FHA Section 242 Services
Overview of the FHA 242 Program

Established in 1968, HUD is authorized to provide FHA Section 242 Hospital Mortgage Insurance to urgently-needed hospitals to facilitate affordable loans for nonprofit, government-owned, and for-profit borrowers. HUD views the FHA 242 Program as the government's ultimate tool in facilitating the cost-effective modernization of America's hospitals. To date, over 350 FHA 242 insurance commitments have been issued in 42 states exceeding $13 billion in financing. Beneficiaries have included hospitals of all sizes and geographic locations from rural critical access hospitals to some of the largest urban tertiary care facilities in the country. Currently, the program has over 80 loans outstanding, totaling more than $6 billion. The program may be used for start-up or existing hospitals to finance construction, modernization, equipment, refinancing (limited to 80% of the insured loan amount), remodeling, expansion and acquisition.

    + Low interest loans via municipal bonds and direct mortgage loans
    + Loans can fund up to 100% of project costs
    + Easy capital access
    + HUD's loan portfolio generally consists of non-rated hospitals
    + Strong project and financing oversight from experienced professionals at HUD, HHS and the Division of Engineering Services
    + Upfront program costs can be amortized in the mortgage loan and are generally recaptured in total in 1-2 years from annual interest rate savings
    + Manageable financial and operating covenants
    + Debtor in Possession Financing

Our Commitment to the FHA Section 242 Program

As a firm, InnoVative Capital has been at the forefront of programmatic changes involving the substance and application of the FHA 242 program. Whether by underwriting the first FHA Section 242 transaction secured by a long-term lease rather than a mortgage, obtaining HUD financing for a proprietary start-up hospital, structuring the largest FHA insured loan for a CAH, or by serving as faculty at hospital industry seminars, the results of our efforts support not only current and future clients, but the future of the entire hospital sector.

Underwriting, Mortgage Banking and Lending

Commencing with our CFO HELPER®, InnoVative Capital’s proprietary system of underwriting FHA 242 Applications generates our own analytical reports, credit narratives, market reviews and project adequacy sufficiency studies. This accelerates the HUD process by immediately identifying transactional strengths and weaknesses, with an action plan for a successful deal. We direct all aspects of the FHA loan underwriting, in coordination with the project development team, to help ensure a successful financing.



“Not only are we thrilled with our mortgage loan rate of 5.05%, but the expedited time it took for us to receive HUD’s mortgage insurance commitment of nine weeks, from the date of InnoVative Capital’s submission of our application was unexpected and phenomenal.”

Daryle Voss
District Administrator/CEO

Matagorda County Hospital District

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