Fha Refinance

The HUD will now make it possible to refinance Krankenhaus-Hypothekenschulden with state-guaranteed mortgages in accordance with §§ 242 and 223(f) of the National Housing Act. Section 242 of the National Housing Act allows HUD, through the Federal Housing Administration (FHA), to offer certain qualifying creditors cover against losses arising from loan default to for-profit, non-profit and state institutions.

The Section 242 programme will provide better accessibility for clinics to long-term, low-interest, fixed-rate and non-recourse lending. The FHA is authorised under section 223(f)(1) of the National Housing Act to provide 100% funding and acquisitions credit for insurance of hospital assets (as well as hospital assets, residential properties and other healthcare assets).

HUD has not, however, made use of this authorisation to date to refinance the debts of current hospital facilities. In HUD's view, there was sufficient privately owned funds to help refinance hospitals' debts and there was less need for new buildings, renovations and rehabilitations and equipment purchase.

Due to the economic slowdown and the increasing need for healthcare provision, the absence of adequate funding for healthcare has made funding more challenging for them. Accordingly, HUD is extending its programme of mortgages on mortgages on hospitals to allow it to refinance current debts without taking them into account in new buildings or renovations.

In order to be entitled, a host institution must have an overall working profit of at least 0.33% and an expected minimum level of cover for debts of 1.80% over the last three years. Furthermore, since January 1, 2008, the infirmary must have seen an interest rise of at least 1% as a consequence of the loan crunch or prove that such an interest rise is impending.

Under the new 242/223(f) programme, the permissible amount of mortgages may not exeed the refinancing charges of the debt, including the repayment amount, appropriate and usual attorneys' charges, securities and record keeping charges, repair charges of less than 20% of the new amount of the mortgages, charges to the lenders authorised by the HUD, and audit surcharges.

Recently introduced changes in the rules provide that an insurance credit may also be used to fund the cost of purchasing a medical facility. The HUD publishes formal changes to its programme ordinances on § 242 that implement this extension. Comments on the changes will be published after they have been published in the Federal Register.