Mortgage Insurance Hospitals


To facilitate the affordable financing of hospitals for the care and treatment of persons who are acutely ill or who otherwise require medical care and related services of the kind customarily furnished only or most effectively by hospitals.

General information about this opportunity
Last Known Status
Program Number
Federal Agency/Office
Office of Housing-Federal Housing Commissioner, Department of Housing and Urban Development
Type(s) of Assistance Offered
F - Guaranteed/Insured Loans
Program Accomplishments
Not applicable.
242, Public Law -108-091, 1715z U.S.C.
Section 242 Mortgage Insurance for Hospitals
Who is eligible to apply/benefit from this assistance?
Applicant Eligibility
Qualified applicants can be either profit or not-for-profit hospitals licensed or regulated by the State, municipality, or other political subdivision. At least 50 percent of the care must be for general acute patients as of June 2012.
Beneficiary Eligibility
Persons needing the services of these hospitals benefit by using the modernized facilities supported by the insured mortgages.
Documentation regarding the characteristics of the property and the qualifications of the mortgagor are assembled by the mortgagee and submitted with the application. A Certificate of Need from the appropriate State agency is needed if that State has a Certificate of Need process.
What is the process for applying and being award this assistance?
Pre-Application Procedure
Preapplication coordination is required. An environmental impact assessment is required for this listing. This program is eligible for coverage under E.O. 12372, "Intergovernmental Review of Federal Programs." An applicant should consult the office or official designated as the single point of contact in his or her State for more information on the process the State requires to be followed in applying for assistance, if the State has selected the program for review. N/A
Application Procedure
2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. The sponsor submits a formal application to the Office Healthcare Programs, Room 6264, Department of Housing and Urban Development, 451 Seventh Street, SW., Washington, DC 20410.
Award Procedure
The Federal Housing Commissioner makes final decisions to approve, hold, or reject individual applications.
Not applicable.
Approval/Disapproval Decision Time
From 60 to 90 days. Processing time depends upon the complexity of the proposal and the degree of preparation by the sponsor. 60 days is the goal for non-complicated applications.
Not applicable.
Not applicable.
How are proposals selected?
Not applicable.
How may assistance be used?
HUD insures lenders against loss on mortgages. The loans may be used to finance the construction, modernization, equipment, or refinancing of acute care hospitals.
What are the requirements after being awarded this opportunity?
Not applicable.
The Department of Housing and Urban Development reserves the right to audit the accounts of either the mortgagee or mortgagor in order to determine their compliance and conformance with HUD regulations and standards.
Mortgagees and mortgagors are required to service and maintain records in accordance with acceptable mortgage practices of prudent lending institutions and FHA regulations. Records must be kept in accordance with State and Federal Regulations during the construction phase.
Other Assistance Considerations
Formula and Matching Requirements
Statutory formula is not applicable to this assistance listing.

Matching requirements are not applicable to this assistance listing.

MOE requirements are not applicable to this assistance listing.
Length and Time Phasing of Assistance
The mortgage term is 25 years. insurance of advances for construction projects.
Who do I contact about this opportunity?
Regional or Local Office
None/Not specified.
Headquarters Office
Dunkley, Cherokee M.,
451 7th Street, SW Rm 6264
Washington, DC 20410 US
Phone: ( 202 ) 708-0599 Ext. 6723

ALter: Muhammad, Aisha J.
451 7th Street SW,
Washington, DC 20411 USA
Phone: 202-402-4593
Website Address
Financial Information
Account Identification
(Guaranteed/Insured Loans) FY 22$135,000,000.00; FY 23 est $482,000,000.00; FY 24 est $960,000,000.00; FY 21$1,447,420,400.00; FY 20 Estimate Not Available FY 19$220,000,000.00; FY 16 est $665,000,000.00; FY 15$160,000,000.00; FY 17 est $300,000,000.00; -
Range and Average of Financial Assistance
Not applicable/available.
Regulations, Guidelines and Literature
Not applicable.
Examples of Funded Projects
Fiscal Year 2020 Remodeling, Expansion, Modernization, Equipment, Refinancing and Acquisitions.


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