Healthcare - Acquisition Refinance


232/223(f) Acquisition / Refinance

Our direct HUD 232/223(f) program provides 35 year fixed rate, 80-85% LTV, non-recourse financing nationwide for the acquisition or refinance of:

  • Board and Care
  • Memory Care
  • Skilled Nursing 
  • & Assisted Living Facilities
  • (An independent living component no greater than 25% of the total units is allowable.)

Capital improvements and reserve deposits can be included in the loan. To qualify for HUD financing, facilities must accommodate 20 or more residents and have the ability to monitor resident condition 24 hours a day, 7 days a week, 365 days a year. Additionally facilities must be licensed by the State, municipality, or other body in which the project is located.

Drug rehab, group homes, hospice, dialysis, or medical office buildings are ineligible for HUD financing, however a small component of ancillary office or commercial space can be included in each transaction.

HUD loans can be assumed by investors and retain the original interest rate, making HUD an excellent option for long term investment scenarios or shorter term holds. 

Typically, the HUD 232/223(f) program takes about 4-6 months from start to finish.

We are a direct lender, not a broker or intermediary. Each loan is underwritten by experienced healthcare professionals who understand both the challenges facing healthcare providers and potential market opportunities.


  • 35 Year Fixed Rate
  • Non-Recourse
  • Assumable
  • Declining Prepayment
  • Fund Capital Improvements
  • Increase Reserve Deposits