 25 years, fully amortizing. Low, fixed interest rates, fully amortizing. Most affirmative and negative loan covenants typically found in conventional loan agreements are eliminated. Converts to permanent financing upon completion at no extra cost. Fully assumable, subject to HUD and CMI approval. Can be used as a credit enhancement for tax exempt bonds.


Click here to download a PDF of this program.


Current HUD Programs