FHA Insurance Programs
Section 232 Pursuant to Section 223(f)
Refinance/Acquisition - Skilled Care, Assisted Living, Board & Care Facilities


Purpose: FHA’s Section 232 pursuant to Section 223(f) program provides mortgage insurance for the refinance or purchase of existing nursing homes, intermediate care facilities, board and care homes and assisted living facilities (collectively, “Residential Care Facilities”). Facilities currently financed with FHA insured mortgages are eligible for streamlined refinancing through the FHA Section 223(a)(7) program.
Independent living units can comprise up to 25% of the total number of beds or units in a facility and operating deficit escrows and debt service reserves will be required.

Eligible Borrowers: Profit motivated, non-profit and public owners are eligible.

Maximum Term: 35 years (fully amortizing) or 75% of the estimated remaining economic life whichever is less, with a minimum term of 10 years.

Maximum Loan:
Refinancing:
The lesser of:
(1) 85% of FHA's value (90% for non-profits)
(2) Amount of debt serviced by 85% of NOI attributable to the real estate (90% for non-profits)
(3) 100% of HUD approved transaction costs (no equity take-out)
(4) 100% of mortgagable costs less grants, public loans, and tax credits

Acquisition:
The lesser of:
(1) 85% of FHA's value (90% for non-profits)
(2) Amount of debt serviced by 85% of NOI attributable to the real estate (90% for non-profits)
(3) 85% of HUD approved acquisition costs (90% for non-profits)
(4) 100% of mortgagable costs less grants, public loans, and tax credits

NOI & Value Calculation: In determining underwritten NOI, management fees are not included; however, a proprietary income amount, typically equal to 10% to 25% (depending on the services and level of care provided) is deducted to arrive at an underwritten NOI for debt service
coverage and loan to value sizing tests.

Personal Liability: None. Non-Recourse.

Prepayment: Typically either: (i) closed for 10 years then open to prepayment at par, or (ii) closed for five years then open to prepayment at 105 in year six, declining 1% per year.

FHA Application Fees: 0.3% of the loan amount.

Mortgage Insurance Premium: FHA resets on a yearly basis the annual MIP which historically has been 50 basis points per year. Once set, the MIP does not vary for the life of the loan. The first year MIP for refinances is set at 1%.

Secondary Financing: Permitted in form of surplus cash note, up to 7.5% of the project’s value.

Repairs/Replacements: Funds for repairs, deferred maintenance and capital improvements for generally up to 15% of value can be included in the loan amount, subject to the 85% loan to value limitations.

Funding: Qualifies for Ginnie Mae guaranteed mortgage-backed securities or direct placement or may be used to credit enhance tax-exempt bonds.

Interest Rate: Subject to market conditions.

Territory: Nationwide

The program has the following additional parameters:
The FHA Section 232 pursuant to 223(f) mortgage insurance program is the most attractive credit enhancement program available for taxable and tax-exempt acquisition financing or refinance of existing nursing homes, intermediate care facilities, assisted living facilities, and board and care (personal care) facilities.
An initial deposit to a replacement reserve will be required at closing. The deposit can be capitalized in the mortgage loan.
Under MAP, an application can be processed in 60 days or less from submission of a complete package.
No cost certification (as is applicable to the new construction and substantial rehabilitation programs) is required.
Davis Bacon prevailing wage requirements do not apply.

Eligible Properties:
Residential Care Facilities (nursing homes, intermediate care facilities, board and care, and assisted living facilities) must be at least three years old and must provide the necessary space for a central kitchen (whether utilized or not) and group dining. If day care is provided, the day care program must be self supporting. A Residential Care Facility must be licensed and/or regulated by the state (or another political subdivision).

Assisted living facilities and board and care or personal care facilities also must provide separate dwelling units and have supportive services available to assist residents in carrying out the activities of daily living, including common rooms and the facilities necessary for the provision of the above-noted supportive services. Individual assisted living units may contain a kitchenette or full kitchen, and a full bath.

In its pre-qualifying review, American Trust Corporation will estimate both the loan amount and the fees and costs associated with the transaction. Actual loan amounts and actual fees and expenses may vary from the pre-qualifying estimates. A pre-qualifying estimate is not a commitment to make a loan.

Application Fee:
$2,500 non-refundable inspection/loan processing fee payable to American Trust Corporation with the loan application, will be credited to origination fee at closing

Origination Fee:
1%

 



 

 

 
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