Wednesday, March 8, 2017

GOP Chumapcare will mean closing of many rural Hospitals moving fund to big MSA's

restructure the Medicaid program” by shifting it from an entitlement program to one based on a per capita allocation “will have the effect of making significant reductions in a program that provides services for our most vulnerable populations and already pays providers significantly less than the cost of providing care.”

Could lead to loss of billions for federal government insured Hospital loan program run by Ben Carson

Wednesday, March 6, 2013


Owners of multifamily, nursing homes, assisted living facilities, and hospitals have long preferred traditional bank lenders over FHA-based financing.  The usual reason is the difficulty and frustration of dealing with FHA versus the relative ease of dealing with sophisticated lenders.  Due to the changes from the real estate market crash, the wave of bank consolidations, and the reluctance of the remaining banks to return to lending, owners should reexamine their traditional views of FHA financing. 
Traditional financial institutions no longer securitize senior multifamily and health care loans, thereby eliminating the availability of conduit financing for these projects.  We have not yet seen the end of the foreclosure crisis and if banks incur addition losses, bank financing for these types of projects will be almost impossible to obtain.  

FHA, on the other hand, has improved its process dramatically.  FHA-based financing has always offered several significant advantages over traditional bank and conduit lending sources if one was willing to deal with the red tape.  Much of that red tape has now been removed or streamlined and programs to finance hospitals have been added.  The most obvious advantage to FHA is continued credit availability that is unaffected by the subprime fiasco.  Additional advantages are lower fixed rates, nonrecourse loans, and long-term fully-amortizing debt.

FHA loans do not contain the numerous covenants contained in traditional lending documents and specifically do not contain a debt service coverage requirement.  As markets evolve and Medicaid and Medicare reimbursement methodologies are revised, a manager’s ability to maintain a stable and predictable debt service coverage is continually challenged.  FHA-based financing will prove especially valuable.

Our principal business is providing FHA-based refinancing for multifamily, nursing homes, assisted living facilities, and hospitals.  We pride ourselves on our ability to restructure traditional debt into FHA-based debt and working with owners to develop a program using both traditional and FHA-based financing.  Let us help you with your financial needs.  Please contact us at your earliest convenience.

Charles Kendall 773-259-7074 

Scott Kendall 847-903-7578

Friday, August 31, 2012

FHA 242 Refinance of Hospitals finally expected to be opened any day OMB

FHA 242 Hospital refinancing is finally gone to be approved very soon.

Looking for long term 25 year fixed rates under 3.5% to increase the Hospital Cash Flow build reserves call soon. (847) 903-7578 Scott Kendall CEO Kendall Realty Commercial Health Care FHA financing.

Monday, July 6, 2009

FHA 242/FHA 223(f) Hospital Refinancing

SUBJECT: Hospital Mortgage Insurance: Section 223(f) Refinancing in Conjunction with

Section 242 Financing

This notice advises that FHA is immediately implementing its authority under section 223(f) of the National Housing Act to provide, in conjunction with financing under Section 242 of the National Housing Act, refinancing of debt for hospitals, without conditioning such refinancing on new construction or renovation as is the current program requirement.

Eligible entities seeking refinancing under Section 223(f) in conjunction with Section 242 financing (Section 242/223(f)) shall follow FHA’s regulations in 24 CFR part 242, except as modified in this notice to accommodate requirements applicable to Section 223(f) refinancing.

Sunday, December 28, 2008

Hospital Financing with FHA

FHA GNMA debt has always had some of the best rates since the United States government insures the loan holders against losses which gives the GNMA insured debt a AAA rating. In the middle of the "Credit Crisis", I consider it the best program available nationally. We can credit enhance tax-exempt bonds, but in our recent deal for a non-profit healthcare provider we where able to achieve a lower rate with a taxable GNMA and we saved the borrower massive negative arbitrage and issuance costs. The FHA department worked hard and fast on this deal and even allowed processing of the loan without final drawings.

The FHA 242 Program with mortgage insurance can save the hospital mortgage interest so that the saving can be used for repairs and modernization. The program may be used for existing or start-up hospitals or to finance construction, modernization, equipment, refinancing (limited to 80% of the insured loan amount), remodeling, expansion and acquisition. FHA Section 242 Hospital Mortgage Insurance is for urgently-needed hospitals and to facilitate affordable loans for nonprofit, public-owned, and for-profit borrowers. Give FHA a new look you will not regret it!