HUD Archives: News Releases

HUD No. 09-114
Lemar Wooley
(202) 708-0685
For Release
July 13, 2009

New policy designed to help hospitals falling victim to the credit crisis

WASHINGTON - U.S. Department of Housing and Urban Development Secretary Shaun Donovan today announced that HUD's Federal Housing Administration (FHA) will now provide mortgage loan insurance for hospital refinancing. Prior to this, hospitals could only get FHA insurance on loans that included a substantial construction component such as replacing, rebuilding, or renovating existing structures.

"This refinance program will help hospitals struggling with skyrocketing interest rates and limited credit options," said HUD Secretary Shaun Donovan. "The savings provided through FHA refinancing should also help hospitals decrease the cost of healthcare, which is a major priority of the Obama Administration."

The primary focus of the program is to help those hospitals that have seen the cost of borrowing increase as a result of the demise of AAA bond insurance, downgrades of commercial banks, and the disappearance of financing alternatives.

To read more about FHA's new hospital refinance program, visit HUD's website.

HUD is prepared to accept refinancing applications as soon as lenders are prepared to submit them. The application process will be similar to that for construction loans, but it is expected to be significantly faster with fewer required steps. HUD anticipates that full applications will start to be received in August and that, following application review, insurance commitments for refinancing will start to be issued in October.

HUD estimates that in FY 2010 it will receive between 25 and 40 applications for refinancing hospital debt through FHA. These will be in addition to between 10 and 15 construction-related loan applications in the pipeline.

The Section 242 Program

Since 1969, FHA has insured 367 loans totaling $14.9 billion to hospitals in 42 states and Puerto Rico. Currently, there are 87 active loans with a total principal balance of $7.3 billion. The average loan size is $96 million, and the principal balances of individual loans in the portfolio range from $1.9 million to $756 million.

The Section 242 program serves the full spectrum of acute care hospitals, including small rural hospitals, inner-city hospitals, and large academic medical centers. The total number of hospital beds in HUD's hospital portfolio is approximately 19,800.

The program contributes to HUD's community development mission because hospitals are major employers, community anchors, and essential for quality of life. Also, with a claim rate of 0.64% (net of recoveries), the program is a net contributor to FHA's General Insurance Fund.

Risk Management

Once a hospital is in the insured portfolio, it is monitored closely and if signs of financial decline are detected, FHA employs proven strategies to help the hospital regain financial stability. Also, hospitals are required to make monthly payments into a Mortgage Reserve Fund that builds to a balance equal to two years of debt service after ten years.

Should mortgage default cause FHA to pay a claim, recovery of losses is facilitated by the requirement that the FHA-insured lender must have a first mortgage lien on the hospital's property, plant, equipment, and receivables. The combination of careful underwriting, proactive portfolio management, and program requirements has made the program's low claim rate possible.


HUD's mission is to create strong, sustainable, inclusive communities and quality affordable homes for all. HUD is working to strengthen the housing market to bolster the economy and protect consumers; meet the need for quality affordable rental homes: utilize housing as a platform for improving quality of life; build inclusive and sustainable communities free from discrimination; and transform the way HUD does business. More information about HUD and its programs is available on the Internet at and You can also follow HUD on twitter @HUDnews, on facebook at, or sign up for news alerts on HUD's News Listserv.


Content Archived: April 10, 2015